The purpose of this study is to find out if a new drug, called IDRX-42 (also known as GSK6042981), is effective in treating adults with a type of cancer called Gastrointestinal Stromal Tumors (GIST) when compared to another drug named sunitinib. The study will see if IDRX-42 works well and is safe for participants whose GIST has spread or cannot be surgically removed, and who have already taken the drug imatinib. Participants whose disease worsens after receiving sunitinib in this study may cross over to receive GSK6042981, at investigator's discretion and if additional eligibility criteria are met.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
450
IDRX-42 will be administered.
Sunitinib will be administered.
GSK Investigational Site
Phoenix, Arizona, United States
RECRUITINGGSK Investigational Site
La Jolla, California, United States
RECRUITINGGSK Investigational Site
Los Angeles, California, United States
RECRUITINGGSK Investigational Site
San Francisco, California, United States
Progression-Free Survival (PFS)
PFS is defined as time from the date of randomization to the date of disease progression or death due to any cause, whichever occurs first.
Time frame: Up to approximately 130 weeks
Overall Survival (OS)
OS is defined as time from the date of randomization to the date of death due to any cause.
Time frame: Up to approximately 261 weeks
Progression-Free Survival (PFS)
PFS is defined as time from the date of randomization to the date of disease progression or death due to any cause, whichever occurs first.
Time frame: Up to approximately 261 weeks
Confirmed Overall Objective Response Rate (ORR)
ORR is defined as the percentage of participants with the best overall confirmed partial response (PR) or complete response (CR).
Time frame: Up to approximately 261 weeks
Time to Response (TTR)
TTR is defined as time from randomization until the first documented PR or complete response (CR) that will be subsequently confirmed.
Time frame: Up to approximately 261 weeks
Time from initial study randomization to second disease progression or death after starting the next line of treatment (PFS2)
PFS2 is defined as the time from initial study randomization to the disease progression following first subsequent anticancer therapy or death, whichever is first.
Time frame: Up to approximately 261 weeks
Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire 30-item Core Module (EORTC QLQ-C30)
The EORTC QLQ-C30 includes 30-item questionnaire for evaluating the health-related quality of life (HRQoL) of participants participating in cancer clinical studies. These include functional scales, symptom scales, global health status scale, and single item scales. Scores are averaged and transformed to 0 to 100. Higher scores indicate greater functioning, better global health status, or more severe symptoms
Time frame: Baseline (Day 1) and up to approximately 261 weeks
Time To Confirmed Deterioration (TTCD)
TTCD is defined as the time from the date of randomization to the first confirmed clinically meaningful deterioration based on the EORTC QLQ-C30.
Time frame: Up to approximately 261 weeks
Plasma concentrations of IDRX-42 (GSK6042981)
Time frame: Up to approximately 261 weeks
Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: Up to approximately 261 weeks
Number of Participants with TEAEs and SAEs by severity
Time frame: Up to approximately 261 weeks
Number of Participants with dose reductions, interruptions and discontinuation of study treatment due to toxicity
Time frame: Up to approximately 261 weeks
Number of participants with symptomatic adverse events (AEs), by severity, as measured by the Patient-reported outcome Common Terminology Criteria for Adverse Events (PRO-CTCAE)
The PRO-CTCAE is a patient-reported outcome measure developed to evaluate symptomatic toxicities in participants in cancer clinical trials. The PRO-CTCAE includes an item library of 124 items representing 78 symptomatic toxicities drawn from the CTCAE.
Time frame: Up to approximately 261 weeks
Number of participants with bothersome AEs/tolerability as measured by the Functional Assessment of Cancer Therapy - General (FACT-GP5)
The FACT GP5 is an assessment focused on the overall side effects impact to inform the tolerability of a treatment. The FACT GP5 ("I am bothered by side effects of treatment") responses are given on a 5-point Likert type scale. The response scale ranges from 0 (Not at all) to 4 (Very much). Higher scores indicate a higher degree of AE bother.
Time frame: Up to approximately 261 weeks
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GSK Investigational Site
New Haven, Connecticut, United States
RECRUITINGGSK Investigational Site
Jacksonville, Florida, United States
RECRUITINGGSK Investigational Site
Miami, Florida, United States
RECRUITINGGSK Investigational Site
Orlando, Florida, United States
RECRUITINGGSK Investigational Site
Tampa, Florida, United States
RECRUITINGGSK Investigational Site
Iowa City, Iowa, United States
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