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NCT02365441: ALT GIST
A Randomised Trial of Imatinib Alternating With Regorafenib Compared to Imatinib Alone for the First Line Treatment of Advanced Gastrointestinal Stromal Tumour (GIST)
Phase 2 trial testing Regorafenib in Gastrointestinal Stromal Tumour in 78 participants. Status unknown.
31 December 2023
Quick facts
| Lead sponsor | Australasian Gastro-Intestinal Trials Group |
|---|---|
| Phase | Phase 2 |
| Status | Status unknown |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 78 |
| Start date | 30 June 2015 |
| Primary completion | 31 December 2023 |
| Estimated completion | 31 December 2023 |
| Sites | 25 locations across France, Finland, Netherlands, Slovakia, Sweden, United Kingdom, Norway, Australia |
Drugs / interventions tested
- Regorafenib — full drug profile →
- imatinib — full drug profile →
Conditions studied
- Gastrointestinal Stromal Tumour — all drugs for Gastrointestinal Stromal Tumour →
Sponsor
Australasian Gastro-Intestinal Trials Group — full company profile →
Who can join
18 and older, any sex, with Gastrointestinal Stromal Tumour. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
An open label randomised trial for adults with histologically confirmed measurable metastatic GIST who have received no other treatment for metastatic disease. The study aims to determine if an alternating regimen of imatinib and regorafenib has sufficient activity and safety in comparison to imatinib alone to warrant further evaluation as a first line treatment for metastatic GIST.
Publications & conference data
6 peer-reviewed publications reference this trial (live from Europe PMC):
-
Gastrointestinal Stromal Tumors (GISTs): Novel Therapeutic Strategies with Immunotherapy and Small Molecules.
Vallilas C, Sarantis P, Kyriazoglou A, Koustas E, et al · · 2021 · cited 41× · PMID 33419029 · DOI 10.3390/ijms22020493 -
Advances and Challenges on Management of Gastrointestinal Stromal Tumors.
Mei L, Du W, Idowu M, von Mehren M, et al · · 2018 · cited 35× · PMID 29868467 · DOI 10.3389/fonc.2018.00135 -
PDGF/PDGFR effects in osteosarcoma and the "add-on" strategy.
Xu J, Xie L, Guo W. · · 2018 · cited 30× · PMID 30083310 · DOI 10.1186/s13569-018-0102-1 -
Regorafenib regresses an imatinib-resistant recurrent gastrointestinal stromal tumor (GIST) with a mutation in exons 11 and 17 of c-kit in a patient-derived orthotopic xenograft (PDOX) nude mouse model.
Miyake K, Kawaguchi K, Kiyuna T, Miyake M, et al · · 2018 · cited 6× · PMID 29334307 · DOI 10.1080/15384101.2017.1423223 -
Imatinib alternating with regorafenib compared to imatinib alone for the first-line treatment of advanced gastrointestinal stromal tumor: The AGITG ALT-GIST intergroup randomized phase II trial.
Yip D, Zalcberg J, Blay JY, Eriksson M, et al · · 2025 · cited 2× · PMID 40133509 · DOI 10.1038/s41416-025-02983-w -
Micromanagement of drug-resistant advanced gastrointestinal stromal tumors: regorafenib-new ammunition in battling exon 17 mutations.
Eckardt AJ, Klein O. · · 2018 · cited 1× · PMID 29552663 · DOI 10.21037/tgh.2018.02.01
Verify or expand the search:
- PubMed search for NCT02365441
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
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Other recruiting trials for Gastrointestinal Stromal Tumour
Currently open trials in the same condition.
- NCT07124000 — DESTINY-PANTUMOUR04 · recruiting
Other Australasian Gastro-Intestinal Trials Group trials
Trials by the same sponsor.
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT02365441 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 9 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Australasian Gastro-Intestinal Trials Group
- Last refreshed: 7 July 2023
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02365441.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing