The Management of Unresectable, Advanced Gastrointestinal Stromal Tumours.


Journal

Targeted oncology
ISSN: 1776-260X
Titre abrégé: Target Oncol
Pays: France
ID NLM: 101270595

Informations de publication

Date de publication:
03 2022
Historique:
accepted: 23 02 2022
pubmed: 16 3 2022
medline: 13 4 2022
entrez: 15 3 2022
Statut: ppublish

Résumé

Gastrointestinal stromal tumours (GISTs) are the most common gastrointestinal tract mesenchymal tumours. Tyrosine kinase inhibitors (TKIs) have transformed the management of advanced GIST. Imatinib was the first TKI to gain approval as management for patients with advanced GIST, establishing a new standard of care. Since then, as a result of several trials including the GRID and INVICTUS studies, we now have five lines of approved targeted therapy, including imatinib, sunitinib, regorafenib, ripretinib and avapritinib for the treatment of unresectable, advanced GISTs. In this review, the Australasian Gastrointestinal Trials Group (AGITG) provide an overview of the key trials that have changed clinical practice, discuss the molecular drivers of GISTs, the importance of molecular testing and directing therapy according to molecular targets, as well as future strategies in the management of advanced GISTs.

Identifiants

pubmed: 35290591
doi: 10.1007/s11523-022-00869-y
pii: 10.1007/s11523-022-00869-y
pmc: PMC8995292
doi:

Substances chimiques

Antineoplastic Agents 0
Protein Kinase Inhibitors 0
Imatinib Mesylate 8A1O1M485B
Sunitinib V99T50803M

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

95-110

Informations de copyright

© 2022. Crown.

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Auteurs

Tiffany Foo (T)

Flinders Centre for Innovation in Cancer/Flinders University, Bedford Park, SA, 5042, Australia.

David Goldstein (D)

Department of Medical Oncology, Prince of Wales Hospital, University of NSW, Sydney, NSW, Australia.

Eva Segelov (E)

Department of Medical Oncology, School of Clinical Sciences, Monash University and Monash Health, Melbourne, VIC, Australia.

Jeremy Shapiro (J)

Cabrini Health, Monash University, Melbourne, VIC, Australia.

Nick Pavlakis (N)

Department of Medical Oncology, Royal North Shore Hospital, University of Sydney, Sydney, NSW, Australia.

Jayesh Desai (J)

Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.

Desmond Yip (D)

Department of Medical Oncology, Canberra Region Cancer Centre, The Canberra Hospital, Canberra, ACT, Australia.

John Zalcberg (J)

Alfred Health, Monash University, Melbourne, VIC, Australia.

Timothy J Price (TJ)

The Queen Elizabeth Hospital/University of Adelaide, Adelaide, SA, Australia.

Adnan Nagrial (A)

Department of Medical Oncology, Westmead and Blacktown Hospitals, University of Sydney, Sydney, NSW, Australia.

Lorraine Chantrill (L)

Department of Medical Oncology, Wollongong Hospital, Illawarra Shoalhaven Local Health District, Illawarra, NSW, Australia.

Matt Burge (M)

Department of Cancer Care Services, Royal Brisbane Hospital, University of Queensland, Herston, QLD, Australia.

Christos S Karapetis (CS)

Flinders Centre for Innovation in Cancer/Flinders University, Bedford Park, SA, 5042, Australia.

Niall Tebbutt (N)

Department of Medical Oncology, Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, VIC, Australia.

Amitesh C Roy (AC)

Flinders Centre for Innovation in Cancer/Flinders University, Bedford Park, SA, 5042, Australia. amitesh.roy@sa.gov.au.

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