Oncology

Gastrointestinal Stromal Tumor

Also known as GIST, KIT/PDGFRA tumor, gastrointestinal stromal sarcoma

Gastrointestinal stromal tumours are the most common mesenchymal tumours of the GI tract, arising from the interstitial cells of Cajal or their precursors, and defined by gain-of-function mutations in KIT (approximately 80%) or PDGFRA (appr

ORPHA:44890 ↗Gene KITGene PDGFRAGene SDH (multiple)Prevalence 10–15 in 1,000,000Onset Adult (median age 60s); paediatric and SDH-deficient GIST in younger patientsSporadic; rare familial germline KIT or PDGFRA mutations

58

studies recruiting now

as of 7 Sept 2026

431

studies registered in total

as of 7 Sept 2026

23

countries with a recruiting site

as of 7 Sept 2026

15 Aug 2025

most recent study posted

among recruiting studies

Recruiting trials

RecruitingNCT07124000

DESTINY-PANTUMOUR04

Sponsor AstraZenecaWhere United States (18 sites)Studying Trastuzumab deruxtecanUpdated 25 Aug 2026

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 58 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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About Gastrointestinal Stromal Tumor

Gastrointestinal stromal tumours are the most common mesenchymal tumours of the GI tract, arising from the interstitial cells of Cajal or their precursors, and defined by gain-of-function mutations in KIT (approximately 80%) or PDGFRA (approximately 10%), with the remaining cases being wild-type and often harbouring SDH complex deficiency, NF1 mutations, or BRAF alterations. The advent of imatinib and subsequent generations of tyrosine kinase inhibitors has transformed the management of advanced GIST, but drug resistance through secondary KIT/PDGFRA mutations remains the central clinical challenge. Precise molecular subtyping of the primary driver mutation is essential for predicting drug sensitivity and determining eligibility for targeted therapy trials.

Common clinical features

Asymptomatic incidental finding on imaging in early or small tumoursAbdominal pain or discomfort from a palpable abdominal massGastrointestinal bleeding presenting as haematemesis, melaena, or iron-deficiency anaemiaEarly satiety, nausea, or dysphagia depending on tumour location within the GI tractTumour rupture causing acute haemoperitoneum and haemodynamic compromisePeritoneal metastases causing abdominal distension and ascitesHepatic metastases discovered on surveillance imaging in patients on TKI therapy

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Treatments being studied

6 approved treatments and 51 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Approved: Tas-116Approved: Sunitinib Malate (Sunitinib malate)Approved: Ripretinib (Qinlock)Approved: ImatinibApproved: Sunitinib (Sunitinib accord)Approved: Avapritinib (Ayvakit)
Phase 3Olverembatinib
Phase 3Nilotinib
Phase 3Levocarnitine (Carnitor)
Phase 3Bezuclastinib
Phase 3Retaspimycin Hydrochloride
Phase 3Crenolanib
Phase 3Imatinib Mesylate (Gleevec)
Phase 3Regorafenib (Stivarga)

+ 43 more in development

Before you apply

Things trial teams commonly ask about for Gastrointestinal Stromal Tumor. Not eligibility rules; those are set by each study.

  • Precise molecular characterisation — KIT exon 9, 11, 13, or 17 mutation, PDGFRA mutation including D842V status, or SDH/NF1/BRAF wild-type subtype — is required for virtually all targeted therapy trials and determines which TKI is applicable.
  • PDGFRA D842V mutations confer resistance to imatinib and sunitinib but sensitivity to avapritinib; confirm D842V status separately as standard KIT/PDGFRA panels do not always report this variant explicitly.
  • Prior TKI lines of therapy and reasons for discontinuation (progression vs. toxicity) are key eligibility variables; provide a complete treatment chronology with best response and progression dates for each agent.

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).