New hope for GIST patients: drug combo targets resistant tumors
NCT ID NCT06655246
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase trial is testing a new combination of two drugs—ziftomenib and imatinib—in adults with advanced gastrointestinal stromal tumors (GIST) that have stopped responding to imatinib alone. The study will first find a safe dose, then check if the combination can shrink or stabilize tumors. About 157 participants will take part.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ziftomenib (a menin inhibitor) combined with imatinib (Gleevec)
- What this could lead to
- If it works, this could offer a new treatment option for people with advanced GIST whose cancer has stopped responding to imatinib alone.
- What could go wrong
- This is a very early (Phase 1) trial with only 157 participants, so it is not yet known if the combination is safe or effective. Side effects are possible, and the drug may not shrink tumors.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 157 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2025
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Documented diagnosis of advanced/metastatic KIT-mutant GIST. * Documented disease progression on imatinib as current or prior therapy. * Eastern Cooperative Oncology Group (ECOG) performance status of ≤2 at screening. * At least 1 measurable lesion per RECIST v1.1 modified for GIST. * Negative pregnancy test for participants of childbearing potential. * Adequate organ function per protocol requirements. * Resolution of all clinically significant toxicities from prior therapy to \<Grade 1 (or participant baseline) within 1 week before the first dose of study intervention. * Participant, or legally authorized representative, must be able to understand and provide written informed consent before the first screening procedure. Key Exclusion Criteria: * Diagnosis of GIST without a KIT mutation or with a T670X KIT mutation. * History of prior or current cancer that has potential to interfere with obtaining study results. * Received a prohibited medication, including investigational therapy, less than 14 days or within 5 drug half-lives before the first dose of study intervention. * Active central nervous system metastases. * Uncontrolled intercurrent illness, including, but not limited to protocol defined cardiac disease. * Mean corrected QT interval (QTcF) greater than 470ms. * Left ventricular ejection fraction (LVEF) \<50%. * Major surgery within 2 weeks before the first dose of study intervention. * Is pregnant or breastfeeding. * Gastrointestinal abnormalities that may impact taking study intervention by mouth. * Actively bleeding, excluding hemorrhoidal or gum bleeding.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
32 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Duke University Medical Center
RECRUITINGDurham, North Carolina, 27710, United States
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Harvard University
RECRUITINGBoston, Massachusetts, 02215, United States
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Johns Hopkins University
RECRUITINGBaltimore, Maryland, 21287, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Mayo Clinic Cancer Center
RECRUITINGPhoenix, Arizona, 85054, United States
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Mayo Clinic Cancer Center
RECRUITINGJacksonville, Florida, 32224, United States
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Mayo Clinic Cancer Center
RECRUITINGRochester, Minnesota, 55905, United States
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Medical College of Wisconsin
RECRUITINGMilwaukee, Wisconsin, 53226, United States
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Memorial Sloan-Kettering Cancer Center
RECRUITINGNew York, New York, 10065, United States
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Northwestern University
RECRUITINGChicago, Illinois, 60611, United States
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Ohio State University
RECRUITINGColumbus, Ohio, 43210, United States
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Oregon Health & Science University
RECRUITINGPortland, Oregon, 97239, United States
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Sarah Cannon Research Institute
RECRUITINGDenver, Colorado, 80220, United States
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Sarah Cannon Research Institute
RECRUITINGNashville, Tennessee, 37203, United States
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Sarah Cannon Research Institute
RECRUITINGDallas, Texas, 75230, United States
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Stanford Cancer Institute
RECRUITINGPalo Alto, California, 94304, United States
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Temple University Health System
RECRUITINGPhiladelphia, Pennsylvania, 19111, United States
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Thomas Jefferson University
RECRUITINGPhiladelphia, Pennsylvania, 19107, United States
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UCLA Santa Monica Medical Center
RECRUITINGSanta Monica, California, 90404, United States
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University Of California, Irvine
RECRUITINGOrange, California, 92868, United States
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University of Alabama at Birmingham
RECRUITINGBirmingham, Alabama, 35233, United States
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University of California, San Diego
RECRUITINGLa Jolla, California, 92093, United States
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University of Colorado Cancer Center
RECRUITINGAurora, Colorado, 80045, United States
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University of Iowa
RECRUITINGIowa City, Iowa, 52242, United States
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University of Miami
RECRUITINGMiami, Florida, 33136, United States
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University of Michigan
RECRUITINGAnn Arbor, Michigan, 48109, United States
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University of Southern California
RECRUITINGLos Angeles, California, 90033, United States
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University of Texas
RECRUITINGHouston, Texas, 77030, United States
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University of Texas Health Science Center
RECRUITINGSan Antonio, Texas, 78229, United States
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University of Utah
RECRUITINGSalt Lake City, Utah, 84112, United States
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Vanderbilt University Medical Center
RECRUITINGNashville, Tennessee, 37232, United States
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Yale University School of Medicine
RECRUITINGNew Haven, Connecticut, 06511, United States
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