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A Study of Ziftomenib in Combination With Imatinib in Patients With Advanced Gastrointestinal Stromal Tumors (GIST)

RecruitingPhase 1

A Phase 1a/1b Study of the Safety, Pharmacokinetics, and Antitumor Activity of the Oral Menin Inhibitor Ziftomenib in Combination With Imatinib in Patients With Advanced Gastrointestinal Stromal Tumors (GIST) After Imatinib Failure

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
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.

About the study

In this clinical trial, the safety, tolerability, and preliminary antitumor activity of ziftomenib in combination with imatinib will be evaluated in adults with gastrointestinal stromal tumors (GIST) who have been treated previously with imatinib.

What is being tested

Sponsor: Kura Oncology, Inc. · Participants: 157 · Started: Mar 27, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06655246

Locations in the U.S.

AlabamaUniversity of Alabama at Birmingham, Birmingham
ArizonaMayo Clinic Cancer Center, Phoenix
CaliforniaUniversity of California, San Diego, La Jolla
University of Southern California, Los Angeles
University Of California, Irvine, Orange
Stanford Cancer Institute, Palo Alto
UCLA Santa Monica Medical Center, Santa Monica
ColoradoUniversity of Colorado Cancer Center, Aurora
Sarah Cannon Research Institute, Denver
ConnecticutYale University School of Medicine, New Haven
FloridaMayo Clinic Cancer Center, Jacksonville
University of Miami, Miami
IllinoisNorthwestern University, Chicago
IowaUniversity of Iowa, Iowa City
MarylandJohns Hopkins University, Baltimore
MassachusettsHarvard University, Boston
Massachusetts General Hospital, Boston
MichiganUniversity of Michigan, Ann Arbor
MinnesotaMayo Clinic Cancer Center, Rochester
New YorkMemorial Sloan-Kettering Cancer Center, New York
North CarolinaDuke University Medical Center, Durham
OhioOhio State University, Columbus
OregonOregon Health & Science University, Portland
PennsylvaniaTemple University Health System, Philadelphia
Thomas Jefferson University, Philadelphia
TennesseeSarah Cannon Research Institute, Nashville
Vanderbilt University Medical Center, Nashville
TexasSarah Cannon Research Institute, Dallas
University of Texas, Houston
University of Texas Health Science Center, San Antonio
UtahUniversity of Utah, Salt Lake City
WisconsinMedical College of Wisconsin, Milwaukee

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.