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KQB198 in Combination With Imatinib in Participants With Advanced/Metastatic GIST in 1st Line Setting (SynerGIST-1st Line)

RecruitingPhase 2

A Phase 2, Multicenter, Study Evaluating the Efficacy, Safety, Tolerability, Pharmacokinetics of KQB198 in Combination With Imatinib in Participants With Advanced/Metastatic GI Stromal Tumor in 1st Line Setting

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria

All Participants:

* Unresectable or metastatic disease
* Tissue confirmation of GIST
* Valid results from local testing of blood or tumor tissue documenting the presence of a KIT mutation (must not have exon 9 mutation) or PDGFRA mutation (must not have PDGFRA D842V).
* Measurable disease per RECIST v1.1.
* Patients must be in 1st line of treatment for advanced or metastatic disease. Prior imatinib is allowed in adjuvant or neoadjuvant setting, as long as imatinib was stopped over 1 year ago.
* Adequate organ function and performance status

Exclusion Criteria

Participants are excluded from the study if any of the following criteria apply:

* Unable to swallow or GI condition that prevents absorption.
* Other active malignancies within the last 2 years.
* History of hypersensitivity to any component of KQB198 or imatinib.

About the study

This study will test an experimental drug called KQB198 in combination with imatinib. The goal is to determine if this combination is safe and tolerable and assess how effective the combination is at treating GIST. Imatinib has been approved by the FDA for the treatment of different types of cancer including GIST.

What is being tested

Sponsor: Kumquat Biosciences Inc. · Participants: 46 · Started: Jun 23, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07406633

Locations in the U.S.

CaliforniaUSC Norris Comprehensive Cancer Center, Los Angeles
FloridaMayo Clinic - Jacksonville, Jacksonville
Sylvester Comprehensive Cancer Center, Miami
Moffitt Cancer Center, Tampa
IllinoisUniversity of Chicago Medical Center, Chicago
IowaUniversity of Iowa Health Care, Iowa City
MassachusettsDana-Farber Cancer Institute, Boston
MichiganUniversity of Michigan Hospitals, Ann Arbor
MinnesotaMayo Clinic - Rochester, Rochester
New YorkNorthwell Health/R.J. Zuckerberg Cancer Center, Lake Success
North CarolinaUniversity of North Carolina at Chapel Hill, Chapel Hill
OhioCleveland Clinic, Cleveland
OregonOregon Health & Science University, Portland
PennsylvaniaFox Chase Cancer Center, Philadelphia
TexasUT MD Anderson Cancer Center, Houston
UtahHuntsman Cancer Institute, Salt Lake City
WashingtonFred Hutchinson Cancer Center, Seattle

Conditions

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