Cancer Discov. 2023 Mar 1;13(3):521-522. doi: 10.1158/2159-8290.CD-NB2023-0008.
In an analysis of ctDNA from patients with advanced gastrointestinal stromal tumors, researchers found that, following imatinib therapy, patients with KIT exon 11 plus 17 and/or 18 alterations had superior progression-free survival (PFS) and overall survival (OS) when they received ripretinib as a second-line treatment compared with sunitinib; patients with KIT exon 11 plus 13 and/or 14 alterations had superior PFS and OS with sunitinib compared with ripretinib. The findings highlight the clinical value of molecular testing.
在一项对晚期胃肠道间质瘤患者循环肿瘤DNA(ctDNA)的分析中,研究人员发现,在伊马替尼治疗后,伴有KIT外显子11加上17和/或18改变的患者接受瑞派替尼作为二线治疗时,与舒尼替尼相比,其无进展生存期(PFS)和总生存期(OS)更优;伴有KIT外显子11加上13和/或14改变的患者,使用舒尼替尼时的PFS和OS比使用瑞派替尼更优。这些发现凸显了分子检测的临床价值。