DOVIGIST: Phase II Trial to Evaluate the Efficacy and Safety of Dovitinib (TKI258) in Patients With Gastrointestinal Stromal Tumors Refractory and/or Intolerant to Imatinib
Inclusion Criteria:
- Histologically confirmed GIST of any anatomical location, which is 1) unresectable
and/ or metastatic with documented disease progression while on therapy with imatinib
or 2) surgically removed localized GIST, recurrent on adjuvant imatinib or recurrent
within the first 3 months after discontinuation of adjuvant imatinib or 3) patients
with unresectable and/or metastatic GIST intolerant to imatinib
- Positive immunohistochemical staining for c-KIT (CD117); or negative staining for
KIT, but with either positive staining for DOG1 or an identified mutation of KIT or
PDGFRA gene
- Documented disease progression according to RECIST (version 1.1) on prior therapy
with imatinib 800mg/day or patients with unresectable and/or metastatic GIST who are
intolerant to 800 mg/day or less of imatinib
- At least one measurable GIST lesion according to RECIST (version 1.1).
- Adequate bone marrow, liver and renal function
Exclusion Criteria:
- Patients who have received any other tyrosine-kinase inhibitor but imatinib for GIST
- Patients who received cytotoxic drugs ≤ 4 weeks prior to starting Dovitinib (TKI258)
- Patients who are treated or planned to be treated concomitantly with other cytotoxic
or antineoplastic treatments, such as chemotherapy, immunotherapy, biological
response modifiers, or radiotherapy
- Patients with another primary malignancy within 3 years prior to starting the study
drug
- Patients who have undergone major surgery (e.g. intra-thoracic, intra-abdominal or
intra-pelvic) ≤ 4 weeks prior to starting Dovitinib (TKI258) or who have not
recovered from the adverse effects of such therapy
- Patients with a history of pulmonary embolism (PE), or untreated deep venous
thrombosis (DVT) within the past 6 months
- Patients with impaired cardiac function or clinically significant cardiac diseases
- Patients with impairment of gastrointestinal (GI) function or GI disease that may
significantly alter the absorption of Dovitinib
- Patients with prior complete gastrectomy
- Patients with brain metastasis or history of brain metastasis
- Patients who are currently receiving anticoagulation treatment with therapeutic doses
of warfarin or equivalent anticoagulant
- Pregnant or breast-feeding women
Other protocol-defined inclusion/exclusion criteria may apply.