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Ripretinib

Phase 2

Gastrointestinal Stromal Tumor(GIST) | Small molecule | Oncology |Zai Lab Limited|Trials Updated: Apr 3, 2026

Ripretinib development status

Highest phase Phase 2
Registered trials 3 across 2 sponsors since Feb 2020

Ripretinib target and mechanism

Molecular targetKIT, PDGFRA
Target classInhibitor
ModalitySmall molecule

Also known as DCC-2618

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials2
Total Enrollment147

FDA Designations

No designations recorded

Ripretinib clinical trials

Ripretinib · 2 trials · 2 indications

Phase 2 2
NCT04633122A Study to Assess DCC-2618 and Sunitinib in Patients With Advanced GIST After Treatment With ImatinibGastrointestinal Stromal Tumor(GIST)
COMPLETED108 Analytics
NCT04282980A Study of DCC-2618 (Ripretinib) In Patients With With Advanced Gastrointestinal Stromal Tumors (GIST)Gastrointestinal Stromal Tumors
COMPLETED39 Analytics
PHASE2COMPLETED
A Study to Assess DCC-2618 and Sunitinib in Patients With Advanced GIST After Treatment With Imatinib
Gastrointestinal Stromal Tumor(GIST)Unlock trial analytics
PHASE2COMPLETED
A Study of DCC-2618 (Ripretinib) In Patients With With Advanced Gastrointestinal Stromal Tumors (GIST)
Gastrointestinal Stromal TumorsUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-free Survival (PFS)
Approximately 12 months.

PFS is defined as the time interval from randomization to the first occurrence of progressive disease based on assessment of the independent radiology review (IRR) or death due to any causes.

Secondary Endpoints

Objective Response Rate (ORR)
Approximately 12 months.
Disease Control Rate (DCR)
Approximately 12 months.
Overall Survival (OS)
Approximately 28 months since the first subject enrolled.
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RipretinibEXPERIMENTAL50mg/tablet,150 mg QD continuous administration, 6 weeks (42 days) for a cycle.
SunitinibACTIVE_COMPARATOR12.5mg/capsule, 50 mg QD, in 6 weeks (42 days) with 4 weeks continuous dosing followed by 2 weeks break.
DCC-2618EXPERIMENTALDCC-2618 drug is 50mg per tablet, 150mg once a day, with 28 days as a treatment cycle.

Interventions

NameTypeDescription
RipretinibDRUGOral kinase inhibitor
SunitinibDRUGsecond-line therapy in GIST patients who have progressed after imatinib treatment or are intolerant to imatinib
DCC-2618DRUGOral kinase inhibitor
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites18

Inclusion Criteria: * Male or female patients ≥18 years of age. * Histological diagnosis of advanced GIST and capability of providing tumor tissue sample (the interval between tumor tissue collection and signing of informed consent form should be less than 3 years). Otherwise, biopsy is required. *...

Countries:China
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Frequently asked questions about Ripretinib

What is ripretinib used for?

Ripretinib is being studied for the treatment of gastrointestinal stromal tumor, or GIST, a type of cancer that forms in the digestive tract. The clinical program described here focuses on patients with advanced GIST after prior treatment with imatinib. It is an investigational therapy in Phase 2 development.

What does ripretinib target?

Ripretinib targets KIT and PDGFRA, two receptor tyrosine kinases that drive tumor growth in gastrointestinal stromal tumor. It is a small molecule inhibitor designed to block these targets. Targeting KIT and PDGFRA is central to treating GIST because mutations in these kinases are common drivers of the disease.

Who is developing ripretinib?

Ripretinib is being developed by Zai Lab Limited, which trades under the ticker ZLAB. The company is running the clinical program for this asset in gastrointestinal stromal tumor.

What phase is ripretinib in?

Ripretinib is in Phase 2 clinical development for gastrointestinal stromal tumor. It is an investigational drug and has not been approved by the FDA for this use based on the information available. The Phase 2 trial in this program has been completed.

What clinical trials is ripretinib in?

Ripretinib has been evaluated in the Phase 2 trial NCT04633122, titled a study to assess DCC-2618 and sunitinib in patients with advanced GIST after treatment with imatinib. The trial enrolled 108 patients in China, was active-controlled and randomized, and has been completed.