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Editorial Comment| Volume 45, ISSUE 7, P1103-1106, May 2009

Adjuvant treatment of GIST with imatinib: Solid ground or still quicksand? A comment on behalf of the EORTC Soft Tissue and Bone Sarcoma Group, the Italian Sarcoma Group, the NCRI Sarcoma Clinical Studies Group (UK), the Japanese Study Group on GIST, the French Sarcoma Group and the Spanish Sarcoma Group (GEIS)

Published:March 16, 2009DOI:https://doi.org/10.1016/j.ejca.2009.02.009
Adjuvant treatment of GIST with imatinib: Solid ground or still quicksand? A comment on behalf of the EORTC Soft Tissue and Bone Sarcoma Group, the Italian Sarcoma Group, the NCRI Sarcoma Clinical Studies Group (UK), the Japanese Study Group on GIST, the French Sarcoma Group and the Spanish Sarcoma Group (GEIS)
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      Mutations of the KIT gene are the molecular hallmark of most GISTs, and were first reported more than 10 years ago.
      • Hirota S.
      • Isozaki K.
      • Moriyama Y.
      • et al.
      Gain-of-function mutations of c-kit in human gastrointestinal stromal tumors.
      Science. 1998; 279: 577-580
      Since then, GIST has become a tumour model for targeted treatment of solid tumours, imatinib becoming the standard first line treatment of these tumours in the advanced phase.
      • Verweij J.
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      • Zalcberg J.
      • et al.
      Progression-free survival in gastrointestinal stromal tumours with high-dose imatinib: randomised trial.
      Lancet. 2004; 364: 1127-1134
      , 
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      GIST consensus meeting panelists. Consensus meeting for the management of gastrointestinal stromal tumors. Report of the GIST Consensus Conference of 20–21 March 2004, under the auspices of ESMO.
      Ann Oncol. 2005; 16: 566-578
      , 
      • Demetri G.D.
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      NCCN Task Force. NCCN Task Force report: management of patients with gastrointestinal stromal tumor (GIST)–update of the NCCN clinical practice guidelines.
      J Natl Compr Cancer Netw. 2007; 5: S1-29
      , 
      • Casali P.G.
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      • Schlemmer M.
      • Blay J.Y.
      ESMO Guidelines Working Group
      Gastrointestinal stromal tumors: ESMO clinical recommendations for diagnosis, treatment and follow-up.
      Ann Oncol. 2008; 19: ii35-38
      Following the introduction of imatinib, the median survival of advanced GIST increased from 18 months to 60 months in the most recent update of the B2222 trial, i.e. the trial with the longest follow-up so far.
      • Blanke C.D.
      • Demetri G.D.
      • von Mehren M.
      • et al.
      Long-term results from a randomized phase II trial of standard- versus higher-dose imatinib mesylate for patients with unresectable or metastatic gastrointestinal stromal tumors expressing KIT.
      J Clin Oncol. 2008; 26: 620-625
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      Article info

      Publication history

      Published online: March 16, 2009
      Accepted: February 5, 2009
      Received: February 4, 2009

      Identification

      DOI: https://doi.org/10.1016/j.ejca.2009.02.009

      Copyright

      © 2009 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.

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