Despite the outstanding results of first-line imatinib in advanced GIST, resistance ultimately occurs mainly through secondary mutations in KIT/PDGFRA...However, it is now recognized that the situation is more intricate, with various factors interacting with KIT and PDGFRA, playing a crucial role in the response and resistance to treatments. Future strategies in the management of advanced GIST should integrate driver inhibition with the blockade of other molecules to enhance cell death and establish enduring responses in patients.
Objective: The majority of gastrointestinal stromal tumors (GISTs) are driven by constitutively activated kinases, either KIT or PDGFRA, and respond to treatment with tyrosine kinase inhibitors (TKI) such as imatinib, sunitinib, regorafenib, and ripretinib. Not applicable