|
Displayed
graphically here are the correlation of KIT genotype and best clinical
response for the three most common genotypes in this trial. The grey area indicates patients with a
partial response using >50% shrinkage as the definition of PR. The
burgundy indicates patients who had stable disease in response to STI571
therapy. The sapphire blue bars
indicated patients who were non-evaluable or had progressive disease in response
to STI571. Patients with an exon 11
had a 79.2% PR rate compared with a 45.5 PR rate for exon 9 muants GISTs and
18.8% for GISTs without detectable KIT mutation. The difference for partial response rate in
exon 11 vs exon 9 GISTs had a p value of 0.003. The difference in partial response rate for
exon 11 vs exon 9 GISTs had a p value of less than 0.0001. There was no statisically significant
difference in the PR rate between exon 9 and no mutation GISTs—this result
may be a result of the small sample sizes for these groups. PR and SD responses can be combined to
yield composite % of patients with clinical benefit from imitnib. Overall, only 8.6% of patients with an exon
11 mutation fail to have any clinical benefit from STI571 therapy , in
contrast 62.5 of no mutation GIST patients have no response to STI571.
|