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Expert Interview

Slingshot members are talking to an expert! The topic is:

A Second View: A discussion of KIT inhibitors in GIST, including ripretinib (Qinlock)

Ticker(s): DCPH

Who's the expert?

Institution: MSKCC

  • Associate member in the Human Oncology and Pathogenesis Program and an associate attending physician at MSKCC, and associate professor of medicine at Weill Cornell
  • Laboratory research focuses on understanding the genetic and epigenetic mechanisms of transcription activation of novel oncogenic transcripts and oncogenic transcription factors in solid tumor malignancies
  • Clinical practice focuses on melanoma, GIST and sarcomas

Interview Questions
Q1.

Why did Qinlock fail in all patients, and may it actually be effective in the subset of KIT Exon 11, and 17 18 mutants?

Added By: wilson_admin
Q2.

If Theseus runs a second line trial, beats Sunitinib, and its safety is okay, would 100% of your patients then go on that second line, or would there still be some Sunitinib patients?

Added By: wilson_admin
Q3.

What is your opinion regarding Exon nine? It was really striking where Sunitinib did 14 months, and Ripretinib only did 5.5 months on Exon nine.

Added By: wilson_admin
Q4.

Is it likely to be repeated when they were on that pivotal phase three study, again for Sunitinib with the selected patients?

Added By: wilson_admin
Q5.

Do you have any views on the supportive data of either of THE-630(pan-KIT) or Bezuclastinib(combination with Sunitinib) approaches, and do you think one is more likely than the other?

Added By: wilson_admin
Q6.

The company has mentioned second line against Sunitinib, just like Deciphera did. So what do you think this trial probability would be, given that molecule's differentiated platform? You think it would be more likely to be like Deciphera, or more likely that it could have some differentiated PFS?

Added By: wilson_admin
Q7.

What is your opinion about Bezuclastinib, to be able to inhibit seven eight, and just combine it with Sunitinib, so you have the same pan-KIT in two molecules?

Added By: wilson_admin
Q8.

Would efficacy determine which one you would use, or safety, since that you could avoid Sunitinib with equal, say, if they're equally efficacious, but more safe, would you use THE-630, or if efficacy was better with a Sunitinib Bezuclastinib combo, would that trump the safety advantage?

Added By: wilson_admin
Q9.

Do you know of other molecules in the second line GIST that are there already, or will be there soon that are promising?

Added By: wilson_admin
Q10.

Does NB003 look as good, or better than THE-630?

Added By: wilson_admin
Q11.

Could an ORR of 20%, and some duration, six months get THE-630 approved in a single arm? Were those the right numbers, or the right benchmark that they would need? 

Added By: wilson_admin

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