Gastrointestinal stromal tumor
ICD-10 C49.4 · ICD-11 2B5B

Treatment of Metastatic Gastrointestinal Stromal Tumor with KIT Exon 9 Mutation

Patients with metastatic gastrointestinal stromal tumor (GIST) and a confirmed KIT exon 9 mutation represent a molecularly defined subgroup for which specific first-line treatment recommendations apply.

Clinical Situation

The KIT exon 9 mutation is a recognised driver in a subset of metastatic GIST cases. This mutation has implications for first-line agent selection, and evidence-based guidance specifies a dosing approach that differs from other mutational contexts.

Treatment Approach — Partial Overview

First-line management in this setting involves oral imatinib, initiated and maintained based on disease response and tolerability. The complete dosing schedule, continuation criteria, and full clinical algorithm are available in the structured protocol.

Instant Access to Structured Evidence-Based Regimens
References
Imatinib 400 mg every 12 h is the recommended dose for GIST with KIT exon 9 mutation (II,A).
Consequently, imatinib must be continued until disease progression or until unacceptable toxicity (I,A).
DOI: 10.1177/17588359231192388
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