This study consists of Dose escalation part and Expansion part. In Dose Escalation Part, the maximum tolerated dose of combination of pimitespib and imatinib in patients with gastrointestinal stromal tumors (GIST) who are judged to be refractory to imatinib, estimate the recommended dose, evaluate safety and pharmacokinetics, and observe the antitumor effect. Expansion part consists of 3 arms. In Arm A, the efficacy and safety will be evaluated, which of the combination of pimitespib and imatinib in patients with GIST who have failed imatinib at doses below the MTD determined in Dose Escalation Part. In Arm B, the efficacy and safety of pimitespib monotherapy will be evaluated and the therapeutic effect of imatinib administration after pimitespib will be evaluated in an exploratory manner. In Arm C, the efficacy and safety of sunitinib monotherapy will be evaluated as reference data.
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Dose-limiting toxicity (DLT) of pimitespib in combination with imatinib
Timeframe: At the end of Cycle 1 (each cycle is 28 days)
Maximum tolerable dose (MTD) of pimitespib in combination with imatinib
Timeframe: At the end of Cycle 1 (each cycle is 28 days)
Progression-free survival (PFS)
Timeframe: approximately 2 years