Cancer Family
Melanocytic Neoplasm
CI-CAN-00000026Explore in graph →
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- C7058
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Cancer Family
CI-CAN-00000026Explore in graph →
Variants & evidence
414 evidence items mapped to this entity or its descendants, grouped by molecular profile, then therapy. 50 items per page.
| Therapy | Cancer | Type | Level | Direction · significance | Rating (1–5) | Status | Evidence | Source |
|---|---|---|---|---|---|---|---|---|
| NRAS Q61H1 | ||||||||
| Ipilimumab | Melanoma | Predictive | B | Supports Sensitivity Response | 4 | submitted | EID7333The researchers quantified ctDNA in time-intervals during the treatment of 6 patients with stage IV melanoma. The patient carrying the NRAS Q61H mutation was started on ipilimumab and responded well. … (full text at CIViC) PMID 26095797 · Tsao et al., 2015 · Open in CIViC | civic |
| NRAS Q61K12 | ||||||||
| (predisposing) | Melanoma | Predisposing | D | Supports Likely Pathogenic | 4 | submitted | EID7169Established a novel mouse model for melanoma that shows for the first time that over expression of a mutant form of human N-ras (N-RasQ61K) in melanocytes results in a hyper pigmented skin phenotype a… (full text at CIViC) PMID 15899789 · Ackermann et al., 2005 · Open in CIViC | civic |
| 〃 | Melanoma | Predisposing | D | Supports Likely Pathogenic | 4 | submitted | EID7172Recent studies in mouse have also shown that NRAS Q61K is capable of promoting melanoma formation and cooperates with INK4A loss to accelerate tumor onset. PMID 19954345 · Dovey et al., 2009 · Open in CIViC | civic |
| Belvarafenib | Melanoma | Predictive | C | Supports Resistance | 2 | submitted | EID13217Two patients with NRAS Q61K-mutant melanoma treated with belvarafenib had progressive disease as their best RECIST response. One patient progressed after 1.6 months and the other after 1.4 months of t… | |
| NRAS Q61L5 | ||||||||
| Belvarafenib | Mucosal Melanoma | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID13215A patient with mucosal melanoma harboring NRAS Q61L received belvarafenib monotherapy after five prior lines of systemic therapy and achieved a confirmed partial response by RECIST. The patient receiv… (full text at CIViC) PMID 38470950 · Kim et al., 2024 · Open in CIViC | civic |
| Pan-RAF/MEK Molecular Glue NST-628 | Melanoma | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID13154In the NRAS Q61L-mutant IPC-298 melanoma model, NST-628 inhibited cell viability and induced apoptosis in vitro. In IPC-298 xenografts, NST-628 at 5 mg/kg once daily or 1.5 mg/kg twice daily produced … (full text at CIViC) PMID 38588399 · Ryan et al., 2024 · Open in CIViC | civic |
| Temozolomide | Melanoma | Predictive | C | Supports Sensitivity Response | 2 | |||
| NRAS Q61R6 | ||||||||
| Belvarafenib | Melanoma | Predictive | C | Supports Resistance | 2 | submitted | EID13219A patient with cutaneous melanoma harboring NRAS Q61R received belvarafenib monotherapy after two prior lines of systemic therapy and had progressive disease as the best RECIST response. The patient r… (full text at CIViC) PMID 38470950 · Kim et al., 2024 · Open in CIViC | civic |
| 〃 | Melanoma | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID13220A patient with melanoma harboring NRAS Q61R received belvarafenib monotherapy after one prior line of systemic therapy and achieved stable disease as the best RECIST response. At the October 2023 data… (full text at CIViC) PMID 38470950 · Kim et al., 2024 · Open in CIViC | civic |
| Pan-RAF/MEK Molecular Glue NST-628 | Melanoma | Predictive | D | Supports Sensitivity Response | 4 | |||
| SCAPER Fusion1 | ||||||||
| (oncogenic) | Pigmented Epithelioid Melanocytoma | Oncogenic | C | Supports Oncogenicity | 1 | accepted | EID11526A 4 year old African American girl was seen for a lesion on the scalp. Punch biopsy was done on a largely skin-colored subcutaneous nodule. Subcutaneous nodular aggregations of heavily pigmented epith… (full text at CIViC) PMID 31437301 · Friedman et al., 2020 · Open in CIViC | civic |
| BRAF Fusion2 | ||||||||
| Trametinib | Melanoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID726BRAF-fusion in "pan-negative" melanomas were identified in TCGA data. Cell-lines with a PAPSS1-BRAF fusion were resistant to treatment with Vemurafenib but sensitive to treatment with Trametinib. This… (full text at CIViC) PMID 24345920 · Hutchinson et al., 2013 · Open in CIViC | civic |
| Vemurafenib | Melanoma | Predictive | D | Supports Resistance | 3 | accepted | EID725BRAF-fusion in "pan-negative" melanomas were identified in TCGA data. Cell-lines with PAPSS1-BRAF fusion were resistant to treatment with Vemurafenib. PMID 24345920 · Hutchinson et al., 2013 · Open in CIViC | civic |
| PDGFRA G853D1 | ||||||||
| Crenolanib + ImatinibSubstitutes | Melanoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1977PDGFRA mutations (exon 12, 14, 18) were assessed in 351 melanoma patient samples. 18 different mutations were detected in 4,6% of samples (all without chronic sun-induced damage and mainly in acral an… (full text at CIViC) PMID 24132921 · Dai et al., 2013 · Open in CIViC | civic |
| PDGFRA H845Y1 | ||||||||
| Crenolanib + ImatinibSubstitutes | Melanoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1976PDGFRA mutations (exon 12, 14, 18) were assessed in 351 melanoma patient samples. 18 different mutations were detected in 4,6% of samples (all without chronic sun-induced damage and mainly in acral an… (full text at CIViC) PMID 24132921 · Dai et al., 2013 · Open in CIViC | civic |
| PDGFRA P577S1 | ||||||||
| Crenolanib + ImatinibSubstitutes | Melanoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1974PDGFRA mutations (exon 12, 14, 18) were assessed in 351 melanoma patient samples. 18 different mutations were detected in 4,6% of samples (all without chronic sun-induced damage and mainly in acral an… (full text at CIViC) PMID 24132921 · Dai et al., 2013 · Open in CIViC | civic |
| PDGFRA R841K1 | ||||||||
| Crenolanib + ImatinibSubstitutes | Melanoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1975PDGFRA mutations (exon 12, 14, 18) were assessed in 351 melanoma patient samples. 18 different mutations were detected in 4.6% of samples (all without chronic sun-induced damage and mainly in acral an… (full text at CIViC) PMID 24132921 · Dai et al., 2013 · Open in CIViC | civic |
| PDGFRA V658A2 | ||||||||
| Crenolanib | Melanoma | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID8890PDGFRA mutations (exon 12, 14, 18) were assessed in 351 melanoma patient samples. 18 different mutations were detected in 4.6% of samples (all without chronic sun-induced damage and mainly in acral an… (full text at CIViC) PMID 24132921 · Dai et al., 2013 · Open in CIViC | civic |
| Imatinib | Melanoma | Predictive | D | Supports Resistance | 3 | submitted | EID8889PDGFRA mutations (exon 12, 14, 18) were assessed in 351 melanoma patient samples. 18 different mutations were detected in 4.6% of samples (all without chronic sun-induced damage and mainly in acral an… (full text at CIViC) PMID 24132921 · Dai et al., 2013 · Open in CIViC | civic |
| PIK3CA D350G1 | ||||||||
| Vemurafenib | Melanoma | Predictive | D | Supports Resistance | 2 | accepted | EID4784An in vitro study of M229 (a human melanoma cell line) endogenously expressing wildtype PIK3CA and BRAF V600E (a known BRAF inhibitor sensitizing mutation) found that cells virally induced to stably o… (full text at CIViC) PMID 24265155 · Shi et al., 2014 · Open in CIViC | civic |
| PIK3CA E545G1 | ||||||||
| Vemurafenib | Melanoma | Predictive | D | Supports Resistance | 2 | accepted | EID3724An in vitro study of M229 (a human melanoma cell line) endogenously expressing wildtype PIK3CA and BRAF V600E (a known BRAF inhibitor sensitizing mutation) found that cells virally induced to stably o… (full text at CIViC) PMID 24265155 · Shi et al., 2014 · Open in CIViC | civic |
| PIK3CA E545K1 | ||||||||
| Vemurafenib | Melanoma | Predictive | D | Supports Resistance | 2 | accepted | EID3722An in vitro study of M229 (a human melanoma cell line) endogenously expressing wildtype PIK3CA and BRAF V600E (a known BRAF inhibitor sensitizing mutation) used PIK3CA E545K as a positive control for … (full text at CIViC) PMID 24265155 · Shi et al., 2014 · Open in CIViC | civic |
| PIK3CA Overexpression1 | ||||||||
| Vemurafenib | Melanoma | Predictive | D | Supports Resistance | 3 | rejected | EID6265An in vitro study of M229 (a human melanoma cell line) endogenously expressing wildtype PIK3CA and BRAF V600E (a known BRAF inhibitor sensitizing mutation) found that cells induced to stably over-expr… (full text at CIViC) PMID 24265155 · Shi et al., 2014 · Open in CIViC | civic |
| PIK3R2 Overexpression1 | ||||||||
| Vemurafenib | Melanoma | Predictive | D | Does Not Support Resistance | 2 | accepted | EID6266An in vitro study of WM2664 (a human melanoma cell line) endogenously expressing wildtype PIK3R2 and BRAF V600D (a known BRAF inhibitor sensitizing mutation) found that cells induced to stably over-ex… (full text at CIViC) PMID 24265155 · Shi et al., 2014 · Open in CIViC | civic |
| BRAF Fusion1 | ||||||||
| Trametinib | Cutaneous MelanomaALIAS | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID1570Case report of a 47year old female patient with metastatic melanoma (BRAF, NRAS, KIT negative). A PPFIBP2-BRAF fusion was identified from DNA from a brain metastasis (inton 3 of PPFIBP2 fused to intro… (full text at CIViC) PMID 26072686 · Menzies et al., 2015 · Open in CIViC | civic |
| PRKDC Mutation1 | ||||||||
| Anti-CTLA-4 Monoclonal Antibody | Melanoma | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID13226In a retrospective analysis of the Allen cohort of 110 patients with advanced melanoma treated with CTLA-4 blockade, 9 patients with nonsynonymous PRKDC mutations had a higher objective response rate … (full text at CIViC) PMID 32502294 · Chen et al., 2020 · Open in CIViC | civic |
| PTEN V317FS1 | ||||||||
| Akt Inhibitor MK2206 + MEK Inhibitor CI-1040Combination | Cutaneous MelanomaALIAS | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1534A 26-year old patient presented with vemurafenib resistant BRAF V600E-mutated cutaneous melanoma. Five metastases were evaluated using whole genome sequencing and a 4-bp deletion in PTEN (frameshift m… (full text at CIViC) PMID 24504448 · Turajlic et al., 2014 · Open in CIViC | civic |
| PTEN WILD TYPE1 | ||||||||
| Vemurafenib | Melanoma | Predictive | D | Supports Sensitivity Response | 2 | rejected | EID6272An in vitro study of WM2664, a PTEN non-expressing and BRAF V600E mutated human melanoma cell line, associated PTEN expression with sensitivity to vemurafenib, as measured by cell survival. When treat… (full text at CIViC) PMID 24265155 · Shi et al., 2014 · Open in CIViC | civic |
| RAC1 P29S3 | ||||||||
| PLX4720 | Cutaneous MelanomaALIAS | Predictive | D | Supports Resistance | 4 | submitted | EID8056In vitro and in vivo studies that demonstrate that RAC1-P29S is capable of promoting cell survival and resistance to treatment, specifically BRAF inhibition. The authors expressed both a 4-hydroxytamo… (full text at CIViC) PMID 31257073 · Lionarons et al., 2019 · Open in CIViC | civic |
| Dabrafenib + VemurafenibSubstitutes | Melanoma | Predictive | B | Supports Resistance | 3 | submitted | EID7669In a retrospective study, resistance mechanisms to BRAF inhibitor such as vemurafenib or dabrafenib in patients with BRAF V600 mutated melanoma were evaluated. Among the 14 patients exhibiting early d… (full text at CIViC) PMID 24265153 · Van Allen et al., 2014 · Open in CIViC | civic |
| 〃 | Melanoma | Predictive | D | |||||
| RAF1 Amplification1 | ||||||||
| Carboplatin + Paclitaxel + SorafenibCombination | Cutaneous MelanomaALIAS | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID1496Retrospective analysis of somatic mutations and copy number changes in 119 patients treated with carboplatin, paclitaxel, ± sorafenib (CPS) in the E2603 trial. CPS therapy was associated with improved… (full text at CIViC) PMID 26307133 · Wilson et al., 2016 · Open in CIViC | civic |
| RAF1 R391W1 | ||||||||
| Vemurafenib | Melanoma | Predictive | D | Supports Resistance | — | submitted | EID4824In an in vitro study, M375 and M238 cell lines expressing RAF1 (CRAF) R391W demonstrated resistant to vemurafenib treatment compared to M397 cells expressing BRAF V600E (a known vemurafenib sensitizin… (full text at CIViC) PMID 27273450 · Atefi et al., 2016 · Open in CIViC | civic |
| RAF1 Fusion1 | ||||||||
| Binimetinib | Cutaneous MelanomaALIAS | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID13149A 51 year old male patient with metastatic cutaneous melanoma harboring a RUFY1::RAF1 fusion received the MEK inhibitor binimetinib after prior pembrolizumab and ipilimumab/nivolumab. During four mont… (full text at CIViC) PMID 35871080 · Moran et al., 2022 · Open in CIViC | civic |
| SOX10 Loss1 | ||||||||
| Vemurafenib | Melanoma | Predictive | D | Supports Resistance | 4 | accepted | EID1710FACS-assisted shRNA genetic screen identified SOX10 as a determinant of vemurafenib resistance. Suppression of SOX10 in melanoma cells confers resistance to BRAF and MEK inhibitors through activation … (full text at CIViC) PMID 24670642 · Sun et al., 2014 · Open in CIViC | civic |
| STAG2 Underexpression1 | ||||||||
| Vemurafenib | Melanoma | Predictive | D | Supports Resistance | 4 | accepted | EID1659A375 melanoma cells containing an inducible shRNA for STAG2 were grown as xenograft tumors in nude mice. The mice in which STAG2 was silenced had tumors that were less sensitive to vemurafenib-induced… (full text at CIViC) PMID 27500726 · Shen et al., 2016 · Open in CIViC | civic |
Data updated 20 hours agoSource updated unknownsource: civic (CC0)
Evidence levels, directions and ratings are those assigned by CIViC curators. "Submitted" items have not completed curation review. This is not treatment guidance.
PMID 38470950 · Kim et al., 2024 · Open in CIViC
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| 〃 | Acral Lentiginous Melanoma | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID13218A patient with acral melanoma harboring NRAS Q61K received belvarafenib as first-line therapy for metastatic disease after progression on adjuvant pembrolizumab and achieved stable disease as the best… (full text at CIViC) PMID 38470950 · Kim et al., 2024 · Open in CIViC | civic |
| Dabrafenib + TrametinibCombination | Melanoma | Predictive | B | Supports Resistance | 4 | submitted | EID7678In a retrospective study, authors analyzed BRAF V600 mutated melanoma metastases derived from 10 patients treated with the combination of dabrafenib and trametinib for resistance mechanisms and geneti… (full text at CIViC) PMID 25452114 · Long et al., 2014 · Open in CIViC | civic |
| Selumetinib | Cutaneous MelanomaALIAS | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID1475Preclinical study in melanoma cell lines. NRAS Q61K, in addition to the BRAF V600E mutation was associated with resistance to vemurafenib but sensitivity to AZD6244 (selumetinib) in vitro in the acqui… (full text at CIViC) PMID 22194965 · Atefi et al., 2011 · Open in CIViC | civic |
| Vemurafenib | Melanoma | Predictive | C | Supports Resistance | 4 | submitted | EID2191In 11 melanoma patients harboring BRAF mutations, one patient with a Q61K NRAS mutation acquired resistance to the BRAF inhibitor vemurafenib. Q61K and/or A146T NRAS mutations have also shown resistan… (full text at CIViC) PMID 21107323 · Nazarian et al., 2010 · Open in CIViC | civic |
| 〃 | Melanoma | Predictive | C | Supports Resistance | — | submitted | EID3835In a retrospective study of 44 malignant melanoma patients, NRAS Q61K was associated with acquired resistance to vemurafenib monotherapy in two patients with disease progressive tumors harboring NRAS … (full text at CIViC) PMID 24265155 · Shi et al., 2014 · Open in CIViC | civic |
| 〃 | Cutaneous MelanomaALIAS | Predictive | D | Supports Resistance | 2 | accepted | EID1474Preclinical study in melanoma cell lines. NRAS Q61K, in addition to the BRAF V600E mutation was associated with resistance to vemurafenib but sensitivity to AZD6244 (selumetinib) in vitro in the acqui… (full text at CIViC) PMID 22194965 · Atefi et al., 2011 · Open in CIViC | civic |
| 〃 | Melanoma | Predictive | D | Supports Resistance | — | submitted | EID3836In an in vitro study, a M249 cell line expressing BRAF V600E (a known sensitizing mutation to vemurafenib) and NRAS Q61K co-mutations, demonstrated resistance to vemurafenib treatment (GI50: > 10 �mol… (full text at CIViC) PMID 21107323 · Nazarian et al., 2010 · Open in CIViC | civic |
| 〃 | Melanoma | Predictive | D | Supports Resistance | — | submitted | EID3837In an in vitro study, a M249 R4 cell line expressing BRAF V600E (a known sensitizing mutation to vemurafenib) and NRAS Q61K co-mutations demonstrated acquired resistance to vemurafenib treatment. Resi… (full text at CIViC) PMID 22395615 · Shi et al., 2012 · Open in CIViC | civic |
| 〃 | Cutaneous MelanomaALIAS | Predictive | D | Supports Resistance | — | submitted | EID3838In an in vitro study of single-cell clones derived from a cutaneous melanoma patient expressing a BRAF V600E mutation (a known sensitizing mutation to vemurafenib) and NRAS Q61K co-mutations, NRAS Q61… (full text at CIViC) PMID 23948972 · Romano et al., 2013 · Open in CIViC | civic |
| accepted |
EID22In a melanoma patient with NRAS Q61L mutation, treatment with temozolomide resulted in disease free survival of 14 months. PMID 21576590 · Soon et al., 2011 · Open in CIViC |
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| Vemurafenib | Melanoma | Predictive | C | Supports Resistance | — | submitted | EID3825In a retrospective study of 44 malignant melanoma patients, NRAS Q61L was associated with acquired resistance to vemurafenib monotherapy in one patient with disease progressive tumors harboring NRAS Q… (full text at CIViC) PMID 24265155 · Shi et al., 2014 · Open in CIViC | civic |
| 〃 | Melanoma | Predictive | D | Supports Resistance | — | submitted | EID3826In an in vitro study, the YULOVY and YUFULO cell lines expressing NRAS Q61L were associated with reduced sensitivity to vemurafenib (PLX4032) treatment, as compared to cells expressing wild-type BRAF.… (full text at CIViC) PMID 20149136 · Halaban et al., 2010 · Open in CIViC | civic |
EID13155In NRAS Q61R-mutant SK-MEL-2 melanoma cells, NST-628 showed potent antiproliferative activity, increased apoptosis, and durably suppressed MAPK-pathway signaling. In an intracranial SK-MEL-2-luc xenog… (full text at CIViC) PMID 38588399 · Ryan et al., 2024 · Open in CIViC |
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| Temozolomide | Melanoma | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID23In a melanoma patient with Q61R mutation, treatment with temozolomide resulted in overall survival of 16 months. PMID 21576590 · Soon et al., 2011 · Open in CIViC | civic |
| Vemurafenib | Melanoma | Predictive | C | Supports Resistance | — | submitted | EID3829In a retrospective study of 44 malignant melanoma patients, NRAS Q61R was associated with acquired resistance to vemurafenib monotherapy in three patients with disease progressive tumors harboring NRA… (full text at CIViC) PMID 24265155 · Shi et al., 2014 · Open in CIViC | civic |
| 〃 | Cutaneous MelanomaALIAS | Predictive | D | Supports Resistance | — | submitted | EID3830In an in vitro study of single-cell clones derived from a cutaneous melanoma patient expressing a BRAF V600E mutation (a known sensitizing mutation to vemurafenib) and NRAS Q61R co-mutations, NRAS Q61… (full text at CIViC) PMID 23948972 · Romano et al., 2013 · Open in CIViC | civic |
| Supports Resistance |
| 4 |
| accepted |
EID873Melanoma cell lines harboring the RAC1 P29S hotspot mutation were shown to be resistant to BRAF inhibition with vemurafenib or dabrafenib and knock-in or knock-out of this mutation decreased and incre… (full text at CIViC) PMID 25056119 · Watson et al., 2014 · Open in CIViC |
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