Annotation Detail

Information
Associated Genes
EGFR
Associated Variants
EGFR p.Gly465Arg (p.G465R) ( ENST00000275493.7, ENST00000342916.7, ENST00000344576.7, ENST00000450046.2, ENST00000455089.5 )
EGFR p.Gly465Arg (p.G465R) ( ENST00000455089.5, ENST00000275493.7, ENST00000342916.7, ENST00000344576.7, ENST00000450046.2 )
Associated Disease
colorectal cancer
Source Database
CIViC Evidence
Description
An EGFR G465R mutation (22% of mutant alleles) was detected in a biopsy from one patient which had been previously treated with cetuximab in the analysis of 15 patients with refractory, metastatic CRC after cetuximab/panitumumab, prior to Sym004 treatment. Subsequent treatment of this patient with Sym004 yielded disease stabilization lasting 15 weeks. In vitro analysis in colorectal cancer cell line NIH3T3 with EGFR mutations S492R, R451C, K467T, and G465R showed that antibody mixture Sym004 effectively bound to all mutants, whereas cetuximab and panitumumab did not effectively bind to all mutants. In-vitro, Sym004 inhibited growth of S492R and G465R EGFR mutant cell lines. In-vivo analysis of S492R and G465R mutant cell lines showed regression of S492R and tumor growth delay of G465R mutant cell lines.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1057
Gene URL
https://civic.genome.wustl.edu/links/genes/19
Variant URL
https://civic.genome.wustl.edu/links/variants/443
Rating
4
Evidence Type
Predictive
Disease
Colorectal Cancer
Evidence Direction
Supports
Drug
Futuximab/Modotuximab Mixture
Evidence Level
C
Clinical Significance
Sensitivity/Response
Pubmed
26888827
Drugs
Drug NameSensitivitySupported
Futuximab/Modotuximab MixtureSensitivitytrue