Annotation Detail

Information
Associated Genes
ALK
Associated Variants
ALK EML4-ALK
Associated Disease
lung acinar adenocarcinoma
Source Database
CIViC Evidence
Description
A 39-year-old man presented was observed to have lung acinar adenocarcinoma. Treatment with chemotherapy produced no remarkable response. A EGFR L858R point mutation was observed; the patient was therefore treated with erlotinib, but the disease progressed after 30 days. A second biopsy identified a EML4-ALK fusion, which may explain the therapeutic resistance.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1121
Gene URL
https://civic.genome.wustl.edu/links/genes/1
Variant URL
https://civic.genome.wustl.edu/links/variants/5
Rating
2
Evidence Type
Predictive
Disease
Lung Acinar Adenocarcinoma
Evidence Direction
Supports
Drug
Erlotinib
Evidence Level
C
Clinical Significance
Resistance
Pubmed
23181703
Drugs
Drug NameSensitivitySupported
ErlotinibResitance or Non-Reponsetrue