Annotation Detail

Information
Associated Genes
NRAS
Associated Variants
NRAS MUTATION
NRAS MUTATION
Associated Disease
melanoma
Source Database
CIViC Evidence
Description
Phase 1 trial in 97 patients with melanoma (81 cutaneous or unknown, 16 uveal). Seven patients were found to harbor an NRAS mutation and two of them experienced stable disease (one 48 weeks on treatment). Patients with concurrent BRAFV600wt/NRASwt (n=20) had a trend of higher response rates (20%) than BRAFV600wt/NRAS-mutant patients (n=11; RR=0%; p=0.27), as well as a trend of higher percentage of patients on study at Week 24 or at 1 year (40% vs. 18% [p=0.26] and 30% vs. 0% [p=0.07], respectively).
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1227
Gene URL
https://civic.genome.wustl.edu/links/genes/36
Variant URL
https://civic.genome.wustl.edu/links/variants/208
Rating
2
Evidence Type
Predictive
Disease
Melanoma
Evidence Direction
Does Not Support
Drug
Trametinib
Evidence Level
B
Clinical Significance
Sensitivity/Response
Pubmed
22805292
Drugs
Drug NameSensitivitySupported
TrametinibSensitivityfalse