Annotation Detail

Information
Associated Genes
KRAS
Associated Variants
KRAS EXON 2 MUTATION
KRAS EXON 2 MUTATION
Associated Disease
colorectal cancer
Source Database
CIViC Evidence
Description
31 patients with KRAS exon 2 mutation (codons 12 and 13) were treated with selumetinib and irinotecan. All patients had ECOG status 0 or 1 and confirmed progression after first line therapy with oxaliplatin-based chemotherapy and bevacizumab. Patients with more than one line of therapy, MEK or B-RAF inhibitor treatment or prior irinotecan treatment were excluded. The study was terminated before full accrual due to non-protocol considerations. Three patients had a PR, 16 patients had SD >= 4 weeks. Median PFS for all patients was 105 days, median OS was 267 days.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1326
Gene URL
https://civic.genome.wustl.edu/links/genes/30
Variant URL
https://civic.genome.wustl.edu/links/variants/75
Rating
1
Evidence Type
Predictive
Disease
Colorectal Cancer
Evidence Direction
Supports
Drug
Irinotecan,Selumetinib
Evidence Level
B
Clinical Significance
Sensitivity/Response
Pubmed
25322874
Drugs
Drug NameSensitivitySupported
IrinotecanSensitivitytrue
SelumetinibSensitivitytrue