Annotation Detail

Information
Associated Genes
KRAS
Associated Variants
KRAS G12/G13
KRAS G12/G13
Associated Disease
colorectal cancer
Source Database
CIViC Evidence
Description
Chemotherapy-refractory patients with metastatic colorectal cancer harboring KRAS mutations (primarily G12/G13; n=230 out of 253 total KRAS mutant patients) had lower response rates (17/253; 6.7% vs KRAS wt 126/352; 35.8%; P < .0001), disease control rates and shorter progression free and overall survival following cetuximab plus chemotherapy than those with wildtype KRAS. Authors note that these patients were treated with cetuximab prior to widespead adoption of regular KRAS mutational status screening. Patients treated with cetuximab or panitumumab monotherapy were not included.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/134
Gene URL
https://civic.genome.wustl.edu/links/genes/30
Variant URL
https://civic.genome.wustl.edu/links/variants/77
Rating
3
Evidence Type
Predictive
Disease
Colorectal Cancer
Evidence Direction
Supports
Drug
Chemotherapy,Cetuximab
Evidence Level
B
Clinical Significance
Resistance
Pubmed
20619739
Drugs
Drug NameSensitivitySupported
CetuximabResitance or Non-Reponsetrue
ChemotherapyResitance or Non-Reponsetrue