Annotation Detail

Information
Associated Genes
ALK
Associated Variants
ALK p.Gly1269Ala (p.G1269A) ALK p.Gly1269Ala (p.G1269A)
Associated Disease
cancer
Source Database
CIViC Evidence
Description
EML4-ALK with ALK G1269A has been seen in crizotinib resistant NSCLC, and this mutation was tested for Brigatinib sensitivity via ectopic expression in Ba/F3 cells, where half maximal inhibitory concentration of 9 nM was seen, which was 1.5 times the IC50 of EML4-ALK wild-type to brigatinib. NPM-ALK G1269A was also tested for brigatinib sensitivity, and IC50 values of 11 nM were reported for both NPM-ALK G1269A and NPM-ALK wild-type. In western blotting, brigatinib at and above 100 nM ablated pALK signal (Y 1604), indicating sensitivity of this variant to brigatinib together with the other results.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1353
Gene URL
https://civic.genome.wustl.edu/links/genes/1
Variant URL
https://civic.genome.wustl.edu/links/variants/552
Rating
2
Evidence Type
Predictive
Disease
Cancer
Evidence Direction
Supports
Drug
Brigatinib
Evidence Level
D
Clinical Significance
Sensitivity/Response
Pubmed
25727400
Drugs
Drug NameSensitivitySupported
BrigatinibSensitivitytrue