Annotation Detail

Information
Associated Genes
SMO
Associated Variants
SMO MUTATION
SMO MUTATION
Associated Disease
basal cell carcinoma
Source Database
CIViC Evidence
Description
Study explored the response to the SMO inhibitor sonidegib (LDE225) in a cohort of 9 patients with advanced basal cell carcinoma that exhibited treatment resistance with vismodegib (GDC0449). Sequencing revealed that 5 of these patients harbored SMO mutations known to confer resistance to the Smoothened inhibitors (D473G, D473H, Q477E, S533N, W535L) an additional patient harbored a SMO mutation of unknown consequence (R168H). Of these patients, 4 with a SMO mutation displayed progressive disease and 1 stable disease for 58 weeks according to RECIST v1.1 criteria.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1477
Gene URL
https://civic.genome.wustl.edu/links/genes/5365
Variant URL
https://civic.genome.wustl.edu/links/variants/300
Rating
2
Evidence Type
Predictive
Disease
Basal Cell Carcinoma
Evidence Direction
Supports
Drug
Sonidegib,Vismodegib
Evidence Level
B
Clinical Significance
Resistance
Pubmed
26546616
Drugs
Drug NameSensitivitySupported
SonidegibResitance or Non-Reponsetrue
VismodegibResitance or Non-Reponsetrue