Annotation Detail

Information
Associated Genes
BRAF
Associated Variants
BRAF KIAA1549-BRAF
Associated Disease
skin melanoma
Source Database
CIViC Evidence
Description
A 65 yr old male patient with metastatic acral lentiginous melanoma (BRAF, NRAS, KIT negative) was found to harbor a KIAA1549-BRAF (intron 15-intron 8) fusion in a subcutaneous metastasis sample after disease progression. Trametinib was started and fatigue and ECOG status improved but imaging revealed slight disease progression after 2 weeks (15 sites measurable, 9 stable, 6 progressive). No new metastases were identified. The patient was switched to pembrolizumab and major disease progression was noted.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1571
Gene URL
https://civic.genome.wustl.edu/links/genes/5
Variant URL
https://civic.genome.wustl.edu/links/variants/618
Rating
1
Evidence Type
Predictive
Disease
Skin Melanoma
Evidence Direction
Supports
Drug
Trametinib
Evidence Level
C
Clinical Significance
Sensitivity/Response
Pubmed
26072686
Drugs
Drug NameSensitivitySupported
TrametinibSensitivitytrue