Annotation Detail

Information
Associated Genes
BRAF
Associated Variants
BRAF KIAA1549-BRAF
Associated Disease
sarcoma
Source Database
CIViC Evidence
Description
A patient with a malignant spindle cell tumor of the chest wall treated as a soft tissue sarcoma was identified to harbor a KIAA1549-BRAF fusion. This patient responded to treatment with the pan-kinase inhibitor sorafenib in combination with bevacizumab and temsirolimus, achieving stable disease after 2 cycles extending into 11 cycles at which time she expired due to co-morbidities (acute myocardial infarction, hypotension). Of note, sequencing of 236 cancer-related genes identified CDKN2A A68fs*51, SUFU E283fs*3, MAP3K1 N325fs*3 and homozygous deletion of PTEN as well.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1664
Gene URL
https://civic.genome.wustl.edu/links/genes/5
Variant URL
https://civic.genome.wustl.edu/links/variants/618
Rating
2
Evidence Type
Predictive
Disease
Sarcoma
Evidence Direction
Supports
Drug
Temsirolimus,Bevacizumab,Sorafenib
Evidence Level
C
Clinical Significance
Sensitivity/Response
Pubmed
24422672
Drugs
Drug NameSensitivitySupported
BevacizumabSensitivitytrue
SorafenibSensitivitytrue
TemsirolimusSensitivitytrue