Annotation Detail

Information
Associated Genes
KRAS
Associated Variants
KRAS p.Gln61Lys (p.Q61K) ( ENST00000311936.8, ENST00000693229.1, ENST00000692768.1, ENST00000557334.6, ENST00000688940.1, ENST00000256078.10, ENST00000685328.1 )
KRAS p.Gln61Lys (p.Q61K) ( ENST00000693229.1, ENST00000688940.1, ENST00000692768.1, ENST00000256078.10, ENST00000311936.8, ENST00000557334.6, ENST00000685328.1 )
Associated Disease
colorectal cancer
Source Database
CIViC Evidence
Description
Two patients participating in a large retrospective trial of cetuximab in metastatic, treatment refractory colorectal cancer had tumors which harbored KRAS Q61K. One patient was a 61 year old female whose tumor was wildtype for BRAF and PIK3CA. This patient was treated with cetuximab, oxaliplatin, and 5FU, as a second line therapy, and experienced progressive disease 6 weeks following cetuximab administration; overall survival was 90 weeks. The other patient was a 65 year old female whose tumor was wildtype for PIK3CA. The patient was treated with cetuximab and irinotecan as a third line therapy, and experienced progressive disease 10 week following cetuximab. Both patients experienced progressive disease following treatment.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/3872
Gene URL
https://civic.genome.wustl.edu/links/genes/30
Variant URL
https://civic.genome.wustl.edu/links/variants/910
Rating
3
Evidence Type
Predictive
Disease
Colorectal Cancer
Evidence Direction
Supports
Drug
Chemotherapy,Cetuximab
Evidence Level
C
Clinical Significance
Resistance
Pubmed
20619739
Drugs
Drug NameSensitivitySupported
CetuximabResitance or Non-Reponsetrue
ChemotherapyResitance or Non-Reponsetrue