Annotation Detail

Information
Associated Genes
BAP1
Associated Variants
BAP1 MUTATION
BAP1 MUTATION
Associated Disease
renal cell carcinoma
Source Database
CIViC Evidence
Description
This study evaluated the effects of everolimus and sunitinib on patients with metastatic renal cell carcinoma. A total of 220 patients with RCC were evaluated for 341 genes at 540x coverage. Of all 220 patients, 19% of had BAP1 mutations. Patients with BAP1 mutations treated with first line everolimus followed by sunitinib (N=87 wildtype, 22 mutant) were associated with shorter progression free survival (median [95% CI] 4.9 [2.9 - 8.1] vs 10.5 [7.3 - 12.9] mo; HR 1.84 [1.1-3.2]; P=0.02). For patients treated with sunitinib followed by everolimus (N=91 wildtype, 20 mutant) were associated with a trend towards shorter progression free survival (median [95% CI] 8.1 [3.1-11.3] vs 11.0 [8.3-13.8] mo; HR 1.69 [0.9-3.2]; P=0.06).
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/5339
Gene URL
https://civic.genome.wustl.edu/links/genes/70
Variant URL
https://civic.genome.wustl.edu/links/variants/183
Rating
4
Evidence Type
Predictive
Disease
Renal Cell Carcinoma
Evidence Direction
Supports
Drug
Everolimus,Sunitinib
Evidence Level
B
Clinical Significance
Resistance
Pubmed
27751729
Drugs
Drug NameSensitivitySupported
EverolimusResitance or Non-Reponsetrue
SunitinibResitance or Non-Reponsetrue