Annotation Detail

Information
Associated Genes
ALK
Associated Variants
ALK EML4-ALK C1156Y
Associated Disease
lung non-small cell carcinoma
Source Database
CIViC Evidence
Description
In this case report, a patient with metastatic, ALK-rearranged NSCLC with C1156Y mutation had tumor progression under sequential treatment with first crizotinib, then ceritinib and finally AUY922. Subsequent chemotherapy (carboplatin–pemetrexed) was administered and the patient had a response for 6 months before progression. Exome sequencing revealed the C1156Y mutation was present in <7% of the pretreatment tumor and in ~50% of the crizotinib tumor prior to ceritinib therapy.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/841
Gene URL
https://civic.genome.wustl.edu/links/genes/1
Variant URL
https://civic.genome.wustl.edu/links/variants/6
Rating
3
Evidence Type
Predictive
Disease
Lung Non-small Cell Carcinoma
Evidence Direction
Supports
Drug
Ceritinib,Luminespib,Crizotinib
Evidence Level
C
Clinical Significance
Resistance
Pubmed
26698910
Drugs
Drug NameSensitivitySupported
CeritinibResitance or Non-Reponsetrue
CrizotinibResitance or Non-Reponsetrue
LuminespibResitance or Non-Reponsetrue