Annotation Detail

Information
Associated Genes
EGFR
Associated Variants
EGFR p.Cys797Ser (p.C797S) ( ENST00000275493.7, ENST00000450046.2, ENST00000455089.5 )
EGFR p.Cys797Ser (p.C797S) ( ENST00000275493.7, ENST00000450046.2, ENST00000455089.5 )
Associated Disease
lung non-small cell carcinoma
Source Database
CIViC Evidence
Description
An EGFR resistance mutation, C797S, was discovered by deep sequencing of cell-free plasma DNA (cfDNA) from patients with advanced lung cancer whose tumors had developed resistance to osimertinib. Expression of this mutant EGFR construct in a cell line rendered it resistant to osimertinib. ddPCR on serial cfDNA specimens collected from 15 osimertinib-treated subjects (all positive for T790M before treatment) revealed 6 cases with acquired C797S mutation.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/964
Gene URL
https://civic.genome.wustl.edu/links/genes/19
Variant URL
https://civic.genome.wustl.edu/links/variants/415
Rating
3
Evidence Type
Predictive
Disease
Lung Non-small Cell Carcinoma
Evidence Direction
Supports
Drug
Osimertinib
Evidence Level
B
Clinical Significance
Resistance
Pubmed
25939061
Drugs
Drug NameSensitivitySupported
OsimertinibResitance or Non-Reponsetrue