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| Gene | ALK |
| Variant | F1174C |
| Impact List | missense |
| Protein Effect | gain of function |
| Gene Variant Descriptions | ALK F1174C lies within the protein kinase domain of the Alk protein (UniProt.org). F1174C confers a gain of function to Alk, as indicated by constitutive Alk phosphorylation (PMID: 24509625), and increased cell viability in culture (PMID: 29559559). |
| Associated Drug Resistance | |
| Category Variants Paths |
ALK mutant ALK act mut ALK F1174C ALK mutant ALK F1174X ALK F1174C |
| Transcript | NM_004304.5 |
| gDNA | chr2:g.29220830A>C |
| cDNA | c.3521T>G |
| Protein | p.F1174C |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| NM_004304.4 | chr2:g.29220830A>C | c.3521T>G | p.F1174C | RefSeq | GRCh38/hg38 |
| NM_004304 | chr2:g.29220830A>C | c.3521T>G | p.F1174C | RefSeq | GRCh38/hg38 |
| NM_004304.5 | chr2:g.29220830A>C | c.3521T>G | p.F1174C | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| ALK F1174C | Advanced Solid Tumor | predicted - sensitive | TPX-0131 | Preclinical - Biochemical | Actionable | In a preclinical study, TPX-0131 inhibited kinase activity of ALK F1174C in an in vitro assay (PMID: 34158340). | 34158340 |
| ALK F1174C | neuroblastoma | predicted - sensitive | Cyclophosphamide + Doxorubicin + Lorlatinib + Vincristine Sulfate | Preclinical - Pdx | Actionable | In a preclinical study, the combination of Lorbrena (lorlatinib), Cytoxan (cyclophosphamide), Adriamycin (doxorubicin), and Oncovin (vincristine) resulted in modest inhibition of tumor growth in a patient-derived xenograft (PDX) model of neuroblastoma harboring ALK F1174C (PMID: 36602782). | 36602782 |
| ALK F1174C | neuroblastoma | predicted - sensitive | Lorlatinib | Case Reports/Case Series | Actionable | In a Phase I trial, Lorbrena (lorlatinib) treatment resulted in a partial response in a neuroblastoma patient harboring ALK F1174C, along with CDKN2A A102V (PMID: 37147298; NCT03107988). | 37147298 |
| ALK F1174C | prostate small cell carcinoma | predicted - sensitive | Alectinib | Case Reports/Case Series | Actionable | In a clinical case report, Alecensa (alectinib) treatment in a patient with prostate small cell carcinoma harboring ALK F1174C resulted in stable disease and a decrease in ALK F1174C allele fraction in circulating tumor DNA, with clinical benefit ongoing after 7 months (PMID: 29559559). | 29559559 |