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| Gene | HRAS |
| Variant | G12X |
| Impact List | missense |
| Protein Effect | unknown |
| Gene Variant Descriptions | HRAS G12X indicates any HRAS missense mutation that results in replacement of the glycine (G) at amino acid 12 by a different amino acid. HRAS G12 mutations are hotspot mutations that often result in decreased Hras GTPase activity, leading to activation of downstream signaling and transformation of cultured cells (PMID: 6092966, PMID: 24224811, PMID: 26985062). |
| Associated Drug Resistance | |
| Category Variants Paths |
HRAS mutant HRAS G12X |
| Transcript | NM_005343.4 |
| gDNA | chr11:g.534287_534289 |
| cDNA | c.34_36 |
| Protein | p.G12 |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| NM_001130442 | chr11:g.534287_534289 | c.34_36 | p.G12 | RefSeq | GRCh38/hg38 |
| NM_176795.5 | chr11:g.534287_534289 | c.34_36 | p.G12 | RefSeq | GRCh38/hg38 |
| NM_176795 | chr11:g.534287_534289 | c.34_36 | p.G12 | RefSeq | GRCh38/hg38 |
| NM_005343.4 | chr11:g.534287_534289 | c.34_36 | p.G12 | RefSeq | GRCh38/hg38 |
| NM_005343 | chr11:g.534287_534289 | c.34_36 | p.G12 | RefSeq | GRCh38/hg38 |
| NM_001130442.3 | chr11:g.534287_534289 | c.34_36 | p.G12 | RefSeq | GRCh38/hg38 |
| NM_176795.4 | chr11:g.534287_534289 | c.34_36 | p.G12 | RefSeq | GRCh38/hg38 |
| NM_005343.3 | chr11:g.534287_534289 | c.34_36 | p.G12 | RefSeq | GRCh38/hg38 |
| NM_001130442.2 | chr11:g.534287_534289 | c.34_36 | p.G12 | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| HRAS G12X | pancreatic ductal adenocarcinoma | sensitive | Daraxonrasib | Phase III | Actionable | In a Phase III trial (RASolute 302), treatment with Daraxonrasib (RMB-6236) in patients with metastatic pancreatic ductal adenocarcinoma significantly improved median overall survival (mOS, 13.2 vs 6.6 months, HR=0.40, p<0.001) and median progression-free survival (mPFS, 7.3 vs 3.5 months, HR=0.45, p<0.001) compared to chemotherapy in patients harboring RAS G12X, and mOS (13.2 vs 6.7 months, HR=0.40, p<0.001) and mPFS (7.2 vs 3.6 months, HR=0.49, p<0.001) in the overall cohort (PMID: 42223072; NCT06625320). | 42223072 |