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| Gene | RET |
| Variant | C620Y |
| Impact List | missense |
| Protein Effect | gain of function |
| Gene Variant Descriptions | RET C620Y lies within the extracellular domain of the Ret protein (UniProt.org). C620Y results in constitutive dimerization of Ret, increased Ret kinase activity, and is transforming in cell culture (PMID: 9012462). |
| Associated Drug Resistance | |
| Category Variants Paths |
RET mutant RET act mut RET C620Y RET mutant RET C620X RET C620Y |
| Transcript | NM_020975.6 |
| gDNA | chr10:g.43113655G>A |
| cDNA | c.1859G>A |
| Protein | p.C620Y |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| NM_020975.6 | chr10:g.43113655G>A | c.1859G>A | p.C620Y | RefSeq | GRCh38/hg38 |
| NM_001406760.1 | chr10:g.43113655G>A | c.1859G>A | p.C620Y | RefSeq | GRCh38/hg38 |
| NM_001406763.1 | chr10:g.43113655G>A | c.1859G>A | p.C620Y | RefSeq | GRCh38/hg38 |
| NM_020630.7 | chr10:g.43113655G>A | c.1859G>A | p.C620Y | RefSeq | GRCh38/hg38 |
| NM_020630.5 | chr10:g.43113655G>A | c.1859G>A | p.C620Y | RefSeq | GRCh38/hg38 |
| NM_020630 | chr10:g.43113655G>A | c.1859G>A | p.C620Y | RefSeq | GRCh38/hg38 |
| NM_020975 | chr10:g.43113655G>A | c.1859G>A | p.C620Y | RefSeq | GRCh38/hg38 |
| NM_001406743.1 | chr10:g.43113655G>A | c.1859G>A | p.C620Y | RefSeq | GRCh38/hg38 |
| NM_020975.5 | chr10:g.43113655G>A | c.1859G>A | p.C620Y | RefSeq | GRCh38/hg38 |
| NM_001406744.1 | chr10:g.43113655G>A | c.1859G>A | p.C620Y | RefSeq | GRCh38/hg38 |
| NM_001406765.1 | chr10:g.43113655G>A | c.1859G>A | p.C620Y | RefSeq | GRCh38/hg38 |
| NM_001406759.1 | chr10:g.43113655G>A | c.1859G>A | p.C620Y | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| RET C620Y | lung small cell carcinoma | predicted - sensitive | Selpercatinib | Case Reports/Case Series | Actionable | In a clinical case study, Retevmo (selpercatinib) treatment resulted in a partial response with rapid clinical improvement and shrinkage of brain, skin, and muscle metastases in a patient with small cell lung cancer harboring RET C620Y who remained on treatment after 6 months (PMID: 37922409). | 37922409 |
| RET C620Y | medullary thyroid carcinoma | sensitive | Selpercatinib | FDA approved - On Companion Diagnostic | Actionable | In a Phase I/II trial (LIBRETTO-001) that supported FDA approval, Retevmo (selpercatinib) treatment resulted in an objective response rate (ORR) of 69% (38/55, 5 complete and 33 partial responses) in previously treated adult and pediatric patients of 12 years and older with medullary thyroid cancer harboring RET mutations as detected by an approved test, including RET C620Y; ORR was 73% (64/88) in treatment naive patients (PMID: 32846061; NCT03157128). | detail... detail... 32846061 |