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| Gene | RET |
| Variant | C618W |
| Impact List | missense |
| Protein Effect | unknown |
| Gene Variant Descriptions | RET C618W lies within the extracellular domain of the Ret protein (UniProt.org). C618W has been identified in sequencing studies (PMID: 17384210, PMID: 14718397), but has not been biochemically characterized and therefore, its effect on Ret protein function is unknown (PubMed, Feb 2025). |
| Associated Drug Resistance | |
| Category Variants Paths |
RET mutant RET C618X RET C618W |
| Transcript | NM_020975.6 |
| gDNA | chr10:g.43113650C>G |
| cDNA | c.1854C>G |
| Protein | p.C618W |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| NM_020975.6 | chr10:g.43113650C>G | c.1854C>G | p.C618W | RefSeq | GRCh38/hg38 |
| NM_020630.7 | chr10:g.43113650C>G | c.1854C>G | p.C618W | RefSeq | GRCh38/hg38 |
| NM_020630 | chr10:g.43113650C>G | c.1854C>G | p.C618W | RefSeq | GRCh38/hg38 |
| NM_001406743.1 | chr10:g.43113650C>G | c.1854C>G | p.C618W | RefSeq | GRCh38/hg38 |
| NM_001406759.1 | chr10:g.43113650C>G | c.1854C>G | p.C618W | RefSeq | GRCh38/hg38 |
| NM_001406760.1 | chr10:g.43113650C>G | c.1854C>G | p.C618W | RefSeq | GRCh38/hg38 |
| NM_001406744.1 | chr10:g.43113650C>G | c.1854C>G | p.C618W | RefSeq | GRCh38/hg38 |
| NM_020630.5 | chr10:g.43113650C>G | c.1854C>G | p.C618W | RefSeq | GRCh38/hg38 |
| NM_020975 | chr10:g.43113650C>G | c.1854C>G | p.C618W | RefSeq | GRCh38/hg38 |
| NM_020975.5 | chr10:g.43113650C>G | c.1854C>G | p.C618W | RefSeq | GRCh38/hg38 |
| NM_001406763.1 | chr10:g.43113650C>G | c.1854C>G | p.C618W | RefSeq | GRCh38/hg38 |
| NM_001406765.1 | chr10:g.43113650C>G | c.1854C>G | p.C618W | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| RET C618W | 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 C618W; ORR was 73% (64/88) in treatment naive patients (PMID: 32846061; NCT03157128). | detail... 32846061 detail... |