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| Gene | FGFR2 |
| Variant | C383R |
| Impact List | missense |
| Protein Effect | unknown |
| Gene Variant Descriptions | FGFR2 C383R (corresponds to C382R in the canonical isoform) lies within the transmembrane domain of the Fgfr2 protein (UniProt.org). The functional effect of C383R is conflicting as it results in Fgfr2 autophosphorylation and transformation in culture in one study (PMID: 9136983), but results in colony formation similar to wild-type Fgfr2 in another study, and retains Frs2 phosphorylation but results in loss of FGF7-stimulated shedding of HB-EGF and Mapk phosphorylation in culture (PMID: 37759450), and therefore, its effect on Fgfr2 protein function is unknown. |
| Associated Drug Resistance | |
| Category Variants Paths |
FGFR2 mutant FGFR2 C383R |
| Transcript | NM_022970.4 |
| gDNA | chr10:g.121515260A>G |
| cDNA | c.1147T>C |
| Protein | p.C383R |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| NM_001144913 | chr10:g.121515260A>G | c.1147T>C | p.C383R | RefSeq | GRCh38/hg38 |
| NM_001144913.1 | chr10:g.121515260A>G | c.1147T>C | p.C383R | RefSeq | GRCh38/hg38 |
| NM_022970.3 | chr10:g.121515260A>G | c.1147T>C | p.C383R | RefSeq | GRCh38/hg38 |
| NM_022970.4 | chr10:g.121515260A>G | c.1147T>C | p.C383R | RefSeq | GRCh38/hg38 |
| NM_001144913.1 | chr10:g.121515260A>G | c.1147T>C | p.C383R | RefSeq | GRCh38/hg38 |
| NM_022970 | chr10:g.121515260A>G | c.1147T>C | p.C383R | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| FGFR2 C383R | endometrial cancer | sensitive | Fexagratinib | Preclinical - Cell culture | Actionable | In a preclinical study, Fexagratinib (AZD4547) treatment induced cell death and reduced survival of an endometrial cancer cell line harboring FGFR2 C383R in culture (PMID: 30537101). | 30537101 |
| FGFR2 C383R | endometrial cancer | sensitive | Infigratinib | Preclinical - Cell culture | Actionable | In a preclinical study, Truseltiq (infigratinib) treatment induced cell death and reduced survival of an endometrial cancer cell line harboring FGFR2 C383R in culture (PMID: 30537101). | 30537101 |
| FGFR2 C383R | endometrial cancer | sensitive | PD173074 | Preclinical - Cell culture | Actionable | In a preclinical study, PD173074 treatment induced cell death and reduced survival of an endometrial cancer cell line harboring FGFR2 C383R in culture (PMID: 30537101). | 30537101 |
| FGFR2 C383R | endometrial cancer | sensitive | ABT-737 + Fexagratinib | Preclinical - Cell culture | Actionable | In a preclinical study, an endometrial cancer cell line harboring FGFR2 C383R demonstrated increased cell death following treatment with Fexagratinib (AZD4547) and ABT-737 combination compared to either agent alone in culture (PMID: 30537101). | 30537101 |
| FGFR2 C383R | endometrial cancer | sensitive | ABT-737 + Infigratinib | Preclinical - Cell culture | Actionable | In a preclinical study, an endometrial cancer cell line harboring FGFR2 C383R demonstrated increased cell death following treatment with Truseltiq (infigratinib) and ABT-737 combination compared to either agent alone in culture (PMID: 30537101). | 30537101 |
| FGFR2 C383R | endometrial cancer | sensitive | ABT-737 + PD173074 | Preclinical - Cell culture | Actionable | In a preclinical study, an endometrial cancer cell line harboring FGFR2 C383R demonstrated increased cell death following treatment with PD173074 and ABT-737 combination compared to either agent alone in culture (PMID: 30537101). | 30537101 |
| FGFR2 C383R | intrahepatic cholangiocarcinoma | predicted - sensitive | Futibatinib | Case Reports/Case Series | Actionable | In a Phase I trial, Lytgobi (futibatinib) treatment at a dose of 20mg led to an objective response rate of 15.6% (10/64) and a median progression-free survival of 5.1 months in patients with cholangiocarcinoma harboring FGF or FGFR 1-4 alterations, including a partial response with a progression-free survival of 9.2 months and a duration of response of 6.5 months in a patient with intrahepatic cholangiocarcinoma harboring FGFR2 C383R (PMID: 34551969; NCT02052778). | 34551969 |
| FGFR2 C383R | breast cancer | sensitive | Lirafugratinib | Preclinical - Cell culture | Actionable | In a preclinical study, Lirafugratinib inhibited proliferation of a breast carcinoma cell line harboring FGFR2 C383R in culture (PMID: 37270847). | 37270847 |
| FGFR2 C383R | cholangiocarcinoma | predicted - sensitive | Erdafitinib | Case Reports/Case Series | Actionable | In a retrospective analysis, Balversa (erdafitinib) treatment resulted in a partial response with a progression-free survival of 9.3 months in a cholangiocarcinoma patient harboring FGFR2 C383R (PMID: 39706336; NCT01703481). | 39706336 |