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| Gene | KIT |
| Variant | D820V |
| Impact List | missense |
| Protein Effect | unknown |
| Gene Variant Descriptions | KIT D820V lies within the protein kinase domain of the Kit protein (UniProt.org). D820V has been identified as a secondary mutation associated with imatinib resistance (PMID: 18294292), but has not been biochemically characterized and therefore, its effect on Kit protein function is unknown (PubMed, Jul 2025). |
| Associated Drug Resistance | Y |
| Category Variants Paths |
KIT mutant KIT exon17 KIT D820V |
| Transcript | NM_000222.3 |
| gDNA | chr4:g.54733167A>T |
| cDNA | c.2459A>T |
| Protein | p.D820V |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| NM_000222 | chr4:g.54733167A>T | c.2459A>T | p.D820V | RefSeq | GRCh38/hg38 |
| NM_000222.2 | chr4:g.54733167A>T | c.2459A>T | p.D820V | RefSeq | GRCh38/hg38 |
| XM_005265741 | chr4:g.54733167A>T | c.2459A>T | p.D820V | RefSeq | GRCh38/hg38 |
| XM_005265741.1 | chr4:g.54733167A>T | c.2459A>T | p.D820V | RefSeq | GRCh38/hg38 |
| NM_000222.3 | chr4:g.54733167A>T | c.2459A>T | p.D820V | RefSeq | GRCh38/hg38 |
| NM_001385290.1 | chr4:g.54733167A>T | c.2459A>T | p.D820V | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| KIT D820V | gastrointestinal stromal tumor | predicted - sensitive | Avapritinib | Case Reports/Case Series | Actionable | In a Phase I trial, Ayvakit (avapritinib) treatment resulted in tumor reduction lasting through 15 cycles of treatment in a patient with gastrointestinal stromal tumor harboring KIT D820V, whose disease had progressed on previous Gleevec (imatinib), Sutent (sunitinib), and Stivarga (regorafenib) treatment (PMID: 29093181; NCT02508532). | 29093181 |
| KIT D820V | mucosal melanoma | predicted - sensitive | Nilotinib | Case Reports/Case Series | Actionable | In a Phase II trial (NICAM), Tasigna (nilotinib) treatment demonstrated activity in patients with acral (n=6) or mucosal melanoma (n=20) harboring KIT mutations, resulting in an objective response rate at 12 weeks of 19% (5/26), including a mucosal melanoma patient harboring KIT D820V, who had a 38.1% reduction of target lesions, remained on treatment for 54.2 months, with a progression-free survival of 15.6 months, and overall survival of 63.7 months (PMID: 38417447). | 38417447 |