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| Gene | RET |
| Variant | D898_E901del |
| Impact List | deletion |
| Protein Effect | gain of function |
| Gene Variant Descriptions | RET D898_E901del results in the deletion of four amino acids in the protein kinase domain of the Ret protein from amino acids 898 to 901 (UniProt.org). D898_E901del confers a gain of function to Ret as demonstrated by increased Erk phosphorylation (PMID: 32284345), increased Ret phosphorlyation, (PMID: 37535881), cytokine-independent growth in culture (PMID: 32284345, PMID: 37535881), and tumor formation in a mouse model (PMID: 37535881). |
| Associated Drug Resistance | |
| Category Variants Paths |
RET mutant RET act mut RET D898_E901del |
| Transcript | NM_020975.6 |
| gDNA | chr10:g.43120167_43120178del12 |
| cDNA | c.2694_2705del12 |
| Protein | p.D898_E901delDVYE |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| NM_001406772.1 | chr10:g.43126623_43126634del12 | c.2692_2703del12 | p.D898_L901delDDGL | RefSeq | GRCh38/hg38 |
| NM_001406743.1 | chr10:g.43120167_43120178del12 | c.2694_2705del12 | p.D898_E901delDVYE | RefSeq | GRCh38/hg38 |
| NM_001406759.1 | chr10:g.43120167_43120178del12 | c.2694_2705del12 | p.D898_E901delDVYE | RefSeq | GRCh38/hg38 |
| NM_001406773.1 | chr10:g.43126665_43126676del12 | c.2692_2703del12 | p.N898_P901delNNAP | RefSeq | GRCh38/hg38 |
| NM_001406769.1 | chr10:g.43126623_43126634del12 | c.2692_2703del12 | p.D898_L901delDDGL | RefSeq | GRCh38/hg38 |
| NM_001406761.1 | chr10:g.43123690_43123701del12 | c.2692_2703del12 | p.L898_I901delLWEI | RefSeq | GRCh38/hg38 |
| NM_020630.7 | chr10:g.43120167_43120178del12 | c.2694_2705del12 | p.D898_E901delDVYE | RefSeq | GRCh38/hg38 |
| NM_001406765.1 | chr10:g.43123696_43123707del12 | c.2692_2703del12 | p.E898_T901delEIVT | RefSeq | GRCh38/hg38 |
| NM_001406770.1 | chr10:g.43124923_43124934del12 | c.2692_2703del12 | p.K898_V901delKRPV | RefSeq | GRCh38/hg38 |
| NM_001406763.1 | chr10:g.43123696_43123707del12 | c.2692_2703del12 | p.E898_T901delEIVT | RefSeq | GRCh38/hg38 |
| NM_001406762.1 | chr10:g.43123690_43123701del12 | c.2692_2703del12 | p.L898_I901delLWEI | RefSeq | GRCh38/hg38 |
| NM_001406766.1 | chr10:g.43124923_43124934del12 | c.2692_2703del12 | p.K898_V901delKRPV | RefSeq | GRCh38/hg38 |
| NM_020975.5 | chr10:g.43120167_43120178del12 | c.2694_2705del12 | p.D898_E901del | RefSeq | GRCh38/hg38 |
| NM_001406744.1 | chr10:g.43120167_43120178del12 | c.2694_2705del12 | p.D898_E901delDVYE | RefSeq | GRCh38/hg38 |
| NM_001406760.1 | chr10:g.43120167_43120178del12 | c.2694_2705del12 | p.D898_E901delDVYE | RefSeq | GRCh38/hg38 |
| NM_001406767.1 | chr10:g.43124923_43124934del12 | c.2692_2703del12 | p.K898_V901delKRPV | RefSeq | GRCh38/hg38 |
| NM_001406764.1 | chr10:g.43123690_43123701del12 | c.2692_2703del12 | p.L898_I901delLWEI | RefSeq | GRCh38/hg38 |
| NM_001406771.1 | chr10:g.43126665_43126676del12 | c.2692_2703del12 | p.N898_P901delNNAP | RefSeq | GRCh38/hg38 |
| NM_001406768.1 | chr10:g.43124901_43124912del12 | c.2694_2705del12 | p.C899_Q902delCWKQ | RefSeq | GRCh38/hg38 |
| NM_020630.5 | chr10:g.43120167_43120178del12 | c.2694_2705del12 | p.D898_E901del | RefSeq | GRCh38/hg38 |
| NM_020975.6 | chr10:g.43120167_43120178del12 | c.2694_2705del12 | p.D898_E901delDVYE | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| RET D898_E901del | Advanced Solid Tumor | sensitive | Selpercatinib | Preclinical - Cell culture | Actionable | In a preclinical study, Retevmo (selpercatinib) inhibited Erk phosphorylation and growth of transformed cells expressing RET D898_E901del in culture (PMID: 32284345). | 32284345 |
| RET D898_E901del | Advanced Solid Tumor | sensitive | Selpercatinib | Preclinical - Cell culture | Actionable | In a preclinical study, Retevmo (selpercatinib) inhibited Ret phosphorylation and proliferation in a transformed cell line expressing RET D898_E901del in culture (PMID: 37535881). | 37535881 |
| RET D898_E901del | Advanced Solid Tumor | sensitive | Pralsetinib | Preclinical - Cell culture | Actionable | In a preclinical study, Gavreto (pralsetinib) inhibited Erk phosphorylation and growth of transformed cells expressing RET D898_E901del in culture (PMID: 32284345). | 32284345 |
| RET D898_E901del | medullary thyroid carcinoma | predicted - resistant | Vandetanib | Case Reports/Case Series | Actionable | In a clinical case study, a patient with metastatic medullary thyroid carcinoma harboring RET D898_E901del demonstrated primary resistance to Caprelsa (vandetanib) treatment (PMID: 37535881). | 37535881 |
| RET D898_E901del | medullary thyroid carcinoma | sensitive | Selpercatinib | Case Reports/Case Series | Actionable | In a clinical case study, Retevmo (selpercatinib) treatment resulted in a 61% reduction in the sum of the diameters of the target lesions in a patient with metastatic medullary thyroid carcinoma harboring RET D898_E901del, with treatment lasting 1 year (PMID: 37535881). | 37535881 |
| RET D898_E901del | 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 D898_E901del; ORR was 73% (64/88) in treatment naive patients (PMID: 32846061; NCT03157128). | detail... detail... 32846061 |
| RET D898_E901del | medullary thyroid carcinoma | sensitive | Selpercatinib | Case Reports/Case Series | Actionable | In a Phase I/II trial (LIBRETTO-001), Retevmo (selpercatinib) treatment resulted in a clinical response after one month, with a partial response in liver lesions and abdominal lymph nodes that was maintained for 24 months, in a patient with metastatic medullary thyroid carcinoma harboring RET D898_E901del (PMID: 38438731; NCT03157128). | 38438731 |
| RET D898_E901del | Advanced Solid Tumor | resistant | Cabozantinib | Preclinical - Cell culture | Actionable | In a preclinical study, transformed cells expressing RET D898_E901del were resistant to Cometriq (Cabometyx, cabozantinib) in culture (PMID: 37535881). | 37535881 |
| RET D898_E901del | Advanced Solid Tumor | predicted - sensitive | Vandetanib | Preclinical - Cell culture | Actionable | In a preclinical study, Caprelsa (vandetanib) inhibited Ret phosphorylation and proliferation in a transformed cell line expressing RET D898_E901del, but to a lesser degree than cells expressing RET C634R in culture (PMID: 37535881). | 37535881 |