Target intelligence / Profile preview

Epidermal Growth Factor Receptor C797S Mutant (EGFR C797S)

Target
EGFR C797S
Molecular classification
Receptor Tyrosine Kinase, Growth Factor Receptor, Mutant Protein
01

Overview

The Epidermal Growth Factor Receptor (EGFR) C797S mutant is a point mutation in the EGFR gene where cysteine 797 is replaced by serine. This mutation confers resistance to third-generation irreversible EGFR tyrosine kinase inhibitors (TKIs) such as osimertinib and lazertinib by preventing these drugs from covalently binding to the receptor. It commonly arises after treatment with third-generation TKIs in patients with NSCLC whose tumors harbor sensitizing EGFR mutations and T790M. The allelic context of C797S (cis or trans with T790M) influences subsequent treatment options and efficacy.

Other names
EGFR cysteine 797 serine mutationEGFR C797S resistance mutationEGFR C797SERBB1 C797S
02

Mechanism of action

Prevents covalent binding of third-generation EGFR tyrosine kinase inhibitors (TKIs)

03

Biological functions

Signal transductionCell proliferationDrug resistanceTyrosine kinase activity
04

Disease associations

Non-small cell lung cancer (NSCLC)Acquired drug resistanceCancer
05

Safety considerations

Resistance to third-generation EGFR TKIsLack of approved targeted therapies for cis-C797S/T790M double mutantsDevelopment of secondary resistance mechanisms
06

Interacting drugs

3 more in the full profile.

07

Biomarkers

EGFR C797S mutation statusT790M mutation statusEGFR L858R mutation statusEGFR exon 19 deletion status

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