Melanoma, cutaneous malignant, susceptibility to, 1

disease
On this page

Also known as CMM1melanoma, cutaneous malignant, 1melanoma, malignant, somatic

Summary

Melanoma, cutaneous malignant, susceptibility to, 1 (MONDO:0007963) is a cancer with 6 cohort genes (5 CIViC-evidence somatic drivers; 238 ClinVar predisposition records).

At a glance

  • Classification: Cancer
  • Cohort genes: 6
  • ClinVar variants: 238

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namemelanoma, cutaneous malignant, susceptibility to, 1
Mondo IDMONDO:0007963
OMIM155600
SNOMED CT254819008
UMLSC1835047
MedGen320506
GARD0027782
Is cancer (heuristic)yes

Also known as: CMM1 · melanoma, cutaneous malignant, 1 · melanoma, cutaneous malignant, susceptibility to, 1 · melanoma, malignant, somatic

Data availability: 238 ClinVar variants.

Disease family

Classification path: disease › human disease › disease by etiologic mechanism › disease of genetic or genomic mechanism › hereditary diseasehereditary neoplastic syndrome › susceptibility to familial cutaneous melanoma › melanoma, cutaneous malignant, susceptibility to, 1

Related subtypes (9): melanoma, cutaneous malignant, susceptibility to, 2, melanoma, cutaneous malignant, susceptibility to, 4, melanoma, cutaneous malignant, susceptibility to, 3, melanoma, cutaneous malignant, susceptibility to, 7, melanoma, cutaneous malignant, susceptibility to, 5, melanoma, cutaneous malignant, susceptibility to, 6, melanoma, cutaneous malignant, susceptibility to, 8, melanoma, cutaneous malignant, susceptibility to, 9, tumor predisposition syndrome 3

Genetics & variants

GWAS landscape

No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.

Variant details and genetic-evidence tiers

ClinVar germline variants

238 retrieved; paginated sample, class counts are floors:

117 uncertain significance, 54 conflicting classifications of pathogenicity, 24 benign/likely benign, 16 likely benign, 15 pathogenic, 7 likely pathogenic, 3 pathogenic/likely pathogenic, 2 benign

ClinVarVariant (HGVS)GeneClassificationReview
13973NM_004333.6(BRAF):c.770A>G (p.Gln257Arg)BRAFPathogenicreviewed by expert panel
13976NM_004333.6(BRAF):c.1495A>G (p.Lys499Glu)BRAFPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
162795NM_004333.6(BRAF):c.2135C>A (p.Ala712Asp)BRAFPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
41446NM_004333.6(BRAF):c.1801A>C (p.Lys601Gln)BRAFPathogeniccriteria provided, multiple submitters, no conflicts
52684NM_000059.4(BRCA2):c.8817_8820del (p.Lys2939fs)BRCA2Pathogenicreviewed by expert panel
1445764NM_000455.5(STK11):c.29dup (p.Met11fs)STK11Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1686233NM_000455.5(STK11):c.784A>T (p.Lys262Ter)STK11Pathogeniccriteria provided, single submitter
3383032NM_000455.5(STK11):c.388dup (p.Glu130fs)STK11Pathogeniccriteria provided, multiple submitters, no conflicts
3600336NM_000455.5(STK11):c.876C>A (p.Tyr292Ter)STK11Pathogeniccriteria provided, multiple submitters, no conflicts
3892570NM_000455.5(STK11):c.147C>G (p.Tyr49Ter)STK11Pathogeniccriteria provided, multiple submitters, no conflicts
3892950NC_000019.9:g.(?1218416)(1222005_?)delSTK11Pathogeniccriteria provided, single submitter
3892951NC_000019.9:g.1206913_1219412delSTK11Pathogeniccriteria provided, single submitter
3892952NC_000019.9:g.1206913_1226646delSTK11Pathogeniccriteria provided, single submitter
527834NM_000455.5(STK11):c.256C>T (p.Arg86Ter)STK11Pathogeniccriteria provided, multiple submitters, no conflicts
7450NM_000455.5(STK11):c.580G>T (p.Asp194Tyr)STK11Pathogeniccriteria provided, multiple submitters, no conflicts
7455NM_000455.5(STK11):c.508C>T (p.Gln170Ter)STK11Pathogeniccriteria provided, single submitter
7456NM_000455.5(STK11):c.145T>G (p.Tyr49Asp)STK11Pathogenicno assertion criteria provided
7457NM_000455.5(STK11):c.403G>C (p.Gly135Arg)STK11Pathogenicno assertion criteria provided
40370NM_004333.6(BRAF):c.1454T>C (p.Leu485Ser)BRAFLikely pathogenicreviewed by expert panel
182898NM_000455.5(STK11):c.487G>C (p.Gly163Arg)STK11Likely pathogeniccriteria provided, multiple submitters, no conflicts
220351NM_000455.5(STK11):c.923G>T (p.Trp308Leu)STK11Likely pathogeniccriteria provided, multiple submitters, no conflicts
2679059NM_000455.5(STK11):c.1217del (p.Ala406fs)STK11Likely pathogeniccriteria provided, single submitter
3583467NM_000455.5(STK11):c.810del (p.Ser271fs)STK11Likely pathogeniccriteria provided, single submitter
3892572NM_000455.5(STK11):c.922T>G (p.Trp308Gly)STK11Likely pathogeniccriteria provided, single submitter
3892953NM_000455.5(STK11):c.292_464+1delSTK11Likely pathogeniccriteria provided, single submitter
1050230NM_004333.6(BRAF):c.1789C>T (p.Leu597=)BRAFConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1091347NM_004333.6(BRAF):c.915G>A (p.Ala305=)BRAFConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1130636NM_004333.6(BRAF):c.1797A>G (p.Thr599=)BRAFConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1318788NM_004333.6(BRAF):c.52C>G (p.Leu18Val)BRAFConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1339665NM_004333.6(BRAF):c.1690A>G (p.Met564Val)BRAFConflicting classifications of pathogenicitycriteria provided, conflicting classifications

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 44 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Somatic driver evidence (intOGen + CIViC, cohort fanout)

GeneintOGen roleCancer typesCIViC
BRAFActBLCA,BRCA,CHOL,CLLSLL,COAD,COADREAD,CSCC,DLBCLNOS,GBM,GIST,HGGNOS,LGGNOS,LUAD,MEL,MLYM,NSCLC,OVT,PAST,PCM,PRAD,PRCC,PROSTATE,READ,SACA,SKCM,STAD,UCEC,WDTCCIViC #5
BRCA2LoFBLCA,BRCA,CESC,CHOL,HCC,HNSC,LUSC,MBL,OVT,PAAD,PRAD,PROSTATE,RCC,VULVACIViC #7
STK11LoFANSC,CEAD,CESC,CHOL,LUAD,NSCLC,WDTCCIViC #5534
POT1ActANGS,CLLSLL,LGGNOS,MEL,SOFT_TISSUECIViC #9935
PTENLoFANGS,BLCA,BRCA,CCRCC,CEAD,CESC,CHOL,CHRCC,COADREAD,CSCC,ESCA,GB,GBM,HCC,HGGNOS,HNSC,LGGNOS,LIPO,LUAD,LUSC,MBL,MEL,MT,NSCLC,OVT,PANET,PAST,PRAD,PRCC,PROSTATE,RCC,SCLC,SKCM,SOFT_TISSUE,STAD,UCEC,UCS,WDTCCIViC #41

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
BRAFOrphanet:1340Cardiofaciocutaneous syndrome
BRAFOrphanet:146Differentiated thyroid carcinoma
BRAFOrphanet:251615Pilomyxoid astrocytoma
BRAFOrphanet:389Langerhans cell histiocytosis
BRAFOrphanet:500Noonan syndrome with multiple lentigines
BRAFOrphanet:54595Craniopharyngioma
BRAFOrphanet:58017Classic hairy cell leukemia
BRAFOrphanet:626Large/giant congenital melanocytic nevus
BRAFOrphanet:648Noonan syndrome
BRAFOrphanet:840Syringocystadenoma papilliferum
BRAFOrphanet:96253Cushing disease
BRCA2Orphanet:1331Familial prostate cancer
BRCA2Orphanet:1333Familial pancreatic carcinoma
BRCA2Orphanet:145Hereditary breast and/or ovarian cancer syndrome
BRCA2Orphanet:178Chordoma
BRCA2Orphanet:227535Hereditary breast cancer
BRCA2Orphanet:319462Inherited cancer-predisposing syndrome due to biallelic BRCA2 mutations
BRCA2Orphanet:440437Familial colorectal cancer Type X
BRCA2Orphanet:654Nephroblastoma
BRCA2Orphanet:667662Breast implant-associated anaplastic large cell lymphoma
BRCA2Orphanet:694963Inflammatory breast cancer
BRCA2Orphanet:70567Cholangiocarcinoma
BRCA2Orphanet:84Fanconi anemia
STK11Orphanet:2869Peutz-Jeghers syndrome
POT1Orphanet:251627Oligodendroglioma
POT1Orphanet:251630Anaplastic oligodendroglioma
POT1Orphanet:618Familial melanoma
POT1Orphanet:67038B-cell chronic lymphocytic leukemia
MC1ROrphanet:618Familial melanoma
MC1ROrphanet:79432Oculocutaneous albinism type 2
PTENOrphanet:109Bannayan-Riley-Ruvalcaba syndrome
PTENOrphanet:137608Segmental outgrowth-lipomatosis-arteriovenous malformation-epidermal nevus syndrome
PTENOrphanet:145Hereditary breast and/or ovarian cancer syndrome
PTENOrphanet:201Cowden syndrome
PTENOrphanet:210548Macrocephaly-intellectual disability-autism syndrome
PTENOrphanet:2969Proteus-like syndrome
PTENOrphanet:494547Squamous cell carcinoma of the hypopharynx
PTENOrphanet:494550Squamous cell carcinoma of the larynx
PTENOrphanet:500464Squamous cell carcinoma of the nasal cavity and paranasal sinuses
PTENOrphanet:500478Squamous cell carcinoma of the oropharynx
PTENOrphanet:502363Squamous cell carcinoma of the oral cavity
PTENOrphanet:502366Squamous cell carcinoma of the lip
PTENOrphanet:65285Lhermitte-Duclos disease
PTENOrphanet:79076Juvenile polyposis of infancy

Cohort genes → proteins

6 cohort genes, 6 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence6

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
BRAFHGNC:1097ENSG00000157764P15056Serine/threonine-protein kinase B-rafclinvar
BRCA2HGNC:1101ENSG00000139618P51587Breast cancer type 2 susceptibility proteinclinvar
STK11HGNC:11389ENSG00000118046Q15831Serine/threonine-protein kinase STK11clinvar
POT1HGNC:17284ENSG00000128513Q9NUX5Protection of telomeres protein 1clinvar
MC1RHGNC:6929ENSG00000258839Q01726Melanocyte-stimulating hormone receptorclinvar
PTENHGNC:9588ENSG00000171862P60484Phosphatidylinositol 3,4,5-trisphosphate 3-phosphatase and dual-specificity protein phosphatase PTENclinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
BRAFSerine/threonine-protein kinase B-rafProtein kinase involved in the transduction of mitogenic signals from the cell membrane to the nucleus.
BRCA2Breast cancer type 2 susceptibility proteinInvolved in double-strand break repair and/or homologous recombination.
STK11Serine/threonine-protein kinase STK11Tumor suppressor serine/threonine-protein kinase that controls the activity of AMP-activated protein kinase (AMPK) family members, thereby playing a role in various processes such as cell metabolism, cell polarity, apoptosis and DNA damage…
POT1Protection of telomeres protein 1Component of the telomerase ribonucleoprotein (RNP) complex that is essential for the replication of chromosome termini.
MC1RMelanocyte-stimulating hormone receptorG protein-coupled receptor that binds melanocyte-stimulating hormones (alpha, beta, and gamma-MSH) and adrenocorticotropic hormone/ACTH, which are peptide products of the POMC precursor protein.
PTENPhosphatidylinositol 3,4,5-trisphosphate 3-phosphatase and dual-specificity protein phosphatase PTENDual-specificity protein phosphatase, dephosphorylating tyrosine-, serine- and threonine-phosphorylated proteins.

Protein-family classification

Druggable: 4 · Difficult: 0 · Unknown: 2 · Druggable fraction: 0.67

Family distribution

Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.

FamilyGenesFoldFDR
Kinase29.2×0.071
Phosphatase114.0×0.139
GPCR14.0×0.301
Other/Unknown20.6×0.936

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
BRAFKinaseyes2.7.10.2Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, PKC_DAG/PE
BRCA2Other/UnknownnoBRCA2_repeat, NA-bd_OB-fold, BRCA2_OB_1
STK11Kinaseyes2.7.11.1Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
POT1Other/UnknownnoTelomer_end-bd_POT1/Cdc13, NA-bd_OB-fold, POT1
MC1RGPCRyesGPCR_Rhodpsn, MSH_rcpt, Melcrt_ACTH_rcpt
PTENPhosphataseyes3.1.3.16Tyr_Pase_dom, Tyr_Pase_cat, Tensin_C2-dom

Expression context

Cohort genes with no expression data: 0.

5 cohort genes are a single-cell marker in ≥1 SCXA experiment.

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)6
unknown0

Top tissues across cohort

TissueCohort genes
calcaneal tendon3
secondary oocyte2
left testis2
buccal mucosa cell1
colonic epithelium1
male germ line stem cell (sensu Vertebrata) in testis1
ventricular zone1
hindlimb stylopod muscle1
right testis1
germinal epithelium of ovary1
granulocyte1
right uterine tube1
endothelial cell1
sperm1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
BRAF265ubiquitousmarkerbuccal mucosa cell, colonic epithelium, calcaneal tendon
BRCA2184ubiquitousmarkermale germ line stem cell (sensu Vertebrata) in testis, secondary oocyte, ventricular zone
STK11238ubiquitousmarkerleft testis, right testis, hindlimb stylopod muscle
POT1279ubiquitousmarkersecondary oocyte, germinal epithelium of ovary, calcaneal tendon
MC1R180broadyesgranulocyte, right uterine tube, left testis
PTEN256ubiquitousmarkersperm, endothelial cell, calcaneal tendon

Protein interactions among cohort

Intra-cohort edges: 4.

Hub genes (top 10 by interactor count)

SymbolInteractor count
PTEN11,626
BRAF7,394
STK115,146
BRCA24,839
POT11,842
MC1R1,169

Intra-cohort edges

ABSources
BRAFBRCA2biogrid_interaction
BRAFPTENbiogrid_interaction, string_interaction
BRCA2STK11string_interaction
PTENSTK11string_interaction

Structural data

PDB: 6 · AlphaFold-only: 0 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
BRAFP15056131
BRCA2P5158714
POT1Q9NUX514
PTENP6048412
MC1RQ017265
STK11Q158314

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 114. Enrichment computed across 6 evidence-associated genes (6 with Reactome annotation).

Pathways by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 6 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
PTEN Loss of Function in Cancer1951.7×0.037PTEN
Impaired BRCA2 translocation to the nucleus1634.4×0.037BRCA2
Impaired BRCA2 binding to SEM1 (DSS1)1634.4×0.037BRCA2
Signaling by MRAS-complex mutants1475.8×0.037BRAF
Signalling to p38 via RIT and RIN1380.7×0.037BRAF
Negative feedback regulation of MAPK pathway1317.2×0.037BRAF
ARMS-mediated activation1271.9×0.037BRAF
AMPK inhibits chREBP transcriptional activation activity1237.9×0.037STK11
Prolonged ERK activation events1237.9×0.037BRAF
SHOC2 M1731 mutant abolishes MRAS complex function1237.9×0.037BRAF
Gain-of-function MRAS complexes activate RAF signaling1237.9×0.037BRAF
Signaling by FGFR31190.3×0.037BRAF
Regulation of PTEN mRNA translation1190.3×0.037PTEN
Signaling by FGFR41173.0×0.037BRAF
Regulation of PTEN localization1173.0×0.037PTEN
Frs2-mediated activation1158.6×0.037BRAF
Defective homologous recombination repair (HRR) due to PALB2 loss of function1158.6×0.037BRCA2
HDR through MMEJ (alt-NHEJ)1146.4×0.037BRCA2
Telomere C-strand synthesis initiation1135.9×0.037POT1
Signaling by FGFR11135.9×0.037BRAF
Diseases of DNA Double-Strand Break Repair1135.9×0.037BRCA2
Defective homologous recombination repair (HRR) due to BRCA2 loss of function1135.9×0.037BRCA2
Processive synthesis on the C-strand of the telomere1126.9×0.037POT1
Telomere C-strand (Lagging Strand) Synthesis1126.9×0.037POT1
Spry regulation of FGF signaling1119.0×0.037BRAF
FOXO-mediated transcription of cell death genes1119.0×0.037STK11
Removal of the Flap Intermediate from the C-strand1105.7×0.038POT1
Resolution of D-Loop Structures1105.7×0.038BRCA2
Signalling to ERKs1100.2×0.039BRAF
Diseases of DNA repair195.2×0.039BRCA2

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 6 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
establishment of protein localization to telomere2702.2×5e-04BRCA2, POT1
regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction2234.1×0.003STK11, PTEN
positive regulation of axonogenesis2193.7×0.003BRAF, STK11
positive regulation of DNA strand elongation12808.7×0.009POT1
positive regulation of vesicle transport along microtubule12808.7×0.009STK11
positive regulation of telomeric D-loop disassembly12808.7×0.009POT1
protein dephosphorylation273.9×0.009STK11, PTEN
mitotic recombination-dependent replication fork processing11404.3×0.013BRCA2
negative regulation of synaptic vesicle clustering11404.3×0.013PTEN
T cell receptor signaling pathway250.6×0.013BRAF, STK11
CD4-positive or CD8-positive, alpha-beta T cell lineage commitment1936.2×0.014BRAF
negative regulation of keratinocyte migration1936.2×0.014PTEN
telomere assembly1702.2×0.014POT1
rhythmic synaptic transmission1702.2×0.014PTEN
negative regulation of mammary gland epithelial cell proliferation1561.7×0.014BRCA2
positive regulation of axon regeneration1561.7×0.014BRAF
negative regulation of synaptic vesicle exocytosis1561.7×0.014BRAF
regulation of double-strand break repair via nonhomologous end joining1561.7×0.014POT1
regulation of telomere maintenance via telomerase1468.1×0.014POT1
central nervous system myelin maintenance1468.1×0.014PTEN
CD4-positive, alpha-beta T cell differentiation1468.1×0.014BRAF
negative regulation of epithelial cell proliferation involved in prostate gland development1468.1×0.014STK11
myeloid progenitor cell differentiation1401.2×0.014BRAF
negative regulation of cell cycle G1/S phase transition1401.2×0.014PTEN
negative regulation of wound healing, spreading of epidermal cells1401.2×0.014PTEN
positive regulation of feeding behavior1401.2×0.014MC1R
positive regulation of D-glucose transmembrane transport1351.1×0.014BRAF
Golgi localization1351.1×0.014STK11
head morphogenesis1351.1×0.014BRAF
epithelial cell proliferation involved in prostate gland development1351.1×0.014STK11

Therapeutics

Drug target analysis

Approved (phase 4): 3 · Phase ≥3: 3 · Phased (≥1): 3 · Undrugged: 3

Druggability breadth: 5 of 6 evidence-associated genes (83%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Genes with an approved drug

The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.

SymbolExample approved molecule
BRAFVEMURAFENIB
STK11FEDRATINIB
MC1RBREMELANOTIDE

Top cohort targets by molecule count

SymbolMoleculesMax phase
BRAF484
STK11174
MC1R64
BRCA200
POT100
PTEN00

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
VEMURAFENIB4BRAF
PONATINIB4BRAF
FEDRATINIB4BRAF, STK11
SORAFENIB4BRAF
DASATINIB ANHYDROUS4BRAF
RUXOLITINIB4BRAF
INFIGRATINIB PHOSPHATE4BRAF
INFIGRATINIB4BRAF
REGORAFENIB4BRAF
DABRAFENIB4BRAF
COBIMETINIB4BRAF
NILOTINIB4BRAF
ABEMACICLIB4BRAF
ENCORAFENIB4BRAF
TOVORAFENIB4BRAF
PAZOPANIB4BRAF
DASATINIB4BRAF
ERLOTINIB4BRAF
GEFITINIB4BRAF
IMATINIB4BRAF
PACRITINIB4STK11
NINTEDANIB4STK11
SUNITINIB4STK11
MIDOSTAURIN4STK11
BREMELANOTIDE4MC1R
SETMELANOTIDE4MC1R
AFAMELANOTIDE4MC1R
MASITINIB3BRAF
AVUTOMETINIB3BRAF
NAPORAFENIB3BRAF

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 3.

Cohort genes with ChEMBL bioactivity (full, sorted by assay count)

SymbolAssaysType breakdown
BRAF1,442Binding:1400, Functional:37, ADMET:5
MC1R319Functional:164, Binding:155
STK11244Binding:244
PTEN8Binding:8
POT11Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
BRAF2.7.10.2, 2.7.11.1non-specific protein-tyrosine kinase, non-specific serine/threonine protein kinase
STK112.7.11.1non-specific serine/threonine protein kinase
PTEN3.1.3.16, 3.1.3.67protein-serine/threonine phosphatase, phosphatidylinositol-3,4,5-trisphosphate 3-phosphatase

Cohort genes with high screening signal

≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.

SymbolChEMBL assays
BRAF1,442
STK11244
MC1R319

Pharmacogenomics

Cohort genes with a PharmGKB record: 6; with CPIC/DPWG dosing guidelines: 0.

No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).

Drug repurposing candidates

30 approved/phased drugs hit cohort targets but don’t yet appear in disease-level clinical trials. Target-inhibition rationale is strongest for cancer driver genes; a bioactivity hit is a screening signal, not a treatment claim.

CompoundMax phaseCohort target (bioactivity)
VEMURAFENIB4BRAF
PONATINIB4BRAF
FEDRATINIB4BRAF, STK11
SORAFENIB4BRAF
DASATINIB ANHYDROUS4BRAF
RUXOLITINIB4BRAF
INFIGRATINIB PHOSPHATE4BRAF
INFIGRATINIB4BRAF
REGORAFENIB4BRAF
DABRAFENIB4BRAF
COBIMETINIB4BRAF
NILOTINIB4BRAF
ABEMACICLIB4BRAF
ENCORAFENIB4BRAF
TOVORAFENIB4BRAF
PAZOPANIB4BRAF
DASATINIB4BRAF
ERLOTINIB4BRAF
GEFITINIB4BRAF
IMATINIB4BRAF
PACRITINIB4STK11
NINTEDANIB4STK11
SUNITINIB4STK11
MIDOSTAURIN4STK11
BREMELANOTIDE4MC1R
SETMELANOTIDE4MC1R
AFAMELANOTIDE4MC1R
MASITINIB3BRAF
AVUTOMETINIB3BRAF
NAPORAFENIB3BRAF

Druggability pyramid

Cohort genes binned by druggability tier (high → low):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)3BRAF, STK11, MC1R
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug1PTEN
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug2BRCA2, POT1

Undrugged target profiles

3 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

SymbolChEMBL assaysDrugged partners (top 3)
PTEN8STK11
BRCA20
POT11

Clinical trials & evidence

Clinical trials

Clinical trials: 0.