{
  "meta": {
    "data_length": 1,
    "message": "Proposition id prop:vtxr:210 retrieved successfully",
    "request_url": "http://api.moalmanac.org/propositions?proposition_id=prop%3Avtxr%3A210",
    "status": "success",
    "status_code": 200,
    "timestamp_elapsed": 0.001852,
    "timestamp_received": "2026-09-25T01:15:05.602341+00:00Z",
    "timestamp_returned": "2026-09-25T01:15:05.604193+00:00Z",
    "trace_id": "547c4f41-5037-4a49-b842-dd770e69a18d"
  },
  "service": {
    "github": "https://github.com/vanallenlab/moalmanac-db",
    "name": "Molecular Oncology Almanac",
    "license": "GPL-2.0",
    "release": "draft",
    "url": "https://dev.moalmanac.org",
    "last_updated": "2026-08-02"
  },
  "data": [
    {
      "id": "prop:vtxr:210",
      "type": "VariantTherapeuticResponseProposition",
      "predicate": "predictsSensitivityTo",
      "subjectVariant": {
        "type": "CategoricalVariant",
        "description": "Placeholder. Cat-VRS does not yet support sets of categorical variants. See the 'biomarkers' extension for biomarkers associated with this Proposition."
      },
      "conditionQualifier": {
        "id": "dis:oncotree:AML",
        "conceptType": "Disease",
        "name": "Acute Myeloid Leukemia",
        "mappings": [],
        "extensions": [
          {
            "name": "solid_tumor",
            "value": false,
            "description": "Boolean value for if this tumor type is categorized as a solid tumor."
          }
        ],
        "primaryCoding": {
          "id": "coding:oncotree:AML",
          "code": "AML",
          "name": "Acute Myeloid Leukemia",
          "system": "https://oncotree.mskcc.org",
          "systemVersion": "oncotree_2021_11_02",
          "iris": [
            "https://oncotree.mskcc.org/?version=oncotree_2021_11_02&field=CODE&search=AML"
          ]
        }
      },
      "objectTherapeutic": {
        "id": "txgrp:40",
        "membershipOperator": "AND",
        "therapies": [
          {
            "id": "tx:ncit:C408",
            "conceptType": "Therapy",
            "name": "Cytarabine",
            "mappings": [
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:rxcui:3041",
                  "code": "3041",
                  "name": "cytarabine",
                  "system": "RxNorm",
                  "systemVersion": "02-Mar-2026",
                  "iris": [
                    "https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&searchTerm=3041"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:1311078",
                  "code": "1311078",
                  "name": "cytarabine",
                  "system": "OMOP",
                  "systemVersion": "v20260227",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/1311078"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:sctid:387511003",
                  "code": "387511003",
                  "name": "Cytarabine",
                  "system": "SNOMED",
                  "systemVersion": "2025-03-01",
                  "iris": [
                    "https://browser.ihtsdotools.org/?perspective=full&conceptId1=387511003&edition=MAIN/2025-03-01&release=&languages=en"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:4306038",
                  "code": "4306038",
                  "name": "Cytarabine",
                  "system": "OMOP",
                  "systemVersion": "v20260227",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/4306038"
                  ]
                }
              }
            ],
            "extensions": [
              {
                "name": "therapy_strategy",
                "value": [
                  "DNA Polymerase inhibition"
                ],
                "description": "Associated therapeutic strategy or mechanism of action of the therapy."
              },
              {
                "name": "therapy_type",
                "value": "Chemotherapy",
                "description": "Type of cancer treatment from cancer.gov: https://www.cancer.gov/about-cancer/treatment/types"
              }
            ],
            "primaryCoding": {
              "id": "coding:ncit:C408",
              "code": "C408",
              "name": "Cytarabine",
              "system": "https://evsexplore.semantics.cancer.gov",
              "systemVersion": "25.01d",
              "iris": [
                "https://evsexplore.semantics.cancer.gov/evsexplore/concept/ncit/C408"
              ]
            }
          },
          {
            "id": "tx:ncit:C62091",
            "conceptType": "Therapy",
            "name": "Daunorubicin",
            "mappings": [
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:rxcui:3109",
                  "code": "3109",
                  "name": "daunorubicin",
                  "system": "RxNorm",
                  "systemVersion": "02-Mar-2026",
                  "iris": [
                    "https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&searchTerm=3109"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:1311799",
                  "code": "1311799",
                  "name": "daunorubicin",
                  "system": "OMOP",
                  "systemVersion": "v20260227",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/1311799"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:sctid:372715008",
                  "code": "372715008",
                  "name": "Daunorubicin",
                  "system": "SNOMED",
                  "systemVersion": "2025-03-01",
                  "iris": [
                    "https://browser.ihtsdotools.org/?perspective=full&conceptId1=372715008&edition=MAIN/2025-03-01&release=&languages=en"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:4156866",
                  "code": "4156866",
                  "name": "Daunorubicin",
                  "system": "OMOP",
                  "systemVersion": "v20260227",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/4156866"
                  ]
                }
              }
            ],
            "extensions": [
              {
                "name": "therapy_strategy",
                "value": [
                  "Topoisomerase inhibition"
                ],
                "description": "Associated therapeutic strategy or mechanism of action of the therapy."
              },
              {
                "name": "therapy_type",
                "value": "Chemotherapy",
                "description": "Type of cancer treatment from cancer.gov: https://www.cancer.gov/about-cancer/treatment/types"
              }
            ],
            "primaryCoding": {
              "id": "coding:ncit:C62091",
              "code": "C62091",
              "name": "Daunorubicin",
              "system": "https://evsexplore.semantics.cancer.gov",
              "systemVersion": "25.01d",
              "iris": [
                "https://evsexplore.semantics.cancer.gov/evsexplore/concept/ncit/C62091"
              ]
            }
          },
          {
            "id": "tx:ncit:C1872",
            "conceptType": "Therapy",
            "name": "Midostaurin",
            "mappings": [
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:rxcui:1919083",
                  "code": "1919083",
                  "name": "midostaurin",
                  "system": "RxNorm",
                  "systemVersion": "02-Mar-2026",
                  "iris": [
                    "https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&searchTerm=1919083"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:1594003",
                  "code": "1594003",
                  "name": "midostaurin",
                  "system": "OMOP",
                  "systemVersion": "v20260227",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/1594003"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:sctid:763613005",
                  "code": "763613005",
                  "name": "Midostaurin",
                  "system": "SNOMED",
                  "systemVersion": "2025-03-01",
                  "iris": [
                    "https://browser.ihtsdotools.org/?perspective=full&conceptId1=763613005&edition=MAIN/2025-03-01&release=&languages=en"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:35622245",
                  "code": "35622245",
                  "name": "Midostaurin",
                  "system": "OMOP",
                  "systemVersion": "v20260227",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/35622245"
                  ]
                }
              }
            ],
            "extensions": [
              {
                "name": "therapy_strategy",
                "value": [
                  "FLT3 inhibition"
                ],
                "description": "Associated therapeutic strategy or mechanism of action of the therapy."
              },
              {
                "name": "therapy_type",
                "value": "Targeted therapy",
                "description": "Type of cancer treatment from cancer.gov: https://www.cancer.gov/about-cancer/treatment/types"
              }
            ],
            "primaryCoding": {
              "id": "coding:ncit:C1872",
              "code": "C1872",
              "name": "Midostaurin",
              "system": "https://evsexplore.semantics.cancer.gov",
              "systemVersion": "25.01d",
              "iris": [
                "https://evsexplore.semantics.cancer.gov/evsexplore/concept/ncit/C1872"
              ]
            }
          }
        ]
      },
      "extensions": [
        {
          "name": "biomarkers",
          "value": [
            {
              "id": "bmkr.criterion:116",
              "present": true,
              "subject": {
                "id": "bmkr:116",
                "type": "CategoricalVariant",
                "name": "FLT3 p.D835A",
                "constraints": [
                  {
                    "type": "DefiningAlleleConstraint",
                    "allele": {
                      "id": "ga4gh:VA.3LKVcwmmyezzaaWmtcmAI63SZC5jSzMg",
                      "type": "Allele",
                      "name": "NP_004110.2:p.Asp835Ala",
                      "aliases": [
                        "NP_004110.2:p.D835A",
                        "FLT3 p.D835A"
                      ],
                      "description": "VRS variation of NP_004110.2:p.Asp835Ala",
                      "digest": "3LKVcwmmyezzaaWmtcmAI63SZC5jSzMg",
                      "expressions": [
                        {
                          "syntax": "hgvs.p",
                          "value": "NP_004110.2:p.Asp835Ala",
                          "extensions": [
                            {
                              "name": "hgvs.p_short",
                              "value": "p.D835A"
                            }
                          ]
                        }
                      ],
                      "location": {
                        "id": "ga4gh:SL.2Tbt2D_8w_Jg3P2HhGEBwmwasbpLtfwP",
                        "type": "SequenceLocation",
                        "name": null,
                        "aliases": [],
                        "description": "Amino acid position 835 of the Refseq protein NP_004110.2, which is the protein product of the MANE Select coding transcript for FLT3 (refseq:NM_004119.3).",
                        "digest": "2Tbt2D_8w_Jg3P2HhGEBwmwasbpLtfwP",
                        "sequenceReference": {
                          "id": "ga4gh:SQ.0dtDG7QKyvW7BntvQVpLS83mYRA58LKH",
                          "type": "SequenceReference",
                          "name": "NP_004110.2",
                          "aliases": [
                            "ensembl:ENSP00000241453.7",
                            "ga4gh:SQ.0dtDG7QKyvW7BntvQVpLS83mYRA58LKH",
                            "refseq:NP_004110.2"
                          ],
                          "description": "The protein product of the MANE Select coding transcript for FLT3 (refseq:NM_004119.3), corresponding to the Refseq protein accession NP_004110.2.",
                          "moleculeType": "protein",
                          "refgetAccession": "SQ.0dtDG7QKyvW7BntvQVpLS83mYRA58LKH",
                          "residueAlphabet": "aa"
                        },
                        "start": 834,
                        "end": 835,
                        "sequence": "D"
                      },
                      "state": {
                        "type": "LiteralSequenceExpression",
                        "sequence": "A"
                      }
                    },
                    "relations": []
                  },
                  {
                    "type": "FeatureContextConstraint",
                    "featureContext": {
                      "id": "gene:hgnc:3765",
                      "conceptType": "Gene",
                      "name": "FLT3",
                      "primaryCoding": {
                        "id": "coding:hgnc:3765",
                        "code": "HGNC:3765",
                        "system": "https://genenames.org",
                        "iris": [
                          "https://www.genenames.org/data/gene-symbol-report/#!/hgnc_id/HGNC:3765"
                        ]
                      },
                      "mappings": [
                        {
                          "relation": "exactMatch",
                          "coding": {
                            "id": "coding:ensembl:ensg00000122025",
                            "code": "ENSG00000122025",
                            "system": "https://www.ensembl.org",
                            "iris": [
                              "https://www.ensembl.org/id/ENSG00000122025"
                            ]
                          }
                        },
                        {
                          "relation": "exactMatch",
                          "coding": {
                            "id": "coding:ncbi:2322",
                            "code": "2322",
                            "system": "https://www.ncbi.nlm.nih.gov/gene",
                            "iris": [
                              "https://www.ncbi.nlm.nih.gov/gene/2322"
                            ]
                          }
                        },
                        {
                          "relation": "relatedMatch",
                          "coding": {
                            "id": "coding:refseq:NM_004119.3",
                            "code": "NM_004119.3",
                            "system": "https://www.ncbi.nlm.nih.gov/nuccore",
                            "iris": [
                              "https://www.ncbi.nlm.nih.gov/nuccore/NM_004119.3"
                            ]
                          }
                        }
                      ]
                    }
                  }
                ],
                "extensions": [
                  {
                    "name": "biomarker_type",
                    "value": "Somatic variant"
                  },
                  {
                    "name": "chromosome",
                    "value": "13"
                  },
                  {
                    "name": "start_position",
                    "value": 28592641
                  },
                  {
                    "name": "end_position",
                    "value": 28592641
                  },
                  {
                    "name": "reference_allele",
                    "value": "T"
                  },
                  {
                    "name": "alternate_allele",
                    "value": "G"
                  },
                  {
                    "name": "cdna_change",
                    "value": "c.2504A>C"
                  },
                  {
                    "name": "protein_change",
                    "value": "p.D835A"
                  },
                  {
                    "name": "variant_annotation",
                    "value": "Missense"
                  },
                  {
                    "name": "exon",
                    "value": 20
                  },
                  {
                    "name": "rsid",
                    "value": "rs121909646"
                  },
                  {
                    "name": "hgvsg",
                    "value": "13:g.28592641T>G"
                  },
                  {
                    "name": "hgvsc",
                    "value": "ENST00000241453.7:c.2504A>C"
                  }
                ]
              }
            }
          ],
          "description": "The biomarkers associated with this Proposition, each with a `present` flag indicating if the biomarker is present (true) or absent (false). Multiple biomarkers are combined with implied AND logic."
        }
      ]
    }
  ]
}