{
  "meta": {
    "data_length": 1,
    "message": "Proposition id prop:vtxr:358 retrieved successfully",
    "request_url": "http://api.moalmanac.org/propositions?proposition_id=prop%3Avtxr%3A358",
    "status": "success",
    "status_code": 200,
    "timestamp_elapsed": 0.001916,
    "timestamp_received": "2026-09-25T00:12:26.981565+00:00Z",
    "timestamp_returned": "2026-09-25T00:12:26.983481+00:00Z",
    "trace_id": "eb8d6fb5-4644-48c5-9776-fba173b934fa"
  },
  "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"
  },
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      "type": "VariantTherapeuticResponseProposition",
      "predicate": "predictsSensitivityTo",
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        "type": "CategoricalVariant",
        "description": "Placeholder. Cat-VRS does not yet support sets of categorical variants. See the 'biomarkers' extension for biomarkers associated with this Proposition."
      },
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        "name": "Invasive Breast Carcinoma",
        "mappings": [],
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          }
        ],
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          "name": "Invasive Breast Carcinoma",
          "system": "https://oncotree.mskcc.org",
          "systemVersion": "oncotree_2021_11_02",
          "iris": [
            "https://oncotree.mskcc.org/?version=oncotree_2021_11_02&field=CODE&search=BRCA"
          ]
        }
      },
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        "membershipOperator": "AND",
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                  "name": "cyclophosphamide",
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                }
              },
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                }
              },
              {
                "relation": "relatedMatch",
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              },
              {
                "relation": "relatedMatch",
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              }
            ],
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                "name": "therapy_strategy",
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                "description": "Associated therapeutic strategy or mechanism of action of the therapy."
              },
              {
                "name": "therapy_type",
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                "description": "Type of cancer treatment from cancer.gov: https://www.cancer.gov/about-cancer/treatment/types"
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            ],
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            ],
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                "value": [
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              },
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                "value": "Chemotherapy",
                "description": "Type of cancer treatment from cancer.gov: https://www.cancer.gov/about-cancer/treatment/types"
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          },
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              },
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              },
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                "description": "Associated therapeutic strategy or mechanism of action of the therapy."
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            "conceptType": "Therapy",
            "name": "Pertuzumab",
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                "relation": "relatedMatch",
                "coding": {
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              },
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              },
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                "coding": {
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                  "systemVersion": "2025-03-01",
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                "description": "Type of cancer treatment from cancer.gov: https://www.cancer.gov/about-cancer/treatment/types"
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                  "name": "Trastuzumab",
                  "system": "OMOP",
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                  "systemVersion": "2026-03-01",
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                  "code": "1387104",
                  "name": "trastuzumab",
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                "description": "Type of cancer treatment from cancer.gov: https://www.cancer.gov/about-cancer/treatment/types"
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      },
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        {
          "name": "biomarkers",
          "value": [
            {
              "id": "bmkr.criterion:20",
              "present": true,
              "subject": {
                "id": "bmkr:20",
                "type": "CategoricalVariant",
                "name": "HER2-positive",
                "constraints": [],
                "extensions": [
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                    "name": "biomarker_type",
                    "value": "Protein expression"
                  },
                  {
                    "name": "marker",
                    "value": "Human epidermal growth factor receptor 2 (HER2)"
                  },
                  {
                    "name": "unit",
                    "value": "status"
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                  {
                    "name": "equality",
                    "value": "="
                  },
                  {
                    "name": "value",
                    "value": "Positive"
                  }
                ]
              }
            }
          ],
          "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."
        }
      ]
    }
  ]
}