{
  "meta": {
    "data_length": 1,
    "message": "Proposition id prop:vtxr:39 retrieved successfully",
    "request_url": "http://api.moalmanac.org/propositions?proposition_id=prop%3Avtxr%3A39",
    "status": "success",
    "status_code": 200,
    "timestamp_elapsed": 0.001855,
    "timestamp_received": "2026-09-25T00:12:14.084899+00:00Z",
    "timestamp_returned": "2026-09-25T00:12:14.086754+00:00Z",
    "trace_id": "a77470d0-6d06-4423-a460-828eaa6e236a"
  },
  "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:39",
      "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:MEL",
        "conceptType": "Disease",
        "name": "Melanoma",
        "mappings": [],
        "extensions": [
          {
            "name": "solid_tumor",
            "value": true,
            "description": "Boolean value for if this tumor type is categorized as a solid tumor."
          }
        ],
        "primaryCoding": {
          "id": "coding:oncotree:MEL",
          "code": "MEL",
          "name": "Melanoma",
          "system": "https://oncotree.mskcc.org",
          "systemVersion": "oncotree_2021_11_02",
          "iris": [
            "https://oncotree.mskcc.org/?version=oncotree_2021_11_02&field=CODE&search=MEL"
          ]
        }
      },
      "objectTherapeutic": {
        "id": "txgrp:9",
        "membershipOperator": "AND",
        "therapies": [
          {
            "id": "tx:ncit:C106250",
            "conceptType": "Therapy",
            "name": "Atezolizumab",
            "mappings": [
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:rxcui:1792776",
                  "code": "1792776",
                  "name": "atezolizumab",
                  "system": "RxNorm",
                  "systemVersion": "02-Mar-2026",
                  "iris": [
                    "https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&searchTerm=1792776"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:42629079",
                  "code": "42629079",
                  "name": "atezolizumab",
                  "system": "OMOP",
                  "systemVersion": "v20260227",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/42629079"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:sctid:719371003",
                  "code": "719371003",
                  "name": "Atezolizumab",
                  "system": "SNOMED",
                  "systemVersion": "2025-03-01",
                  "iris": [
                    "https://browser.ihtsdotools.org/?perspective=full&conceptId1=719371003&edition=MAIN/2025-03-01&release=&languages=en"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:36714233",
                  "code": "36714233",
                  "name": "Atezolizumab",
                  "system": "OMOP",
                  "systemVersion": "v20260227",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/36714233"
                  ]
                }
              }
            ],
            "extensions": [
              {
                "name": "therapy_strategy",
                "value": [
                  "PD-1/PD-L1 inhibition"
                ],
                "description": "Associated therapeutic strategy or mechanism of action of the therapy."
              },
              {
                "name": "therapy_type",
                "value": "Immunotherapy",
                "description": "Type of cancer treatment from cancer.gov: https://www.cancer.gov/about-cancer/treatment/types"
              }
            ],
            "primaryCoding": {
              "id": "coding:ncit:C106250",
              "code": "C106250",
              "name": "Atezolizumab",
              "system": "https://evsexplore.semantics.cancer.gov",
              "systemVersion": "25.01d",
              "iris": [
                "https://evsexplore.semantics.cancer.gov/evsexplore/concept/ncit/C106250"
              ]
            }
          },
          {
            "id": "tx:ncit:C68923",
            "conceptType": "Therapy",
            "name": "Cobimetinib",
            "mappings": [
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:rxcui:1722365",
                  "code": "1722365",
                  "name": "cobimetinib",
                  "system": "RxNorm",
                  "systemVersion": "20250602",
                  "iris": [
                    "https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&searchTerm=1722365"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:37395721",
                  "code": "37395721",
                  "name": "Cobimetinib",
                  "system": "OMOP",
                  "systemVersion": "v20250827",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/37395721"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:sctid:715257001",
                  "code": "715257001",
                  "name": "Cobimetinib",
                  "system": "SNOMED",
                  "systemVersion": "2026-03-01",
                  "iris": [
                    "https://browser.ihtsdotools.org/?perspective=full&conceptId1=715257001&edition=MAIN/2026-03-01&release=&languages=en"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:35605804",
                  "code": "35605804",
                  "name": "cobimetinib",
                  "system": "OMOP",
                  "systemVersion": "v20250827",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/35605804"
                  ]
                }
              }
            ],
            "extensions": [
              {
                "name": "therapy_strategy",
                "value": [
                  "MEK 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:C68923",
              "code": "C68923",
              "name": "Cobimetinib",
              "system": "https://evsexplore.semantics.cancer.gov",
              "systemVersion": "25.01d",
              "iris": [
                "https://evsexplore.semantics.cancer.gov/evsexplore/concept/ncit/C68923"
              ]
            }
          },
          {
            "id": "tx:ncit:C64768",
            "conceptType": "Therapy",
            "name": "Vemurafenib",
            "mappings": [
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:rxcui:1147220",
                  "code": "1147220",
                  "name": "vemurafenib",
                  "system": "RxNorm",
                  "systemVersion": "20250602",
                  "iris": [
                    "https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&searchTerm=1147220"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:45765787",
                  "code": "45765787",
                  "name": "Vemurafenib",
                  "system": "OMOP",
                  "systemVersion": "v20250827",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/45765787"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:sctid:702805007",
                  "code": "702805007",
                  "name": "Vemurafenib",
                  "system": "SNOMED",
                  "systemVersion": "2026-03-01",
                  "iris": [
                    "https://browser.ihtsdotools.org/?perspective=full&conceptId1=702805007&edition=MAIN/2026-03-01&release=&languages=en"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:40241937",
                  "code": "40241937",
                  "name": "vemurafenib",
                  "system": "OMOP",
                  "systemVersion": "v20250827",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/40241937"
                  ]
                }
              }
            ],
            "extensions": [
              {
                "name": "therapy_strategy",
                "value": [
                  "B-RAF 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:C64768",
              "code": "C64768",
              "name": "Vemurafenib",
              "system": "https://evsexplore.semantics.cancer.gov",
              "systemVersion": "25.01d",
              "iris": [
                "https://evsexplore.semantics.cancer.gov/evsexplore/concept/ncit/C64768"
              ]
            }
          }
        ]
      },
      "extensions": [
        {
          "name": "biomarkers",
          "value": [
            {
              "id": "bmkr.criterion:17",
              "present": true,
              "subject": {
                "id": "bmkr:17",
                "type": "CategoricalVariant",
                "name": "BRAF p.V600K",
                "constraints": [
                  {
                    "type": "DefiningAlleleConstraint",
                    "allele": {
                      "id": "ga4gh:VA.pfWn9x9oFBRzGda1xXcOrE-BrX0R__N8",
                      "type": "Allele",
                      "name": "NP_004324.2:p.Val600Lys",
                      "aliases": [
                        "NP_004324.2:p.V600K",
                        "BRAF p.V600K"
                      ],
                      "description": "VRS variation of NP_004324.2:p.Val600Lys",
                      "digest": "pfWn9x9oFBRzGda1xXcOrE-BrX0R__N8",
                      "expressions": [
                        {
                          "syntax": "hgvs.p",
                          "value": "NP_004324.2:p.Val600Lys",
                          "extensions": [
                            {
                              "name": "hgvs.p_short",
                              "value": "p.V600K"
                            }
                          ]
                        }
                      ],
                      "location": {
                        "id": "ga4gh:SL.t-3DrWALhgLdXHsupI-e-M00aL3HgK3y",
                        "type": "SequenceLocation",
                        "name": null,
                        "aliases": [],
                        "description": "Amino acid position 600 of the Refseq protein NP_004324.2, which is the protein product of the MANE Select coding transcript for BRAF (refseq:NM_004333.6).",
                        "digest": "t-3DrWALhgLdXHsupI-e-M00aL3HgK3y",
                        "sequenceReference": {
                          "id": "ga4gh:SQ.cQvw4UsHHRRlogxbWCB8W-mKD4AraM9y",
                          "type": "SequenceReference",
                          "name": "NP_004324.2",
                          "aliases": [
                            "ensembl:ENSP00000288602.6",
                            "ga4gh:SQ.cQvw4UsHHRRlogxbWCB8W-mKD4AraM9y",
                            "refseq:NP_004324.2"
                          ],
                          "description": "The protein product of the MANE Select coding transcript for BRAF (refseq:NM_004333.6), corresponding to the Refseq protein accession NP_004324.2.",
                          "moleculeType": "protein",
                          "refgetAccession": "SQ.cQvw4UsHHRRlogxbWCB8W-mKD4AraM9y",
                          "residueAlphabet": "aa"
                        },
                        "start": 599,
                        "end": 600,
                        "sequence": "V"
                      },
                      "state": {
                        "type": "LiteralSequenceExpression",
                        "sequence": "K"
                      }
                    },
                    "relations": []
                  },
                  {
                    "type": "FeatureContextConstraint",
                    "featureContext": {
                      "id": "gene:hgnc:1097",
                      "conceptType": "Gene",
                      "name": "BRAF",
                      "primaryCoding": {
                        "id": "coding:hgnc:1097",
                        "code": "HGNC:1097",
                        "system": "https://genenames.org",
                        "iris": [
                          "https://www.genenames.org/data/gene-symbol-report/#!/hgnc_id/HGNC:1097"
                        ]
                      },
                      "mappings": [
                        {
                          "relation": "exactMatch",
                          "coding": {
                            "id": "coding:ensembl:ensg00000157764",
                            "code": "ENSG00000157764",
                            "system": "https://www.ensembl.org",
                            "iris": [
                              "https://www.ensembl.org/id/ENSG00000157764"
                            ]
                          }
                        },
                        {
                          "relation": "exactMatch",
                          "coding": {
                            "id": "coding:ncbi:673",
                            "code": "673",
                            "system": "https://www.ncbi.nlm.nih.gov/gene",
                            "iris": [
                              "https://www.ncbi.nlm.nih.gov/gene/673"
                            ]
                          }
                        },
                        {
                          "relation": "relatedMatch",
                          "coding": {
                            "id": "coding:refseq:NM_004333.6",
                            "code": "NM_004333.6",
                            "system": "https://www.ncbi.nlm.nih.gov/nuccore",
                            "iris": [
                              "https://www.ncbi.nlm.nih.gov/nuccore/NM_004333.6"
                            ]
                          }
                        }
                      ]
                    }
                  }
                ],
                "extensions": [
                  {
                    "name": "biomarker_type",
                    "value": "Somatic variant"
                  },
                  {
                    "name": "chromosome",
                    "value": "7"
                  },
                  {
                    "name": "start_position",
                    "value": 140453136
                  },
                  {
                    "name": "end_position",
                    "value": 140453137
                  },
                  {
                    "name": "reference_allele",
                    "value": "AC"
                  },
                  {
                    "name": "alternate_allele",
                    "value": "TT"
                  },
                  {
                    "name": "cdna_change",
                    "value": "c.1798_1799GT>AA"
                  },
                  {
                    "name": "protein_change",
                    "value": "p.V600K"
                  },
                  {
                    "name": "variant_annotation",
                    "value": "Missense"
                  },
                  {
                    "name": "exon",
                    "value": 15
                  },
                  {
                    "name": "rsid",
                    "value": "rs121913227"
                  },
                  {
                    "name": "hgvsg",
                    "value": "7:g.140453136_140453137delinsTT"
                  },
                  {
                    "name": "hgvsc",
                    "value": "ENST00000288602.6:c.1798_1799delinsAA"
                  }
                ]
              }
            }
          ],
          "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."
        }
      ]
    }
  ]
}