{
  "meta": {
    "data_length": 1,
    "message": "Proposition id prop:vtxr:57 retrieved successfully",
    "request_url": "http://api.moalmanac.org/propositions?proposition_id=prop%3Avtxr%3A57",
    "status": "success",
    "status_code": 200,
    "timestamp_elapsed": 0.001777,
    "timestamp_received": "2026-09-25T00:12:24.745171+00:00Z",
    "timestamp_returned": "2026-09-25T00:12:24.746948+00:00Z",
    "trace_id": "d01c9c1f-8120-42d9-b145-eeb918eaef3d"
  },
  "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:57",
      "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:BRCA",
        "conceptType": "Disease",
        "name": "Invasive Breast Carcinoma",
        "mappings": [],
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          {
            "name": "solid_tumor",
            "value": true,
            "description": "Boolean value for if this tumor type is categorized as a solid tumor."
          }
        ],
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          "code": "BRCA",
          "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"
          ]
        }
      },
      "objectTherapeutic": {
        "id": "txgrp:12",
        "membershipOperator": "AND",
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            "id": "tx:ncit:C102564",
            "conceptType": "Therapy",
            "name": "Capivasertib",
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              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:rxcui:2669967",
                  "code": "2669967",
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                  "system": "RxNorm",
                  "systemVersion": "02-Mar-2026",
                  "iris": [
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                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:747200",
                  "code": "747200",
                  "name": "capivasertib",
                  "system": "OMOP",
                  "systemVersion": "v20260227",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/747200"
                  ]
                }
              }
            ],
            "extensions": [
              {
                "name": "therapy_strategy",
                "value": [
                  "PI3K/AKT/mTOR 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:C102564",
              "code": "C102564",
              "name": "Capivasertib",
              "system": "https://evsexplore.semantics.cancer.gov",
              "systemVersion": "25.01d",
              "iris": [
                "https://evsexplore.semantics.cancer.gov/evsexplore/concept/ncit/C102564"
              ]
            }
          },
          {
            "id": "tx:ncit:C1379",
            "conceptType": "Therapy",
            "name": "Fulvestrant",
            "mappings": [
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:rxcui:282357",
                  "code": "282357",
                  "name": "fulvestrant",
                  "system": "RxNorm",
                  "systemVersion": "20250602",
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                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:4300255",
                  "code": "4300255",
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                  "systemVersion": "v20250827",
                  "iris": [
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                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:sctid:385519002",
                  "code": "385519002",
                  "name": "Fulvestrant",
                  "system": "SNOMED",
                  "systemVersion": "2026-03-01",
                  "iris": [
                    "https://browser.ihtsdotools.org/?perspective=full&conceptId1=385519002&edition=MAIN/2026-03-01&release=&languages=en"
                  ]
                }
              },
              {
                "relation": "relatedMatch",
                "coding": {
                  "id": "coding:omop:1304044",
                  "code": "1304044",
                  "name": "fulvestrant",
                  "system": "OMOP",
                  "systemVersion": "v20250827",
                  "iris": [
                    "https://athena.ohdsi.org/search-terms/terms/1304044"
                  ]
                }
              }
            ],
            "extensions": [
              {
                "name": "therapy_strategy",
                "value": [
                  "Estrogen receptor inhibition"
                ],
                "description": "Associated therapeutic strategy or mechanism of action of the therapy."
              },
              {
                "name": "therapy_type",
                "value": "Hormone therapy",
                "description": "Type of cancer treatment from cancer.gov: https://www.cancer.gov/about-cancer/treatment/types"
              }
            ],
            "primaryCoding": {
              "id": "coding:ncit:C1379",
              "code": "C1379",
              "name": "Fulvestrant",
              "system": "https://evsexplore.semantics.cancer.gov",
              "systemVersion": "25.01d",
              "iris": [
                "https://evsexplore.semantics.cancer.gov/evsexplore/concept/ncit/C1379"
              ]
            }
          }
        ]
      },
      "extensions": [
        {
          "name": "biomarkers",
          "value": [
            {
              "id": "bmkr.criterion:1",
              "present": true,
              "subject": {
                "id": "bmkr:1",
                "type": "CategoricalVariant",
                "name": "ER positive",
                "constraints": [],
                "extensions": [
                  {
                    "name": "biomarker_type",
                    "value": "Protein expression"
                  },
                  {
                    "name": "marker",
                    "value": "Estrogen receptor (ER)"
                  },
                  {
                    "name": "unit",
                    "value": "status"
                  },
                  {
                    "name": "equality",
                    "value": "="
                  },
                  {
                    "name": "value",
                    "value": "Positive"
                  }
                ]
              }
            },
            {
              "id": "bmkr.criterion:2",
              "present": true,
              "subject": {
                "id": "bmkr:2",
                "type": "CategoricalVariant",
                "name": "HER2-negative",
                "constraints": [],
                "extensions": [
                  {
                    "name": "biomarker_type",
                    "value": "Protein expression"
                  },
                  {
                    "name": "marker",
                    "value": "Human epidermal growth factor receptor 2 (HER2)"
                  },
                  {
                    "name": "unit",
                    "value": "status"
                  },
                  {
                    "name": "equality",
                    "value": "="
                  },
                  {
                    "name": "value",
                    "value": "Negative"
                  }
                ]
              }
            },
            {
              "id": "bmkr.criterion:3",
              "present": true,
              "subject": {
                "id": "bmkr:3",
                "type": "CategoricalVariant",
                "name": "PR positive",
                "constraints": [],
                "extensions": [
                  {
                    "name": "biomarker_type",
                    "value": "Protein expression"
                  },
                  {
                    "name": "marker",
                    "value": "Progesterone receptor (PR)"
                  },
                  {
                    "name": "unit",
                    "value": "status"
                  },
                  {
                    "name": "equality",
                    "value": "="
                  },
                  {
                    "name": "value",
                    "value": "Positive"
                  }
                ]
              }
            },
            {
              "id": "bmkr.criterion:90",
              "present": true,
              "subject": {
                "id": "bmkr:90",
                "type": "CategoricalVariant",
                "name": "AKT1 Somatic variants",
                "constraints": [
                  {
                    "type": "DefiningLocationConstraint",
                    "location": {
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                      "type": "SequenceLocation",
                      "name": null,
                      "aliases": [],
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                        "name": "NP_001369359.1",
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                        ],
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                        "moleculeType": "protein",
                        "refgetAccession": "SQ.GTSPIWYvuDZU59cW1RECFEU1FMiKdEyc",
                        "residueAlphabet": "aa"
                      },
                      "start": 0,
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                      "sequence": null
                    },
                    "relations": [],
                    "matchCharacteristic": {
                      "primaryCoding": {
                        "code": "is_within",
                        "system": "ga4gh-gks-term:location-match"
                      }
                    }
                  },
                  {
                    "type": "FeatureContextConstraint",
                    "featureContext": {
                      "id": "gene:hgnc:391",
                      "conceptType": "Gene",
                      "name": "AKT1",
                      "primaryCoding": {
                        "id": "coding:hgnc:391",
                        "code": "HGNC:391",
                        "system": "https://genenames.org",
                        "iris": [
                          "https://www.genenames.org/data/gene-symbol-report/#!/hgnc_id/HGNC:391"
                        ]
                      },
                      "mappings": [
                        {
                          "relation": "exactMatch",
                          "coding": {
                            "id": "coding:ensembl:ensg00000142208",
                            "code": "ENSG00000142208",
                            "system": "https://www.ensembl.org",
                            "iris": [
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                          }
                        },
                        {
                          "relation": "exactMatch",
                          "coding": {
                            "id": "coding:ncbi:207",
                            "code": "207",
                            "system": "https://www.ncbi.nlm.nih.gov/gene",
                            "iris": [
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                            ]
                          }
                        },
                        {
                          "relation": "relatedMatch",
                          "coding": {
                            "id": "coding:refseq:NM_001382430.1",
                            "code": "NM_001382430.1",
                            "system": "https://www.ncbi.nlm.nih.gov/nuccore",
                            "iris": [
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                            ]
                          }
                        }
                      ]
                    }
                  }
                ],
                "extensions": [
                  {
                    "name": "biomarker_type",
                    "value": "Somatic variant"
                  },
                  {
                    "name": "chromosome",
                    "value": "14"
                  },
                  {
                    "name": "start_position",
                    "value": null
                  },
                  {
                    "name": "end_position",
                    "value": null
                  },
                  {
                    "name": "reference_allele",
                    "value": null
                  },
                  {
                    "name": "alternate_allele",
                    "value": null
                  },
                  {
                    "name": "cdna_change",
                    "value": null
                  },
                  {
                    "name": "protein_change",
                    "value": null
                  },
                  {
                    "name": "variant_annotation",
                    "value": null
                  },
                  {
                    "name": "exon",
                    "value": null
                  },
                  {
                    "name": "rsid",
                    "value": null
                  },
                  {
                    "name": "hgvsg",
                    "value": null
                  },
                  {
                    "name": "hgvsc",
                    "value": null
                  },
                  {
                    "name": "requires_oncogenic",
                    "value": true
                  }
                ]
              }
            }
          ],
          "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."
        }
      ]
    }
  ]
}