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      "description": "The U.S. Food and Drug Administration (FDA) granted accelerated approval to dordaviprone adult and pediatric patients 1 year of age and older with diffuse midline glioma harboring an H3 K27M mutation with progressive disease following prior therapy. This indication is approved under accelerated approval based on response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial. The underlying trials, including ONC018 (NCT03134131), assessed H3 K27M status through either IHC or sequencing for patient eligibility. The H3 K27M nomenclature refers to the H3-3A:c.83A>T p.K28M (K27M) variant.",
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          "aliases": [],
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        "predicate": "predictsSensitivityTo",
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              "name": "therapy_strategy",
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              "value": "Targeted therapy",
              "description": "Type of cancer treatment from cancer.gov: https://www.cancer.gov/about-cancer/treatment/types"
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          {
            "name": "biomarkers",
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              {
                "id": "bmkr.criterion:176",
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                            "extensions": [
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                          "name": null,
                          "aliases": [],
                          "description": "Amino acid position 28 of the Refseq protein NP_002098.1, which is the protein product of the MANE Select coding transcript for H3-3A (refseq:NM_002107.7).",
                          "digest": "_IRpRraJX9DRf4zdTMt615TYq-_pQaMG",
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                            "moleculeType": "protein",
                            "refgetAccession": "SQ.2uEiKlgt3rV_axllFiEObLHYBOl2mT38",
                            "residueAlphabet": "aa"
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                          "end": 28,
                          "sequence": "K"
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                        "state": {
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                          "sequence": "M"
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                      "type": "FeatureContextConstraint",
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                        "id": "gene:hgnc:4764",
                        "conceptType": "Gene",
                        "name": "H3-3A",
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                          "code": "HGNC:4764",
                          "name": "H3-3A",
                          "system": "https://genenames.org",
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                  "extensions": [
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                      "name": "biomarker_type",
                      "value": "Somatic variant"
                    },
                    {
                      "name": "chromosome",
                      "value": "1"
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                    {
                      "name": "start_position",
                      "value": 226252135
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                      "name": "end_position",
                      "value": 226252135
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                      "name": "reference_allele",
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                      "name": "alternate_allele",
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            "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."
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        "name": "Approval",
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            "id": "ind:fda:modeyso:0",
            "type": "Indication",
            "description": "MODEYSO is a protease activator indicated for the treatment of adult and pediatric patients 1 year of age and older with diffuse midline glioma harboring an H3 K27M mutation with progressive disease following prior therapy.",
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                "id": "ctrb:vanallenlab:2025-10-02:0",
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                "description": "On 2025-08-06, the US FDA granted accelerated approval to Modeyso (dordaviprone) for the treatment of adult and pediatric patients 1 year of age and older with diffuse midline glioma harboring an H3 K27M mutation with progressive disease following prior therapy.",
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                "type": "Contribution",
                "description": "Indication received accelerated approval.",
                "date": "2025-08-06",
                "contributor": {
                  "id": "agent:org:fda",
                  "type": "Agent",
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                  "name": "Food and Drug Administration",
                  "description": "Regulatory agency that approves drugs for use in the United States."
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              }
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                "documentType": "Regulatory approval",
                "name": "Modeyso (dordaviprone) [package insert]. FDA.",
                "title": null,
                "aliases": [],
                "description": "Chimerix, Inc. Modeyso (dordaviprone) [package insert]. U.S. Food and Drug Administration website. https://www.accessdata.fda.gov/drugsatfda_docs/label/2025/219876s000lbl.pdf. Revised August 2025. Accessed October 2, 2025.",
                "urls": [
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                      "description": "Regulatory agency that approves drugs for use in the United States."
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                    "description": "The organization that published this document."
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                  {
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}