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AITX-00001
{ "clinical_context": "Progressive muscle weakness", "genotype": [ { "gene": "DMD", "protein_hgvs": "p.(Thr2516_Ala3096del)", "transcript": "NM_004006.2", "variant_hgvs": "c.7544_9286del", "zygosity": "hemizygous" } ] }
To which of the following targeted therapies would this variant be most likely amenable: Golodirsen, Viltolarsen, Eteplirsen, Casimersen, Ataluren, or None?
Eteplirsen
multipleChoice
Established_Targeted
ASO
Variant results in deletion of exons 52-63, which is listed as amenable to exon 51 skipping
AITX-00002
{ "clinical_context": "Progressive muscle weakness", "genotype": [ { "gene": "DMD", "protein_hgvs": "p.(Leu3485Ter)", "transcript": "NM_004006.2", "variant_hgvs": "c.10453_10454delinsTA", "zygosity": "hemizygous" } ] }
To which of the following targeted therapies would this variant be most likely amenable: Golodirsen, Viltolarsen, Eteplirsen, Casimersen, Ataluren, or None?
Ataluren
multipleChoice
Established_Targeted
Small Molecule
Variant results in a nonsense in exon 74, which is amenable to nonsense readthrough
AITX-00003
{ "clinical_context": "Progressive muscle weakness", "genotype": [ { "gene": "DMD", "protein_hgvs": "p.(Trp24Arg)", "transcript": "NM_004006.2", "variant_hgvs": "c.70T>C", "zygosity": "hemizygous" } ] }
To which of the following targeted therapies would this variant be most likely amenable: Eteplirsen, Golodirsen, Viltolarsen, Casimersen, Ataluren, or None?
None
multipleChoice
Established_Targeted
ASOs
Results in a missense in exon 2, which is not amenable to nonsense readthrough and is upstream from skippable exons
AITX-00004
{ "clinical_context": "Recurrent nephrocalcinosis and chronic kidney disease", "genotype": [ { "gene": "AGXT", "protein_hgvs": "p.(Gly170Arg)", "transcript": "NM_000030.3", "variant_hgvs": "c.508G>A", "zygosity": "homozygous" } ] }
What targeted, small molecule therapy is available for this patient? Provide the generic name or None.
Pyridoxine
exactMatch
Established_Targeted
Small Molecule
Missense variants are amenable to pyridoxine treatment https://www.ncbi.nlm.nih.gov/books/NBK1283/
AITX-00005
{ "clinical_context": "Recurrent nephrocalcinosis and chronic kidney disease", "genotype": [ { "gene": "AGXT", "protein_hgvs": "p.(Lys12GlnfsTer156)", "transcript": "NM_000030.3", "variant_hgvs": "c.33dup", "zygosity": "homozygous" } ] }
Is this patient predicted to be responsive to pyridoxine? Answer yes or no.
No
exactMatch
Established_Targeted
Small Molecule
Pyridoxine is not effective for patients with null variants https://www.ncbi.nlm.nih.gov/books/NBK1283/
AITX-00006
{ "clinical_context": "7 year old with recurrent nephrocalcinosis and chronic kidney disease", "genotype": [ { "gene": "AGXT", "protein_hgvs": "p.(Lys12GlnfsTer156)", "transcript": "NM_000030.3", "variant_hgvs": "c.33dup", "zygosity": "homozygous" } ] }
What targeted, genetic therapies are approved for this patient in the US? Provide the generic name.
Lumasiran
exactMatch
Established_Targeted
siRNA
Lumasiran is approved for patients of all ages whereas Nedosiran is only approved for patients age >9. https://www.ncbi.nlm.nih.gov/books/NBK1283/
AITX-00007
{ "clinical_context": "Global developmental delay", "genotype": [ { "gene": "DDC", "protein_hgvs": "p.(Gly96Arg)", "transcript": "NM_001082971.2", "variant_hgvs": "c.286G>A", "zygosity": "homozygous" } ] }
What is the youngest age for which a gene therapy is approved for this patient's genetic condition in the united kingdom? Answer with the format "X months".
18 months
exactMatch
Established_Targeted
Gene Therapy
https://www.ncbi.nlm.nih.gov/books/NBK595821/
AITX-00008
{ "clinical_context": "joint hypermobility, skin hyperextensibility, and easy bruising", "genotype": [ { "gene": "COL1A1", "protein_hgvs": "p.(Gly560Ser)", "transcript": "NM_000088.4", "variant_hgvs": "c.1678G>A", "zygosity": "heterozygous" } ] }
What two medications are most established for decreasing bruising? List generic names in alphabetical order
ascorbic acid, desmopressin
exactMatch
Established_Supportive
Treatment_Identification
https://www.ncbi.nlm.nih.gov/books/NBK1244/#eds.Management
AITX-00009
{ "clinical_context": "Patient with SLC35A2-CDG who is experiencing seizures and global developmental delay", "genotype": [ { "gene": "SLC35A2", "protein_hgvs": "p.Met1Ile", "transcript": "NM_005660.3", "variant_hgvs": "c.3G>A", "zygosity": "heterozygous" } ] }
What clinical trial developing a new therapeutic for this condition is recruiting or listed as upcoming/not yet recruiting? Return a clinical trials ID
NCT05402384
exactMatch
Clinical_Trials
Trial_Identification
https://clinicaltrials.gov/study/NCT05402384
AITX-00010
{ "clinical_context": "seizures and global developmental delay. Age 2 months, Hemoglobin 5, Normal liver labs, Not enrolled in other trials", "genotype": [ { "gene": "SLC35A2", "protein_hgvs": "p.Met1Ile", "transcript": "NM_005660.3", "variant_hgvs": "c.3G>A", "zygosity": "heterozygous" } ] }
Is this patient eligible for clinical trial NCT05402384? Answer yes or no.
No
exactMatch
Clinical_Trials
Eligibility
Exclusion criteria lists hemoglobin <7 https://clinicaltrials.gov/study/NCT05402384
AITX-00011
{ "clinical_context": "early-onset seizures and developmental delays", "genotype": [ { "gene": "KCNT1", "protein_hgvs": "p.Arg950Gln", "transcript": "NM_020822.3", "variant_hgvs": "c.2849G>A", "zygosity": "heterozygous" } ] }
For which clinical trials evaluating new therapeutics is this patient eligible? Provide a clinical trial ID or answer None.
None
exactMatch
Clinical_Trials
Trial_Identification
Only a natural history study is listed. Source: https://clinicaltrials.gov/search?cond=KCNT1
AITX-00012
{ "clinical_context": "intellectual disability, seizures, and developmental delays", "genotype": [ { "gene": "GRIN2B", "protein_hgvs": "p.Gln919Ter", "transcript": "NM_000834.5", "variant_hgvs": "c.2755C>T", "zygosity": "heterozygous" } ] }
Is it more likely amenable to treatment with Memantine, L-serine, or Radiprodil
L-Serine
exactMatch
Drug_Development_and_Repurposing
Mechanism_Of_Action
Variant is a LOF variant. L-serine is being used for LOF variants whereas the others are being used for GOF variants https://academic.oup.com/brain/article/147/5/1653/7611854?login=false
AITX-00013
{ "clinical_context": "progressive cerebellar ataxia and peripheral neuropathy", "genotype": [ { "gene": "ANO10", "protein_hgvs": "p.(Met97Ter)", "transcript": "NM_018075.5", "variant_hgvs": "c.289del", "zygosity": "homozygous" } ] }
How many amino acids are coded for by the exon in which this variant occurs? Answer with a number
66
exactMatch
Variant_Assessment
Exon_Evaluation
Source: Ensembl
AITX-00014
{ "clinical_context": "progressive cerebellar ataxia and peripheral neuropathy", "genotype": [ { "gene": "ANO10", "protein_hgvs": "p.(Met97Ter)", "transcript": "NM_018075.5", "variant_hgvs": "c.289del", "zygosity": "homozygous" } ] }
What percentage of the total coding transcript for this gene are encoded by the exon in which this variant occurs? Answer with a decimal to nearest tenth.
0.1
exactMatch
Variant_Assessment
Exon_Evaluation
66/660 = 0.1 Source: Ensembl
AITX-00015
{ "clinical_context": "childhood-onset generalized dystonia", "genotype": [ { "gene": "KMT2B", "protein_hgvs": "p.(Ile2694SerfsTer44)", "transcript": "NM_014727.3", "variant_hgvs": "c.8079delC", "zygosity": "heterozygous" } ] }
Based on typical prediction rules, is this variant likely to result in nonsense mediated decay? Answer yes or no.
No
exactMatch
Variant_Assessment
Nonsense_Mediated_Decay
At the end of the last exon, after the main domain
AITX-00016
{ "clinical_context": "Malignant Peripheral Nerve Sheath Tumor and Pheochromocytoma", "genotype": [ { "gene": "NF1", "protein_hgvs": "p.(Leu1243Pro)", "transcript": "NM_001042492.3", "variant_hgvs": "c.3728T>C", "zygosity": "heterozygous" } ] }
In which functional domain does this variant occur? Answer choices: CSRD, TBD, GRD, Sec14-PH, HLR, NLS, SBR.
GRD
exactMatch
Variant_Assessment
Exon_Skipping
GRD, GAP related domain (1198–1549 residues) https://www.mdpi.com/2073-4425/13/7/1130#
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