ALK and NTRK1 fusion molecules and uses thereof

Inventors

Cronin, Maureen T. • Lipson, Doron • Yelensky, Roman

Assignees

Foundation Medicine Inc

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Publication Number

US-12522873-B2

Patent

Publication Date

2026-01-13

Expiration Date


Abstract

Novel ALK and NTRK1 fusion molecules and uses are disclosed.

Core Innovation

The disclosure describes methods for determining the presence of an LMNA-NTRK1 fusion polypeptide or its encoding nucleic acid in a sample from a subject with melanoma or a Spitz tumor. The fusion is characterized by LMNA exon 2 directly fused in frame to NTRK1 exon 11, preserving the NTRK1 kinase domain. Described detection approaches include sequencing, PCR, FISH, and antibody-based assays.

The disclosure further describes evaluating a subject who has participated in a clinical trial or has been treated for cancer by acquiring genotype information identifying the LMNA-NTRK1 fusion and treating the subject with a kinase inhibitor. The presence of the fusion identifies the subject as having an increased risk for, or the presence of, melanoma or a Spitz tumor. Fusion-directed screening result reporting and related DCTN1-ALK fusion concepts are also described.

Claims Coverage

The claims encompass two inventive features across two independent claims covering fusion detection and therapeutic evaluation.

Determining the presence of an LMNA-NTRK1 fusion

The method determines whether an LMNA-NTRK1 fusion polypeptide or its encoding nucleic acid is present in a sample from a subject with melanoma or a Spitz tumor, wherein LMNA exon 2 is directly fused in frame to NTRK1 exon 11, or an encoding nucleic acid comprising the corresponding junction or specified breakpoint sequence.

Evaluating and treating a subject based on LMNA-NTRK1 fusion genotype information

The method evaluates a subject who has participated in a clinical trial or has been treated for cancer by acquiring genotype information identifying an LMNA-NTRK1 fusion polypeptide or its encoding nucleic acid, identifying the subject as having an increased risk for or the presence of melanoma or a Spitz tumor, and treating the subject with a kinase inhibitor.

The independent claims cover fusion detection in a patient sample and evaluation with kinase-inhibitor treatment based on genotype information identifying the LMNA-NTRK1 fusion.

Stated Advantages

Not explicitly described in patent.

Documented Applications

Detection and characterization of an LMNA-NTRK1 fusion polypeptide or encoding nucleic acid in samples or genotype information from subjects with melanoma or a Spitz tumor.

Evaluating a subject with a history of clinical-trial participation or cancer treatment and treating the subject with a kinase inhibitor based on genotype information identifying the LMNA-NTRK1 fusion.

Fusion-directed screening result reporting, including preparation of personalized cancer treatment reports containing treatment options.

Detection of DCTN1-ALK fusions and related therapeutic concepts.

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