Patient pathway

I have a mutation result

A pathway for turning a genomic report into better questions.

What this situation means

  • Mutation results can change treatment and trial conversations, but the exact variant and cancer subtype matter.

What not to assume

  • Do not assume every mutation has an approved targeted therapy.

Information to gather

  • Full genomic report
  • exact gene and variant
  • BRAF/NRAS/KIT/NTRK status
  • prior therapies

Bring to the surgeon

  • Would new tissue help clarify subtype or mutation status?

Bring to the oncologist

  • Which findings are actionable?
  • Which findings are trial-search terms?
  • Should a specialty center review the report?

Bring to the trial team

  • Which mutation terms should be searched in trial listings?

Related database records

Related cohort threads

Sources with the medical details

  1. Melanoma Treatment (PDQ) - Health Professional Version. Accessed 2026-05-20.
  2. First-in-human phase I dose-escalation and dose-expansion trial of HL-085 in advanced melanoma harboring NRAS mutations. Accessed 2026-05-20.
  3. Tunlametinib Capsules approved with conditions for marketing by China NMPA. Accessed 2026-05-20.
  4. NCT06008106: Comparing Tunlametinib Capsules and Combination Chemotherapy in Advanced NRAS-mutant Melanoma. Accessed 2026-05-20.
  5. NCI: Drugs Approved for Melanoma, including encorafenib and binimetinib. Accessed 2026-05-20.
  6. NCI: Dabrafenib-Trametinib Combination Approved for Melanoma and Thyroid Cancer. Accessed 2026-05-20.
  7. Drugs Approved for Melanoma. Accessed 2026-05-20.