ROS1

Chr 6

ROS proto-oncogene 1, receptor tyrosine kinase

Also known as: MCF3, ROS, c-ros-1

This proto-oncogene, highly-expressed in a variety of tumor cell lines, belongs to the sevenless subfamily of tyrosine kinase insulin receptor genes. The protein encoded by this gene is a type I integral membrane protein with tyrosine kinase activity. The protein may function as a growth or differentiation factor receptor. [provided by RefSeq, Jul 2008]

12
Active trials
0
Pathogenic / LP
0
ClinVar variants
401
Pubs (1 yr)
-0.5
Missense Z
1.12
LOEUF
Clinical SummaryROS1
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
💊
Clinical Trials
12 active or recruiting trials — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.12LOEUF
pLI 0.000
Z-score 0.46
OE 0.95 (0.821.12)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.50Z-score
OE missense 1.04 (0.991.09)
1243 obs / 1194.3 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.95 (0.821.12)
00.351.4
Missense OE1.04 (0.991.09)
00.61.4
Synonymous OE1.12
01.21.6
LoF obs/exp: 113 / 118.3Missense obs/exp: 1243 / 1194.3Syn Z: -1.93
GOFDN
DN
0.6744th %ile
GOF
0.73top 25%
LOF
0.3745th %ile

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function and dominant-negative). Both the Badonyi & Marsh prediction and the broader genomic evidence point to gain-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

GOFprediction above median
DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

ROS1 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

Non-Small Cell Carcinoma of Lung, TNM Stage 4Non-Small Cell Lung CancerEGFR Gene Mutation

Early Rebiopsy to Identify Biomarkers of Tumor Cell Survival Following EGFR, ALK, ROS1 or BRAF TKI Therapy

RECRUITING
NCT03042221University of Colorado, DenverStarted 2016-05-10
Lung Adenocarcinoma

PHOENIX: QL1706 Plus Chemotherapy and Bevacizumab in AGA-Resistant, PD-L1 ≥50% Non-Squamous NSCLC

NOT YET RECRUITING
NCT07416058Phase PHASE2Guangdong Association of Clinical TrialsStarted 2026-01-31
QL1706 (bispecific antibody targeting PD-1 and CLTA-4)
Lung Cancer

Survival Outcomes of Lung Cancer

RECRUITING
NCT03647098Hunan Province Tumor HospitalStarted 2018-08-01
Treatment
NSCLCTNBC

A Phase II Clinical Study to Evaluate the Safety, Pharmacokinetic Profile, and Preliminary Efficacy of IMM2510 in Combination with Chemotherapy As First-line Treatment in Subjects with Non-small Cell Lung Cancer or Triple-negative Breast Cancer

NOT YET RECRUITING
NCT06746870Phase PHASE2ImmuneOnco Biopharmaceuticals (Shanghai) Inc.Started 2024-12
IMM2510Chemotherapy (pemetrexed + cisplatin/carboplatin)Chemotherapy (paclitaxel + cisplatin/carboplatin)
Protein Kinase InhibitorsOther Protocol Specified CriteriaLung Neoplasms

Phase I Study of JYP0322 in ROS1 Fusion-Positive Solid Tumors

RECRUITING
NCT06128148Phase PHASE1Guangzhou JOYO Pharma Co., LtdStarted 2022-05-04
JYP0322 50 mg qdJYP0322 100 mg qdJYP0322 200 mg qd
Non-Small Cell Lung Cancer

Cabozantinib in Patients With RET Fusion-Positive Advanced Non-Small Cell Lung Cancer and Those With Other Genotypes: ROS1 or NTRK Fusions or Increased MET or AXL Activity

RECRUITING
NCT01639508Phase PHASE2Memorial Sloan Kettering Cancer CenterStarted 2012-07
Cabozantinib
Non Small Cell Lung Cancer Metastatic

First-line Therapy With Nivolumab Plus Ipilimumab in Combination With Chemotherapy for Metatastatic NSCLC (NICReWo Trial)

RECRUITING
NCT07190677Fondazione IRCCS Policlinico San Matteo di PaviaStarted 2025-01-17
ROS1 Fusion PositiveNon Small Cell Lung Cancer

Study on the Mechanism of Acquired Resistance of Entrectinib

RECRUITING
NCT07199959Fudan UniversityStarted 2025-01-15
venipuncyureEntrectinib
Carcinoma, Non-Small-Cell Lung

MYLUNG Consortium Study Protocol 2

ACTIVE NOT RECRUITING
NCT05644808US Oncology ResearchStarted 2020-12-29
Carcinoma, Non-Small-Cell Lung

LIquid BIopsies in Patients Presenting Non-small Cell Lung Cancer

RECRUITING
NCT02511288Centre Leon BerardStarted 2015-07
NSCLC Stage IVNSCLC, Stage III

Phase II Efficacy Study of Repotrectinib in Frail and/or Elderly Patients With ROS1-rearranged Advanced NSCLC

RECRUITING
NCT06552234Phase PHASE2Centre Hospitalier Intercommunal de Toulon La Seyne sur MerStarted 2024-10-01
Repotrectinib
NSCLCBrain MetastasesROS1 Gene Rearrangement

REPotrectinib in ROS1-positive Non-small Cell Lung Cancer Patients With Active Brain mEtastasis

RECRUITING
NCT06315010Phase PHASE2MedSIRStarted 2025-06-27
Repotrectinib
Clinical Literature
Landmark / reviewRecent case evidence