CIViC Evidence Items
4766 evidence items indexed
Evidence Level Distribution
CIViC evidence levels reflect study design quality, from A (strongest) to E (weakest).
AValidated — meta-analysis, systematic review, or major guideline
BClinical — prospective trial or retrospective cohort study
CCase study — single case report or small case series
DPreclinical — in vitro or animal model data
EInferential — computational prediction or biological rationale
Gene × Evidence Type
Count of CIViC evidence items per gene and evidence type category. Hover a column header for the type definition.
| Predictive | Diagnostic | Prognostic | Functional | Predispos. | Oncogenic | |
|---|---|---|---|---|---|---|
| BCR::ABL1 | 323 | 11 | ||||
| BRAF | 186 | 4 | 26 | 2 | 1 | |
| EGFR | 248 | 12 | 3 | 2 | ||
| EML4::ALK | 64 | |||||
| ERBB2 | 142 | 2 | ||||
| FLT3 | 55 | 2 | 21 | |||
| KIT | 102 | 3 | 7 | |||
| KRAS | 159 | 4 | 24 | 4 | ||
| PIK3CA | 156 | 16 | 4 | |||
| PTEN | 53 | 1 | 3 | 1 | 2 | 1 |
| TP53 | 52 | 40 | 100 | 2 | ||
| VHL | 5 | 2 | 3 | 635 | 15 |
Predictive:Links a variant to treatment response or resistance
Diagnostic:Supports or refutes a specific disease diagnosis
Prognostic:Informs disease progression or clinical outcome
Functional:Characterises the biological effect of a variant
Predisposing:Germline variant associated with cancer predisposition
Oncogenic:Characterises the variant's role in oncogenesis
| Level | Gene | Variant | Type | Direction | Significance | Disease | Drugs | Source |
|---|---|---|---|---|---|---|---|---|
| D | BRCA2 | Loss-of-function | Predictive | Supports | Sensitivity/Response | Breast Cancer | Quarfloxin,Pidnarulex | Xu et al., 2017 |
| C | ALK | Alternative Transcript (ATI) | Predictive | Supports | Sensitivity/Response | Skin Melanoma | Crizotinib | Wiesner et al., 2015 |
| B | BRAF | V600E | Prognostic | Supports | Poor Outcome | Colorectal Cancer | Schell et al., 2016 | |
| C | VHL | Exon 1-3 Deletion | Predisposing | Supports | Predisposition | Von Hippel-Lindau Disease | Nordstrom-O'Brien et al., 2010 | |
| D | GNAQ | Mutation | Predictive | Supports | Sensitivity/Response | Uveal Melanoma | Mirdametinib,Sotrastaurin Acetate | Chen et al., 2014 |
| B | NTRK1 | Overexpression | Prognostic | Supports | Better Outcome | Neuroblastoma | Nakagawara et al., 1993 | |
| C | BTK | T316A | Predictive | Supports | Resistance | Chronic Lymphocytic Leukemia | Ibrutinib | Sharma et al., 2016 |
| B | GNAS | c.393T>C | Prognostic | Supports | Poor Outcome | Breast Carcinoma | Otterbach et al., 2007 | |
| D | KRAS | G13D | Predictive | Supports | Resistance | Breast Cancer | Pictilisib | O'Brien et al., 2010 |
| B | EGFR | Mutation | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Erlotinib,Gefitinib | Ludovini et al., 2011 |
| D | PIK3CA | E545K | Predictive | Supports | Sensitivity/Response | Her2-receptor Positive Breast Cancer | Pictilisib | O'Brien et al., 2010 |
| D | PIK3CA | K111N | Predictive | Supports | Sensitivity/Response | Her2-receptor Positive Breast Cancer | Pictilisib | O'Brien et al., 2010 |
| D | PIK3CA | H1047R | Predictive | Supports | Sensitivity/Response | Her2-receptor Positive Breast Cancer | Pictilisib | O'Brien et al., 2010 |
| B | BRAF | V600E | Predictive | Supports | Sensitivity/Response | Melanoma | Trametinib | Flaherty et al., 2012 |
| B | BRAF | V600E | Prognostic | Supports | Poor Outcome | Papillary Thyroid Carcinoma | Elisei et al., 2008 | |
| B | EGFR | Mutation | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Afatinib | Miller et al., 2012 |
| C | EGFR | L858R OR EGFR Exon 19 Deletion | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Gefitinib | Yu et al., 2014 |
| C | EGFR | T790M | Predictive | Supports | Resistance | Lung Non-small Cell Carcinoma | Gefitinib,Erlotinib | Pao et al., 2005 |
| D | EGFR | T790M | Predictive | Supports | Resistance | Lung Non-small Cell Carcinoma | Lapatinib | Li et al., 2008 |
| D | ATM | Mutation | Predictive | Supports | Resistance | Chronic Lymphocytic Leukemia | Doxorubicin | Navrkalova et al., 2013 |
| B | KIT | Exon 11 Mutation | Predictive | Supports | Sensitivity/Response | Gastrointestinal Stromal Tumor | Imatinib | Heinrich et al., 2008 |
| B | EGFR | Wildtype | Predictive | Supports | Resistance | Lung Non-small Cell Carcinoma | Gefitinib | Mok et al., 2009 |
| B | EGFR | L858R | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Gefitinib | Douillard et al., 2010 |
| C | BCR::ABL1 | Fusion AND ABL1 E255K | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Imatinib | Branford et al., 2003 |
| D | BCR::ABL1 | Fusion AND ABL1 T315I | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Imatinib | Redaelli et al., 2009 |
| D | BCR::ABL1 | Fusion AND ABL1 T315I | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Imatinib | O'Hare et al., 2005 |
| D | BCR::ABL1 | Fusion AND ABL1 T315I | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Nilotinib | Redaelli et al., 2009 |
| C | BCR::ABL1 | Fusion AND ABL1 M351T | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Imatinib | Branford et al., 2003 |
| B | TP53 | ALTERATION | Predictive | Supports | Resistance | Ovarian Cancer | Carboplatin,Cisplatin | Reles et al., 2001 |
| B | TP53 | Overexpression | Predictive | Supports | Sensitivity/Response | Stomach Cancer | Cisplatin,Etoposide,Mitomycin | Bataille et al., 2003 |
| B | GNAS | c.393T>C | Prognostic | Supports | Poor Outcome | Bladder Urothelial Carcinoma | Frey et al., 2005 | |
| B | GNAS | c.393T>C | Prognostic | Supports | Better Outcome | Colorectal Cancer | Frey et al., 2005 | |
| B | GNAS | c.393T>C | Predictive | Supports | Resistance | Esophageal Cancer | Cisplatin,Fluorouracil | Alakus et al., 2009 |
| B | GNAS | c.393T>C | Prognostic | Supports | Better Outcome | Clear Cell Renal Cell Carcinoma | Frey et al., 2006 | |
| B | GNAS | c.393T>C | Prognostic | Supports | Better Outcome | Chronic Lymphocytic Leukemia | Frey et al., 2006 | |
| B | GNAS | c.393T>C | Prognostic | Supports | Poor Outcome | Melanoma | Frey et al., 2010 | |
| B | RRM1 | Underexpression | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Cisplatin,Gemcitabine | Nie et al., 2013 |
| B | RET | C609Y | Predisposing | Supports | Predisposition | Medullary Thyroid Carcinoma | Calva et al., 2009 | |
| C | LMNA::NTRK1 | Fusion AND NTRK1 G595R AND NTRK1 G667C | Predictive | Supports | Resistance | Colorectal Adenocarcinoma | Entrectinib | Russo et al., 2016 |
| D | TP53 | Wildtype | Predictive | Supports | Sensitivity/Response | Cancer | Rebemadlin | Efeyan et al., 2007 |
| D | TP53 | Wildtype | Predictive | Supports | Sensitivity/Response | Cancer | MDM2 Inhibitor AMGMDS3 | Saiki et al., 2015 |
| D | TP53 | Deleterious Mutation | Predictive | Supports | Resistance | Cancer | MDM2 Inhibitor AMGMDS3 | Saiki et al., 2015 |
| D | TP53 | Deleterious Mutation | Predictive | Supports | Resistance | Cancer | Rebemadlin | Efeyan et al., 2007 |
| B | CTNNB1 | T41A | Diagnostic | Supports | Positive | Desmoid Tumor | Lazar et al., 2008 | |
| B | CTNNB1 | S45F | Diagnostic | Supports | Positive | Desmoid Tumor | Lazar et al., 2008 | |
| D | ARID1A | Loss | Predictive | Supports | Sensitivity/Response | Ovarian Clear Cell Carcinoma | GSK126 | Bitler et al., 2015 |
| D | CTNNB1 | Activating Mutation | Predictive | Supports | Resistance | Melanoma | Anti-CTLA-4 Monoclonal Antibody,Anti-PD-L1 Monoclonal Antibody | Spranger et al., 2015 |
| B | CD274 | Expression | Predictive | Supports | Resistance | Head And Neck Squamous Cell Carcinoma | Radiation Therapy | Skinner et al., 2017 |
| D | MYC | Overexpression | Predictive | Supports | Sensitivity/Response | Lung Small Cell Carcinoma | Cisplatin,Prexasertib,Olaparib | Sen et al., 2017 |
| D | FLT3 | D835V | Predictive | Does Not Support | Sensitivity/Response | Acute Myeloid Leukemia | Quizartinib | Kampa-Schittenhelm et al., 2013 |