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 |
|---|---|---|---|---|---|---|---|---|
| B | SIRT1 | Overexpression | Prognostic | Supports | Poor Outcome | Pancreatic Ductal Carcinoma | Stenzinger et al., 2013 | |
| B | FLT3 | TKD MUTATION | Predictive | Supports | Sensitivity/Response | Acute Myeloid Leukemia | Midostaurin | Fischer et al., 2010 |
| B | TP53 | P72R | Prognostic | Does Not Support | Poor Outcome | Lung Carcinoma | Matakidou et al., 2003 | |
| B | SMAD4 | Expression | Prognostic | Supports | Better Outcome | Pancreatic Ductal Adenocarcinoma | Tascilar et al., 2001 | |
| D | FANCC | Loss-of-function | Predictive | Supports | Sensitivity/Response | Pancreatic Cancer | Melphalan,Chlorambucil,Cisplatin,Mitomycin,Gemcitabine | van der Heijden et al., 2005 |
| C | EBF1::PDGFRB | Fusion | Predictive | Supports | Sensitivity/Response | B-lymphoblastic Leukemia/lymphoma, BCR-ABL1–like | Imatinib | Weston et al., 2013 |
| B | KRAS | G12D | Prognostic | Supports | Poor Outcome | Malignant Exocrine Pancreas Neoplasm | Rachakonda et al., 2013 | |
| B | FLT3 | T227M | Predictive | Supports | Adverse Response | Renal Cell Carcinoma | Sunitinib | van Erp et al., 2009 |
| B | PALB2 | L531FS*30 | Diagnostic | Supports | Positive | Breast Cancer | Erkko et al., 2008 | |
| D | FGFR2 | N550K | Predictive | Supports | Sensitivity/Response | Endometrial Cancer | PD173074 | Byron et al., 2008 |
| D | ALK | F1174L | Predictive | Supports | Sensitivity/Response | Neuroblastoma | AZD3463 | Wang et al., 2016 |
| D | ALK | F1245C | Predictive | Supports | Sensitivity/Response | Neuroblastoma | Lorlatinib | Infarinato et al., 2016 |
| C | ALK | F1245C | Predictive | Supports | Resistance | Neuroblastoma | Crizotinib | Mossé et al., 2013 |
| D | ALK | Exon 4-11 Deletion | Predictive | Supports | Sensitivity/Response | Neuroblastoma | Brigatinib | Siaw et al., 2016 |
| C | EML4::ALK | Fusion AND ALK F1245C | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Ceritinib | Kodityal et al., 2016 |
| D | EML4::ALK | e6::e20 | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Ceritinib | Friboulet et al., 2014 |
| D | ALK | G1269A AND v::ALK Fusion | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Ceritinib | Friboulet et al., 2014 |
| D | EML4::ALK | Fusion AND ALK T1151dup | Predictive | Supports | Resistance | Lung Non-small Cell Carcinoma | Alectinib | Katayama et al., 2012 |
| D | EML4::ALK | Fusion AND ALK T1151dup | Predictive | Supports | Resistance | Lung Non-small Cell Carcinoma | ALK Inhibitor TAE684 | Katayama et al., 2012 |
| D | EML4::ALK | Fusion AND ALK G1202R | Predictive | Supports | Resistance | Cancer | Alectinib | Fontana et al., 2015 |
| D | EML4::ALK | Fusion AND ALK G1202R | Predictive | Supports | Resistance | Cancer | Brigatinib | Fontana et al., 2015 |
| D | ALK | G1269A AND v::ALK Fusion | Predictive | Supports | Resistance | Cancer | Alectinib | Fontana et al., 2015 |
| C | ALK | G1202R AND v::ALK Fusion | Predictive | Supports | Resistance | Lung Adenocarcinoma | Crizotinib | Katayama et al., 2012 |
| D | PIK3CA | Mutation | Predictive | Supports | Sensitivity/Response | Head And Neck Cancer | Dactolisib | Lui et al., 2013 |
| B | RET | M918T | Predictive | Supports | Sensitivity/Response | Medullary Thyroid Carcinoma | Sorafenib | Lam et al., 2010 |
| B | CDK4 | Amplification | Predictive | Supports | Sensitivity/Response | Liposarcoma | Palbociclib | Dickson et al., 2013 |
| C | ALK | I1171 | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Ceritinib | Ou et al., 2015 |
| B | NPM1 | EXON 11 MUTATION | Prognostic | Does Not Support | Better Outcome | Acute Myeloid Leukemia | Boissel et al., 2005 | |
| D | CDKN2A | Loss | Predictive | Supports | Sensitivity/Response | Renal Cell Carcinoma | Palbociclib | Logan et al., 2013 |
| D | CDKN2B | Loss | Predictive | Supports | Sensitivity/Response | Renal Cell Carcinoma | Palbociclib | Logan et al., 2013 |
| D | CDKN2A | Loss | Predictive | Supports | Sensitivity/Response | Skin Melanoma | Palbociclib | Young et al., 2014 |
| D | CDKN2A | Loss | Predictive | Supports | Sensitivity/Response | Ovarian Cancer | Palbociclib | Konecny et al., 2011 |
| B | ASXL1 | Mutation | Prognostic | Supports | Poor Outcome | Acute Myeloid Leukemia | Metzeler et al., 2011 | |
| D | ERBB2 | Amplification | Predictive | Supports | Sensitivity/Response | Her2-receptor Positive Breast Cancer | Pictilisib | Utermark et al., 2012 |
| D | ERBB2 | Amplification | Predictive | Does Not Support | Sensitivity/Response | Her2-receptor Positive Breast Cancer | Tgx 221 | Utermark et al., 2012 |
| B | PTEN | Loss | Predictive | Supports | Resistance | Her2-receptor Positive Breast Cancer | Trastuzumab | Esteva et al., 2010 |
| B | PTEN | Loss | Predictive | Does Not Support | Resistance | Her2-receptor Positive Breast Cancer | Trastuzumab | Esteva et al., 2010 |
| B | CSF3R | Mutation | Diagnostic | Supports | Positive | Chronic Neutrophilic Leukemia | Maxson et al., 2013 | |
| B | CSF3R | Mutation | Diagnostic | Supports | Positive | Atypical Chronic Myeloid Leukemia, BCR-ABL1 Negative | Maxson et al., 2013 | |
| B | EGFR | T790M | Predictive | Supports | Resistance | Lung Adenocarcinoma | Gefitinib,Erlotinib | Yu et al., 2013 |
| C | EGFR | S768I | Predictive | Supports | Sensitivity/Response | Lung Adenocarcinoma | Erlotinib | Hellmann et al., 2014 |
| C | BRAF | V600K | Predictive | Supports | Sensitivity/Response | Melanoma | Vemurafenib | Sahadudheen et al., 2016 |
| D | PIK3CA | Amplification | Predictive | Supports | Sensitivity/Response | Stomach Carcinoma | Alpelisib | Fritsch et al., 2014 |
| B | BRAF | Mutation | Predictive | Does Not Support | Sensitivity/Response | Colorectal Cancer | Panitumumab,Cetuximab | Pietrantonio et al., 2015 |
| B | BRAF | V600E | Predictive | Supports | Reduced Sensitivity | Colorectal Cancer | Dabrafenib | Falchook et al., 2012 |
| D | BRAF | V600E | Predictive | Supports | Sensitivity/Response | Colorectal Cancer | Vemurafenib,Cetuximab,Gefitinib | Prahallad et al., 2012 |
| B | BRAF | V600E | Predictive | Supports | Sensitivity/Response | Skin Melanoma | Vemurafenib | Sosman et al., 2012 |
| B | SMAD4 | LOSS | Prognostic | Supports | Poor Outcome | Pancreatic Cancer | Iacobuzio-Donahue et al., 2009 | |
| B | BRAF | V600E | Predictive | Does Not Support | Sensitivity/Response | Colorectal Cancer | Panitumumab,Vemurafenib | Yaeger et al., 2015 |
| D | TRIM24::BRAF | Fusion | Predictive | Supports | Resistance | Skin Melanoma | Vemurafenib | Hutchinson et al., 2013 |