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 | GNAS | c.393T>C | Prognostic | Supports | Poor Outcome | Intrahepatic Cholangiocarcinoma | Schmitz et al., 2007 | |
| C | PIK3CA | C420R | Predictive | Does Not Support | Resistance | Colorectal Cancer | Cetuximab | De Roock et al., 2010 |
| D | KRAS | G12V | Predictive | Supports | Sensitivity/Response | Colorectal Cancer | Dactolisib,Selumetinib | Migliardi et al., 2012 |
| C | NRAS | G12D | Predictive | Supports | Resistance | Colorectal Cancer | Cetuximab,Irinotecan | De Roock et al., 2010 |
| B | KRAS | G12/G13 | Predictive | Supports | Resistance | Colorectal Cancer | Panitumumab | Amado et al., 2008 |
| B | PIK3CA | Mutation | Prognostic | Supports | Better Outcome | Breast Cancer | Kalinsky et al., 2009 | |
| D | PIK3CA | E545K | Predictive | Does Not Support | Resistance | Her2-receptor Positive Breast Cancer | Trastuzumab Emtansine | Baselga et al., 2016 |
| B | PIK3CA | Wildtype | Predictive | Does Not Support | Sensitivity/Response | Colorectal Cancer | Aspirin | Liao et al., 2012 |
| D | PTEN | Loss | Predictive | Supports | Sensitivity/Response | Her2-receptor Positive Breast Cancer | Pictilisib | O'Brien et al., 2010 |
| D | ERBB2 | Amplification | Predictive | Supports | Sensitivity/Response | Breast Cancer | Pictilisib | O'Brien et al., 2010 |
| D | PIK3CA | C420R | Predictive | Supports | Sensitivity/Response | Her2-receptor Positive Breast Cancer | Pictilisib | O'Brien et al., 2010 |
| B | PIK3CA | Mutation | Predictive | Supports | Resistance | Breast Cancer | Trastuzumab | Razis et al., 2011 |
| D | PIK3CA | H1047L | Predictive | Supports | Sensitivity/Response | Breast Cancer | Pictilisib | O'Brien et al., 2010 |
| B | PIK3CA | Mutation | Predictive | Supports | Resistance | Her2-receptor Positive Breast Cancer | Trastuzumab | Razis et al., 2011 |
| D | PIK3CA | H1047R | Predictive | Does Not Support | Resistance | Her2-receptor Positive Breast Cancer | Trastuzumab Emtansine | Baselga et al., 2016 |
| B | PIK3CA | Mutation | Prognostic | Supports | Poor Outcome | Colorectal Cancer | Kato et al., 2007 | |
| B | BRAF | V600E | Predictive | Supports | Resistance | Colorectal Cancer | Panitumumab,Cetuximab | Di Nicolantonio et al., 2008 |
| B | BRAF | V600E | Prognostic | Supports | Poor Outcome | Colorectal Cancer | Souglakos et al., 2009 | |
| B | BRAF | V600E | Predictive | Supports | Resistance | Colorectal Cancer | Oxaliplatin | Souglakos et al., 2009 |
| B | BRAF | V600E | Predictive | Supports | Resistance | Colorectal Cancer | Irinotecan | Souglakos et al., 2009 |
| B | BRAF | V600E | Predictive | Supports | Resistance | Colorectal Cancer | Oxaliplatin,Bevacizumab,Capecitabine | Tol et al., 2009 |
| B | EGFR | T790M | Predictive | Supports | Resistance | Lung Non-small Cell Carcinoma | Gefitinib | Kosaka et al., 2006 |
| D | EGFR | T790M | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Dacomitinib | Engelman et al., 2007 |
| D | BCR::ABL1 | Fusion AND ABL1 F359V | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Nilotinib | Redaelli et al., 2009 |
| C | KRAS | G13D | Predictive | Supports | Resistance | Colorectal Cancer | Panitumumab | De Roock et al., 2010 |
| C | NRAS | Q61L | Predictive | Supports | Resistance | Colorectal Cancer | Irinotecan,Cetuximab | De Roock et al., 2010 |
| B | BRAF | Mutation | Predictive | Supports | Resistance | Colorectal Cancer | Cetuximab,Chemotherapy | De Roock et al., 2010 |
| C | NRAS | Q61K | Predictive | Supports | Resistance | Colorectal Cancer | Cetuximab,Chemotherapy | De Roock et al., 2010 |
| D | NRAS | Q61K | Predictive | Supports | Sensitivity/Response | Colorectal Cancer | Dactolisib,Selumetinib | Migliardi et al., 2012 |
| C | KRAS | G12D | Predictive | Supports | Resistance | Colorectal Cancer | Panitumumab | De Roock et al., 2010 |
| C | BRAF | D594G | Predictive | Does Not Support | Resistance | Colorectal Cancer | Cetuximab,Irinotecan | De Roock et al., 2010 |
| D | KRAS | A146T | Predictive | Supports | Sensitivity/Response | Colorectal Cancer | Selumetinib,Dactolisib | Migliardi et al., 2012 |
| B | KRAS | G12D | Predictive | Supports | Resistance | Colorectal Cancer | Cetuximab | De Roock et al., 2010 |
| D | KRAS | A146V | Predictive | Supports | Sensitivity/Response | Colorectal Cancer | Dactolisib,Selumetinib | Migliardi et al., 2012 |
| C | PIK3CA | E545Q | Predictive | Does Not Support | Resistance | Colorectal Cancer | Cetuximab,Irinotecan | De Roock et al., 2010 |
| C | PIK3CA | E545K | Predictive | Does Not Support | Resistance | Colorectal Cancer | Cetuximab | De Roock et al., 2010 |
| D | KRAS | G12D | Predictive | Supports | Sensitivity/Response | Colorectal Cancer | Selumetinib,Dactolisib | Migliardi et al., 2012 |
| B | KRAS | G12V | Predictive | Supports | Resistance | Colorectal Cancer | Cetuximab | De Roock et al., 2010 |
| D | ATM | T2666A | Predictive | Supports | Resistance | Chronic Lymphocytic Leukemia | Doxorubicin | Navrkalova et al., 2013 |
| D | ATM | R3008C | Predictive | Supports | Resistance | Chronic Lymphocytic Leukemia | Doxorubicin | Navrkalova et al., 2013 |
| D | ATM | c.902-1G>T | Predictive | Supports | Resistance | Chronic Lymphocytic Leukemia | Doxorubicin | Navrkalova et al., 2013 |
| C | KRAS | A146P | Predictive | Supports | Resistance | Colorectal Cancer | Irinotecan,Cetuximab | Loupakis et al., 2009 |
| B | KRAS | G12/G13 | Prognostic | Does Not Support | Poor Outcome | Colorectal Cancer | Amado et al., 2008 | |
| C | KRAS | G12C | Predictive | Supports | Resistance | Colorectal Cancer | Panitumumab | Amado et al., 2008 |
| C | TP53 | R273C | Predictive | Does Not Support | Sensitivity/Response | Stomach Carcinoma | Cisplatin,Mitomycin,Etoposide | Bataille et al., 2003 |
| C | TP53 | Y220C | Predictive | Supports | Sensitivity/Response | Stomach Carcinoma | Cisplatin,Mitomycin,Etoposide | Bataille et al., 2003 |
| D | IDH1 | R132C | Predictive | Supports | Sensitivity/Response | Acute Myeloid Leukemia | BPTES | Emadi et al., 2014 |
| D | PIK3CA | C420R | Predictive | Does Not Support | Resistance | Her2-receptor Positive Breast Cancer | Trastuzumab Emtansine | Baselga et al., 2016 |
| B | PIK3CA | Mutation | Predictive | Supports | Resistance | Lung Non-small Cell Carcinoma | Gefitinib,Erlotinib | Ludovini et al., 2011 |
| B | KRAS | Exon 2 Mutation | Prognostic | Does Not Support | Poor Outcome | Colorectal Cancer | Kato et al., 2007 |