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 | BRAF | V600E | Predictive | Supports | Sensitivity/Response | Anaplastic Thyroid Carcinoma | Vemurafenib | Hyman et al., 2015 |
| B | BRAF | V600 | Predictive | Supports | Sensitivity/Response | Colorectal Cancer | Cetuximab,Alpelisib,Encorafenib | van Geel et al., 2017 |
| C | VHL | R82_V84del (c.244_252del) | Predisposing | Supports | Predisposition | Von Hippel-Lindau Disease | Chen et al., 1995 | |
| C | VHL | L188Q (c.563T>A) | Predisposing | Supports | Predisposition | Von Hippel-Lindau Disease | Chen et al., 1995 | |
| C | VHL | A56_P59del (c.166_178del) | Predisposing | Supports | Uncertain Significance | Renal Cell Carcinoma | Whaley et al., 1994 | |
| C | ACVR1 | G328E | Diagnostic | Supports | Positive | Diffuse Midline Glioma, H3 K27M-mutant | Taylor et al., 2014 | |
| C | v::NRG1 | Fusion | Predictive | Does Not Support | Sensitivity/Response | Mucinous Adenocarcinoma | Afatinib | Drilon et al., 2018 |
| C | STRN::NTRK2 | Fusion | Predictive | Supports | Sensitivity/Response | Sarcoma | Larotrectinib | Laetsch et al., 2018 |
| C | LMNA::NTRK1 | Fusion | Predictive | Supports | Sensitivity/Response | Sarcoma | Larotrectinib | Laetsch et al., 2018 |
| C | PDE4DIP::NTRK1 | Fusion | Predictive | Supports | Sensitivity/Response | Sarcoma | Larotrectinib | Laetsch et al., 2018 |
| C | SQSTM1::NTRK1 | Fusion | Predictive | Supports | Sensitivity/Response | Congenital Fibrosarcoma | Larotrectinib | Laetsch et al., 2018 |
| C | VHL | L128R (c.383T>G) | Predisposing | Supports | Predisposition | Von Hippel-Lindau Disease | Ruiz-Llorente et al., 2004 | |
| C | VHL | V130L (c.388G>C) | Predisposing | Supports | Predisposition | Von Hippel-Lindau Disease | Ruiz-Llorente et al., 2004 | |
| C | VHL | R161* (c.481C>T) | Predisposing | Supports | Predisposition | Von Hippel-Lindau Disease | Ruiz-Llorente et al., 2004 | |
| C | VHL | L184P (c.551T>C) | Predisposing | Supports | Predisposition | Von Hippel-Lindau Disease | Ruiz-Llorente et al., 2004 | |
| C | VHL | F76del (c.227_229del) | Predisposing | Supports | Uncertain Significance | Von Hippel-Lindau Disease | Hes et al., 2007 | |
| C | VHL | W88fs (c.261dup) | Predisposing | Supports | Uncertain Significance | Von Hippel-Lindau Disease | Hes et al., 2007 | |
| B | BRAF | V600E | Predictive | Does Not Support | Sensitivity/Response | Colorectal Adenocarcinoma | Panitumumab,Trametinib | Corcoran et al., 2018 |
| C | ERBB2 | Overexpression | Predictive | Supports | Sensitivity/Response | Salivary Gland Cancer | Zoledronic Acid,Capecitabine,Trastuzumab | Sharon et al., 2010 |
| D | ERBB2 | T798I | Predictive | Does Not Support | Sensitivity/Response | Breast Cancer | Osimertinib | Hanker et al., 2017 |
| B | EGFR | Exon 19 Deletion | Predictive | Supports | Sensitivity/Response | Lung Adenocarcinoma | Gefitinib | Urata et al., 2016 |
| B | PIK3CA | Mutation | Prognostic | Supports | Better Outcome | Breast Cancer | Pérez-Tenorio et al., 2007 | |
| B | PIK3CA | Mutation | Predictive | Does Not Support | Sensitivity/Response | Estrogen-receptor Positive Breast Cancer | Tamoxifen | Pérez-Tenorio et al., 2007 |
| D | BCR::ABL1 | Fusion AND ABL1 T315A | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Dasatinib | Burgess et al., 2005 |
| B | PIK3CA | E542K OR PIK3CA E545K OR PIK3CA H1047R | Predictive | Does Not Support | Resistance | Breast Cancer | FEC Regimen,FAC Regimen | Liedtke et al., 2008 |
| C | BCR::ABL1 | Fusion AND ABL1 Y253H | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Imatinib Mesylate,Nilotinib | Hughes et al., 2009 |
| D | PIK3CA | H1047R | Predictive | Supports | Resistance | Her2-receptor Positive Breast Cancer | Lapatinib | Eichhorn et al., 2008 |
| D | PIK3CA | H1047R | Predictive | Supports | Resistance | Her2-receptor Positive Breast Cancer | Trastuzumab | Eichhorn et al., 2008 |
| D | PIK3CA | E545K | Predictive | Supports | Resistance | Her2-receptor Positive Breast Cancer | Lapatinib | Eichhorn et al., 2008 |
| D | BCR::ABL1 | Fusion AND ABL1 F317V | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Dasatinib | Burgess et al., 2005 |
| D | PIK3CA | E545K | Predictive | Supports | Resistance | Her2-receptor Positive Breast Cancer | Trastuzumab | Eichhorn et al., 2008 |
| D | BCR::ABL1 | Fusion AND ABL1 L248R | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Imatinib Mesylate,Dasatinib | Burgess et al., 2005 |
| D | PIK3CA | E545K | Predictive | Supports | Resistance | Her2-receptor Positive Breast Cancer | Lapatinib,Trastuzumab | Eichhorn et al., 2008 |
| D | PIK3CA | E545K | Predictive | Does Not Support | Resistance | Her2-receptor Positive Breast Cancer | Dactolisib | Eichhorn et al., 2008 |
| D | BCR::ABL1 | Fusion AND ABL1 E255K | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Dasatinib,Imatinib Mesylate | Burgess et al., 2005 |
| D | BCR::ABL1 | Fusion AND ABL1 F317L | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Dasatinib | Burgess et al., 2005 |
| D | BCR::ABL1 | Fusion AND ABL1 V299L | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Dasatinib | Burgess et al., 2005 |
| C | VHL | R161* (c.481C>T) | Predisposing | N/A | Von Hippel-Lindau Disease | Mathó et al., 2016 | ||
| C | VHL | R167Q (c.500G>A) | Predisposing | N/A | Von Hippel-Lindau Disease | Taylor et al., 2018 | ||
| C | BCR::ABL1 | Fusion AND ABL1 E255K | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Nilotinib,Imatinib Mesylate | Hughes et al., 2009 |
| C | BCR::ABL1 | Fusion AND ABL1 F359C | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Imatinib Mesylate,Nilotinib | Hughes et al., 2009 |
| D | BCR::ABL1 | Fusion AND ABL1 T315I | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Imatinib Mesylate,Dasatinib | Bradeen et al., 2006 |
| D | BCR::ABL1 | Fusion AND ABL1 T315I | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Nilotinib,Dasatinib | Bradeen et al., 2006 |
| D | AKT1 | Overexpression | Predictive | Does Not Support | Resistance | Melanoma | Vemurafenib | Shi et al., 2014 |
| D | BCR::ABL1 | Fusion AND ABL1 T315I | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Imatinib Mesylate,Dasatinib,Nilotinib | Bradeen et al., 2006 |
| C | VHL | 3p26.3-25.3 11Mb del | Predisposing | N/A | Von Hippel-Lindau Disease | Suzuki-Muromoto et al., 2016 | ||
| C | VHL | Exon 3 Deletion | Predisposing | Supports | Predisposition | Von Hippel-Lindau Disease | Valero et al., 2016 | |
| B | KRAS | G12/G13 | Prognostic | Does Not Support | Poor Outcome | Colorectal Cancer | Souglakos et al., 2009 | |
| B | KRAS | G12/G13 | Predictive | Does Not Support | Resistance | Colorectal Cancer | Oxaliplatin | Souglakos et al., 2009 |
| B | KRAS | G12/G13 | Predictive | Does Not Support | Resistance | Colorectal Cancer | Irinotecan | Souglakos et al., 2009 |