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 |
|---|---|---|---|---|---|---|---|---|
| A | PIK3CA | Mutation OR PTEN Mutation OR AKT1 Mutation | Predictive | Supports | Sensitivity/Response | Breast Cancer | Fulvestrant,Capivasertib | Turner et al., 2023 |
| B | NF1 | Mutation OR GNA11 Q209L | Predictive | Does Not Support | Sensitivity/Response | Cancer | Trametinib | Wisinski et al., 2023 |
| B | Kataegis | Positive | Prognostic | Supports | Better Outcome | Breast Cancer | D'Antonio et al., 2016 | |
| B | CK | High | Prognostic | Supports | Poor Outcome | Chronic Lymphocytic Leukemia | Baliakas et al., 2019 | |
| B | PIK3CA | Mutation OR RB1 Mutation OR ESR1 Mutation | Predictive | Supports | Resistance | Breast Cancer | Palbociclib,Fulvestrant | O'Leary et al., 2018 |
| C | EWSR1::CREB3L1 | Fusion | Diagnostic | Supports | Positive | Sclerosing Epithelioid Fibrosarcoma | Arbajian et al., 2014 | |
| B | EWSR1::CREB3L1 | Fusion | Diagnostic | Supports | Positive | Sclerosing Epithelioid Fibrosarcoma | Arbajian et al., 2017 | |
| C | EWSR1::CREB3L1 | Fusion | Diagnostic | Supports | Positive | Sclerosing Epithelioid Fibrosarcoma | Prieto-Granada et al., 2015 | |
| C | FUS::CREB3L2 | Fusion | Diagnostic | Supports | Positive | Low-grade Fibromyxoid Sarcoma | Arbajian et al., 2014 | |
| B | FUS::CREB3L2 | Fusion | Diagnostic | Supports | Positive | Low-grade Fibromyxoid Sarcoma | Matsuyama et al., 2006 | |
| B | MN1 | Rearrangement | Diagnostic | Supports | Positive | Astroblastoma, MN1-altered | Mhatre et al., 2019 | |
| B | BCR::ABL1 | Fusion | Diagnostic | Supports | Positive | B-lymphoblastic Leukemia/lymphoma With BCR-ABL1 | Bloomfield et al., 1986 | |
| B | MNX1::ETV6 | Fusion | Diagnostic | Supports | Positive | Acute Myeloid Leukemia With MNX1::ETV6 Fusion | Slater et al., 2001 | |
| B | MNX1::ETV6 | Fusion | Diagnostic | Supports | Positive | Acute Myeloid Leukemia With MNX1::ETV6 Fusion | von Bergh et al., 2006 | |
| B | MNX1::ETV6 | Fusion | Diagnostic | Supports | Positive | Acute Myeloid Leukemia With MNX1::ETV6 Fusion | Espersen et al., 2018 | |
| D | BRD4::NUTM1 | Fusion | Predictive | Supports | Sensitivity/Response | NUT Midline Carcinoma | Panobinostat | Schwartz et al., 2011 |
| C | NTRK1 | Amplification | Predictive | Supports | Sensitivity/Response | Esophageal Carcinoma | Larotrectinib | Hempel et al., 2020 |
| C | NPM1::MLF1 | Fusion | Diagnostic | Supports | Positive | Acute Myeloid Leukemia With NPM1::MLF1 Fusion | Shiba et al., 2019 | |
| B | KAT6A::CREBBP | Fusion | Diagnostic | Supports | Positive | AML With KAT6A::CREBBP Fusion | Serravalle et al., 2010 | |
| C | KAT6A::CREBBP | Fusion | Diagnostic | Supports | Positive | AML With KAT6A::CREBBP Fusion | Barrett et al., 2017 | |
| B | MTAP | Deletion | Predictive | Supports | Sensitivity/Response | Solid Tumor | Anvumetostat | Rodon et al., 2024 |
| B | TCF3::HLF | Fusion | Diagnostic | Supports | Positive | B-lymphoblastic Leukemia/lymphoma With TCF3::HLF Fusion | Li et al., 2018 | |
| B | TCF3::HLF | Fusion | Diagnostic | Supports | Positive | B-lymphoblastic Leukemia/lymphoma With TCF3::HLF Fusion | Zerkalenkova et al., 2023 | |
| B | CEBPA | Mutation | Diagnostic | Supports | Positive | Acute Myeloid Leukemia With Mutated CEBPA | Tarlock et al., 2021 | |
| B | MEF2D::v | Fusion | Diagnostic | Supports | Positive | B-lymphoblastic Leukemia With MEF2D Rearrangement | Ohki et al., 2023 | |
| D | CEBPA | Mutation | Diagnostic | Supports | Positive | Acute Myeloid Leukemia With Mutated CEBPA | Braun et al., 2019 | |
| B | IGH::IL3 | Fusion | Diagnostic | Supports | Positive | B-lymphoblastic Leukemia/lymphoma With IGH::IL3 Fusion | Fournier et al., 2019 | |
| B | LRP1B | Loss-of-function | Predictive | Supports | Sensitivity/Response | Solid Tumor | Immune Checkpoint Inhibitor | Brown et al., 2021 |
| B | v::IRF4 | Fusion | Diagnostic | Supports | Positive | Large B-cell Lymphoma With IRF4 Rearrangement | Au-Yeung et al., 2020 | |
| A | v::JAK2 | Fusion | Diagnostic | Supports | Positive | B-lymphoblastic Leukemia/lymphoma, BCR-ABL1–like | Boer et al., 2017 | |
| C | FUS::ERG | Fusion | Diagnostic | Supports | Positive | Acute Myeloid Leukaemia With FUS::ERG Fusion | Zerkalenkova et al., 2018 | |
| C | SMARCB1 | LOSS OF NUCLEAR PROTEIN EXPRESSION | Diagnostic | Supports | Positive | Cribriform Neuroepithelial Tumor | Hasselblatt et al., 2009 | |
| C | SMARCB1 | LOSS OF NUCLEAR PROTEIN EXPRESSION | Diagnostic | Supports | Positive | Cribriform Neuroepithelial Tumor | Gessi et al., 2015 | |
| B | v::TFCP2 | Fusion | Diagnostic | Supports | Positive | Spindle Cell Rhabdomyosarcoma | Le Loarer et al., 2020 | |
| B | v::NR4A3 | Fusion | Diagnostic | Supports | Positive | Acinic Cell Carcinoma | Wang et al., 2022 | |
| C | v::NR4A3 | Fusion | Diagnostic | Supports | Positive | Acinic Cell Carcinoma | Cole et al., 2023 | |
| C | EGFR::RAD51 | e24::e4 | Predictive | Supports | Sensitivity/Response | Lung Adenocarcinoma | Afatinib | Raez et al., 2018 |
| C | EGFR::RAD51 | Fusion | Predictive | Supports | Sensitivity/Response | Lung Adenocarcinoma | Erlotinib,Osimertinib | Di Federico et al., 2022 |
| C | EGFR::RAD51 | Fusion | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Gefitinib | Di Federico et al., 2022 |
| C | EGFR::RAD51 | Fusion | Predictive | Supports | Sensitivity/Response | Lung Adenocarcinoma | Osimertinib | Lai et al., 2024 |
| B | IGH::MYC | Fusion | Diagnostic | Supports | Positive | B-lymphoblastic Leukemia With MYC Rearrangement | Wagener et al., 2018 | |
| C | IGH::MYC | Fusion | Diagnostic | Supports | Positive | B-lymphoblastic Leukemia With MYC Rearrangement | Li et al., 2018 | |
| C | IGH::MYC | Fusion | Diagnostic | Supports | Positive | B-lymphoblastic Leukemia With MYC Rearrangement | Yoshida et al., 2022 | |
| B | MECOM | rearrangement | Diagnostic | Supports | Positive | Acute Myeloid Leukemia With MECOM Rearrangement | Tang et al., 2023 | |
| B | MECOM | rearrangement | Diagnostic | Supports | Positive | Acute Myeloid Leukemia With MECOM Rearrangement | Baldazzi et al., 2016 | |
| B | MECOM | rearrangement | Diagnostic | Supports | Positive | Acute Myeloid Leukemia With MECOM Rearrangement | Ottema et al., 2020 | |
| C | COL1A1::PDGFB | Fusion | Diagnostic | Supports | Positive | Dermatofibrosarcoma Protuberans | Craver et al., 2006 | |
| B | v::ZNF384 | Fusion | Diagnostic | Supports | Positive | B-lymphoblastic Leukaemia/lymphoma With Other Defined Genetic Alterations | Hirabayashi et al., 2021 | |
| B | v::ZNF384 | Fusion | Diagnostic | Supports | Positive | B-lymphoblastic Leukaemia/lymphoma With Other Defined Genetic Alterations | Janet et al., 2021 | |
| B | FGFR1 | Amplification | Prognostic | Supports | Poor Outcome | Breast Cancer | Erber et al., 2020 |