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 | TP53 | P72R | Prognostic | Does Not Support | Poor Outcome | Cervical Cancer | Klug et al., 2001 | |
| D | BRCA2 | Loss-of-function | Predictive | Supports | Sensitivity/Response | Pancreatic Cancer | Mitomycin | van der Heijden et al., 2005 |
| D | PDGFRA | I843DEL | Predictive | Supports | Sensitivity/Response | Gastrointestinal Stromal Tumor | Imatinib | Heinrich et al., 2003 |
| B | RB1 | EXPRESSION | Prognostic | Supports | Poor Outcome | Lung Non-small Cell Carcinoma | Zhao et al., 2012 | |
| B | CDKN2A | p16 Expression | Prognostic | Supports | Poor Outcome | Lung Non-small Cell Carcinoma | Zhao et al., 2012 | |
| B | MLH1 | METHYLATION | Predictive | Supports | Resistance | Stomach Carcinoma | Oxaliplatin | Li et al., 2015 |
| B | PTPN11 | Overexpression | Prognostic | Supports | Poor Outcome | Laryngeal Carcinoma | Gu et al., 2014 | |
| D | MTOR | S2215Y | Predictive | Supports | Sensitivity/Response | Endometrial Adenocarcinoma | Sirolimus | Grabiner et al., 2014 |
| D | MTOR | C1483Y | Predictive | Supports | Sensitivity/Response | T-cell Acute Lymphoblastic Leukemia | Sirolimus | Grabiner et al., 2014 |
| D | MTOR | E1799K | Predictive | Supports | Sensitivity/Response | Clear Cell Renal Cell Carcinoma | Sirolimus | Grabiner et al., 2014 |
| D | RB1 | Overexpression | Predictive | Supports | Resistance | Pancreatic Adenocarcinoma | Mitomycin,Doxorubicin,Fluorouracil,Gemcitabine | Plath et al., 2002 |
| D | EML4::ALK | Fusion | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Lorlatinib | Infarinato et al., 2016 |
| D | EML4::ALK | Fusion AND ALK F1245C | Predictive | Supports | Resistance | Cancer | Crizotinib | Zhang et al., 2011 |
| C | EML4::ALK | Fusion AND ALK F1245C | Predictive | Supports | Resistance | Lung Non-small Cell Carcinoma | Crizotinib | Kodityal et al., 2016 |
| D | EML4::ALK | Fusion AND ALK S1206Y | Predictive | Supports | Sensitivity/Response | Cancer | Ceritinib | Friboulet et al., 2014 |
| D | EML4::ALK | Fusion AND ALK T1151dup | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Tanespimycin | Katayama et al., 2012 |
| D | EML4::ALK | Fusion AND ALK G1202R | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Tanespimycin | Katayama et al., 2012 |
| D | ALK | G1269A AND v::ALK Fusion | Predictive | Supports | Sensitivity/Response | Cancer | Brigatinib | Fontana et al., 2015 |
| D | ALK | G1269A AND v::ALK Fusion | Predictive | Supports | Sensitivity/Response | Cancer | Ceritinib | Fontana et al., 2015 |
| D | NPM1::ALK | Fusion | Predictive | Supports | Sensitivity/Response | Cancer | Crizotinib | Fontana et al., 2015 |
| D | PIK3CA | Mutation | Predictive | Does Not Support | Sensitivity/Response | Cancer | Tanespimycin,Pictilisib | Wirtz et al., 2015 |
| D | PTEN | Mutation | Predictive | Does Not Support | Sensitivity/Response | Head And Neck Cancer | Pictilisib,Tanespimycin | Wirtz et al., 2015 |
| D | PIK3CA | H1047R | Predictive | Supports | Sensitivity/Response | Head And Neck Cancer | Dactolisib | Lui et al., 2013 |
| D | PIK3CA | H1047R | Predictive | Supports | Sensitivity/Response | Head And Neck Cancer | Cetuximab,Dactolisib | Lui et al., 2013 |
| D | PIK3CA | Mutation | Predictive | Does Not Support | Sensitivity/Response | Head And Neck Cancer | Pictilisib,Tanespimycin,Trametinib | Wirtz et al., 2015 |
| C | ALK | I1171 | Predictive | Supports | Resistance | Lung Non-small Cell Carcinoma | Alectinib | Ou et al., 2015 |
| D | CDKN2A | Loss | Predictive | Supports | Sensitivity/Response | Skin Melanoma | Alvocidib | Robinson et al., 2003 |
| D | ERBB2 | Amplification | Predictive | Supports | Sensitivity/Response | Her2-receptor Positive Breast Cancer | A66 | Utermark et al., 2012 |
| D | PTEN | Loss | Predictive | Supports | Resistance | Her2-receptor Positive Breast Cancer | Trastuzumab | Berns et al., 2007 |
| B | PIK3CA | Mutation | Predictive | Supports | Resistance | Her2-receptor Positive Breast Cancer | Trastuzumab | Berns et al., 2007 |
| C | MET | Amplification | Predictive | Supports | Resistance | Lung Adenocarcinoma | Erlotinib,Gefitinib | Yu et al., 2013 |
| C | EGFR | S768I | Predictive | Supports | Sensitivity/Response | Lung Adenocarcinoma | Gefitinib | Masago et al., 2010 |
| B | BRAF | V600 | Predictive | Supports | Sensitivity/Response | Colorectal Cancer | Trametinib,Dabrafenib | Corcoran et al., 2015 |
| D | SF3B1 | K700E | Predictive | Supports | Sensitivity/Response | Breast Cancer | Spliceostatin A | Maguire et al., 2015 |
| D | SF3B1 | K666N | Predictive | Supports | Sensitivity/Response | Breast Cancer | Spliceostatin A | Maguire et al., 2015 |
| C | KIT | M541L | Predictive | Supports | Sensitivity/Response | Chronic Leukemia | Imatinib | Iurlo et al., 2014 |
| C | MTOR | E2014K AND MTOR E2419K | Predictive | Supports | Sensitivity/Response | Transitional Cell Carcinoma | Everolimus,Pazopanib | Wagle et al., 2014 |
| C | RICTOR | Amplification | Predictive | Supports | Sensitivity/Response | Lung Adenocarcinoma | Onatasertib,Sapanisertib | Cheng et al., 2015 |
| C | FIP1L1::PDGFRA | Fusion AND PDGFRA T674I | Predictive | Supports | Resistance | Myeloid And Lymphoid Neoplasms With Eosinophilia And Abnormalities Of PDGFRA, PDGFRB, And FGFR1 | Imatinib | Cools et al., 2003 |
| D | PIK3CA | E545K | Predictive | Supports | Resistance | Her2-receptor Positive Breast Cancer | Trastuzumab | Serra et al., 2008 |
| D | BRAF | L597R | Predictive | Supports | Sensitivity/Response | Skin Melanoma | Vemurafenib,Trametinib | Dahlman et al., 2012 |
| D | BRAF | L597S | Predictive | Supports | Sensitivity/Response | Skin Melanoma | Vemurafenib,Trametinib | Dahlman et al., 2012 |
| D | BRAF | L597Q | Predictive | Supports | Sensitivity/Response | Skin Melanoma | Trametinib,Vemurafenib | Dahlman et al., 2012 |
| D | PIK3CA | H1047R | Predictive | Supports | Sensitivity/Response | Head And Neck Squamous Cell Carcinoma | Taselisib | Zumsteg et al., 2016 |
| D | NF1 | Mutation | Predictive | Supports | Resistance | Skin Melanoma | Vemurafenib | Maertens et al., 2013 |
| D | NF1 | Mutation | Predictive | Supports | Sensitivity/Response | Skin Melanoma | VTX-11e,AZ628 | Whittaker et al., 2013 |
| B | NRAS | Mutation | Predictive | Supports | Sensitivity/Response | Skin Melanoma | Binimetinib | Ascierto et al., 2013 |
| C | NRAS | Q61 | Predictive | Supports | Sensitivity/Response | Skin Melanoma | Selumetinib | Adjei et al., 2008 |
| D | NRAS | Q61K | Predictive | Supports | Resistance | Skin Melanoma | Vemurafenib | Atefi et al., 2011 |
| D | NRAS | Q61K | Predictive | Supports | Sensitivity/Response | Skin Melanoma | Selumetinib | Atefi et al., 2011 |