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 |
|---|---|---|---|---|---|---|---|---|
| C | FGFR2 | Mutation | Predictive | Supports | Sensitivity/Response | Cholangiocarcinoma | Infigratinib | Nogova et al., 2017 |
| C | FGFR2::v | Fusion OR FGFR2::? Fusion | Predictive | Supports | Sensitivity/Response | Cholangiocarcinoma | Infigratinib | Nogova et al., 2017 |
| C | PTEN | Mutation | Diagnostic | Supports | Positive | Glioblastoma | Rasheed et al., 1997 | |
| B | EGFR | Expression | Predictive | Supports | Sensitivity/Response | Chordoma | Lapatinib | Stacchiotti et al., 2013 |
| D | ERBB2 | V773A | Predictive | Supports | Sensitivity/Response | Cancer | Lapatinib | Kancha et al., 2011 |
| D | ERBB2 | N857S | Predictive | Supports | Sensitivity/Response | Cancer | Lapatinib | Kancha et al., 2011 |
| D | ERBB2 | H878Y | Predictive | Supports | Sensitivity/Response | Cancer | Lapatinib | Kancha et al., 2011 |
| C | FGFR1 | Amplification | Predictive | Supports | Sensitivity/Response | Breast Cancer | Fexagratinib | Pearson et al., 2016 |
| C | ERBB2 | Overexpression | Predictive | Supports | Sensitivity/Response | Head And Neck Squamous Cell Carcinoma | Lapatinib | Seim et al., 2017 |
| B | GNAS | c.393T>C | Predictive | Supports | Resistance | Lung Non-small Cell Carcinoma | Gefitinib,Erlotinib | Hong et al., 2014 |
| B | KRAS | G12A | Predictive | Supports | Resistance | Lung Cancer | Gefitinib | Endoh et al., 2006 |
| B | KRAS | G12A | Predictive | Supports | Resistance | Multiple Myeloma | Melphalan | Greco et al., 2009 |
| D | KRAS | G12A | Predictive | Supports | Resistance | Multiple Myeloma | Melphalan | Rowley et al., 2000 |
| D | KRAS | G12A | Predictive | Supports | Resistance | Multiple Myeloma | Melphalan | Rowley et al., 2002 |
| D | KRAS | G12A | Predictive | Supports | Resistance | Multiple Myeloma | Melphalan | Hoang et al., 2006 |
| B | IDH1 | R132 | Predictive | Supports | Sensitivity/Response | High Grade Glioma | Sunitinib,Bevacizumab | Lv et al., 2011 |
| D | PIK3CA | E542K | Predictive | Supports | Sensitivity/Response | Her2-receptor Positive Breast Cancer | Pictilisib | O'Brien et al., 2010 |
| D | PIK3CA | E542K | Predictive | Supports | Sensitivity/Response | Breast Cancer | Pictilisib | O'Brien et al., 2010 |
| D | PIK3CA | E545K | Predictive | Supports | Sensitivity/Response | Breast Cancer | Pictilisib | O'Brien et al., 2010 |
| B | PTEN | Loss | Predictive | Supports | Resistance | Her2-receptor Positive Breast Cancer | Trastuzumab | Razis et al., 2011 |
| C | PIK3CA | E545K | Predictive | Does Not Support | Resistance | Colorectal Cancer | Panitumumab,Cetuximab | Sartore-Bianchi et al., 2009 |
| D | PIK3CA | E545K | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | PI103 | Zou et al., 2009 |
| B | PIK3CA | Rare Mutation | Prognostic | Supports | Better Outcome | Breast Cancer | Kalinsky et al., 2009 | |
| B | PTEN | Loss | Predictive | Supports | Resistance | Breast Cancer | Trastuzumab | Razis et al., 2011 |
| D | PTEN | Loss | Predictive | Does Not Support | Sensitivity/Response | Breast Cancer | Pictilisib | O'Brien et al., 2010 |
| B | PIK3CA | H1047R | Prognostic | Supports | Better Outcome | Breast Cancer | Kalinsky et al., 2009 | |
| B | PIK3CA | H1047R | Prognostic | Supports | Better Outcome | Breast Cancer | Maruyama et al., 2007 | |
| D | PIK3CA | H1047R | Predictive | Supports | Sensitivity/Response | Breast Cancer | Pictilisib | O'Brien et al., 2010 |
| B | PIK3CA | E545K | Prognostic | Supports | Poor Outcome | Rectum Cancer | He et al., 2009 | |
| C | EGFR | T790M | Predictive | Supports | Sensitivity/Response | Lung Adenocarcinoma | Osimertinib | Planchard et al., 2015 |
| D | EGFR | T790M | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Neratinib | Shimamura et al., 2006 |
| D | EGFR | T790M | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Afatinib | Li et al., 2008 |
| D | EGFR | T790M | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Afatinib | Cha et al., 2012 |
| D | EGFR | T790M | Predictive | Supports | Sensitivity/Response | Lung Non-small Cell Carcinoma | Canertinib | Li et al., 2008 |
| D | BCR::ABL1 | Fusion AND ABL1 F359V | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Imatinib | Redaelli et al., 2009 |
| C | BCR::ABL1 | Fusion AND ABL1 F359V | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Imatinib | Branford et al., 2003 |
| C | BCR::ABL1 | Fusion AND ABL1 F359V | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Imatinib | O'Hare et al., 2005 |
| D | KRAS | G13D | Predictive | Supports | Sensitivity/Response | Colorectal Cancer | Selumetinib,Dactolisib | Migliardi et al., 2012 |
| C | NRAS | Q61R | Predictive | Supports | Resistance | Colorectal Cancer | Cetuximab | De Roock et al., 2010 |
| C | PIK3CA | Q546K | Predictive | Does Not Support | Resistance | Colorectal Cancer | Cetuximab,Irinotecan | De Roock et al., 2010 |
| B | NRAS | Mutation | Predictive | Supports | Resistance | Colorectal Cancer | Chemotherapy,Cetuximab | De Roock et al., 2010 |
| D | KRAS | G12C | Predictive | Supports | Sensitivity/Response | Colorectal Cancer | Selumetinib,Dactolisib | Migliardi et al., 2012 |
| B | KRAS | G12D | Predictive | Supports | Resistance | Lung Cancer | Gefitinib | Endoh et al., 2006 |
| B | KRAS | Mutation | Predictive | Supports | Resistance | Lung Non-small Cell Carcinoma | Erlotinib | Ramalingam et al., 2011 |
| D | KRAS | G12D | Predictive | Supports | Resistance | Multiple Myeloma | Melphalan | Rowley et al., 2000 |
| D | KRAS | G12D | Predictive | Supports | Resistance | Multiple Myeloma | Melphalan | Hoang et al., 2006 |
| B | KRAS | G12C | Predictive | Supports | Resistance | Lung Cancer | Gefitinib | Endoh et al., 2006 |
| D | KRAS | G12C | Predictive | Supports | Resistance | Multiple Myeloma | Melphalan | Rowley et al., 2000 |
| D | KRAS | G12C | Predictive | Supports | Resistance | Multiple Myeloma | Melphalan | Hoang et al., 2006 |
| C | KRAS | G12V | Predictive | Supports | Resistance | Lung Cancer | Gefitinib | Endoh et al., 2006 |