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 | MLH1 | P536FS | Oncogenic | Supports | Oncogenicity | Colorectal Cancer | Geurts-Giele et al., 2014 | |
| C | MLH1 | G67R | Oncogenic | Supports | Oncogenicity | Colorectal Cancer | Geurts-Giele et al., 2014 | |
| C | MLH1 | I68S | Oncogenic | Supports | Oncogenicity | Colorectal Cancer | Geurts-Giele et al., 2014 | |
| C | MLH1 | G65D | Oncogenic | Supports | Oncogenicity | Colorectal Cancer | Geurts-Giele et al., 2014 | |
| C | MLH1 | A681V | Oncogenic | Supports | Oncogenicity | Colorectal Cancer | Geurts-Giele et al., 2014 | |
| C | MSH6 | P138T | Oncogenic | Supports | Oncogenicity | Colorectal Cancer | Geurts-Giele et al., 2014 | |
| C | MSH2 | V273FS | Oncogenic | Supports | Oncogenicity | Colorectal Cancer | Geurts-Giele et al., 2014 | |
| C | MSH2 | E28FS | Oncogenic | Supports | Oncogenicity | Colorectal Cancer | Geurts-Giele et al., 2014 | |
| C | VHL | E55FS (c.163_164delGA) | Oncogenic | Supports | Oncogenicity | Renal Cell Carcinoma | Gallou et al., 1999 | |
| C | MSH6 | I891FS | Oncogenic | Supports | Oncogenicity | Colorectal Cancer | Geurts-Giele et al., 2014 | |
| C | MSH6 | R1242H | Oncogenic | Supports | Oncogenicity | Colorectal Cancer | Geurts-Giele et al., 2014 | |
| C | PMS2 | R315* | Oncogenic | Supports | Oncogenicity | Endometrial Cancer | Geurts-Giele et al., 2014 | |
| C | MLH1 | M490T | Oncogenic | Supports | Oncogenicity | Endometrial Cancer | Geurts-Giele et al., 2014 | |
| C | MSH2 | K172* | Oncogenic | Supports | Oncogenicity | Colorectal Cancer | Geurts-Giele et al., 2014 | |
| C | MSH2 | E483G | Oncogenic | Supports | Oncogenicity | Endometrial Cancer | Geurts-Giele et al., 2014 | |
| C | MSH6 | V352I | Oncogenic | Supports | Oncogenicity | Endometrial Cancer | Geurts-Giele et al., 2014 | |
| C | MSH6 | R1242C | Oncogenic | Supports | Oncogenicity | Colorectal Cancer | Geurts-Giele et al., 2014 | |
| C | BRAF | V600E AND ARAF S490T | Predictive | Supports | Resistance | Colorectal Cancer | Cetuximab,Vemurafenib,Irinotecan | Hong et al., 2016 |
| C | VHL | M54IFS (c.162_166delGGAGG) | Oncogenic | Supports | Oncogenicity | Clear Cell Renal Cell Carcinoma | Shuin et al., 1994 | |
| C | PTEN | R173C | Oncogenic | Supports | Oncogenicity | Endometrial Hyperplasia | Maxwell et al., 1998 | |
| C | VHL | M1FS (c.1_17del17) | Oncogenic | Supports | Oncogenicity | Chromophobe Renal Cell Carcinoma | van Houwelingen et al., 2005 | |
| C | VHL | M1? (c.1-1_20del21) | Oncogenic | Supports | Oncogenicity | Clear Cell Renal Cell Carcinoma | van Houwelingen et al., 2005 | |
| C | VHL | M1? (c.3G>A) | Oncogenic | Supports | Oncogenicity | Clear Cell Renal Cell Carcinoma | Gallou et al., 2001 | |
| C | VHL | N7D (c.19A>G) | Oncogenic | Supports | Oncogenicity | Renal Cell Carcinoma | Ma et al., 2001 | |
| C | VHL | Y98FS (c.291_310del20) | Oncogenic | Supports | Oncogenicity | Clear Cell Renal Cell Carcinoma | van Houwelingen et al., 2005 | |
| D | MTAP | Underexpression | Predictive | Supports | Sensitivity/Response | Breast Cancer | Pyrimidine Antagonist | de Oliveira et al., 2016 |
| D | ERBB2 | T862A | Predictive | Supports | Sensitivity/Response | Cancer | Lapatinib | Kancha et al., 2011 |
| D | PIK3CA | E542K | Predictive | Supports | Sensitivity/Response | Her2-receptor Positive Breast Cancer | PI-103 | O'Brien et al., 2010 |
| C | NRAS | G13R | Predictive | Supports | Resistance | Colorectal Cancer | Irinotecan,Cetuximab | De Roock et al., 2010 |
| C | KIT | F506_F508DUP | Predictive | Does Not Support | Sensitivity/Response | Gastrointestinal Stromal Tumor | Imatinib | Heinrich et al., 2008 |
| C | KIT | K484_G487DEL | Predictive | Supports | Sensitivity/Response | Gastrointestinal Stromal Tumor | Imatinib | Heinrich et al., 2008 |
| C | PDGFRA | V561D | Predictive | Supports | Sensitivity/Response | Gastrointestinal Stromal Tumor | Imatinib | Heinrich et al., 2008 |
| C | PDGFRA | Exon 18 Mutation | Predictive | Does Not Support | Sensitivity/Response | Gastrointestinal Stromal Tumor | Imatinib | Heinrich et al., 2008 |
| C | EGFR | L858R | Predictive | Supports | Sensitivity/Response | Lung Adenocarcinoma | Gefitinib | Pao et al., 2004 |
| C | TP53 | Mutation | Predictive | Supports | Resistance | Breast Cancer | Tamoxifen | Berns et al., 2000 |
| C | TP53 | Mutation | Predictive | Supports | Sensitivity/Response | Stomach Carcinoma | Cisplatin,Etoposide,Doxorubicin | Bataille et al., 2003 |
| D | BCR::ABL1 | Fusion AND ABL1 L384M | Predictive | Supports | Resistance | Chronic Myeloid Leukemia | Imatinib Mesylate,Nilotinib | Bradeen et al., 2006 |
| C | ROS1 | G2032R | Predictive | Supports | Resistance | Lung Adenocarcinoma | Crizotinib | Awad et al., 2013 |
| B | NTRK1 | Amplification OR NTRK3 Amplification OR NTRK2 Amplification | Predictive | Does Not Support | Sensitivity/Response | Cancer | Entrectinib | Drilon et al., 2017 |
| B | NTRK3 | Amplification | Predictive | Does Not Support | Sensitivity/Response | Cancer | Entrectinib | Drilon et al., 2017 |
| C | VHL | W8* (c.24G>A) | Oncogenic | Supports | Oncogenicity | Renal Cell Carcinoma | Ma et al., 2001 | |
| B | CTNNB1 | S45P | Prognostic | Supports | Better Outcome | Desmoid Tumor | Lazar et al., 2008 | |
| B | PIK3CA | H1047R OR PIK3CA H1047L | Prognostic | Supports | Poor Outcome | Breast Tubular Carcinoma | Cheng et al., 2017 | |
| C | BCR::ABL1 | Fusion AND ABL1 F359V | Predictive | Does Not Support | Resistance | Chronic Myeloid Leukemia | Bosutinib | Khoury et al., 2012 |
| C | BCR::ABL1 | Fusion AND ABL1 F359V | Predictive | Supports | Reduced Sensitivity | Chronic Myeloid Leukemia | Dasatinib | Guilhot et al., 2007 |
| C | NRAS | G13R | Predictive | Supports | Resistance | Colorectal Cancer | Panitumumab | De Roock et al., 2010 |
| C | HRAS | G13D | Predictive | Supports | Resistance | Skin Squamous Cell Carcinoma | Vemurafenib | Su et al., 2012 |
| D | KRAS | G13D | Predictive | Supports | Resistance | Colorectal Cancer | Regorafenib Anhydrous | Camaj et al., 2015 |
| D | KRAS | G12D | Predictive | Supports | Resistance | Colorectal Cancer | Regorafenib Anhydrous | Camaj et al., 2015 |
| D | KRAS | G12R | Predictive | Supports | Resistance | Colorectal Cancer | Regorafenib Anhydrous | Camaj et al., 2015 |