Subtype
Digestive System Carcinoma
CI-CAN-00000812Explore in graph →
- NCIt
- C96963
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Subtype
CI-CAN-00000812Explore in graph →
Variants & evidence
282 evidence items mapped to this entity or its descendants, grouped by molecular profile, then therapy. 50 items per page.
| Therapy | Cancer | Type | Level | Direction · significance | Rating (1–5) | Status | Evidence | Source |
|---|---|---|---|---|---|---|---|---|
| KRAS G12/G132 | ||||||||
| Gemcitabine + TrametinibCombination | Pancreatic Adenocarcinoma | Predictive | B | Supports Resistance | 4 | accepted | EID622Adding trametinib to gemcitabine does not improve overall survival (OS), progression-free survival (PFS), overall response rate (ORR) or duration of response (DOR) in patients with untreated metastati… (full text at CIViC) PMID 24915778 · Infante et al., 2014 · Open in CIViC | civic |
| Trametinib | Pancreatic Adenocarcinoma | Predictive | B | Does Not Support Sensitivity Response | 3 | accepted | EID990KRAS G12/G13 status was evaluated in cell-free DNA (cfDNA) of patients with untreated metastatic adenocarcinoma of the pancreas that were randomised (1:1) to receive gemcitabine plus trametinib or pla… (full text at CIViC) PMID 24915778 · Infante et al., 2014 · Open in CIViC | civic |
| KRAS G12 + KRAS G13 + KRAS Q612 | ||||||||
| (prognostic) | Colorectal Adenocarcinoma | Prognostic | B | Supports Poor Outcome | 3 | submitted | EID11056The Medical Research Council (MRC) COIN trial consisted of patients with histologically confirmed adenocarcinoma of the colon or rectum, inoperable metastatic or locoregional measurable disease, and w… (full text at CIViC) PMID 21641636 · Maughan et al., 2011 · Open in CIViC | civic |
| Cetuximab + ChemotherapyCombination | Colorectal Adenocarcinoma | Predictive | B | Does Not Support Sensitivity Response | 4 | submitted | EID11055The Medical Research Council (MRC) COIN trial consisted of patients with histologically confirmed adenocarcinoma of the colon or rectum, inoperable metastatic or locoregional measurable disease, and w… (full text at CIViC) PMID 21641636 · Maughan et al., 2011 · Open in CIViC | civic |
| KRAS G13D1 | ||||||||
| Cetuximab + ChemotherapyCombination | Colorectal Adenocarcinoma | Predictive | B | Does Not Support Sensitivity Response | 3 | submitted | EID11054The Medical Research Council (MRC) COIN trial consisted of patients with histologically confirmed adenocarcinoma of the colon or rectum, inoperable metastatic or locoregional measurable disease, and w… (full text at CIViC) PMID 21641636 · Maughan et al., 2011 · Open in CIViC | civic |
| KRAS Mutation2 | ||||||||
| Refametinib + SorafenibCombination | Hepatocellular Carcinoma | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID1642Phase 2 study in Asian patients with unresectable hepatocellular carcinoma. 70 patients received refametinib (BAY 86-9766) plus sorafenib as study treatment. A retrospective biomarker analysis was per… (full text at CIViC) PMID 25294897 · Lim et al., 2014 · Open in CIViC | civic |
| PI3Kbeta Inhibitor AZD8186 + SCH772984Combination | Pancreatic Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID1003Inhibition of ERK in 11 KRAS mutant pancreatic cancer cell lines with SCH772984 was more effective than MEK Inhibition. Combined Treatment with PI3K Inhibitor AZD8186 was more effective than either ag… (full text at CIViC) PMID 26725216 · Hayes et al., 2016 · Open in CIViC | civic |
| KRAS Q22*1 | ||||||||
| Panitumumab | Colon Mucinous Adenocarcinoma | Predictive | C | Supports Resistance | 2 | accepted | EID1131A 43-year-old female was diagnosed with an adenocarcinoma of the ascending colon and received 6-months of adjuvant chemotherapy. After 5 years of completion of adjuvant chemotherapy, the disease relap… (full text at CIViC) PMID 19661358 · Palmirotta et al., 2009 · Open in CIViC | civic |
| KRAS Wildtype1 | ||||||||
| Cetuximab + ChemotherapyCombination | Colorectal Adenocarcinoma | Predictive | B | Does Not Support Sensitivity Response | 3 | submitted | EID11057The Medical Research Council (MRC) COIN trial consisted of patients with histologically confirmed adenocarcinoma of the colon or rectum, inoperable metastatic or locoregional measurable disease, and w… (full text at CIViC) PMID 21641636 · Maughan et al., 2011 · Open in CIViC | civic |
| NTRK1 Fusion1 | ||||||||
| Entrectinib | Colorectal Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID2960A gene fusion between exon 11 of LMNA and exon 10 of NTRK1 was observed in a patient with metastatic colorectal cancer after therapy with first-line FOLFOX, second-line FOLFIRI/cetuximab, and third-li… (full text at CIViC) PMID 26546295 · Russo et al., 2016 · Open in CIViC | civic |
| NTRK1 Fusion + NTRK1 G595R + NTRK1 G667C1 | ||||||||
| Entrectinib | Colorectal Adenocarcinoma | Predictive | C | Supports Resistance | 4 | accepted | EID2961A gene fusion between exon 10 of NTRK1 and exon 11 of the LMNA genes was observed in a patient with metastatic colorectal cancer after therapy with first-line FOLFOX, second-line FOLFIRI/cetuximab, an… (full text at CIViC) PMID 26546295 · Russo et al., 2016 · Open in CIViC | civic |
| MAGEH1 EXPRESSION1 | ||||||||
| Gemcitabine | Bile Duct Adenocarcinoma | Predictive | D | Supports Resistance | 2 | accepted | EID95010 biliary tract carcinoma cell lines were sorted based on their gemcitabine sensitivity. MAGEH1 protein expression was negatively correlated with sensitivity. In a clinical validation cohort, MAGEH p… (full text at CIViC) PMID 20088962 · Ojima et al., 2010 · Open in CIViC | civic |
| MAP2K2 G132D1 | ||||||||
| Trametinib | Pancreatic Adenocarcinoma | Predictive | C | Supports Resistance | 2 | submitted | EID7732In this case report, a 66-year old woman with pancreatic ductal adenocarcinoma was treated with trametinib for a BRAF in-frame-deletion and TP53 mutation and achieved an initial partial response for c… (full text at CIViC) PMID 29903880 · Aguirre et al., 2018 · Open in CIViC | civic |
| MAP2K2 G132S1 | ||||||||
| Trametinib | Pancreatic Adenocarcinoma | Predictive | C | Supports Resistance | 2 | submitted | EID7733In this case report, a 66-year old woman with pancreatic ductal adenocarcinoma was treated with trametinib for a BRAF in-frame-deletion and TP53 mutation and achieved an initial partial response for c… (full text at CIViC) PMID 29903880 · Aguirre et al., 2018 · Open in CIViC | civic |
| MDM2 RS348863281 | ||||||||
| (prognostic) | Esophageal Squamous Cell CarcinomaALIAS | Prognostic | B | Supports Better Outcome | 2 | accepted | EID1636124 esophageal squamous cell carcinoma patients with radical resection were genotyped using MassArray. Patients with the DEL/A +AA genotype of MDM2 rs34886328 had a notably increased overall survival… (full text at CIViC) PMID 27414035 · Li et al., 2016 · Open in CIViC | civic |
| MET Amplification3 | ||||||||
| (prognostic) | Esophageal Carcinoma | Prognostic | B | Supports Poor Outcome | 3 | submitted | EID11452A total of 185 patients with stage III or IV esophageal + junctional cancers were tested for amplified genes in this retrospective study. There were 5 MET amplifications, 14 EGFR amplifications, and 1… (full text at CIViC) PMID 22042947 · Lennerz et al., 2011 · Open in CIViC | civic |
| Cabozantinib | Gastric Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID7873Cabozantinib's effect on cell proliferation was studied in a variety of cell lines. In two gastric adenocarcinoma cell lines with MET amplification (SNU-5 and Hs746T) were the most sensitive to caboz… (full text at CIViC) PMID 21926191 · Yakes et al., 2011 · Open in CIViC | civic |
| Onartuzumab | Gastric Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | |||
| MET Overexpression1 | ||||||||
| Rilotumumab | Gastric Adenocarcinoma | Predictive | B | Does Not Support Sensitivity Response | 5 | accepted | EID5835In this randomised, double-blind, placebo-controlled phase 3 trial, 609 patients with MET+ (expression of at least 1+ intensity on 25% or more tumor cells) gastric cancer or gastroesophageal adenocarc… (full text at CIViC) PMID 28958504 · Catenacci et al., 2017 · Open in CIViC | civic |
| MLH1 EXPRESSION1 | ||||||||
| (prognostic) | Gastric CarcinomaALIAS | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID168046 patients with poorly cohesive, signet-cell ring, gastric carcinoma were evaluated for genetic mutations and MLH1 expression (immunohistochemistry). Overall survival rate of MLH1 negative cases were… (full text at CIViC) PMID 27313181 · Rokutan et al., 2016 · Open in CIViC | civic |
| MLH1 METHYLATION1 | ||||||||
| Oxaliplatin | Gastric CarcinomaALIAS | Predictive | B | Supports Resistance | 2 | accepted | EID1315The methylation status of MLH1 was analyzed in a study of 53 paraffin-embedded gastric cancer samples. No association was found between methylation status and clinical factors. The study showed that M… (full text at CIViC) PMID 24748501 · Li et al., 2015 · Open in CIViC | civic |
| MSH3 K383fs1 | ||||||||
| 7-Ethyl-10-Hydroxycamptothecin + OxaliplatinSubstitutes | Colon Carcinoma | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID9089To assess the effects of MSH3 status on chemosensitivity, MSH3-deficient and MSH3-proficient HCT116 cells were treated with oxaliplatin, SN-38 (irinotecan metabolite), and 5-FU. Parental MSH3-deficien… (full text at CIViC) PMID 23724141 · Park et al., 2013 · Open in CIViC | civic |
| High1 | ||||||||
| Dostarlimab | Rectal CarcinomaALIAS | Predictive | B | Supports Sensitivity Response | 4 | submitted | EID1236847 patients with locally advanced rectal cancer were treated with dostarlimab. 41 completed treatment and achieved a clinical complete response. No patients experienced local or distant disease recurr… (full text at CIViC) | civic |
| MTHFR A222V1 | ||||||||
| Fluorouracil | Rectal CarcinomaALIAS | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID1757Patients with the wild type (C/C) MTHFR gene are 2.91 times (95% CI: [1.23, 6.89]) more likely to have a positive response to neoadjuvant CRT and 3.25 times more likely not to experience relapse (95%… (full text at CIViC) PMID 26693073 · Nikas et al., 2015 · Open in CIViC | civic |
| MYC Amplification1 | ||||||||
| Ibrutinib | Esophageal Carcinoma | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID6928This study found the clinical BTK/ERBB2 kinase inhibitor, ibrutinib, downregulated ERK-mediated signal transduction, cMYC Ser-62 phosphorylation and levels of MYC protein, and elicited G1 cell cycle a… (full text at CIViC) PMID 28830912 · Chong et al., 2018 · Open in CIViC | civic |
| MYC Overexpression1 | ||||||||
| Ganetespib | Esophageal Squamous Cell CarcinomaALIAS | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID10151Collectively data from expression analysis of 102 esophageal squamous cell carcinoma (ESCC) sample tissues established MYC and HSP90 as potential targets with overexpression of MYC observed in over ha… (full text at CIViC) PMID 32308431 · Guan et al., 2020 · Open in CIViC | civic |
| NCOA3 Mutation1 | ||||||||
| Anti-PDL1 Therapy + PD-1 Ligand InhibitorSubstitutes | Colon Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID12626In a retrospective cohort analysis of colon adenocarcinoma treated with PD-1/PD-L1 immune checkpoint inhibitors from the MSKCC ICIs-treated COAD dataset (n = 76; NCOA3-mutant n = 7, NCOA3-wild-type n … (full text at CIViC) PMID 40215778 · Liu et al., 2025 · Open in CIViC | civic |
| NEDD9 EXPRESSION1 | ||||||||
| (prognostic) | Hepatocellular Carcinoma | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID1059IHC was performed in 123 hepatocellular carcinoma tissues and their adjacent normal liver tissues for protein expression of HEF1 (NEDD9). Overexpression of HEF1 protein was observed in HCC tissue when… (full text at CIViC) PMID 26893853 · Li et al., 2016 · Open in CIViC | civic |
| NOTCH3 Overexpression1 | ||||||||
| Tarextumab | Rectal CarcinomaALIAS | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID7002Finally, treatment of CRC cells with anti-Notch2/3 antibody increased Numb protein while significantly reducing formation of spheroids in both MICOL-14tum cells and primary tumor cultures. This novel … (full text at CIViC) PMID 24525742 · Pastò et al., 2014 · Open in CIViC | civic |
| BRAF D594G + BRAF V600E + KRAS MutationBRAFKRAS1 | ||||||||
| Cetuximab + ChemotherapyCombination | Colorectal Adenocarcinoma | Predictive | B | Does Not Support Sensitivity Response | 3 | submitted | EID11060The Medical Research Council (MRC) COIN trial consisted of patients with histologically confirmed adenocarcinoma of the colon or rectum, inoperable metastatic or locoregional measurable disease, and w… (full text at CIViC) PMID 21641636 · Maughan et al., 2011 · Open in CIViC | civic |
| NPTXR Overexpression1 | ||||||||
| Cisplatin + FluorouracilCombination | Gastric CarcinomaALIAS | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID12774In preclinical gastric carcinoma models, NPTXR overexpression conferred sensitivity to NPTXR-targeted therapy. In xenograft mouse models of gastric cancer (MKN1; n = 3–4 mice per group), treatment wi… (full text at CIViC) PMID 32847597 · Kanda et al., 2020 · Open in CIViC | civic |
| NQO1 Overexpression1 | ||||||||
| NSC84167 | Pancreatic Ductal Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID12560In preclinical pancreatic ductal adenocarcinoma (PDAC) models with high NQ01 expression, which indicates the NFE2L2 (NRF2) pathway activation, the small molecule NSC84167 (NSLC01, 50 mg/kg) selectivel… (full text at CIViC) PMID 34247201 · Dai et al., 2021 · Open in CIViC | civic |
| NR4A2 Overexpression1 | ||||||||
| C-DIM 12 + GemcitabineCombination | Pancreatic Ductal Adenocarcinoma | Predictive | D | Supports Resistance | 3 | submitted | EID12649In pancreatic cancer cell lines MiaPaCa2 and Panc1, gemcitabine 1 μmol/L induced NR4A2/NURR1 expression and triggered cytoprotective autophagy, while both CRISPR-mediated NR4A2 knockout and the NR4A2 … (full text at CIViC) PMID 35582016 · Zarei et al., 2021 · Open in CIViC | civic |
| ATG12 Overexpression + ATG7 Overexpression + NR4A2 OverexpressionNR4A2ATG7ATG121 | ||||||||
| (prognostic) | Pancreatic Ductal Adenocarcinoma | Prognostic | B | Supports Poor Outcome | 3 | submitted | EID12650In a retrospective TCGA PDAC (tumors n = 179, normals n = 171), high ATG7 expression was significantly associated with poorer survival on Kaplan–Meier analysis (P = 0.013), and high ATG12 expression s… (full text at CIViC) PMID 35582016 · Zarei et al., 2021 · Open in CIViC | civic |
| BRAF Mutation + KRAS Mutation + NRAS MutationKRASNRASBRAF1 | ||||||||
| (prognostic) | Colorectal Adenocarcinoma | Prognostic | B | Supports Poor Outcome | 4 | submitted | EID11061The Medical Research Council (MRC) COIN trial consisted of patients with histologically confirmed adenocarcinoma of the colon or rectum, inoperable metastatic or locoregional measurable disease, and w… (full text at CIViC) PMID 21641636 · Maughan et al., 2011 · Open in CIViC | civic |
| NTRK1 Amplification1 | ||||||||
| Larotrectinib | Esophageal Carcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID12120A 71-year-old male with esophageal carcinoma harboring NTRK1 amplification, based on FoundationOne CDx profiling test, was treated with larotrectinib. Treatment with larotrectinib led to a shrinkage o… (full text at CIViC) PMID 32323889 · Hempel et al., 2020 · Open in CIViC | civic |
| PALB2 Mutation1 | ||||||||
| Talazoparib | Pancreatic Ductal Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | submitted | EID10835A patient with pancreatic ductal adenocarcinoma (PDAC) and a somatic PALB2 mutation (NM_024675.4: c.3350+1G>T) experienced disease progression after 10 cycles of FOFIRINOX and 2 cycles of gemcitabine.… (full text at CIViC) PMID 36119518 · Kachmazov et al., 2022 · Open in CIViC | civic |
| PBK NUCLEAR EXPRESSION1 | ||||||||
| (prognostic) | Gastric Adenocarcinoma | Prognostic | B | Supports Poor Outcome | 2 | accepted | EID1052Microarray expression data from 48 patients with gastric adenocarcinoma were analyzed for genes differentially expressed with regard to overall survival. Upregulation of proteasome subunit beta type 8… (full text at CIViC) PMID 26894977 · Kwon et al., 2016 · Open in CIViC | civic |
| PBLD Underexpression1 | ||||||||
| (prognostic) | Hepatocellular Carcinoma | Prognostic | D | Supports Poor Outcome | 4 | submitted | EID6364The frequent deletion of PBLD in HCC tissues is an independent predictor of poor prognosis for patients with HCC. Elevated PBLD expression has been show to reduce the growth and spread of HCC. PMID 26594798 · Li et al., 2016 · Open in CIViC | civic |
| PIK3CA Amplification2 | ||||||||
| (prognostic) | Gastric Adenocarcinoma | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID504In patients with gastric cancer, those with amplification of PIK3CA had shorter overall survival than those without amplification. PMID 22292935 · Shi et al., 2012 · Open in CIViC | civic |
| Alpelisib | Gastric CarcinomaALIAS | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1403474 cancer cell lines from the cancer cell line encyclopedia were assessed for response to the PI3Kalpha inhibitor BYL719 (Alpelisib). PIK3CA amplification was significanly associated with BYL719 resp… (full text at CIViC) PMID 24608574 · Fritsch et al., 2014 · Open in CIViC | civic |
| PIK3CA E545K1 | ||||||||
| (prognostic) | Rectal CarcinomaALIAS | Prognostic | B | Supports Poor Outcome | 2 | accepted | EID2106This study examined outcomes of 240 rectum cancer patients treated with total mesorectal excision therapy. Tumor samples were obtained at the time of surgery and genotyped for PIK3CA exon 10 and 21 mu… (full text at CIViC) PMID 19903786 · He et al., 2009 · Open in CIViC | civic |
| PIK3CA Exon 10 Mutation + PIK3CA Exon 21 Mutation1 | ||||||||
| (prognostic) | Rectal CarcinomaALIAS | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID7220This study examined outcomes of 240 rectum cancer patients treated with total mesorectal excision therapy. Tumor samples were obtained at the time of surgery and genotyped for PIK3CA mutations in exon… (full text at CIViC) PMID 19903786 · He et al., 2009 · Open in CIViC | civic |
| PROM1 EXPRESSION1 | ||||||||
| Sorafenib | Hepatocellular Carcinoma | Predictive | B | Supports Resistance | 2 | accepted | EID926CD133 (PROM1) expression in 39 samples of hepatocellular carcinomas was correlated with JNK activity. Both were more highly expressed in patients not responding to sorafenib. CD133+ cells (sorted) wer… (full text at CIViC) PMID 22596232 · Hagiwara et al., 2012 · Open in CIViC | civic |
| PSMB8 NUCLEAR EXPRESSION1 | ||||||||
| (prognostic) | Gastric Adenocarcinoma | Prognostic | B | Supports Poor Outcome | 2 | accepted | EID1051Microarray expression data from 48 patients with gastric adenocarcinoma were analyzed for genes differentially expressed with regard to overall survival. Expression of 294 and 116 genes was enriched i… (full text at CIViC) PMID 26894977 · Kwon et al., 2016 · Open in CIViC | civic |
| PTEN Loss3 | ||||||||
| Akt Inhibitor MK2206 | Pancreatic Carcinoma | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID938Among 33 patients treated with pan-AKT inhibitor MK-2206 in this phase 1 study, one patient with pancreatic adenocarcinoma and PTEN loss/KRAS G12D mutation experienced a decrease of approximately 60% … (full text at CIViC) PMID 22025163 · Yap et al., 2011 · Open in CIViC | civic |
| Chemotherapy | Gastric CarcinomaALIAS | Predictive | B | Supports Resistance | 2 | accepted | EID1493Cancer and normal tissue samples were taken from 68 gastric cancer patients undergoing surgery without prior chemotherapy. Tissue samples were divided into high grade and low grade for phospho Akt (p-… (full text at CIViC) PMID 15900596 · Oki et al., 2005 · Open in CIViC | civic |
| Lapatinib + TrastuzumabSubstitutes | Gastric Adenocarcinoma | Predictive | ||||||
| PTPN6 Underexpression1 | ||||||||
| (prognostic) | Hepatocellular Carcinoma | Prognostic | D | Supports Poor Outcome | 4 | submitted | EID6390SHP-1 has been shown to be a tumor suppressor in hematopoietic cancers. Reduced SHP-1 expression in HCC correlates to aggressive tumor behavior resulting in a poor prognosis for patients. PMID 29776962 · Wen et al., 2018 · Open in CIViC | civic |
| RAF1 Amplification1 | ||||||||
| Sorafenib | Hepatocellular Carcinoma | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID9113Through the histological examination of 25 patient tumor samples with hepatocellular carcinoma, the efficacy of postoperative sorafenib treatment may be correlated with higher levels of c-Raf-1 expres… (full text at CIViC) PMID 26981887 · Lei et al., 2016 · Open in CIViC | civic |
Data updated 22 hours agoSource updated unknownsource: civic (CC0)
Evidence levels, directions and ratings are those assigned by CIViC curators. "Submitted" items have not completed curation review. This is not treatment guidance.
| accepted |
EID689A case-study describing a patient with MET polysomy, MET over-expression and evidence of autocrine HGF-production (the growth factor ligand of MET). The patient initially achieved a complete response … (full text at CIViC) PMID 22389872 · Catenacci et al., 2011 · Open in CIViC |
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| B |
| Supports Resistance |
| 2 |
| accepted |
EID864In 48 patients with advanced gastric cancer, retrospectively analyzed for PTEN expression using IHC, PTEN loss was associated with a shorter duration of response (median 4.2 vs. 6.1 months, p = 0.04) … (full text at CIViC) PMID 25300346 · Zhang et al., 2015 · Open in CIViC |
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