Cancer Family
Embryonal Neoplasm
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Cancer Family
CI-CAN-00000013Explore in graph →
Variants & evidence
172 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 |
|---|---|---|---|---|---|---|---|---|
| FGFR4 Amplification1 | ||||||||
| Pazopanib | Ewing Sarcoma | Predictive | C | Supports Sensitivity Response | 2 | submitted | EID7836Clinical trial of soft tissue sarcoma patients found no responses to pazopanib + trametinib combination in Ewing sarcoma patients. Comparison was done to previously treated Ewing sarcoma that responde… (full text at CIViC) PMID 28377484 · Subbiah et al., 2017 · Open in CIViC | civic |
| FLT4 Amplification1 | ||||||||
| Pazopanib | Ewing Sarcoma | Predictive | C | Supports Sensitivity Response | 3 | submitted | EID7539Clinical trial of soft tissue sarcoma patients found no responses to pazopanib + trametinib combination in Ewing sarcoma patients. Comparison was done to previously treated Ewing sarcoma that respond… (full text at CIViC) PMID 28377484 · Subbiah et al., 2017 · Open in CIViC | civic |
| FOXR2 Rearrangement3 | ||||||||
| (diagnostic) | Central Nervous System Neuroblastoma, FOXR2-ActivatedALIAS | Diagnostic | B | Supports Positive | 4 | accepted | EID11527In the 2016 study by Sturm et al., the authors performed comprehensive molecular profiling, including DNA methylation arrays, transcriptomics, and genome-wide sequencing, on 323 institutionally diagno… (full text at CIViC) PMID 26919435 · Sturm et al., 2016 · Open in CIViC | civic |
| 〃 | Central Nervous System Neuroblastoma, FOXR2-ActivatedALIAS | Diagnostic | B | Supports Positive | 4 | accepted | EID11528DNA methylation profiling of 84 tumors initially diagnosed as CNS-PNET identified CNS neuroblastoma with FOXR2 activation (CNS NB-FOXR2) as a distinct molecular subgroup, presented in 24% (20/84) of c… (full text at CIViC) PMID 33536079 · Korshunov et al., 2021 · Open in CIViC | civic |
| 〃 | ||||||||
| ERG Fusion1 | ||||||||
| (diagnostic) | Ewing Sarcoma | Diagnostic | B | Supports Positive | 3 | submitted | EID11601An analysis of 85 small blue round cell tumors (SBRCTs) that were negative for EWSR1, CIC, or BCOR by FISH identified 6 FUS::ERG and 1 FUS::FEV fusions. Clinicopathologic characterization of these 7 … (full text at CIViC) PMID 26690869 · Chen et al., 2016 · Open in CIViC | civic |
| FEV Fusion1 | ||||||||
| (diagnostic) | Ewing Sarcoma | Diagnostic | C | Supports Positive | 2 | submitted | EID11602An analysis of 85 small blue round cell tumors (SBRCTs) that were negative for EWSR1, CIC, or BCOR by FISH identified 6 FUS::ERG and 1 FUS::FEV fusions. Clinicopathologic characterization of these 7 … (full text at CIViC) PMID 26690869 · Chen et al., 2016 · Open in CIViC | civic |
| H3-3A G35R1 | ||||||||
| (diagnostic) | Central Nervous System Embryonal TumorCURATED_BROADER | Diagnostic | B | Supports Positive | 3 | rejected | EID9821Korshunov, et al. (2016) studied 81 central nervous system tumors (located in temporal and parietal lobe in 80% of cases, 88% carried TP53 variant, 95% carried ATRX loss), including: 59 glioblastoma-l… (full text at CIViC) PMID 26482474 · Korshunov et al., 2016 · Open in CIViC | civic |
| H3-3A G35V1 | ||||||||
| (diagnostic) | Central Nervous System Embryonal TumorCURATED_BROADER | Diagnostic | C | Supports Positive | 1 | submitted | EID9823Korshunov, et al. (2016) studied 81 central nervous system tumors (located in temporal and parietal lobe in 80% of cases, 88% carried TP53 variant, 95% carried ATRX loss), including: 59 glioblastoma-l… (full text at CIViC) PMID 26482474 · Korshunov et al., 2016 · Open in CIViC | civic |
| NTRK2 Fusion1 | ||||||||
| Entrectinib | Ganglioneuroblastoma | Predictive | C | Supports Sensitivity Response | 1 | accepted | EID11854In a phase 1/2 trial of entrectinib in pediatric patients, tumors with fusions in NTRK, ROS1, or ALK had an overall response (ORR) of 57.7% (95% CI; 36.9-76.7). This included one patient (7 yo) with … (full text at CIViC) PMID 35395680 · Desai et al., 2022 · Open in CIViC | civic |
| MYC Amplification1 | ||||||||
| (prognostic) | MedulloblastomaCURATED_BROADER | Prognostic | B | Supports Poor Outcome | 5 | submitted | EID7048Group 3 medulloblastomas with MYC amplifications are often associated with large cell/anaplastic histology, young patients, and overall poor prognosis. PMID 15328187 · Lamont et al., 2004 · Open in CIViC | civic |
| MYCN Amplification8 | ||||||||
| (prognostic) | Neuroblastoma | Prognostic | A | Supports Poor Outcome | 4 | accepted | EID1328In a cohort of 1596 diagnostic tumor samples taken from patients enrolled in the Children's oncology group (COG) neuroblastoma biology protocol ANBL00B1, 1579 samples were annotated with MYCN amplific… (full text at CIViC) PMID 25517749 · Bresler et al., 2014 · Open in CIViC | civic |
| Arsenic Trioxide | MedulloblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID5327In a patient derived xenograft from a sonic hedgehog driven medulloblastoma patient, MYCN amplification conferred to resistance to SMO inhibition with Sonidegib. This PDX was shown to be responsive t… (full text at CIViC) PMID 23291299 · Kim et al., 2013 · Open in CIViC | civic |
| Birabresib | Neuroblastoma | Predictive | D | Supports | ||||
| ALK Mutation + MYCN AmplificationMYCNALK1 | ||||||||
| (prognostic) | Neuroblastoma | Prognostic | B | Supports Poor Outcome | 3 | submitted | EID13291In a Children's Oncology Group correlative study, 242 pretherapy tumours from patients enrolled on the phase III high-risk neuroblastoma trial ANBL0532 (NCT00567567) underwent ultra-deep targeted sequ… (full text at CIViC) PMID 40036726 · Berko et al., 2025 · Open in CIViC | civic |
| MYCN Overexpression1 | ||||||||
| Niraparib + Olaparib + Talazoparib + VeliparibSubstitutes | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID9006A preclinical study investigated the sensitivity of PARP inhibitors in Neuroblastoma with MYCN-amplified (IMR-32) cells and found a decrease in cellular viability in comparison to the non-MYCN amplifi… (full text at CIViC) PMID 32577161 · King et al., 2020 · Open in CIViC | civic |
| NF1 Loss1 | ||||||||
| Binimetinib | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID1956Low NF1 protein expression correlated positively with responses to binimetinib in neuroblastoma cell lines. PMID 26925841 · Woodfield et al., 2016 · Open in CIViC | civic |
| NRAS Q61K1 | ||||||||
| Binimetinib + EverolimusCombination | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1002In-vitro study in 5 neuroblastoma cell lines (2 with NRAS Q61K mutation). The combination of mTOR and MEK Inhibitors synergistically blocked cell growth in NRAS mutant but not wild type cell lines. Si… (full text at CIViC) PMID 26821351 · Kiessling et al., 2016 · Open in CIViC | civic |
| NTRK1 Overexpression1 | ||||||||
| (prognostic) | Neuroblastoma | Prognostic | B | Supports Better Outcome | 4 | accepted | EID1972A high level of expression of the TRK proto-oncogene in a neuroblastoma is strongly predictive of a favorable outcome. A tumor with a functional nerve growth factor receptor may be dependent on the ne… (full text at CIViC) PMID 8441429 · Nakagawara et al., 1993 · Open in CIViC | civic |
| NTRK3 EXPRESSION1 | ||||||||
| (prognostic) | MedulloblastomaCURATED_BROADER | Prognostic | B | Supports Positive | 3 | submitted | EID1968Patients with tumors expressing high levels of trkC mRNA had significantly longer intervals without disease progression than those with low levels (log-rank, P = 0.03) and a more favorable overall sur… (full text at CIViC) PMID 7809137 · Segal et al., 1994 · Open in CIViC | civic |
| NTRK3 Fusion1 | ||||||||
| Entrectinib | Desmoplastic/Nodular Medulloblastoma | Predictive | C | Does Not Support Sensitivity Response | 2 | submitted | EID12608In the STARTRK-NG Phase 1/2 trial of entrectinib in pediatric patients, with extracranial solid tumors or primary CNS tumors, aged <22 years with relapsed or refractory disease, tumors with fusions… (full text at CIViC) PMID 35395680 · Desai et al., 2022 · Open in CIViC | civic |
| PCNA K164R LOSS-OF-MODIFICATION1 | ||||||||
| (predisposing) | Neuroblastoma | Predisposing | D | N/A N/A | 4 | submitted | EID8032The paper showed that PCNA (p.K164R) inhibits the ubiquitination of PCNA and the variant can render cells sensitive to DNA-damaging agents and reduce activation-induced single-nucleotide substitutions… (full text at CIViC) PMID 17105346 · Arakawa et al., 2006 · Open in CIViC | civic |
| PTCH1 Deletion1 | ||||||||
| Sonidegib | MedulloblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID5326In a sonic hedghehog driven medulloblastoma patient derived xenograft harbouring a PTCH1 deletion, SMO inhibition with Sonidegib showed inhibition of proliferation. PMID 24651015 · Kool et al., 2014 · Open in CIViC | civic |
| PTCH1 LOH1 | ||||||||
| Vismodegib | MedulloblastomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID749Loss-of-heterozygosity in SHH-driven medulloblastoma was associated with increased PFS under therapy with vismodegib (AKA HhAntag691, GDC0449, GDC-0449). 43 patients total were enrolled for this study… (full text at CIViC) PMID 26169613 · Robinson et al., 2015 · Open in CIViC | civic |
| PTCH1 Mutation1 | ||||||||
| Sonidegib | MedulloblastomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID748133 sonic-hedghog driven medulloblastomas were sequenced for alterations (WGS or WES). 60 cases exhibited PTCH1 mutations, most of which were likely loss-of-function (spread across the gene and of typ… (full text at CIViC) PMID 24651015 · Kool et al., 2014 · Open in CIViC | civic |
| PTPRD R995C1 | ||||||||
| IGF1R Monoclonal Antibody + TemsirolimusCombination | Ewing Sarcoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID10061An analysis of 8 ewing sarcoma patients revealed PTPRD mutations in 3 cases (V253I/W775*, T781A, R995C). 2 of 3 cases showed complete response (RECIST criteria) to IGF1R mAb based therapies. The R995C… (full text at CIViC) PMID 23800680 · Jiang et al., 2013 · Open in CIViC | civic |
| PTPRD T781A1 | ||||||||
| IGF1R Monoclonal Antibody + TemsirolimusCombination | Ewing Sarcoma | Predictive | C | Does Not Support Sensitivity Response | 3 | submitted | EID10062An analysis of 8 ewing sarcoma patients revealed PTPRD mutations in 3 cases (V253I/W775*, T781A, R995C). 2 of 3 cases showed complete response (RECIST criteria) to IGF1R mAb based therapies. The thrid… (full text at CIViC) PMID 23800680 · Jiang et al., 2013 · Open in CIViC | civic |
| PTPRD V253I1 | ||||||||
| Cixutumumab + TeprotumumabSubstitutes | Bone Ewing SarcomaALIAS | Predictive | C | Supports Sensitivity Response | 4 | accepted | EID1856Report of complete response to IGF1-R antibody, with or without mTOR inhibitor tensirolimus in 2/3 Ewing Sarcoma patients with germline PTPRD mutations (V253I and W775*, R995C). The third patient had … (full text at CIViC) PMID 23800680 · Jiang et al., 2013 · Open in CIViC | civic |
| SLFN11 EXPRESSION1 | ||||||||
| Niraparib + TemozolomideCombination | Ewing Sarcoma | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID5884SLFN11 is an ETS transcription factor response gene and a predictive marker for therapeutic response to topoisomerase I inhibitors and temozolomide-PARP inhibitor combinations in ETS-activated cancers… (full text at CIViC) PMID 25779942 · Tang et al., 2015 · Open in CIViC | civic |
| SMARCA4 Loss1 | ||||||||
| (diagnostic) | Atypical Teratoid/Rhabdoid Tumor | Diagnostic | A | Supports Positive | 5 | submitted | EID8864Atypical teratoid/rhabdoid tumor (AT/RT) is now defined by WHO guidelines by alterations of either INI1 (SMARCB1) or BRG1 (SMARCA4; rarely mutated) which result in loss of tumor nuclear expression of … (full text at CIViC) PMID 27157931 · Louis et al., 2016 · Open in CIViC | civic |
| SMARCB1 Deletion3 | ||||||||
| (diagnostic) | Poorly Differentiated Chordoma | Diagnostic | B | Supports Positive | 2 | rejected | EID11179Copy number profiling revealed loss of chromosome 22q including the SMARCB1 locus as the only recurrent alteration in 7 of 7 poorly differentiated chordomas. FISH or MLPA was used to confirm heterozy… (full text at CIViC) PMID 27067307 · Hasselblatt et al., 2016 · Open in CIViC | civic |
| Panobinostat | Rhabdoid TumorALIAS | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID1964Sustained low-dose panobinostat (LBH589) treatment of rhabdoid tumor cells led to changes in cellular morphology associated with a marked increase in the induction of differentiation pathways. In mous… (full text at CIViC) PMID 26920892 · Muscat et al., 2016 · Open in CIViC | civic |
| Tazemetostat | Rhabdoid TumorALIAS | Predictive | ||||||
| SMARCB1 Deletion + SMARCB1 Single nucleotide variant1 | ||||||||
| (diagnostic) | Atypical Teratoid/Rhabdoid Tumor | Diagnostic | B | Supports Positive | 4 | submitted | EID11177325 ATRTs underwent methylation profiling, revealing three methylation distinct clusters - ATRT-TYR, ATRT-SHH and ATRT-MYC. In the ATRT-TYR subgroup, the characteristic pattern of SMARCB1 loss was of … (full text at CIViC) PMID 31889194 · Ho et al., 2020 · Open in CIViC | civic |
| SMARCB1 Loss10 | ||||||||
| (diagnostic) | Atypical Teratoid/Rhabdoid Tumor | Diagnostic | A | Supports Positive | 5 | submitted | EID8863Atypical teratoid/rhabdoid tumor (AT/RT) is now defined by WHO guidelines by alterations of either INI1 (SMARCB1) or BRG1 (SMARCA4; rarely mutated) which result in loss of tumor nuclear expression of … (full text at CIViC) PMID 27157931 · Louis et al., 2016 · Open in CIViC | civic |
| 〃 | Atypical Teratoid/Rhabdoid Tumor | Diagnostic | B | Supports Positive | 4 | accepted | EID886253 pediatric tumors consisting of 20 AT/RT, 10 PNET, and 23 other central nervous system tumors were classified using microscopic diagnosis, and then tested for expression of the SMARCB1 gene product … (full text at CIViC) PMID 15105654 · Judkins et al., 2004 · Open in CIViC | civic |
| 〃 | Poorly Differentiated Chordoma | Diagnostic | B | Supports Positive | ||||
| SMARCB1 LOSS OF NUCLEAR PROTEIN EXPRESSION1 | ||||||||
| (diagnostic) | Cribriform Neuroepithelial Tumor | Diagnostic | C | Supports Positive | 4 | accepted | EID12332This study compared cribriform neuroepithelial tumor (CRINET) and atypical teratoid/rhabdoid tumor (AT/RT) to determine whether CRINET is a distinct entity or a variant of AT/RT. The study contained 1… (full text at CIViC) PMID 27380723 · Johann et al., 2017 · Open in CIViC | civic |
Data updated 16 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.
| Diagnostic |
| B |
| Supports Positive |
| 4 |
| accepted |
EID12521In this Swedish population-based study, the authors retrospectively re-evaluated 71 poorly differentiated supratentorial CNS tumors in children, previously diagnosed as CNS-PNETs, to assess their mole… (full text at CIViC) PMID 36895035 · Schepke et al., 2023 · Open in CIViC |
| civic |
| 3 |
| submitted |
EID6018OTX015 is effective against mouse and human MYCN-driven tumor models and that BRD4 not only targets MYCN, but specifically occupies MYCN target gene enhancers as well as other genes associated with su… (full text at CIViC) PMID 26631615 · Henssen et al., 2016 · Open in CIViC |
| civic |
| FACT Complex-targeting Curaxin CBL0137 | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID744The drug CBL0137 (a drug that interacts with SSRP1 aka FACT) exhibited a synergistic effect with standard chemotherapy (cyclophosphamide, etoposide, cisplatin, vincristine, etc.) by blocking repair of… (full text at CIViC) PMID 26537256 · Carter et al., 2015 · Open in CIViC | civic |
| JQ1 | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID6017Integration of genetic features with chemosensitivity data revealed a correlation between MYCN amplification and sensitivity to bromodomain inhibition. BET inhibition conferred a significant survival … (full text at CIViC) PMID 23430699 · Puissant et al., 2013 · Open in CIViC | civic |
| JQ1 + PanobinostatCombination | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID6019JQ1 and panobinostat synergistically reduced LIN28B gene and N-Myc protein expression, and synergistically induced growth inhibition and apoptosis in neuroblastoma cells, but not normal nonmalignant c… (full text at CIViC) PMID 26733615 · Shahbazi et al., 2016 · Open in CIViC | civic |
| GSK126 + JQEZ5Substitutes | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID6020In a genome-scale CRISPR-Cas9 screening of MYCN-amplified neuroblastoma dependency on genes encoding the polycomb repressive complex 2 (PRC2) components EZH2, EED, and SUZ12 was identified. Genetic an… (full text at CIViC) PMID 29202477 · Chen et al., 2018 · Open in CIViC | civic |
| Sonidegib | MedulloblastomaCURATED_BROADER | Predictive | D | Supports Resistance | 3 | submitted | EID5325In a sonic hedgehog driven medulloblastoma patient derived xenograft harbouring a MYCN amplification, SMO inhibitor Sonidegib did not have an effect on cell proliferation. PMID 24651015 · Kool et al., 2014 · Open in CIViC | civic |
| D |
| Supports Sensitivity Response |
| 3 |
| accepted |
EID1740EPZ-6438 (Tazemetostat) induces apoptosis and differentiation specifically in SMARCB1-deleted malignant rhabdoid tumors (MRT) cells. This study compared in vitro EPZ-6438 treatment of four SMARCB1-del… (full text at CIViC) PMID 23620515 · Knutson et al., 2013 · Open in CIViC |
| civic |
| 3 |
| submitted |
EID11170All 7 of 7 poorly differentiated chordomas exhibited loss of SMARCB1 expression while SMARCB1 expression was retained in 14 conventional chordomas. Copy number profiling revealed loss of chromosome 2… (full text at CIViC) PMID 27067307 · Hasselblatt et al., 2016 · Open in CIViC |
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| 〃 | Rhabdoid TumorALIAS | Diagnostic | B | Does Not Support Positive | 2 | accepted | EID11090The authors characterized the occurrence of SMARCB1 gene loss in epithelioid sarcomas. SMARCB1 immunohistochemistry staining demonstrated 19/21 patient samples were negative. Multiplex ligation depend… (full text at CIViC) PMID 23060122 · Sullivan et al., 2013 · Open in CIViC | civic |
| 〃 | Poorly Differentiated Chordoma | Diagnostic | B | Supports Positive | 2 | submitted | EID113369 of 9 poorly differentiated chordomas tested by IHC exhibited loss of SMARCB1 expression. 7 of 8 tested by FISH showed homozygous deletion of SMARCB1. PMID 29119645 · Owosho et al., 2018 · Open in CIViC | civic |
| (prognostic) | Poorly Differentiated Chordoma | Prognostic | B | Supports Poor Outcome | 2 | submitted | EID11337Seven pediatric patients with poorly differentiated chordomas, associated with loss of SMARCB1, had a median overall survival of 9 months (95% confidence level of 6 to 12 months). PMID 27067307 · Hasselblatt et al., 2016 · Open in CIViC | civic |
| (diagnostic) | Poorly Differentiated Chordoma | Diagnostic | C | Supports Positive | 1 | submitted | EID113402 of 2 poorly differentiated chordomas exhibited 22q loss, including SMARCB1, with no mutations identified. PMID 31135077 · Shih et al., 2019 · Open in CIViC | civic |
| Tazemetostat | Atypical Teratoid/Rhabdoid Tumor | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID11180In the dose expansion of phase I pediatric trial (NCT02601937) of the EZH2 inhibitor tazemetostat, the overall response in 21 patients with SMARCB1-deficient atypical teratoid rhabdoid tumors (ATRT) w… (full text at CIViC) | civic |
| 〃 | Poorly Differentiated Chordoma | Predictive | C | Supports Sensitivity Response | 2 | submitted | EID11178In the dose expansion of phase I pediatric trial (NCT02601937) of the EZH2 inhibitor tazemetostat, 2 of 6 patients with SMARCB1-deficient poorly differentiated chordoma had a partial response and 1 of… (full text at CIViC) | civic |
| 〃 | Poorly Differentiated Chordoma | Predictive | C | Supports Sensitivity Response | 1 | submitted | EID11338A patient with SMARCB1-deleted poorly differentiated chordoma received the EZH2 inhibitor tazemetostat (800 mg/ twice daily) for 4 weeks as part of a phase II trial followed by radiation at the time o… (full text at CIViC) PMID 30642912 · Gounder et al., 2019 · Open in CIViC | civic |