Subtype
Esophageal and Gastroesophageal Junction Carcinoma
CI-CAN-00002608Explore in graph →
- NCIt
- C203673
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Subtype
CI-CAN-00002608Explore in graph →
Variants & evidence
64 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 |
|---|---|---|---|---|---|---|---|---|
| ATM Underexpression1 | ||||||||
| Olaparib | Gastric Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID878Low ATM protein expression led to sensitivity to PARP inhibitors in TP53 -ve gastric cancer cell lines (8 lines were used for various aspects of this study). PMID 24841718 · Kubota et al., 2014 · Open in CIViC | civic |
| AURKA Amplification1 | ||||||||
| Alisertib + CisplatinCombination | Esophageal AdenocarcinomaALIAS | Predictive | E | Supports Sensitivity Response | 3 | accepted | EID456Antitumour effect of alisertib treatment in esophageal adenocarcinomas can be intensified in combination with cisplatin. PMID 22302096 · Sehdev et al., 2012 · Open in CIViC | civic |
| AURKA EXPRESSION1 | ||||||||
| Cisplatin + Fluorouracil + Radiation TherapyCombination | Esophageal Squamous Cell CarcinomaALIAS | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID1653A retrospective study examining the expression of AURKA in tumor samples of 78 esophageal squamous cell carcinoma patients found that positive expression of AURKA (>10% of cells by IHC) was correlated… (full text at CIViC) PMID 25924824 · Tamotsu et al., 2015 · Open in CIViC | civic |
| AURKA Overexpression1 | ||||||||
| Alisertib + CisplatinCombination | Esophageal AdenocarcinomaALIAS | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID9627The efficacy of novel AURKA inhibitor alisertib (MLN8327) was tested alone or in combination with cisplatin in three esophageal adenocarcinoma cell lines (FLO-1, OE19 and OE33) that overexpress AURKA.… (full text at CIViC) PMID 22302096 · Sehdev et al., 2012 · Open in CIViC | civic |
| AXL EXPRESSION1 | ||||||||
| (prognostic) | Esophageal Squamous Cell CarcinomaALIAS | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID1655Immunohistochemical analysis of tumors from 116 esophageal squamous cell carcinoma found that expression of AXL was associated with increased progression of the tumor (P < 0.0001), increased risk of d… (full text at CIViC) PMID 27172793 · Hsieh et al., 2016 · Open in CIViC | civic |
| CCNE1 Overexpression2 | ||||||||
| (prognostic) | Gastric Adenosquamous Carcinoma | Prognostic | B | Supports Poor Outcome | 4 | rejected | EID364Elevated levels of CCNE1 mRNA has been shown to be correlated with advanced stage gastric carcinoma. PMID 10224221 · Donnellan et al., 1999 · Open in CIViC | civic |
| 〃 | Gastric Adenosquamous Carcinoma | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID365Elevated levels of CCNE1 mRNA has been shown to be correlated with increased depth of tumor invasion in gastic carcinoma. PMID 10224221 · Donnellan et al., 1999 · Open in CIViC | civic |
| CDKN2A RS38149601 | ||||||||
| (prognostic) | Esophageal Squamous Cell CarcinomaALIAS | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID1635124 esophageal squamous cell carcinoma patients with radical resection were genotyped using MassArray. The TC/CC genotype of p14ARF at rs3814960 had decreased overall survival (HR = 2.77, 95% CI: 1.3… (full text at CIViC) PMID 27414035 · Li et al., 2016 · Open in CIViC | civic |
| CLDN18 positive2 | ||||||||
| CAPOX Regimen + ZolbetuximabCombination | Gastric Adenocarcinoma | Predictive | A | Supports Sensitivity Response | 5 | submitted | EID12216In the phase 3 GLOW trial (NCT03653507), 507 patients with CLDN18.2-positive gastric or gastroesophageal junction adenocarcinoma were randomized 1:1 to receive either zolbetuximab combined with CAPOX … (full text at CIViC) PMID 37524953 · Shah et al., 2023 · Open in CIViC | civic |
| FOLFOX-6 Regimen + ZolbetuximabCombination | Gastric Adenocarcinoma | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID12215In the phase 3 SPOTLIGHT trial (NCT03504397), 565 patients with gastroesophageal junction adenocarcinoma were randomized to receive either zolbetuximab combined with mFOLFOX6 (n=283) or placebo with m… (full text at CIViC) PMID 37068504 · Shitara et al., 2023 · Open in CIViC | civic |
| CXCR4 EXPRESSION1 | ||||||||
| Docetaxel | Gastric Adenocarcinoma | Predictive | B | Supports Resistance | 2 | accepted | EID949CXCR4 expression as assessed by microarray analysis, was associated with resistance to docetaxel in 11 cancer cell lines (R^2 = 0.23, p = 0.019). Expression levels (by qtPCR) were also higher in resis… (full text at CIViC) PMID 20651371 · Xie et al., 2010 · Open in CIViC | civic |
| DNMT1 EXPRESSION1 | ||||||||
| Cisplatin | Gastric Adenocarcinoma | Predictive | B | Supports Resistance | 3 | accepted | EID946High DNMT1 expression was found in 105/127 (83%) or patients (by qPCR assay). Low DNMT1 expression was associated with improved histopathological and clinical response and OS in patients with gastric … (full text at CIViC) PMID 21458988 · Mutze et al., 2011 · Open in CIViC | civic |
| EGFR Amplification2 | ||||||||
| (prognostic) | Barrett AdenocarcinomaALIAS | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID470In patients with Barrett's adenocarcinoma, those with amplification of EGFR had shorter disease-specific survial. PMID 20840671 · Marx et al., 2010 · Open in CIViC | civic |
| Cetuximab | Gastric Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID6927This retrospective analysis of a Phase 2 trial shows significant association between increased EGFR gene copy number (≥ 4.0) and overall survival (OS) in patients with gastric and oesophago-gastric ju… (full text at CIViC) PMID 22152101 · Luber et al., 2011 · Open in CIViC | civic |
| EGFR Amplification + SEPTIN14 FusionSEPTIN14EGFR1 | ||||||||
| (oncogenic) | Gastric Adenocarcinoma | Oncogenic | C | Supports Oncogenicity | 2 | submitted | EID11003A case report of a 49 year old female with gastric signet ring cell carcinoma, in whom a genomic screen of cf tumour DNA revealed an EGFR::SEPT14 fusion at a VAF of 45.3%. The fusion was confirmed by … (full text at CIViC) PMID 33969073 · Kim et al., 2021 · Open in CIViC | civic |
| EGFR L861Q1 | ||||||||
| Afatinib | Esophageal Squamous Cell CarcinomaALIAS | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID9679This retrospective preclinical study assessed the efficacy of afatinib towards esophageal squamous cell carcinoma (ESCC) cell lines expressing EGFR L861Q mutation. In one experiment, a ESCC KYSE270 EG… (full text at CIViC) PMID 27207775 · Nakamura et al., 2016 · Open in CIViC | civic |
| EGFR Overexpression4 | ||||||||
| (prognostic) | Esophageal Squamous Cell CarcinomaALIAS | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID78455 tumor samples were analyzed for EGFR expression using IHC. PFS and OS was shorter for the EGFR high expressing group (18 pts) than for the low to moderate expression group (37 pts). PFS: 5.8 ± 0.5 … (full text at CIViC) PMID 26459251 · Jia et al., 2016 · Open in CIViC | civic |
| Unspecified therapy | Esophageal Squamous Cell CarcinomaALIAS | Predictive | B | Does Not Support Sensitivity Response | 3 | rejected | EID833Expression of EGFR in 55 samples of esophageal squamous cell carcinoma with IHC was not predictive of response to EGFR inhibitor nimotuzumab. EGFR overexpression was related to poor OS and PFS. PMID 26459251 · Jia et al., 2016 · Open in CIViC | civic |
| (prognostic) | Esophageal Squamous Cell CarcinomaALIAS | |||||||
| EGFR Y69FS*111 | ||||||||
| Erlotinib | Esophageal Squamous Cell CarcinomaALIAS | Predictive | D | Supports Resistance | — | submitted | EID4808In an in vitro study, an esophageal squamous cell carcinoma cell line KYSE70 expressing EGFR Y69fs*11 mutation was associated with insensitivity to erlotinib treatment (IC50=4.31uM). Resistance was de… (full text at CIViC) PMID 27207775 · Nakamura et al., 2016 · Open in CIViC | civic |
| EIF4EBP1 PHOSPHORYLATION1 | ||||||||
| Everolimus | Gastric Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID9188 gastric cancer cell lines were treated with the MTOR inhibitor everolimus. Cell proliferation was effectively inhibited in 3 cell lines by everolimus. Phosphorylated EIF4EBP1 (T37/46, T70) levels we… (full text at CIViC) PMID 23340172 · Nishi et al., 2013 · Open in CIViC | civic |
| EP300 Y1414C1 | ||||||||
| (oncogenic) | Esophageal Squamous Cell CarcinomaALIAS | Oncogenic | D | Supports Oncogenicity | 2 | submitted | EID9573Mutations in histone modifier genes were analyzed in exome sequence data from 113 esophageal squamous cell carcinoma tumors. KYSE-150 and KYSE-450 ESCC cell lines were depleted of EP300 using shRNA, t… (full text at CIViC) PMID 25151357 · Gao et al., 2014 · Open in CIViC | civic |
| ERBB2 Amplification6 | ||||||||
| Lapatinib | Gastric Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID1023TyTAN, a Phase III study in Asian patients, looked at addition of tyrosine kinase inhibitor lapatinib to chemptherapy in advanced HER2 positive gastric cancer. Primary endpoint was Overall Survival (… (full text at CIViC) PMID 24868024 · Satoh et al., 2014 · Open in CIViC | civic |
| Chemotherapy + Pembrolizumab + TrastuzumabCombination | Gastroesophageal Junction Adenocarcinoma | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID11252In this randomized, double-blind, placebo-controlled, Phase III trial, 264 patients were enrolled with histologically or cytologically confirmed diagnoses of previously untreated, locally advanced, un… (full text at CIViC) PMID 34912120 · Janjigian et al., 2021 · Open in CIViC | civic |
| Trastuzumab | Gastric Adenocarcinoma | |||||||
| ERBB2 Overexpression2 | ||||||||
| Ramucirumab | Gastroesophageal Junction Adenocarcinoma | Predictive | B | Does Not Support Reduced Sensitivity | 2 | submitted | EID7064Given that some results in HER2 gastroesophageal cancer have shown that after first line trastuzumab, second line chemotherapy with trastuzumab (CT) is superior to chemotherapy alone, the authors comp… (full text at CIViC) | civic |
| Trastuzumab | Gastroesophageal Junction Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID7062In a retrospective study of Chinese patients with advanced HER2 positive gastric or gastro-esophageal junction (GEJ) cancer who had progressed on first line trastuzumab, continuation (n = 19) versus … (full text at CIViC) | civic |
| ERBB2 R678Q3 | ||||||||
| Nivolumab | Gastric Adenocarcinoma | Predictive | B | Does Not Support Resistance | 2 | accepted | EID13140In a retrospective cohort of gastric or gastroesophageal junction adenocarcinoma (n = 3116; ERBB2 R678Q n = 40), ERBB2 R678Q did not show a significant association with resistance to nivolumab-contain… (full text at CIViC) PMID 40699829 · Suzuki et al., 2025 · Open in CIViC | civic |
| Oxaliplatin | Gastric Adenocarcinoma | Predictive | B | Supports Resistance | 3 | accepted | EID13138In a retrospective cohort of gastric or gastroesophageal junction adenocarcinoma (n = 3116; ERBB2 R678Q n = 40), ERBB2 R678Q was associated with reduced response to oxaliplatin-based regimens compared… (full text at CIViC) PMID 40699829 · Suzuki et al., 2025 · Open in CIViC | civic |
| Ramucirumab | Gastric Adenocarcinoma | Predictive | B | Does Not Support Resistance | 2 | |||
| ERBB3 D297Y1 | ||||||||
| Afatinib + Cetuximab + ErlotinibSubstitutes | Esophageal Squamous Cell CarcinomaALIAS | Predictive | D | Does Not Support Sensitivity Response | 2 | submitted | EID9675In an in vitro study, an esophageal squamous cell carcinoma (ESCC) cell line KYSE150 expressing ERBB3 (HER3) D297Y mutation was associated with insensitivity to cetuximab, afatinib, and erlotinib trea… (full text at CIViC) PMID 27207775 · Nakamura et al., 2016 · Open in CIViC | civic |
| FGFR1 Expression1 | ||||||||
| Infigratinib | Gastric Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID800FGFR inhibitor BGJ398 was most effective in a gastric cancer cell line model with high expression of FGFR1 and FGFR2IIIc. PMID 26637881 · Schmidt et al., 2015 · Open in CIViC | civic |
| FGFR2 Amplification2 | ||||||||
| Futibatinib | Gastric Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 1 | submitted | EID11637In a phase 1 multihistology trial of the FGFR1/2/3/4 inhibitor futibatinib, an objective response rate of 13.7% was seen with responses in a broad spectrum of tumors and across a broad spectrum of FGF… (full text at CIViC) PMID 34551969 · Meric-Bernstam et al., 2022 · Open in CIViC | civic |
| Sorafenib | Gastric Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID13276Three FGFR2-amplified gastric cancer cell lines showed submicromolar sensitivity to sorafenib in growth-inhibition assays: HSC-43, HSC-39, and KATOIII had IC50 values of 0.8, 0.6, and 0.4 μM, respecti… (full text at CIViC) PMID 22890726 · Arao et al., 2013 · Open in CIViC | civic |
| TACC3 Fusion2 | ||||||||
| Unspecified therapy | Esophageal Squamous Cell CarcinomaALIAS | Predictive | B | Does Not Support Sensitivity Response | 3 | rejected | EID2962In this report, Mizukami et al. explored major FGFR1, FGFR2, and FGFR3 fusion transcripts in ESCC and GC specimens (n = 74 and 114, respectively) using a most comprehensive next-generation sequencing … (full text at CIViC) PMID 27771611 · Mizukami et al., 2017 · Open in CIViC | civic |
| Futibatinib | Gastric Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 1 | submitted | EID11638In a phase 1 multihistology trial of the FGFR1/2/3/4 inhibitor futibatinib, an objective response rate of 13.7% was seen with responses in a broad spectrum of tumors and across a broad spectrum of FGF… (full text at CIViC) PMID 34551969 · Meric-Bernstam et al., 2022 · Open in CIViC | civic |
| HSPH1 NUCLEAR EXPRESSION2 | ||||||||
| (prognostic) | Gastric Adenocarcinoma | Prognostic | B | Supports Poor Outcome | 2 | accepted | EID1162HSP110 (HSPH1) expression was immunohistochemically assessed using a tissue microarray in 210 gastric cancer patients. The overall survival rate was significantly lower in patients with high nuclear e… (full text at CIViC) PMID 26943774 · Kimura et al., 2016 · Open in CIViC | civic |
| Cisplatin + FluorouracilSubstitutes | Gastric Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 1 | accepted | EID116349 patients gastric cancer patients treated with adjuvant chemotherapy were immunohistochemically assessed for nuclear HSPH1 (HSP110) expression. Overall survival rate in the high expression group (2+… (full text at CIViC) PMID 26943774 · Kimura et al., 2016 · Open in CIViC | civic |
| IL6 Overexpression1 | ||||||||
| Cisplatin | Esophageal Carcinoma | Predictive | D | Supports Resistance | 3 | submitted | EID7851Two human esophageal squamous cell carcinoma cell lines, KYSE170 and TE13, were transfected with the IL6 gene. These cell lines produced 5-6 fold (KYSE170) and 16-17 fold (TE13) IL6 compared to contr… (full text at CIViC) PMID 21273582 · Suchi et al., 2011 · 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 |
| 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 |
Data updated 23 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.
| Prognostic |
| B |
| Supports Poor Outcome |
| 3 |
| rejected |
EID834Overexpression of EGFR in 55 samples of esophageal squamous cell carcinoma as assesesed by IHC, was related to poor OS and PFS (PFS: 5.8 ± 0.5 vs. 11.0 ± 2.8 months, P = 0.007; OS: 9.7 ± 0.5 vs. 21.5… (full text at CIViC) PMID 26459251 · Jia et al., 2016 · Open in CIViC |
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| Nimotuzumab | Esophageal Squamous Cell CarcinomaALIAS | Predictive | B | Does Not Support Sensitivity Response | 3 | accepted | EID78355 tumor samples were analyzed for EGFR expression using IHC. The objective response rate to anti-EGFR antibody nimotuzumab did not differ significantly between EGFR high- (18 pts) and EGFR low to mod… (full text at CIViC) PMID 26459251 · Jia et al., 2016 · Open in CIViC | civic |
| A |
| Supports Sensitivity Response |
| 4 |
| accepted |
EID1499ToGA, a Phase III study (NCT01041404) addressed use of trastuzumab in HER2 positive (overexpression or amplification) advanced gastric cancer, where chemotherapy using fluoropyrimidine-based and plati… (full text at CIViC) PMID 20728210 · Bang et al., 2010 · Open in CIViC |
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| 〃 | Gastroesophageal Junction Adenocarcinoma | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID11254In this open-label, randomized, phase II trial, 187 patients with HER2-positive gastric or gastroesophageal junction (GEJ) adenocarcinoma that had progressed while they were receiving at least two pre… (full text at CIViC) PMID 32469182 · Shitara et al., 2020 · Open in CIViC | civic |
| 〃 | Gastric Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID1022ToGA, a Phase III study (NCT01041404) addressed use of trastuzumab in HER2 positive advanced gastric cancer, where chemotherapy using fluoropyrimidine-based and platinum-based combinations had been co… (full text at CIViC) PMID 20728210 · Bang et al., 2010 · Open in CIViC | civic |
| Chemotherapy + TrastuzumabCombination | Gastroesophageal Junction Adenocarcinoma | Predictive | A | Supports Sensitivity Response | 5 | submitted | EID11256In this phase 3, open-label, randomized controlled trial, 594 patients (584 in the primary analysis) with HER2-positive amplification or overexpression gastric or gastroesophageal junction adenocarcin… (full text at CIViC) PMID 20728210 · Bang et al., 2010 · Open in CIViC | civic |
| accepted |
EID13139In a retrospective cohort of gastric or gastroesophageal junction adenocarcinoma (n = 3116; ERBB2 R678Q n = 40), ERBB2 R678Q did not show a significant association with resistance to ramucirumab-conta… (full text at CIViC) PMID 40699829 · Suzuki et al., 2025 · Open in CIViC |
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| 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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