Subtype
Gastric Carcinoma
CI-CAN-00002732Explore in graph →
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Subtype
CI-CAN-00002732Explore in graph →
Variants & evidence
49 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 |
| 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 |
| CD274 Expression1 | ||||||||
| (prognostic) | Gastric CarcinomaALIAS | Prognostic | B | Supports Better Outcome | 3 | accepted | EID1275465 gastric cancer samples and 15 corresponding liver metastases underwent IHC for PD1/PD-L1 protein expression. PD-L1 positivity in tumor cells was defined by at least 2% tumor cells with membranous … (full text at CIViC) PMID 27009855 · Böger et al., 2016 · Open in CIViC | civic |
| CDH1 MUTATION1 | ||||||||
| (prognostic) | Gastric CarcinomaALIAS | Prognostic | E | Supports Poor Outcome | 2 | accepted | EID1682285 intestinal-type tumors and 183 diffuse-type tumors were evaluated for mutational profiles. CDH1 mutations are associated with diffuse type mucinous gastric carcinoma, which indicate worse prognos… (full text at CIViC) PMID 27313181 · Rokutan 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 Amplification1 | ||||||||
| 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 |
| 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 |
| ERBB2 Amplification3 | ||||||||
| 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 |
| Trastuzumab | Gastric Adenocarcinoma | Predictive | 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 | civic |
| 〃 | Gastric Adenocarcinoma | Predictive | B | Supports Sensitivity Response | ||||
| 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 | |||
| 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 Amplification3 | ||||||||
| Fexagratinib | Gastric CarcinomaALIAS | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID1990Nine patients with FGFR2-amplified gastroesophageal cancer were treated with AZD4547. Of these 9 patients, 3 showed confirmed responses to AZD4547. Median progression-free survival was 6.6 months (ra… (full text at CIViC) PMID 27179038 · Pearson et al., 2016 · Open in CIViC | civic |
| 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 | |||||
| TACC3 Fusion1 | ||||||||
| 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 |
| MET Amplification2 | ||||||||
| 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 | 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 | civic |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 Loss2 | ||||||||
| 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 | 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 | civic |
| RHOA MUTATION1 | ||||||||
| (prognostic) | Gastric CarcinomaALIAS | Prognostic | E | Supports Poor Outcome | 2 | accepted | EID1683285 intestinal-type tumors and 183 diffuse-type tumors were evaluated for mutational profiles. RHOA mutations are associated with diffuse type mucinous gastric carcinoma, which indicate worse prognos… (full text at CIViC) PMID 27313181 · Rokutan et al., 2016 · Open in CIViC | civic |
| RICTOR Amplification1 | ||||||||
| Vistusertib | Gastric Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID1915Tumor samples from 640 patients with metastatic solid tumors were prospectively analyzed with a next-generation sequencing assay to identify molecular targets. 13 (2%) of 640 patients had a RICTOR-aam… (full text at CIViC) PMID 28028034 · Kim et al., 2017 · Open in CIViC | civic |
| RPS6 PHOSPHORYLATION1 | ||||||||
| Everolimus | Gastric Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID93054 patients with advanced gastric cancer were treated with everolimus. Two patient responsed and potential biomarkers were explored. High pre-treatment expression of phosphorylated RPS6 (pS6; at Ser24… (full text at CIViC) PMID 22343617 · Yoon et al., 2012 · Open in CIViC | civic |
| SPRY2 UNDEREXPRESSION1 | ||||||||
| (prognostic) | Gastric Adenocarcinoma | Prognostic | B | Supports Poor Outcome | 3 | submitted | EID6455The correlation between FGFR2/SPRY2 and clinicopathologic factors was analyzed by Chi-square to screen the FGFR2/SPRY2-relevant factors. SPRY2 low expression was demonstrated to be significantly assoc… (full text at CIViC) PMID 28002800 · Xu et al., 2017 · Open in CIViC | civic |
| TP53 Mutation2 | ||||||||
| Chemotherapy | Gastric Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID850In this meta-analysis of 13 studies (564 patients) p53 positivity as defined by high protein expression and/or p53 mutation was associated with improved response to chemotherapy (risk ratio [RR] = 0.7… (full text at CIViC) PMID 24740294 · Xu et al., 2014 · Open in CIViC | civic |
| Cisplatin + Doxorubicin + EtoposideCombination | Gastric CarcinomaALIAS | Predictive | C | Supports Sensitivity Response | 1 | accepted | EID2820In a study of 25 patients with advanced gastric cancer, mutations in TP53 were identified in 32% of primary tumors. TP53 mutations were associated with an improved response to preoperative treatment o… (full text at CIViC) PMID 14514923 · Bataille et al., 2003 · Open in CIViC | civic |
| TP53 R175H1 | ||||||||
| EAP Protocol | Gastric CarcinomaALIAS | Predictive | C | Supports Sensitivity Response | — | accepted | EID2310In a study of 25 patients with advanced gastric cancer, mutations in TP53 were identified in 32% of primary tumors. TP53 mutations were associated with an improved response to preoperative treatment o… (full text at CIViC) PMID 14514923 · Bataille et al., 2003 · Open in CIViC | civic |
| TP53 R213P1 | ||||||||
| EAP Protocol | Gastric CarcinomaALIAS | Predictive | C | Supports Sensitivity Response | — | accepted | EID2819In a study of 25 patients with advanced gastric cancer, mutations in TP53 were identified in 32% of primary tumors. TP53 mutations were associated with an improved response to preoperative treatment o… (full text at CIViC) PMID 14514923 · Bataille et al., 2003 · Open in CIViC | civic |
| TP53 R273C1 | ||||||||
| Cisplatin + Etoposide + MitomycinCombination | Gastric CarcinomaALIAS | Predictive | C | Does Not Support Sensitivity Response | 3 | accepted | EID2292A female patient taking part in a 25 patient gastric cancer trial was diagnosed at age 46, and received preoperative high dose chemotherapy (HDCT). Japanese Society for Gastric Cancer Response Score w… (full text at CIViC) PMID 14514923 · Bataille et al., 2003 · Open in CIViC | civic |
| TP53 R282L1 | ||||||||
| EAP Protocol | Gastric CarcinomaALIAS | Predictive | C | Supports Sensitivity Response | — | accepted | EID2818In a study of 25 patients with advanced gastric cancer, mutations in TP53 were identified in 32% of primary tumors. TP53 mutations were associated with an improved response to preoperative treatment o… (full text at CIViC) PMID 14514923 · Bataille et al., 2003 · Open in CIViC | civic |
| TP53 Y220C1 | ||||||||
| Cisplatin + Etoposide + MitomycinCombination | Gastric CarcinomaALIAS | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID2306A male patient taking part in a 25 patient gastric cancer trial was diagnosed at age 50, harbored a TP53 mutation and received preoperative high dose chemotherapy (HDCT). Japanese Society for Gastric … (full text at CIViC) PMID 14514923 · Bataille et al., 2003 · Open in CIViC | civic |
| TYMS Overexpression1 | ||||||||
| Raltitrexed | Gastric Adenocarcinoma | Predictive | B | Supports Resistance | 2 | accepted | EID929In 125 gastric tumors, plasma and tissue mRNA levels of TYMS were lower in the raltitrexed sensitive group compared to the resistant group (p = 0.007 and 0.013, respectively). PMID 22422354 · Shen et al., 2012 · 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.
| 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 |
| 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 |
| civic |
| 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 |