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Variants & evidence
242 evidence items mapped to this entity or its descendants, grouped by molecular profile, then therapy. 50 items per page.
| Therapy | Type | Level | Direction · significance | Rating (1–5) | Status | Evidence | Source |
|---|---|---|---|---|---|---|---|
| KIT W557_V559insC1 | |||||||
| Sunitinib | Predictive | C | Supports Resistance | — | submitted | EID4461In a retrospective study of 1124 sunitinib-treated gastrointestinal stromal tumor patients, patients with primary KIT exon 11 mutations (n=143) were associated with decreased progression free surviva… (full text at CIViC) PMID 26772734 · Reichardt et al., 2016 · Open in CIViC | civic |
| KIT Wildtype1 | |||||||
| Regorafenib Anhydrous | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID4144This phase II clinical trial of regorafenib (NCT01068769) examined the long term safety and efficacy of regorafenib in patients with metastatic and/or unresectable gastrointestinal stromal tumors (GIS… (full text at CIViC) PMID 27371698 · Ben-Ami et al., 2016 · Open in CIViC | civic |
| KIT Y503_F504insAY1 | |||||||
| Imatinib | Predictive | B | Supports Sensitivity Response | — | submitted | EID2394Patients with exon 9 mutations treated with a higher dose of imatinib (800mg vs. 400 mg daily) experienced improved progression-free survival compared to those treated with the standard dose (HR:0.392… (full text at CIViC) PMID 16624552 · Debiec-Rychter et al., 2006 · Open in CIViC | civic |
| KIT Y553D1 | |||||||
| Imatinib | Predictive | D | Supports Sensitivity Response | — | submitted | EID2407Molecular models predict that deletion of a portion of the juxtamembrane domain relieves steric hindrance and results in higher binding affinity for imatinib. PMID 21364689 · Pierotti et al., 2011 · Open in CIViC | civic |
| KIT Y553_K558DEL3 | |||||||
| Imatinib | Predictive | D | Supports Sensitivity Response | — | submitted | EID2410Molecular models predict that deletion of a portion of the juxtamembrane domain relieves steric hindrance and results in higher binding affinity for imatinib. PMID 21364689 · Pierotti et al., 2011 · Open in CIViC | civic |
| Sunitinib | Predictive | C | Supports Resistance | — | submitted | EID4067In a phase 1/2 trial of 97 gastrointestinal stromal tumor patients, patients with KIT exon 11 mutations (44/77) treated with sunitinib were associated with shorter progression free survival (5.1mo vs.… (full text at CIViC) PMID 18955458 · Heinrich et al., 2008 · Open in CIViC | civic |
| 〃 | Predictive | C | Supports Resistance | — | submitted | EID4068In a retrospective study of 1124 sunitinib-treated gastrointestinal stromal tumor patients, patients with primary KIT exon 11 mutations (n=143) were associated with decreased progression free surviva… (full text at CIViC) | |
| KIT Y553_W557DELYEVQW1 | |||||||
| Sunitinib | Predictive | C | Supports Sensitivity Response | — | submitted | EID4577In a retrospective study, a Chinese gastrointestinal stromal tumor patient harboring KIT Y553_W557delYEVQW deletion mutation (n=1/2) was associated with improved response to sunitinib treatment after … (full text at CIViC) PMID 23456621 · Gao et al., 2013 · Open in CIViC | civic |
| KIT Y570_L576DEL2 | |||||||
| Sunitinib | Predictive | C | Supports Resistance | — | submitted | EID4586In a phase 1/2 trial of 97 gastrointestinal stromal tumor patients, patients with KIT exon 11 mutations (44/77) treated with sunitinib were associated with shorter progression free survival (5.1mo vs.… (full text at CIViC) PMID 18955458 · Heinrich et al., 2008 · Open in CIViC | civic |
| 〃 | Predictive | C | Supports Resistance | — | submitted | EID4587In a retrospective study of 1124 sunitinib-treated gastrointestinal stromal tumor patients, patients with primary KIT exon 11 mutations (n=143) were associated with decreased progression free surviva… (full text at CIViC) PMID 26772734 · Reichardt et al., 2016 · Open in CIViC | civic |
| KIT Y823D1 | |||||||
| Imatinib | Predictive | C | Supports Resistance | 3 | accepted | EID2919147 patients with advanced, unresectable GISTs were enrolled onto a randomized, phase II clinical study of imatinib (CSTI571-B2222). Specimens from 43 pretreatment and/or imatinib-resistant tumors wer… (full text at CIViC) PMID 16954519 · Heinrich et al., 2006 · Open in CIViC | civic |
| NTRK3 F617L1 | |||||||
| Larotrectinib | Predictive | C | Supports Resistance | 2 | accepted | EID9592A 58-year-old male with NTRK-fusion positive gastrointestinal stromal tumour (GIST) demonstrated initial response to Larotrectinib but progressed after developing a gatekeeper mutation (TRKC F617L). PMID 30624546 · Hong et al., 2019 · Open in CIViC | civic |
| PDGFRA D842I1 | |||||||
| Crenolanib | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID43In CHO cells with PDGFRA D842I mutation that have shown imatinib resistance, crenolanib was significantly more potent at inhibiting kinase activity than imatinib. PMID 22745105 · Heinrich et al., 2012 · Open in CIViC | civic |
| PDGFRA D842_I843delinsVM1 | |||||||
| Crenolanib | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID47In CHO cells with PDGFRA DI842-843VM mutation that have shown imatinib resistance, crenolanib was significantly more potent at inhibiting kinase activity than imatinib. PMID 22745105 · Heinrich et al., 2012 · Open in CIViC | civic |
| PDGFRA D842_M844del1 | |||||||
| Dasatinib | Predictive | D | Supports Sensitivity Response | — | submitted | EID4511In an in vitro study, Ba/F3 cells expressing PDGFRA D842_M844delDIM mutation were associated withsensitivity to dasatinib treatment.(IC50: 10nM). Sensitivity was determined by assessing cell prolifera… (full text at CIViC) PMID 18794084 · Dewaele et al., 2008 · Open in CIViC | civic |
| PDGFRA D842V13 | |||||||
| (diagnostic) | Diagnostic | B | Supports Negative | 3 | accepted | EID2GIST tumors harboring PDGFRA D842V mutation are more likely to be benign than malignant. PMID 15146165 · Lasota et al., 2004 · Open in CIViC | civic |
| Avapritinib | Predictive | B | Supports Sensitivity Response | 4 | submitted | EID7479In a phase 2 trial, patients with gastrointestinal stromal tumor (GIST) harboring with PDGFRA D842V or other exon 18 mutation were treated with Avapritinib which have broad activity against oncogenic … (full text at CIViC) | civic |
| Crenolanib | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID44In CHO cells with PDGFRA D842V mutation that have shown imatinib resistance, crenolanib was significantly more potent at inhibiting kinase activity than imatinib. PMID 22745105 · Heinrich et al., 2012 · Open in CIViC | civic |
| PDGFRA D842Y1 | |||||||
| Crenolanib | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID45In CHO cells with PDGFRA D842Y mutation that have shown imatinib resistance, crenolanib was significantly more potent at inhibiting kinase activity than imatinib. PMID 22745105 · Heinrich et al., 2012 · Open in CIViC | civic |
| PDGFRA Exon 18 Mutation2 | |||||||
| Avapritinib | Predictive | A | Supports Sensitivity Response | 3 | submitted | EID7809In phase I NAVIGATOR trial (NCT02508532) took part 43 patients with GIST harboring a PDGFRA exon 18 mutation, including 38 patients with PDGFRA D842V mutation.For patients harboring a PDGFRA exon 18 … (full text at CIViC) PMID 30274985 · Gebreyohannes et al., 2019 · Open in CIViC | civic |
| Imatinib | Predictive | C | Does Not Support Sensitivity Response | 1 | accepted | EID2486These four patients were part of a larger cohort of 397 patients with incurable (i.e. metastatic or unresectable) CD117-positive Gastrointestinal stromal tumors (GISTs) enrolled in the North American … (full text at CIViC) PMID 18955451 · Heinrich et al., 2008 · Open in CIViC | civic |
| PDGFRA I843DEL2 | |||||||
| Crenolanib | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID46In CHO cells with the PDGFRA deletion I843 mutation that have shown imatinib sensitivity, crenolanib showed no significant difference from imatinib in kinase activity inhibition. PMID 22745105 · Heinrich et al., 2012 · Open in CIViC | civic |
| Imatinib | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID130915/127 patients with KIT-WT metastatic gastrointestinal stromal tumors were tested for PDGFRA mutations. 6 GISTs harbored PDGFRA mutations. 1 patient had a deletion of I843. CHO cells expressing this … (full text at CIViC) PMID 14645423 · Heinrich et al., 2003 · Open in CIViC | civic |
| PDGFRA L579M1 | |||||||
| Sunitinib | Predictive | C | Supports Sensitivity Response | — | submitted | EID4575In a retrospective study of 23 Taiwanese gastrointestinal stromal tumor patients, a patient with PDGFRA exon 18 mutation (n=1/21) was associated with partial response to sunitinib treatment. PMID 21547131 · Chen et al., 2011 · Open in CIViC | civic |
| PDGFRA Mutation4 | |||||||
| Imatinib | Predictive | B | Supports Sensitivity Response | 1 | submitted | EID11331In this retrospective survey among referral centers and collaborative groups with experience in conducting clinical studies in sarcoma and/or GISTs in Europe, 58 patients were included with advanced P… (full text at CIViC) PMID 22718859 · Cassier et al., 2012 · Open in CIViC | civic |
| 〃 | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID2487This prospective study of 127 patients with metastatic gastrointestinal stromal tumors (GISTs) examined the relationship between kinase (KIT and PDGFRA) genotype and treatment outcome for patients enr… (full text at CIViC) PMID 14645423 · Heinrich et al., 2003 · Open in CIViC | civic |
| Regorafenib Anhydrous | Predictive | A | Supports Sensitivity Response | 4 | rejected | EID11332In this phase III trial, 240 patients with histologically confirmed, metastatic or unresectable GIST, with failure of at least previous imatinib and sunitinib were randomized in 2:1 to receive either … | |
| PDGFRA V561A1 | |||||||
| Imatinib | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID652293T cells stably transduced with PDGFRA V561A showed constitutive tyrosine phosphorylation in the absense of ligand; however, when treated with imatinib, this phosphorylation was inhibited similarly … (full text at CIViC) PMID 12949711 · Hirota et al., 2003 · Open in CIViC | civic |
| PDGFRA V561D1 | |||||||
| Imatinib | Predictive | C | Supports Sensitivity Response | 1 | accepted | EID2474This case study examines one patient from a larger cohort of 397 patients with incurable (i.e. metastatic or unresectable) CD117-positive Gastrointestinal stromal tumors (GISTs) enrolled in the North … (full text at CIViC) PMID 18955451 · Heinrich et al., 2008 · Open in CIViC | civic |
| PDGFRA W559_R560DELWR1 | |||||||
| Sunitinib | Predictive | C | Supports Sensitivity Response | — | submitted | EID4574In a gastrointestinal stromal tumor patient harboring PDGFRA W559_R560delWR in-frame deletion mutation, PDGFRA W559_R560delWR was reported to be sensitive to sunitinib treatment. The patient was treat… (full text at CIViC) PMID 26396737 · Brohl et al., 2015 · Open in CIViC | civic |
| RET C634W1 | |||||||
| Regorafenib Anhydrous | Predictive | D | Supports Sensitivity Response | — | submitted | EID3695In an in vitro study, a TT cell line expressing RET C634W mutation demonstrated increased sensitivity to regorafenib treatment (IC50: 34nM vs. 560-3269nM) compared to HepG2, SW620, Colo-205 or A375 ce… (full text at CIViC) PMID 21170960 · Wilhelm et al., 2011 · Open in CIViC | civic |
Data updated 14 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.
PMID 26772734 · Reichardt et al., 2016 · Open in CIViC
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| Dasatinib | Predictive | D | Supports Sensitivity Response | — | submitted | EID4057In an in vitro study, gastrointestinal tumor (GIST) cells (endogenous expression) and Ba/F3 murine cells (overexpression) with the PDGFRA D842V mutation were associated with sensitivity to dasatinib t… (full text at CIViC) PMID 18794084 · Dewaele et al., 2008 · Open in CIViC | civic |
| Imatinib | Predictive | A | Does Not Support Sensitivity Response | 3 | submitted | EID11545In this retrospective survey of clinical studies in sarcoma and/or GISTs in Europe, 58 patients were included with advanced PDGFRA-mutant GISTs treated with imatinib for advanced disease. The primary … (full text at CIViC) PMID 22718859 · Cassier et al., 2012 · Open in CIViC | civic |
| 〃 | Predictive | B | Supports Resistance | 4 | accepted | EID15GIST cancer with D842V mutation is resistant to imatinib. PMID 15928335 · Corless et al., 2005 · Open in CIViC | civic |
| 〃 | Predictive | B | Supports Resistance | 4 | accepted | EID16While cancer with PDGFRA V561D mutation is known to be sensitive to Imatinib, double mutation of V561D and D842V mutants are resistant to imatinib. PMID 16954519 · Heinrich et al., 2006 · Open in CIViC | civic |
| 〃 | Predictive | B | Supports Resistance | 4 | accepted | EID738823 patients with GIST under therapy with imatinib were genotyped for this study. 18 patients (2%) with PDGFRA mutations were identified. In D842V-mutant GISTs, PFS (median 3.8 months) and OS (median … (full text at CIViC) PMID 26130666 · Yoo et al., 2016 · Open in CIViC | civic |
| 〃 | Predictive | C | Supports Resistance | 2 | accepted | EID2478This prospective study of 127 patients with metastatic gastrointestinal stromal tumors (GISTs) examined the relationship between kinase (KIT and PDGFRA) genotype and treatment outcome for patients enr… (full text at CIViC) PMID 14645423 · Heinrich et al., 2003 · Open in CIViC | civic |
| 〃 | Predictive | D | Supports Resistance | 3 | accepted | EID651When 293T cells stably transduced with PDGFRA A842V were treated with imatinib, tyrosine phosphorylation was maintained at 1 and 10umol/L concentrations that inhibited phosphorylation of wildtype PDGF… (full text at CIViC) PMID 12949711 · Hirota et al., 2003 · Open in CIViC | civic |
| Sunitinib | Predictive | B | Supports Resistance | 3 | submitted | EID4058In a prospective study of 137 gastrointestinal stromal tumor patients who failed imatinib treatment, patients with PDGFRA mutation (12/89; 11/12 tumors genotyped as D842V) treated with sunitinib were… (full text at CIViC) PMID 22439647 · Rutkowski et al., 2012 · Open in CIViC | civic |
| 〃 | Predictive | C | Supports Resistance | 3 | accepted | EID4597Patients 29 and 66 from a larger cohort of genotyped patients (n= 78) with imatinib resistant or intolerant gastrointestinal stromal tumors (GISTs) harbored a primary (pre-imatinib treatment) PDGFRA D… (full text at CIViC) PMID 18955458 · Heinrich et al., 2008 · Open in CIViC | civic |
| 〃 | Predictive | D | Supports Resistance | — | submitted | EID4059In an in vitro study, Ba/F3 cells expressing PDGFRA D842V mutation (overexpression) demonstrated resistance to sunitinib treatment. Sensitivity was determined by assessing PDGFRA auto-phosphorylation … (full text at CIViC) PMID 16638875 · Prenen et al., 2006 · Open in CIViC | civic |
PMID 23177515 · Demetri et al., 2013 · Open in CIViC
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| Ripretinib | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID11333In this phase III trial, 154 assessed patients with advanced gastrointestinal stromal tumours with progression on at least imatinib, sunitinib, and regorafenib or documented intolerance to any of thes… (full text at CIViC) PMID 32511981 · Blay et al., 2020 · Open in CIViC | civic |