Cancer Family
Genitourinary System Neoplasm
CI-CAN-00000018Explore in graph →
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- C156482
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Cancer Family
CI-CAN-00000018Explore in graph →
Variants & evidence
684 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 |
|---|---|---|---|---|---|---|---|---|
| MLH1 G606FS*21 | ||||||||
| (oncogenic) | Malignant Endometrial NeoplasmCURATED_BROADER | Oncogenic | C | Supports Oncogenicity | 1 | accepted | EID1793MLH1 G606fs*2 (c.1816_1817del), identified in a case of microsatellite-unstable endometrial cancer, was confirmed to be somatic in a 46 year old female patient (sLS-1) with suspected Lynch Syndrome (L… (full text at CIViC) PMID 25111426 · Geurts-Giele et al., 2014 · Open in CIViC | civic |
| MLH1 M490T1 | ||||||||
| (oncogenic) | Malignant Endometrial NeoplasmCURATED_BROADER | Oncogenic | C | Supports Oncogenicity | 1 | accepted | EID1833This variant (M490T), identified in a case of microsatellite-unstable endometrial cancer was confirmed to be somatic in a 69 year-old female patient with suspected Lynch Syndrome (LS). The patient was… (full text at CIViC) PMID 25111426 · Geurts-Giele et al., 2014 · Open in CIViC | civic |
| MRE11 Frameshift1 | ||||||||
| Olaparib | Malignant Prostate Neoplasm | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID1016One patient in a cohort of 50 patients with metastatic prostate cancer had a frameshift mutation in the MRE11, ATM, MLH3 and NBN genes and showed clinical response to PARP inhibitor olaparib (16 weeks… (full text at CIViC) PMID 26510020 · Mateo et al., 2015 · Open in CIViC | civic |
| MRE11 Loss2 | ||||||||
| Unspecified therapy | Malignant Prostate Neoplasm | Predictive | C | Supports Sensitivity Response | 2 | rejected | EID877One patient in a cohort of 50 patients with metastatic prostate cancer had a frameshift mutation in the MRE11 gene and showed clinical response to PARP inhibitor olaparib. PMID 26510020 · Mateo et al., 2015 · Open in CIViC | civic |
| Talazoparib | Malignant Endometrial NeoplasmCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID876One endometrial cell line with decreased MRE11 expression caused by a homozygous poly(T) mutation exhibited increased sensitivity to the PARP inhibitor BMN-673. Loss of MRE11 was identified in 30.7% o… (full text at CIViC) PMID 24927325 · Koppensteiner et al., 2014 · Open in CIViC | civic |
| MSH2 E483G1 | ||||||||
| (oncogenic) | Malignant Endometrial NeoplasmCURATED_BROADER | Oncogenic | C | Supports Oncogenicity | 1 | accepted | EID1837MSH2 E483G (c.1448A > G), identified in a case of microsatellite-unstable endometrial cancer was confirmed to be somatic in a 69 year old female patient (sLS-39) with suspected Lynch Syndrome (LS). Th… (full text at CIViC) PMID 25111426 · Geurts-Giele et al., 2014 · Open in CIViC | civic |
| MSH2 R383*1 | ||||||||
| (oncogenic) | Malignant Endometrial NeoplasmCURATED_BROADER | Oncogenic | C | Supports Oncogenicity | 1 | accepted | EID1790This variant (R383*), identified in two patients, was confirmed to be a somatic mutation in both patients' microsatellite-unstable tumors (39 year-old female with endometrial cancer & 34 year-old fema… (full text at CIViC) PMID 25111426 · Geurts-Giele et al., 2014 · Open in CIViC | civic |
| MSH6 V352I1 | ||||||||
| (oncogenic) | Malignant Endometrial NeoplasmCURATED_BROADER | Oncogenic | C | Supports Oncogenicity | 1 | accepted | EID1839This variant (V352I), identified in a case of microsatellite-unstable endometrial cancer, was confirmed to be somatic in a 69 year-old female patient with suspected Lynch Syndrome (LS). The patient wa… (full text at CIViC) PMID 25111426 · Geurts-Giele et al., 2014 · Open in CIViC | civic |
| High4 | ||||||||
| Carboplatin + Dostarlimab + PaclitaxelCombination | Malignant Endometrial NeoplasmCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 5 | submitted | EID12341A phase 3 randomized trial assessed dostarlimab or placebo (combined with carboplatin-paclitaxel) in 494 patients with recurrent or primary advanced (stage III/IV) endometrial cancer (RUBY trial). End… (full text at CIViC) PMID 36972026 · Mirza et al., 2023 · Open in CIViC | civic |
| 〃 | Malignant Endometrial NeoplasmCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 5 | submitted | EID12343A phase 3 randomized trial assessed dostarlimab or placebo (combined with carboplatin-paclitaxel) in 494 patients with recurrent or primary advanced (stage III/IV) endometrial cancer (RUBY trial). End… (full text at CIViC) PMID 38866180 · Powell et al., 2024 · Open in CIViC | civic |
| MTAP Deletion1 | ||||||||
| Pemetrexed | Bladder Urothelial Carcinoma | Predictive | B | Supports Sensitivity Response | 2 | submitted | EID12722In a single-arm phase II trial of pemetrexed in previously treated metastatic urothelial carcinoma selected for MTAP deficiency by IHC (NCT02693717; n = 7), 3 patients (42%) achieved ORR, with median … (full text at CIViC) PMID 35379845 · Alhalabi et al., 2022 · Open in CIViC | civic |
| MTHFR A222V1 | ||||||||
| (predisposing) | Prostate Adenocarcinoma | Predisposing | B | Supports Protectiveness | 4 | accepted | EID1756Study of 1817 prostate adenocarcinoma cases and 2026 cancer free controls to clarify the association of (MTHFR)c.677C>T (and c.1298A>C ) of prostate cancer risk in a population of Han Chinese in Shang… (full text at CIViC) PMID 27819322 · Wu et al., 2016 · Open in CIViC | civic |
| MTOR Gain-of-Function1 | ||||||||
| MTOR Inhibitor | Renal Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID5839In a retrospective study of 79 RCC patients treated with diverse rapalogs (mTOR inhibitors) inactivating TSC1 and TSC2-mutations and activating MTOR-mutations were significantly more common in respons… (full text at CIViC) PMID 26831717 · Kwiatkowski et al., 2016 · Open in CIViC | civic |
| MTOR Mutation1 | ||||||||
| Everolimus + PazopanibCombination | Bladder Carcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID705A case-study of a patient with urothelial carcinoma reported exceptional response (14 months) in a phase 1 study of Everolimus and Pazopanib. Mutations E2014K and E2419K were shown to be activating in… (full text at CIViC) PMID 24625776 · Wagle et al., 2014 · Open in CIViC | civic |
| MTOR Q2223K1 | ||||||||
| Temsirolimus | Clear Cell Renal Cell Carcinoma | Predictive | D | Supports Sensitivity Response | — | submitted | EID4522In an in vitro study, HEK293T cells expressing MTOR Q2223K, demonstrated sensitivity to temsirolimus treatment, comparable to HEK293T cells expressing wild-type MTOR. Sensitivity was determined by ass… (full text at CIViC) PMID 24622468 · Voss et al., 2014 · Open in CIViC | civic |
| ATM Loss + BRCA2 Loss + MUS81 Loss + NBN Loss + RAD51B LossRAD51BBRCA2MUS81NBNATM1 | ||||||||
| Olaparib | Malignant Ovarian Neoplasm | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID11728To test for genes associated with PARPi response, a literature review of 79 publications was done, followed by CRISPR-Cas9 cell competition assays in combination with olaparib treatment in six EOC cel… (full text at CIViC) PMID 36307400 · Coelho et al., 2022 · Open in CIViC | civic |
| NRAS Q61K1 | ||||||||
| Trametinib | Malignant Ovarian Serous TumorALIAS | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID8933One 56 year old female with advanced recurrent low grade serous ovarian cancer with NRAS Q61K mutation had a partial response to trametinib, with short follow-up. PMID 30809568 · Champer et al., 2019 · Open in CIViC | civic |
| NRAS Wildtype1 | ||||||||
| Cetuximab | Malignant Ovarian Neoplasm | Predictive | B | Does Not Support Sensitivity Response | 3 | submitted | EID11662In a clinical study of 49 patients, 29 patients with Ovarian Cancer and wild-type NRAS gene were treated with Cetuximab. After 16 weeks, no clinical activity was observed. A PFS of 8 weeks (95% CI, 6.… (full text at CIViC) PMID 33090333 · Fisher et al., 2020 · Open in CIViC | civic |
| NRG1 Expression1 | ||||||||
| Seribantumab | Malignant Ovarian Neoplasm | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID778An NRG1-ERBB3 autocrine signal-transducing loop was identified in a subset of ovarian cancers and cell lines. Disruption of this loop led to decreased cell-growth in-vitro and prolonged survival in-vi… (full text at CIViC) PMID 20227043 · Sheng et al., 2010 · Open in CIViC | civic |
| PALB2 Biallelic Inactivation1 | ||||||||
| Olaparib | Malignant Prostate Neoplasm | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID1963From 14 prostate cancer patients (88%) who had a response to olaparib, 7 patients had BRCA2 loss (4 with biallelic somatic loss, and 3 with germline mutations), 4 of 5 with had ATM aberrations and one… (full text at CIViC) PMID 26510020 · Mateo et al., 2015 · Open in CIViC | civic |
| PALB2 Mutation2 | ||||||||
| Olaparib | Castration-Resistant Prostate Carcinoma | Predictive | A | Supports Sensitivity Response | 4 | accepted | EID8504This randomized, open-label, phase 3 trial evaluated the PARP inhibitor olaparib in 387 men with metastatic castration-resistant prostate cancer (mCRPC) who had disease progression while receiving a n… (full text at CIViC) PMID 32343890 · de Bono et al., 2020 · Open in CIViC | civic |
| 〃 | Malignant Prostate Neoplasm | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID7474In a phase 2 trial, patients with metastatic castration-resistant prostate cancer harboring DNA damage repair (DDR) gene aberrations were treated with olaparib. In gene testing, samples from tumor tis… (full text at CIViC) | civic |
| PAX8 Expression1 | ||||||||
| (diagnostic) | Malignant Female Reproductive System NeoplasmALIAS | Diagnostic | A | Supports Positive | 4 | accepted | EID1716The authors explored the viability of PAX8 expression as a biomarker for differentiating mullerian from non-mullerian tumors. 74 tumors (37 Mullerian/37 non-Mullerian) were examined for PAX8 expressio… (full text at CIViC) PMID 24800185 · Heidarpour et al., 2014 · Open in CIViC | civic |
| PBRM1 Loss-of-function4 | ||||||||
| Atezolizumab + DurvalumabSubstitutes | Renal Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID7537Among 35 patients with clear cell RCC, loss-of-function mutation of PBRM1 were correlated with response to anti-PD-1 monotherapy (P = 0.012). It was confirmed in an independent validation cohort of 63… (full text at CIViC) PMID 29301960 · Miao et al., 2018 · Open in CIViC | civic |
| Ipilimumab | Renal Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID7301Among 35 patients with clear cell RCC, loss-of-function mutation of PBRM1 were correlated with response to anti-PD-1 monotherapy (P = 0.012). It was confirmed in an independent validation cohort of 6… (full text at CIViC) PMID 29301960 · Miao et al., 2018 · Open in CIViC | civic |
| Nivolumab | ||||||||
| PBRM1 Mutation4 | ||||||||
| (prognostic) | Clear Cell Renal Cell Carcinoma | Prognostic | B | Supports N/A | 3 | accepted | EID420In renal clear cell carcinoma, patients with PBRM1 mutations did not have a significantly different cancer specific survival. PMID 23620406 · Hakimi et al., 2013 · Open in CIViC | civic |
| 〃 | Renal Cell CarcinomaCURATED_BROADER | Prognostic | B | Supports Better Outcome | 3 | accepted | EID499In patients with sporatic clear cell renal cell carcinoma, those with mutations in PBRM1 had better overall survival than patients with BAP1 mutations. PMID 23333114 · Kapur et al., 2013 · Open in CIViC | civic |
| Anti-PD-L1 Monoclonal Antibody + CTLA-4 InhibitorSubstitutes | Clear Cell Renal Cell Carcinoma | Predictive | B | Supports | ||||
| PIK3CA Activation mutation1 | ||||||||
| (oncogenic) | Ovarian Clear Cell Adenocarcinoma | Oncogenic | B | Supports Oncogenicity | 3 | submitted | EID13136Ovarian clear cell carcinoma is an aggressive and relatively chemotherapy-resistant form of ovarian cancer with a molecular landscape distinct from that of the more common epithelial subtypes. Earlier… (full text at CIViC) PMID 19349352 · Kuo et al., 2009 · Open in CIViC | civic |
| PIK3CA Amplification1 | ||||||||
| Pictilisib | Ovarian CarcinomaALIAS | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID756One platinum-refractory epithelial ovarian cancer patient with PTEN loss and PIK3CA amplification had a partial response on treatment with PI3K inhibitor pictilisib (GDC-0941) in this phase 1 study. A… (full text at CIViC) PMID 25370471 · Sarker et al., 2015 · Open in CIViC | civic |
| PIK3CA E545K3 | ||||||||
| Cisplatin | Malignant Cervical Neoplasm | Predictive | D | Supports Resistance | 3 | accepted | EID2985Authors tested various cervical cancer cell lines (CaSki, SiHa and HeLa) for their responses to cisplatin, radiation therapy, and GDC-0941. CaSki cells that are heterozygous for the PIK3CA-E545K mutat… (full text at CIViC) PMID 27489350 · Arjumand et al., 2016 · Open in CIViC | civic |
| Cisplatin + Ionizing RadiotherapySequential | Malignant Cervical Neoplasm | Predictive | D | Supports Resistance | 3 | accepted | EID8112Cervical cancer cell lines were treated with 1uM cisplatin followed by 1-6Gy ionizing radiation (IR). CaSki cells with PIK3CA E545K mutation show resistance to cisplatin plus IR when compared with HeL… (full text at CIViC) PMID 27489350 · Arjumand et al., 2016 · Open in CIViC | civic |
| Cisplatin + PictilisibCombination | Cervical Carcinoma | |||||||
| FGFR3 N540K + FGFR3 S249C + PIK3CA E545KPIK3CAFGFR31 | ||||||||
| Erdafitinib | Urothelial Carcinoma | Predictive | C | Supports Resistance | 4 | accepted | EID12703In this study of 21 patients with FGFR-driven urothelial carcinoma treated with selective FGFR inhibitors (including erdafitinib), post-progression molecular analyses (tissue and/or ctDNA sequencing) … (full text at CIViC) PMID 37377403 · Facchinetti et al., 2023 · Open in CIViC | civic |
| PIK3CA Mutation2 | ||||||||
| Pictilisib | Malignant Endometrial NeoplasmCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1616A panel of 24 endometrioid endometrial cancer (EEC) cell lines was characterized for a set of mutations and sensitivity to pan PI3K class I inhibitor GDC-0941 (pictilisib) was assessed. EEC cell lines… (full text at CIViC) PMID 23674493 · Weigelt et al., 2013 · Open in CIViC | civic |
| Ridaforolimus + TemsirolimusSubstitutes | Malignant Endometrial NeoplasmCURATED_BROADER | Predictive | B | Does Not Support Sensitivity Response | 3 | accepted | EID89294 endometrial cancer samples of women who had been treated with single agent mTOR inhibitors temsirolimus or ridaforolimus were retrospectively analyzed. No predictive biomarkers were identified, inc… (full text at CIViC) PMID 24166148 · Mackay et al., 2014 · Open in CIViC | civic |
| PMS2 R315*1 | ||||||||
| (oncogenic) | Malignant Endometrial NeoplasmCURATED_BROADER | Oncogenic | C | Supports Oncogenicity | 1 | accepted | EID1832This variant (R315*), identified in a case of microsatellite-unstable endometrial cancer, was confirmed to be somatic in a 69 year-old female patient with suspected Lynch Syndrome (LS). The patient wa… (full text at CIViC) PMID 25111426 · Geurts-Giele et al., 2014 · Open in CIViC | civic |
| POLE Mutation1 | ||||||||
| Pembrolizumab | Malignant Endometrial NeoplasmCURATED_BROADER | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID1862Case report of a patient with endometrial cancer and exceptional response to pembrolizumab (maintained at 14 months). POLE mutations V411L (exonuclease domain) and R114* were identified in the primary… (full text at CIViC) PMID 27159395 · Mehnert et al., 2016 · Open in CIViC | civic |
| POLE P286R1 | ||||||||
| (prognostic) | Malignant Endometrial NeoplasmCURATED_BROADER | Prognostic | A | Supports Better Outcome | 5 | submitted | EID13113In the PORTEC-3 trial cohort, POLE-ultramutated (POLEmut) endometrial carcinomas had a 98% five-year recurrence-free survival, independent of the adjuvant treatment arm. Variant P286R is the most comm… (full text at CIViC) PMID 32749941 · León-Castillo et al., 2020 · Open in CIViC | civic |
| POLE R1233*1 | ||||||||
| (oncogenic) | Endometrial AdenocarcinomaCURATED_BROADER | Oncogenic | C | Does Not Support Oncogenicity | 2 | submitted | EID12525Studies submitted to cBioPortal (including 164 TCGA studies) were evaluated for POLE variants co-occurring with features of POLE-mutated tumors and co-occurring B2M variants. A single individual with … (full text at CIViC) PMID 29320758 · Voutsadakis, 2018 · Open in CIViC | civic |
| PPP2R2A Mutation1 | ||||||||
| Olaparib | Castration-Resistant Prostate Carcinoma | Predictive | B | Does Not Support Sensitivity Response | 2 | accepted | EID11206This randomized, open-label, phase 3 trial evaluated the PARP inhibitor olaparib in 387 men with metastatic castration-resistant prostate cancer (mCRPC) who had disease progression while receiving a n… (full text at CIViC) PMID 32343890 · de Bono et al., 2020 · Open in CIViC | civic |
| PTEN Deletion4 | ||||||||
| (prognostic) | Prostate Adenocarcinoma | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID505In a study of 107 prostate adenocarcinomas, those with either hemi- or homozygous deletions of PTEN (as determined by interphase FISH) have shorter biochemical recurence-free survival than those witho… (full text at CIViC) PMID 17700571 · Yoshimoto et al., 2007 · Open in CIViC | civic |
| 〃 | Malignant Prostate Neoplasm | Prognostic | B | Supports Poor Outcome | 4 | rejected | EID643PTEN Loss (by FISH) is associated with poorer prognosis in patients with prostate cancer. PMID 17700571 · Yoshimoto et al., 2007 · Open in CIViC | civic |
| 〃 | Malignant Prostate Neoplasm | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID1741 | |
Data updated 4 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.
| Immune Checkpoint Inhibitor |
| Malignant Prostate Neoplasm |
| Predictive |
| B |
| Supports Sensitivity Response |
| 4 |
| submitted |
EID12987The molecular differences between MSI-H/dMMR and TMB-H/MSS prostate cancer were studied for the impact of these differences on immune checkpoint blockade (ICB) sensitivity. MSI and TMB were studied to… (full text at CIViC) PMID 38949888 · Lenis et al., 2024 · Open in CIViC |
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| Pembrolizumab | Endometrial Carcinoma | Predictive | B | Supports Sensitivity Response | 4 | submitted | EID12364A phase 3 randomized trial evaluated pembrolizumab (+ adjuvant chemotherapy) vs. placebo (+ adjuvant chemotherapy) in 1,095 newly diagnosed high-risk (non-endometrioid histology with FIGO stage I/II; … (full text at CIViC) PMID 39284383 · Van Gorp et al., 2024 · Open in CIViC | civic |
| Renal Cell CarcinomaCURATED_BROADER |
| Predictive |
| B |
| Supports Sensitivity Response |
| 4 |
| submitted |
EID7584In post hoc analysis in phase 3 trial, which compared nivolumab and everolimus in patients with clear cell renal cell carcinoma who received prior antiangiogenic therapy, PBRM1 mutations were identifi… (full text at CIViC) PMID 31486842 · Braun et al., 2019 · Open in CIViC |
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| Nivolumab + PembrolizumabSubstitutes | Renal Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID7536Among 35 patients with clear cell RCC, loss-of-function mutation of PBRM1 were correlated with response to anti-PD-1 monotherapy (P = 0.012). It was confirmed in an independent validation cohort of 63… (full text at CIViC) PMID 29301960 · Miao et al., 2018 · Open in CIViC | civic |
| 4 |
| submitted |
EID7247Clinical benefit to immune checkpoint blockade was associated with loss-of-function mutations in the PBRM1 gene (P = 0.012), which encodes a subunit of the PBAF switch-sucrose nonfermentable (SWI/SNF)… (full text at CIViC) PMID 29301960 · Miao et al., 2018 · Open in CIViC |
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| Everolimus + SunitinibSequential | Renal Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID5996This study evaluated the relationship between tumor mutations and treatment outcomes in the RECORD-3 clinical trial. With first-line everolimus, PBRM1 and BAP1 mutations were associated with longer (m… (full text at CIViC) PMID 27751729 · Hsieh et al., 2017 · Open in CIViC | civic |
| Predictive |
| D |
| Supports Sensitivity Response |
| 3 |
| accepted |
EID2984CaSki cells that are heterozygous for the PIK3CA-E545K mutation are more resistant to cisplatin or cisplatin plus radiation than either HeLa or SiHa cells that express only wild-type PIK3CA. Similarly… (full text at CIViC) PMID 27489350 · Arjumand et al., 2016 · Open in CIViC |
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A meta-analysis of 26 published studies including 8097 prostate cancer patients showed that, compared to patients with normal PTEN, patients with PTEN deletion exhibited a greater aggressive Gleason s… (full text at CIViC)
PMID 27470558 · Gao et al., 2016 · Open in CIViC
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| Everolimus | Malignant Prostate Neoplasm | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID1231In a phase II trial on castration-resistant prostate cancer patients, FISH detection of PTEN deletion was associated with increased progression free survival (p=0.07) and with improved PSA response (p… (full text at CIViC) PMID 23582881 · Templeton et al., 2013 · Open in CIViC | civic |