Subtype
Lung Carcinoma
CI-CAN-00001086Explore in graph →
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Subtype
CI-CAN-00001086Explore in graph →
Variants & evidence
1,224 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 |
|---|---|---|---|---|---|---|---|---|
| CD274 Expression4 | ||||||||
| Atezolizumab + Avelumab + Nivolumab + PembrolizumabSubstitutes | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID1167Meta-Analysis of PD-L1 (CD274) Expression Status in 914 patients (7 studies) and response to PD-1/PD-L1 monoclonal antibodies. Patients with PD-L1 positive tumors (PD-L1 tumor cell staining ≥1%), had … (full text at CIViC) PMID 26918451 · Passiglia et al., 2016 · Open in CIViC | civic |
| Atezolizumab + Avelumab + Durvalumab + Nivolumab + PembrolizumabSubstitutes | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID4857In this meta-analysis of 14 studies with 2857 patients, the immunotherapy response rate was higher among PD-L1-positive patients (RR: 2.19, 95% CI: 1.63-2.94). PD-L1 expression was also related to bet… (full text at CIViC) PMID 28472902 · Aguiar et al., 2017 · Open in CIViC | civic |
| Pembrolizumab | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID5811PD-L1 expression in at least 50% of tumor cells correlated with improved efficacy of pembrolizumab. PMID 25891174 · Garon et al., 2015 · Open in CIViC | civic |
| 〃 | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID1733This open-label, randomized, phase-3 clinical trial compared pembrolizumab to chemotherapy in treating NSCLC patients with PD-L1 expression on at least 50% of tumor cells and no sensitizing mutation o… (full text at CIViC) PMID 27718847 · Reck et al., 2016 · Open in CIViC | civic |
| CD274 v2421 | ||||||||
| Atezolizumab + Avelumab + DurvalumabSubstitutes | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | E | Supports Resistance | 4 | submitted | EID9695In an in vivo study, mice injected with v242 show significantly reduced survival compared to mice expressing WT (p < 0.001) when treated with anti-PD-L1 antibody. Moreover mixing only 1% MC38 cells wi… (full text at CIViC) PMID 30872362 · Gong et al., 2019 · Open in CIViC | civic |
| ROS1 Fusion1 | ||||||||
| Ceritinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 1 | accepted | EID1248Case report of a 77-year old male patient with lung adenocarcinoma (T2aN1M0, stage IIA) without EGFR, KRAS, or BRAF mutations, and no ALK gene rearrangement. CD72-ROS1 was identified in sequencing aft… (full text at CIViC) PMID 26917690 · Subbiah et al., 2016 · Open in CIViC | civic |
| CDKN2A Loss1 | ||||||||
| Palbociclib | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | B | Does Not Support Resistance | 2 | accepted | EID7444TAPUR, a phase II basket trial, included a cohort of patients with advanced non-small lung cell carcinoma (NSCLC) harboring with CDKN2A loss or mutation and no RB mutations. Twenty-nine patients were … (full text at CIViC) | civic |
| CDKN2A p16 Expression1 | ||||||||
| (prognostic) | Lung Non-Small Cell CarcinomaCURATED_BROADER | Prognostic | B | Supports Poor Outcome | 2 | accepted | EID1314In a cohort of 73 patients with stage I or stage II NSCLC it was discovered that the CDKN2A protein (p16-INK4A) retrospectively evaluated via IHC was associated with adverse outcomes (p=0.004). PMID 22619677 · Zhao et al., 2012 · Open in CIViC | civic |
| CDKN2A Promoter Hypermethylation2 | ||||||||
| (prognostic) | Lung Non-Small Cell CarcinomaCURATED_BROADER | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID367In NSCLC patients younger than 60 years at age of diagnosis, p16 (CDKN2A) promoter hypermethylation is associated with shorter time to recurrence and shorter overall survival. PMID 23111194 · Bradly et al., 2012 · Open in CIViC | civic |
| 〃 | Lung Non-Small Cell CarcinomaCURATED_BROADER | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID368In NSCLC patients younger than 60 years at age of diagnosis, p16 (CDKN2A) promoter hypermethylation is associated with shorter time to recurrence. PMID 23111194 · Bradly et al., 2012 · Open in CIViC | civic |
| CHEK1 Overexpression1 | ||||||||
| Cisplatin + Olaparib + PrexasertibCombination | Lung Small Cell Carcinoma | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID4874A preclinical study to evaluate the efficacy of targeting the overexpressed CHEK1 cell cycle chekpoint kinase, including both miRNA and Prexasertib-induced inhibition. Both in vitro and in vivo, Prexa… (full text at CIViC) PMID 28490518 · Sen et al., 2017 · Open in CIViC | civic |
| CREBBP Deletion1 | ||||||||
| C646 | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID1965Ablation of the CBP paralog p300/EP300 has been identified as syntheticaly lethal in in CBP-knockout and CBP-deficient cancer cells and induced a G1-S cell-cycle arrest, followed by apoptosis. Genome-… (full text at CIViC) PMID 26603525 · Ogiwara et al., 2016 · Open in CIViC | civic |
| CRKL Amplification1 | ||||||||
| Gefitinib | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Resistance | 4 | submitted | EID6397CRKL is an oncogene in a subset of NSCLC. Overexpression of CRKL induces cell transformation and resistance to epidermal growth factor receptor inhibitor treatment and suggest that therapeutic interve… (full text at CIViC) PMID 22586683 · Cheung et al., 2011 · Open in CIViC | civic |
| CTLA4 EXPRESSION1 | ||||||||
| Atezolizumab | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 4 | submitted | EID5810This work shows that across multiple cancer types, responses were observed in patients with tumours expressing high levels of PD-L1, especially when PD-L1 was expressed by tumour-infiltrating immune c… (full text at CIViC) PMID 25428504 · Herbst et al., 2014 · Open in CIViC | civic |
| CX3CL1 Underexpression1 | ||||||||
| Atezolizumab | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 4 | submitted | EID5812This study shows that across multiple cancer types, responses were observed in patients with tumours expressing high levels of PD-L1, especially when PD-L1 was expressed by tumour-infiltrating immune… (full text at CIViC) PMID 25428504 · Herbst et al., 2014 · Open in CIViC | civic |
| CXCR4 EXPRESSION1 | ||||||||
| Cisplatin | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Resistance | 3 | submitted | EID2912CXCR4, a stromal-derived-factor-1 specific chemokine receptor, is highly expressed in non-small cell lung cancer (NSCLC) tissues and participates in cancer progression by regulating cell growth, apopt… (full text at CIViC) PMID 27922681 · Xie et al., 2017 · Open in CIViC | civic |
| DDR2 G505S1 | ||||||||
| Dasatinib | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID267In 3T3 fibroblasts expressing the G505S mutation have to be sensitive to the tyrosine kinase inhibitor dasatinib. PMID 22328973 · Hammerman et al., 2011 · Open in CIViC | civic |
| DDR2 G774V1 | ||||||||
| Dasatinib | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID268Ba/F3 cells expressing the G774V mutation were sensitive to the tyrosine kinase inhibitor dasatinib while wild-type expressing cells were not, as measured in a proliferation assay. PMID 22328973 · Hammerman et al., 2011 · Open in CIViC | civic |
| DDR2 I638F1 | ||||||||
| Dasatinib | Lung Squamous Cell Carcinoma | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID269The NCI-H2286 lung squamous cell carcinoma cell line, containing the DDR2 I638F mutation was shown to be sensitive (IC50 139nm) to dasatinib in-vitro. Dasatanib sensitivity was demonstrated in-vivo us… (full text at CIViC) PMID 22328973 · Hammerman et al., 2011 · Open in CIViC | civic |
| DDR2 L239R1 | ||||||||
| Dasatinib | Lung Adenosquamous CarcinomaALIAS | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID270The HCC-366 lung adenosquamous carcinoma cell line, containing the DDR2 L239R mutation was shown to be sensitive (IC50 140nm) to dasatinib in-vitro. The authors were unable to establish tumors using t… (full text at CIViC) PMID 22328973 · Hammerman et al., 2011 · Open in CIViC | civic |
| DDR2 L63V1 | ||||||||
| Dasatinib | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID271In 3T3 fibroblasts expressing the L63V mutation have to be sensitive to the tyrosine kinase inhibitor dasatinib. PMID 22328973 · Hammerman et al., 2011 · Open in CIViC | civic |
| DDR2 S768R1 | ||||||||
| Dasatinib + ErlotinibCombination | Lung Squamous Cell Carcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID272In a patient expressing a DDR2 S768R mutation, treatment with dasatinib plus erlotinib acheived a partial response. PMID 22328973 · Hammerman et al., 2011 · Open in CIViC | civic |
| DLL3 Expression2 | ||||||||
| Rovalpituzumab Tesirine | Lung Small Cell Carcinoma | Predictive | B | Does Not Support Sensitivity Response | 4 | submitted | EID7764In a phase II trial, patients with DLL3-expressing small cell lung carcinoma were treated with rovalpituzumab tesirine. Only patients with 1% or more tumor cells expressing DLL3 were enrolled. In this… (full text at CIViC) PMID 31506387 · Morgensztern et al., 2019 · Open in CIViC | civic |
| 〃 | Lung Small Cell Carcinoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID591974 patients with small-cell lung cancer and eight with large-cell neuroendocrine carcinoma received at least one dose of rovalpituzumab tesirine in a phase 1 trial. 11 (18%) of 60 assessable patients … (full text at CIViC) PMID 27932068 · Rudin et al., 2017 · Open in CIViC | civic |
| EGFR A702S1 | ||||||||
| Gefitinib | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | C | Supports Sensitivity Response | 3 | submitted | EID6035A total of 106 Chinese NSCLC patients who had failed at least one chemotherapy regimen received gefitinib 250 mg once daily. Patients with EGFR mutations had a significantly higher overall response ra… (full text at CIViC) PMID 19020901 · Xu et al., 2009 · Open in CIViC | civic |
| EGFR A750T1 | ||||||||
| Erlotinib + GefitinibSubstitutes | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | C | Supports Sensitivity Response | 2 | submitted | EID6177In a large retrospective study, EGFR exons 18-21 were assessed using direct sequencing in 753 French NSCLC cases. Clinical details and patient outcomes were taken, including wether or not administrati… (full text at CIViC) PMID 23749122 · Locatelli-Sanchez et al., 2013 · Open in CIViC | civic |
| EGFR A763_Y764insFQEA7 | ||||||||
| Erlotinib | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 2 | submitted | EID5939Out of a group of 19 EGFR exon 20 insertion NSCLC patients, 3 patients had EGFR M766_A767insASV mutation. One patient was 69 year old female neversmoker lung adenocarcinoma patient was given erlotini… (full text at CIViC) PMID 24353160 · Yasuda et al., 2013 · Open in CIViC | civic |
| 〃 | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | C | Supports Sensitivity Response | 1 | submitted | EID11320In this study, 4 patients with an EGFR exon 19 insertion and 6 patients with an EGFR exon 20 insertion (A763_Y764insFQEA) were enrolled. Hospital. Among patients with an exon 19 insertion, 3 received … (full text at CIViC) PMID 28089594 · Lin et al., 2017 · Open in CIViC | civic |
| 〃 | Lung Adenocarcinoma | |||||||
| EGFR A767_V769dupASV6 | ||||||||
| Dacomitinib | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID12421In an in vitro study, MCF-7 cells expressing the EGFR A767_V769dup mutation demonstrated sensitivity to dacomitinib (PF00299804), with YFP-EGFR-ICD relocation observed at 10 nM. In comparison, cells e… (full text at CIViC) PMID 21132006 · Harada et al., 2011 · Open in CIViC | civic |
| Erlotinib | Lung Adenocarcinoma | Predictive | C | Supports Resistance | — | accepted | EID4665In a study of 19 non-small cell lung carcinoma patients with EGFR exon 20 insertion mutations and treated with erlotinib monotherapy, patients with EGFR A767_V769dupASV mutation (n=3) experienced prog… (full text at CIViC) PMID 24353160 · Yasuda et al., 2013 · Open in CIViC | civic |
| 〃 | Lung Non-Small Cell CarcinomaCURATED_BROADER | |||||||
| EGFR A859T2 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | — | submitted | EID4297In a lung adenocarcinoma patient harboring EGFR A859T mutation, EGFR A859T was reported to be sensitive to erlotinib treatment. The patient was initially treated with standard chemotherapy and subsequ… (full text at CIViC) PMID 21317745 · Le Maignan et al., 2011 · Open in CIViC | civic |
| 〃 | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Resistance | — | submitted | EID4296In an in vitro study, a MCF-7 cell line expressing EGFR A859T demonstrated reduced sensitivity to erlotinib treatment compared to MCF-7 cells expressing EGFR L858R (a known sensitizing mutation to EGF… (full text at CIViC) PMID 17877814 · de Gunst et al., 2007 · Open in CIViC | civic |
| EGFR A864T1 | ||||||||
| Erlotinib | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | — | accepted | EID4495In an in vitro study, a Ba/F3 cell line expressing EGFR A864T demonstrated increased sensitivity to erlotinib treatment comparable to Ba/F3 cells expressing a known sensitizing mutation (EGFR L858R). … (full text at CIViC) PMID 19147750 · Kancha et al., 2009 · Open in CIViC | civic |
| EGFR Alteration1 | ||||||||
| BMVC-8C3O + G-Quadruplex Stabilizer BMVC + OsimertinibCombination | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID12139NSCLC with EGFR activating alterations are frequently treated with the tyrosine kinase inhibitor, osimertinib. Though initially very effective, cancers cells often develop resistance to osimertinib th… (full text at CIViC) PMID 37481710 · Lu et al., 2023 · Open in CIViC | civic |
| EGFR Amplification6 | ||||||||
| Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID948A meta-analysis of EGFR gene copy number as a predictive biomarker for patients receiving tyrosine kinase inhibitor treatment was performed. In total, 20 (1689 patients, 594 with increased gene copy n… (full text at CIViC) PMID 20826716 · Dahabreh et al., 2011 · Open in CIViC | civic |
| Erlotinib | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 4 | submitted | EID7802Study was a Phase 3 clinical trial of erlotinib in non-small cell lung cancer patients who has progressed after standard chemotherapy. Study found significantly increased survival time for patients… (full text at CIViC) PMID 16014883 · Tsao et al., 2005 · Open in CIViC | civic |
| EGFR AUTOCRINE ACTIVATION1 | ||||||||
| Crizotinib | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Resistance | 2 | rejected | EID769Five patients with acquired resistance to crizotinib showed high concentration of amphiregulin in malignant pleural effusions. PMID 23344087 · Kim et al., 2013 · Open in CIViC | civic |
Data updated 5 minutes 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.
| Predictive |
| C |
| Supports Sensitivity Response |
| — |
| submitted |
EID4647In a lung adenocarcinoma patient harboring EGFR A763_Y764insFQEA mutation, EGFR A763_Y764insFQEA was associated with partial response to treatment with erlotinib in combination with chemotherapy. PMID 23371856 · Arcila et al., 2013 · Open in CIViC |
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| 〃 | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | C | Supports Sensitivity Response | — | submitted | EID4648In a metastatic non-small cell lung carcinoma patient harboring EGFR A763_Y764insFQEA mutation, EGFR A763_Y764insFQEA was reported to be sensitive to erlotinib treatment. The patient was initially tre… (full text at CIViC) PMID 22270724 · Montagut et al., 2012 · Open in CIViC | civic |
| 〃 | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | — | accepted | EID4497In an in vitro study, Ba/F3 and BID007 cell lines expressing EGFR A763_Y764insFQEA demonstrated increased sensitivity to erlotinib treatment (IC50=0.048�M and 0.082�M, respectively), comparable to Ba/… (full text at CIViC) PMID 24353160 · Yasuda et al., 2013 · Open in CIViC | civic |
| Afatinib + GefitinibSubstitutes | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID5951Ba/F3 cells transduced with EGFR A763_Y764insFQEA were IL3 growth independant, suggesting a driver mutation. Gefitinib growth inhibition IC50 in A763_Y764insFQEA transduced Ba/F3 cells was 0.174 micr… (full text at CIViC) PMID 24353160 · Yasuda et al., 2013 · Open in CIViC | civic |
| Osimertinib | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID9225In a retrospective study of 2316 Chinese patients with stage IV non-small cell lung carcinoma, a 65 year old female with the EGFR exon 20 insertion A763_Y764insFQEA received osimertinib as second-line… (full text at CIViC) PMID 31208370 · Fang et al., 2019 · Open in CIViC | civic |
| Predictive |
| D |
| Supports Sensitivity Response |
| 2 |
| submitted |
EID5948Ba/F3 cells transduced with EGFR A767_V769dupASV were IL3 growth independent, suggesting a driver mutation, and did not indicate sensitivity to erlotinib treatment (growth inhibition IC50=2.644 micro … (full text at CIViC) PMID 24353160 · Yasuda et al., 2013 · Open in CIViC |
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| 〃 | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Resistance | — | submitted | EID4666In an in vitro study, a MCF-7 cell line expressing EGFR A767_V769dup mutation demonstrated resistance to erlotinib treatment, compared to MCF-7 cells expressing a known erlotinib sensitizing mutation … (full text at CIViC) PMID 21132006 · Harada et al., 2011 · Open in CIViC | civic |
| Afatinib + GefitinibSubstitutes | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Does Not Support Sensitivity Response | 3 | submitted | EID5949Ba/F3 cells transduced with EGFR A767_V769dupASV were IL3 growth independent, suggesting a driver mutation. Gefitinib growth inhibition IC50 in A767_V769dupASV transduced Ba/F3 cells was 2.685 micro … (full text at CIViC) PMID 24353160 · Yasuda et al., 2013 · Open in CIViC | civic |
| Osimertinib | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID9220In a retrospective study of 2316 Chinese patients with stage IV non-small cell lung carcinoma, a 63 year old female with the EGFR exon 20 insertion A767_V769dupASV received osimertinib as first-line t… (full text at CIViC) PMID 31208370 · Fang et al., 2019 · Open in CIViC | civic |
| Lung Non-Small Cell CarcinomaCURATED_BROADER |
| Predictive |
| B |
| Supports Sensitivity Response |
| 4 |
| accepted |
EID5924The result of the analysis found that EGFR gene copy number was associated with increased OS and PFS, supporting the idea that EGFR gene copy number is a biomarker for response to EGFR-TKI therapy in … (full text at CIViC) PMID 20826716 · Dahabreh et al., 2011 · Open in CIViC |
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| 〃 | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID5925Among TKI-treated patients, increased EGFR gene copy number appears to be associated with improved survival outcomes. PMID 27664271 · Zhang et al., 2017 · Open in CIViC | civic |
| Erlotinib + GefitinibSubstitutes | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | B | Does Not Support Sensitivity Response | 2 | accepted | EID977In 290 patients with advanced NSCLC, 177 of which were treated with EGFR TKI (erlotinib or gefitinib). EGFR amplification (Multiplex ligation-dependent probe amplification; MLPA) and Mutation (PCR) we… (full text at CIViC) PMID 26722081 · Fiala et al., 2016 · Open in CIViC | civic |
| Osimertinib + RociletinibSubstitutes | Lung Non-Small Cell CarcinomaCURATED_BROADER | Predictive | D | Supports Resistance | 3 | accepted | EID3015Evidence of wild-type allele-mediated resistance, a novel concept of acquired resistance in response to mutation-selective inhibitor therapy in cancer treatment. This study reports that the Src-AKT pa… (full text at CIViC) PMID 28202511 · Nukaga et al., 2017 · Open in CIViC | civic |