Subtype
Lung Non-Squamous Non-Small Cell Carcinoma
CI-CAN-00005826Explore in graph →
- NCIt
- C135017
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Subtype
CI-CAN-00005826Explore in graph →
Variants & evidence
284 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 |
|---|---|---|---|---|---|---|---|---|
| EGFR Exon 19 Deletion + MET Y1003NMETEGFR1 | ||||||||
| Capmatinib + OsimertinibCombination | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 2 | submitted | EID11418A 65-year old female diagnosed with lung adenocarcinoma revealed several brain lesions, the largest measuring 1.8 x 1.5 x 1.9 cm. COBAS EGFR mutation test was run and revealed EGFR exon 19 deletion mu… (full text at CIViC) PMID 36188633 · Wilgucki et al., 2022 · Open in CIViC | civic |
| EGFR Exon 20 Insertion5 | ||||||||
| Afatinib | Lung Adenocarcinoma | Predictive | B | Supports Resistance | 3 | accepted | EID1809In retrospective analysis of trials, afatinib conferred limited clinical benefit to patients with EGFR exon 20 insertion mutations (N=23). Only 2 patients had objective responses. PMID 26051236 · Yang et al., 2015 · Open in CIViC | civic |
| Erlotinib | Lung Adenocarcinoma | Predictive | B | Supports Resistance | 2 | submitted | EID9222A retrospective study showed that out of 11 patients with stage IV lung adenocarcinoma treated with erlotinib who carried in-frame exon 20 insertion variant, only 3 patients showed objective response … (full text at CIViC) PMID 26096453 · Naidoo et al., 2015 · Open in CIViC | civic |
| 〃 | Lung Adenocarcinoma | Predictive | C | Supports Resistance | 3 | submitted | ||
| EGFR Expression1 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | — | submitted | EID4213A phase 3 study of 889 advanced non-small cell lung cancer patients (with non-progressive disease while on standard chemotherapy treatment), reported that patients harboring EGFR mutation (exon 19 del… (full text at CIViC) PMID 21969500 · Brugger et al., 2011 · Open in CIViC | civic |
| EGFR G7191 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID1780In a meta-analysis of 7 clinical trials of erlotinib (some vs placebo or other treatment), 10/24 patients with Exon 18 mutations harbored a G719 variant. These variants were associated with improved p… (full text at CIViC) PMID 26773740 · Klughammer et al., 2016 · Open in CIViC | civic |
| EGFR G719A1 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | — | submitted | EID4196In a retrospective study of 46, Caucasian, advanced lung adenocarcinoma patients, a patient harboring EGFR G719A mutation was associated with resistance to erlotinib treatment. The patient survived 9.… (full text at CIViC) PMID 27032107 · De Grève et al., 2016 · Open in CIViC | civic |
| EGFR G719A + MET Splice Site (c.2888-21_2888-20delinsGC)METEGFR1 | ||||||||
| Afatinib + CrizotinibCombination | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | submitted | EID11466A 60-year old man (smoker: 300 pack-years) presented with lung adenocarcinoma measuring 3.0 x 2.3 cm and multiple lymph node metastases. Next-generation sequencing revealed a EGFR G719A (abundance 5.0… (full text at CIViC) PMID 30922580 · Zeng et al., 2019 · Open in CIViC | civic |
| EGFR G719S1 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | — | submitted | EID4192In an advanced lung adenocarcinoma patient harboring EGFR G719S mutation, EGFR G719S was reported to be sensitive to erlotinib treatment. The patient was initially treated with standard chemotherapy, … (full text at CIViC) PMID 21841502 · De Pas et al., 2011 · Open in CIViC | civic |
| GNAT3 Fusion1 | ||||||||
| Aumolertinib | Lung Adenocarcinoma | Predictive | C | Supports Resistance | 3 | submitted | EID12366A 58-year-old male with stage IVB lung adenocarcinoma presented with respiratory symptoms and widespread metastases. NGS revealed EGFR-GNAT3 fusion (EGFR exons 1–24 to GNAT3 exon 8; 76.3% abundance) a… (full text at CIViC) PMID 38595815 · Wang et al., 2024 · Open in CIViC | civic |
| EGFR H773_V774insNPH1 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | C | Supports Resistance | 3 | accepted | EID4493A 61 year old male never smoker with EGFR H773_V774insNPH mutant lung adenocarcinoma was treated with fourth line erlotinib and had progressive disease as best response, progression free survival of 1… (full text at CIViC) PMID 24353160 · Yasuda et al., 2013 · Open in CIViC | civic |
| EGFR K757R1 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID1786In a meta-analysis of 7 clinical trials evaluating the efficacy of erlotinib, one patient was described with the exon 19 mutation K757R from the MERIT study. Progression-free (250 days) and overall (4… (full text at CIViC) PMID 26773740 · Klughammer et al., 2016 · Open in CIViC | civic |
| EGFR L718Q2 | ||||||||
| Erlotinib + OsimertinibCombination | Lung Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID8081A genetically engineered mouse model of lung adenocarcinoma (LUAD) was created expressing human EGFR L858R transgene. A set of osimertinib resistant tumours were treated with 25mg/kg osimertinib and 2… (full text at CIViC) PMID 32193290 · Starrett et al., 2020 · Open in CIViC | civic |
| Osimertinib | Lung Adenocarcinoma | Predictive | D | Supports Resistance | 4 | submitted | EID8058A genetically engineered mouse model of lung adenocarcinoma (LUAD) was created expressing human EGFR L858R transgene. Mice were treated with either daily 5mg/kg, followed by 25mg/kg after tumour recur… (full text at CIViC) PMID 32193290 · Starrett et al., 2020 · Open in CIViC | civic |
| EGFR L718Q + EGFR L718V2 | ||||||||
| Afatinib | Lung Adenocarcinoma | Predictive | C | Does Not Support Resistance | 3 | submitted | EID8054A 62 year old patient with 4 pack-year smoking history with back and flank pain was found to have metastatic lung adenocarcinoma by CT and MRI. Targeted NGS sequencing discovered an EGFR L858R mutatio… (full text at CIViC) PMID 32193290 · Starrett et al., 2020 · Open in CIViC | civic |
| Osimertinib | Lung Adenocarcinoma | Predictive | C | Supports Resistance | 4 | submitted | EID8052A 62 year old patient with 4 pack-year smoking history with back and flank pain was found to have metastatic lung adenocarcinoma by CT and MRI. Targeted NGS sequencing discovered an EGFR L858R mutatio… (full text at CIViC) PMID 32193290 · Starrett et al., 2020 · Open in CIViC | civic |
| EGFR L718V2 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | D | Supports Resistance | 2 | submitted | EID8069Preclinical models of osimertinib-resistant EGFR mutants were treated with erlotinib or afatinib. Treatment with erlotinib suppressed phosphorylation of EGFR L858R+C797S but did not decrease phosphory… (full text at CIViC) PMID 32193290 · Starrett et al., 2020 · Open in CIViC | civic |
| Osimertinib | Lung Adenocarcinoma | Predictive | D | Supports Resistance | 3 | submitted | EID8059A genetically engineered mouse model of lung adenocarcinoma (LUAD) was created expressing human EGFR L858R transgene. Mice were treated with either daily 5mg/kg, followed by 25mg/kg after tumour recur… (full text at CIViC) PMID 32193290 · Starrett et al., 2020 · Open in CIViC | civic |
| EGFR L747_P753delinsS1 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | — | submitted | EID4270In a retrospective study of 46 Caucasian, advanced lung adenocarcinoma patients, a patient harboring EGFR L747_P753insS mutation was associated with resistance to erlotinib treatment. The patient surv… (full text at CIViC) PMID 27032107 · De Grève et al., 2016 · Open in CIViC | civic |
| EGFR L747_S752delinsQ1 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID4667EGFR exons 18-24 were analyzed in 7 patients who had shown a partial response to erlotinib in a phase II trial for bronchioloalveolar carcinoma (BAC, or in situ pulmonary adenocarcinoma). One patient … (full text at CIViC) PMID 15329413 · Pao et al., 2004 · Open in CIViC | civic |
| EGFR L792H1 | ||||||||
| Osimertinib | Lung Adenocarcinoma | Predictive | D | Supports Resistance | 2 | submitted | EID8079A genetically engineered mouse model of lung adenocarcinoma (LUAD) was created expressing human EGFR L858R+T790M transgene. Twenty of 49 mice treated with osimertinib developed treatment-resistant tum… (full text at CIViC) PMID 32193290 · Starrett et al., 2020 · Open in CIViC | civic |
| EGFR H835L + EGFR L833V1 | ||||||||
| Firmonertinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 2 | submitted | EID13093Two patients with advanced lung adenocarcinoma harboring the EGFR L833V/H835L compound mutation received first-line furmonertinib (80 mg once daily), and both achieved partial responses according to R… (full text at CIViC) PMID 40963567 · Wang et al., 2025 · Open in CIViC | civic |
| EGFR L858R12 | ||||||||
| (oncogenic) | Lung Adenocarcinoma | Oncogenic | D | Supports Oncogenicity | 3 | submitted | EID13025In this preclinical study, expression of EGFR L858R in Ba/F3 cells induced interleukin-3-independent proliferation, demonstrating ligand-independent cellular transformation. EGFR L858R was constitutiv… (full text at CIViC) PMID 16204070 · Jiang et al., 2005 · Open in CIViC | civic |
| Afatinib | Lung Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID879A phase III clinical trial (NCT00949650) found that median progression free survival among patients with exon 19 deletions or L858R EGFR mutations (n = 308) was 13.6 months for afatinib and 6.9 months… (full text at CIViC) PMID 23816960 · Sequist et al., 2013 · Open in CIViC | civic |
| 〃 | Lung Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 4 | accepted | ||
| EGFR L858R + EGFR T790M + MET Exon 14 Skipping MutationEGFRMET1 | ||||||||
| Tepotinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | submitted | EID11486A 76-year old woman (non-smoker) presented with stage IVB ling adenocarcinoma. Genetic testing was positive for EGFR L858R and T790M and osimertinib was given. Partial response was noted until progres… (full text at CIViC) PMID 36313664 · Takamori et al., 2022 · Open in CIViC | civic |
| EGFR L858R + EGFR T790M + EGFR Fusion1 | ||||||||
| Osimertinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | submitted | EID12549A 67 year old female with stage IIIA lung adenocarcinoma had right lobectomy followed by 4 cycles adjuvant chemotherapy with pemetrexed and cisplatin. Next generation sequencing (NGS) found EGFR L858R… (full text at CIViC) PMID 35004270 · Wang et al., 2021 · Open in CIViC | civic |
| EGFR Exon 19 Deletion + EGFR L858R1 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID3791The phase 3 (EURTAC) study consisted of of 173 non-small cell lung cancer patients who had not had prior chemotherapy for metastatic disease (although adjuvant or neoadjuvant chemotherapy was permitte… (full text at CIViC) PMID 22285168 · Rosell et al., 2012 · Open in CIViC | civic |
| EGFR L861R1 | ||||||||
| Crizotinib | Lung Adenocarcinoma | Predictive | C | Supports Resistance | — | submitted | EID4300In a patient with metastatic adenocarcinoma of the lung harboring EGFR L861R mutation, MET D1028H and EGFR amplification, EGFR L861R was associated with acquired resistance to crizotinib monotherapy. … (full text at CIViC) PMID 26845121 · Benderra et al., 2016 · Open in CIViC | civic |
| MACF1 Fusion1 | ||||||||
| Aumolertinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 2 | submitted | EID12365A 65-year-old female with lung adenocarcinoma underwent NGS testing, revealing an EGFR-MACF1 fusion at the RNA level (mutation abundance: 17%) and EGFR amplification (copy number: 24.15). The fusion i… (full text at CIViC) PMID 38595815 · Wang et al., 2024 · Open in CIViC | civic |
| EGFR Mutation4 | ||||||||
| (prognostic) | Lung Adenocarcinoma | Prognostic | B | Supports Better Outcome | 4 | accepted | EID1701In a study of 1036 patients with lung adenocarcinomas, patients with EGFR mutations (n=275) showed better prognosis (OS: 34 months versus 23 months; HR=0.6; P<0.001). PMID 22810899 · Johnson et al., 2013 · Open in CIViC | civic |
| 〃 | Lung Adenocarcinoma | Prognostic | B | Supports Better Outcome | 3 | accepted | EID3792Analysis was performed on the placebo group (n=451) of the Phase III study SATURN using erlotinib maintenance therapy for patients with advanced NSCLC who were selected for response or stable disease … (full text at CIViC) PMID 21969500 · Brugger et al., 2011 · Open in CIViC | civic |
| Gefitinib | Lung Adenocarcinoma | Predictive | C | Does Not Support Reduced Sensitivity | 3 | submitted | ||
| EGFR Mutation + YES1 AmplificationEGFRYES11 | ||||||||
| Afatinib | Lung Adenocarcinoma | Predictive | D | Supports Resistance | 3 | rejected | EID12094A transposon mutagenesis screen for resistance to a second-generation TKI afatinib was performed in EGFR-TKI sensitive PC9 lung adenocarcinoma cell line that harbours exon 19 EGFR deletion. YES1 was f… (full text at CIViC) PMID 29875142 · Fan et al., 2018 · Open in CIViC | civic |
| EGFR N771delinsVH1 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | C | Supports Resistance | — | submitted | EID4796In a retrospective study of 46 Caucasian, advanced lung adenocarcinoma patients, a patient harboring EGFR N771insVH mutation was associated with resistance to erlotinib treatment. The patient survived… (full text at CIViC) PMID 27032107 · De Grève et al., 2016 · Open in CIViC | civic |
| EGFR P772_V774insPHV1 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | C | Does Not Support Sensitivity Response | 3 | accepted | EID4803A 57 year old male 10 packyear former smoker with lung adenocarcinoma with EGFR P772_V774insPHV mutation was given erlotinib as first line treatment, and had progressive disease as best response with … (full text at CIViC) PMID 24353160 · Yasuda et al., 2013 · Open in CIViC | civic |
| PURB Fusion1 | ||||||||
| Erlotinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID10996A metastatic lung adenocarcinoma (bone and brain) was diagnosed in a 42-year-old woman (patient 3). The primary adenocarcinoma was found in left lower lobe (LLL). Her initial treatment with whole-brai… (full text at CIViC) PMID 27102076 · Konduri et al., 2016 · Open in CIViC | civic |
| RAD51 e24::e41 | ||||||||
| Afatinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID12369A 62 year-old female never smoker diagnosed of lung adenocarcinoma that was negative for EGFR and ALK alterations (EGFR hotspot tissue NGS) was treated with carboplatin/ pemetrexed/ bevacizumab (x 6 c… (full text at CIViC) PMID 29472054 · Raez et al., 2018 · Open in CIViC | civic |
Data updated 23 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.
In retrospective analysis of clinical trials and case studies, most patients with EGFR exon 20 insertion mutations did not benefit from first-generation EGFR kinase inhibitors.
PMID 26773740 · Klughammer et al., 2016 · Open in CIViC
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| 〃 | Lung Adenocarcinoma | Predictive | C | Supports Resistance | — | accepted | EID4650In stage IV lung adenocarcinoma patients (n=2) harboring EGFR inframe exon 20 insertion mutation, EGFR exon 20 insertion was associated with progressive disease after 1 and 3 months of erlotinib monot… (full text at CIViC) PMID 22895145 · Lund-Iversen et al., 2012 · Open in CIViC | civic |
| Gefitinib | Lung Adenocarcinoma | Predictive | C | Supports Resistance | 2 | submitted | EID4646A 78 year old M former smoker with lung adenocarcinoma with no prior therapy was tested for mutation in EGFR exons 18 to 21 and had Exon 20 in frame insertion. He had a three month course of first gen… (full text at CIViC) PMID 22895145 · Lund-Iversen et al., 2012 · Open in CIViC | civic |
EID982Afatinib is an irreversible covalent inhibitor of EGFR (second generation). This Phase III clinical trial (LUX-Lung 6; NCT01121393) was performed in Asian patients with EGFR mutant advanced NSCLC. 364… (full text at CIViC) PMID 24439929 · Wu et al., 2014 · Open in CIViC |
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| 〃 | Lung Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID883In a phase 2 study of patients with lung adenocarcinoma (stage IIIb with pleural effusion or stage IV) and EGFR mutations, treated with afatinib were assessed by objective response. 129 patients were … (full text at CIViC) PMID 22452895 · Yang et al., 2012 · Open in CIViC | civic |
| Cetuximab | Lung Adenocarcinoma | Predictive | D | Does Not Support Sensitivity Response | 3 | accepted | EID4292In an in vitro study, Ba/F3 cell line expressing EGFR L858R did not show sensitivity to cetuximab treatment, while cells expressing EGFR-RAD51 fusion were sensitive. Sensitivity was determined by asse… (full text at CIViC) PMID 27102076 · Konduri et al., 2016 · Open in CIViC | civic |
| Erlotinib | Lung Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID4290In a prospective study of 46 Caucasian, advanced lung adenocarcinoma patients harboring EGFR mutations, first-line erlotinib treatment was assessed. Average PFS and OS for these 46 patients was 11 mon… (full text at CIViC) PMID 27032107 · De Grève et al., 2016 · Open in CIViC | civic |
| 〃 | Lung Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID4291In an in vitro study, Ba/F3 cell line expressing EGFR L858R was associated with sensitivity to erlotinib treatment (IC50 26.9 ± 12.4nM). EGFR L858R was used as a positive control for comparing sensiti… (full text at CIViC) PMID 27102076 · Konduri et al., 2016 · Open in CIViC | civic |
| Gefitinib | Lung Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID2634In a phase 3 clinical trial of Korean, never-smoker, lung adenocarcinoma patients, a subset of patients with EGFR mutations (n=42) treated with gefitinib were associated with improved overall response… (full text at CIViC) PMID 22370314 · Han et al., 2012 · Open in CIViC | civic |
| 〃 | Lung Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID6183In a Japanese Phase III clinical trial, noninferiority of Gefitinib as compared to Erlotinib was assessed in 561 postoperative recurrent or stage IIIb/VI patients who had undergone prior chemotherapy … (full text at CIViC) PMID 27022112 · Urata et al., 2016 · Open in CIViC | civic |
| 〃 | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 1 | accepted | EID2624Mutational profiling was performed on EGFR exons 18-24 from a group of 10 retrospectively chosen patients who had shown partial response or clinical improvement in response to gefitinib. Of 7 tumors w… (full text at CIViC) PMID 15329413 · Pao et al., 2004 · Open in CIViC | civic |
| Icotinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | submitted | EID12548A 67 year old female with stage IIIA lung adenocarcinoma had right lobectomy followed by 4 cycles adjuvant chemotherapy with pemetrexed and cisplatin. Next generation sequencing found EGFR L858R mutat… (full text at CIViC) PMID 35004270 · Wang et al., 2021 · Open in CIViC | civic |
| Osimertinib | Lung Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 4 | submitted | EID8053A 62 year old patient with 4 pack-year smoking history with back and flank pain was found to have metastatic lung adenocarcinoma by CT and MRI. Targeted NGS sequencing discovered an EGFR L858R mutatio… (full text at CIViC) PMID 32193290 · Starrett et al., 2020 · Open in CIViC | civic |
In a Japanese phase III study, lung adenocarcinoma patients with one or more of any mutation in their EGFR gene were treated with either Erlotinib or Gefitinib EGFR tyrosine kinase inhibitors to demon… (full text at CIViC)
PMID 27022112 · Urata et al., 2016 · Open in CIViC
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| EGFR Tyrosine Kinase Inhibitor Therapy + MetforminCombination | Lung Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID12074In this trial, 139 patients with lung adenocarcinomas harbouring EGFR activating mutations were randomly assigned to two groups to receive either EGFR-TKIs alone (n = 70) or a combination of TGFR-TKIs… (full text at CIViC) PMID 31486833 · Arrieta et al., 2019 · Open in CIViC | civic |