Hematologic Malignancy
Lymphoid Leukemia
CI-CAN-00001101Explore in graph →
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Hematologic Malignancy
CI-CAN-00001101Explore in graph →
Variants & evidence
193 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 |
|---|---|---|---|---|---|---|---|---|
| BCL2 V156D1 | ||||||||
| Venetoclax | Chronic Lymphocytic Leukemia | Predictive | B | Supports Resistance | 4 | submitted | EID8306This study is a follow-up report after the original publication (PMID 30514704). V156D mutation was identified in combination with other BCL2 mutations including G101V in 6 CLL patients with venetocla… (full text at CIViC) PMID 31951646 · Blombery et al., 2020 · Open in CIViC | civic |
| ABL1 Fusion1 | ||||||||
| Dasatinib | Acute Lymphoblastic Leukemia | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID4436Prior to dasatinib treatment, one imatinib-resistant patient with acute lymphoblastic leukemia had the BCR-ABL1 fusion with no secondary variants in at least ten bacterial clones generated using perip… (full text at CIViC) PMID 16775234 · Talpaz et al., 2006 · Open in CIViC | civic |
| ABL1 E255K + ABL1 Fusion1 | ||||||||
| Dasatinib | Acute Lymphoblastic Leukemia | Predictive | C | Supports Resistance | 3 | accepted | EID4718Prior to dasatinib treatment, one imatinib-resistant patient with acute lymphoblastic leukemia had the BCR-ABL1 fusion with the E255K secondary variant in 3/12 bacterial clones generated using periphe… (full text at CIViC) PMID 16775234 · Talpaz et al., 2006 · Open in CIViC | civic |
| ABL1 F317I + ABL1 Fusion1 | ||||||||
| Dasatinib | Acute Lymphoblastic Leukemia | Predictive | C | Supports Resistance | 2 | submitted | EID4726In a retrospective study of 45 imatinib-resistant or -intolerant Philadelphia chromosome BCR-ABLfusion positive (Ph+) chronic myeloid leukemia or Ph+ acute lymphoblastic leukemia (ALL) patients, a Ph+… (full text at CIViC) PMID 17339191 · Soverini et al., 2007 · Open in CIViC | civic |
| ABL1 H396P + ABL1 Fusion1 | ||||||||
| Bosutinib | Acute Lymphoblastic Leukemia | Predictive | D | Does Not Support Resistance | 2 | submitted | EID4379In an in vitro kinase study, the recombinant ABL1 H396P mutant kinase did not demonstrate resistance to bosutinib treatment at concentrations of 1μM and 10μM (activity %: 1 and 1) when compared to wil… (full text at CIViC) PMID 19039322 · Remsing Rix et al., 2009 · Open in CIViC | civic |
| ABL1 M244V + ABL1 Fusion1 | ||||||||
| Dasatinib | Acute Lymphoblastic Leukemia | Predictive | C | Supports Resistance | 3 | submitted | EID4387In a retrospective study of 84 imatinib-resistant or -intolerant Philadelphia chromosome BCR-ABL1 fusion positive (Ph+) chronic myeloid leukemia (in accelerated-phase or with blast crisis) or Ph+ acut… (full text at CIViC) PMID 16775234 · Talpaz et al., 2006 · Open in CIViC | civic |
| ABL1 Mutation + ABL1 Fusion1 | ||||||||
| Dasatinib | Acute Lymphoblastic Leukemia | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID11341In this open-label, phase II study, 36 patients with Ph-positive imatinib-resistant or intolerant ALL previously treated with standard induction or consolidation chemotherapy, or imatinib-resistant or… (full text at CIViC) PMID 17496201 · Ottmann et al., 2007 · Open in CIViC | civic |
| ABL1 T315I + ABL1 Fusion8 | ||||||||
| Axitinib + PonatinibSubstitutes | Acute Lymphoblastic Leukemia | Predictive | D | Does Not Support Resistance | 3 | accepted | EID7777Bone marrow mononuclear cells (BM MNCs) were isolated from three acute lymphoblastic leukemia patients with the BCR-ABL1 T315I variant who were pretreated with various chemotherapeutics and dasatinib.… (full text at CIViC) PMID 25686603 · Pemovska et al., 2015 · Open in CIViC | civic |
| Dasatinib | Acute Lymphoblastic Leukemia | Predictive | C | Supports Resistance | 2 | submitted | EID4374In a retrospective study of 45 imatinib-resistant or -intolerant Philadelphia chromosome BCR-ABL fusion positive (Ph+) chronic myeloid leukemia or Ph+ acute lymphoblastic leukemia (ALL) patients, pati… (full text at CIViC) PMID 17339191 · Soverini et al., 2007 · Open in CIViC | civic |
| 〃 | Acute Lymphoblastic Leukemia | Predictive | C | |||||
| ABL1 Y253H + ABL1 Fusion1 | ||||||||
| Dasatinib | Acute Lymphoblastic Leukemia | Predictive | C | Does Not Support Resistance | 3 | accepted | EID7947Prior to dasatinib treatment, one imatinib-resistant patient with acute lymphoblastic leukemia had the BCR-ABL1 fusion with Y253H and Y253H/Q252R variants in 9/10 and 1/10 clones, respectively. Clones… (full text at CIViC) PMID 16775234 · Talpaz et al., 2006 · Open in CIViC | civic |
| PDGFRA Fusion1 | ||||||||
| Imatinib | B Acute Lymphoblastic LeukemiaALIAS | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID7990A 47-year-old man was diagnosed with pre-B-cell acute lymphoblastic leukemia. FISH and nested PCR revealed the patient had a t(4;22)(q12;11) translocation that created an in-frame BCR-PDGFRA fusion. T… (full text at CIViC) PMID 12944919 · Trempat et al., 2003 · Open in CIViC | civic |
| BIRC3 TRUNCATING MUTATION1 | ||||||||
| (prognostic) | Chronic Lymphocytic Leukemia | Prognostic | B | Supports Poor Outcome | 2 | accepted | EID1488BIRC3 mutations were identified in 23 of 919 screened CLLs. They are strongly linked to non-mutated IGHV genes (18/23, P = 0.0001), a widely recognized prognostic signature for poor outcome. PMID 24943832 · Baliakas et al., 2015 · Open in CIViC | civic |
| BLK Expression1 | ||||||||
| Ibrutinib | B Acute Lymphoblastic LeukemiaALIAS | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID9288A preclinical study investigated BTK inhibitor ibrutinib as a potential inhibitor for patients with pre-BCR + B cell acute lymphoblastic leukemia (B-ALL). In validating the significance of BTK and BLK… (full text at CIViC) PMID 28031181 · Kim et al., 2017 · Open in CIViC | civic |
| BRAF V600E8 | ||||||||
| (diagnostic) | Hairy Cell Leukemia | Diagnostic | B | Supports Positive | 4 | accepted | EID1127In 47 patients with Hairy Cell Leukemia, sequencing discovered a V600E mutation in all 47 of the sequenced patients. PMID 21663470 · Tiacci et al., 2011 · Open in CIViC | civic |
| Vemurafenib | Hairy Cell Leukemia | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID11315In these two phase II studies (Italy and U.S. locations), BRAF V600E-mutant hairy-cell leukemia was treated with vemurafenib at a dose of 960 mg twice daily to investigate its efficacy. The overall re… (full text at CIViC) PMID 26352686 · Tiacci et al., 2015 · Open in CIViC | civic |
| 〃 | Hairy Cell Leukemia | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID1579Two clinical trials evaluated the effects of vemurafenib in 54 patients with BRAF (V600E) positive hairy-cell leukemia. The overall response rate was 98% with 19/54 having a complete response and 34/… | |
| BTK C481R1 | ||||||||
| Venetoclax | Chronic Lymphocytic Leukemia | Predictive | C | Does Not Support Resistance | 2 | submitted | EID10374The effective cohort in this study was 11 CLL patients who were first treated with ibrutinib and then on progression treated with venetoclax until progression. Patient samples were sequenced before an… (full text at CIViC) PMID 32232486 · Lucas et al., 2020 · Open in CIViC | civic |
| BTK C481S2 | ||||||||
| Ibrutinib | Chronic Lymphocytic Leukemia | Predictive | B | Supports Resistance | 4 | accepted | EID436Whole exome sequencing of 6 chronic lymphocytic leukemia patients with acquired resistance to ibrutinib determined 5/6 patients harbored a C481S mutation in BTK. PMID 24869598 · Woyach et al., 2014 · Open in CIViC | civic |
| 〃 | Chronic Lymphocytic Leukemia | Predictive | B | Supports Resistance | 4 | accepted | EID1770In a trial of 308 patients with chronic lymphocytic leukemia treated with ibrutinib, 31 discontinued treatment due to disease progression (13 CLL progression, 18 Richter’s transformation). 11/13 patie… (full text at CIViC) PMID 26182309 · Maddocks et al., 2015 · Open in CIViC | civic |
| BTK C481Y1 | ||||||||
| Venetoclax | Chronic Lymphocytic Leukemia | Predictive | C | Supports Resistance | 2 | submitted | EID10373The effective cohort in this study was 11 CLL patients who were first treated with ibrutinib and then on progression treated with venetoclax until progression. Patient samples were sequenced before an… (full text at CIViC) PMID 32232486 · Lucas et al., 2020 · Open in CIViC | civic |
| BTK Expression1 | ||||||||
| Ibrutinib | B Acute Lymphoblastic LeukemiaALIAS | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID9287A preclinical study investigated BTK inhibitor ibrutinib as a potential inhibitor for patients with pre-BCR + B cell acute lymphoblastic leukemia (B-ALL). In validating the significance of BTK and BLK… (full text at CIViC) PMID 28031181 · Kim et al., 2017 · Open in CIViC | civic |
| BTK MUTATION1 | ||||||||
| (prognostic) | Chronic Lymphocytic Leukemia | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID5833A patient cohort of 308 individuals was created from trials of Ibrutinib in CLL (see Maddocks 2015, PMID: 26182309). A secondary cohort was created from a prospective collection of 112 patients. 83/… (full text at CIViC) PMID 28418267 · Woyach et al., 2017 · Open in CIViC | civic |
| BTK T316A1 | ||||||||
| Ibrutinib | Chronic Lymphocytic Leukemia | Predictive | C | Supports Resistance | 4 | accepted | EID1985Case report of a patient with CLL and Richter-transformed relapse under ibrutinib (after an initial partial response for 10 months). Sequencing of sequential samples of this patient revealed a novel B… (full text at CIViC) PMID 27626698 · Sharma et al., 2016 · Open in CIViC | civic |
| PDGFRB Fusion2 | ||||||||
| (oncogenic) | B Acute Lymphoblastic LeukemiaALIAS | Oncogenic | D | Supports Oncogenicity | 4 | submitted | EID13181A somatic out-of-frame CD74intr::PDGFRB rearrangement joined CD74 exon 1 to PDGFRB exon 11 and retained 75 bp of CD74 intronic sequence containing a premature stop codon. Rather than producing a conve… (full text at CIViC) PMID 36810896 · Sadras et al., 2023 · Open in CIViC | civic |
| Dasatinib | B Acute Lymphoblastic LeukemiaALIAS | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID13182A 22-month-old patient with high-risk Philadelphia chromosome-like B-cell acute lymphoblastic leukemia harboring CD74intr::PDGFRB had 46.3% residual bone marrow blasts at the end of induction therapy.… (full text at CIViC) PMID 36810896 · Sadras et al., 2023 · Open in CIViC | civic |
| CDKN2A Deletion1 | ||||||||
| (prognostic) | Acute Lymphoblastic Leukemia | Prognostic | B | Supports Poor Outcome | 4 | rejected | EID7985CDKN2A/B deletions were poor prognostic factors for both overall survival (OS) (HR = 2.15, 95% CI 1.82-2.54) and event-free survival (EFS)/disease-free survival (DFS)/relapse-free survival (RFS) (HR =… (full text at CIViC) PMID 30592434 · Zhang et al., 2019 · Open in CIViC | civic |
| CDKN2A Loss1 | ||||||||
| (prognostic) | Acute Lymphoblastic Leukemia | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID7986A total of thirteen studies including 2857 patients were combined in a meta-analysis. Combined HRs suggested that CDKN2A/B deletions were poor prognostic factors for both overall survival (OS) (HR = 2… (full text at CIViC) PMID 30592434 · Zhang et al., 2019 · Open in CIViC | civic |
| High1 | ||||||||
| (prognostic) | Chronic Lymphocytic Leukemia | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID12038In a retrospective study of 5,290 chronic lymphocytic leukemia (CLL) patients where chromosome-banding analysis (CBA) data was available, karyotype complexity was assessed for clinical impact. Karyoty… (full text at CIViC) PMID 30602617 · Baliakas et al., 2019 · Open in CIViC | civic |
| CREBBP Mutation1 | ||||||||
| Therapeutic Glucocorticoid | Acute Lymphoblastic Leukemia | Predictive | D | Supports Resistance | 3 | submitted | EID8501Mullighan et al analyzed a cohort of 71 diagnosis-relapse cases and 270 acute leukaemia cases that did not relapse. The authors found that 18.3% of relapse cases had sequence or deletion mutations of … (full text at CIViC) PMID 21390130 · Mullighan et al., 2011 · Open in CIViC | civic |
| CRLF2 F232C1 | ||||||||
| (prognostic) | Adult B Acute Lymphoblastic LeukemiaALIAS | Prognostic | D | Supports Poor Outcome | 4 | submitted | EID6094In vitro expression experiments of CRLF2 F232C in murine BaF3 cells and human UT7 cells show that this mutation leads to constitutive dimerization and cytokine-independent signaling. This leads to tra… (full text at CIViC) PMID 20018760 · Yoda et al., 2010 · Open in CIViC | civic |
| CRLF2 G24R1 | ||||||||
| Unspecified therapy | Acute Lymphoblastic Leukemia | Predictive | E | Supports N/A | 1 | rejected | EID6087CRLF2 is overexpressed in 7% of B cell ALL. In KZF1-mutated, BCR-ABL1-negative ALL, also refers as “Ph-like ALL” , 50 % of these “Ph-like ALL” carry rearrangements of CRLF2 (CRLF2r). In particular, IG… (full text at CIViC) PMID 22897847 · Roberts et al., 2012 · Open in CIViC | civic |
| CRLF2 Rearrangement1 | ||||||||
| Sirolimus | Acute Lymphoblastic Leukemia | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID11097To investigate the therapeutic potential of JAK inhibitors in pediatric B-ALL, the authors examined the efficacy of rapamycin in murine xenograft models of 8 pediatric B-ALL cases. Five xenografts (I … (full text at CIViC) PMID 22955920 · Maude et al., 2012 · Open in CIViC | civic |
| CRLF2 V2del1 | ||||||||
| (diagnostic) | Acute Lymphoblastic Leukemia | Diagnostic | C | Does Not Support Negative | 1 | submitted | EID6080Lack of association of CRLF2 V2del with any clinical value in acute lymphocytic leukemia. PMID 29449437 · Sinclair et al., 2018 · Open in CIViC | civic |
| CD28 Fusion1 | ||||||||
| Ipilimumab | Sezary SyndromeALIAS | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID1520A 67-year-old Caucasian female with stage IVA Sezary syndrome presented refractory to traditional therapy and was enrolled in a whole genome study trial. Sequencing revealed a CTLA4-CD28 fusion protei… (full text at CIViC) PMID 25802883 · Sekulic et al., 2015 · Open in CIViC | civic |
| DNMT3A Mutation1 | ||||||||
| (prognostic) | T Acute Lymphoblastic LeukemiaCURATED_BROADER | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID469In adult patients with early (n = 30), cortical (n = 30), mature (n = 3) or unknown (n = 8) T-cell acute lymphoblastic leukemia, those with mutations in DNMT3A (n=12) had shorter overall survival than… (full text at CIViC) PMID 23341344 · Grossmann et al., 2013 · Open in CIViC | civic |
| DUX4 Fusion2 | ||||||||
| (prognostic) | Acute Lymphoblastic Leukemia | Prognostic | C | Supports Better Outcome | 3 | accepted | EID1277Ph- ALL (Philadelphia chromosome negative acute lymphoblastic leukemia) gene expression profiles cluster into two main groups, Ph like and non-Ph like ALL. Non-Ph like ALL have favorable outcomes whe… (full text at CIViC) PMID 27019113 · Yasuda et al., 2016 · Open in CIViC | civic |
| (diagnostic) | Acute Lymphoblastic Leukemia | Diagnostic | D | Supports Positive | 4 | accepted | EID1276A screen for fusion genes in Ph- AYA-ALL (Philadelphia chromosome negative acute lymphoblastic leukemia in adolescents and young adults) was performed using RNA-seq from multiple cohorts of ALL patien… (full text at CIViC) PMID 27019113 · Yasuda et al., 2016 · Open in CIViC | civic |
| DUX4 Fusion + DUX4 Fusion1 | ||||||||
| (diagnostic) | B Acute Lymphoblastic Leukemia with DUX4 RearrangementALIAS | Diagnostic | B | Supports Positive | 4 | submitted | EID11523Integrated genomic analysis of was performed for 1,988 childhood and adult B-ALL cases. 106 cases (5.3%) showed DUX4 rearrangements, commonly with the IGH region. These cases were characterized by a u… (full text at CIViC) PMID 30643249 · Gu et al., 2019 · Open in CIViC | civic |
| ABL2 Fusion1 | ||||||||
| (oncogenic) | B Acute Lymphoblastic LeukemiaALIAS | Oncogenic | C | Supports Oncogenicity | 1 | submitted | EID12493In a study of 176 ALL patients, consisting of 136 B- and 40 T-lineage, multiplex nested RT-PCR was used to look for ETV6 fusions. One patient had ETV6::ABL2 fusion. Patient was a 17 year old with kary… (full text at CIViC) PMID 22373549 · Zhou et al., 2012 · Open in CIViC | civic |
Data updated 9 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.
| Supports Resistance |
| 2 |
| submitted |
EID4375In a retrospective study of 174 imatinib-resistant or -intolerant Philadelphia chromosome BCR-ABL1 fusion positive accelerated phase chronic myeloid leukemia patients, patients with the T315I mutation… (full text at CIViC) PMID 19487385 · Apperley et al., 2009 · Open in CIViC |
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| 〃 | Acute Lymphoblastic Leukemia | Predictive | C | Supports Resistance | 2 | accepted | EID4376In this phase II multinational study, patients with accelerated phase CML and BCR-ABL fusions were treated with dasatinib monotherapy. Response rate among 60 imatinib-resistant patients with BCR-ABL m… (full text at CIViC) PMID 17264298 · Guilhot et al., 2007 · Open in CIViC | civic |
| 〃 | Acute Lymphoblastic Leukemia | Predictive | D | Supports Resistance | 2 | submitted | EID4377In an in vitro study, a Ba/F3 cell line stably expressing the T315I mutation in the ABL1 portion of the BCR-ABL1 fusion protein was associated with reduced sensitivity to dasatinib treatment (IC50: 1… (full text at CIViC) PMID 19075254 · Redaelli et al., 2009 · Open in CIViC | civic |
| 〃 | Acute Lymphoblastic Leukemia | Predictive | D | Supports Resistance | 2 | submitted | EID4378In an in vitro study, a Ba/F3 cell line stably expressing the T315I mutation in the ABL1 portion of the BCR-ABL1 fusion protein was found to have reduced sensitivity to dasatinib treatment, comparable… (full text at CIViC) PMID 15256671 · Shah et al., 2004 · Open in CIViC | civic |
| Dasatinib + Imatinib + NilotinibSubstitutes | Acute Lymphoblastic Leukemia | Predictive | D | Supports Resistance | 3 | accepted | EID7778Bone marrow mononuclear cells (BM MNCs) isolated from three acute lymphoblastic leukemia patients with the BCR-ABL1 T315I variant. Patients were pretreated with various chemotherapeutics and dasatinib… (full text at CIViC) PMID 25686603 · Pemovska et al., 2015 · Open in CIViC | civic |
| Ponatinib | Acute Lymphoblastic Leukemia | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID2673In an in vitro study, a Ba/F3 cell line expressing a T315I mutation in the ABL1 portion of the BCR-ABL1 fusion protein, demonstrated sensitivity to ponatinib treatment (IC50: 11nM). Sensitivity was de… (full text at CIViC) PMID 19878872 · O'Hare et al., 2009 · Open in CIViC | civic |
PMID 26352686 · Tiacci et al., 2015 · Open in CIViC
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| 〃 | Hairy Cell Leukemia | Predictive | C | Supports Sensitivity Response | — | submitted | EID3766In a refractory hairy cell leukemia patient harboring BRAF V600E mutation, BRAF V600E was associated with sensitivity to vemurafenib treatment. The patient was initially treated with conventional trea… (full text at CIViC) PMID 22621641 · Dietrich et al., 2012 · Open in CIViC | civic |
| 〃 | Hairy Cell Leukemia | Predictive | C | Supports Sensitivity Response | — | submitted | EID3767In a case report, a hairy cell leukemia (HCL) patient harboring BRAF V600E mutation was associated with a complete response to vemurafenib monotherapy after 3 months of treatment, which was sustained … (full text at CIViC) PMID 23300174 · Peyrade et al., 2013 · Open in CIViC | civic |
| 〃 | Hairy Cell Leukemia | Predictive | C | Supports Sensitivity Response | — | submitted | EID3768In a hairy cell leukemia patient harboring BRAF V600E mutation, BRAF V600E mutation was associated with improved response to vemurafenib treatment. The patient was treated with 3 lines of chemotherapy… (full text at CIViC) PMID 23278307 · Follows et al., 2013 · Open in CIViC | civic |
| 〃 | Hairy Cell Leukemia | Predictive | C | Supports Sensitivity Response | — | submitted | EID3769As a follow-up to a previous study (23300174), a hairy cell leukemia patient harboring BRAF V600E mutation was associated with response to vemurafenib monotherapy. The patient was previously treated w… (full text at CIViC) PMID 25815361 · Bailleux et al., 2015 · Open in CIViC | civic |
| 〃 | Hairy Cell Leukemia | Predictive | C | Supports Sensitivity Response | — | submitted | EID3770A hairy cell leukemia patient with extensive CNS involvement patient harboring BRAF V600E mutation was associated with complete response to vemurafenib monotherapy. Upon identification of the BRAF V60… (full text at CIViC) PMID 27116997 · McDowell et al., 2016 · Open in CIViC | civic |