Cancer Family
Malignant Breast Neoplasm
CI-CAN-00000227Explore in graph →
- NCIt
- C9335
- ICD-10
- C50
- DOID
- 1612
- Other
- 2 more codes
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Cancer Family
CI-CAN-00000227Explore in graph →
Variants & evidence
464 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 |
|---|---|---|---|---|---|---|---|---|
| CCDC170 Fusion5 | ||||||||
| Dasatinib + FulvestrantCombination | Malignant Breast Neoplasm | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID11514Protein-based assays showed that ESR1::CCDC170 fusion expressing cells had increased protein expression of HER2 and SRC, as well as increased HER2 phosphorylation. The ESR1::CCDC170 fusion, E2-E7 and … (full text at CIViC) PMID 32771039 · Li et al., 2020 · Open in CIViC | civic |
| Fulvestrant + LapatinibCombination | Malignant Breast Neoplasm | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID11513Protein-based assays showed that ESR1::CCDC170 fusion expressing cells had increased protein expression of HER2 and SRC, as well as increased HER2 phosphorylation. The ESR1::CCDC170 fusion, E2-E7 and … (full text at CIViC) PMID 32771039 · Li et al., 2020 · Open in CIViC | civic |
| Dasatinib + TamoxifenCombination | Malignant Breast Neoplasm | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID11512Protein-based assays showed that ESR1::CCDC170 fusion expressing cells had increased protein expression of HER2 and SRC, as well as increased HER2 phosphorylation. The ESR1::CCDC170 fusion, E2-E7 and … (full text at CIViC) PMID 32771039 · Li et al., 2020 · Open in CIViC | civic |
| Fulvestrant + TamoxifenSubstitutes | Malignant Breast Neoplasm | Predictive | D | Supports Resistance | 4 | submitted | EID11510The ESR1::CCDC170 fusion, E2-E7 and E2-E10 variants, were expressed in T47D luminal breast cancer cells and these cells were implanted in athymic nude mice to produce xenografts. Tamoxifen treatment r… (full text at CIViC) PMID 32771039 · Li et al., 2020 · Open in CIViC | civic |
| Lapatinib + TamoxifenCombination | Malignant Breast Neoplasm | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID11511Protein-based assays showed that ESR1::CCDC170 fusion expressing cells had increased protein expression of HER2 and SRC, as well as increased HER2 phosphorylation. The ESR1::CCDC170 fusion, E2-E7 and … (full text at CIViC) PMID 32771039 · Li et al., 2020 · Open in CIViC | civic |
| ESR1 D538G4 | ||||||||
| Hormone Therapy | Malignant Breast Neoplasm | Predictive | D | Supports Resistance | 3 | accepted | EID243MCF7 cell lines harboring the D538G mutation in the ligand-binding domain of ESR1 have shown resistance to hormone therapy. PMID 24185512 · Toy et al., 2013 · Open in CIViC | civic |
| Palbociclib | Malignant Breast Neoplasm | Predictive | C | Supports Sensitivity Response | — | submitted | EID4813In a phase 3 clinical trial (NCT01942135) of 360 premenopausal and postmenopausal women with advanced, hormone receptor-positive breast cancer who had progressed during prior endocrine therapy, patien… (full text at CIViC) PMID 27269946 · Fribbens et al., 2016 · Open in CIViC | civic |
| Letrozole + PalbociclibCombination | Malignant Breast Neoplasm | Predictive | C | Does Not Support Sensitivity Response | ||||
| ESR1 D538G + ESR1 E380Q + ESR1 Mutation + ESR1 Y537C + ESR1 Y537N + ESR1 Y537S1 | ||||||||
| Lasofoxifene | Malignant Breast Neoplasm | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID12934In the randomized, open-label Phase II ELAINE-1 trial (n = 103), patients with ESR1‑mutated ER⁺/HER2⁻ mBC progressing after aromatase inhibitor plus CDK4/6 inhibitor therapy received either lasofoxife… (full text at CIViC) PMID 38072514 · Goetz et al., 2023 · Open in CIViC | civic |
| ESR1 E380Q1 | ||||||||
| Palbociclib | Malignant Breast Neoplasm | Predictive | C | Supports Sensitivity Response | — | submitted | EID4810In a phase 3 clinical trial (NCT01942135) of 360 premenopausal and postmenopausal women with advanced, hormone receptor-positive breast cancer who had progressed during prior endocrine therapy, patien… (full text at CIViC) PMID 27269946 · Fribbens et al., 2016 · Open in CIViC | civic |
| ESR1 L370F1 | ||||||||
| Fulvestrant | Malignant Breast Neoplasm | Predictive | D | Supports Resistance | 4 | submitted | EID12952In CRISPR/Cas9-engineered MCF-7 breast cancer cells, ESR1 L370F reduced sensitivity to fulvestrant by decreasing fulvestrant-induced ERα degradation, suppressing inhibition of ERα transcriptional acti… (full text at CIViC) PMID 41491538 · Cipolletti et al., 2026 · Open in CIViC | civic |
| ESR1 L536Q2 | ||||||||
| Hormone Therapy | Malignant Breast Neoplasm | Predictive | D | Supports Resistance | 3 | accepted | EID242MCF7 cell lines harboring the L536Q mutation in the ligand-binding domain of ESR1 have shown resistance to hormone therapy. PMID 24185512 · Toy et al., 2013 · Open in CIViC | civic |
| Fulvestrant + TamoxifenSubstitutes | Malignant Breast Neoplasm | Predictive | D | Supports Sensitivity Response | 5 | accepted | EID290Using an estrogen response element (ERE)-luciferase reporter system co-transfected with one of five ESR1 mutants, the L536Q ligand binding domain mutation was shown to result in constitutive activity … (full text at CIViC) PMID 24185510 · Robinson et al., 2013 · Open in CIViC | civic |
| ESR1 L536R1 | ||||||||
| Palbociclib | Malignant Breast Neoplasm | Predictive | C | Supports Sensitivity Response | — | submitted | EID4811In a phase 3 clinical trial (NCT01942135) of 360 premenopausal and postmenopausal women with advanced, hormone receptor-positive breast cancer who had progressed during prior endocrine therapy, patien… (full text at CIViC) PMID 27269946 · Fribbens et al., 2016 · Open in CIViC | civic |
| ESR1 Mutation3 | ||||||||
| Elacestrant | Malignant Breast Neoplasm | Predictive | A | Supports Sensitivity Response | 4 | accepted | EID11443In a phase 3 trial (NCT03778931), the selective ER-degrader elacestrant was shown to increase progression free survival (PFS) in both ESR1 mutant and ESR1 wild type, ER-positive, HER2-negative breast … (full text at CIViC) PMID 35584336 · Bidard et al., 2022 · Open in CIViC | civic |
| Abemaciclib Regimen + Imlunestrant RegimenCombination | Breast Carcinoma | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID12599In the concurrently randomized cohort of the same phase 3 trial in ER-positive, HER2-negative breast carcinoma (NCT04975308; n = 426, 213 per arm), imlunestrant plus abemaciclib improved investigator-… (full text at CIViC) PMID 39660834 · Jhaveri et al., 2025 · Open in CIViC | civic |
| Aromatase Inhibitor + Fulvestrant + Imlunestrant Regimen | ||||||||
| ESR1 Overexpression1 | ||||||||
| Letrozole + PalbociclibCombination | Malignant Breast Neoplasm | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID1541A phase 2 clinical trial evaluated 165 patients with oestrogen receptor positive and HER2-negative breast cancer such that 84 patients received combination therapy of palbociclib plus letrozole and 81… (full text at CIViC) PMID 25524798 · Finn et al., 2015 · Open in CIViC | civic |
| ESR1 S463P1 | ||||||||
| Palbociclib | Malignant Breast Neoplasm | Predictive | C | Supports Sensitivity Response | — | submitted | EID4815In a phase 3 clinical trial (NCT01942135) of 360 premenopausal and postmenopausal women with advanced, hormone receptor-positive breast cancer who had progressed during prior endocrine therapy, patien… (full text at CIViC) PMID 27269946 · Fribbens et al., 2016 · Open in CIViC | civic |
| ESR1 Y537C3 | ||||||||
| Hormone Therapy | Malignant Breast Neoplasm | Predictive | D | Supports Resistance | 3 | accepted | EID244MCF7 cell lines harboring the Y537C mutation in the ligand-binding domain of ESR1 have shown resistance to hormone therapy. PMID 24185512 · Toy et al., 2013 · Open in CIViC | civic |
| Palbociclib | Malignant Breast Neoplasm | Predictive | C | Supports Sensitivity Response | — | submitted | EID4812In a phase 3 clinical trial (NCT01942135) of 360 premenopausal and postmenopausal women with advanced, hormone receptor-positive breast cancer who had progressed during prior endocrine therapy, patien… (full text at CIViC) PMID 27269946 · Fribbens et al., 2016 · Open in CIViC | civic |
| Fulvestrant + TamoxifenSubstitutes | Malignant Breast Neoplasm | Predictive | D | Supports Sensitivity Response | ||||
| ESR1 Y537N4 | ||||||||
| Hormone Therapy | Malignant Breast Neoplasm | Predictive | D | Supports Resistance | 3 | accepted | EID245MCF7 cell lines harboring the Y537N mutation in the ligand-binding domain of ESR1 have shown resistance to hormone therapy. PMID 24185512 · Toy et al., 2013 · Open in CIViC | civic |
| Palbociclib | Malignant Breast Neoplasm | Predictive | B | Supports Sensitivity Response | 2 | submitted | EID4817In a study of 16 metastatic breast cancer patients (NCT02142868) treated with palbociclib in combination with letrozole, patients with ESR1 mutations (5/16) detected at initial blood draw, including E… (full text at CIViC) PMID 28978004 · Gyanchandani et al., 2017 · Open in CIViC | civic |
| 〃 | Malignant Breast Neoplasm | Predictive | C | Supports Sensitivity Response | — | submitted | ||
| ESR1 Y537S5 | ||||||||
| Hormone Therapy | Malignant Breast Neoplasm | Predictive | D | Supports Resistance | 3 | accepted | EID246MCF7 cell lines harboring the L537S mutation in the ligand-binding domain of ESR1 have shown resistance to hormone therapy. PMID 24185512 · Toy et al., 2013 · Open in CIViC | civic |
| Palbociclib | Malignant Breast Neoplasm | Predictive | B | Supports Sensitivity Response | 2 | submitted | EID4819In a study of 16 metastatic breast cancer patients (NCT02142868) treated with palbociclib in combination with letrozole, patients with ESR1 mutations (5/16) detected at initial blood draw, including E… (full text at CIViC) PMID 28978004 · Gyanchandani et al., 2017 · Open in CIViC | civic |
| 〃 | Malignant Breast Neoplasm | Predictive | C | Supports Sensitivity Response | — | submitted | ||
| ESR1 H524L + ESR1 Y537S1 | ||||||||
| Selective Estrogen Receptor Covalent Antagonist H3B-6545 | Malignant Breast Neoplasm | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID12639In ERα-positive breast cancer xenograft and PDX models expressing ERαWT or ERαY537S (ST986, ST1799, ST941, ST2177, ST2056), oral H3B-6545 produced dose-dependent antitumor activity, including TGI of 6… (full text at CIViC) PMID 35642432 · Furman et al., 2022 · Open in CIViC | civic |
| ESR2 alternative transcripts1 | ||||||||
| (prognostic) | Malignant Breast Neoplasm | Prognostic | B | Does Not Support Poor Outcome | 4 | submitted | EID9620In a clinical study including 4 cohorts of 649, 398, 887 and 1375 patients respectively, beta-1 underexpression is not significantly correlated with decreased DFS (including in ERalpha positive patien… (full text at CIViC) PMID 25007965 · Wimberly et al., 2014 · Open in CIViC | civic |
| ESR2 beta-2 and beta-51 | ||||||||
| (prognostic) | Malignant Breast Neoplasm | Prognostic | B | Supports Better Outcome | 4 | submitted | EID9611In a clinical trial including 105 patients, beta-2 expression is significantly associated with an increased RFS (p = 0.006) and OS (p= 0.0008) by a multivariate analysis. This significative correlatio… (full text at CIViC) PMID 15591034 · Davies et al., 2004 · Open in CIViC | civic |
| ESR2 underexpression beta-14 | ||||||||
| (prognostic) | Malignant Breast Neoplasm | Prognostic | B | Supports Poor Outcome | 4 | submitted | EID9613In a clinical study including 903 patients, ERalpha negative patients with no expression of beta-1 is significantly correlated with decreased DFS (p < 0.0001). PMID 27810901 · Elebro et al., 2017 · Open in CIViC | civic |
| 〃 | Malignant Breast Neoplasm | Prognostic | B | Supports Poor Outcome | 4 | submitted | EID9618In a clinical study including 177 patients ERalpha positive treated with tamoxifen and fluoxymesterone therapy, nuclear underexpression of beta-1 is significantly associated with decreased RFS (p = 0.… (full text at CIViC) PMID 25288324 · Reese et al., 2014 · Open in CIViC | civic |
| 〃 | Malignant Breast Neoplasm | Prognostic | B | Supports Poor Outcome | 4 | submitted | ||
| NTRK3 Fusion6 | ||||||||
| (diagnostic) | Breast Secretory Carcinoma | Diagnostic | B | Supports Positive | 3 | submitted | EID10503A 6-year-old female had invasive breast adenocarcinoma with the histopathologic features of a secretory breast carcinoma (SBC). FISH and RT-PCR on frozen tumor tissue found ETV6::NTRK3 fusion. 11 of … (full text at CIViC) PMID 12450792 · Tognon et al., 2002 · Open in CIViC | civic |
| 〃 | Breast Secretory Carcinoma | Diagnostic | B | Supports Positive | 3 | accepted | EID11343In developing a FISH assay to detect ETV6::NTRK3 fusions, the authors found 3 of 4 secretary breast carcinomas were positive for the fusion. In a subsequent analysis of an invasive breast carcinoma t… (full text at CIViC) PMID 15101049 · Makretsov et al., 2004 · Open in CIViC | civic |
| 〃 | Breast Secretory Carcinoma | Diagnostic | B | Supports Positive | ||||
| FAT1 Loss1 | ||||||||
| CDK4/6 Inhibition | Malignant Breast Neoplasm | Predictive | B | Supports Resistance | 3 | submitted | EID12263Drug resistance to CDK4/6 inhibitors was analyzed in a genomic study of 348 estrogen receptor-positive (ER+) breast cancer cases. Among patients treated with CDK4/6 inhibitors, those with FAT1 mutatio… (full text at CIViC) PMID 30537512 · Li et al., 2018 · Open in CIViC | civic |
| FCGR2A H167R2 | ||||||||
| (prognostic) | Malignant Breast Neoplasm | Prognostic | B | Does Not Support N/A | 3 | accepted | EID1084A total of 57 women with HER2-positive metastatic breast cancer were analyzed after taxane plus trastuzumab chemotherapy. FCGR2A H131R carriers did not have a significantly different response rate, pr… (full text at CIViC) PMID 22906996 · Kim et al., 2012 · Open in CIViC | civic |
| Trastuzumab | HER2-Positive Breast CarcinomaALIAS | Predictive | B | Does Not Support Sensitivity Response | 4 | accepted | EID10881325 HER2-positive breast cancer patients treated with trastuzumab and chemotherapy from the N9831 clinical trial were analyzed. There was no statistical difference in disease-free survival between tr… (full text at CIViC) PMID 24989892 · Norton et al., 2014 · Open in CIViC | civic |
| FCGR2B I232T1 | ||||||||
| (prognostic) | Malignant Breast Neoplasm | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID10861325 HER2-positive breast cancer patients treated with trastuzumab and chemotherapy from the N9831 clinical trial were analyzed. There was a difference in disease-free survival for FCGR2B I232T, with … (full text at CIViC) PMID 24989892 · Norton et al., 2014 · Open in CIViC | civic |
| FCGR3A F212V1 | ||||||||
| (prognostic) | Malignant Breast Neoplasm | Prognostic | B | Does Not Support N/A | 3 | accepted | EID1085A total of 57 women with HER2-positive metastatic breast cancer were analyzed after taxane plus trastuzumab chemotherapy. FCGR3A V158F carriers did not have a significantly different response rate, pr… (full text at CIViC) PMID 22906996 · Kim et al., 2012 · Open in CIViC | civic |
Data updated 15 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.
| 2 |
| accepted |
EID4814In a study of 16 patients with metastatic breast cancer (NCT02142868) treated with palbociclib in combination with letrozole, patients with ESR1 mutations (5/16), including ESR1 D538G (n=2), detected … (full text at CIViC) PMID 28978004 · Gyanchandani et al., 2017 · Open in CIViC |
| civic |
| Fulvestrant + TamoxifenSubstitutes | Malignant Breast Neoplasm | Predictive | D | Supports Sensitivity Response | 5 | accepted | EID291Using an estrogen response element (ERE)-luciferase reporter system co-transfected with one of five ESR1 mutants, the N538G ligand binding domain mutation was shown to result in constitutive activity … (full text at CIViC) PMID 24185510 · Robinson et al., 2013 · Open in CIViC | civic |
| Breast Carcinoma |
| Predictive |
| A |
| Supports Sensitivity Response |
| 4 |
| submitted |
EID12600In a randomized, open-label phase 3 trial in ER-positive, HER2-negative breast carcinoma (EMBER-3, NCT04975308; n = 874; ESR1-mut subgroup n = 256), imlunestrant monotherapy (n=331) improved investiga… (full text at CIViC) PMID 39660834 · Jhaveri et al., 2025 · Open in CIViC |
| civic |
| 5 |
| accepted |
EID292Using an estrogen response element (ERE)-luciferase reporter system co-transfected with one of five ESR1 mutants, the Y537C ligand binding domain mutation was shown to result in constitutive activity … (full text at CIViC) PMID 24185510 · Robinson et al., 2013 · Open in CIViC |
| civic |
In a phase 3 clinical trial (NCT01942135) of 360 premenopausal and postmenopausal women with advanced, hormone receptor-positive breast cancer who had progressed during prior endocrine therapy, patien… (full text at CIViC)
PMID 27269946 · Fribbens et al., 2016 · Open in CIViC
| civic |
| Fulvestrant + TamoxifenSubstitutes | Malignant Breast Neoplasm | Predictive | D | Supports Sensitivity Response | 5 | accepted | EID293Using an estrogen response element (ERE)-luciferase reporter system co-transfected with one of five ESR1 mutants, the Y537N ligand binding domain mutation was shown to result in constitutive activity … (full text at CIViC) PMID 24185510 · Robinson et al., 2013 · Open in CIViC | civic |
In a phase 3 clinical trial (NCT01942135) of 360 premenopausal and postmenopausal women with advanced, hormone receptor-positive breast cancer who had progressed during prior endocrine therapy, patien… (full text at CIViC)
PMID 27269946 · Fribbens et al., 2016 · Open in CIViC
| civic |
| Selective Estrogen Receptor Covalent Antagonist H3B-6545 | Breast Carcinoma | Predictive | B | Supports Sensitivity Response | 4 | submitted | EID12616In a multicenter open label phase 1 to 2 trial in locally advanced or metastatic ER positive, HER2 negative breast carcinoma (NCT03250676; n = 151; RP2D cohort 450 mg once daily n = 115, response eval… (full text at CIViC) PMID 40830892 · Hamilton et al., 2025 · Open in CIViC | civic |
| Fulvestrant + TamoxifenSubstitutes | Malignant Breast Neoplasm | Predictive | D | Supports Sensitivity Response | 5 | accepted | EID294Using an estrogen response element (ERE)-luciferase reporter system co-transfected with one of five ESR1 mutants, the Y537S ligand binding domain mutation was shown to result in constitutive activity … (full text at CIViC) PMID 24185510 · Robinson et al., 2013 · Open in CIViC | civic |
EID9619In a clinical study including 571 patients TN, nuclear (mainly) underexpression of beta-1 is significantly associated with decreased OS (p = 0.007), decreased DFS (p = 0.009) and decreased distant MFS… (full text at CIViC) PMID 26070269 · Wang et al., 2015 · Open in CIViC |
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| Exemestane + TamoxifenSubstitutes | Malignant Breast Neoplasm | Predictive | B | Supports Sensitivity Response | 4 | submitted | EID9612In a clinical trial including 718 patients treated with exemestane (367) or tamoxifen (351), patients treated with tamoxifen and underexpressing beta-1 show a significant correlation with decreased DF… (full text at CIViC) PMID 26002610 · Speirs et al., 2015 · Open in CIViC | civic |
| 3 |
| accepted |
EID1134412 of 13 (92%) secretory breast carcinomas were found to have ETV6::NTRK3 fusions by RT-PCR and/or FISH whereas other infiltrating ductal carcinomas were negative for the fusion. PMID 12450792 · Tognon et al., 2002 · Open in CIViC |
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| 〃 | Breast Secretory Carcinoma | Diagnostic | B | Supports Positive | 3 | accepted | EID113459 of 9 breast secretory carcinomas were found to have ETV6:NTRK3 fusions, a basal-like phenotype, and no additional pathogenic aberrations in genes commonly mutated in breast cancer. PMID 28548128 · Krings et al., 2017 · Open in CIViC | civic |
| (oncogenic) | Breast Secretory Carcinoma | Oncogenic | D | Supports Oncogenicity | 3 | accepted | EID10504A 6-year-old female was diagnosed with secretory breast carcinoma (SBC), a rare invasive breast adenocarcinoma. Analysis of the tumor revealed a genetic driver: an ETV6::NTRK3 gene fusion. This fusion… (full text at CIViC) PMID 12450792 · Tognon et al., 2002 · Open in CIViC | civic |
| Larotrectinib | Breast Secretory Carcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID6475Shukla et al report on a remarkable case study of a 14 year old pediatric patient with refractory secretory breast carcinoma first presenting as a fibroadenoma at 8 yo. Over the next years, she experi… (full text at CIViC) PMID 29623306 · Shukla et al., 2017 · Open in CIViC | civic |