Cancer
Malignant Gastric Neoplasm
CI-CAN-00001130Explore in graph →
Loading cancer entity…
Cancer
CI-CAN-00001130Explore in graph →
Variants & evidence
94 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 |
|---|---|---|---|---|---|---|---|---|
| ARID1A Underexpression1 | ||||||||
| (prognostic) | Malignant Gastric Neoplasm | Prognostic | D | Supports Poor Outcome | 4 | accepted | EID5675In this study, real-time quantitative RT-PCR assays were used in 66 pairs of cancerous and matched adjacent normal tissues. In 43 of those pairs, the expression level of ARID1A was significantly lower… (full text at CIViC) PMID 22808142 · Wang et al., 2012 · Open in CIViC | civic |
| ATM Underexpression3 | ||||||||
| Olaparib | Gastric Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID878Low ATM protein expression led to sensitivity to PARP inhibitors in TP53 -ve gastric cancer cell lines (8 lines were used for various aspects of this study). PMID 24841718 · Kubota et al., 2014 · Open in CIViC | civic |
| Olaparib + PaclitaxelCombination | Malignant Gastric Neoplasm | Predictive | B | Does Not Support Sensitivity Response | 4 | submitted | EID7708This double-blind, randomized, placebo-controlled, phase 3 study (GOLD) recruited Asian patients with advanced gastric cancer that had progressed after first-line chemotherapy. Patients were randomly … (full text at CIViC) PMID 29103871 · Bang et al., 2017 · Open in CIViC | civic |
| 〃 | Malignant Gastric Neoplasm | Predictive | B | Supports Sensitivity Response | ||||
| BCOR Mutation1 | ||||||||
| (prognostic) | Malignant Gastric Neoplasm | Prognostic | B | Supports Better Outcome | 3 | accepted | EID168146 patients with poorly cohesive, signet-cell ring, gastric carcinoma were evaluated for genetic mutations. Overall survival rate of BCOR positive cases were significantly better than BCOR negative c… (full text at CIViC) PMID 27313181 · Rokutan et al., 2016 · Open in CIViC | civic |
| CCND2 OVEREXPRESSION4 | ||||||||
| (prognostic) | Malignant Gastric Neoplasm | Prognostic | D | Supports Poor Outcome | 4 | accepted | EID359Cyclin D2 overexpression is associated with poor prognosis in gastric cancers. PMID 10547574 · Takano et al., 1999 · Open in CIViC | civic |
| 〃 | Malignant Gastric Neoplasm | Prognostic | D | Supports Poor Outcome | 4 | accepted | EID360Cyclin D2 overexpression is associated with the increased depth of cancer invasion in gastric cancers. PMID 10547574 · Takano et al., 1999 · Open in CIViC | civic |
| 〃 | Malignant Gastric Neoplasm | Prognostic | D | Supports Poor Outcome | 4 | accepted | EID361Cyclin D2 overexpression is associated with the presence pf lymph node metastasis in gastric cancers. PMID 10547574 · | |
| CCND2 PROMOTER DEMETHYLATION1 | ||||||||
| (diagnostic) | Malignant Gastric Neoplasm | Diagnostic | D | Supports Negative | 3 | accepted | EID219CCND2 hypomethylation is seen to be more common in stage III and IV gastric tumors than stage I and II. PMID 14612939 · Oshimo et al., 2003 · Open in CIViC | civic |
| CCNE1 Amplification1 | ||||||||
| (prognostic) | Malignant Gastric Neoplasm | Prognostic | C | Supports Poor Outcome | 3 | submitted | EID7437CCNE1 amplification has been found in 11–12% of gastric cancers and recent studies have shown that CCNE1 amplification is significantly associated with liver metastasis in a TP53-mutated gastric cance… (full text at CIViC) PMID 31178228 · Kim et al., 2019 · Open in CIViC | civic |
| CCNE1 Overexpression2 | ||||||||
| (prognostic) | Gastric Adenosquamous Carcinoma | Prognostic | B | Supports Poor Outcome | 4 | rejected | EID364Elevated levels of CCNE1 mRNA has been shown to be correlated with advanced stage gastric carcinoma. PMID 10224221 · Donnellan et al., 1999 · Open in CIViC | civic |
| 〃 | Gastric Adenosquamous Carcinoma | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID365Elevated levels of CCNE1 mRNA has been shown to be correlated with increased depth of tumor invasion in gastic carcinoma. PMID 10224221 · Donnellan et al., 1999 · Open in CIViC | civic |
| CD274 Expression1 | ||||||||
| (prognostic) | Gastric CarcinomaALIAS | Prognostic | B | Supports Better Outcome | 3 | accepted | EID1275465 gastric cancer samples and 15 corresponding liver metastases underwent IHC for PD1/PD-L1 protein expression. PD-L1 positivity in tumor cells was defined by at least 2% tumor cells with membranous … (full text at CIViC) PMID 27009855 · Böger et al., 2016 · Open in CIViC | civic |
| CD44 CD44s1 | ||||||||
| (prognostic) | Malignant Gastric Neoplasm | Prognostic | B | Supports Poor Outcome | 4 | submitted | EID9426In a multivariate analysis from a clinical study including 123 resected primary gastric cancer, CD44s expression at invasive tumor front correlates with a decrease in survival (p< 0.0001). Moreover CD… (full text at CIViC) PMID 27931044 · Kodama et al., 2017 · Open in CIViC | civic |
| CD44 CD44v63 | ||||||||
| (prognostic) | Malignant Gastric Neoplasm | Prognostic | B | Supports Poor Outcome | 5 | submitted | EID9408In a meta-analysis including 4 studies with a total of 629 patients, CD44v6 expression is significantly correlated with a decrease in OS (HR 1.76, 95% IC: 1.30 to 2.39). One study that affects heterog… (full text at CIViC) PMID 27977599 · Lu et al., 2016 · Open in CIViC | civic |
| Cisplatin | Malignant Gastric Neoplasm | Predictive | D | Supports Resistance | 4 | submitted | EID9438In an in vitro study, CD44v6 knockdown or deletion of exon 11 (v6 specific) had an decrease in cell survival compared to mock cells treated with scramble siRNA when treated with cisplatin or 5-fluorou… (full text at CIViC) PMID 32842638 · Lobo et al., 2020 · Open in CIViC | civic |
| 〃 | Malignant Gastric Neoplasm | Predictive | D | Supports Resistance | 3 | |||
| CDH1 MUTATION1 | ||||||||
| (prognostic) | Gastric CarcinomaALIAS | Prognostic | E | Supports Poor Outcome | 2 | accepted | EID1682285 intestinal-type tumors and 183 diffuse-type tumors were evaluated for mutational profiles. CDH1 mutations are associated with diffuse type mucinous gastric carcinoma, which indicate worse prognos… (full text at CIViC) PMID 27313181 · Rokutan et al., 2016 · Open in CIViC | civic |
| ARHGAP26 Fusion1 | ||||||||
| (oncogenic) | Malignant Gastric Neoplasm | Oncogenic | B | Supports Oncogenicity | 4 | submitted | EID12729In a TCGA study of 295 primary gastric adenocarcinomas, fresh frozen tumors underwent several molecular techniques copy number arrays, exome sequencing, RNA sequencing, and in a subset whole genome se… (full text at CIViC) PMID 25079317 · 2014 · Open in CIViC | civic |
| CLDN18 positive2 | ||||||||
| CAPOX Regimen + ZolbetuximabCombination | Gastric Adenocarcinoma | Predictive | A | Supports Sensitivity Response | 5 | submitted | EID12216In the phase 3 GLOW trial (NCT03653507), 507 patients with CLDN18.2-positive gastric or gastroesophageal junction adenocarcinoma were randomized 1:1 to receive either zolbetuximab combined with CAPOX … (full text at CIViC) PMID 37524953 · Shah et al., 2023 · Open in CIViC | civic |
| FOLFOX-6 Regimen + ZolbetuximabCombination | Gastric Adenocarcinoma | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID12215In the phase 3 SPOTLIGHT trial (NCT03504397), 565 patients with gastroesophageal junction adenocarcinoma were randomized to receive either zolbetuximab combined with mFOLFOX6 (n=283) or placebo with m… (full text at CIViC) PMID 37068504 · Shitara et al., 2023 · Open in CIViC | civic |
| CRKL Amplification1 | ||||||||
| Dasatinib | Malignant Gastric Neoplasm | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID6398CRKL amplification is observed in a subset of gastric cancers. MKN74 cells with CRKL amplification were responsive to the dual Src/BCR-ABL kinase inhibitor Dasatinib, likely via the inhibition of CRKL… (full text at CIViC) PMID 22591714 · Natsume et al., 2012 · Open in CIViC | civic |
| CXCR4 EXPRESSION1 | ||||||||
| Docetaxel | Gastric Adenocarcinoma | Predictive | B | Supports Resistance | 2 | accepted | EID949CXCR4 expression as assessed by microarray analysis, was associated with resistance to docetaxel in 11 cancer cell lines (R^2 = 0.23, p = 0.019). Expression levels (by qtPCR) were also higher in resis… (full text at CIViC) PMID 20651371 · Xie et al., 2010 · Open in CIViC | civic |
| DDR2 High expression1 | ||||||||
| Dasatinib | Malignant Gastric Neoplasm | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID9853Expression analysis of multiple cohorts of gastric cancer patients in addition to in vivo selected metastatic cell lines, identified DDR2 as the driver of peritoneal dissemination. Within the Singapor… (full text at CIViC) PMID 26934957 · Kurashige et al., 2016 · Open in CIViC | civic |
| DNMT1 EXPRESSION1 | ||||||||
| Cisplatin | Gastric Adenocarcinoma | Predictive | B | Supports Resistance | 3 | accepted | EID946High DNMT1 expression was found in 105/127 (83%) or patients (by qPCR assay). Low DNMT1 expression was associated with improved histopathological and clinical response and OS in patients with gastric … (full text at CIViC) PMID 21458988 · Mutze et al., 2011 · Open in CIViC | civic |
| EGFR Amplification1 | ||||||||
| Cetuximab | Gastric Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID6927This retrospective analysis of a Phase 2 trial shows significant association between increased EGFR gene copy number (≥ 4.0) and overall survival (OS) in patients with gastric and oesophago-gastric ju… (full text at CIViC) PMID 22152101 · Luber et al., 2011 · Open in CIViC | civic |
| EGFR Amplification + SEPTIN14 FusionSEPTIN14EGFR1 | ||||||||
| (oncogenic) | Gastric Adenocarcinoma | Oncogenic | C | Supports Oncogenicity | 2 | submitted | EID11003A case report of a 49 year old female with gastric signet ring cell carcinoma, in whom a genomic screen of cf tumour DNA revealed an EGFR::SEPT14 fusion at a VAF of 45.3%. The fusion was confirmed by … (full text at CIViC) PMID 33969073 · Kim et al., 2021 · Open in CIViC | civic |
| EGFR Amplification + MET AmplificationEGFRMET1 | ||||||||
| (prognostic) | Malignant Gastric Neoplasm | Prognostic | B | Supports Poor Outcome | 3 | submitted | EID11453A total of 114 patients with gastric cancer were subject to genomic testing for amplified genes in this retrospective study. There were 4 MET amplifications, 3 EGFR amplifications, and 4 HER2 amplific… (full text at CIViC) PMID 22042947 · Lennerz et al., 2011 · Open in CIViC | civic |
| EIF4EBP1 PHOSPHORYLATION1 | ||||||||
| Everolimus | Gastric Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID9188 gastric cancer cell lines were treated with the MTOR inhibitor everolimus. Cell proliferation was effectively inhibited in 3 cell lines by everolimus. Phosphorylated EIF4EBP1 (T37/46, T70) levels we… (full text at CIViC) PMID 23340172 · Nishi et al., 2013 · Open in CIViC | civic |
| ERBB2 Amplification7 | ||||||||
| Afatinib | Malignant Gastric Neoplasm | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID7808Afatinib monotherapy was tested in patient-derived colorectal cancer (M051) mouse xenografts and gastric cancer cell-line (NCI-N87) mouse xenografts. Tumor shrinkage was observed and tumor volume was … (full text at CIViC) PMID 26296355 · Leto et al., 2015 · Open in CIViC | civic |
| Lapatinib | Gastric Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID1023TyTAN, a Phase III study in Asian patients, looked at addition of tyrosine kinase inhibitor lapatinib to chemptherapy in advanced HER2 positive gastric cancer. Primary endpoint was Overall Survival (… (full text at CIViC) PMID 24868024 · Satoh et al., 2014 · Open in CIViC | civic |
| Chemotherapy + Pembrolizumab + TrastuzumabCombination | Malignant Gastric Neoplasm | Predictive | ||||||
| ERBB2 Amplification + ERBB2 Overexpression1 | ||||||||
| Chemotherapy + TrastuzumabCombination | Malignant Gastric Neoplasm | Predictive | A | Supports Sensitivity Response | 5 | submitted | EID11255In this phase 3, open-label, randomized controlled trial, 594 patients (584 in the primary analysis) with HER2-positive amplification or overexpression gastric or gastroesophageal junction adenocarcin… (full text at CIViC) PMID 20728210 · Bang et al., 2010 · Open in CIViC | civic |
| ERBB2 Overexpression1 | ||||||||
| Trastuzumab | Malignant Gastric Neoplasm | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID7063In a retrospective study of Chinese patients with advanced HER2 positive gastric or gastro-esophageal junction (GEJ) cancer who had progressed on first line trastuzumab, continuation (n = 19) versus … (full text at CIViC) | civic |
| ERBB2 R678Q3 | ||||||||
| Nivolumab | Gastric Adenocarcinoma | Predictive | B | Does Not Support Resistance | 2 | accepted | EID13140In a retrospective cohort of gastric or gastroesophageal junction adenocarcinoma (n = 3116; ERBB2 R678Q n = 40), ERBB2 R678Q did not show a significant association with resistance to nivolumab-contain… (full text at CIViC) PMID 40699829 · Suzuki et al., 2025 · Open in CIViC | civic |
| Oxaliplatin | Gastric Adenocarcinoma | Predictive | B | Supports Resistance | 3 | accepted | EID13138In a retrospective cohort of gastric or gastroesophageal junction adenocarcinoma (n = 3116; ERBB2 R678Q n = 40), ERBB2 R678Q was associated with reduced response to oxaliplatin-based regimens compared… (full text at CIViC) PMID 40699829 · Suzuki et al., 2025 · Open in CIViC | civic |
| Ramucirumab | Gastric Adenocarcinoma | Predictive | B | Does Not Support Resistance | 2 | |||
| FGFR1 Expression1 | ||||||||
| Infigratinib | Gastric Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID800FGFR inhibitor BGJ398 was most effective in a gastric cancer cell line model with high expression of FGFR1 and FGFR2IIIc. PMID 26637881 · Schmidt et al., 2015 · Open in CIViC | civic |
| FGFR2 Amplification6 | ||||||||
| (prognostic) | Malignant Gastric Neoplasm | Prognostic | B | Supports Poor Outcome | 4 | submitted | EID6458Among 80 patients, FGFR2 amplification was observed in seven cases (11.5%). Patients with FGFR2 amplification had significantly shorter overall survival (OS) than did those without FGFR2 amplification… (full text at CIViC) PMID 26254407 · Shoji et al., 2015 · Open in CIViC | civic |
| Erdafitinib | Malignant Gastric Neoplasm | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID7953Xenograft models of SNU-16 human gastric cancer cell lines with FGFR2 amplifications were treated with JNJ-42756493 (erdafitinib). A dose dependent reduction in tumor volume was observed with treatme… (full text at CIViC) PMID 28341788 · Perera et al., 2017 · Open in CIViC | civic |
| Fexagratinib | Gastric CarcinomaALIAS | Predictive | B | Supports | ||||
| FGFR3 Amplification1 | ||||||||
| Ponatinib | Malignant Gastric Neoplasm | Predictive | D | Supports Sensitivity Response | 3 | rejected | EID8061In a panel of 14 cell lines representing multiple tumor types (endometrial, bladder, gastric, breast, lung, and colon) and containing FGFRs dysregulated by a variety of mechanisms, ponatinib inhibited… (full text at CIViC) PMID 22238366 · Gozgit et al., 2012 · Open in CIViC | civic |
Data updated 21 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.
| 1 |
| accepted |
EID5215A randomized phase 2 trial investigating the efficiency of Olaparib plus Paclitaxel vs. Placebo plus Paclitaxel in recurrent or metastatic gastric cancer patients. 123 patients received treatment. Com… (full text at CIViC) PMID 26282658 · Bang et al., 2015 · Open in CIViC |
| civic |
| civic |
| 〃 | Malignant Gastric Neoplasm | Prognostic | D | Supports Poor Outcome | 4 | accepted | EID362Cyclin D2 overexpression is associated with vascular invasion by cancer cells in gastric cancers. PMID 10547574 · Takano et al., 1999 · Open in CIViC | civic |
| submitted |
EID9430In an in vitro study, CD44v6 expressing cell lines survive better to 10 uM of cisplatin compared to mock cells, whereas no differential response was observed in response to 5-fluorouracil (p< 0.05). M… (full text at CIViC) PMID 32252293 · Pereira et al., 2020 · Open in CIViC |
| civic |
| A |
| Supports Sensitivity Response |
| 4 |
| submitted |
EID11251In this randomized, double-blind, placebo-controlled, Phase III trial, 264 patients were enrolled with histologically or cytologically confirmed diagnoses of previously untreated, locally advanced, un… (full text at CIViC) PMID 34912120 · Janjigian et al., 2021 · Open in CIViC |
| civic |
| Trastuzumab | Gastric Adenocarcinoma | Predictive | A | Supports Sensitivity Response | 4 | accepted | EID1499ToGA, a Phase III study (NCT01041404) addressed use of trastuzumab in HER2 positive (overexpression or amplification) advanced gastric cancer, where chemotherapy using fluoropyrimidine-based and plati… (full text at CIViC) PMID 20728210 · Bang et al., 2010 · Open in CIViC | civic |
| 〃 | Malignant Gastric Neoplasm | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID11253In this open-label, randomized, phase II trial, 187 patients with HER2-positive gastric or gastroesophageal junction (GEJ) adenocarcinoma that had progressed while they were receiving at least two pre… (full text at CIViC) PMID 32469182 · Shitara et al., 2020 · Open in CIViC | civic |
| 〃 | Gastric Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID1022ToGA, a Phase III study (NCT01041404) addressed use of trastuzumab in HER2 positive advanced gastric cancer, where chemotherapy using fluoropyrimidine-based and platinum-based combinations had been co… (full text at CIViC) PMID 20728210 · Bang et al., 2010 · Open in CIViC | civic |
| Trastuzumab Deruxtecan | Malignant Gastric Neoplasm | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID7647In a phase 1 trial, 44 patients with HER2-positive gastric or gastroesophageal junction cancer previously treated with trastuzumab were treated with Trastuzumab Deruxtecan (DS-8201a). The response rat… (full text at CIViC) PMID 31047804 · Shitara et al., 2019 · Open in CIViC | civic |
| accepted |
EID13139In a retrospective cohort of gastric or gastroesophageal junction adenocarcinoma (n = 3116; ERBB2 R678Q n = 40), ERBB2 R678Q did not show a significant association with resistance to ramucirumab-conta… (full text at CIViC) PMID 40699829 · Suzuki et al., 2025 · Open in CIViC |
| civic |
| 3 |
| accepted |
EID1990Nine patients with FGFR2-amplified gastroesophageal cancer were treated with AZD4547. Of these 9 patients, 3 showed confirmed responses to AZD4547. Median progression-free survival was 6.6 months (ra… (full text at CIViC) PMID 27179038 · Pearson et al., 2016 · Open in CIViC |
| civic |
| Futibatinib | Gastric Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 1 | submitted | EID11637In a phase 1 multihistology trial of the FGFR1/2/3/4 inhibitor futibatinib, an objective response rate of 13.7% was seen with responses in a broad spectrum of tumors and across a broad spectrum of FGF… (full text at CIViC) PMID 34551969 · Meric-Bernstam et al., 2022 · Open in CIViC | civic |
| Ponatinib | Malignant Gastric Neoplasm | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID8062In a panel of 14 cell lines representing multiple tumor types (endometrial, bladder, gastric, breast, lung, and colon) and containing FGFRs dysregulated by a variety of mechanisms, ponatinib inhibited… (full text at CIViC) PMID 22238366 · Gozgit et al., 2012 · Open in CIViC | civic |
| Sorafenib | Gastric Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID13276Three FGFR2-amplified gastric cancer cell lines showed submicromolar sensitivity to sorafenib in growth-inhibition assays: HSC-43, HSC-39, and KATOIII had IC50 values of 0.8, 0.6, and 0.4 μM, respecti… (full text at CIViC) PMID 22890726 · Arao et al., 2013 · Open in CIViC | civic |