Subtype
Malignant Glioma
CI-CAN-00003164Explore in graph →
- NCIt
- C4822
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Subtype
CI-CAN-00003164Explore in graph →
Variants & evidence
186 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 |
|---|---|---|---|---|---|---|---|---|
| ACVR1 G328E1 | ||||||||
| (diagnostic) | Diffuse Midline Glioma, H3 K27-Altered | Diagnostic | C | Supports Positive | 3 | accepted | EID6091Sequencing (whole genome or exome) was performed on a series of 26 pediatric patients (1.7 to 13.6 years old), 7 had missense mutations in ACVR1. Two patients with G328E mutation were identified. This… (full text at CIViC) PMID 24705252 · Taylor et al., 2014 · Open in CIViC | civic |
| ACVR1 G328V4 | ||||||||
| (diagnostic) | Diffuse Midline Glioma, H3 K27-Altered | Diagnostic | B | Supports Positive | 3 | accepted | EID6955In a study sequencing 61 patients (median age 6.3) with diffuse intrinsic pontine glioma (DIPG), 12 variants affecting ACVR1 were observed. Five patients had G328V within the kinase domain. The ACVR1 … (full text at CIViC) PMID 24705254 · Buczkowicz et al., 2014 · Open in CIViC | civic |
| 〃 | Diffuse Midline Glioma, H3 K27-Altered | Diagnostic | C | Supports Positive | 2 | accepted | EID10011It has been reported that recurrent activating somatic mutations (R206H, R258G, G328E/V/W, G356D) in the ACVR1 gene, which encodes a type I activin receptor serine/threonine kinase, are in 21% (11/52)… (full text at CIViC) PMID 24705252 · Taylor et al., 2014 · Open in CIViC | civic |
| ALK2 Inhibitor LDN-193189 | Diffuse Midline Glioma, H3 K27-Altered | Predictive | D | Supports | ||||
| ACVR1 G328W2 | ||||||||
| (diagnostic) | Diffuse Midline Glioma, H3 K27-Altered | Diagnostic | C | Supports Positive | 2 | accepted | EID10013It has been reported that recurrent activating somatic mutations (R206H, R258G, G328E/V/W, G356D) in the ACVR1 gene, which encodes a type I activin receptor serine/threonine kinase, are in 21% (11/52)… (full text at CIViC) PMID 24705252 · Taylor et al., 2014 · Open in CIViC | civic |
| (predisposing) | Diffuse Midline Glioma, H3 K27-Altered | Predisposing | D | Supports Predisposition | 3 | submitted | EID6088This mutation is found to be present in about 33% of diffuse intrinsic pontine glioma along with 6 other recurrent heterozygous somatic non-synonymous mis-sense mutations in ACVR1. There lacks evidenc… (full text at CIViC) PMID 26776312 · Pacifici et al., 2016 · Open in CIViC | civic |
| ACVR1 G356D1 | ||||||||
| (diagnostic) | Diffuse Midline Glioma, H3 K27-Altered | Diagnostic | C | Supports Positive | 2 | accepted | EID10015It has been reported that recurrent activating somatic mutations (R206H, R258G, G328E/V/W, G356D) in the ACVR1 gene, which encodes a type I activin receptor serine/threonine kinase, are in 21% (11/52)… (full text at CIViC) PMID 24705252 · Taylor et al., 2014 · Open in CIViC | civic |
| ACVR1 Gain-of-Function2 | ||||||||
| (diagnostic) | Anaplastic AstrocytomaALIAS | Diagnostic | B | Supports Positive | 3 | accepted | EID4845The authors used whole exome sequencing on 39 midline pediatric high-grade astrocytomas (pHGAs) and identified 5 with mutations in ACVR1, with 2 occurring at G328 (G328V and G328E). The authors state … (full text at CIViC) PMID 24705250 · Fontebasso et al., 2014 · Open in CIViC | civic |
| 〃 | Diffuse Midline Glioma, H3 K27-Altered | Diagnostic | B | Supports Positive | 3 | accepted | EID4846Sequencing of 39 pediatric midline high-grade astrocytomas identified 5 patients with ACVR1 mutations. The authors identified an increase in endogenous phospho-SMAD1/5/8 signal in diffuse intrinsic po… (full text at CIViC) PMID 24705250 · Fontebasso et al., 2014 · Open in CIViC | civic |
| ACVR1 Mutation4 | ||||||||
| (diagnostic) | Diffuse Midline Glioma, H3 K27-Altered | Diagnostic | B | Supports Positive | 3 | submitted | EID8014Analysis of 127 paediatric high grade gliomas (HGGs) identified recurrent mutations in ACVR1 exclusively in DIPG. ACVR1 mutations were found in 18 of 57 DIPG tumours (32%) and none of 70 non-brainstem… (full text at CIViC) PMID 24705251 · Wu et al., 2014 · Open in CIViC | civic |
| 〃 | Diffuse Midline Glioma, H3 K27-Altered | Diagnostic | B | Supports Positive | 3 | accepted | EID10014It has been reported that recurrent activating somatic mutations (R206H, R258G, G328E/V/W, G356D) in the ACVR1 gene, which encodes a type I activin receptor serine/threonine kinase, are in 21% (11/52)… (full text at CIViC) PMID 24705252 · Taylor et al., 2014 · Open in CIViC | civic |
| (prognostic) | Diffuse Midline Glioma, H3 K27-Altered | Prognostic | B | Supports Better Outcome | ||||
| ACVR1 R206H1 | ||||||||
| (diagnostic) | Diffuse Midline Glioma, H3 K27-Altered | Diagnostic | C | Supports Positive | 2 | accepted | EID10012It has been reported that recurrent activating somatic mutations (R206H, R258G, G328E/V/W, G356D) in the ACVR1 gene, which encodes a type I activin receptor serine/threonine kinase, are in 21% (11/52)… (full text at CIViC) PMID 24705252 · Taylor et al., 2014 · Open in CIViC | civic |
| ACVR1 R258G1 | ||||||||
| (diagnostic) | Diffuse Midline Glioma, H3 K27-Altered | Diagnostic | C | Supports Positive | 3 | submitted | EID6077It has been reported that recurrent activating somatic mutations (R206H, R258G, G328E/V/W, G356D) in the ACVR1 gene, which encodes a type I activin receptor serine/threonine kinase, are in 21% (11/52)… (full text at CIViC) PMID 24705252 · Taylor et al., 2014 · Open in CIViC | civic |
| ALK Expression1 | ||||||||
| Crizotinib | GlioblastomaCURATED_BROADER | Predictive | C | Supports Sensitivity Response | 2 | submitted | EID7866Two patients with IDH wild-type, MGMT promoter unmethylated glioblastoma were treated with crizotinib. Patient 1 had weak expression of ALK in 25% of tumor tissue and polysomy of ALK in 53% of nuclei;… (full text at CIViC) PMID 26498130 · Le Rhun et al., 2015 · Open in CIViC | civic |
| NTRK1 Fusion1 | ||||||||
| Entrectinib | GlioblastomaCURATED_BROADER | Predictive | C | Supports Sensitivity Response | 1 | submitted | EID12606In the STARTRK-NG Phase 1/2 trial of entrectinib in pediatric patients, with extracranial solid tumors or primary CNS tumors, aged <22 years with relapsed or refractory disease, tumors with fusions… (full text at CIViC) PMID 35395680 · Desai et al., 2022 · Open in CIViC | civic |
| ATM Mutation1 | ||||||||
| Temozolomide | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID452Glioblastoma cell lines were shown to have increased sensitivity to Temozolomide when siRNA-induced ATM knockdown was applied. PMID 23960094 · Eich et al., 2013 · Open in CIViC | civic |
| ATRX Loss-of-function3 | ||||||||
| Adavosertib | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID10939ATRX deficient glioblastoma model cell lines were created using CRISPR-based gene editing to knock-out ATRX in immortalized astrocytes. ATRX knock-out cells were found to be sensitive (IC50 0.012 uM) … (full text at CIViC) PMID 34118569 · Garbarino et al., 2021 · Open in CIViC | civic |
| Olaparib + TalazoparibSubstitutes | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID10940ATRX deficient glioblastoma model cell lines were created using CRISPR-based gene editing to knock-out ATRX in immortalized astrocytes. ATRX knock-out cells were found to be more sensitive than wild-t… (full text at CIViC) PMID 34118569 · Garbarino et al., 2021 · Open in CIViC | civic |
| Pyridostatin | ||||||||
| ATRX Mutation2 | ||||||||
| (diagnostic) | Anaplastic AstrocytomaALIAS | Diagnostic | B | Supports Positive | 5 | submitted | EID8950293 adult cases of low grade gliomas (LGGs) underwent a variety of analyses, including but not limited to exome sequencing (289 samples), copy number profiling (285), mRNA sequencing (277) and sequenc… (full text at CIViC) PMID 26061751 · 2015, N. Engl. J. Med. · Open in CIViC | civic |
| 〃 | Anaplastic AstrocytomaALIAS | Diagnostic | B | Supports Positive | 3 | accepted | EID8868Whole exome sequencing of 4 low grade gliomas (LGGs) and targeted sequencing of 28 LGGs revealed ATRX variants are found exclusively in a subset of IDH1-mutant, 1p/19q intact LGGs. Paired blood sample… (full text at CIViC) PMID 23104868 · Kannan et al., 2012 · Open in CIViC | civic |
| ATRX Underexpression2 | ||||||||
| (prognostic) | GlioblastomaCURATED_BROADER | Prognostic | D | Supports Poor Outcome | 4 | accepted | EID1648In a glioblastoma mouse model induced by NRAS and p53 knockdown, ATRX loss was associated with a decreased median survival (69 days vs. 84 days; P = .0032). Also, the tumors grew to a larger size at e… (full text at CIViC) PMID 26936505 · Koschmann et al., 2016 · Open in CIViC | civic |
| PCV Regimen + TemozolomideSubstitutes | Anaplastic AstrocytomaALIAS | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID1647A retrospective tumor sample study found that the loss of ATRX expression (less than 10% of nuclei) in IDH-mutant astrocytomas treated with temozolomide or a combination of procarbazine, lomustine and… (full text at CIViC) PMID 23904111 · Wiestler et al., 2013 · Open in CIViC | civic |
| NTRK2 Fusion1 | ||||||||
| Entrectinib | Brain GlioblastomaALIAS | Predictive | C | Supports Sensitivity Response | 1 | accepted | EID12035A 67-year-old male with a diagnosis of Glioblastoma multiforme (GBM), IDH-wildtype, WHO grade 4 underwent a craniotomy with gross total resection. A BCR::NTRK2 fusion (ex1::ex17) was detected by compr… (full text at CIViC) PMID 35673607 · Grogan et al., 2022 · Open in CIViC | civic |
| BRAF V600E1 | ||||||||
| Vemurafenib | GlioblastomaCURATED_BROADER | Predictive | C | Supports Sensitivity Response | — | submitted | EID3771In a case study, a pediatric grade IV glioblastoma multiforme patient harboring BRAF V600E mutation was associated with a complete response to vemurafenib monotherapy after 4 months of treatment, whic… (full text at CIViC) PMID 24725538 · Robinson et al., 2014 · Open in CIViC | civic |
| BRCA2 K3326*1 | ||||||||
| Olaparib + TemozolomideCombination | GlioblastomaCURATED_BROADER | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID7724In a case report, a 3‐year‐old girl with glioblastoma harboring a probable germline heterozygous BRCA2 Lys3326Ter (K3326*) nonsense variant. After debulking surgery, the patient received standard‐of‐c… (full text at CIViC) PMID 32043779 · Valiakhmetova et al., 2020 · Open in CIViC | civic |
| CDK6 Amplification1 | ||||||||
| Palbociclib | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID12398Preclinical experiments using patient-derived GBM cell lines were performed to examine efficacy of CDK4/6 inhibitor palbociclib. The cell line CCF-STTG1 that harbours CDK6 amplification was sensitive … (full text at CIViC) PMID 20354191 · Michaud et al., 2010 · Open in CIViC | civic |
| CDKN2A Loss1 | ||||||||
| Palbociclib | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID1559Short term explant cultures from 20 glioblastoma multiforme (GBM) tumor xenograft lines were evaluated for CDKN2A (p16 aka INK4A) expression by western blot and RT-PCR as well as deletion by aCGH and … (full text at CIViC) PMID 22711607 · Cen et al., 2012 · Open in CIViC | civic |
| CSF1R Expression3 | ||||||||
| Pexidartinib | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID8132A comparison of tyrosine kinase inhibitors that target glioma tumour cells directly or the tumour microenvironment were tested on a PDGF-B-driven glioma genetically engineered mouse model (PDG). PDG m… (full text at CIViC) PMID 28759044 · Yan et al., 2017 · Open in CIViC | civic |
| Dovitinib + PexidartinibCombination | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID8134A comparison of tyrosine kinase inhibitors that target glioma tumour cells directly or the tumour microenvironment were tested on a PDGF-B-driven glioma genetically engineered mouse model (PDG). The C… (full text at CIViC) PMID 28759044 · Yan et al., 2017 · Open in CIViC | civic |
| Pexidartinib + | ||||||||
| CUL7 Overexpression1 | ||||||||
| (prognostic) | GlioblastomaCURATED_BROADER | Prognostic | B | Supports Poor Outcome | 4 | submitted | EID8088The expression of CUL7 was found to be significantly higher in glioma samples than normal brain tissue, and increased with tumour grade. The prognostic value of CUL7 was examined in TCGA LGG (n=457) a… (full text at CIViC) PMID 32252802 · Xu et al., 2020 · Open in CIViC | civic |
| DRD5 low expression1 | ||||||||
| Dordaviprone | GlioblastomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID7600In the phase 2 trial, patients with recurrent glioblastoma were treated with dopamine receptor D2 (DRD2) antagonist ONC201. DRD5 is a dopamine receptor family member that opposes DRD2 signaling. All t… (full text at CIViC) PMID 30559168 · Prabhu et al., 2019 · Open in CIViC | civic |
| EGFR Amplification1 | ||||||||
| Talazoparib | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID7785Preclinical experiments with 27 GBM patient-derived cell lines showed selective sensitivity to the PARP inhibitor talazoparib in EGFR amplified samples relative to EGFR wild-type samples (p<0.0001). F… (full text at CIViC) PMID 31852834 · Wu et al., 2020 · Open in CIViC | civic |
| EGFR Amplification + EGFR EGFRVIII1 | ||||||||
| Afatinib | GlioblastomaCURATED_BROADER | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID773Case report of a 58-year old patient with disease progression after radiotherapy and three temozolomide cycles. Afatinib and temozolomide led to disease regression. At last assessment 63 treatment cyc… (full text at CIViC) PMID 26423602 · Alshami et al., 2015 · Open in CIViC | civic |
| EGFR Amplification + EGFR EGFRVIII + SEPTIN14 FusionSEPTIN14EGFR1 | ||||||||
| (oncogenic) | GlioblastomaCURATED_BROADER | Oncogenic | B | Supports Oncogenicity | 3 | submitted | EID11154RNASeq data from 161 primary GBM samples and 24 glioma spheroids were analysed for gene fusion events. EGFR::SEPT14 was found to be the most common fusion event, after the well-documented FGFR3::TACC3… (full text at CIViC) PMID 23917401 · Frattini et al., 2013 · Open in CIViC | civic |
| EGFR Amplification + SEPTIN14 FusionSEPTIN14EGFR1 | ||||||||
| (oncogenic) | GlioblastomaCURATED_BROADER | Oncogenic | B | Supports Oncogenicity | 2 | submitted | EID11151Seminal paper presenting the original analysis of the TCGA Glioblastoma dataset, of over 500 glioblastoma genomes. EFGR::SEPT14 fusion was found in 6 cases by WGS and confirmed by RNASeq. The fusion i… (full text at CIViC) PMID 24120142 · Brennan et al., 2013 · Open in CIViC | civic |
| EGFR Amplification + EGFR VIII1 | ||||||||
| Osimertinib | Malignant Glioma | Predictive | C | Supports Sensitivity Response | 2 | submitted | EID12694In a single-center retrospective review of recurrent malignant gliomas with EGFR alterations (n = 6, 2 GBM), osimertinib showed a manageable safety profile with thrombocytopenia in 2 patients (grade 2… (full text at CIViC) PMID 35601813 · Abousaud et al., 2021 · Open in CIViC | civic |
| EGFR EGFRVIII + SEPTIN14 FusionSEPTIN14EGFR1 | ||||||||
| (oncogenic) | GlioblastomaCURATED_BROADER | Oncogenic | B | Supports Oncogenicity | 2 | submitted | EID11152The study utilises a targeted gene fusion RNASeq panel to screen 356 diffuse gliomas for fusion events. Of these, 155 cases were IDH-wildtype glioblastomas, of which 2 harboured an EGFR::SEPT14 fusion… (full text at CIViC) PMID 32761533 · Woo et al., 2020 · Open in CIViC | civic |
| EGFR Exon 25 Deletion + EGFR Exon 26 Deletion + EGFR Exon 27 Deletion1 | ||||||||
| Tyrphostin AG 1478 | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID12685In glioblastoma models expressing EGFR vIVa (lack of exons 25-27), a C-terminal deletion mutant that shows constitutive basal autophosphorylation and ligand-independent activation of ERK, AKT, and STA… (full text at CIViC) PMID 20676128 · Pines et al., 2010 · Open in CIViC | civic |
| EGFR Expression1 | ||||||||
| 3-Dimensional Conformal Radiation Therapy + Nimotuzumab + TemozolomideCombination | GlioblastomaCURATED_BROADER | Predictive | B | Supports Sensitivity Response | 2 | submitted | EID8299A single-arm phase 2 trial evaluated the benefit of adding nimotuzumab to standard chemo-radiation treatment for GBM. 36 patients were evaluable for efficacy, all of whom had EGFR positive tumours by … (full text at CIViC) PMID 31289592 · Du et al., 2019 · Open in CIViC | civic |
| EGFR G598V5 | ||||||||
| Afatinib + Erlotinib + OsimertinibSubstitutes | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID8234Patient-derived GBM brain tumour stem cells (BTSCs) were used to test the efficacy of EGFR inhibitors in vitro. Afatinib inhibited the growth and sphere-forming ability of BTSCs but not normal astrocy… (full text at CIViC) PMID 32226941 · Jensen et al., 2020 · Open in CIViC | civic |
| Afatinib + PacritinibCombination | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID8235Patient-derived GBM brain tumour stem cells (BTSCs) were used to test the efficacy of the EGFR inhibitor afatinib and JAK2 inhibitor pacritinib in vitro. Combination treatment with afatinib and pacrit… (full text at CIViC) PMID 32226941 · Jensen et al., 2020 · Open in CIViC | civic |
| EGFR Overexpression1 | ||||||||
| (prognostic) | Brain GlioblastomaALIAS | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID474In patients with glioblastoma multiforme, those with overespression of wild-type EGFR had shorter overall survival. PMID 14583498 · Shinojima et al., 2003 · Open in CIViC | civic |
Data updated 23 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.
| 3 |
| submitted |
EID6092To investigate the specific role of ACVR1 mutations in the context of DIPG, a panel of four DIPG patient-derived primary cultures (and one thalamic paediatric GBM culture harbouring an H3F3A K27M muta… (full text at CIViC) PMID 24705252 · Taylor et al., 2014 · Open in CIViC |
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| MEK-1/MEKK-1 Inhibitor E6201 | Diffuse Midline Glioma, H3 K27-Altered | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID8035Using mouse models, the authors demonstrated that Acvr1G328V arrested the differentiation of oligodendroglial lineage cells to generate high-grade diffuse gliomas. Using a cellular NanoBRET target eng… (full text at CIViC) PMID 32142668 · Fortin et al., 2020 · Open in CIViC | civic |
| 3 |
| submitted |
EID10020It has been reported that recurrent activating somatic mutations (R206H, R258G, G328E/V/W, G356D) in the ACVR1 gene, which encodes a type I activin receptor serine/threonine kinase, are in 21% (11/52)… (full text at CIViC) PMID 24705252 · Taylor et al., 2014 · Open in CIViC |
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| ALK2 Inhibitor LDN-193189 | Diffuse Midline Glioma, H3 K27-Altered | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID10141Eight ALK2 inhibitors were tested against 3 ACVR1 mutant cell cultures and two wild type cultures. LDN-193189 was the most potent compound with minimal selectivity for the mutant cells. LDN-214117 was… (full text at CIViC) PMID 31098401 · Carvalho et al., 2019 · Open in CIViC | civic |
| GlioblastomaCURATED_BROADER |
| Predictive |
| D |
| Supports Sensitivity Response |
| 2 |
| submitted |
EID10938ATRX deficient glioblastoma model cell lines were created using CRISPR-based gene editing to knock-out ATRX in immortalized astrocytes. The ATRX knock-out cells were found to be particularly sensitive… (full text at CIViC) PMID 34118569 · Garbarino et al., 2021 · Open in CIViC |
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| GlioblastomaCURATED_BROADER |
| Predictive |
| D |
| Supports Sensitivity Response |
| 4 |
| submitted |
EID8133A comparison of tyrosine kinase inhibitors that target glioma tumour cells directly or the tumour microenvironment were tested on a PDGF-B-driven glioma genetically engineered mouse model (PDG). The C… (full text at CIViC) PMID 28759044 · Yan et al., 2017 · Open in CIViC |
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| Erlotinib + PacritinibCombination | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID8236Patient-derived GBM brain tumour stem cells (BTSCs) were used to test the efficacy of the EGFR inhibitor erlotinib and JAK2 inhibitor pacritinib in vitro. Combination treatment with erlotinib and pacr… (full text at CIViC) PMID 32226941 · Jensen et al., 2020 · Open in CIViC | civic |
| Lapatinib + PacritinibCombination | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID8261Patient-derived GBM brain tumour stem cells (BTSCs) were used to test the efficacy of the EGFR inhibitor lapatinib and JAK2 inhibitor pacritinib in vitro. Combination treatment with lapatinib and pacr… (full text at CIViC) PMID 32226941 · Jensen et al., 2020 · Open in CIViC | civic |
| Osimertinib + PacritinibCombination | GlioblastomaCURATED_BROADER | Predictive | D | Supports Sensitivity Response | 2 | submitted | EID8284Patient-derived GBM brain tumour stem cells (BTSCs) were used to test the efficacy of the EGFR inhibitor AZD9291 and JAK2 inhibitor pacritinib in vitro. Combination treatment with AZD9291 and pacritin… (full text at CIViC) PMID 32226941 · Jensen et al., 2020 · Open in CIViC | civic |