Subtype
Malignant Hepatobiliary Neoplasm
CI-CAN-00001136Explore in graph →
- NCIt
- C8609
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Subtype
CI-CAN-00001136Explore in graph →
Variants & evidence
107 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 Loss1 | ||||||||
| Sorafenib | Malignant Liver Neoplasm | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID7328Arid1a-deficiency activates Ang2-dependent angiogenesis and promotes HCC progression. Loss of Arid1a in HCCs confers sensitivity to Ang2 blockade and sorafenib treatment. PMID 29113912 · Hu et al., 2018 · Open in CIViC | civic |
| ARID2 R1273* (c.3817C>T)1 | ||||||||
| (predisposing) | Hepatocellular Carcinoma | Predisposing | D | Supports Predisposition | 3 | submitted | EID8051Mutation of ARID2 in Hepatocellular Carcinoma (HCC) is often seen. There is about 6/16 of the truncated mutations found at the C2H2 domain (zinc finger) and about 16/24 mutations show that this domain… (full text at CIViC) PMID 32071245 · Jiang et al., 2020 · Open in CIViC | civic |
| NRG1 Fusion1 | ||||||||
| Afatinib | Cholangiocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID5858In a single patient with presumed cholangiocarcinoma a novel ATP1B1-NRG1 gene fusion was detected. Integrative genome analysis was used to assess the potential functional significance of the gene fusi… (full text at CIViC) PMID 28950338 · Jones et al., 2017 · Open in CIViC | civic |
| BRAF V6001 | ||||||||
| Vemurafenib | Cholangiocarcinoma | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID5905Eight patients with BRAF V600 (7 with V600E, 1 with V600 unknown) mutated cholangiocarcinoma received vemurafenib. Only one patients showed partial response and duration of response of this patient wa… (full text at CIViC) PMID 26287849 · Hyman et al., 2015 · Open in CIViC | civic |
| BRAF V600E6 | ||||||||
| Dabrafenib + TrametinibCombination | Malignant Biliary Tract NeoplasmALIAS | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID7264In a phase II trial, 33 patients with advanced or metastatic biliary tract cancer (BTC) received dabrafenib (D) and trametinib (T) in a second or higher line therapeutic context. Of the 33 patients, 3… (full text at CIViC) | civic |
| 〃 | Cholangiocarcinoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID7453In NCI-MATCH trial, patients with advanced solid tumors, lymphoma or multiple myeloma harboring BRAF V600E mutation were treated with dabrafenib and trametinib. Patients with melanoma, thyroid carcino… (full text at CIViC) | civic |
| 〃 | Cholangiocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | ||
| BRCA1 Mutation + BRCA2 MutationBRCA2BRCA11 | ||||||||
| Olaparib | Malignant Biliary Tract NeoplasmALIAS | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID12764In the biliary tract carcinoma cohort of the phase II TAPUR trial (NCT02693535), patients with BRCA1/2 alterations treated with olaparib (18 evaluable) had 2 PR (BRCA1 loss n = 1, BRCA2 mutation n = 1… (full text at CIViC) PMID 41100773 · Al Baghdadi et al., 2025 · Open in CIViC | civic |
| CD44 CD44v61 | ||||||||
| (prognostic) | Hepatocellular Carcinoma | Prognostic | B | Supports Poor Outcome | 5 | submitted | EID9407In a meta-analysis including nine trials with a total of 942 patients, high CD44v6 expression is significantly associated with a decrease in survival outcome (HR 2.13, 95% CI: 1.58 to 2.88). PMID 25887688 · Fu et al., 2015 · Open in CIViC | civic |
| CDK9 Overexpression1 | ||||||||
| Dinaciclib | Hepatocellular Carcinoma | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID9312This preclinical study elucidated the potential varying efficaciousness of cyclin dependent Kinase inhibitor (CDK) dinaciclib. When forcing overexpression of differing CDKs (CDK1 and 9). Overall Hepat… (full text at CIViC) PMID 31561409 · Shao et al., 2019 · Open in CIViC | civic |
| CDKN2A Loss + CDKN2A Mutation1 | ||||||||
| Palbociclib | Malignant Biliary Tract NeoplasmALIAS | Predictive | B | Does Not Support Sensitivity Response | 3 | accepted | EID11654A phase II clinical study conducted in 10 patients with biliary cancer with CDKN2A loss or mutation, that were treated with palbociclib. No clinical activity demonstrated in patients with CDKN2A mutat… (full text at CIViC) PMID 35100714 · Al Baghdadi et al., 2019 · Open in CIViC | civic |
| CDKN2A Mutation1 | ||||||||
| Palbociclib | Cholangiocarcinoma | Predictive | B | Does Not Support Sensitivity Response | 4 | accepted | EID7300In a phase 2 trial, patients with gallbladder cancer or bile duct cancer with CDKN2A loss or mutation were received palbociclib. Among 10 patients, no overall response or stable disease at 16 weeks we… (full text at CIViC) | civic |
| CEACAM1 CEACAM1-L1 | ||||||||
| (prognostic) | Hepatocellular Carcinoma | Prognostic | B | Supports Poor Outcome | 4 | submitted | EID9606In a clinical study including 128 patients, CEACAM1-L dominant expression is significantly associated with decreased recurrence-free survival rate by a multivariate analysis (p = 0.04). Moreover CEACA… (full text at CIViC) PMID 24390710 · Kiriyama et al., 2014 · Open in CIViC | civic |
| CTNNB1 Exon 3 Deletion1 | ||||||||
| (diagnostic) | Hepatoblastoma | Diagnostic | B | Supports Positive | 2 | submitted | EID9662Characterization of hepatoblastoma (HB) with whole-exome sequencing identified recurrent CTNNB1 mutations in 12 of 15 tumors. All 12 impacted exon 3, including 4 missense mutations at position G34 (G3… (full text at CIViC) PMID 25135868 · Eichenmüller et al., 2014 · Open in CIViC | civic |
| CTNNB1 Exon 3 Mutation2 | ||||||||
| (diagnostic) | Hepatoblastoma | Diagnostic | B | Supports Positive | 3 | submitted | EID7922The authors analyzed 52 hepatoblastoma (HB) biopsies and three HB cell lines from sporadic HBs and found 48% of them bearing mutations on beta-catenin exon 3, which encodes the degradation targeting… (full text at CIViC) PMID 9927029 · Koch et al., 1999 · Open in CIViC | civic |
| 〃 | Hepatoblastoma | Diagnostic | B | Supports Positive | 2 | submitted | EID9663Characterization of hepatoblastoma (HB) with whole-exome sequencing identified recurrent CTNNB1 mutations in 12 of 15 tumors. All 12 impacted exon 3, including 4 missense mutations at position G34 (G3… (full text at CIViC) PMID 25135868 · Eichenmüller et al., 2014 · Open in CIViC | civic |
| CTNNB1 G34E1 | ||||||||
| (diagnostic) | Hepatoblastoma | Diagnostic | B | Supports Positive | 1 | submitted | EID9665Characterization of hepatoblastoma (HB) with whole-exome sequencing identified recurrent CTNNB1 mutations in 12 of 15 tumors. All 12 impacted exon 3, including 4 missense mutations at position G34 (G3… (full text at CIViC) PMID 25135868 · Eichenmüller et al., 2014 · Open in CIViC | civic |
| CTNNB1 G34V2 | ||||||||
| (diagnostic) | Hepatoblastoma | Diagnostic | B | Supports Positive | 2 | submitted | EID9664Characterization of hepatoblastoma (HB) with whole-exome sequencing identified recurrent CTNNB1 mutations in 12 of 15 tumors. All 12 impacted exon 3, including 4 missense mutations at position G34 (G3… (full text at CIViC) PMID 25135868 · Eichenmüller et al., 2014 · Open in CIViC | civic |
| 〃 | Hepatoblastoma | Diagnostic | E | Supports Positive | 2 | submitted | EID6973Five mutations resulted in amino acid substitutions in codons 32 and 34, suggesting an influence on the accessibility of the serine 33 for the GSK-3β kinase, preventing its phosphorylation (Fig. 2a) PMID 9927029 · Koch et al., 1999 · Open in CIViC | civic |
| CTNNB1 S37C1 | ||||||||
| Unspecified therapy | Hepatoblastoma | Predictive | E | Supports Sensitivity Response | 3 | submitted | EID6089The evidence from the literature describes the association of CTNNB1 mutation to Hepatoblastoma (HB) via detecting CTNNB1 mutation in HB cell lines through molecular techniques. In conclusion, 78% (21… (full text at CIViC) PMID 12101426 · Taniguchi et al., 2002 · Open in CIViC | civic |
| CTNNB1 T41A1 | ||||||||
| Unspecified therapy | Hepatoblastoma | Predictive | B | Supports Sensitivity Response | 4 | submitted | EID6078Of 39 hepatoblastoma samples, 10 tumor samples had point mutations in exon 3 of beta-catenin gene. One mutation changes threonine at position 41 to alanine (T41A). PMID 16937357 · Sugawara et al., 2007 · Open in CIViC | civic |
| PRKACA Fusion3 | ||||||||
| (diagnostic) | Fibrolamellar Carcinoma | Diagnostic | B | Supports Positive | 5 | accepted | EID532RT-PCR and FISH assays were developed for the detection of rearrangements of the PRKACA locus. A total of 106 primary liver tumors were studied by RT-PCR (26 fibrolamellar carcinomas, 25 conventional … (full text at CIViC) PMID 25698061 · Graham et al., 2015 · Open in CIViC | civic |
| 〃 | Fibrolamellar Carcinoma | Diagnostic | B | Supports Positive | 4 | accepted | EID405A head-to-tail in-frame fusion between exon1 of DNAJB1 and exon2 of PRKACA resulting from a ~400kb deletion was observed in 100% (15/15) fibrolamellar hepatocellular carcinomas examined. The fusion wa… (full text at CIViC) PMID 24578576 · Honeyman et al., 2014 · Open in CIViC | civic |
| 〃 | Fibrolamellar Carcinoma | Diagnostic | B | Supports Positive | 4 | |||
| EGFR Alteration + EGFR Amplification1 | ||||||||
| Lenvatinib | Hepatocellular Carcinoma | Predictive | B | Supports Resistance | 3 | submitted | EID12052The ctDNA of 46 patients with hepatocellular carcinoma was analyzed to investigate whether EGFR alterations could lead to lenvatinib resistance. Among these patients, 16 had been treated with lenvatin… (full text at CIViC) PMID 36708791 · Lim et al., 2023 · Open in CIViC | civic |
| EGFR Mutation1 | ||||||||
| (prognostic) | Cholangiocarcinoma | Prognostic | B | Supports Poor Outcome | 2 | submitted | EID10359In a study of 137 biliary tract carcinomas, 13 patients were identified to have EGFR variants in exons 18-21 (no other exons were evaluated). EGFR variants were associated with worse survival in univa… (full text at CIViC) PMID 24372748 · Chang et al., 2014 · Open in CIViC | civic |
| EGFR T790M1 | ||||||||
| (prognostic) | Cholangiocarcinoma | Prognostic | B | Supports Better Outcome | 1 | submitted | EID10358In a Thai cohort of 81 patients with cholangiocarcinoma, 17 patients harbored EGFR variants, 9 of which were T790M. EGFR T790M variants were associated with longer overall survival than patients with … (full text at CIViC) PMID 29066915 · Trachu et al., 2017 · Open in CIViC | civic |
| ERBB2 Amplification2 | ||||||||
| Pertuzumab + TrastuzumabCombination | Malignant Biliary Tract NeoplasmALIAS | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID5983The phase 2a MyPathway study assigned patients with HER2, EGFR, BRAF or SHH alterations to treatment with pertuzumab plus trastuzumab, erlotinib, vemurafenib, or vismodegib, respectively. Two of seven… (full text at CIViC) PMID 29320312 · Hainsworth et al., 2018 · Open in CIViC | civic |
| Pertuzumab + TrastuzumabCombination | Cholangiocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID7638A patient with cholangiocarcinoma harboring with ERBB2 amplification (3+) detected by circulating tumor DNA testing and confirmed by tissue-based testing was treated with trastuzumab and pertuzumab. T… (full text at CIViC) PMID 31453370 · Yarlagadda et al., 2019 · Open in CIViC | civic |
| ERBB2 G292R1 | ||||||||
| (oncogenic) | Gallbladder Carcinoma | Oncogenic | D | Supports Oncogenicity | 2 | submitted | EID12117The ERBB2 G292R variant was observed in 1/57 normal/tumor pairs of human gallbladder carcinoma profiled by next-generation sequencing. Human gallbladder cancer cell lines (GBC-SD and NOZ) were transie… (full text at CIViC) PMID 24997986 · Li et al., 2014 · Open in CIViC | civic |
| ERRFI1 E384*2 | ||||||||
| Erlotinib | Cholangiocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | rejected | EID5869A patient with cholangiocarcinoma who has initially undergone surgical resection progressed on gemcitabine and cisplatin. He subsequently received pegylated hyaluroniade (PEGPH20) in an investigationa… (full text at CIViC) PMID 24550739 · Borad et al., 2014 · Open in CIViC | civic |
| 〃 | Cholangiocarcinoma | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID1724An ERRFI1 (E384X) was detected in a patient with metastatic, recurrent/refractory cholangiocarcinoma (allelic fraction 11%) without any mutations or amplifications in other EGFR signaling members such… (full text at CIViC) PMID 24550739 · Borad et al., 2014 · Open in CIViC | civic |
| FGF19 Amplification1 | ||||||||
| Sorafenib | Hepatocellular Carcinoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID13269In a retrospective study of 45 patients with recurrent hepatocellular carcinoma treated with sorafenib, FGF19 copy-number gain (defined as ≥5 copies) was detected in 2/6 (33.3%) patients with complete… (full text at CIViC) PMID 27384874 · Kaibori et al., 2016 · Open in CIViC | civic |
| FGF19 Overexpression3 | ||||||||
| FGFR4 Inhibitor H3B-6527 | Hepatocellular Carcinoma | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID7518In a study with a panel of 40 HCC cell lines and 30 HCC PDX model showed that FGF19 expression is a predictive biomarker for H3B-6527. H3B-6527 is a highly selective covalent FGFR4 inhibitor. PMID 29247039 · Joshi et al., 2017 · Open in CIViC | civic |
| Fisogatinib | Hepatocellular Carcinoma | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID7636In a phase 1 trial, patients with hepatocellular carcinoma were treated with selective FGFR4 inhibitor, fisogatinib (BLU-554). For dose escalation, 25 patients received 140 to 900 mg fisogatinib once … (full text at CIViC) PMID 31575541 · Kim et al., 2019 · Open in CIViC | civic |
| Sorafenib | Hepatocellular Carcinoma | Predictive | D | Supports Resistance | 2 | |||
| FGF3 Amplification1 | ||||||||
| Sorafenib | Hepatocellular Carcinoma | Predictive | C | Supports Sensitivity Response | 3 | submitted | EID1966FGF3/FGF4 amplification was observed in around 2% of HCCs. Although the sample size was relatively small, FGF3/FGF4 amplification, a poorly differentiated histological type, and multiple lung metastas… (full text at CIViC) PMID 22890726 · Arao et al., 2013 · Open in CIViC | civic |
| FGF4 Amplification1 | ||||||||
| Sorafenib | Hepatocellular Carcinoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID13273In a retrospective analysis of sorafenib-treated hepatocellular carcinoma, FGF3/FGF4 co-amplification was detected in 3 of 10 evaluable tumors from patients with complete or partial responses and in 0… (full text at CIViC) PMID 22890726 · Arao et al., 2013 · Open in CIViC | civic |
| FGFR1 S602F1 | ||||||||
| Sorafenib | Hepatocellular Carcinoma | Predictive | C | Supports Sensitivity Response | 2 | submitted | EID13270Among 45 patients with recurrent hepatocellular carcinoma treated with sorafenib, one patient whose tumor harbored the FGFR1 S602F kinase-domain mutation achieved a complete response. FGFR1 S602F was … (full text at CIViC) PMID 27384874 · Kaibori et al., 2016 · Open in CIViC | civic |
| ACOT11 Fusion1 | ||||||||
| Erdafitinib | Intrahepatic Cholangiocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID13163In the phase II NCI-MATCH EAY131-K2 trial, a patient with intrahepatic cholangiocarcinoma harboring an FGFR2-ACOT11 fusion achieved a partial response to erdafitinib, with a 49.6% maximum reduction in… (full text at CIViC) PMID 38603650 · Gong et al., 2024 · Open in CIViC | civic |
| AHCYL1 Fusion3 | ||||||||
| (diagnostic) | Cholangiocarcinoma | Diagnostic | B | Supports Positive | 4 | accepted | EID1847Massively parallel whole transcriptome sequencing in eight specimens from cholangiocarcinoma patients identified two fusion kinase genes, FGFR2-AHCYL1 and FGFR2-BICC1. In RT-PCR screening, the FGFR2 f… (full text at CIViC) PMID 24122810 · Arai et al., 2014 · Open in CIViC | civic |
| Erdafitinib | Intrahepatic Cholangiocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID13164In the phase II NCI-MATCH EAY131-K2 trial, a patient with intrahepatic cholangiocarcinoma harboring an FGFR2-AHCYL1 fusion achieved a partial response to erdafitinib, with a 66.7% maximum reduction in… (full text at CIViC) PMID 38603650 · Gong et al., 2024 · Open in CIViC | civic |
| Infigratinib + PD173074Substitutes | Cholangiocarcinoma | Predictive | D | Supports | ||||
| FGFR2 Amplification + FGFR2 Fusion1 | ||||||||
| Futibatinib | Cholangiocarcinoma | Predictive | C | Supports Sensitivity Response | 1 | submitted | EID11642In 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 |
| BICC1 Fusion3 | ||||||||
| (diagnostic) | Cholangiocarcinoma | Diagnostic | B | Supports Positive | 4 | accepted | EID1846Massively parallel whole transcriptome sequencing in eight specimens from cholangiocarcinoma patients identified two fusion kinase genes, FGFR2-AHCYL1 and FGFR2-BICC1. In RT-PCR screening, the FGFR2 f… (full text at CIViC) PMID 24122810 · Arai et al., 2014 · Open in CIViC | civic |
| Futibatinib | Intrahepatic Cholangiocarcinoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID11610In a phase 2 trial (NCT02052778) of the FGFR1/2/3/4 inhibitor futibatinib in 103 patients with previously treated intrahepatic cholangiocarcinoma harboring FGFR2 fusions or rearrangements, the overal… (full text at CIViC) PMID 36652354 · Goyal et al., 2023 · Open in CIViC | civic |
| 〃 | Cholangiocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | |||
Data updated 8 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.
EID5902Chemotherapy-refractory, metastatic cholangiocarcinoma with CNS involvement and a BRAF V600E mutation had a partial response at 8 weeks to dabrafenib and trametinib combination with complete radiologi… (full text at CIViC) PMID 28480077 · Kocsis et al., 2017 · Open in CIViC |
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| 〃 | Intrahepatic Cholangiocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID5903Two cases of patients with BRAF V600E positive, refractory intrahepatic cholangiocarcinoma showed excellent clinical and radiographic response to combination dabrafenib and trametinib treatment. One p… (full text at CIViC) PMID 28078132 · Lavingia et al., 2016 · Open in CIViC | civic |
| 〃 | Intrahepatic Cholangiocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID5904Dabrafenib and trametinib combination showed durable response for a patient with standard chemotherapy and radiation refractory, poorly differentiated, intrahepatic cholangiocarcinoma harboring BRAF V… (full text at CIViC) PMID 25435907 · Loaiza-Bonilla et al., 2014 · Open in CIViC | civic |
| Irinotecan + Panitumumab + VemurafenibCombination | Cholangiocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID5906A 31 year old patient with metastatic cholangiocarcinoma with BRAF V600E was treated with vemurafenib, panitumumab and irinotecan triplet therapy. By 2 months, 50% reduction of tumor volume was noted,… (full text at CIViC) PMID 26687137 · Silkin et al., 2016 · Open in CIViC | civic |
| accepted |
EID754The DNAJB1-PRKACA fusion was detected in 79% (58/73) of fibrolamellar hepatocellular carcinomas assayed. PMID 25557953 · Cornella et al., 2015 · Open in CIViC |
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| submitted |
EID7519In a cell viability assay, FGF19 overexpression in MHCC97L cells prevented cell death against sorafenib. PMID 28069043 · Gao et al., 2017 · Open in CIViC |
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| 3 |
| accepted |
EID1853Expression of the FGFR2-AHCYL1 fusion kinase in NIH3T3 cells demonstrated transforming ability that was effectively suppressed with the fibroblast growth factor receptor (FGFR) kinase inhibitors BGJ39… (full text at CIViC) PMID 24122810 · Arai et al., 2014 · Open in CIViC |
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| submitted |
EID11629In 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 |
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