Cancer Family
Melanocytic Neoplasm
CI-CAN-00000026Explore in graph →
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- C7058
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Cancer Family
CI-CAN-00000026Explore in graph →
Variants & evidence
414 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 |
|---|---|---|---|---|---|---|---|---|
| MAP2K2 L46F1 | ||||||||
| Dabrafenib + VemurafenibSubstitutes | Melanoma | Predictive | D | Supports Resistance | 3 | accepted | EID7666In a retrospective study, resistance mechanisms to BRAF inhibitor such as vemurafenib or dabrafenib in patients with BRAF V600 mutated melanoma were evaluated. Four mutations involving the MAP2K2 gene… (full text at CIViC) PMID 24265153 · Van Allen et al., 2014 · Open in CIViC | civic |
| MAP2K2 N126D1 | ||||||||
| Dabrafenib + VemurafenibSubstitutes | Melanoma | Predictive | D | Supports Resistance | 3 | accepted | EID7667In a retrospective study, resistance mechanisms to BRAF inhibitor such as vemurafenib or dabrafenib in patients with BRAF V600 mutated melanoma were evaluated. Four mutations involving the MAP2K2 gene… (full text at CIViC) PMID 24265153 · Van Allen et al., 2014 · Open in CIViC | civic |
| MAP2K2 V35M1 | ||||||||
| Dabrafenib + VemurafenibSubstitutes | Melanoma | Predictive | C | Supports Resistance | 3 | submitted | EID7665In a retrospective study, resistance mechanisms to BRAF inhibitor such as vemurafenib or dabrafenib in patients with BRAF V600 mutated melanoma were evaluated. Four mutations involving the MAP2K2 gene… (full text at CIViC) PMID 24265153 · Van Allen et al., 2014 · Open in CIViC | civic |
| MBD4 Frameshift1 | ||||||||
| PD1 Inhibitor | Uveal Melanoma | Predictive | C | Supports Sensitivity Response | 4 | submitted | EID7596In a cohort of 42 metastatic uveal melanoma patients treated with PD-1 inhibition, only one responded. A germline frameshift mutation in MBD4 was identified in this responder patient, with somatic los… (full text at CIViC) PMID 29760383 · Rodrigues et al., 2018 · Open in CIViC | civic |
| MERTK OVEREXPRESSION1 | ||||||||
| UNC1062 | Melanoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID2991Highest MERTK expression was observed in metastatic melanomas, followed by primary melanomas, and lowest in benign nevi. Over half of melanoma cell lines overexpressed MERTK compared with normal human… (full text at CIViC) PMID 23585477 · Schlegel et al., 2013 · Open in CIViC | civic |
| MET Overexpression6 | ||||||||
| Crizotinib | Uveal Melanoma | Predictive | D | Supports Sensitivity Response | 1 | accepted | EID1583c-MET and ligand HGF were expressed by 6 uveal melanoma cell lines in-vitro. GNA-mutant cell lines (n=3) showed stronger expression of ligand and receptor as well as more receptor phosphorylation. SiR… (full text at CIViC) PMID 24140933 · Surriga et al., 2013 · Open in CIViC | civic |
| 〃 | Uveal Melanoma | Predictive | E | Supports Sensitivity Response | 2 | rejected | EID1582Preclinical study in uveal melanoma cell lines. c-MET was identified as a transcriptional target of miR-144. miR-144 was downregulated in 4 uveal melanoma cell lines and 5 human uveal melanoma tumor t… (full text at CIViC) PMID 25961751 · Sun et al., 2015 · Open in CIViC | civic |
| C-Met Inhibitor + ERBB3 Inhibitor + Mitogen-Activated Protein Kinase Kinase InhibitorCombination | Uveal Melanoma | |||||||
| RAF1 Fusion1 | ||||||||
| Belvarafenib | Cutaneous MelanomaALIAS | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID13152A patient with recurrent melanoma harboring a MIPOL1-RAF1 fusion with an intact RAF1 kinase domain received belvarafenib after progression following pembrolizumab with radiotherapy. Belvarafenib was i… (full text at CIViC) PMID 38470950 · Kim et al., 2024 · Open in CIViC | civic |
| MITF Amplification1 | ||||||||
| Dabrafenib + VemurafenibSubstitutes | Melanoma | Predictive | C | Supports Resistance | 4 | submitted | EID7668In a retrospective study, resistance mechanisms to BRAF inhibitor such as vemurafenib or dabrafenib in patients with BRAF V600 mutated melanoma were evaluated. In one patient relapse-associated focal … (full text at CIViC) PMID 24265153 · Van Allen et al., 2014 · Open in CIViC | civic |
| MITF Overexpression1 | ||||||||
| PLX4720 + SelumetinibCombination | Melanoma | Predictive | D | Supports Resistance | 3 | submitted | EID1978Preliminary analysis of biopsies from BRAF(V600E) melanoma patients revealed that phosphorylated (active) CREB was suppressed by RAF-MEK inhibition but restored in relapsing tumours. Expression of tra… (full text at CIViC) PMID 24185007 · Johannessen et al., 2013 · Open in CIViC | civic |
| MTOR H1968Y2 | ||||||||
| Capivasertib | Melanoma | Predictive | D | Supports Sensitivity Response | 3 | rejected | EID721In a cell line with expression of H1968Y or P2213S mTOR mutations, LY294002 and AZD5363 were more effective than temsirolimus or BYL719 in suppressing cell growth. PMID 26490311 · Kong et al., 2016 · Open in CIViC | civic |
| Capivasertib + PI3K/BET Inhibitor LY294002Substitutes | Melanoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID713In a cell line (HEK293T) with expression of H1968Y or P2213S mTOR mutations, LY294002 and AZD5363 were more effective than temsirolimus or BYL719 in suppressing cell growth. PMID 26490311 · Kong et al., 2016 · Open in CIViC | civic |
| MTOR Mutation1 | ||||||||
| (prognostic) | Melanoma | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID712Median overall survival of patients with nonsynonymous mutations in mTOR was shorter. PMID 26490311 · Kong et al., 2016 · Open in CIViC | civic |
| MTOR P2213S1 | ||||||||
| Capivasertib + PI3K/BET Inhibitor LY294002Combination | Melanoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID722In a cell line (HEK293T) with expression of H1968Y or P2213S mTOR mutations, LY294002 and AZD5363 were more effective than temsirolimus or BYL719 in suppressing cell growth. PMID 26490311 · Kong et al., 2016 · Open in CIViC | civic |
| NF1 Loss2 | ||||||||
| Afatinib + CetuximabSubstitutes | Melanoma | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID12435Loss-of-function of NF1, a tumor suppressor and negative regulator of RAS signaling, is recurrent in melanoma and contributes to MAPK pathway activation. This study demonstrates that NF1 loss in melan… (full text at CIViC) PMID 40494652 · Ibrahim et al., 2025 · Open in CIViC | civic |
| Dabrafenib | Melanoma | Predictive | D | Supports Resistance | 3 | submitted | EID1957Taken together with preclinical studies in the mouse model and genetic studies in human melanoma cell lines, these observations further support the hypothesis that NF1/neurofibromin suppression may pl… (full text at CIViC) PMID 23171796 · Maertens et al., 2013 · Open in CIViC | civic |
| NF1 Mutation4 | ||||||||
| Mirdametinib + SirolimusCombination | Cutaneous MelanomaALIAS | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1469Preclinical study of mouse melanoma both in-vitro and in-vivo. Braf/Nf1-mutant melanomas were less sensitive to vemurafenib than the MEK inhibitor PD0325901. mTOR inhibition with rapamycin had a more … (full text at CIViC) PMID 23171796 · Maertens et al., 2013 · Open in CIViC | civic |
| Vemurafenib | Cutaneous MelanomaALIAS | Predictive | C | Supports Resistance | 4 | accepted | EID1470NF1 was identified in an unbiased RNAi screen as mediator of resistance to BRAF inhibition in BRAF mutant melanoma. Knockdown of NF1 led to PLX4720 resistance in-vitro. MEK inhibition with AZD6244 (se… (full text at CIViC) PMID 23288408 · Whittaker et al., 2013 · Open in CIViC | civic |
| 〃 | ||||||||
| NF1 Q1336*1 | ||||||||
| Pan-RAF/MEK Molecular Glue NST-628 | Melanoma | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID13156In NF1 Q1336*-mutant MeWo melanoma cells, NST-628 showed potent antiproliferative activity, increased apoptosis, and durably reduced MAPK-pathway signaling. In intracranial MeWo-luc xenografts, once-d… (full text at CIViC) PMID 38588399 · Ryan et al., 2024 · Open in CIViC | civic |
| NF1 R163X1 | ||||||||
| Vemurafenib | Melanoma | Predictive | C | Supports Resistance | — | submitted | EID4730In a retrospective study of four relapsed, malignant melanoma patients, NF1 R2450* mutation was associated with acquired resistance to vemurafenib monotherapy in one patient. PMID 23288408 · Whittaker et al., 2013 · Open in CIViC | civic |
| NRAS Amplification1 | ||||||||
| (prognostic) | Melanoma | Prognostic | B | Supports Poor Outcome | 4 | submitted | EID13301In a retrospective cohort of 657 patients with melanoma, 92 (14.0%) had NRAS copy-number gain (>2 copies). Patients with NRAS gain had shorter median overall survival than patients with normal NRAS co… (full text at CIViC) PMID 29245078 · Yan et al., 2018 · Open in CIViC | civic |
| NRAS G12A1 | ||||||||
| Belvarafenib | Melanoma | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID13153A patient with melanoma harboring NRAS G12A received belvarafenib monotherapy after two prior lines of systemic therapy and achieved a partial response as the best RECIST response. Belvarafenib treatm… (full text at CIViC) PMID 38470950 · Kim et al., 2024 · Open in CIViC | civic |
| NRAS G13D1 | ||||||||
| Tanespimycin | Melanoma | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID21Likely due to increased reliance of mutant NRAS on HSP90 for stabilization, inhibition of HSP90 by 17-AAG was shown to be effective in a patient with metastatic malignant melanoma with an NRAS G13D mu… (full text at CIViC) PMID 18375819 · Banerji et al., 2008 · Open in CIViC | civic |
| NRAS G13R3 | ||||||||
| Belvarafenib | Acral Lentiginous Melanoma | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID13214A patient with acral melanoma harboring NRAS G13R received belvarafenib monotherapy after four prior lines of systemic therapy and achieved stable disease as the best RECIST response. The patient rece… (full text at CIViC) PMID 38470950 · Kim et al., 2024 · Open in CIViC | civic |
| Vemurafenib | Melanoma | Predictive | C | Supports Resistance | — | submitted | EID3843In a retrospective study of 30 metastatic melanoma patients, a patient harboring NRAS G13R mutation was reported to be resistant to vemurafenib treatment. The patient was initially found to harbor a B… (full text at CIViC) PMID 24463458 · Rizos et al., 2014 · Open in CIViC | civic |
| 〃 | Melanoma | Predictive | C | Supports Resistance | — | submitted | ||
| NRAS Gain2 | ||||||||
| (prognostic) | Melanoma | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID13293In a retrospective cohort of 657 patients with melanoma, 92 (14.0%) had NRAS copy-number gain (>2 copies). Patients with NRAS gain had shorter median overall survival than patients with normal NRAS co… (full text at CIViC) PMID 29245078 · Yan et al., 2018 · Open in CIViC | civic |
| Binimetinib | Melanoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID6899In melanoma preclinical models, increased NRAS expression enhanced sensitivity to binimetinib in NRAS-copy-normal A875 cells, whereas NRAS knockdown decreased binimetinib sensitivity in NRAS-gain WM26… (full text at CIViC) PMID 29245078 · Yan et al., 2018 · Open in CIViC | civic |
| NRAS Mutation11 | ||||||||
| (prognostic) | Melanoma | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID71In patients with stage IV melanoma, NRAS mutation was associated with reduced median survival compared to patients with wildtype NRAS. PMID 22180178 · Jakob et al., 2012 · Open in CIViC | civic |
| Amuvatinib | Cutaneous MelanomaALIAS | Predictive | D | Supports Sensitivity Response | 1 | accepted | EID1476Preclinical study in melanoma cell lines. Cell lines (2-5/assay) with NRAS mutation were more sensitive to Amuvatinib (inhibitor targets multiple tyrosine kinases) than BRAF mutant cell lines in growt… (full text at CIViC) PMID 24950457 · Fedorenko et al., 2014 · Open in CIViC | civic |
| Belvarafenib | Melanoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | ||
| NRAS Q614 | ||||||||
| (diagnostic) | Melanoma | Diagnostic | B | Supports Positive | 3 | accepted | EID10Melanoma associated with NRAS Q61 mutation was more often associated with those at the extremity than those at the trunk. PMID 23861977 · Tschandl et al., 2013 · Open in CIViC | civic |
| Binimetinib | Cutaneous MelanomaALIAS | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID1226Phase 2 study of MEK162 in patients with advanced melanoma and NRAS or BRAF mutation. 71 patients were enrolled, 6/30 patients with NRAS mutation had a partial response (Gln61Leu 1 Patient, Gln61Lys 9… (full text at CIViC) PMID 23414587 · Ascierto et al., 2013 · Open in CIViC | civic |
| Selumetinib | Cutaneous MelanomaALIAS | Predictive | C | Supports Sensitivity Response | ||||
| NRAS Q61H1 | ||||||||
| Belvarafenib | Melanoma | Predictive | C | Supports Resistance | 2 | submitted | EID13216A patient with melanoma harboring NRAS Q61H received belvarafenib monotherapy after two prior lines of systemic therapy and had progressive disease as the best RECIST response. The patient received be… (full text at CIViC) PMID 38470950 · Kim et al., 2024 · 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.
| Predictive |
| D |
| Supports Sensitivity Response |
| 3 |
| submitted |
EID3037MEK inhibitors improve survival in cutaneous melanoma patients but show only modest efficacy in metastatic uveal melanoma patients. In this study, we screened for growth factors that elicited resistan… (full text at CIViC) PMID 25952648 · Cheng et al., 2015 · Open in CIViC |
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| Selumetinib + TrametinibSubstitutes | Uveal Melanoma | Predictive | D | Supports Resistance | 3 | accepted | EID3038In this study the authors screened for growth factors that elicited resistance in newly characterized metastatic uveal melanoma cell lines to clinical-grade MEK inhibitors, trametinib and selumetinib,… (full text at CIViC) PMID 25952648 · Cheng et al., 2015 · Open in CIViC | civic |
| Vemurafenib | Cutaneous MelanomaALIAS | Predictive | B | Supports Resistance | 4 | accepted | EID1581Whole exome sequencing, transcriptome and methylome alterations in 48 melanoma samples with acquired resistance to BRAFi +/- MEKi therapy compared to patient-matched baseline melanoma tissues were ana… (full text at CIViC) PMID 26359985 · Hugo et al., 2015 · Open in CIViC | civic |
| 〃 | Cutaneous MelanomaALIAS | Predictive | B | Does Not Support Resistance | 3 | accepted | EID1584FFPE tumours from patients enrolled in the BRIM2 (n = 59) and BRIM3 (n = 150) trials of vemurafenib in advanced BRAF mutant (V600E/K) melanoma were analyzed for MET expression (IHC). Pretreatment MET … (full text at CIViC) PMID 23802768 · Jubb et al., 2013 · Open in CIViC | civic |
| Predictive |
| D |
| Supports Resistance |
| 2 |
| accepted |
EID1468Preclinical study of mouse melanoma in-vitro and in-vivo. In-vitro treament of Braf-mutant melanomas were 10-fold more sensitive to vermurafenib (PLX4032) treatment than Braf/Nf1-mutant melanomas. In … (full text at CIViC) PMID 23171796 · Maertens et al., 2013 · Open in CIViC |
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| AZ628 + VTX-11eSubstitutes | Cutaneous MelanomaALIAS | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID1471NF1 was identified in an unbiased RNAi screen as mediator of resistance to BRAF inhibition in BRAF mutant melanoma. BRAF V600E/NF1 mutant cell lines were sensitive to ERK inhibition with VTX-11e, mode… (full text at CIViC) PMID 23288408 · Whittaker et al., 2013 · Open in CIViC | civic |
EID3844In a retrospective study of 44 malignant melanoma patients, NRAS G13R was associated with acquired resistance to vemurafenib monotherapy in one patient with disease progressive tumors harboring NRAS G… (full text at CIViC) PMID 24265155 · Shi et al., 2014 · Open in CIViC |
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EID7452In a phase1 trial, patients with advanced solid tumor harboring RAS or RAF mutation were treated with pan-RAF inhibitor Belvarafenib (HM99573/GDC-5573). In the dose-escalation cohort, 4 of 9 patients … (full text at CIViC) |
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| Binimetinib | Cutaneous MelanomaALIAS | Predictive | B | Supports Sensitivity Response | 5 | accepted | EID2937NEMO is an ongoing, randomised, open-label phase 3 study of patients with advanced, unresectable, AJCC IIIC/IV NRAS-mutant melanoma. 402 patients that were previously untreated or progressed on or aft… (full text at CIViC) PMID 28284557 · Dummer et al., 2017 · Open in CIViC | civic |
| 〃 | Cutaneous MelanomaALIAS | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID1472Phase II study in 71 patients with NRAS or BRAF V600 mutant melanoma treated with MEK162. Six (20%) of 30 patients with NRAS-mutated melanoma had a partial response (three confirmed). PMID 23414587 · Ascierto et al., 2013 · Open in CIViC | civic |
| 〃 | Melanoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1509In a panel of 7 NRAS mutant melanoma cell lines, all 7 were found to be sensitive to the MEK inhibitor MEK162, whereas 3 of 5 melanoma cell lines that were wild type for BRAF and NRAS were not sensiti… (full text at CIViC) PMID 24588908 · Thumar et al., 2014 · Open in CIViC | civic |
| MEK Inhibitor RO4987655 | Melanoma | Predictive | C | Does Not Support Resistance | 2 | accepted | EID996Phase I expansion and pharmacodynamic study of the oral MEK inhibitor RO4987655 (CH4987655). Among 8 patients with NRAS mutated melanoma, 3 experienced clinical benefit: 2 stable disease and 1 partial… (full text at CIViC) PMID 24947927 · Zimmer et al., 2014 · Open in CIViC | civic |
| Omipalisib + TrametinibCombination | Melanoma | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID1429In six NRAS mutant melanoma cell lines, concomitant use of MEK inhibitor and PI3K/mTOR inhibitor resulted in greater decrease in cell viability than either alone, with the synergistic effect being mar… (full text at CIViC) PMID 23431193 · Posch et al., 2013 · Open in CIViC | civic |
| Binimetinib + RibociclibCombination | Cutaneous MelanomaALIAS | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID2931Inhibition of CDK4 and 6, regulators of the G1/S cell cycle checkpoint, arrests the cell cycle in the G1 phase, suppresses DNA synthesis, and inhibits cancer cell growth. There is an ongoing phase 1/2… (full text at CIViC) PMID 26987942 · Vu et al., 2016 · Open in CIViC | civic |
| Trametinib | Melanoma | Predictive | B | Does Not Support Sensitivity Response | 2 | accepted | EID1227Phase 1 trial in 97 patients with melanoma (81 cutaneous or unknown, 16 uveal). Seven patients were found to harbor an NRAS mutation and two of them experienced stable disease (one 48 weeks on treatme… (full text at CIViC) PMID 22805292 · Falchook et al., 2012 · Open in CIViC | civic |
| Docetaxel + TrametinibCombination | Cutaneous MelanomaALIAS | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID1225Phase 1 trial of trametinib and docetaxel in patients with advanced melanoma lacking BRAF V600 mutations. 15 patients were enrolled (14 BRAF wt). Six patients had a partial response, including four ou… (full text at CIViC) PMID 25542057 · Coupe et al., 2015 · Open in CIViC | civic |
| 2 |
| accepted |
EID1473Phase 1 trial in 57 patients with advanced cancers treated with selumetinib. 4 melanoma patients had NRAS Q61 mutations. One patient with NRAS mutation had 70% tumor shrinkage after three cycles of se… (full text at CIViC) PMID 18390968 · Adjei et al., 2008 · Open in CIViC |
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| Vemurafenib | Melanoma | Predictive | B | Supports Resistance | 4 | accepted | EID14Vemurafenib resistance is associated with gain of Q61 mutation in NRAS. PMID 23569304 · Trunzer et al., 2013 · Open in CIViC | civic |