Molecular Subtype
Myeloproliferative Neoplasm, BCR-ABL1 Negative
CI-CAN-00003386Explore in graph →
- NCIt
- C198555
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Molecular Subtype
CI-CAN-00003386Explore in graph →
Variants & evidence
20 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 |
|---|---|---|---|---|---|---|---|---|
| ASXL1 Mutation1 | ||||||||
| (prognostic) | Primary MyelofibrosisALIAS | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID1508An ASXL1 mutation, especially in conjunction with DNMT3A and EZH2 mutations, results in a fourfold increase in resistance to treatment with ruxolitinib and a reduced time to treatment discontinuation … (full text at CIViC) PMID 26124496 · Patel et al., 2015 · Open in CIViC | civic |
| CALR EXON 9 FRAMESHIFT7 | ||||||||
| (prognostic) | Primary MyelofibrosisALIAS | Prognostic | A | Supports Better Outcome | 4 | accepted | EID1387Study of 428 patients with primary Myelofibrosis found that those patients harboring CALR exon 9 mutations displayed significantly longer survival than those with JAK2 mutations (HR: 2.5, median survi… (full text at CIViC) PMID 25037629 · Tefferi et al., 2014 · Open in CIViC | civic |
| 〃 | Primary MyelofibrosisALIAS | Prognostic | B | Supports Better Outcome | 4 | accepted | EID1649In patients with primary myelofibrosis CALR mutations were associated with improved median survival. For 277 patients, CALR mutated, ASXL1 wildtype patients (median survival, 10.4 years, N=46); CALR w… (full text at CIViC) PMID 24496303 · Tefferi et al., 2014 · Open in CIViC | civic |
| 〃 | Primary MyelofibrosisALIAS | |||||||
| CALR Mutation1 | ||||||||
| (diagnostic) | Essential Thrombocythemia | Diagnostic | A | Supports Positive | 5 | accepted | EID6382Diagnostic criterion for essential thrombocytemia according to the World Health Organization (WHO) classification of tumors of the hematopoietic and lymphoid tissues 2016. PMID 27069254 · Arber et al., 2016 · Open in CIViC | civic |
| JAK2 V617F2 | ||||||||
| Fedratinib | Polycythemia Vera | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID20TG101348 effectively inhibits STAT5 signaling in JAK2 V617F cells. PMID 18394554 · Wernig et al., 2008 · Open in CIViC | civic |
| Peginterferon Alfa-2b | Polycythemia Vera | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID19In patients with JAK2 V617F, the use of pegylated IFN-alpha-2a leads to reduction in the percentage of cells harboring JAK2 V617F. PMID 16709929 · Kiladjian et al., 2006 · Open in CIViC | civic |
| MPL Mutation2 | ||||||||
| (diagnostic) | Essential Thrombocythemia | Diagnostic | A | Supports Positive | 5 | submitted | EID6383Diagnostic criterion for essential thrombocytemia according to the World Health Organization (WHO) classification of tumors of the hematopoietic and lymphoid tissues 2016. PMID 27069254 · Arber et al., 2016 · Open in CIViC | civic |
| (prognostic) | Primary MyelofibrosisALIAS | Prognostic | B | Supports Better Outcome | 5 | submitted | EID7464In a study of activation mutations in MPL were prognostically informative for overall survival. They occur in 4% with ET and 8% with Primary Myelofibrosis. PMID 25037629 · Tefferi et al., 2014 · Open in CIViC | civic |
| MPL W515L1 | ||||||||
| (oncogenic) | Primary MyelofibrosisALIAS | Oncogenic | D | Supports Oncogenicity | 3 | submitted | EID7221Found MPL W515L mutation in 4/45 MF patients' bone marrow but not cheek DNA. Expression of the mutated gene in cell cultures (BaF3, 3D, or UT-7 cells) resulted increased cell growth, and in mice (via … (full text at CIViC) PMID 16834459 · Pikman et al., 2006 · Open in CIViC | civic |
| NTRK2 A203T2 | ||||||||
| (oncogenic) | Primary MyelofibrosisALIAS | Oncogenic | C | Supports Oncogenicity | 3 | submitted | EID8619In this study deep sequencing was performed on 185 patients with hematological malignancies, and the NTRK2 A203T substitution was detected in one case of primary myelofibrosis. The substitution is loc… (full text at CIViC) PMID 32315394 · Joshi et al., 2020 · Open in CIViC | civic |
| Entrectinib + LarotrectinibSubstitutes | Primary MyelofibrosisALIAS | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID8620Deep sequencing of samples from 185 patients with different hematological malignancies detected an NTRK2 A203T substitution in one case of primary myelofibrosis. When stably expressed into murine inte… (full text at CIViC) PMID 32315394 · Joshi et al., 2020 · Open in CIViC | civic |
| U2AF1 MUTATION1 | ||||||||
| (prognostic) | Primary MyelofibrosisALIAS | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID1262In a large study of patients with primary myelofibrosis evaluating mutations associated with anemia, 457 patients were evaluated for U2AF1 mutations. U2AF1 mutations were significantly associated with… (full text at CIViC) PMID 27058230 · Barraco et al., 2016 · Open in CIViC | civic |
| VHL D126N (c.376G>A)1 | ||||||||
| (predisposing) | Polycythemia Vera | Predisposing | C | Supports Uncertain Significance | 3 | submitted | EID6856A case report revealed a 7 month old male infant of Bangladesh ethnicity with a novel homozygous VHL germline missense (c.376G>A; p.Asp126Asn) mutation with congenital polycythemia and dramatically el… (full text at CIViC) PMID 24729484 · Sarangi et al., 2014 · Open in CIViC | civic |
| VHL H191D (c.571C>G)1 | ||||||||
| (predisposing) | Polycythemia Vera | Predisposing | C | Supports Uncertain Significance | 3 | submitted | EID6485A 12 year old white male child presented with polycythemia. Genetic testing confirmed a germline missense mutation found at c.571C>G (p.His191Asp) in the VHL gene. This is the only other case of a hom… (full text at CIViC) PMID 16617601 · Hajnzić et al., 2006 · Open in CIViC | civic |
| VHL R200W (c.598C>T)1 | ||||||||
| (predisposing) | Polycythemia Vera | Predisposing | C | Supports Uncertain Significance | 2 | submitted | EID6470Plasma concentrations of Th1 and Th2 cytokines were analyzed using the Bio-Plex multiplex suspension array system in 34 homozygotes VHL patients, 4 heterozygous VHL patients, and 32 VHL wild-type part… (full text at CIViC) PMID 19062180 · Niu et al., 2009 · Open in CIViC | civic |
Data updated 13 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.
| Prognostic |
| B |
| Supports Better Outcome |
| 3 |
| submitted |
EID6386In a study of 617 patients with primary myelofibrosis, 140 CALR-mutated patients harboring the type 1 (N=101, 52-bp deletion L367fs*46), the type 2 mutation (N=22, 5-bp insertion K385fs*47) or other i… (full text at CIViC) PMID 24986690 · Rumi et al., 2014 · Open in CIViC |
| civic |
| 〃 | Essential Thrombocythemia | Prognostic | B | Supports Better Outcome | 3 | submitted | EID6387In a study of 402 patients with essential thrombocythemia, 227 harbored JAK2 mutations and 114 harbored CALR mutations (51 type 1 L367fs*46 and 44 type 2 K385fs*47). Overall survival did not differ be… (full text at CIViC) PMID 24753125 · Tefferi et al., 2014 · Open in CIViC | civic |
| 〃 | Primary MyelofibrosisALIAS | Prognostic | B | Supports Poor Outcome | 2 | submitted | EID6388In the subset of patients with myelofibrosis (including primary myelofibrosis and post-essential thrombocythemia MF), (including PMF and post-ET MF), patients with type 1 mutations (N=33) had poorer o… (full text at CIViC) PMID 25212275 · Cabagnols et al., 2015 · Open in CIViC | civic |
| 〃 | Essential Thrombocythemia | Prognostic | B | Does Not Support Poor Outcome | 2 | submitted | EID6389In the subset of patients with essential thrombocythemia (including potential unidentified prefibrotic stage of myelofibrosis), patients with type 1 L367fs*46 mutations (N=111) had no significant diff… (full text at CIViC) PMID 25212275 · Cabagnols et al., 2015 · Open in CIViC | civic |
| Peginterferon Alfa-2a | Essential Thrombocythemia | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID1482Study explored the hematologic and molecular responses in a cohort of 31 patients presenting with thrombocythemia and CALR exon 9 frameshift mutations. All 31 patients exhibited a hematologic response… (full text at CIViC) PMID 26486786 · Verger et al., 2015 · Open in CIViC | civic |