Cancer Family
Nervous System Neoplasm
CI-CAN-00000038Explore in graph →
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Cancer Family
CI-CAN-00000038Explore in graph →
Variants & evidence
502 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 Amplification1 | ||||||||
| (prognostic) | Neuroblastoma | Prognostic | B | Supports Poor Outcome | 4 | submitted | EID13289In the same Children's Oncology Group analysis of 242 pretherapy high-risk neuroblastoma tumours from the phase III ANBL0532 trial (NCT00567567), ALK amplification was detected in 8 tumours (3.3%) by … (full text at CIViC) PMID 40036726 · Berko et al., 2025 · Open in CIViC | civic |
| ALK Exon 4-11 Deletion1 | ||||||||
| Brigatinib | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1336The MYCN amplification positive relapsed neuroblastoma-derived cell line CLB-BAR contains the driver ALK DEL 11-14 mutation, which removes extracellular domain exons 4 through 11. Brigatinib treatment… (full text at CIViC) PMID 27049722 · Siaw et al., 2016 · 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 |
| ALK F1174L9 | ||||||||
| Alectinib | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID37CH5424802 (Alectinib) is effective in inhibiting the activity of the F1174L ALK mutant in a kinase activity assay and proliferation assay using neuroblastoma KELLY cells. PMID 21575866 · Sakamoto et al., 2011 · Open in CIViC | civic |
| ALK Inhibitor TAE684 | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID142SH-SY5Y and Kelly cells with mutant ALK (F1174L) and Ba/F3 cells overexpressing ALK harboring the F1174L mutation are sensitive to TAE684-mediated growth inhibition. PMID 18923525 · George et al., 2008 · Open in CIViC | civic |
| AZD3463 | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1327The SH-SY5Y neuroblastoma cell line containing the F1174L ALK mutation was found to undergo cell death when treated with the ALK/IGF1R inhibitor AZD3463. These cells were more sensitive than other neu… | |
| ALK F1245C2 | ||||||||
| Crizotinib | Neuroblastoma | Predictive | C | Supports Resistance | 3 | accepted | EID1333A participant in Children's Oncology Group (COG) study AVDL0912 with measurable neuroblastoma mutated at ALK F1245C was administered crizotinib at 100mg twice daily. The patient showed progressive di… (full text at CIViC) PMID 23598171 · Mossé et al., 2013 · Open in CIViC | civic |
| Lorlatinib | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1330Patient derived xenografts of neuroblastoma Felix cells with F1245C ALK mutation in CB17 SCID mice showed growth inhibition with crizotinib treatment over control, and mice had improved duration of ev… (full text at CIViC) PMID 26554404 · Infarinato et al., 2016 · Open in CIViC | civic |
| ALK F1245V2 | ||||||||
| (diagnostic) | Neuroblastoma | Diagnostic | B | Supports Positive | 3 | rejected | EID3048From a total of 90 patients -54 boys and 36 girls- one case presented with F1245V mutation in primary neuroblastoma tumor, specimens obtained during surgery or biopsy were subjected to copy number sta… (full text at CIViC) PMID 22085494 · Bagci et al., 2012 · Open in CIViC | civic |
| Entrectinib | Neuroblastoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID2987Clinical trial of entrectinib in patients with ALK/ROS/TRK altered tumors. One patient with an ALK F1245V-mutant neuroblastoma achieved a durable, confirmed partial response (PR) lasting 8.3 months. T… (full text at CIViC) PMID 28183697 · Drilon et al., 2017 · Open in CIViC | civic |
| ALK G1128A2 | ||||||||
| (predisposing) | Neuroblastoma | Predisposing | B | Supports Predisposition | 4 | rejected | EID7568A genome-wide scan of single nucleotide polymorphisms in twenty neuroblastoma families identified the ALK gene as being disease linked. Sequencing of ALK exons identified 3 mutations, including G1128A… (full text at CIViC) PMID 18724359 · Mossé et al., 2008 · Open in CIViC | civic |
| 〃 | Neuroblastoma | Predisposing | B | Supports Predisposition | 4 | submitted | EID7570A genome-wide scan of single nucleotide polymorphisms in twenty neuroblastoma families identified the ALK gene as being disease linked. Sequencing of ALK exons identified 3 mutations, including G1128A… (full text at CIViC) PMID 18724359 · Mossé et al., 2008 · Open in CIViC | civic |
| ALK I1171T1 | ||||||||
| Ceritinib | Neuroblastoma | Predictive | C | Supports Sensitivity Response | 4 | accepted | EID9404This case reports a 16-mo-old boy with metastatic neuroblastoma (stage M). Genomic analysis of a diagnostic biopsy of the tumor and matched normal identified two germline mutations in FANCA and somati… (full text at CIViC) PMID 29907598 · Guan et al., 2018 · Open in CIViC | civic |
| ALK Mutation1 | ||||||||
| (prognostic) | Neuroblastoma | Prognostic | B | Supports Poor Outcome | 4 | submitted | EID13288In a Children's Oncology Group correlative study, 242 pretherapy tumours from patients enrolled on the phase III high-risk neuroblastoma trial ANBL0532 (NCT00567567) underwent ultra-deep targeted sequ… (full text at CIViC) PMID 40036726 · Berko et al., 2025 · Open in CIViC | civic |
| ALK R1192P2 | ||||||||
| (predisposing) | Neuroblastoma | Predisposing | B | Supports Predisposition | 4 | rejected | EID7567A genome-wide scan of single nucleotide polymorphisms in twenty neuroblastoma families identified the ALK gene as being disease linked. Sequencing of ALK exons identified 3 mutations, including R1192P… (full text at CIViC) PMID 18724359 · Mossé et al., 2008 · Open in CIViC | civic |
| 〃 | Neuroblastoma | Predisposing | B | Supports Predisposition | 4 | submitted | EID7569A genome-wide scan of single nucleotide polymorphisms in twenty neuroblastoma families identified the ALK gene as being disease linked. Sequencing of ALK exons identified 3 mutations, including R1192P… (full text at CIViC) PMID 18724359 · Mossé et al., 2008 · Open in CIViC | civic |
| ALK R1275Q9 | ||||||||
| (predisposing) | Neuroblastoma | Predisposing | B | Supports Predisposition | 5 | submitted | EID7571A genome-wide scan of single nucleotide polymorphisms in twenty neuroblastoma families identified the ALK gene as being disease linked. Sequencing of ALK exons identified 3 mutations, including R1275Q… (full text at CIViC) PMID 18724359 · Mossé et al., 2008 · Open in CIViC | civic |
| ALK Inhibitor TAE684 | Neuroblastoma | Predictive | D | Supports Resistance | 3 | accepted | EID48The SMS-KCNR cell line harboring the R1275Q mutation was resistant to TAE684. PMID 18923525 · George et al., 2008 · Open in CIViC | civic |
| 〃 | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID39This study identified previously unknown mutations in the ALK gene in 8% (7/93) of primary neuroblastomas and neuroblastoma cell lines (6/30). R1275Q was found in the germline of one patient sample an… | |
| 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 |
| ASCL1 EXPRESSION1 | ||||||||
| (prognostic) | Atypical Teratoid/Rhabdoid Tumor | Prognostic | B | Supports Better Outcome | 5 | submitted | EID7055This retrospective study analyzed the role of ASCL1 expression in the overall prognosis of patients with atypical teratoid rhabdoid tumors. ASCL1 expression was found to correlate with superior 5-year… (full text at CIViC) PMID 25882982 · Torchia et al., 2015 · 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 |
Data updated 2 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.
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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 |
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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 |
PMID 26786851 · Wang et al., 2016 · Open in CIViC
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| Crizotinib | Neuroblastoma | Predictive | B | Supports Resistance | — | rejected | EID2344Activating mutations in the (ALK) gene are targeted by the dual-specific tyrosine kinase inhibitor crizotinib. The amino acid substitution F1174L resulted in a reduced response to crizotinib compared … (full text at CIViC) PMID 22072639 · Bresler et al., 2011 · Open in CIViC | civic |
| 〃 | Neuroblastoma | Predictive | B | Supports Resistance | — | submitted | EID2345Activating mutations in the (ALK) gene are targeted by the dual-specific tyrosine kinase inhibitor crizotinib. The amino acid substitution F1174L resulted in a reduced response to crizotinib compared … (full text at CIViC) PMID 21838707 · Schönherr et al., 2011 · Open in CIViC | civic |
| 〃 | Neuroblastoma | Predictive | C | Does Not Support Sensitivity Response | 3 | accepted | EID1271In a Phase I trial (NCT00939770) of the drug crizotinib in pediatric patients, a subset of 11 neuroblastoma patients were characterized for mutations in ALK. Of these 11 patients, 4 had the F1174L mut… (full text at CIViC) PMID 23598171 · Mossé et al., 2013 · Open in CIViC | civic |
| 〃 | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID38High levels of crizotinib can overcome drug resistance of Ba/F3 cells expressing the EML4-ALK fusion containing the F1174L mutation. PMID 21948233 · Heuckmann et al., 2011 · Open in CIViC | civic |
| 〃 | Neuroblastoma | Predictive | D | Supports Resistance | 3 | accepted | EID125Cells lines expressing ALK harboring the F1174L mutation are less sensitive to growth inhibition by crizotinib than cells expressing the R1275Q mutation. The authors conclude that this effect should b… (full text at CIViC) PMID 22072639 · Bresler et al., 2011 · Open in CIViC | civic |
| Lorlatinib | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID1329Efficacy of the second generation ALK inhibitor PF-06463922 was tested on ALK mutation F1174L containing neuroblastoma-derived cells. COG-N-453x and SH-SY5Y xenografts showed some inhibition when tre… (full text at CIViC) PMID 26554404 · Infarinato et al., 2016 · Open in CIViC | civic |
PMID 18923525 · George et al., 2008 · Open in CIViC
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| Crizotinib | Neuroblastoma | Predictive | B | Supports Sensitivity Response | — | rejected | EID2341Activating mutations in the (ALK) gene are targeted by the dual-specific tyrosine kinase inhibitor crizotinib. The amino acid substitution R1275Q resulted in an improved response to crizotinib. PMID 22072639 · Bresler et al., 2011 · Open in CIViC | civic |
| 〃 | Neuroblastoma | Predictive | B | Supports Sensitivity Response | — | submitted | EID2342Activating mutations in the (ALK) gene are targeted by the dual-specific tyrosine kinase inhibitor crizotinib. The amino acid substitution R1275Q resulted in an improved response to crizotinib. The am… (full text at CIViC) PMID 21838707 · Schönherr et al., 2011 · Open in CIViC | civic |
| 〃 | Neuroblastoma | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID1269This Phase I study of crizotinib involved a cohort of pediatric neuroblastoma patients between ages 12 months and 22 years. In 11 patients with characterized ALK mutations, 4 had R1275Q mutations, and… (full text at CIViC) PMID 23598171 · Mossé et al., 2013 · Open in CIViC | civic |
| 〃 | Neuroblastoma | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID1270A cohort of pediatric neuroblastoma patients ages 12 months to 22 years were assessed for response to crizotinib in a Phase I study. 11 patients in this cohort had characterized ALK mutations, 4 of w… (full text at CIViC) PMID 23598171 · Mossé et al., 2013 · Open in CIViC | civic |
| 〃 | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID143Cells lines expressing ALK harboring the F1174L mutation are less sensitive to growth inhibition by crizotinib than cells expressing the R1275Q mutation. PMID 22072639 · Bresler et al., 2011 · Open in CIViC | civic |
| Lorlatinib | Neuroblastoma | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID1331In NB-1643 and LAN-5 neuroblastoma cell lines containing R1275Q mutation, PF-06463922 showed 51 and 19 fold greater effect on cell viability over crizotinib treatment respectively. ALK wild-type neuro… (full text at CIViC) PMID 26554404 · Infarinato et al., 2016 · Open in CIViC | civic |