Cancer Family
Pancreaticobiliary Neoplasm
CI-CAN-00000309Explore in graph →
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- C223357
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Cancer Family
CI-CAN-00000309Explore in graph →
Variants & evidence
213 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 |
|---|---|---|---|---|---|---|---|---|
| NRG1 Fusion + KRAS WildtypeNRG1KRAS1 | ||||||||
| Afatinib | Pancreatic Ductal Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID7493Whole genome sequencing and transcriptomic analysis were performed on 47 advanced PDAC patients. 3/47 patients were KRAS wildtype and all three of these cases harbored a NRG1 fusion. In a 54-year-old … (full text at CIViC) PMID 31068372 · Jones et al., 2019 · Open in CIViC | civic |
| ATM Mutation1 | ||||||||
| Olaparib | Malignant Pancreatic Neoplasm | Predictive | B | Does Not Support Sensitivity Response | 2 | submitted | EID13083In this phase II basket trial (TAPUR), response to olaparib treatment was examined in four cohorts with ATM mutations. In the pancreatic cancer cohort (25 evaluable patients) there was one PR and five… (full text at CIViC) PMID 41538762 · Carrizosa et al., 2026 · Open in CIViC | civic |
| ATM R2034Ter1 | ||||||||
| Olaparib | Pancreatic Ductal Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 1 | submitted | EID13230A 77 year old man with metastatic pancreatic ductal adenocarcinoma with somatic ATM R2034Ter mutation received off label olaparib after prior chemotherap. His disease remained stable for 18 months. PMID 40273902 · Vornhülz et al., 2025 · Open in CIViC | civic |
| ATM Underexpression1 | ||||||||
| (prognostic) | Malignant Pancreatic Neoplasm | Prognostic | B | Supports Poor Outcome | 2 | accepted | EID1292Absent expression of ATM, as assessed by IHC in 133 pancreatic ductal adenocarcinomas, was found to be associated with dismal prognosis (median survival, 9.6 months), whereas expression of ATM was ass… (full text at CIViC) PMID 25423555 · Kamphues et al., 2015 · 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 |
| NRG1 Fusion + KRAS WildtypeNRG1KRAS1 | ||||||||
| Afatinib | Pancreatic Ductal Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID7492Whole genome sequencing and transcriptomic analysis were performed on 47 advanced PDAC patients. 3/47 patients were KRAS wildtype and all three of these cases harbored a NRG1 fusion. A 59-year-old met… (full text at CIViC) PMID 31068372 · Jones et al., 2019 · Open in CIViC | civic |
| ATXN1L Loss1 | ||||||||
| Trametinib | Malignant Pancreatic Neoplasm | Predictive | D | Supports Resistance | 3 | submitted | EID5123ATXN1L loss reduced sensitivity to trametinib in KRAS G12V pancreatic cancer cells (PATU8902, PATU8988T). PMID 28178529 · Wang et al., 2017 · Open in CIViC | civic |
| BRAF DELNVTAP1 | ||||||||
| Vemurafenib | Malignant Pancreatic Neoplasm | Predictive | D | Supports Resistance | — | submitted | EID4798In an in vitro study, 537Mel, OV-90 and H2405 cell lines expressing BRAF N486_P490del mutation demonstrated resistance to vemurafenib treatment, compared to A-375 cell expressing BRAF V600E mutation. … (full text at CIViC) PMID 26996308 · Foster et al., 2016 · Open in CIViC | civic |
| BRAF N486_P490del1 | ||||||||
| Trametinib | Malignant Pancreatic Neoplasm | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID7730In a case report, a patient with pancreatic cancer harboring BRAF N486-P490del was treated with trametinib. Within 4 weeks of initiating therapy, her serum CA19-9 had fallen from 36,000 to 8,100 U/mL,… (full text at CIViC) PMID 29903880 · Aguirre et al., 2018 · 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 | 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 | 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 | civic |
| 〃 | Intrahepatic Cholangiocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | |||
| BRAF V600E + ERBB2 Amplification + SMAD4 LOSS + TP53 V218EERBB2TP53BRAFSMAD41 | ||||||||
| Bevacizumab + Lapatinib + Trametinib + TrastuzumabCombination | Malignant Pancreatic Neoplasm | Predictive | C | Supports Sensitivity Response | 3 | submitted | EID11712In this clinical trial, 18 patients with pancreatic cancer were recruited. In this case, the patient (74 y/F) with pancreatic cancer harboring, BRAF V600E, SMAD4 Loss, ERBB2 amplification, and, TP53 V… (full text at CIViC) PMID 36670111 · Shaya et al., 2023 · Open in CIViC | civic |
| BRCA1 Loss-of-function2 | ||||||||
| Olaparib | Pancreatic Adenocarcinoma | Predictive | A | Supports Sensitivity Response | 5 | accepted | EID7384In the phase 3 POLO trial patients who had germline BRCA1/2 mutation and metastatic pancreatic adenocarcinoma that had not progressed during first-line platinum-based chemotherapy were allocated to ma… (full text at CIViC) PMID 31157963 · Golan et al., 2019 · Open in CIViC | civic |
| 〃 | Malignant Pancreatic Neoplasm | Predictive | B | Supports Sensitivity Response | 3 | rejected | EID6075In multicenter phase II study included individuals with a germline BRCA1/2 mutation and pancreatic cancer after gemcitabine treatment. Olaparib was administered at 400 mg twice per day. Tumor respons… (full text at CIViC) PMID 25366685 · Kaufman et al., 2015 · Open in CIViC | civic |
| BRCA1 Mutation6 | ||||||||
| Cisplatin + OxaliplatinSubstitutes | Malignant Pancreatic Neoplasm | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID5915Patients with BRCA1/2 associated pancreatic adenocarcinoma were evaluated retrospectively. In patients with stage 3 and 4, the median overall survival (mOS) was 22 months for the platinum exposed (n=2… (full text at CIViC) PMID 25072261 · Golan et al., 2014 · Open in CIViC | civic |
| Olaparib | Malignant Pancreatic Neoplasm | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID5914Twenty-three patients with pancreatic cancer havoring BRCA1/2 germline mutations received olaparib. Five (21.7%) patients had a BRCA1 mutation. All but one had received prior gemcitabine, and 65% had … (full text at CIViC) PMID 25366685 · Kaufman et al., 2015 · Open in CIViC | civic |
| Rucaparib | Malignant Pancreatic Neoplasm | Predictive | B | |||||
| BRCA1 Mutation + BRCA2 Mutation + PALB2 MutationBRCA2BRCA1PALB21 | ||||||||
| Rucaparib | Pancreatic Adenocarcinoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID11317In this phase II study, 46 patients were enrolled (42 were evaluable; 27 gBRCA2, seven gBRCA1, six gPALB2, and two sBRCA2) and their chemotherapy was discontinued; patients then received rucaparib 600… (full text at CIViC) PMID 33970687 · Reiss et al., 2021 · Open in CIViC | civic |
| BRCA2 Loss-of-function3 | ||||||||
| Mitomycin | Malignant Pancreatic Neoplasm | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID1308In pancreatic cell lines PL11 (FANCC-deficient) and CAPAN1 (BRCA2-mutated), sensitivity to DNA cross-linking agents was observed compared to FANCC/BRCA2 wildtype cell lines (Su86.86, CFPAC, AsPc1, and… (full text at CIViC) PMID 16243825 · van der Heijden et al., 2005 · Open in CIViC | civic |
| Olaparib | Pancreatic Adenocarcinoma | Predictive | A | Supports Sensitivity Response | 5 | accepted | EID7385In the phase 3 POLO trial patients who had germline BRCA1/2 mutation and metastatic pancreatic adenocarcinoma that had not progressed during first-line platinum-based chemotherapy were allocated to ma… (full text at CIViC) PMID 31157963 · Golan et al., 2019 · Open in CIViC | civic |
| 〃 | Malignant Pancreatic Neoplasm | Predictive | B | Supports Sensitivity Response | ||||
| BRCA2 Mutation9 | ||||||||
| Iniparib | Malignant Pancreatic Neoplasm | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID5936Patient with germline BRCA2 mutation underwent resection of pancreatic cancer. Around three years later, tumor recurrence was detected by MRI and PET-CT confirmed it. She was treated with gemcitabine … (full text at CIViC) PMID 21508395 · Fogelman et al., 2011 · Open in CIViC | civic |
| Olaparib | Malignant Pancreatic Neoplasm | Predictive | B | Supports Sensitivity Response | 4 | accepted | EID5913Twenty-three patients with pancreatic cancer havoring BRCA1/2 germline mutations received olaparib. Eighteen (78%) patients had a BRCA2 mutation. In total of patients with BRCA1/2 mutation , all but … (full text at CIViC) PMID 25366685 · Kaufman et al., 2015 · Open in CIViC | civic |
| Platinum Compound | Malignant Pancreatic Neoplasm | Predictive | B | Supports Sensitivity Response | ||||
| CD44 CD44v6+/CD44s-1 | ||||||||
| (prognostic) | Pancreatic Carcinoma | Prognostic | B | Supports Poor Outcome | 4 | submitted | EID9433In a multivariate analysis from a clinical trial of 101 patients, CD44v6 expression combined with CD44s non-expression is significantly correlated with a reduced survival (p= 0.003). PMID 24708709 · Li et al., 2014 · Open in CIViC | civic |
| CDKN2A Loss + CDKN2A Mutation1 | ||||||||
| Palbociclib | Malignant Pancreatic Neoplasm | Predictive | B | Does Not Support Sensitivity Response | 3 | accepted | EID11653A phase II clinical study conducted with 12 patients with pancreatic cancer with CDKN2A loss or mutation treated with palbociclib. No clinical activity demonstrated in patients with CDKN2A mutated/del… (full text at CIViC) PMID 35100714 · Al Baghdadi et al., 2019 · Open in CIViC | civic |
| CDKN2A Mutation2 | ||||||||
| Palbociclib | Malignant Pancreatic Neoplasm | Predictive | B | Does Not Support Sensitivity Response | 4 | accepted | EID7299In a phase 2 trial, patients with pancreatic cancer with CDKN2A loss or mutation were received palbociclib. Among 12 patients no overall response or stable disease at 16 weeks were observed. | civic |
| 〃 | 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 |
| BEND2 Fusion1 | ||||||||
| (oncogenic) | Pancreatic Neuroendocrine CarcinomaALIAS | Oncogenic | C | Supports Oncogenicity | 1 | accepted | EID9219A 35 year-old patient presented with a grade 3 pancreatic neuroendocrine tumor and liver metastasis. Whole genome sequencing and RNAseq revealed a previously undescribed somatic translocation between … (full text at CIViC) PMID 31160355 · Williamson et al., 2019 · Open in CIViC | civic |
| CIC Loss2 | ||||||||
| Selumetinib | Malignant Pancreatic Neoplasm | Predictive | D | Supports Resistance | 3 | submitted | EID5115CIC knockout conferred resistance to selumetinib in KRAS G12V (PATU8902) pancreatic cancer cells. PMID 28178529 · Wang et al., 2017 · Open in CIViC | civic |
| Trametinib | Malignant Pancreatic Neoplasm | Predictive | D | Supports Resistance | 3 | submitted | EID5108In a CRISPR-Cas9 screen in two KRAS G12V pancreatic cancer cell lines (PATU8902, PATU8988T), CIC was found to promote proliferation/survival in the context of trametinib treatment. Additional in vitro… (full text at CIViC) PMID 28178529 · Wang et al., 2017 · Open in CIViC | civic |
| CIP2A EXPRESSION1 | ||||||||
| (prognostic) | Pancreatic Ductal Adenocarcinoma | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID1117Expression of the protein CIP2A was investigated in 72 cases of pancreatic ductal adenocarcinoma and 27 cases of adjacent tissues. Immunohistochemistry revealed a significant difference in expression … (full text at CIViC) PMID 26894380 · Xu et al., 2016 · Open in CIViC | civic |
| CIP2A Underexpression1 | ||||||||
| Gemcitabine | Pancreatic Ductal Adenocarcinoma | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID1118Researchers studied the effect of CIP2A expression in relation to gemcitabine sensitivity via SW1990 cell lines. SW1990 cells with CIP2A expression knocked-down displayed lower IC50 (p=.024), indicat… (full text at CIViC) PMID 26894380 · Xu et al., 2016 · Open in CIViC | civic |
| BRAF Fusion1 | ||||||||
| Vemurafenib | Malignant Pancreatic Neoplasm | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID5977The phase 2a MyPathway study assigned patients with HER2, EGFR, BRAF or SHH alterations to treatment with pertuzumab plus trastuzumab, erlotinib, vemurafenib, or vismodegib, respectively. One of 23 pa… (full text at CIViC) PMID 29320312 · Hainsworth et al., 2018 · Open in CIViC | civic |
| EGFR L747_P753delinsS1 | ||||||||
| Erlotinib | Pancreatic Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID6005Patients with recurrent pancreatic adenocarcinoma was treated with gemcitabine + nab-paclitaxel, FOLFIRINOX and docetaxel + irinotecan. After failure of these treatment, a tumor specimen from the panc… (full text at CIViC) PMID 28874593 · Cecchini et al., 2017 · 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 |
Data updated 15 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.
| 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 |
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| 〃 | 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 |
| Dabrafenib/Trametinib Regimen | Pancreatic Adenocarcinoma | Predictive | C | Supports Sensitivity Response | 2 | submitted | EID12811A 78-year-old Chinese female patient presented with BRAF V600E-mutant metastatic pancreatic adenocarcinoma. The patient received two cycles of chemotherapy. Following the second incomplete cycle of ch… (full text at CIViC) PMID 41367868 · Liu et al., 2025 · 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 |
| Does Not Support Sensitivity Response |
| 2 |
| submitted |
EID9291For this single-arm phase II trial, patients with locally advanced or metastatic pancreatic cancer (neuroendocrine excluded); and had a confirmed pathogenic or likely pathogenic germline (g) or somati… (full text at CIViC) PMID 33970687 · Reiss et al., 2021 · Open in CIViC |
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| 〃 | Malignant Pancreatic Neoplasm | Predictive | C | Does Not Support Sensitivity Response | 3 | submitted | EID7435In a phase 2 trial, patients with advanced pancreatic cancer harboring germline or somatic BRCA1/2 mutation were treated with PARP inhibitor Rucaparib. In this trial, none of four patients with germli… (full text at CIViC) PMID 30051098 · Shroff et al., 2018 · Open in CIViC | civic |
| Veliparib | Malignant Pancreatic Neoplasm | Predictive | B | Does Not Support Sensitivity Response | 3 | accepted | EID5934Veliparib 400mg BID was administered to patients with germline BRCA1/2-mutated pancreatic cancer. Sixteen patients were enrolled. All except two (12.5%) had previously been treated with platinum thera… (full text at CIViC) PMID 29223478 · Lowery et al., 2018 · Open in CIViC | civic |
| Cisplatin + Gemcitabine + VeliparibCombination | Malignant Pancreatic Neoplasm | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID5932In Phase I study for pancreatic cancer patients GEM 600 mg/m2 + CDDP 25 mg/m2 + Veliparib 20 - 80 mg twice daily showed response rate of 77.8% (7/9) and mOS of 23.3 months in germline BRCA mutation-p… (full text at CIViC) PMID 29338080 · O'Reilly et al., 2018 · Open in CIViC | civic |
| 3 |
| rejected |
EID6076A multicenter phase II study included pancreatic cancer patients with a germline BRCA1/2 mutation after gemcitabine treatment. Olaparib was administered at 400 mg twice per day. Tumor response rate wa… (full text at CIViC) PMID 25366685 · Kaufman et al., 2015 · Open in CIViC |
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| 4 |
| accepted |
EID5916Patients with BRCA1/2 associated pancreatic adenocarcinoma were evaluated retrospectively. In patients with stage 3 and 4, the median overall survival (mOS) was 22 months for the platinum exposed (n=2… (full text at CIViC) PMID 25072261 · Golan et al., 2014 · Open in CIViC |
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| Rucaparib | Malignant Pancreatic Neoplasm | Predictive | B | Does Not Support Sensitivity Response | 3 | submitted | EID7436In a phase 2 trial, patients with advanced pancreatic cancer harboring germline or somatic BRCA1/2 mutation were treated with PARP inhibitor Rucaparib. In this trial, one of twelve patients with germl… (full text at CIViC) PMID 30051098 · Shroff et al., 2018 · Open in CIViC | civic |
| 〃 | Malignant Pancreatic Neoplasm | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID9292For this single-arm phase II trial, patients with locally advanced or metastatic pancreatic cancer (neuroendocrine excluded); and had a confirmed pathogenic or likely pathogenic germline (g) or somati… (full text at CIViC) PMID 33970687 · Reiss et al., 2021 · Open in CIViC | civic |
| 〃 | Malignant Pancreatic Neoplasm | Predictive | C | Supports Sensitivity Response | 3 | submitted | EID7434In a phase 2 trial, patients with advanced pancreatic cancer harboring germline or somatic BRCA1/2 mutation were treated with PARP inhibitor Rucaparib. In this trial, two of three patients with somati… (full text at CIViC) PMID 30051098 · Shroff et al., 2018 · Open in CIViC | civic |
| 〃 | Malignant Pancreatic Neoplasm | Predictive | C | Supports Sensitivity Response | 2 | submitted | EID9293For this single-arm phase II trial patients with locally advanced or metastatic pancreatic cancer (neuroendocrine excluded) ;and had a confirmed pathogenic or likely pathogenic germline (g) or somatic… (full text at CIViC) PMID 33970687 · Reiss et al., 2021 · Open in CIViC | civic |
| Veliparib | Malignant Pancreatic Neoplasm | Predictive | B | Does Not Support Sensitivity Response | 3 | accepted | EID5935Veliparib 400mg bid was administered to patients with germline BRCA1/2 mutated pancreatic cancer. Sixteen pts was enrolled. All except two pts (12.5%) had previously been treated with platinum therapy… (full text at CIViC) PMID 29223478 · Lowery et al., 2018 · Open in CIViC | civic |
| Cisplatin + Gemcitabine + VeliparibCombination | Malignant Pancreatic Neoplasm | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID5933In Phase I study for pancreatic cancer patients GEM 600 mg/m2 + CDDP 25 mg/m2 + Veliparib 20 - 80 mg twice daily showed response rate of 77.8% (7/9) and mOS of 23.3 months in germline BRCA mutation-p… (full text at CIViC) PMID 29338080 · O'Reilly et al., 2018 · Open in CIViC | civic |