Cancer Family
Stromal Neoplasm
CI-CAN-00000360Explore in graph →
- NCIt
- C6781
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Cancer Family
CI-CAN-00000360Explore in graph →
Variants & evidence
242 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 |
|---|---|---|---|---|---|---|---|---|
| KIT Exon 11 Mutation + KIT Exon 9 Mutation1 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | C | Supports Sensitivity Response | 4 | submitted | EID12949This study describes a case report of a patient with a gastrointestinal stromal tumor who was prescribed neoadjuvant imatinib and had a pathogenic complete response. A 41-year-old female patient with … (full text at CIViC) PMID 37305871 · Rekaya et al., 2023 · Open in CIViC | civic |
| KIT Exon 11 Mutation + KIT Exon 9 Mutation + PDGFRA Exon 18 MutationKITPDGFRA1 | ||||||||
| Sorafenib | Gastrointestinal Stromal Tumor | Predictive | B | Supports Sensitivity Response | 2 | submitted | EID11327In this phase II study, 31 patients with histologically confirmed, metastatic GIST who failed after previous treatments involving both imatinib and sunitinib were enrolled. Tumour samples from 20 of t… (full text at CIViC) PMID 22270258 · Park et al., 2012 · Open in CIViC | civic |
| KIT Exon 13 Mutation1 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID2475This prospective study of 127 patients with metastatic gastrointestinal stromal tumors (GISTs) examined the relationship between kinase (KIT and PDGFRA) genotype and treatment outcome for patients enr… (full text at CIViC) PMID 14645423 · Heinrich et al., 2003 · Open in CIViC | civic |
| KIT Exon 14 Mutation1 | ||||||||
| (prognostic) | Gastrointestinal Stromal Tumor | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID70GIST patients with exon 14 KIT mutations had reduced overall survival compared to patients wiltype for KIT. PMID 16551858 · Wardelmann et al., 2006 · Open in CIViC | civic |
| KIT Exon 9 Mutation9 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | A | Supports Sensitivity Response | 4 | accepted | EID1221In a phase III clinical trial comparing different doses of imatinib in GIST patients, KIT exon 9 mutations were associated with significantly improved progression free survival (P=0.0013) and a 61% re… (full text at CIViC) PMID 16624552 · Debiec-Rychter et al., 2006 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID2466This prospective study of 127 patients with metastatic gastrointestinal stromal tumors (GISTs) examined the relationship between KIT genotype and treatment outcome for patients enrolled in a randomize… (full text at CIViC) PMID 14645423 · Heinrich et al., 2003 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | B | Supports | ||||
| KIT EXPRESSION2 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID2480In a prospective phase III study (SWOG S0033/CALGB 150105) of 407 patients with gastrointestinal stromal tumors (GISTs), 397 patients were observed to be CD117-positive (i.e. KIT-positive) and 10 pati… (full text at CIViC) PMID 18955451 · Heinrich et al., 2008 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | B | Supports Resistance | — | submitted | EID2488Primary KIT mutations are detected in 75-80% of GIST patients, and primarily occur in exons 9 and 11, wheareas secondary KIT mutations associated with resistance to imatinib are found in exons 13,14, … (full text at CIViC) PMID 16551858 · Wardelmann et al., 2006 · Open in CIViC | civic |
| KIT F506_F508DUP1 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | C | Does Not Support Sensitivity Response | 1 | accepted | EID2441This patient was part of a larger cohort of 397 patients with incurable (i.e. metastatic or unresectable) CD117-positive Gastrointestinal stromal tumors (GISTs) enrolled in the North American phase II… (full text at CIViC) PMID 18955451 · Heinrich et al., 2008 · Open in CIViC | civic |
| KIT K484_G487DEL1 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | C | Supports Sensitivity Response | 1 | accepted | EID2465This patient was from a larger cohort of 397 patients with incurable (i.e. metastatic or unresectable) CD117-positive Gastrointestinal stromal tumors (GISTs) enrolled in the North American phase III s… (full text at CIViC) PMID 18955451 · Heinrich et al., 2008 · Open in CIViC | civic |
| KIT K550_K558del3 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | — | submitted | EID2398Molecular models predict that deletion of a portion of the juxtamembrane domain relieves steric hindrance and results in higher binding affinity for imatinib. PMID 21364689 · Pierotti et al., 2011 · Open in CIViC | civic |
| Sunitinib | Gastrointestinal Stromal Tumor | Predictive | C | Supports Resistance | 2 | accepted | EID4062Patient 3 from a larger cohort of genotyped patients (n= 78) with imatinib resistant or intolerant gastrointestinal stromal tumors (GISTs) harbored a primary (pre-imatinib treatment) KIT K550_K558 del… (full text at CIViC) PMID 18955458 · Heinrich et al., 2008 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | C | Supports Resistance | — | submitted | ||
| KIT K550_K559DEL1 | ||||||||
| Sunitinib | Gastrointestinal Stromal Tumor | Predictive | C | Does Not Support Resistance | 2 | accepted | EID7289Patient 78 from a larger cohort of genotyped patients (n= 78) with imatinib resistant or intolerant gastrointestinal stromal tumors (GISTs) harbored a primary (pre-imatinib treatment) KIT K550_V559 de… (full text at CIViC) PMID 18955458 · Heinrich et al., 2008 · Open in CIViC | civic |
| KIT K550_W557del2 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | — | submitted | EID2395Molecular models predict that deletion of a portion of the juxtamembrane domain relieves steric hindrance and results in higher binding affinity for imatinib. PMID 21364689 · Pierotti et al., 2011 · Open in CIViC | civic |
| Imatinib + Ponatinib + Regorafenib + SunitinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID4583In an in vitro study, an IL3 independent Ba/F3 cell line expressing KIT K550_W557del primary activating mutation demonstrated sensitivity to imatinib (IC50: 13nmol/L), sunitinib (IC50: 5nmol/L), regor… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT K558delinsNP2 | ||||||||
| Imatinib + Ponatinib + Regorafenib + SunitinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID4594In an in vitro study, an IL3 independent Ba/F3 cell line expressing KIT K558NP primary activating mutation demonstrated sensitivity to imatinib (IC50: 2nmol/L), sunitinib (IC50: 2nmol/L ), regorafenib… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Sunitinib | Gastrointestinal Stromal Tumor | Predictive | C | Supports Resistance | — | submitted | EID4591In a phase 1/2 trial of 97 gastrointestinal stromal tumor patients, patients with KIT exon 11 mutations (44/77) treated with sunitinib were associated with shorter progression free survival (5.1mo vs.… (full text at CIViC) PMID 18955458 · Heinrich et al., 2008 · Open in CIViC | civic |
| KIT K558Q1 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | — | submitted | EID2440Molecular models predict that deletion of a portion of the juxtamembrane domain relieves steric hindrance and results in higher binding affinity for imatinib. PMID 21364689 · Pierotti et al., 2011 · Open in CIViC | civic |
| KIT K558R1 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | — | submitted | EID2446Molecular models predict that deletion of a portion of the juxtamembrane domain relieves steric hindrance and results in higher binding affinity for imatinib. PMID 21364689 · Pierotti et al., 2011 · Open in CIViC | civic |
| KIT K558_V559del3 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | — | submitted | EID2443Molecular models predict that deletion of a portion of the juxtamembrane domain relieves steric hindrance and results in higher binding affinity for imatinib. PMID 21364689 · Pierotti et al., 2011 · Open in CIViC | civic |
| Sunitinib | Gastrointestinal Stromal Tumor | Predictive | C | Supports Resistance | 2 | accepted | EID4095Patient 47 from a larger cohort of genotyped patients (n= 78) with imatinib resistant or intolerant gastrointestinal stromal tumors (GISTs) harbored a primary (pre-imatinib treatment) KIT K558_V559 de… (full text at CIViC) PMID 18955458 · Heinrich et al., 2008 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | C | Supports Resistance | — | submitted | ||
| KIT K642E4 | ||||||||
| Ponatinib + SunitinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID7397The GIST882 patient derived cell line expressing KIT K642E mutation demonstrated sensitivity to ponatinib (IC50: 31nmol/L) and sunitinib (IC50: 54nmol/L) treatments. In comparison, the insensitve KIT-… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Regorafenib Anhydrous | Gastrointestinal Stromal Tumor | Predictive | D | Does Not Support Sensitivity Response | 3 | rejected | EID7398A cell line derived from GIST882 patients expressing KIT K642E mutation demonstrated insensitivity to regorafenib (IC50: 503nmol/L) treatment. IC50 was determined by assessing cell viability. PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | D | |||||
| KIT K642R1 | ||||||||
| (oncogenic) | Gastrointestinal Stromal Tumor | Oncogenic | E | Supports Oncogenicity | 1 | submitted | EID7051The variant observed in GIST gene coding region c.1925A>G leads to protein change of p.K642R .This variant is observed in asian GIST patients. PMID 28975118 · Pai et al., 2017 · Open in CIViC | civic |
| KIT L576P3 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | — | submitted | EID2479Molecular models predict that deletion of a portion of the juxtamembrane domain relieves steric hindrance and results in higher binding affinity for imatinib. PMID 21364689 · Pierotti et al., 2011 · Open in CIViC | civic |
| Sunitinib | Gastrointestinal Stromal Tumor | Predictive | C | Supports Resistance | 2 | accepted | EID4136Patient 29 from a larger cohort of genotyped patients (n= 78) with imatinib resistant or intolerant gastrointestinal stromal tumors (GISTs) harbored a primary (pre-imatinib treatment) KIT L576P mutati… (full text at CIViC) PMID 18955458 · Heinrich et al., 2008 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | C | Supports Resistance | — | submitted | ||
| KIT M552_W557DEL1 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | — | submitted | EID2404Molecular models predict that deletion of a portion of the juxtamembrane domain relieves steric hindrance and results in higher binding affinity for imatinib. PMID 21364689 · Pierotti et al., 2011 · Open in CIViC | civic |
| KIT Mutation5 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID11282In this phase II, randomized, open-label trial, 147 patients with histologically confirmed, unresectable or metastatic gastrointestinal stromal tumour that expressed CD117 were enrolled. Patients were… (full text at CIViC) PMID 12181401 · Demetri et al., 2002 · Open in CIViC | civic |
| Imatinib + PictilisibCombination | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID919Human GISTs with different KIT mutations were grafted in 136 nude muce. Mice were then treated with control, imatinib, GDC-0941, or GDC-0941 + imatinib. The combination showed superior antitumor effic… (full text at CIViC) PMID 23231951 · Floris et al., 2013 · Open in CIViC | civic |
| Regorafenib Anhydrous | Gastrointestinal Stromal Tumor | Predictive | ||||||
| KIT N822K6 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | C | Supports Resistance | 3 | accepted | EID2918147 patients with advanced, unresectable GISTs were enrolled onto a randomized, phase II clinical study of imatinib (CSTI571-B2222). Specimens from 43 pretreatment and/or imatinib-resistant tumors wer… (full text at CIViC) PMID 16954519 · Heinrich et al., 2006 · Open in CIViC | civic |
| Ponatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID7408Ponatinib possesses potent activity against N882K KIT mutant in preclinical experiments. PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | D | Does Not Support Resistance | 3 | accepted | ||
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.
| 2 |
| accepted |
EID2477This prospective study of 397 patients with incurable (i.e. metastatic or unresectable) CD117-positive Gastrointestinal stromal tumors (GISTs) examined the relationship between KIT genotype and treatm… (full text at CIViC) PMID 18955451 · Heinrich et al., 2008 · Open in CIViC |
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| Regorafenib Anhydrous | Gastrointestinal Stromal Tumor | Predictive | B | Supports Reduced Sensitivity | 2 | accepted | EID4139This retrospective study of a phase 2 clinical trial (NCT01068769) examined regorafenib safety and efficacy in advanced gastrointestinal stromal tumor (GIST) patients who failed previous treatments wi… (full text at CIViC) PMID 22614970 · George et al., 2012 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | B | Supports Sensitivity Response | 2 | accepted | EID4628This international, placebo controlled prospective phase 3 clinical trial (NCT01271712) examined safety and efficacy of regorafenib in patients with metastatic and/or unresectable gastrointestinal str… (full text at CIViC) PMID 23177515 · Demetri et al., 2013 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | C | Supports Reduced Sensitivity | 3 | accepted | EID4104This phase II clinical trial of regorafenib (NCT01068769) examined the long term safety and efficacy of regorafenib monotherapy in patients with metastatic and/or unresectable gastrointestinal stromal… (full text at CIViC) PMID 27371698 · Ben-Ami et al., 2016 · Open in CIViC | civic |
| Sunitinib | Gastrointestinal Stromal Tumor | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID1223Primary tumor genotyping of 89 patients with metastatic GIST given 2nd-line sunitinib treatment after prior imatinib therapy failure, revealed an improved response to sunitinib in patients with KIT ex… (full text at CIViC) PMID 22439647 · Rutkowski et al., 2012 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | B | Supports Sensitivity Response | 3 | accepted | EID1424In a study of 78 patients with gastrointestinal stromal tumors treated with sunitinib, patients with Kit exon 9 mutations or wildtype (lacking KIT or PDGFRA mutations) showed increased progression fre… (full text at CIViC) PMID 18955458 · Heinrich et al., 2008 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID4603This study (NCT01459757) is a retrospective analysis of sunitinib efficacy on imatinib resistant or intolerant gastrointestinal stromal tumor (GIST) patients who were treated in an open-label clinical… (full text at CIViC) PMID 26772734 · Reichardt et al., 2016 · Open in CIViC | civic |
EID4063In a retrospective study of 1124 sunitinib-treated gastrointestinal stromal tumor patients, patients with primary KIT exon 11 mutations (n=143) were associated with decreased progression free surviva… (full text at CIViC) PMID 26772734 · Reichardt et al., 2016 · Open in CIViC |
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EID4096In a retrospective study of 1124 sunitinib-treated gastrointestinal stromal tumor patients, patients with primary KIT exon 11 mutations (n=143) were associated with decreased progression free surviva… (full text at CIViC) PMID 26772734 · Reichardt et al., 2016 · Open in CIViC |
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| Supports Sensitivity Response |
| — |
| submitted |
EID4146In an in vitro study, a GIST 882 cell line expressing KIT K642E mutation demonstrated increased sensitivity to regorafenib treatment (IC50: 45 nM vs. 560-3269nM) compared to HepG2, SW620, Colo-205 or … (full text at CIViC) PMID 21170960 · Wilhelm et al., 2011 · Open in CIViC |
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| Sunitinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | — | submitted | EID4145In an in vitro study, GIST882 cells expressing KIT K642E mutation (endogenous expression) demonstrated sensitivity to sunitinib treatment (IC50<50nM). Sensitivity was determined by assessing KIT auto-… (full text at CIViC) PMID 16638875 · Prenen et al., 2006 · Open in CIViC | civic |
EID4137In a retrospective study of 1124 sunitinib-treated gastrointestinal stromal tumor patients, patients with primary KIT exon 11 mutations (n=143) were associated with decreased progression free surviva… (full text at CIViC) PMID 26772734 · Reichardt et al., 2016 · Open in CIViC |
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| A |
| Supports Sensitivity Response |
| 4 |
| rejected |
EID11283In this phase III, randomized, placebo-controlled trial, 240 patients with histologically confirmed, metastatic or unresectable GIST, with failure of at least previous imatinib and sunitinib were rand… (full text at CIViC) PMID 23177515 · Demetri et al., 2013 · Open in CIViC |
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| Ripretinib | Gastrointestinal Stromal Tumor | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID11284In this double-blind, randomized, placebo-controlled, phase III trial, 154 patients with advanced gastrointestinal stromal tumours with progression on at least imatinib, sunitinib, and regorafenib. Th… (full text at CIViC) PMID 32511981 · Blay et al., 2020 · Open in CIViC | civic |
| Sunitinib | Gastrointestinal Stromal Tumor | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID11285In this phase III, randomized, double-blind, placebo-controlled trial, 312 patients were randomized in a 2:1 ratio to receive sunitinib or placebo. Median time to tumour progression was 27.3 weeks (95… (full text at CIViC) PMID 17046465 · Demetri et al., 2006 · Open in CIViC | civic |
A preclinical study tested the effect of a tyrosine kinase inhibitor (TKI) on Ba/F3 cell lines with primary ponatinib-sensitizing del 557-558 mutation, which induced IL-3 independent growth, and secon… (full text at CIViC)
PMID 25239608 · Garner et al., 2014 · Open in CIViC
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| Regorafenib Anhydrous | Gastrointestinal Stromal Tumor | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID4595This retrospective study of a phase 2 clinical trial (NCT01068769) examined regorafenib safety and efficacy in advanced gastrointestinal stromal tumor (GIST) patients refractory to at least imatinib a… (full text at CIViC) PMID 22614970 · George et al., 2012 · Open in CIViC | civic |
| Sunitinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | — | submitted | EID4166In an in vitro study, a 32D cell line expressing KIT N822K mutation (overexpression) demonstrated reduced sensitivity to sunitinib treatment (IC50: 37.0nM) compared to 32D cells expressing wild-type K… (full text at CIViC) PMID 24205792 · Zhao et al., 2014 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | — | submitted | EID4168In an in vitro study, a 32D cell line expressing KIT N822K mutation (overexpression) demonstrated reduced sensitivity to sunitinib treatment (IC50: 37.0nM) compared to 32D cells expressing wild-type K… (full text at CIViC) PMID 24205792 · Zhao et al., 2014 · Open in CIViC | civic |