Publication
Ponatinib inhibits polyclonal drug-resistant KIT oncoproteins and shows therapeutic potential in heavily pretreated gastrointestinal stromal tumor (GIST) patients.
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- PubMed
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- Sep 8, 2026
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- normalized (units and labels harmonized; values unchanged)
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- ING-CIVIC-20260908-000001
Abstract
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Linked entities
Linked entities (24)
How each link was made (MeSH, dictionary, registry reference, curation…) and whether it has been validated. Candidate links are not counted in entity statistics.
Validated 24
- cancerGastrointestinal Stromal Tumorcivic_curation1.00
- cancerMalignant Neoplasmcivic_curation1.00
- drugImatinibcivic_curation1.00
- drugPonatinibcivic_curation1.00
- drugRegorafenibcivic_curation1.00
- drugRegorafenib Anhydrouscivic_curation1.00
- drugSunitinibcivic_curation1.00
- geneKITcivic_curation1.00
- variantKIT A502_Y503dupcivic_curation1.00
- variantKIT A502_Y503insAYcivic_curation1.00
- variantKIT A829Pcivic_curation1.00
- variantKIT D816Ecivic_curation1.00
- variantKIT K550_W557delcivic_curation1.00
- variantKIT K558delinsNPcivic_curation1.00
- variantKIT K642Ecivic_curation1.00
- variantKIT N822Kcivic_curation1.00
- variantKIT P551_E554delPMYEcivic_curation1.00
- variantKIT T670Icivic_curation1.00
- variantKIT V559Dcivic_curation1.00
- variantKIT V560Dcivic_curation1.00
- variantKIT V560Gcivic_curation1.00
- variantKIT V560_L576delcivic_curation1.00
- variantKIT V560_Y578delcivic_curation1.00
- variantKIT W557_K558delcivic_curation1.00
Curated evidence
Evidence citing this paper (43)
- Source
- CIViC — Clinical Interpretation of Variants in Cancer
- Dataset
- CIViC evidence items
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- civic-2026-09-08
- Retrieved
- Sep 8, 2026
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- normalized (units and labels harmonized; values unchanged)
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- expert curation
- License
- CC0 1.0
- PMID
- 25239608
- Run
- ING-CIVIC-20260908-000001
| Therapy | Cancer | Type | Level | Direction · significance | Rating (1–5) | Status | Evidence | Source |
|---|---|---|---|---|---|---|---|---|
| KIT A502_Y503dup2 | ||||||||
| Imatinib + Ponatinib + RegorafenibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Does Not Support Sensitivity Response | 3 | accepted | EID4630In an in vitro study, an IL-3-independent Ba/F3 cell line expressing the KIT exon 9 A502_Y503dup primary activating mutation demonstrated reduced sensitivity to regorafenib (IC50: 138 nmol/L), imatini… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Sunitinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID4506In an in vitro study, a Ba/F3 cell line expressing KIT A502_Y503dup (502AY in the paper) mutation (overexpression) demonstrated sensitivity to sunitinib treatment (IC50: 5nM) similar to Ba/F3 cells ex… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT A829P3 | ||||||||
| Ponatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 3 | submitted | EID5862Ponatinib possesses potent activity against most major clinically-relevant KIT mutants, and has demonstrated preliminary evidence of activity in patients with refractory GIST. These data strongly supp… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| 〃 | Gastrointestinal Stromal Tumor | Predictive | D | Does Not Support Resistance | 4 | accepted | EID7413Ponatinib possesses potent activity against A829P KIT mutant cells in preclinical experiments. A preclinical study tested the effect of a tyrosine kinase inhibitor (TKI) on Ba/F3 cell lines with repre… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Imatinib + SunitinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | 4 | accepted | EID7415Several preclinical studies tested the effects of various tyrosine kinase inhibitors (TKIs) on Ba/F3 cell lines with representative primary sunitinib and imatinib sensitizing mutation del 557-558, whi… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT A829P + KIT V560_Y578del1 | ||||||||
| Imatinib + SunitinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | 3 | submitted | EID12467Patient-derived GIST-T1/829 cells with driver mutation KIT 560-578 deletion and secondary KIT A829P mutations were tested for TKI responsiveness. 560-578del and A829P cells (Sunitinib IC50: 1168 nM an… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT D816E1 | ||||||||
| Imatinib + SunitinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | 4 | accepted | EID4631Several preclinical studies were done in order to test the effects of various tyrosine kinase inhibitors (TKIs) on KIT-mutant cell lines derived from Gastrointestinal Stromal Tumor (GIST) patients wit… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT D816E + KIT V560_Y578del1 | ||||||||
| Ponatinib | Gastrointestinal Stromal Tumor | Predictive | D | Does Not Support Resistance | 4 | accepted | EID7401A preclinical study was done in order to test the effects of a tyrosine kinase inhibitor (TKI) on the ponatinib-sensitive KIT-mutant cell line GIST-T1 derived from Gastrointestinal Stromal Tumor (GIST… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT D816G2 | ||||||||
| Ponatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID7410Ponatinib possesses potent activity against D816G KIT mutant in preclinical experiments. PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Regorafenib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | 2 | submitted | EID4157In an in vitro study, a Ba/F3 cell line expressing KIT W557_K558del primary mutation (known to confer sensitivity to regorafenib) and KIT D816G secondary mutation, KIT D816G was associated with decrea… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT D816H2 | ||||||||
| Ponatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID7409Ponatinib possesses potent activity against D816H KIT mutant in preclinical experiments. PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Regorafenib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | 3 | submitted | EID4152In an in vitro study, Ba/F3 cell lines expressing different KIT primary mutations (known to confer sensitivity to regorafenib) and KIT D816H secondary mutation, KIT D816H was associated with decreased… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT D816Y1 | ||||||||
| Ponatinib + Regorafenib + SunitinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | 2 | submitted | EID4156In an in vitro study, a Ba/F3 cell line expressing KIT 557-558del primary mutation (known to confer sensitivity to regorafenib) was incubated in various concentrations of ponatinib, sunitinib, or rego… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT D820A2 | ||||||||
| Ponatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID7411In an in vitro study, Ba/F3 cell lines expressing KIT primary mutations and KIT D820A secondary mutation, KIT D820A was associated with similar sensitivity to ponatinib treatment compared to Ba/F3 cel… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Regorafenib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | 3 | submitted | EID4164In an in vitro study, a Ba/F3 cell line expressing KIT W557_K558del primary mutation (known to confer sensitivity to regorafenib) and KIT D820A secondary mutation, KIT D820A was associated with decrea… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT K550_W557del1 | ||||||||
| 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 K558delinsNP1 | ||||||||
| 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 |
| KIT K642E2 | ||||||||
| 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 |
| KIT N822K2 | ||||||||
| Ponatinib | Gastrointestinal Stromal Tumor | Predictive | D | Does Not Support Resistance | 3 | accepted | EID4167A 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 | civic |
| 〃 | 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 |
| KIT P551_E554delPMYE2 | ||||||||
| Ponatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID4125In an in vitro study, an IL3 independent Ba/F3 cell line expressing KIT P551_E554delPMYE primary activating mutation demonstrated sensitivity to ponatinib treatment (IC50: 15nM). IC50 was determined b… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Imatinib + Regorafenib + SunitinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Does Not Support Sensitivity Response | 3 | accepted | EID4455In an in vitro study, an IL3 independent Ba/F3 cell line expressing KIT P551_E554delPMYE primary activating mutation demonstrated insensitivity to regorafenib (IC50: 141nmol/L), imatinib (IC50: 90nmol… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT T670I4 | ||||||||
| Imatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | 5 | accepted | EID7416A preclinical study tested the effects of a tyrosine kinase inhibitor (TKI) on Ba/F3 cell lines with representative primary imatinib-sensitizing mutation del 557-558, which induced IL-3 independent gr… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Ponatinib + SunitinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Does Not Support Resistance | 5 | accepted | EID7417Several preclinical studies tested the effects of various tyrosine kinase inhibitors (TKIs) on Ba/F3 cell lines with representative primary ponatinib and sunitinib sensitizing mutation del 557-558, wh… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Regorafenib Anhydrous | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | 4 | accepted | EID4510A preclinical study tested the effects of a tyrosine kinase inhibitor (TKI) on Ba/F3 cell lines with representative primary regorafenib-sensitizing mutation del 557-558, which induced IL-3 independent… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Sunitinib | Gastrointestinal Stromal Tumor | Predictive | D | Does Not Support Resistance | 4 | rejected | EID7399Several preclinical studies tested the effects of various tyrosine kinase inhibitors (TKIs) on Ba/F3 cell lines with representative primary sunitinib-sensitizing mutation del 557-558 and secondary mut… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT V559D2 | ||||||||
| Imatinib + Ponatinib + RegorafenibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID4459In an in vitro kinase study, a KIT V559D primary activating mutant kinase demonstrated sensitivity to imatinib (IC50: 36nmol/L vs. 640nmol/L), regorafenib (IC50: 57nmol/L vs. 533nmol/L), and ponatinib… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Sunitinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | — | submitted | EID4592In an in vitro study, a Ba/F3 cell line expressing KIT K558NP mutation (overexpression) demonstrated improved sensitivity to sunitinib treatment (IC50: 2nM vs. 8nM) compared to Ba/F3 cells expressing … (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT V560D1 | ||||||||
| Imatinib + Ponatinib + Regorafenib + SunitinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID4127In an in vitro study, an IL3 independent Ba/F3 cell line expressing KIT V560D primary activating mutation demonstrated sensitivity to imatinib (IC50: 3nmol/L), sunitinib (IC50: 2nmol/L), regorafenib (… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT V560G3 | ||||||||
| Imatinib + Ponatinib + RegorafenibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID7395In an in vitro kinase study, a KIT V560G primary activating mutant kinase demonstrated sensitivity to imatinib (IC50: 38nmol/L vs. 640nmol/L), regorafenib (IC50: 27nmol/L vs. 533nmol/L), and ponatinib… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Imatinib + Ponatinib + Regorafenib Anhydrous | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 3 | rejected | EID7394In an in vitro kinase study, a KIT V560G primary activating mutant kinase demonstrated sensitivity to imatinib (IC50: 38nmol/L), regorafenib (IC50: 27nmol/L), and ponatinib (IC50: 0.3nmol/L) treatment… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Sunitinib | Gastrointestinal Stromal Tumor | Predictive | E | Supports Sensitivity Response | 2 | rejected | EID7396In an in vitro kinase study, a KIT V560G primary activating mutant kinase demonstrated sensitivity to sunitinib (IC50: 154nmol/L vs. 110nmol/L) treatments. It is assumed that the native KIT mutation i… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT V560_L576del2 | ||||||||
| Imatinib + PonatinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 4 | accepted | EID7393In the patient-derived cell line GIST430 harboring KIT V560_L576del primary activating mutation implanted in mice, imatinib and ponatinib were shown to reduce KIT phosphorylation compared to the vehic… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Regorafenib Anhydrous | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID4061A GIST430 patient derived cell line expressing KIT V560_L576del primary activating mutation demonstrated insensitivity to regorafenib (IC50: 191nmol/L) treatment. IC50 was determined by assessing cell… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT V654A1 | ||||||||
| Regorafenib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | 4 | submitted | EID4148In an in vitro study, Ba/F3 cell lines expressing different KIT primary mutations (known to confer sensitivity to regorafenib) and KIT V654A secondary mutation, KIT V654A was associated with decreased… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT W557_K558del2 | ||||||||
| Imatinib + PonatinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 3 | accepted | EID4084In an in vitro study, an IL3 independent Ba/F3 cell line expressing KIT W557_K558del primary activating mutation demonstrated sensitivity to imatinib (IC50: 27nmol/L) and ponatinib (IC50: 3nmol/L) tre… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Regorafenib + SunitinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID4087In an in vitro study, an IL3 independent Ba/F3 cell line expressing KIT W557_K558del primary activating mutation demonstrated sensitivity to sunitinib (IC50: 7 +/- 2nmol/L) and regorafenib (IC50: 30 … (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT D820G + KIT W557_K558del2 | ||||||||
| Ponatinib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID7412Ponatinib possesses potent activity against D820G KIT mutant in preclinical experiments. PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Regorafenib | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | 2 | submitted | EID4165In an in vitro study, a Ba/F3 cell line expressing KIT W557_K558del primary mutation (known to confer sensitivity to regorafenib) and KIT D820G secondary mutation, KIT D820G was associated with decrea… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT N822K + KIT W557_K558del2 | ||||||||
| Regorafenib Anhydrous | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | 3 | accepted | EID4169In a set of preclinical experiments associated with gastrointestinal stromal tumor, the effects of the tyrosine kinase inhibitor regorafenib on Ba/F3 cell lines harboring the primary regorafenib-sensi… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| Imatinib + SunitinibSubstitutes | Gastrointestinal Stromal Tumor | Predictive | D | Supports Resistance | 4 | accepted | EID7414Several preclinical studies tested the effects of various tyrosine kinase inhibitors (TKIs) on Ba/F3 cell lines with primary TKI-sensitizing del 557-558 mutation, which induced IL-3 independent growth… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |
| KIT A502_Y503insAY1 | ||||||||
| Sunitinib | Malignant NeoplasmALIAS | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID7392In an in vitro study, an IL3 independant Ba/F3 cell line expressing KIT V560D primary activating mutation demonstrated sensitivity to sunitinib treatment (IC50: 5nmol/L). IC50 was determined by assess… (full text at CIViC) PMID 25239608 · Garner et al., 2014 · Open in CIViC | civic |