Adult glioblastoma

disease
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Also known as adult glioblastoma multiformeglioblastomagrade IV adult astrocytic neoplasmgrade IV adult astrocytic tumorgrade IV adult astrocytic tumour

Summary

Adult glioblastoma (MONDO:0020690) is a disease with 24 cohort genes and 1,139 clinical trials. The dominant Reactome pathway is Constitutive Signaling by EGFRvIII (4 cohort genes). Molecularly, MGMT Promoter Methylation confers sensitivity to Temozolomide in Glioblastoma (CIViC Level A); 67 further subtype–drug associations are mapped below. Top therapeutic interventions include temozolomide, lomustine, and aminolevulinic acid.

At a glance

  • Cohort genes: 24
  • Clinical trials: 1,139
  • Precision-medicine evidence (CIViC): 68 subtype–drug associations

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical nameadult glioblastoma
Mondo IDMONDO:0020690
NCITC9094
UMLSC0278878
MedGen124527
GARD0025213
Is cancer (heuristic)no

Also known as: adult glioblastoma · adult glioblastoma multiforme · glioblastoma · grade IV adult astrocytic neoplasm · grade IV adult astrocytic tumor · grade IV adult astrocytic tumour

Data availability: 1,249 cell lines · 16 intOGen driver records.

Disease family

An umbrella term covering 1 Mondo subtype.

Classification path: disease by etiologic mechanism › cancer or benign tumorneoplastic disease or syndromeneoplasmnervous system neoplasmneuroepithelial neoplasmgliomaastrocytic tumoradult astrocytic tumoradult infiltrating astrocytic neoplasmadult glioblastoma

Subtypes (1): adult spinal cord glioblastoma

Genetics & variants

GWAS landscape

No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.

Variant details and genetic-evidence tiers

No tiered GWAS variants or ClinVar records for this disease.

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 159 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
BRAFOrphanet:1340Cardiofaciocutaneous syndrome
BRAFOrphanet:146Differentiated thyroid carcinoma
BRAFOrphanet:251615Pilomyxoid astrocytoma
BRAFOrphanet:389Langerhans cell histiocytosis
BRAFOrphanet:500Noonan syndrome with multiple lentigines
BRAFOrphanet:54595Craniopharyngioma
BRAFOrphanet:58017Classic hairy cell leukemia
BRAFOrphanet:626Large/giant congenital melanocytic nevus
BRAFOrphanet:648Noonan syndrome
BRAFOrphanet:840Syringocystadenoma papilliferum
BRAFOrphanet:96253Cushing disease
BRCA2Orphanet:1331Familial prostate cancer
BRCA2Orphanet:1333Familial pancreatic carcinoma
BRCA2Orphanet:145Hereditary breast and/or ovarian cancer syndrome
BRCA2Orphanet:178Chordoma
BRCA2Orphanet:227535Hereditary breast cancer
BRCA2Orphanet:319462Inherited cancer-predisposing syndrome due to biallelic BRCA2 mutations
BRCA2Orphanet:440437Familial colorectal cancer Type X
BRCA2Orphanet:654Nephroblastoma
BRCA2Orphanet:667662Breast implant-associated anaplastic large cell lymphoma
BRCA2Orphanet:694963Inflammatory breast cancer
BRCA2Orphanet:70567Cholangiocarcinoma
BRCA2Orphanet:84Fanconi anemia
SOS1Orphanet:2024Hereditary gingival fibromatosis
SOS1Orphanet:648Noonan syndrome
TERTOrphanet:146Differentiated thyroid carcinoma
TERTOrphanet:1501Adrenocortical carcinoma
TERTOrphanet:1775Dyskeratosis congenita
TERTOrphanet:2032Idiopathic pulmonary fibrosis
TERTOrphanet:2495Meningioma
TERTOrphanet:3322Hoyeraal-Hreidarsson syndrome
TERTOrphanet:457246Clear cell sarcoma of kidney
TERTOrphanet:618Familial melanoma
TERTOrphanet:88Idiopathic aplastic anemia
TP53Orphanet:1333Familial pancreatic carcinoma
TP53Orphanet:145Hereditary breast and/or ovarian cancer syndrome
TP53Orphanet:1501Adrenocortical carcinoma
TP53Orphanet:210159Adult hepatocellular carcinoma
TP53Orphanet:251576Gliosarcoma
TP53Orphanet:251579Giant cell glioblastoma
TP53Orphanet:251899Choroid plexus carcinoma
TP53Orphanet:2807Papilloma of choroid plexus
TP53Orphanet:293199Pleomorphic rhabdomyosarcoma
TP53Orphanet:3318Essential thrombocythemia
TP53Orphanet:524Li-Fraumeni syndrome
TP53Orphanet:52688Myelodysplastic syndrome
TP53Orphanet:585909B-lymphoblastic leukemia/lymphoma with t(9;22)(q34.1;q11.2)
TP53Orphanet:667662Breast implant-associated anaplastic large cell lymphoma
TP53Orphanet:668Osteosarcoma
TP53Orphanet:67038B-cell chronic lymphocytic leukemia

Cohort genes → proteins

24 cohort genes, 24 distinct canonical proteins.

Evidence partition

SubsetGenes
civic_only24

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
BRAFHGNC:1097ENSG00000157764P15056Serine/threonine-protein kinase B-rafcivic_evidence
BRCA2HGNC:1101ENSG00000139618P51587Breast cancer type 2 susceptibility proteincivic_evidence
SOS1HGNC:11187ENSG00000115904Q07889Son of sevenless homolog 1civic_evidence
TERTHGNC:11730ENSG00000164362O14746Telomerase reverse transcriptasecivic_evidence
TP53HGNC:11998ENSG00000141510P04637Cellular tumor antigen p53civic_evidence
CDKN2AHGNC:1787ENSG00000147889P42771Cyclin-dependent kinase inhibitor 2Acivic_evidence
SLTMHGNC:20709ENSG00000137776Q9NWH9SAFB-like transcription modulatorcivic_evidence
EGFRHGNC:3236ENSG00000146648P00533Epidermal growth factor receptorcivic_evidence
EZH2HGNC:3527ENSG00000106462Q15910Histone-lysine N-methyltransferase EZH2civic_evidence
H3-3AHGNC:4764ENSG00000163041P84243Histone H3.3civic_evidence
H3C2HGNC:4776ENSG00000286522P68431Histone H3.1civic_evidence
IDH1HGNC:5382ENSG00000138413O75874Isocitrate dehydrogenase [NADP] cytoplasmiccivic_evidence
IDH2HGNC:5383ENSG00000182054P48735Isocitrate dehydrogenase [NADP], mitochondrialcivic_evidence
KITHGNC:6342ENSG00000157404P10721Mast/stem cell growth factor receptor Kitcivic_evidence
LRP1BHGNC:6693ENSG00000168702Q9NZR2Low-density lipoprotein receptor-related protein 1Bcivic_evidence
MGMTHGNC:7059ENSG00000170430P16455Methylated-DNA–protein-cysteine methyltransferasecivic_evidence
ATMHGNC:795ENSG00000149311Q13315Serine-protein kinase ATMcivic_evidence
ATRXHGNC:886ENSG00000085224P46100Transcriptional regulator ATRXcivic_evidence
PIK3CAHGNC:8975ENSG00000121879P42336Phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha isoformcivic_evidence
PIK3R1HGNC:8979ENSG00000145675P27986Phosphatidylinositol 3-kinase regulatory subunit alphacivic_evidence
PMS2HGNC:9122ENSG00000122512P54278Mismatch repair endonuclease PMS2civic_evidence
POLEHGNC:9177ENSG00000177084Q07864DNA polymerase epsilon catalytic subunit Acivic_evidence
PTENHGNC:9588ENSG00000171862P60484Phosphatidylinositol 3,4,5-trisphosphate 3-phosphatase and dual-specificity protein phosphatase PTENcivic_evidence
RB1HGNC:9884ENSG00000139687P06400Retinoblastoma-associated proteincivic_evidence

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
BRAFSerine/threonine-protein kinase B-rafProtein kinase involved in the transduction of mitogenic signals from the cell membrane to the nucleus.
BRCA2Breast cancer type 2 susceptibility proteinInvolved in double-strand break repair and/or homologous recombination.
SOS1Son of sevenless homolog 1Promotes the exchange of Ras-bound GDP by GTP.
TERTTelomerase reverse transcriptaseTelomerase is a ribonucleoprotein enzyme essential for the replication of chromosome termini in most eukaryotes.
TP53Cellular tumor antigen p53Multifunctional transcription factor that induces cell cycle arrest, DNA repair or apoptosis upon binding to its target DNA sequence.
CDKN2ACyclin-dependent kinase inhibitor 2AActs as a negative regulator of the proliferation of normal cells by interacting strongly with CDK4 and CDK6.
SLTMSAFB-like transcription modulatorWhen overexpressed, acts as a general inhibitor of transcription that eventually leads to apoptosis.
EGFREpidermal growth factor receptorReceptor tyrosine kinase binding ligands of the EGF family and activating several signaling cascades to convert extracellular cues into appropriate cellular responses.
EZH2Histone-lysine N-methyltransferase EZH2Catalytic subunit of the PRC2/EED-EZH2 complex, a Polycomb group (PcG) complex that methylates ‘Lys-9’ (H3K9me) and ‘Lys-27’ (H3K27me) of histone H3, leading to transcriptional repression of the affected target gene.
H3-3AHistone H3.3Variant histone H3 which replaces conventional H3 in a wide range of nucleosomes in active genes.
H3C2Histone H3.1Core component of nucleosome.
IDH1Isocitrate dehydrogenase [NADP] cytoplasmicCatalyzes the NADP(+)-dependent oxidative decarboxylation of isocitrate (D-threo-isocitrate) to 2-ketoglutarate (2-oxoglutarate), which is required by other enzymes such as the phytanoyl-CoA dioxygenase.
IDH2Isocitrate dehydrogenase [NADP], mitochondrialPlays a role in intermediary metabolism and energy production.
KITMast/stem cell growth factor receptor KitTyrosine-protein kinase that acts as a cell-surface receptor for the cytokine KITLG/SCF and plays an essential role in the regulation of cell survival and proliferation, hematopoiesis, stem cell maintenance, gametogenesis, mast cell develo…
LRP1BLow-density lipoprotein receptor-related protein 1BPotential cell surface proteins that bind and internalize ligands in the process of receptor-mediated endocytosis.
MGMTMethylated-DNA–protein-cysteine methyltransferaseInvolved in the cellular defense against the biological effects of O6-methylguanine (O6-MeG) and O4-methylthymine (O4-MeT) in DNA.
ATMSerine-protein kinase ATMSerine/threonine protein kinase which activates checkpoint signaling upon double strand breaks (DSBs), apoptosis and genotoxic stresses such as ionizing ultraviolet A light (UVA), thereby acting as a DNA damage sensor.
ATRXTranscriptional regulator ATRXInvolved in transcriptional regulation and chromatin remodeling.
PIK3CAPhosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha isoformPhosphoinositide-3-kinase (PI3K) phosphorylates phosphatidylinositol (PI) and its phosphorylated derivatives at position 3 of the inositol ring to produce 3-phosphoinositides.
PIK3R1Phosphatidylinositol 3-kinase regulatory subunit alphaBinds to activated (phosphorylated) protein-Tyr kinases, through its SH2 domain, and acts as an adapter, mediating the association of the p110 catalytic unit to the plasma membrane.
PMS2Mismatch repair endonuclease PMS2Component of the post-replicative DNA mismatch repair system (MMR).
POLEDNA polymerase epsilon catalytic subunit ACatalytic component of the DNA polymerase epsilon complex.
PTENPhosphatidylinositol 3,4,5-trisphosphate 3-phosphatase and dual-specificity protein phosphatase PTENDual-specificity protein phosphatase, dephosphorylating tyrosine-, serine- and threonine-phosphorylated proteins.
RB1Retinoblastoma-associated proteinTumor suppressor that is a key regulator of the G1/S transition of the cell cycle.

Protein-family classification

Druggable: 11 · Difficult: 5 · Unknown: 8 · Druggable fraction: 0.46

Family distribution

Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.

FamilyGenesFoldFDR
Kinase66.9×1e-03
Enzyme (other)42.0×0.405
Phosphatase13.5×0.500
Scaffold/PPI21.4×0.612
Transcription factor31.0×0.683
Other/Unknown80.6×0.992

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
BRAFKinaseyes2.7.10.2Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, PKC_DAG/PE
BRCA2Other/UnknownnoBRCA2_repeat, NA-bd_OB-fold, BRCA2_OB_1
SOS1Scaffold/PPInoDH_dom, Ras-like_Gua-exchang_fac_N, PH_domain
TERTOther/UnknownnoRT_dom, Telomerase_RT, Telomerase_RBD
TP53Transcription factornop53_tumour_suppressor, p53-like_TF_DNA-bd_sf, p53_tetrameristn
CDKN2AScaffold/PPInoAnkyrin_rpt-contain_sf, Ank_Repeat/CDKN_Inhibitor, Tumor_suppres_ARF
SLTMOther/UnknownnoRRM_dom, SAP_dom, Nucleotide-bd_a/b_plait_sf
EGFRKinaseyes2.7.10.1Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom
EZH2Enzyme (other)yes2.1.1.356SANT/Myb, SET_dom, EZH1/EZH2_N
H3-3AOther/UnknownnoHistone_H3/CENP-A, H2A/H2B/H3, Histone-fold
H3C2Other/UnknownnoHistone_H3/CENP-A, H2A/H2B/H3, Histone-fold
IDH1Enzyme (other)yes1.1.1.42Isocitrate_DH_NADP, IsoCit/isopropylmalate_DH_CS, IsoPropMal-DH-like_dom
IDH2Enzyme (other)yes1.1.1.42Isocitrate_DH_NADP, IsoCit/isopropylmalate_DH_CS, IsoPropMal-DH-like_dom
KITKinaseyes2.7.10.1Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Tyr_kinase_rcpt_3_CS
LRP1BOther/UnknownnoLDLR_classB_rpt, EGF-type_Asp/Asn_hydroxyl_site, EGF
MGMTEnzyme (other)yes2.1.1.63MethylDNA_cys_MeTrfase_AS, MethylG_MeTrfase_N, MethylDNA_cys_MeTrfase_DNA-bd
ATMKinaseyes2.7.11.1PI3/4_kinase_cat_dom, PIK-rel_kinase_FAT, FATC_dom
ATRXTranscription factornoSNF2_N, Helicase_C-like, Znf_FYVE_PHD
PIK3CAKinaseyes2.7.1.137PI3K_Ras-bd_dom, PI3/4_kinase_cat_dom, PI3K_accessory_dom
PIK3R1Kinaseyes2.7.1.153RhoGAP_dom, SH2, SH3_domain
PMS2Other/UnknownnoMutL/Mlh/PMS, DNA_mismatch_S5_2-like, Ribsml_uS5_D2-typ_fold_subgr
POLETranscription factorno2.7.7.7DNA-dir_DNA_pol_B_exonuc, DNA-dir_DNA_pol_B, RNaseH-like_sf
PTENPhosphataseyes3.1.3.16Tyr_Pase_dom, Tyr_Pase_cat, Tensin_C2-dom
RB1Other/UnknownnoRB_B, RB_A, Cyclin-like_dom

Expression context

Cohort genes with no expression data: 0.

23 cohort genes are a single-cell marker in ≥1 SCXA experiment.

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)24
unknown0

Top tissues across cohort

TissueCohort genes
calcaneal tendon7
colonic epithelium5
ventricular zone4
ganglionic eminence3
adrenal tissue3
endothelial cell3
male germ line stem cell (sensu Vertebrata) in testis2
secondary oocyte2
jejunal mucosa2
tendon of biceps brachii2
corpus epididymis2
buccal mucosa cell1
olfactory bulb1
stromal cell of endometrium1
type B pancreatic cell1
cervix squamous epithelium1
parotid gland1
pituitary gland1
sural nerve1
tibia1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
BRAF265ubiquitousmarkerbuccal mucosa cell, colonic epithelium, calcaneal tendon
BRCA2184ubiquitousmarkermale germ line stem cell (sensu Vertebrata) in testis, secondary oocyte, ventricular zone
SOS1289ubiquitousmarkercolonic epithelium, jejunal mucosa, tendon of biceps brachii
TERT105broadyesstromal cell of endometrium, type B pancreatic cell, olfactory bulb
TP53223ubiquitousmarkerventricular zone, ganglionic eminence, tendon of biceps brachii
CDKN2A220ubiquitousmarkerparotid gland, cervix squamous epithelium, pituitary gland
SLTM291ubiquitousmarkercalcaneal tendon, sural nerve, tibia
EGFR285ubiquitousmarkernipple, gingiva, gingival epithelium
EZH2216ubiquitousmarkerganglionic eminence, ventricular zone, embryo
H3-3A134ubiquitousmarkerganglionic eminence, monocyte, ventricular zone
H3C294ubiquitousmarkeradrenal tissue, colonic epithelium, bone marrow cell
IDH1294ubiquitousmarkercorpus epididymis, jejunal mucosa, adrenal tissue
IDH2292ubiquitousmarkerapex of heart, gastrocnemius, hindlimb stylopod muscle
KIT263broadmarkerlateral nuclear group of thalamus, secondary oocyte, oocyte
LRP1B194broadmarkerendothelial cell, Brodmann (1909) area 23, cortical plate
MGMT261ubiquitousmarkerright lobe of liver, liver, endometrium epithelium
ATM286ubiquitousmarkercalcaneal tendon, colonic epithelium, corpus callosum
ATRX294ubiquitousmarkerendothelial cell, calcaneal tendon, colonic epithelium
PIK3CA284ubiquitousmarkercalcaneal tendon, adrenal tissue, tendon
PIK3R1294ubiquitousmarkercalcaneal tendon, caput epididymis, corpus epididymis
PMS2143ubiquitousmarkerthymus, prefrontal cortex, male germ line stem cell (sensu Vertebrata) in testis
POLE221ubiquitousmarkerright hemisphere of cerebellum, right testis, cerebellar hemisphere
PTEN256ubiquitousmarkersperm, endothelial cell, calcaneal tendon
RB1287ubiquitousmarkerepithelium of nasopharynx, choroid plexus epithelium, visceral pleura

Protein interactions among cohort

Intra-cohort edges: 48.

Hub genes (top 10 by interactor count)

SymbolInteractor count
TP5322,736
EGFR18,421
PTEN11,626
EZH29,646
CDKN2A9,311
BRAF7,394
ATM7,383
KIT6,087
ATRX5,796
TERT5,717

Intra-cohort edges

ABSources
ATMBRCA2string_interaction
ATMTP53biogrid_interaction, string_interaction
ATRXBRCA2string_interaction
ATRXEZH2intact
ATRXH3-3Aintact
ATRXIDH1string_interaction
ATRXMGMTstring_interaction
ATRXTP53string_interaction
BRAFBRCA2biogrid_interaction
BRAFCDKN2Astring_interaction
BRAFEGFRbiogrid_interaction
BRAFPIK3CAbiogrid_interaction, string_interaction
BRAFPMS2string_interaction
BRAFPOLEintact
BRAFPTENbiogrid_interaction, string_interaction
BRAFSOS1string_interaction
BRAFTP53string_interaction
BRCA2PMS2string_interaction
BRCA2TP53string_interaction
CDKN2AMGMTstring_interaction
CDKN2ARB1string_interaction
CDKN2ATP53string_interaction
EGFRIDH2biogrid_interaction
EGFRMGMTstring_interaction
EGFRPIK3CAstring_interaction
EGFRPIK3R1string_interaction
EGFRPTENstring_interaction
EGFRSOS1intact, string_interaction
IDH1IDH2biogrid_interaction
IDH1MGMTstring_interaction
IDH1PTENstring_interaction
IDH1TP53string_interaction
IDH2MGMTstring_interaction
KITPIK3CAbiogrid_interaction
KITPIK3R1biogrid_interaction, intact
KITTP53biogrid_interaction
LRP1BPIK3CAstring_interaction
LRP1BTP53string_interaction
MGMTPMS2string_interaction
MGMTTP53string_interaction
PIK3CAPIK3R1biogrid_interaction, intact, string_interaction
PIK3CAPTENstring_interaction
PIK3CASLTMintact
PIK3R1PTENstring_interaction
PIK3R1TP53string_interaction
PMS2POLEstring_interaction
PTENTP53string_interaction
RB1TP53string_interaction

Structural data

PDB: 22 · AlphaFold-only: 2 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
H3C2P68431548
EGFRP00533388
TP53P04637313
PIK3CAP42336135
BRAFP15056131
PIK3R1P27986105
H3-3AP84243103
SOS1Q0788991
IDH1O7587461
KITP1072152
EZH2Q1591038
TERTO1474623
MGMTP1645523
RB1P0640019
POLEQ0786418
BRCA2P5158714
ATMQ1331514
ATRXP4610012
PTENP6048412
IDH2P4873511
PMS2P542789
CDKN2AP427715

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
SLTMQ9NWH952.38
LRP1BQ9NZR2

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 474. Enrichment computed across 24 evidence-associated genes (22 with Reactome annotation).

Pathways by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 22 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Constitutive Signaling by EGFRvIII4129.8×6e-06SOS1, EGFR, PIK3CA, PIK3R1
Signaling by ERBB2 ECD mutants4122.1×6e-06SOS1, EGFR, PIK3CA, PIK3R1
Constitutive Signaling by Ligand-Responsive EGFR Cancer Variants4103.8×8e-06SOS1, EGFR, PIK3CA, PIK3R1
Signaling by phosphorylated juxtamembrane, extracellular and kinase domain KIT mutants494.4×9e-06SOS1, KIT, PIK3CA, PIK3R1
Signaling by ERBB2 KD Mutants476.9×2e-05SOS1, EGFR, PIK3CA, PIK3R1
IRS-mediated signalling3141.6×7e-05SOS1, PIK3CA, PIK3R1
Signaling by FGFR4 in disease3129.8×7e-05SOS1, PIK3CA, PIK3R1
Signaling by PDGFRA transmembrane, juxtamembrane and kinase domain mutants3119.8×7e-05SOS1, PIK3CA, PIK3R1
Signaling by PDGFRA extracellular domain mutants3119.8×7e-05SOS1, PIK3CA, PIK3R1
Signaling by LTK3119.8×7e-05SOS1, PIK3CA, PIK3R1
Signaling by SCF-KIT445.1×7e-05SOS1, KIT, PIK3CA, PIK3R1
RAF/MAP kinase cascade616.7×7e-05BRAF, SOS1, EGFR, KIT, PIK3CA, PIK3R1
Stabilization of p533103.8×9e-05TP53, CDKN2A, ATM
Signaling by FLT3 ITD and TKD mutants3103.8×9e-05SOS1, PIK3CA, PIK3R1
Oxidative Stress Induced Senescence520.6×1e-04TP53, CDKN2A, EZH2, H3-3A, H3C2
PI3K events in ERBB2 signaling391.6×1e-04EGFR, PIK3CA, PIK3R1
GAB1 signalosome386.5×1e-04EGFR, PIK3CA, PIK3R1
Tie2 Signaling382.0×1e-04SOS1, PIK3CA, PIK3R1
Role of LAT2/NTAL/LAB on calcium mobilization382.0×1e-04SOS1, PIK3CA, PIK3R1
Signaling by FLT3 fusion proteins377.9×2e-04SOS1, PIK3CA, PIK3R1
Signaling by FGFR3 in disease367.7×2e-04SOS1, PIK3CA, PIK3R1
Interleukin receptor SHC signaling355.6×4e-04SOS1, PIK3CA, PIK3R1
Meiotic recombination423.6×4e-04BRCA2, H3-3A, H3C2, ATM
Downstream signal transduction351.9×5e-04SOS1, PIK3CA, PIK3R1
Constitutive Signaling by Aberrant PI3K in Cancer423.1×5e-04EGFR, KIT, PIK3CA, PIK3R1
DAP12 signaling350.2×5e-04SOS1, PIK3CA, PIK3R1
FLT3 Signaling347.2×6e-04SOS1, PIK3CA, PIK3R1
Signaling by CSF1 (M-CSF) in myeloid cells347.2×6e-04SOS1, PIK3CA, PIK3R1
Oncogene Induced Senescence345.8×6e-04TP53, CDKN2A, RB1
Interleukin-3, Interleukin-5 and GM-CSF signaling343.3×7e-04SOS1, PIK3CA, PIK3R1

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 24 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
replicative senescence4165.2×5e-06TERT, TP53, CDKN2A, ATM
negative regulation of glial cell proliferation3210.7×9e-05TP53, IDH2, RB1
subtelomeric heterochromatin formation3191.5×9e-05EZH2, H3-3A, ATRX
DNA damage response, signal transduction by p53 class mediator459.8×9e-05BRCA2, TP53, ATM, ATRX
multicellular organism growth528.5×9e-05SOS1, TP53, H3-3A, ATM, ATRX
cellular senescence449.3×1e-04BRCA2, TP53, CDKN2A, ATM
glyoxylate cycle2702.2×2e-04IDH1, IDH2
epidermal growth factor receptor signaling pathway441.3×2e-04BRAF, SOS1, EGFR, PIK3CA
phosphatidylinositol 3-kinase/protein kinase B signal transduction435.1×3e-04EGFR, PIK3CA, PIK3R1, PTEN
Ras protein signal transduction434.2×3e-04SOS1, TP53, CDKN2A, RB1
insulin-like growth factor receptor signaling pathway362.0×9e-04SOS1, PIK3CA, PIK3R1
isocitrate metabolic process2280.9×9e-04IDH1, IDH2
negative regulation of mammary gland epithelial cell proliferation2280.9×9e-04BRCA2, CDKN2A
protein stabilization513.9×0.001TP53, CDKN2A, ATM, PIK3R1, PTEN
myeloid progenitor cell differentiation2200.6×0.002BRAF, KIT
negative regulation of G1/S transition of mitotic cell cycle344.8×0.002EZH2, PTEN, RB1
establishment of protein localization to telomere2175.5×0.002BRCA2, TERT
epithelial cell proliferation339.0×0.002EGFR, KIT, RB1
positive regulation of miRNA transcription336.3×0.002TERT, TP53, EGFR
telomere maintenance via recombination2127.7×0.003BRCA2, TERT
NADP+ metabolic process2127.7×0.003IDH1, IDH2
positive regulation of transcription by RNA polymerase II85.0×0.003TP53, CDKN2A, EGFR, ATM, ATRX, PIK3R1, PTEN, RB1
somatic stem cell population maintenance331.0×0.003BRAF, CDKN2A, KIT
cellular response to xenobiotic stimulus330.1×0.003BRAF, TP53, RB1
insulin receptor signaling pathway327.7×0.004SOS1, PIK3CA, PIK3R1
B cell differentiation327.4×0.004EZH2, KIT, PIK3R1
eyelid development in camera-type eye287.8×0.005SOS1, EGFR
double-strand break repair325.4×0.005BRCA2, TP53, ATM
G1/S transition of mitotic cell cycle325.1×0.005EZH2, POLE, RB1
rRNA transcription282.6×0.005TP53, CDKN2A

Therapeutics

Drug target analysis

Approved (phase 4): 13 · Phase ≥3: 14 · Phased (≥1): 15 · Undrugged: 9

Druggability breadth: 20 of 24 evidence-associated genes (83%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Genes with an approved drug

The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.

SymbolExample approved molecule
BRAFVEMURAFENIB
SOS1IDARUBICIN
TERTBERBERINE
TP53NITROFURANTOIN
SLTMCABOZANTINIB
EGFRLEVODOPA
EZH2TAZEMETOSTAT
IDH1ENASIDENIB
IDH2ENASIDENIB
KITPONATINIB
ATMAMIODARONE HYDROCHLORIDE
PIK3CAIDELALISIB
PIK3R1IDELALISIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
TP531964
EGFR1754
KIT994
PIK3CA674
BRAF484
ATM354
PIK3R1264
TERT104
IDH1104
IDH274

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
VEMURAFENIB4BRAF, EGFR
PONATINIB4BRAF, EGFR, KIT
FEDRATINIB4BRAF, EGFR, KIT, PIK3CA
SORAFENIB4BRAF, EGFR, KIT
DASATINIB ANHYDROUS4BRAF, EGFR, KIT
RUXOLITINIB4BRAF, KIT
INFIGRATINIB PHOSPHATE4BRAF, KIT
INFIGRATINIB4BRAF, KIT
REGORAFENIB4BRAF, KIT
DABRAFENIB4BRAF
COBIMETINIB4BRAF
NILOTINIB4BRAF, KIT
ABEMACICLIB4BRAF, EGFR
ENCORAFENIB4BRAF
TOVORAFENIB4BRAF
PAZOPANIB4BRAF, KIT
DASATINIB4BRAF, EGFR, KIT, PIK3CA
ERLOTINIB4BRAF, EGFR, KIT
GEFITINIB4BRAF, EGFR, KIT
IMATINIB4BRAF, EGFR, KIT
IDARUBICIN4SOS1
DOXORUBICIN4SOS1, TERT
SOTORASIB4SOS1
ADAGRASIB4SOS1
BERBERINE4TERT
NITROFURANTOIN4TP53
DIOSMIN4TP53
VERTEPORFIN4TP53
CANDESARTAN CILEXETIL4TP53
DIENESTROL4TP53

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 12.

Cohort genes with ChEMBL bioactivity (full, sorted by assay count)

SymbolAssaysType breakdown
EGFR6,531Binding:6211, Functional:173, ADMET:138, Toxicity:9
KIT2,305Binding:2242, ADMET:32, Functional:22, Toxicity:9
PIK3CA2,034Binding:2009, ADMET:19, Toxicity:4, Functional:2
BRAF1,442Binding:1400, Functional:37, ADMET:5
TP53869Binding:775, ADMET:83, Functional:10, Toxicity:1
EZH2839Binding:833, Functional:6
PIK3R1493Binding:470, ADMET:23
IDH1488Binding:475, Functional:12, ADMET:1
SOS1421Binding:409, Functional:12
TERT391Binding:389, Functional:2
ATM240Binding:233, Functional:5, ADMET:2
MGMT86Binding:84, ADMET:2
IDH284Binding:84
RB159Binding:59
SLTM14Binding:14
PTEN8Binding:8
H3-3A6Binding:6
CDKN2A2Binding:2
PMS21Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
BRAF2.7.10.2, 2.7.11.1non-specific protein-tyrosine kinase, non-specific serine/threonine protein kinase
EGFR2.7.10.1receptor protein-tyrosine kinase
EZH22.1.1.356[histone H3]-lysine27 N-trimethyltransferase
IDH11.1.1.42isocitrate dehydrogenase (NADP+)
IDH21.1.1.42isocitrate dehydrogenase (NADP+)
KIT2.7.10.1receptor protein-tyrosine kinase
MGMT2.1.1.63methylated-DNA-[protein]-cysteine S-methyltransferase
ATM2.7.11.1non-specific serine/threonine protein kinase
PIK3CA2.7.1.137, 2.7.1.153, 2.7.11.1phosphatidylinositol 3-kinase, phosphatidylinositol-4,5-bisphosphate 3-kinase, non-specific serine/threonine protein kinase
PIK3R12.7.1.153phosphatidylinositol-4,5-bisphosphate 3-kinase
POLE2.7.7.7DNA-directed DNA polymerase
PTEN3.1.3.16, 3.1.3.67protein-serine/threonine phosphatase, phosphatidylinositol-3,4,5-trisphosphate 3-phosphatase

Cohort genes with high screening signal

≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.

SymbolChEMBL assays
BRAF1,442
SOS1421
TERT391
TP53869
EGFR6,531
EZH2839
IDH1488
KIT2,305
ATM240
PIK3CA2,034
PIK3R1493

Pharmacogenomics

Cohort genes with a PharmGKB record: 24; with CPIC/DPWG dosing guidelines: 0.

No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).

Chemical tractability of cohort targets

26 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.

CompoundMax phaseCohort target (bioactivity)
VEMURAFENIB4BRAF, EGFR
PONATINIB4BRAF, EGFR, KIT
FEDRATINIB4BRAF, EGFR, KIT, PIK3CA
SORAFENIB4BRAF, EGFR, KIT
DASATINIB ANHYDROUS4BRAF, EGFR, KIT
RUXOLITINIB4BRAF, KIT
INFIGRATINIB PHOSPHATE4BRAF, KIT
INFIGRATINIB4BRAF, KIT
REGORAFENIB4BRAF, KIT
COBIMETINIB4BRAF
NILOTINIB4BRAF, KIT
ENCORAFENIB4BRAF
TOVORAFENIB4BRAF
DASATINIB4BRAF, EGFR, KIT, PIK3CA
ERLOTINIB4BRAF, EGFR, KIT
IMATINIB4BRAF, EGFR, KIT
IDARUBICIN4SOS1
DOXORUBICIN4SOS1, TERT
SOTORASIB4SOS1
ADAGRASIB4SOS1
BERBERINE4TERT
NITROFURANTOIN4TP53
DIOSMIN4TP53
VERTEPORFIN4TP53
CANDESARTAN CILEXETIL4TP53
DIENESTROL4TP53

Druggability pyramid

Cohort genes binned by druggability tier (high → low):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)13BRAF, SOS1, TERT, TP53, SLTM, EGFR, EZH2, IDH1, IDH2, KIT (+3 more)
BPhased (≥1) drug, not yet approved2MGMT, RB1
CDruggable family + PDB, no drug1PTEN
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug8BRCA2, CDKN2A, H3-3A, H3C2, LRP1B, ATRX, PMS2, POLE

Undrugged target profiles

9 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

SymbolChEMBL assaysDrugged partners (top 3)
PTEN8TP53
BRCA20
CDKN2A2
H3-3A6
H3C20
LRP1B0
ATRX0
PMS21
POLE0

Clinical trials & evidence

Clinical trials

Clinical trials: 1,139.

Phase distribution (across all retrieved trials)

PhaseTrials
PHASE2307
PHASE1279
Not specified254
PHASE1/PHASE2123
EARLY_PHASE166
PHASE352
PHASE2/PHASE313
PHASE46

Top trials by phase / activity

NCTPhaseStatusTitle
NCT03975829PHASE4RECRUITINGPediatric Long-Term Follow-up and Rollover Study
NCT05342883PHASE4ACTIVE_NOT_RECRUITINGGammaTile and Stupp in Newly Diagnosed GBM
NCT07546669PHASE4NOT_YET_RECRUITINGEfficacy of Zoster Vaccination in Glioblastoma Patients
NCT00686725PHASE4COMPLETEDStandard Temodal (Temozolomide) Regimen Versus Standard Regimen Plus Early Postsurgery Temodal for Newly Diagnosed Glioblastoma Multiforme (Study P05572)
NCT05900908PHASE4WITHDRAWNPost-operative Adjuvant Therapy w/wo GammaTile + Systemic Therapy
NCT06625047PHASE4COMPLETEDComparing Telehealth and In-person Assessments in Glioma Patients Receiving Oral Chemotherapy
NCT02152982PHASE2/PHASE3ACTIVE_NOT_RECRUITINGTemozolomide With or Without Veliparib in Treating Patients With Newly Diagnosed Glioblastoma Multiforme
NCT02685605PHASE3ACTIVE_NOT_RECRUITINGIntraoperative Radiotherapy in Newly Diagnosed Glioblastoma Multiforme
NCT03663725PHASE3ACTIVE_NOT_RECRUITINGTreatment Intensification With Temozolomide in Adults With a Glioblastoma
NCT03970447PHASE2/PHASE3RECRUITINGA Trial to Evaluate Multiple Regimens in Newly Diagnosed and Recurrent Glioblastoma
NCT04250922PHASE2/PHASE3ACTIVE_NOT_RECRUITINGLAM561 With RT and TMZ for Adults With Glioblastoma
NCT05095376PHASE3ACTIVE_NOT_RECRUITINGTesting the Addition of the Chemotherapy Drug Lomustine (Gleostine) to the Usual Treatment (Temozolomide and Radiation Therapy) for Newly Diagnosed MGMT Methylated Glioblastoma
NCT05100641PHASE3NOT_YET_RECRUITINGAV-GBM-1 vs Control as Adjunctive Therapy Following Surgery and RT/TMZ in Newly Diagnosed GBM
NCT05118776PHASE3ACTIVE_NOT_RECRUITINGStudy to Evaluate the Safety and Efficacy of ASC40 Tablets in Combination With Bevacizumab in Subjects With rGBM
NCT05271240PHASE3RECRUITINGRepeated Superselective Intraarterial Cerebral Infusion (SIACI) of Bevacizumab With Temozolomide and Radiation Compared to Temozolomide and Radiation Alone in Newly Diagnosed GBM
NCT05318612PHASE3ACTIVE_NOT_RECRUITINGEffectiveness of MR-guided LITT Therapy in Irresectable Glioblastoma (EMITT)
NCT05326464PHASE3ACTIVE_NOT_RECRUITINGTofacitinib in Recurrent GBM Patients
NCT05439278PHASE3RECRUITINGConventional Versus Hypofractionated Radiotherapy With Temozolomide in Elderly Glioblastoma
NCT05669820PHASE2/PHASE3RECRUITINGAntisecretory Factor Glioblastoma Phase 2
NCT05902169PHASE3RECRUITINGSonocloud-9 in Association With Carboplatin Versus Standard-of-Care Chemotherapies (CCNU or TMZ) in Recurrent GBM
NCT06105619PHASE2/PHASE3ACTIVE_NOT_RECRUITINGA Study of PLB1001 Enteric Capsules in the Treatment of sGBM/IDH Mutant Glioblastoma Patients With the ZM Fusion Gene (FUGEN).
NCT06388733PHASE3RECRUITINGA Study Comparing Niraparib With Temozolomide in Adult Participants With Newly-diagnosed, MGMT Unmethylated Glioblastoma
NCT06448286PHASE3NOT_YET_RECRUITINGPH Weighted Chemical Exchange Saturation Transfer MRI-Based Surgical Resection to Improve Survival in Patients With Glioblastoma
NCT06477939PHASE3NOT_YET_RECRUITINGStudy of Adding or Not Liposomal Transcrocetin (L-TC) With Concomitant HypoFractionated Radiation ThErapy and TEmozolomide in Newly Diagnosed GLioblastoma (GBM) Patients
NCT06496971PHASE3RECRUITINGA Prospective Pivotal Study to Evaluate the Efficacy and Safety of Avastin® Bevacizumab (BEV) With or Without Microbubble-mediated Focused Ultrasound (FUS-MB) Using NaviFUS System in Recurrent Glioblastoma Multiforme Patients
NCT06556563PHASE3RECRUITINGEF-41/KEYNOTE D58: Phase 3 Study of Optune Concomitant With Temozolomide Plus Pembrolizumab in Newly Diagnosed Glioblastoma
NCT06749925PHASE3NOT_YET_RECRUITINGClinical Trial Assessing the Efficacy and Safety of Dendritic Cell-Based Immunotherapy for Glioblastoma
NCT07100730PHASE3RECRUITINGStudy of TLX101-Tx Plus Standard of Care (SoC) Versus SoC Alone for the Treatment of Patients With Recurrent Glioblastoma
NCT07195591PHASE3RECRUITINGBeginning Radiation Immediately With GammaTile at GBM Excision Versus Standard of Care
NCT07461948PHASE3RECRUITINGAdvanced Imaging Techniques for Evaluating the Tumor Immune Microenvironment in Glioblastoma Patients
NCT07605364PHASE2/PHASE3NOT_YET_RECRUITINGTesting the Addition of an Anti-Cancer Drug, Mycophenolate Mofetil, to the Usual Treatment (Radiation Therapy and Temozolomide) for Advanced Brain Cancer
NCT00045968PHASE3UNKNOWNStudy of a Drug [DCVax®-L] to Treat Newly Diagnosed GBM Brain Cancer
NCT00068952PHASE3COMPLETEDStudy of IV Edotecarin Vs Temozolomide or Carmustine (BCNU) or Lomustine (CCNU) in Patients With Glioblastoma Multiforme
NCT00088400PHASE3COMPLETEDComparison of TransMID vs Standard Treatment of Cancerous Brain Tumors
NCT00295815PHASE3COMPLETEDEnzastaurin Versus Lomustine in Glioblastoma
NCT00335075PHASE3COMPLETEDEfficacy and Safety of Temodal vs Semustine in Subjects With Recurrent Glioblastoma or Anaplastic Astrocytoma (Study P03644)
NCT00689221PHASE3COMPLETEDCilengitide, Temozolomide, and Radiation Therapy in Treating Patients With Newly Diagnosed Glioblastoma and Methylated Gene Promoter Status
NCT00761280PHASE3TERMINATEDEfficacy and Safety of AP 12009 in Patients With Recurrent or Refractory Anaplastic Astrocytoma or Secondary Glioblastoma
NCT00777153PHASE3COMPLETEDCediranib in Combination With Lomustine Chemotherapy in Recurrent Glioblastoma
NCT00807027PHASE3COMPLETEDClinical Trial to Assess the Efficacy and Safety of ‘Immuncell-LC’ With Temozolomide in Newly Diagnosed Glioblastoma of Korea

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
TEMOZOLOMIDE435
LOMUSTINE430
AMINOLEVULINIC ACID46
DISULFIRAM46
PLERIXAFOR46
ERLOTINIB HYDROCHLORIDE45
PAZOPANIB45
TEMSIROLIMUS45
FERUMOXYTOL44
NIRAPARIB44
SORAFENIB TOSYLATE44
VORINOSTAT44
ABEMACICLIB43
CARMUSTINE43
DURVALUMAB43
FLUDEOXYGLUCOSE F 1843
TRAMETINIB43
CERITINIB42
CHLOROQUINE42
COPPER42
DABRAFENIB42
DACOMITINIB ANHYDROUS42
ETOPOSIDE PHOSPHATE42
GEFITINIB42
HYDROXYUREA42
MANNITOL42
NINTEDANIB42
SORBITOL42
SUNITINIB MALATE42
AURANOFIN41

Precision-medicine subtype map (CIViC)

Drug × molecular subtype: 68 predictive associations from 71 curated evidence items; also 18 prognostic, 17 diagnostic, 11 oncogenic.

Molecular subtypeTherapyEffectLevelCIViC
MGMT Promoter MethylationTemozolomideSensitivity/ResponseCIViC AEID307
MGMT Promoter MethylationLomustine + TemozolomideSensitivity/ResponseCIViC AEID7303
IDH1 R132CetuximabSensitivity/ResponseCIViC BEID3718 +1
MGMT UnderexpressionTemozolomideSensitivity/ResponseCIViC BEID2899 +1
DRD5 low expressionDordaviproneSensitivity/ResponseCIViC BEID7600
EGFR ExpressionTemozolomide + Nimotuzumab + 3-Dimensional Conformal Radiation TherapySensitivity/ResponseCIViC BEID8299
EGFR OverexpressionLomustine + BevacizumabSensitivity/ResponseCIViC BEID10894
EGFR VIIIErlotinib + GefitinibSensitivity/ResponseCIViC BEID1128
EGFR VIIIEpidermal Growth Factor Receptor Tyrosine Kinase InhibitorSensitivity/ResponseCIViC BEID772
EGFR VIIIRindopepimutSensitivity/ResponseCIViC BEID971
EGFR::VSTM2A FusionBevacizumab/Lomustine RegimenSensitivity/ResponseCIViC BEID11101
IDH1 R132SCetuximabSensitivity/ResponseCIViC BEID4033
KIT EXPRESSIONSunitinibSensitivity/ResponseCIViC BEID10180
MGMT Promoter MethylationCarmustineSensitivity/ResponseCIViC BEID308
MGMT RS16906252TemozolomideSensitivity/ResponseCIViC BEID822
PIK3CA MutationBuparlisibSensitivity/ResponseCIViC BEID7072
PIK3R1 MutationBuparlisibSensitivity/ResponseCIViC BEID7073
PTEN ExpressionErlotinib + GefitinibSensitivity/ResponseCIViC BEID1129
PTEN ExpressionEpidermal Growth Factor Receptor Tyrosine Kinase InhibitorSensitivity/ResponseCIViC BEID774
PTEN MutationBuparlisibSensitivity/ResponseCIViC BEID7074
SLC12A2 OVEREXPRESSIONAntisecretory Factor-enriched Egg Yolk Powder Supplement + TemozolomideSensitivity/ResponseCIViC BEID12689
VEGFA OverexpressionBevacizumabSensitivity/ResponseCIViC BEID7013
PTEN MutationNivolumab + PembrolizumabResistanceCIViC BEID8176
TP53 MutationTemozolomideResistanceCIViC BEID7978
VEGFA Overexpression of VEGF121BevacizumabResistanceCIViC BEID9490
ALK ExpressionCrizotinibSensitivity/ResponseCIViC CEID7866
ARHGEF2::NTRK1 FusionEntrectinibSensitivity/ResponseCIViC CEID12606
BRAF V600EVemurafenibSensitivity/ResponseCIViC CEID3771
BRCA2 K3326*Olaparib + TemozolomideSensitivity/ResponseCIViC CEID7724
EGFR Amplification AND EGFR EGFRVIIIAfatinibSensitivity/ResponseCIViC CEID773

+38 more predictive associations (showing top 30 by evidence level).