Malignant colon neoplasm
diseaseOn this page
Also known as cancer of coloncolon cancercolon neoplasm, malignantcolon tumor, malignantmalignant colon tumormalignant colon tumourmalignant colonic neoplasmmalignant colonic tumormalignant colonic tumourmalignant neoplasm of colonmalignant neoplasm of the colonmalignant tumor of colonmalignant tumor of the colonmalignant tumour of colonmalignant tumour of the colon
Summary
Malignant colon neoplasm (MONDO:0021063) is a cancer (an umbrella term covering 9 Mondo subtypes) with 18 cohort genes (15 CIViC-evidence somatic drivers; 32 ClinVar predisposition records) and 1,079 clinical trials. The dominant Reactome pathway is Mismatch repair (MMR) directed by MSH2:MSH6 (MutSalpha) (4 cohort genes). Molecularly, KRAS G13D confers sensitivity to Cetuximab in Colon Cancer (CIViC Level B); 20 further subtype–drug associations are mapped below. Top therapeutic interventions include leucovorin, panitumumab, and tipiracil.
At a glance
- Classification: Cancer
- Umbrella term: 9 Mondo subtypes
- Cohort genes: 18
- ClinVar variants: 32
- Clinical trials: 1,079
- Precision-medicine evidence (CIViC): 21 subtype–drug associations
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | malignant colon neoplasm |
| Mondo ID | MONDO:0021063 |
| DOID | DOID:219 |
| ICD-10-CM | C18 |
| ICD-11 | 1265576634 |
| NCIT | C9242 |
| SNOMED CT | 363406005 |
| UMLS | C0007102 |
| MedGen | 2839 |
| Anatomy (UBERON) | UBERON:0001155 |
| Is cancer (heuristic) | yes |
Also known as: cancer of colon · colon cancer · colon neoplasm, malignant · colon tumor, malignant · malignant colon neoplasm · malignant colon tumor · malignant colon tumour · malignant colonic neoplasm · malignant colonic tumor · malignant colonic tumour · malignant neoplasm of colon · malignant neoplasm of the colon · malignant tumor of colon · malignant tumor of the colon · malignant tumour of colon · malignant tumour of the colon
Data availability: 32 ClinVar variants.
Disease family
An umbrella term covering 9 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › digestive system disorder › intestinal disorder › large intestine disorder › colonic disorder › colonic neoplasm › malignant colon neoplasm
Related subtypes (7): benign colon neoplasm, colon neuroendocrine neoplasm, cecal neoplasm, colon inflammatory polyp, colon juvenile polyp, sigmoid neoplasm, epithelial tumor of colon
Subtypes (9): descending colon cancer, sigmoid colon cancer, colon carcinoma, cecum cancer, colon lymphoma, ascending colon cancer, transverse colon cancer, colon sarcoma, metastasis from malignant tumor of colon
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
ClinVar germline variants
32 retrieved; paginated sample, class counts are floors:
10 pathogenic, 7 uncertain significance, 6 conflicting classifications of pathogenicity, 6 pathogenic/likely pathogenic, 1 benign/likely benign, 1 benign, 1 no classifications from unflagged records
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 1210125 | NM_000051.4(ATM):c.3284+1G>T | ATM | Pathogenic | no assertion criteria provided |
| 17094 | NM_000249.4(MLH1):c.350C>T (p.Thr117Met) | MLH1 | Pathogenic | reviewed by expert panel |
| 17098 | NM_000249.4(MLH1):c.806C>G (p.Ser269Ter) | MLH1 | Pathogenic | reviewed by expert panel |
| 427760 | NM_000249.4(MLH1):c.1336_1337del (p.Ser446fs) | MLH1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 433851 | NM_000249.4(MLH1):c.374C>A (p.Ala125Glu) | MLH1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 455398 | NM_000249.4(MLH1):c.1667+1G>A | MLH1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 560011 | NM_000249.4(MLH1):c.497dup (p.Leu166fs) | MLH1 | Pathogenic | no assertion criteria provided |
| 635950 | NC_000003.12:g.36993510_36999509del | MLH1 | Pathogenic | criteria provided, single submitter |
| 89857 | NM_000249.4(MLH1):c.1731G>A (p.Ser577=) | MLH1 | Pathogenic | reviewed by expert panel |
| 90430 | NM_000249.4(MLH1):c.887T>G (p.Leu296Ter) | MLH1 | Pathogenic | reviewed by expert panel |
| 637008 | NM_000251.3(MSH2):c.2382del (p.Pro795fs) | MSH2 | Pathogenic | no assertion criteria provided |
| 90670 | NM_000251.3(MSH2):c.1457_1460del (p.Asn486fs) | MSH2 | Pathogenic | reviewed by expert panel |
| 135992 | NM_001048174.2(MUTYH):c.849+3A>C | MUTYH | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 141595 | NM_001048174.2(MUTYH):c.464G>A (p.Gly155Asp) | MUTYH | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 5294 | NM_001048174.2(MUTYH):c.1103G>A (p.Gly368Asp) | MUTYH | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 560019 | NM_000535.7(PMS2):c.1053del (p.Leu351fs) | PMS2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 236647 | NM_000038.6(APC):c.757G>A (p.Gly253Ser) | APC | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 490226 | NM_000038.6(APC):c.1803G>C (p.Glu601Asp) | APC | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 128060 | NM_007194.4(CHEK2):c.1427C>T (p.Thr476Met) | CHEK2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 89649 | NM_000249.4(MLH1):c.1141C>T (p.His381Tyr) | MLH1 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 631268 | NM_000251.3(MSH2):c.605C>T (p.Pro202Leu) | MSH2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 127960 | NM_005431.2(XRCC2):c.620A>G (p.Glu207Gly) | XRCC2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 411414 | NM_000038.6(APC):c.5026_5028del (p.Arg1676del) | APC | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 559945 | NM_000038.6(APC):c.5478G>C (p.Lys1826Asn) | APC | Uncertain significance | criteria provided, single submitter |
| 559947 | NM_000038.6(APC):c.3716G>A (p.Arg1239Lys) | APC | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 559964 | NM_000038.6(APC):c.2986A>G (p.Ser996Gly) | APC | Uncertain significance | criteria provided, single submitter |
| 433865 | NM_000249.4(MLH1):c.1238_1239del (p.Thr413fs) | MLH1 | no classifications from unflagged records | no classifications from unflagged records |
| 198306 | NM_138694.4(PKHD1):c.10036T>C (p.Cys3346Arg) | PKHD1 | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 91351 | NM_000535.7(PMS2):c.320G>A (p.Arg107Gln) | PMS2 | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 560020 | NM_006231.4(POLE):c.1396A>G (p.Thr466Ala) | POLE | Uncertain significance | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 71 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Somatic driver evidence (intOGen + CIViC, cohort fanout)
| Gene | intOGen role | Cancer types | CIViC |
|---|---|---|---|
| BRAF | Act | BLCA,BRCA,CHOL,CLLSLL,COAD,COADREAD,CSCC,DLBCLNOS,GBM,GIST,HGGNOS,LGGNOS,LUAD,MEL,MLYM,NSCLC,OVT,PAST,PCM,PRAD,PRCC,PROSTATE,READ,SACA,SKCM,STAD,UCEC,WDTC | CIViC #5 |
| ZEB1 | Act | GBM,LUAD,LUSC,NPC,PCM,SCLC | CIViC #5649 |
| BIRC7 | CIViC #14842 | ||
| ERBB2 | Act | BLCA,BRCA,CESC,CHOL,COADREAD,EGC,ESCA,ESCC,LMS,LUAD,NSCLC,OVT,PRCC,READ,STAD,UCEC | CIViC #20 |
| KRAS | Act | ALL,AML,ANSC,BLADDER,BLCA,BRCA,CEAD,CESC,CHOL,CLLSLL,COAD,COADREAD,DLBCLNOS,EGC,ESCA,ESCC,HCC,LUAD,LUSC,MEL,MGCT,MT,NSCLC,OVT,PAAD,PANCREAS,PAST,PCM,PRAD,PRCC,READ,STAD,STOMACH,UCEC,UCS,WDTC | CIViC #30 |
| POU5F1 | CIViC #4419 | ||
| CHEK2 | Act | BRCA | CIViC #8950 |
| CDH1 | LoF | BLCA,BRCA,CSCC,DLBCLNOS,ESCA,STAD | CIViC #888 |
| APC | LoF | AML,ANSC,CHOL,COAD,COADREAD,CSCC,EGC,ESCA,ESCC,HCC,LUAD,MEL,MT,NETNOS,NSCLC,PRAD,PROSTATE,READ,STAD,STOMACH,UM,VULVA | CIViC #66 |
| MLH1 | CIViC #3532 | ||
| MSH2 | CIViC #3628 | ||
| ATM | LoF | BLCA,BRCA,CCRCC,CHOL,CLLSLL,COAD,COADREAD,ESCA,HCC,LUAD,LUSC,MEL,NSCLC,PAAD,PANCREAS,PANET,PCM,PLMESO,PRAD,PROSTATE,STAD,UCEC,UTUC,WDTC | CIViC #69 |
| PMS2 | ambiguous | HCC | CIViC #4371 |
| POLD1 | LoF | BRCA,ESCA | CIViC #4384 |
| POLE | Act | ACC,BLCA | CIViC #4386 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| BRAF | Orphanet:1340 | Cardiofaciocutaneous syndrome |
| BRAF | Orphanet:146 | Differentiated thyroid carcinoma |
| BRAF | Orphanet:251615 | Pilomyxoid astrocytoma |
| BRAF | Orphanet:389 | Langerhans cell histiocytosis |
| BRAF | Orphanet:500 | Noonan syndrome with multiple lentigines |
| BRAF | Orphanet:54595 | Craniopharyngioma |
| BRAF | Orphanet:58017 | Classic hairy cell leukemia |
| BRAF | Orphanet:626 | Large/giant congenital melanocytic nevus |
| BRAF | Orphanet:648 | Noonan syndrome |
| BRAF | Orphanet:840 | Syringocystadenoma papilliferum |
| BRAF | Orphanet:96253 | Cushing disease |
| ZEB1 | Orphanet:98973 | Posterior polymorphous corneal dystrophy |
| ZEB1 | Orphanet:98974 | Fuchs endothelial corneal dystrophy |
| ERBB2 | Orphanet:213726 | Serous carcinoma of the corpus uteri |
| ERBB2 | Orphanet:2800 | Extramammary Paget disease |
| ERBB2 | Orphanet:388 | Hirschsprung disease |
| ERBB2 | Orphanet:99976 | Adenocarcinoma of the oesophagus and oesophagogastric junction |
| KRAS | Orphanet:1333 | Familial pancreatic carcinoma |
| KRAS | Orphanet:1340 | Cardiofaciocutaneous syndrome |
| KRAS | Orphanet:144 | Lynch syndrome |
| KRAS | Orphanet:146 | Differentiated thyroid carcinoma |
| KRAS | Orphanet:2396 | Encephalocraniocutaneous lipomatosis |
| KRAS | Orphanet:251615 | Pilomyxoid astrocytoma |
| KRAS | Orphanet:2612 | Linear nevus sebaceus syndrome |
| KRAS | Orphanet:268114 | RAS-associated autoimmune leukoproliferative disease |
| KRAS | Orphanet:3339 | Oculoectodermal syndrome |
| KRAS | Orphanet:648 | Noonan syndrome |
| KRAS | Orphanet:86834 | Juvenile myelomonocytic leukemia |
| XRCC2 | Orphanet:227535 | Hereditary breast cancer |
| XRCC2 | Orphanet:399805 | Male infertility with azoospermia or oligozoospermia due to single gene mutation |
| XRCC2 | Orphanet:84 | Fanconi anemia |
| CHEK2 | Orphanet:1331 | Familial prostate cancer |
| CHEK2 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| CHEK2 | Orphanet:440437 | Familial colorectal cancer Type X |
| CHEK2 | Orphanet:524 | Li-Fraumeni syndrome |
| CHEK2 | Orphanet:668 | Osteosarcoma |
| CDH1 | Orphanet:1331 | Familial prostate cancer |
| CDH1 | Orphanet:199306 | Cleft lip/palate |
| CDH1 | Orphanet:1997 | Blepharo-cheilo-odontic syndrome |
| CDH1 | Orphanet:227535 | Hereditary breast cancer |
| CDH1 | Orphanet:26106 | Hereditary diffuse gastric cancer |
| APC | Orphanet:220460 | Attenuated familial adenomatous polyposis |
| APC | Orphanet:261584 | 5q22 microdeletion syndrome |
| APC | Orphanet:314022 | Gastric adenocarcinoma and proximal polyposis of the stomach |
| APC | Orphanet:3258 | Cenani-Lenz syndrome |
| APC | Orphanet:873 | Desmoid tumor |
| MLH1 | Orphanet:144 | Lynch syndrome |
| MLH1 | Orphanet:252202 | Constitutional mismatch repair deficiency syndrome |
| MSH2 | Orphanet:144 | Lynch syndrome |
| MSH2 | Orphanet:252202 | Constitutional mismatch repair deficiency syndrome |
Cohort genes → proteins
18 cohort genes, 18 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| civic_only | 6 |
| multi_evidence | 12 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| BRAF | HGNC:1097 | ENSG00000157764 | P15056 | Serine/threonine-protein kinase B-raf | civic_evidence |
| ZEB1 | HGNC:11642 | ENSG00000148516 | P37275 | Zinc finger E-box-binding homeobox 1 | civic_evidence |
| BIRC7 | HGNC:13702 | ENSG00000101197 | Q96CA5 | Baculoviral IAP repeat-containing protein 7 | civic_evidence |
| ERBB2 | HGNC:3430 | ENSG00000141736 | P04626 | Receptor tyrosine-protein kinase erbB-2 | civic_evidence |
| KRAS | HGNC:6407 | ENSG00000133703 | P01116 | GTPase KRas | civic_evidence |
| POU5F1 | HGNC:9221 | ENSG00000204531 | Q01860 | POU domain, class 5, transcription factor 1 | civic_evidence |
| XRCC2 | HGNC:12829 | ENSG00000196584 | O43543 | DNA repair protein XRCC2 | clinvar |
| CHEK2 | HGNC:16627 | ENSG00000183765 | O96017 | Serine/threonine-protein kinase Chk2 | clinvar |
| CDH1 | HGNC:1748 | ENSG00000039068 | P12830 | Cadherin-1 | clinvar |
| APC | HGNC:583 | ENSG00000134982 | P25054 | Adenomatous polyposis coli protein | clinvar |
| MLH1 | HGNC:7127 | ENSG00000076242 | P40692 | DNA mismatch repair protein Mlh1 | clinvar |
| MSH2 | HGNC:7325 | ENSG00000095002 | P43246 | DNA mismatch repair protein Msh2 | clinvar |
| MUTYH | HGNC:7527 | ENSG00000132781 | Q9UIF7 | Adenine DNA glycosylase | clinvar |
| ATM | HGNC:795 | ENSG00000149311 | Q13315 | Serine-protein kinase ATM | clinvar |
| PKHD1 | HGNC:9016 | ENSG00000170927 | P08F94 | Fibrocystin | clinvar |
| PMS2 | HGNC:9122 | ENSG00000122512 | P54278 | Mismatch repair endonuclease PMS2 | clinvar |
| POLD1 | HGNC:9175 | ENSG00000062822 | P28340 | DNA polymerase delta catalytic subunit | clinvar |
| POLE | HGNC:9177 | ENSG00000177084 | Q07864 | DNA polymerase epsilon catalytic subunit A | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| BRAF | Serine/threonine-protein kinase B-raf | Protein kinase involved in the transduction of mitogenic signals from the cell membrane to the nucleus. |
| ZEB1 | Zinc finger E-box-binding homeobox 1 | Acts as a transcriptional repressor. |
| BIRC7 | Baculoviral IAP repeat-containing protein 7 | Apoptotic regulator capable of exerting proapoptotic and anti-apoptotic activities and plays crucial roles in apoptosis, cell proliferation, and cell cycle control. |
| ERBB2 | Receptor tyrosine-protein kinase erbB-2 | Protein tyrosine kinase that is part of several cell surface receptor complexes, but that apparently needs a coreceptor for ligand binding. |
| KRAS | GTPase KRas | Ras proteins bind GDP/GTP and possess intrinsic GTPase activity. |
| POU5F1 | POU domain, class 5, transcription factor 1 | Transcription factor that binds to the octamer motif (5’-ATTTGCAT-3’). |
| XRCC2 | DNA repair protein XRCC2 | Involved in the homologous recombination repair (HRR) pathway of double-stranded DNA, thought to repair chromosomal fragmentation, translocations and deletions. |
| CHEK2 | Serine/threonine-protein kinase Chk2 | Serine/threonine-protein kinase which is required for checkpoint-mediated cell cycle arrest, activation of DNA repair and apoptosis in response to the presence of DNA double-strand breaks. |
| CDH1 | Cadherin-1 | Cadherins are calcium-dependent cell adhesion proteins. |
| APC | Adenomatous polyposis coli protein | Tumor suppressor. |
| MLH1 | DNA mismatch repair protein Mlh1 | Heterodimerizes with PMS2 to form MutL alpha, a component of the post-replicative DNA mismatch repair system (MMR). |
| MSH2 | DNA mismatch repair protein Msh2 | Component of the post-replicative DNA mismatch repair system (MMR). |
| MUTYH | Adenine DNA glycosylase | Involved in oxidative DNA damage repair. |
| ATM | Serine-protein kinase ATM | Serine/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. |
| PKHD1 | Fibrocystin | Promotes ciliogenesis in renal epithelial cells and therefore participates in the tubules formation and/ or ensures the maintenance of the architecture of the lumen of the kidney. |
| PMS2 | Mismatch repair endonuclease PMS2 | Component of the post-replicative DNA mismatch repair system (MMR). |
| POLD1 | DNA polymerase delta catalytic subunit | As the catalytic component of the trimeric (Pol-delta3 complex) and tetrameric DNA polymerase delta complexes (Pol-delta4 complex), plays a crucial role in high fidelity genome replication, including in lagging strand synthesis, and repair. |
| POLE | DNA polymerase epsilon catalytic subunit A | Catalytic component of the DNA polymerase epsilon complex. |
Protein-family classification
Druggable: 6 · Difficult: 5 · Unknown: 7 · Druggable fraction: 0.33
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.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Kinase | 4 | 6.2× | 0.017 |
| Transcription factor | 5 | 2.3× | 0.144 |
| Antibody/Immunoglobulin | 1 | 1.6× | 0.777 |
| Other/Unknown | 7 | 0.7× | 0.954 |
| Enzyme (other) | 1 | 0.7× | 0.954 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| BRAF | Kinase | yes | 2.7.10.2 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, PKC_DAG/PE |
| ZEB1 | Transcription factor | no | HD, Di19_Zn-bd, Homeodomain-like_sf | |
| BIRC7 | Transcription factor | no | BIR_rpt, Znf_RING, Znf_RING/FYVE/PHD | |
| ERBB2 | Kinase | yes | 2.7.10.1 | Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom |
| KRAS | Enzyme (other) | yes | 3.6.5.2 | Small_GTPase, Small_GTP-bd, Small_GTPase_Ras-type |
| POU5F1 | Transcription factor | no | POU_dom, HD, Homeodomain-like_sf | |
| XRCC2 | Other/Unknown | no | Rad51_C, RecA_ATP-bd, P-loop_NTPase | |
| CHEK2 | Kinase | yes | 2.7.11.1 | FHA_dom, Prot_kinase_dom, Ser/Thr_kinase_AS |
| CDH1 | Other/Unknown | no | Cadherin_Y-type_LIR, Cadherin-like_dom, Cadherin_pro_dom | |
| APC | Other/Unknown | no | Armadillo, APC_rpt, SAMP | |
| MLH1 | Other/Unknown | no | MutL/Mlh/PMS, DNA_mismatch_S5_2-like, Ribsml_uS5_D2-typ_fold_subgr | |
| MSH2 | Other/Unknown | no | DNA_mismatch_repair_MutS_C, DNA_mismatch_repair_MutS-lik_N, DNA_mismatch_repair_MutS_core | |
| MUTYH | Other/Unknown | no | NUDIX_hydrolase_dom, HhH_motif, HhH-GPD_domain | |
| ATM | Kinase | yes | 2.7.11.1 | PI3/4_kinase_cat_dom, PIK-rel_kinase_FAT, FATC_dom |
| PKHD1 | Antibody/Immunoglobulin | yes | IPT_dom, PbH1, Pectin_lyase_fold/virulence | |
| PMS2 | Other/Unknown | no | MutL/Mlh/PMS, DNA_mismatch_S5_2-like, Ribsml_uS5_D2-typ_fold_subgr | |
| POLD1 | Transcription factor | no | 2.7.7.7 | DNA-dir_DNA_pol_B_exonuc, DNA-dir_DNA_pol_B_multi_dom, DNA-dir_DNA_pol_B |
| POLE | Transcription factor | no | 2.7.7.7 | DNA-dir_DNA_pol_B_exonuc, DNA-dir_DNA_pol_B, RNaseH-like_sf |
Expression context
Cohort genes with no expression data: 0.
18 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 18 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| calcaneal tendon | 3 |
| colonic epithelium | 3 |
| primordial germ cell in gonad | 3 |
| buccal mucosa cell | 2 |
| sural nerve | 2 |
| lower esophagus mucosa | 2 |
| right uterine tube | 2 |
| metanephros cortex | 2 |
| male germ line stem cell (sensu Vertebrata) in testis | 2 |
| ventricular zone | 2 |
| cerebellar hemisphere | 2 |
| right hemisphere of cerebellum | 2 |
| tendon | 1 |
| adrenal tissue | 1 |
| tibial nerve | 1 |
| nipple | 1 |
| pylorus | 1 |
| trigeminal ganglion | 1 |
| lateral globus pallidus | 1 |
| tendon of biceps brachii | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| BRAF | 265 | ubiquitous | marker | buccal mucosa cell, colonic epithelium, calcaneal tendon |
| ZEB1 | 287 | ubiquitous | marker | calcaneal tendon, colonic epithelium, tendon |
| BIRC7 | 109 | tissue_specific | marker | adrenal tissue, tibial nerve, sural nerve |
| ERBB2 | 276 | ubiquitous | marker | lower esophagus mucosa, right uterine tube, sural nerve |
| KRAS | 298 | ubiquitous | marker | trigeminal ganglion, pylorus, nipple |
| POU5F1 | 132 | tissue_specific | marker | primordial germ cell in gonad, right uterine tube, metanephros cortex |
| XRCC2 | 283 | ubiquitous | marker | buccal mucosa cell, tendon of biceps brachii, lateral globus pallidus |
| CHEK2 | 183 | ubiquitous | marker | primordial germ cell in gonad, lower esophagus mucosa, male germ line stem cell (sensu Vertebrata) in testis |
| CDH1 | 245 | broad | marker | jejunal mucosa, esophagus squamous epithelium, gingival epithelium |
| APC | 297 | ubiquitous | marker | substantia nigra pars compacta, substantia nigra pars reticulata, medial globus pallidus |
| MLH1 | 296 | ubiquitous | marker | tibialis anterior, skeletal muscle tissue of rectus abdominis, deltoid |
| MSH2 | 278 | ubiquitous | marker | secondary oocyte, oocyte, ventricular zone |
| MUTYH | 134 | ubiquitous | marker | cerebellar hemisphere, cerebellar cortex, right hemisphere of cerebellum |
| ATM | 286 | ubiquitous | marker | calcaneal tendon, colonic epithelium, corpus callosum |
| PKHD1 | 51 | tissue_specific | marker | kidney epithelium, renal medulla, metanephros cortex |
| PMS2 | 143 | ubiquitous | marker | thymus, prefrontal cortex, male germ line stem cell (sensu Vertebrata) in testis |
| POLD1 | 134 | ubiquitous | marker | mucosa of transverse colon, ventricular zone, primordial germ cell in gonad |
| POLE | 221 | ubiquitous | marker | right hemisphere of cerebellum, right testis, cerebellar hemisphere |
Protein interactions among cohort
Intra-cohort edges: 28.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| KRAS | 14,509 |
| ERBB2 | 9,659 |
| CDH1 | 8,738 |
| BRAF | 7,394 |
| ATM | 7,383 |
| CHEK2 | 4,795 |
| MSH2 | 4,537 |
| MLH1 | 4,435 |
| ZEB1 | 4,171 |
| POLD1 | 4,000 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ATM | CHEK2 | string_interaction |
| ATM | MLH1 | string_interaction |
| ATM | MSH2 | string_interaction |
| ATM | ZEB1 | biogrid_interaction |
| BRAF | KRAS | biogrid_interaction, intact, string_interaction |
| BRAF | MLH1 | string_interaction |
| BRAF | PMS2 | string_interaction |
| BRAF | POLE | intact |
| CDH1 | ERBB2 | string_interaction |
| CDH1 | ZEB1 | string_interaction |
| CHEK2 | XRCC2 | string_interaction |
| ERBB2 | KRAS | string_interaction |
| MLH1 | MSH2 | string_interaction |
| MLH1 | MUTYH | string_interaction |
| MLH1 | PMS2 | biogrid_interaction, intact, string_interaction |
| MLH1 | POLD1 | string_interaction |
| MLH1 | POLE | string_interaction |
| MSH2 | MUTYH | intact, string_interaction |
| MSH2 | PMS2 | string_interaction |
| MSH2 | POLD1 | string_interaction |
| MSH2 | POLE | string_interaction |
| MUTYH | PMS2 | string_interaction |
| MUTYH | POLD1 | string_interaction |
| MUTYH | POLE | string_interaction |
| PMS2 | POLD1 | string_interaction |
| PMS2 | POLE | string_interaction |
| PMS2 | XRCC2 | string_interaction |
| POLD1 | POLE | string_interaction |
Structural data
PDB: 17 · AlphaFold-only: 1 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| KRAS | P01116 | 511 |
| BRAF | P15056 | 131 |
| ERBB2 | P04626 | 63 |
| CHEK2 | O96017 | 38 |
| APC | P25054 | 31 |
| MSH2 | P43246 | 30 |
| CDH1 | P12830 | 22 |
| POLE | Q07864 | 18 |
| POU5F1 | Q01860 | 16 |
| XRCC2 | O43543 | 16 |
| ATM | Q13315 | 14 |
| BIRC7 | Q96CA5 | 13 |
| PMS2 | P54278 | 9 |
| MLH1 | P40692 | 7 |
| POLD1 | P28340 | 6 |
| MUTYH | Q9UIF7 | 3 |
| ZEB1 | P37275 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| PKHD1 | P08F94 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 291. Enrichment computed across 18 evidence-associated genes (17 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 17 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Mismatch repair (MMR) directed by MSH2:MSH6 (MutSalpha) | 4 | 191.9× | 5e-07 | MLH1, MSH2, PMS2, POLD1 |
| Mismatch repair (MMR) directed by MSH2:MSH3 (MutSbeta) | 4 | 191.9× | 5e-07 | MLH1, MSH2, PMS2, POLD1 |
| Defective Mismatch Repair Associated With MLH1 | 2 | 671.8× | 1e-04 | MLH1, PMS2 |
| Defective Mismatch Repair Associated With PMS2 | 2 | 671.8× | 1e-04 | MLH1, PMS2 |
| HDR through Homologous Recombination (HRR) | 4 | 44.8× | 1e-04 | XRCC2, ATM, POLD1, POLE |
| TP53 Regulates Transcription of DNA Repair Genes | 4 | 42.6× | 1e-04 | MLH1, MSH2, ATM, PMS2 |
| Diseases of DNA repair | 3 | 100.8× | 1e-04 | MLH1, MSH2, ATM |
| Mismatch Repair | 2 | 335.9× | 4e-04 | MLH1, MSH2 |
| Diseases of Mismatch Repair (MMR) | 2 | 335.9× | 4e-04 | MLH1, MSH2 |
| Constitutive Signaling by Overexpressed ERBB2 | 2 | 112.0× | 0.004 | ERBB2, KRAS |
| Regulation of MITF-M-dependent genes involved in extracellular matrix, focal adhesion and epithelial-to-mesenchymal transition | 2 | 103.3× | 0.004 | ZEB1, CDH1 |
| Stabilization of p53 | 2 | 89.6× | 0.005 | CHEK2, ATM |
| Developmental Lineage of Mammary Stem Cells | 2 | 89.6× | 0.005 | CDH1, ERBB2 |
| Signaling by ERBB2 ECD mutants | 2 | 79.0× | 0.006 | ERBB2, KRAS |
| GRB2 events in ERBB2 signaling | 2 | 74.6× | 0.006 | ERBB2, KRAS |
| Regulation of TP53 Activity through Methylation | 2 | 64.0× | 0.007 | CHEK2, ATM |
| Developmental Lineage of Mammary Gland Myoepithelial Cells | 2 | 64.0× | 0.007 | CDH1, ERBB2 |
| PCNA-Dependent Long Patch Base Excision Repair | 2 | 61.1× | 0.007 | POLD1, POLE |
| Apoptotic cleavage of cellular proteins | 2 | 56.0× | 0.007 | CDH1, APC |
| SHC1 events in ERBB2 signaling | 2 | 56.0× | 0.007 | ERBB2, KRAS |
| Apoptotic execution phase | 2 | 56.0× | 0.007 | CDH1, APC |
| Signaling by ERBB2 TMD/JMD mutants | 2 | 56.0× | 0.007 | ERBB2, KRAS |
| Impaired BRCA2 binding to PALB2 | 2 | 53.7× | 0.007 | XRCC2, ATM |
| Developmental Lineage of Mammary Gland Luminal Epithelial Cells | 2 | 53.7× | 0.007 | CDH1, ERBB2 |
| Gap-filling DNA repair synthesis and ligation in GG-NER | 2 | 51.7× | 0.007 | POLD1, POLE |
| Signaling by ERBB2 KD Mutants | 2 | 49.8× | 0.007 | ERBB2, KRAS |
| Defective homologous recombination repair (HRR) due to BRCA1 loss of function | 2 | 49.8× | 0.007 | XRCC2, ATM |
| Defective HDR through Homologous Recombination Repair (HRR) due to PALB2 loss of BRCA1 binding function | 2 | 49.8× | 0.007 | XRCC2, ATM |
| Defective HDR through Homologous Recombination Repair (HRR) due to PALB2 loss of BRCA2/RAD51/RAD51C binding function | 2 | 49.8× | 0.007 | XRCC2, ATM |
| DNA Repair | 3 | 17.4× | 0.007 | MLH1, MSH2, ATM |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 18 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| positive regulation of isotype switching to IgA isotypes | 3 | 468.1× | 4e-06 | MLH1, MSH2, PMS2 |
| mismatch repair | 4 | 144.0× | 4e-06 | MLH1, MSH2, MUTYH, PMS2 |
| positive regulation of isotype switching to IgG isotypes | 3 | 255.3× | 2e-05 | MLH1, MSH2, PMS2 |
| somatic hypermutation of immunoglobulin genes | 3 | 175.5× | 5e-05 | MLH1, MSH2, PMS2 |
| DNA replication proofreading | 2 | 624.1× | 2e-04 | POLD1, POLE |
| somatic recombination of immunoglobulin gene segments | 2 | 468.1× | 4e-04 | MSH2, PMS2 |
| nucleotide-excision repair, DNA gap filling | 2 | 312.1× | 8e-04 | POLD1, POLE |
| negative regulation of neuron apoptotic process | 4 | 24.6× | 8e-04 | BRAF, XRCC2, KRAS, MSH2 |
| intrinsic apoptotic signaling pathway in response to DNA damage | 3 | 54.0× | 8e-04 | CHEK2, MLH1, ATM |
| regulation of microtubule-based process | 2 | 208.1× | 0.001 | ERBB2, APC |
| meiotic telomere clustering | 2 | 208.1× | 0.001 | MLH1, ATM |
| double-strand break repair | 3 | 33.8× | 0.003 | CHEK2, MSH2, ATM |
| base-excision repair, gap-filling | 2 | 124.8× | 0.003 | POLD1, POLE |
| regulation of autophagosome assembly | 2 | 124.8× | 0.003 | CHEK2, ATM |
| protein phosphorylation | 4 | 15.1× | 0.003 | BRAF, CHEK2, ERBB2, ATM |
| replicative senescence | 2 | 110.1× | 0.003 | CHEK2, ATM |
| DNA synthesis involved in DNA repair | 2 | 104.0× | 0.003 | POLD1, POLE |
| mitotic intra-S DNA damage checkpoint signaling | 2 | 104.0× | 0.003 | CHEK2, MSH2 |
| DNA repair | 4 | 14.2× | 0.003 | XRCC2, MSH2, MUTYH, POLD1 |
| response to X-ray | 2 | 98.5× | 0.003 | XRCC2, MSH2 |
| cellular response to stress | 2 | 93.6× | 0.003 | CHEK2, ATM |
| isotype switching | 2 | 93.6× | 0.003 | MLH1, MSH2 |
| signal transduction in response to DNA damage | 2 | 89.2× | 0.003 | CHEK2, ATM |
| cellular response to gamma radiation | 2 | 66.9× | 0.006 | CHEK2, ATM |
| regulation of ERK1 and ERK2 cascade | 2 | 64.6× | 0.006 | ERBB2, PKHD1 |
| DNA-templated DNA replication | 2 | 62.4× | 0.006 | POLD1, POLE |
| mitotic spindle assembly checkpoint signaling | 2 | 62.4× | 0.006 | APC, ATM |
| intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediator | 2 | 55.1× | 0.007 | CHEK2, MSH2 |
| pattern specification process | 2 | 52.0× | 0.008 | ZEB1, APC |
| determination of adult lifespan | 2 | 48.0× | 0.009 | MSH2, ATM |
Therapeutics
Drug target analysis
Approved (phase 4): 6 · Phase ≥3: 6 · Phased (≥1): 7 · Undrugged: 11
Druggability breadth: 14 of 18 evidence-associated genes (78%) 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.
| Symbol | Example approved molecule |
|---|---|
| BRAF | VEMURAFENIB |
| ERBB2 | CLOTRIMAZOLE |
| KRAS | VEMURAFENIB |
| POU5F1 | FAMOTIDINE |
| CHEK2 | NERATINIB |
| ATM | AMIODARONE HYDROCHLORIDE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| ERBB2 | 83 | 4 |
| BRAF | 48 | 4 |
| ATM | 35 | 4 |
| CHEK2 | 30 | 4 |
| KRAS | 11 | 4 |
| BIRC7 | 3 | 2 |
| POU5F1 | 1 | 4 |
| ZEB1 | 0 | 0 |
| XRCC2 | 0 | 0 |
| CDH1 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| VEMURAFENIB | 4 | BRAF, KRAS |
| PONATINIB | 4 | BRAF, ERBB2 |
| FEDRATINIB | 4 | BRAF |
| SORAFENIB | 4 | BRAF, ERBB2 |
| DASATINIB ANHYDROUS | 4 | BRAF |
| RUXOLITINIB | 4 | BRAF |
| INFIGRATINIB PHOSPHATE | 4 | BRAF |
| INFIGRATINIB | 4 | BRAF |
| REGORAFENIB | 4 | BRAF |
| DABRAFENIB | 4 | BRAF, KRAS |
| COBIMETINIB | 4 | BRAF |
| NILOTINIB | 4 | BRAF |
| ABEMACICLIB | 4 | BRAF |
| ENCORAFENIB | 4 | BRAF |
| TOVORAFENIB | 4 | BRAF |
| PAZOPANIB | 4 | BRAF |
| DASATINIB | 4 | BRAF, ERBB2 |
| ERLOTINIB | 4 | BRAF, ERBB2 |
| GEFITINIB | 4 | BRAF, CHEK2, ERBB2 |
| IMATINIB | 4 | BRAF, ERBB2 |
| CLOTRIMAZOLE | 4 | ERBB2 |
| ERLOTINIB HYDROCHLORIDE | 4 | ERBB2 |
| AFATINIB | 4 | ERBB2 |
| LAPATINIB DITOSYLATE | 4 | ERBB2 |
| NERATINIB | 4 | CHEK2, ERBB2 |
| IBRUTINIB | 4 | ERBB2 |
| AFATINIB DIMALEATE | 4 | ERBB2 |
| CABOZANTINIB | 4 | ERBB2 |
| DACOMITINIB | 4 | ERBB2 |
| DACOMITINIB ANHYDROUS | 4 | ERBB2 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 7.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| BRAF | 1,442 | Binding:1400, Functional:37, ADMET:5 |
| ERBB2 | 1,221 | Binding:1136, Functional:79, ADMET:6 |
| KRAS | 861 | Binding:829, Functional:32 |
| CHEK2 | 690 | Binding:687, Functional:2, ADMET:1 |
| ATM | 240 | Binding:233, Functional:5, ADMET:2 |
| POU5F1 | 36 | Binding:36 |
| APC | 24 | Binding:24 |
| CDH1 | 18 | Binding:18 |
| BIRC7 | 14 | Binding:13, Functional:1 |
| MSH2 | 9 | Binding:9 |
| POLD1 | 8 | Binding:8 |
| MUTYH | 1 | Functional:1 |
| PMS2 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| BRAF | 2.7.10.2, 2.7.11.1 | non-specific protein-tyrosine kinase, non-specific serine/threonine protein kinase |
| ERBB2 | 2.7.10.1 | receptor protein-tyrosine kinase |
| KRAS | 3.6.5.2 | small monomeric GTPase |
| CHEK2 | 2.7.11.1 | non-specific serine/threonine protein kinase |
| ATM | 2.7.11.1 | non-specific serine/threonine protein kinase |
| POLD1 | 2.7.7.7 | DNA-directed DNA polymerase |
| POLE | 2.7.7.7 | DNA-directed DNA polymerase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| BRAF | 1,442 |
| ERBB2 | 1,221 |
| KRAS | 861 |
| CHEK2 | 690 |
| ATM | 240 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 18; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Drug repurposing candidates
27 approved/phased drugs hit cohort targets but don’t yet appear in disease-level clinical trials. Target-inhibition rationale is strongest for cancer driver genes; a bioactivity hit is a screening signal, not a treatment claim.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| VEMURAFENIB | 4 | BRAF, KRAS |
| PONATINIB | 4 | BRAF, ERBB2 |
| FEDRATINIB | 4 | BRAF |
| SORAFENIB | 4 | BRAF, ERBB2 |
| DASATINIB ANHYDROUS | 4 | BRAF |
| RUXOLITINIB | 4 | BRAF |
| INFIGRATINIB PHOSPHATE | 4 | BRAF |
| INFIGRATINIB | 4 | BRAF |
| REGORAFENIB | 4 | BRAF |
| DABRAFENIB | 4 | BRAF, KRAS |
| COBIMETINIB | 4 | BRAF |
| NILOTINIB | 4 | BRAF |
| TOVORAFENIB | 4 | BRAF |
| PAZOPANIB | 4 | BRAF |
| DASATINIB | 4 | BRAF, ERBB2 |
| ERLOTINIB | 4 | BRAF, ERBB2 |
| GEFITINIB | 4 | BRAF, CHEK2, ERBB2 |
| IMATINIB | 4 | BRAF, ERBB2 |
| CLOTRIMAZOLE | 4 | ERBB2 |
| AFATINIB | 4 | ERBB2 |
| LAPATINIB DITOSYLATE | 4 | ERBB2 |
| NERATINIB | 4 | CHEK2, ERBB2 |
| IBRUTINIB | 4 | ERBB2 |
| AFATINIB DIMALEATE | 4 | ERBB2 |
| CABOZANTINIB | 4 | ERBB2 |
| DACOMITINIB | 4 | ERBB2 |
| DACOMITINIB ANHYDROUS | 4 | ERBB2 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 6 | BRAF, ERBB2, KRAS, POU5F1, CHEK2, ATM |
| B | Phased (≥1) drug, not yet approved | 1 | BIRC7 |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 1 | PKHD1 |
| E | Difficult family or no structure, no drug | 10 | ZEB1, XRCC2, CDH1, APC, MLH1, MSH2, MUTYH, PMS2, POLD1, POLE |
Undrugged target profiles
11 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| ZEB1 | 0 | — |
| XRCC2 | 0 | — |
| CDH1 | 18 | — |
| APC | 24 | — |
| MLH1 | 0 | — |
| MSH2 | 9 | — |
| MUTYH | 1 | — |
| PKHD1 | 0 | — |
| PMS2 | 1 | — |
| POLD1 | 8 | — |
| POLE | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 1,079.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 599 |
| PHASE2 | 174 |
| PHASE1 | 120 |
| PHASE3 | 76 |
| PHASE1/PHASE2 | 72 |
| PHASE4 | 15 |
| EARLY_PHASE1 | 12 |
| PHASE2/PHASE3 | 11 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT05250648 | PHASE4 | RECRUITING | Clinical Trial on HIPEC With Mitomycin C in Colon Cancer Peritoneal Metastases (GECOP-MMC) |
| NCT01169220 | PHASE4 | COMPLETED | Bowel Preparation for Inpatient Colonoscopy |
| NCT01170754 | PHASE4 | COMPLETED | Miralax (PEG 3350) vs. Golytely as Bowel Preparation for Screening Colonoscopy |
| NCT02052557 | PHASE4 | COMPLETED | The Effect of Exparel on Post Operative Pain and Narcotic Use After Colon Surgery |
| NCT02078726 | PHASE4 | COMPLETED | Glucagon Use in Colonoscopies |
| NCT02231203 | PHASE4 | COMPLETED | Effect of Omega-3 Fatty Acids on the Perioperative Immune Response and Erythrocyte Function |
| NCT02314871 | PHASE4 | COMPLETED | Effects of Different Types of Perioperative Analgesia on Minimal Residual Disease Development After Colon Cancer Surgery |
| NCT02746432 | PHASE4 | UNKNOWN | Insulin Therapy Reduce Post-Operative Inflammatory Response After Curative Colorectal Cancer Resection: Randomization Controlled Trial |
| NCT02887365 | PHASE4 | UNKNOWN | A Phase II Study of Tegafur-Uracil as Maintenance Chemotherapy in Patients With Stage II of Colon Cancer |
| NCT02937506 | PHASE4 | COMPLETED | Patient Satisfaction With Propofol for Out Patient Colonoscopy |
| NCT02958566 | PHASE4 | UNKNOWN | Multimodal Narcotic Limited Perioperative Pain Control With Colorectal Surgery |
| NCT03980704 | PHASE4 | COMPLETED | Preoperative High Protein vs Immunodiet in Surgical Cancer Patients |
| NCT04269369 | PHASE4 | UNKNOWN | Implementation of Pre-emptive Geno- and Phenotyping in 5-Fluorouracil- or Capecitabine-treated Patients |
| NCT04311099 | PHASE4 | COMPLETED | Optimal Peripheral Nerve Block After Minimally Invasive Colon Surgery |
| NCT04709770 | PHASE4 | UNKNOWN | Low-volume vs High-volume Polyethylene Glycol Based Bowel Preparation for Colonoscopy in People Receiving Hemodialysis |
| NCT00217737 | PHASE3 | ACTIVE_NOT_RECRUITING | Oxaliplatin, Leucovorin, and Fluorouracil With or Without Bevacizumab in Treating Patients Who Have Undergone Surgery for Stage II Colon Cancer |
| NCT01460589 | PHASE3 | ACTIVE_NOT_RECRUITING | Early Commencement of Adjuvant Chemotherapy for Colon Cancer |
| NCT01918527 | PHASE3 | ACTIVE_NOT_RECRUITING | Neoadjuvant Chemotherapy Versus Standard Treatment in Patients With Locally Advanced Colon Cancer |
| NCT02301286 | PHASE3 | ACTIVE_NOT_RECRUITING | A Trial of Aspirin on Recurrence and Survival in Colon Cancer Patients |
| NCT02448173 | PHASE3 | NOT_YET_RECRUITING | A Multicenter Study of Active Specific Immunotherapy With OncoVax® in Patients With Stage II Colon Cancer |
| NCT02572141 | PHASE3 | ACTIVE_NOT_RECRUITING | FOLFOX or CAPOX Perioperative Chemotherapy Versus Postoperative Chemotherapy for Locally Advanced Colon Cancer (OPTICAL) |
| NCT02912559 | PHASE3 | ACTIVE_NOT_RECRUITING | Combination Chemotherapy With or Without Atezolizumab in Treating Patients With Stage III Colon Cancer and Deficient DNA Mismatch Repair |
| NCT03125980 | PHASE3 | RECRUITING | Perioperative Versus Postoperative CapOX Chemotherapy for Locally Advanced Colon Cancer |
| NCT03426904 | PHASE3 | ACTIVE_NOT_RECRUITING | Neoadjuvant FOLFOX Chemotherapy for Patients With Locally Advanced Colon Cancer |
| NCT03428477 | PHASE3 | ACTIVE_NOT_RECRUITING | EPA for Metastasis Trial 2 |
| NCT03464305 | PHASE3 | ACTIVE_NOT_RECRUITING | ASPIRIN Trial Belgium |
| NCT03803553 | PHASE3 | RECRUITING | Identification and Treatment Of Micrometastatic Disease in Stage III Colon Cancer |
| NCT04068103 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | Circulating Tumor DNA Testing in Predicting Treatment for Patients With Stage IIA Colon Cancer After Surgery |
| NCT04089631 | PHASE3 | RECRUITING | Circulating Tumour DNA Based Decision for Adjuvant Treatment in Colon Cancer Stage II Evaluation |
| NCT05174169 | PHASE2/PHASE3 | RECRUITING | Colon Adjuvant Chemotherapy Based on Evaluation of Residual Disease |
| NCT05179889 | PHASE2/PHASE3 | RECRUITING | Adjuvant mFOLFIRINOX for High-risk Stage III Colon Cancer |
| NCT05194878 | PHASE3 | RECRUITING | Neoadjuvant FOLFOXIRI Versus Immediate Surgery for Stage II and III Colon Cancers |
| NCT05534087 | PHASE3 | RECRUITING | Platform Study of Circulating Tumor DNA Directed Adjuvant Chemotherapy in Colon Cancer (KCSG CO22-12) |
| NCT05709249 | PHASE3 | RECRUITING | Xian-Lian-Jie-Du Optimization Decoction As an Adjuvant Treatment for Prevention of Recurrence of Colon Cancer |
| NCT05710406 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | Testing the Use of BRAF-Targeted Therapy After Surgery and Usual Chemotherapy for BRAF-Mutated Colon Cancer |
| NCT06107920 | PHASE3 | RECRUITING | Neoadjuvant Chemotherapy for Obstructive Colon cancER First Treated by cOlostomy |
| NCT06293625 | PHASE3 | RECRUITING | Personalising and Refining Neo-adjuvant Chemotherapy in Locally Advanced but Resecable Colon Cancer in the Elderly of 70 Years Old or More |
| NCT06446557 | PHASE3 | NOT_YET_RECRUITING | De-scalation or swItch of Treatment According to Circulating tuMOr DNA Variation After 2 Cycles of Doublet Chemotherapy Plus Targeted Agent in Metastatic Unresectable Colorectal Cancer |
| NCT06490536 | PHASE3 | RECRUITING | The Sagittarius Trial |
| NCT06609551 | PHASE3 | RECRUITING | ctDNA-guided Selection of Adjuvant Chemotherapy Regimens for Elderly Colon Cancer Patients After Surgery: A Single-center, Randomized, Controlled Study |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| LEUCOVORIN | 4 | 24 |
| PANITUMUMAB | 4 | 9 |
| TIPIRACIL | 4 | 9 |
| OXALIPLATIN | 4 | 8 |
| TRIFLURIDINE | 4 | 7 |
| ASPIRIN | 4 | 6 |
| BEVACIZUMAB | 4 | 5 |
| ENCORAFENIB | 4 | 5 |
| FLUOROURACIL | 4 | 5 |
| IRINOTECAN HYDROCHLORIDE | 4 | 5 |
| FLOXURIDINE | 4 | 4 |
| FRUQUINTINIB | 4 | 4 |
| CEMIPLIMAB | 4 | 3 |
| CETUXIMAB | 4 | 3 |
| MORPHINE | 4 | 3 |
| PERTUZUMAB | 4 | 3 |
| SELUMETINIB | 4 | 3 |
| BINIMETINIB | 4 | 2 |
| BUPIVACAINE | 4 | 2 |
| DOSTARLIMAB | 4 | 2 |
| ERLOTINIB HYDROCHLORIDE | 4 | 2 |
| PEGFILGRASTIM | 4 | 2 |
| POLYETHYLENE GLYCOL 3350 | 4 | 2 |
| RALTITREXED | 4 | 2 |
| SELPERCATINIB | 4 | 2 |
| TEGAFUR | 4 | 2 |
| TUCATINIB | 4 | 2 |
| ABEMACICLIB | 4 | 1 |
| ATEZOLIZUMAB | 4 | 1 |
| ATORVASTATIN CALCIUM | 4 | 1 |
Precision-medicine subtype map (CIViC)
Drug × molecular subtype: 21 predictive associations from 21 curated evidence items; also 1 oncogenic, 1 prognostic.
| Molecular subtype | Therapy | Effect | Level | CIViC |
|---|---|---|---|---|
| KRAS G13D | Cetuximab | Sensitivity/Response | CIViC B | EID6974 |
| KRAS G12A | Cetuximab | Resistance | CIViC C | EID3717 |
| KRAS G12C | Cetuximab | Resistance | CIViC C | EID3981 |
| KRAS G12D | Cetuximab | Resistance | CIViC C | EID3960 |
| KRAS G12R | Cetuximab | Resistance | CIViC C | EID3998 |
| KRAS G12V | Cetuximab | Resistance | CIViC C | EID3931 |
| KRAS G13D | Cetuximab | Resistance | CIViC C | EID3896 |
| BRAF V600E | Regorafenib Anhydrous | Sensitivity/Response | CIViC D | EID3776 |
| ERBB2 L755S | Lapatinib + Neratinib + Trastuzumab | Sensitivity/Response | CIViC D | EID1176 |
| ERBB2 L866M | Trastuzumab + Neratinib + Lapatinib | Sensitivity/Response | CIViC D | EID1178 |
| ERBB2 S310F/Y | Neratinib + Trastuzumab + Lapatinib | Sensitivity/Response | CIViC D | EID1179 |
| ERBB2 V777L | Lapatinib + Trastuzumab + Neratinib | Sensitivity/Response | CIViC D | EID1177 |
| ERBB2 V842I | Trastuzumab + Lapatinib + Neratinib | Sensitivity/Response | CIViC D | EID1174 |
| FGFR2 Overexpression | Rogaratinib | Sensitivity/Response | CIViC D | EID7830 |
| KRAS G12V | Regorafenib Anhydrous | Sensitivity/Response | CIViC D | EID3932 |
| KRAS G13D | Regorafenib Anhydrous | Sensitivity/Response | CIViC D | EID3897 |
| BIRC7 Amplification | Cisplatin | Resistance | CIViC D | EID661 |
| CIC Loss | Trametinib | Resistance | CIViC D | EID5111 |
| CIC Loss | Vemurafenib | Resistance | CIViC D | EID5112 |
| POU5F1 EXPRESSION | Oxaliplatin | Resistance | CIViC D | EID958 |
| ZEB1 Expression | Oxaliplatin | Resistance | CIViC D | EID8086 |
Related Atlas pages
- Cohort genes: BRAF, ZEB1, BIRC7, ERBB2, KRAS, POU5F1, CHEK2, CDH1, APC, MLH1, MSH2, ATM, PMS2, POLD1, POLE, XRCC2, MUTYH, PKHD1
- Drugs: Panitumumab, Tipiracil, Oxaliplatin, Trifluridine, Aspirin, Bevacizumab, Encorafenib, Fluorouracil, Irinotecan, Floxuridine, Fruquintinib, Cemiplimab, Cetuximab, Morphine, Pertuzumab, Selumetinib, Binimetinib, Bupivacaine, Dostarlimab, Erlotinib, Pegfilgrastim, POLYETHYLENE GLYCOL 3350, Raltitrexed, Selpercatinib, Tegafur, Tucatinib, Abemaciclib, Atezolizumab, Atorvastatin, Regorafenib, Cisplatin, Trametinib, Vemurafenib