Annotation Detail

Information
Associated Genes
BRCA1
Associated Variants
BRCA1 LOSS-OF-FUNCTION
BRCA1 LOSS-OF-FUNCTION
Associated Disease
Her2-receptor negative breast cancer
Source Database
CIViC Evidence
Description
302 patients (234 with progression events) with HER2-negative metastatic breast cancer and with a confirmed deleterious or suspected deleterious germline BRCA mutation (164 BRCA1, 129 BRCA2) had significantly improved progression-free survival and better response rate to olaparib (PARP inhibitor) than standard therapy (7.0 mo vs 4.2 mo, hazard ratio 0.58, 95% CI 0.43-0.8) in this randomized phase 3 trial (NCT02000622). For BRCA1 patients specifically, the hazard ratio was 0.54, 95% CI 0.37-0.79).
Variant Origin
germline
Variant Origin
Rare Germline
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/5815
Gene URL
https://civic.genome.wustl.edu/links/genes/6
Variant URL
https://civic.genome.wustl.edu/links/variants/131
Rating
5
Evidence Type
Predictive
Disease
Her2-receptor Negative Breast Cancer
Evidence Direction
Supports
Drug
Olaparib
Evidence Level
B
Clinical Significance
Sensitivity/Response
Pubmed
28578601
Drugs
Drug NameSensitivitySupported
OlaparibSensitivitytrue