Evidence map›Paper›PMID 42592377›Full record

ArticleBioinformatics advances2026

CIViC MCP: integrating large language models with the Clinical Interpretations of Variants in Cancer.

Lars Schimmelpfennig, Quentin Cody, Joshua F McMichael, Adam C Coffman, Mariam Khanfar, Jinglun Li, Jennie X Yao, Jason Saliba, Arpad Danos, Susanna Kiwala and 5 more

Abstract read
In one paragraph

Article in Bioinformatics advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Searching the druggable genome using large language models.Bioinformatics (Oxford, England) · 2026
    Article
  2. Searching the Druggable Genome using Large Language Models.bioRxiv : the preprint server for biology · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Lars SchimmelpfennigDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, United States.ORCID https://orcid.org/0009-0009-0585-2062
Quentin CodyIndependent Researcher, Philadelphia, PA, United States.
Joshua F McMichaelMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO 63108, United States.ORCID https://orcid.org/0000-0002-0197-2245
Adam C CoffmanDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, United States.ORCID https://orcid.org/0000-0003-0944-3126
Mariam KhanfarDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, United States.
Jinglun LiDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, United States.
Jennie X YaoDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, United States.
Jason SalibaDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, United States.
Arpad DanosDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, United States.
Susanna KiwalaDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, United States.ORCID https://orcid.org/0000-0003-4378-7328
Alex WagnerSteve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children's Hospital, Columbus, OH 43205, United States.ORCID https://orcid.org/0000-0002-2502-8961
Javier Sanz-CruzadoInformation Retrieval Group, School of Computing Science, University of Glasgow, Glasgow G12 8RZ, United Kingdom.
Jake LeverInformation Retrieval Group, School of Computing Science, University of Glasgow, Glasgow G12 8RZ, United Kingdom.ORCID https://orcid.org/0000-0001-8198-2939
Malachi GriffithDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, United States.ORCID https://orcid.org/0000-0002-6388-446X
Obi L GriffithDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, United States.ORCID https://orcid.org/0000-0002-0843-4271

Funding

Standardized and Genome-Wide Clinical Interpretation of Complex Genotypes for Cancer Precision MedicineU24CA237719 · NCI · WASHINGTON UNIVERSITY · PI GRIFFITH, OBI L. · 2019 to 2023
$3.8M
Text Mining and Large Language Models for AI-Driven Evidence-Based Functional Annotation of Clinical VariantsU24CA275783 · NCI · WASHINGTON UNIVERSITY · PI Malachi Griffith, Obi L. Griffith · 2023 to 2026
$2.6M
Accelerating the expert-crowdsourcing of cancer variant interpretation in CIViCU24CA305456 · NCI · WASHINGTON UNIVERSITY · PI Malachi Griffith, Obi L. Griffith · 2025 to 2026
$2.0M
Genomic Expert Curation Panels for Pediatric MalignanciesU24CA258115 · NCI · WASHINGTON UNIVERSITY · PI GRIFFITH, MALACHI, GRIFFITH, OBI L. · 2022 to 2024
$870k
NCI NIH HHS U24 CA237719NCI NIH HHS U24 CA258115NCI NIH HHS U24 CA275783NCI NIH HHS U24 CA305456
6 · The paper itself

Abstract

Motivation: The Clinical Interpretations of Variants in Cancer (CIViC) knowledgebase provides a community-driven, open-source platform for discussing the biological and clinical significance of molecular variants in cancer. Large language models (LLMs) offer a natural-language interface to CIViC, enabling users to discover and summarize curated oncology knowledge, but LLMs cannot guarantee coverage of specialized, rapidly updated resources like CIViC from pretraining alone. Results: To enable users to make complex connections between CIViC information, we developed the CIViC Model Context Protocol (MCP) server. It allows users to interface with the CIViC API through natural language via LLMs. This facilitates the rapid summarization of expertly curated cancer variant interpretations. Our benchmark shows the server improves the accuracy of clinical significance retrieval while avoiding the far greater latency of GPT-5's Agent Mode, which navigates the web by simulating human inputs. Availability and implementation: The CIViC MCP server is detailed at https://github.com/griffithlab/civic-mcp-server. The repository includes instructions for accessing the server through the Claude desktop app (our recommended approach) and hosting it locally with GPT-5, as well as a Python script for directly querying the MCP server. We also provide an MCP-supported chatbot for CIViC users at https://civicdb.org/mcp-chat.

Identifiers

PMID42592377
PMCPMC13466716

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.