Is there a freely available piece of software that can do variant filtration to identify possibly clinically relevant variants (SNVs, CNVs, Indels) from vcf files?
There are tools like ANNOVAR, SnpEff, and VEP that are widely used for variant annotation. Most variant filtration/prioritization software work on the output from these three main software. Appended below is a list of software that one can use to do variant annotation, filtration, and even prioritization.
NOTE: However you can use these free platforms in a clinical setting, they are designed for research use. In some cases, there is a clinical version available which is not free.
1- wANNOVAR: is a webtool for variant annotation, filtration, prioritization by Phenolyzer . This is an online version of the ANNOVAR .
2- GENEYX formerly known as TGex is a webtool for variant annotation by SnpEff, filtration, and prioritization (by VarElect)
3- VarAFT is a tool for variant annotation by ANNOVAR, filtration, and prioritization
4- SeattleSeq Annotation: is a webtool for ariant annotation.
5- Mendel,MD!: is a webtool for variant annotation, filtration and prioritization (?).
6- UCSC Variant Annotation Integrator
7- BrowseVCF: a web-application to quickly prioritize disease-causative variants in VCF files
8- Varsome: this is a variant classifiers based on ACMG2015
9- InterVar: variant classifiers
Annotate the variants and then filter them accordingly. You can try SnpEff and SnpSift in combination.