Disease Briefing

Breast cancer: research and therapeutic landscape

A live synthesis of what is being targeted, what is being trialled, which datasets exist, and where the actionable gaps sit — assembled from public APIs, with every figure traceable to its source.

Generated 2026-09-12Sources Open Targets · ClinicalTrials.gov · openFDA · GEO · PubMed · Europe PMC · iCite · RePORTERRanked 3910 studies · 232,938 GEO samples
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Answer block

12 genes recurrently implicated in breast cancer — ESR1, PGR, ERBB2, PIK3CA, AKT1, PTEN, CDK4, CDK6, BRCA1, BRCA2, TP53, TACSTD2 — triaged for what can actually be aimed at them, alongside the trials, public datasets, literature and funding around the disease. Every figure below carries its source and retrieval date in the section it comes from.

40
drugs carry an FDA label naming breast cancer: Abemaciclib, Ado-Trastuzumab Emtansine, Alpelisib, Anastrozole, Camizestrant, Capivasertib and 34 more. This counts labels, not treatment — the disease is also treated with agents approved under broader indications
7
of the 12 genes above carry a drug that is approved in breast cancer itself — AKT1, CDK4, CDK6, ERBB2, ESR1, PIK3CA, TACSTD2. Across all of them 217 drug entries reach these genes, 197 distinct once salt forms are merged
9
registered mesothelin cell-therapy trials in breast cancer, 7 active. Counted from ClinicalTrials.gov across 2 synonyms, deduplicated by NCT id, interventional studies only — the query is published in the JSON beside this page so the number can be re-derived
3
targets carry an Open Targets tractability signal and have no clinical programme of any kind: PTEN, BRCA1, BRCA2. ERBB2, TACSTD2 have cell-therapy trials, so they are undrugged rather than untouched
8,677
human GEO series match the disease; 3,910 survive on-topic filtering, and only 271 are patient cohorts of 100+ samples
727
Europe PMC full-text papers name GSE2034 — the highest accession-mention count in the set. A mention is not proof of reanalysis, so read it as reach rather than reuse
$512.8M
NIH obligations in FY2025, up 21% since 2013 — while distinct core projects went 917 to 905. Larger awards rather than more distinct core projects; core projects are not the same unit as laboratories

Target landscape

Open Targets · retrieved 2026-09-11 · weekly

12 genes recurrently implicated in breast cancer, triaged for whether anything can actually be aimed at them. The zeros are the informative rows.

Of 12 recurrently implicated genes, 9 carry any drug at all. That is a statement about these 12 gene targets, not about the disease: Breast cancer does have labelled therapy — 40 drugs, listed in the next section.

Two different questions

The table below asks what can be aimed at 12 recurrently implicated genes. That is narrower than what is approved for the disease, and narrower again than what breast cancer is actually treated with, which includes agents approved under broader indications. All three are on this page and they are kept apart deliberately.

GeneDrugsApproval, and whether it reached this diseaseOpen Targets tractabilitycomputed from protein features and literature — a signal that a modality is worth trying, not evidence that it worksCell therapy here
ESR1 43 29 approvedArzoxifene, Bazedoxifene, Clomiphene, Cyclofenil, Dienestrol, Diethylstilbestrol, Diethylstilbestrol Diphosphate, Elacestrant, Estetrol, Estradiol, Estradiol Cypionate, Estradiol Valerate, Estriol, Estrogens, Conjugated, Estrogens, Conjugated Synthetic A, Estrogens, Esterified, Estrone, Estropipate, Ethinyl Estradiol, Fulvestrant, Lasofoxifene, Mestranol, Ospemifene, Polyestradiol, Quinestrol, Raloxifene, Synthetic Conjugated Estrogens, B, Tamoxifen, ToremifeneApproved in breast cancer: Elacestrant, Estradiol, Estrogens, Conjugated, Fulvestrant, Raloxifene, Tamoxifen, Toremifene.474 active of 1279 breast cancer trials antibody, other clinical modality, protein degrader, small molecule
PGR 28 20 approvedDanazol, Desogestrel, Drospirenone, Dydrogesterone, Ethynodiol Diacetate, Etonogestrel, Hydroxyprogesterone Caproate, Levonorgestrel, Medroxyprogesterone, Megestrol, Mifepristone, Nomegestrol, Norelgestromin, Norethindrone, Norgestimate, Norgestrel, Progesterone, Segesterone, Trimegestone, UlipristalApproved in breast fibrocystic disease, endometriosis, Menorrhagia and 20 other indications. No breast cancer indication appears on these drugs’ labels.20 active of 180 breast cancer trials antibody, protein degrader, small molecule
ERBB2 45 17 approvedAfatinib, Afatinib Dimaleate, Dacomitinib, Lapatinib, Lapatinib Ditosylate, Margetuximab, Masoprocol, Neratinib, Pertuzumab, Trastuzumab, Trastuzumab Deruxtecan, Trastuzumab Duocarmazine, Trastuzumab Emtansine, Tucatinib, Vandetanib, Zanidatamab, ZenocutuzumabApproved in breast cancer: Lapatinib, Margetuximab, Neratinib, Pertuzumab, Trastuzumab, Tucatinib.485 active of 1365 breast cancer trials antibody, other clinical modality, protein degrader, small molecule 1 active of 3 trials
PIK3CA 31 3 approvedAlpelisib, Copanlisib, InavolisibApproved in breast cancer: Alpelisib, Inavolisib.56 active of 166 breast cancer trials antibody, protein degrader, small molecule
AKT1 15 1 approvedCapivasertibApproved in breast cancer: Capivasertib.37 active of 78 breast cancer trials antibody, protein degrader, small molecule
PTEN 0 No drug antibody, protein degrader, small molecule
CDK4 15 4 approvedAbemaciclib, Palbociclib, Ribociclib, TrilaciclibApproved in breast cancer: Abemaciclib, Palbociclib, Ribociclib.270 active of 456 breast cancer trials protein degrader, small molecule
CDK6 10 4 approvedAbemaciclib, Palbociclib, Ribociclib, TrilaciclibApproved in breast cancer: Abemaciclib, Palbociclib, Ribociclib.270 active of 456 breast cancer trials protein degrader, small molecule
BRCA1 0 No drug antibody, protein degrader, small molecule
BRCA2 0 No drug protein degrader, small molecule
TP53 8 Phase 3Alrizomadlin, Cenersen, Contusugene Ladenovec, Eprenetapopt, Idasanutlin, Navtemadlin, Siremadlin, Teprasiran8 trials, none active other clinical modality, protein degrader, small molecule
TACSTD2 2 2 approvedDatopotamab Deruxtecan, Sacituzumab GovitecanApproved in breast cancer: Datopotamab Deruxtecan, Sacituzumab Govitecan.85 active of 102 breast cancer trials antibody, other clinical modality, protein degrader 1 active of 1 trial

Dataset evidence counts studies in the 3910-study ranked set whose title or abstract names the gene; the bar is scaled to CDK4. Sources: Open Targets Platform and NCBI GEO, retrieved 2026-09-11. Clinical stage is the highest reached for any indication — see the per-drug indications noted in each row. Target-prioritisation reference only; not clinical or prescribing guidance.

What is actually approved here

openFDA drug labels · weekly

40 drugs carry an FDA label naming breast cancer: Abemaciclib, Ado-Trastuzumab Emtansine, Alpelisib, Anastrozole, Camizestrant, Capivasertib, Datopotamab Deruxtecan, Elacestrant, Epirubicin, Eribulin, Estradiol, Estrogens, Conjugated, Everolimus, Exemestane, Fam-Trastuzumab Deruxtecan-Nxki, Fulvestrant, Goserelin, Imlunestrant, Inavolisib, Ixabepilone, Lapatinib, Letrozole, Margetuximab, Methyltestosterone, Neratinib, Olaparib, Palbociclib, Pembrolizumab, Pertuzumab, Pertuzumab, Trastuzumab, Raloxifene, Ribociclib, Sacituzumab Govitecan, Talazoparib, Tamoxifen, Testosterone Enanthate, Toremifene, Trastuzumab, Tucatinib, Vepdegestrant. Separately, 55 of the drugs returned for the genes in the table above are approved only for other diseases and reach breast cancer through trials, not through their labels.

40Labelled for breast cancerFDA INDICATIONS AND USAGE names the disease
55Approved, but for another diseasereturned for the genes in the table above
9Backbone agents listing itbroad cytotoxics whose labels name many tumours
6Active MUC1 cell-therapy trialsof 9 registered

Every label that names breast cancer

DrugRoleWhat the label says
AbemaciclibVerzenioLabelled hereEarly Breast Cancer VERZENIO ® (abemaciclib) is indicated: in combination with endocrine therapy (tamoxifen or an aromatase inhibitor) for the adjuvant treatment of adult patients with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, node-positive, early breast cancer at high risk of recurrence [see Clinical Studies
Ado-Trastuzumab EmtansineKADCYLALabelled hereEarly Breast Cancer (EBC) KADCYLA, as a single agent, is indicated for the adjuvant treatment of patients with HER2-positive early breast cancer who have residual invasive disease after neoadjuvant taxane and trastuzumab -based treatment.
AlpelisibPIQRAYLabelled herePIQRAY is a kinase inhibitor indicated in combination with fulvestrant for the treatment of adults with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, PIK3CA-mutated, advanced or metastatic breast cancer as detected by an FDA-approved test following progression on or after an endocrine-based regimen.
AnastrozoleANASTROZOLE, ARIMIDEX, AnastrozoleLabelled hereTreatment of advanced breast cancer in postmenopausal women with disease progression following tamoxifen therapy.
CamizestrantETCAMAHLabelled hereETCAMAH in combination with a CDK4/6 inhibitor (abemaciclib, palbociclib, or ribociclib) is indicated for the treatment of adult patients with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer upon detection of ESR1 mutation during aromatase inhibitor and CDK4/6 inhibitor therapy, based on an FDA-authorized tes...
CapivasertibTRUQAPLabelled hereHR-positive, HER2-negative locally advanced or metastatic breast cancer TRUQAP, in combination with fulvestrant, is indicated for the treatment of adult patients with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer with one or more PIK3CA/AKT1/PTEN -alteration as detected by an FDA-authorized test following p...
Datopotamab DeruxtecanDATROWAYLabelled hereUnresectable or Metastatic Triple-Negative Breast Cancer (TNBC) DATROWAY is indicated for the treatment of adult patients with unresectable or metastatic triple-negative breast cancer (TNBC) who are not candidates for PD-1/PD-L1 inhibitor therapy [see Clinical Studies
ElacestrantORSERDULabelled hereORSERDU is an estrogen receptor antagonist indicated for: treatment of postmenopausal women or adult men, with ER-positive, HER2-negative, ESR1 -mutated advanced or metastatic breast cancer, as detected by an FDA-authorized test, with disease progression following at least one line of endocrine therapy ( 1 )
EpirubicinEllenceLabelled hereELLENCE is indicated as a component of adjuvant therapy in patients with evidence of axillary node tumor involvement following resection of primary breast cancer [see Clinical Studies
EribulinERIBULIN MESYLATE, Eribulin Mesylate, HalavenLabelled hereMe tastatic Breast Cancer HALAVEN is indicated for the treatment of patients with metastatic breast cancer who have previously received at least two chemotherapeutic regimens for the treatment of metastatic disease.
EstradiolESTRADIOL, EstradiolLabelled hereTreatment of breast cancer (for palliation only) in appropriately selected women and men with metastatic disease.
Estrogens, ConjugatedConjugated Estrogens, PREMARIN, PremarinLabelled hereTreatment of Breast Cancer (for Palliation Only) in Appropriately Selected Women and Men with Metastatic Disease
EverolimusAfinitor, Afinitor Disperz, EVEROLIMUSLabelled hereHormone Receptor-Positive, HER2-Negative Breast Cancer AFINITOR ® is indicated for the treatment of postmenopausal women with advanced hormone receptor-positive, HER2-negative breast cancer in combination with exemestane, after failure of treatment with letrozole or anastrozole.
ExemestaneAromasin, EXEMESTANE, ExemestaneLabelled hereAdvanced Breast Cancer in Postmenopausal Women AROMASIN is indicated for the treatment of advanced breast cancer in postmenopausal women whose disease has progressed following tamoxifen therapy [see Clinical Studies
Fam-Trastuzumab Deruxtecan-NxkiEnhertuLabelled hereHER2-Positive Early Breast Cancer ENHERTU followed by a taxane, trastuzumab, and pertuzumab (THP) is indicated for the neoadjuvant treatment of adult patients with HER2-positive (IHC 3+ or ISH+) Stage II or III breast cancer as determined by an FDA-authorized test [see Dosage and Administration
FulvestrantCLIGAVYX, FASLODEX, FULVESTRANTLabelled here(1) HR-positive advanced breast cancer in postmenopausal women with disease progression following endocrine therapy.
GoserelinZOLADEXLabelled hereAdvanced Breast Cancer ZOLADEX is indicated for use in the palliative treatment of advanced breast cancer in pre- and perimenopausal women.
ImlunestrantInluriyoLabelled hereINLURIYO TM is an estrogen receptor antagonist indicated for: treatment of adults with ER-positive, HER2-negative, ESR1 -mutated advanced or metastatic breast cancer with disease progression following at least one line of endocrine therapy ( 1 )
InavolisibItovebiLabelled hereITOVEBI is a kinase inhibitor indicated in combination with palbociclib and fulvestrant for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine th...
IxabepiloneIXEMPRALabelled hereAs a single agent for patients with metastatic or locally advanced breast cancer after failure of an anthracycline, a taxane, and capecitabine.
LapatinibLapatinib, TYKERBLabelled hereLapatinib tablets are indicated in combination with: capecitabine for the treatment of patients with advanced or metastatic breast cancer whose tumors overexpress human epidermal growth factor receptor 2 (HER2) and who have received prior therapy, including an anthracycline, a taxane, and trastuzumab.
LetrozoleFemara, LETROZOLE, LetrozoleLabelled hereAdjuvant Treatment of Early Breast Cancer Letrozole tablets are indicated for the adjuvant treatment of postmenopausal women with hormone receptor positive early breast cancer.
MargetuximabMARGENZALabelled hereMARGENZA is indicated, in combination with chemotherapy, for the treatment of adult patients with metastatic HER2-positive breast cancer who have received two or more prior anti-HER2 regimens, at least one of which was for metastatic disease [see Dosage and Administration
MethyltestosteroneMETHITEST, MethylTESTOSTERone, MethyltestosteroneLabelled hereThis treatment has also been used in premenopausal women with breast cancer who have benefitted from oophorectomy and are considered to have a hormone-responsive tumor.
NeratinibNerlynxLabelled hereAdvanced or Metastatic Breast Cancer NERLYNX in combination with capecitabine is indicated for the treatment of adult patients with advanced or metastatic HER2-positive breast cancer who have received two or more prior anti-HER2 based regimens in the metastatic setting [see Clinical Studies
OlaparibLynparzaLabelled here( 1.3 , 2.1 ) Breast cancer • for the adjuvant treatment of adult patients with deleterious or suspected deleterious g BRCA m human epidermal growth factor receptor 2 (HER2)-negative high risk early breast cancer who have been treated with neoadjuvant or adjuvant chemotherapy.
PalbociclibIbranceLabelled hereHER2-Positive Metastatic Breast Cancer IBRANCE is indicated in combination with trastuzumab, with or without pertuzumab, and endocrine therapy for the maintenance treatment of adult patients with HR-positive, HER2-positive locally advanced or metastatic breast cancer following induction treatment.
PembrolizumabKEYTRUDA, KEYTRUDA QLEXLabelled hereTriple-Negative Breast Cancer (TNBC) for the treatment of patients with high-risk early-stage TNBC in combination with chemotherapy as neoadjuvant treatment, and then continued as a single agent as adjuvant treatment after surgery.
PertuzumabPERJETALabelled hereEarly Breast Cancer (EBC) PERJETA is indicated for use in combination with trastuzumab and chemotherapy for the neoadjuvant treatment of adults with HER2-positive, locally advanced, inflammatory, or early stage breast cancer (either greater than 2 cm in diameter or node positive) as part of a complete treatment regimen for early breast cancer [see Dosage and Administration
Pertuzumab, TrastuzumabPhesgoLabelled hereEarly Breast Cancer (EBC) PHESGO is indicated for use in combination with chemotherapy for the neoadjuvant treatment of adult patients with HER2-positive, locally advanced, inflammatory, or early stage breast cancer (either greater than 2 cm in diameter or node positive) as part of a complete treatment regimen for early breast cancer [see Dosage and Administration
RaloxifeneEvista, Raloxifene Hydrochloride, Raloxifene hydrochlorideLabelled hereHigh risk of breast cancer is defined as at least one breast biopsy showing lobular carcinoma in situ (LCIS) or atypical hyperplasia, one or more first-degree relatives with breast cancer, or a 5-year predicted risk of breast cancer ≥1.66% (based on the modified Gail model).
RibociclibKISQALILabelled hereEarly Breast Cancer KISQALI is indicated in combination with an aromatase inhibitor for the adjuvant treatment of adults with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative stage II and III early breast cancer at high risk of recurrence.
Sacituzumab GovitecanTRODELVYLabelled hereLocally Advanced or Metastatic Triple-Negative Breast Cancer First Line TRODELVY as a single agent is indicated for the first-line treatment of adult patients with unresectable locally advanced or metastatic triple negative breast cancer (TNBC) who are not candidates for PD-1 or PD-L1 inhibitor based therapy.
TalazoparibTalzennaLabelled hereBRCA -mutated (g BRCA m) HER2-negative Locally Advanced or Metastatic Breast Cancer TALZENNA is indicated as a single agent for the treatment of adult patients with deleterious or suspected deleterious germline breast cancer susceptibility gene ( BRCA )-mutated (g BRCA m) human epidermal growth factor receptor 2 (HER2)-negative locally advanced or metastatic breast cancer.
TamoxifenSOLTAMOX, Tamoxifen CitrateLabelled hereMetastatic Breast Cancer SOLTAMOX is indicated for the treatment of adult patients with estrogen receptor-positive metastatic breast cancer.
Testosterone EnanthateTESTOSTERONE ENANTHATELabelled hereThis treatment has also been used in premenopausal women with breast cancer who have benefited from oophorectomy and are considered to have a hormone-responsive tumor.
ToremifeneFareston, toremifene citrateLabelled hereFARESTON® is an estrogen agonist/antagonist indicated for the treatment of metastatic breast cancer in postmenopausal women with estrogen-receptor positive or unknown tumors.
TrastuzumabHERZUMA, Herceptin, Herceptin HylectaLabelled here) breast cancer as part of a treatment regimen consisting of doxorubicin, cyclophosphamide, and either paclitaxel or docetaxel as part of a treatment regimen with docetaxel and carboplatin as a single agent following multi-modality anthracycline based therapy.
TucatinibTUKYSALabelled hereMetastatic Breast Cancer TUKYSA is indicated in combination with trastuzumab and capecitabine for treatment of adult patients with advanced unresectable or metastatic HER2-positive breast cancer, including patients with brain metastases, who have received one or more prior anti-HER2-based regimens in the metastatic setting.
VepdegestrantVEPPANULabelled hereVEPPANU is indicated for the treatment of adults with estrogen receptor (ER)-positive, human epidermal growth factor receptor 2 (HER2)-negative, estrogen receptor-1 (ESR1) -mutated advanced or metastatic breast cancer, as detected by an FDA-authorized test, with disease progression following at least one line of endocrine therapy.
CapecitabineCAPECITABINE, Capecitabine, Capecitabine 150mgBackboneBreast Cancer treatment of patients with advanced or metastatic breast cancer as a single agent if an anthracycline- or taxane-containing chemotherapy is not indicated.
DenosumabBILDYOS, BOSAYA, BoncresaBackboneTreatment of Bone Loss in Women Receiving Adjuvant Aromatase Inhibitor Therapy for Breast Cancer Enoby is indicated as a treatment to increase bone mass in women at high risk for fracture receiving adjuvant aromatase inhibitor therapy for breast cancer [see Clinical Studies
DexrazoxaneDEXRAZOXANE, DexrazoxaneBackboneDexrazoxane for Injection is a cytoprotective agent indicated for reducing the incidence and severity of cardiomyopathy associated with doxorubicin administration in women with metastatic breast cancer who have received a cumulative doxorubicin dose of 300 mg/m2 and who will continue to receive doxorubicin therapy to maintain tumor control.
DocetaxelBEIZRAY, DOCETAXEL, DOCIVYXBackboneBreast Cancer BEIZRAY is indicated for the treatment of patients with locally advanced or metastatic breast cancer after failure of prior chemotherapy.
DoxorubicinDOXOrubicin Hydrochloride, Doxorubicin Hydrochloride, Doxorubicin hydrochlorideBackboneDoxorubicin is also indicated for use as a component of adjuvant therapy in women with evidence of axillary lymph node involvement following resection of primary breast cancer.
GemcitabineAVGEMSI, GEMCITABINE, GemcitabineBackboneBreast Cancer AVGEMSI in combination with paclitaxel is indicated for the first-line treatment of patients with metastatic breast cancer after failure of prior anthracycline-containing adjuvant chemotherapy, unless anthracyclines were clinically contraindicated.
MethotrexateMETHOTREXATE, MethotrexateBackboneBreast Cancer Methotrexate Injection is indicated for the treatment of adults with breast cancer as part of a combination chemotherapy regimen.
PaclitaxelABRAXANE, PACLITAXEL, PACLITAXEL PACLITAXELBackbonePaclitaxel is indicated for the adjuvant treatment of node-positive breast cancer administered sequentially to standard doxorubicin-containing combination chemotherapy.
PamidronatePamidronate DisodiumBackboneOsteolytic Bone Metastases of Breast Cancer and Osteolytic Lesions of Multiple Myeloma Pamidronate disodium is indicated, in conjunction with standard antineoplastic therapy, for the treatment of osteolytic bone metastases of breast cancer and osteolytic lesions of multiple myeloma.
Fluoroestradiol F 18CERIANNANot a therapy( 1 ) Limitations of Use Tissue biopsy should be used to confirm recurrence of breast cancer and to verify ER status by pathology.
Kit For The Preparation Of Technetium Tc99M SestamibiKit for the Preparation of Technetium Tc99m SestamibiNot a therapyTechnetium Tc 99m Sestamibi is not indicated for breast cancer screening, to confirm the presence or absence of malignancy, and it is not an alternative to biopsy.
PegulicianineLUMISIGHTNot a therapyLUMISIGHT is indicated for fluorescence imaging in adults with breast cancer as an adjunct for the intraoperative detection of cancerous tissue within the resection cavity following removal of the primary specimen during lumpectomy surgery.
Technetium Tc 99M SestamibiTECHNETIUM TC 99M SESTAMIBI, Technetium Tc 99m SestamibiNot a therapyKit for the Preparation of Technetium Tc99m Sestamibi Injection is not indicated for breast cancer screening, to confirm the presence or absence of malignancy, and it is not an alternative to biopsy.
Technetium Tc 99M Sulfur ColloidKit for the Prepartion of Technetium Tc99m Sulfur ColloidNot a therapyTechnetium Tc 99m Sulfur Colloid Injection is indicated: In adults, to assist in the: localization of lymph nodes draining a primary tumor in patients with breast cancer or malignant melanoma when used with a hand-held gamma counter. evaluation of peritoneo-venous (LeVeen) shunt patency.
Technetium Tc 99M Sulfur Colloid KitKit for the Preparation of Technetium Tc 99m Sulfur ColloidNot a therapyTechnetium Tc 99m Sulfur Colloid Injection is indicated: In adults, to assist in the: Localization of lymph nodes draining a primary tumor in patients with breast cancer or malignant melanoma when used with a hand-held gamma counter.
Tetrakis(2-Methoxyisobutylisocyanide)Copper(I) TetrafluoroborateCardiolite, Kit for the Preparation of Technetium Tc99m SestamibiNot a therapyMIRALUMA ® is not indicated for breast cancer screening, to confirm the presence or absence of malignancy, and it is not an alternative to biopsy.
TilmanoceptKit for the preparation of Lymphoseek (technetium Tc 99m tilmanocept)Not a therapy( 1 ) • Guiding sentinel lymph node biopsy using a handheld gamma counter in patients with clinically node negative squamous cell carcinoma of the oral cavity, breast cancer or melanoma.

905 labels match indications_and_usage:"breast cancer"; they collapse to 57 distinct molecules once salt forms, biosimilars and co-formulated hyaluronidase are merged. Diagnostic and contrast agents (Fluoroestradiol F 18, Kit For The Preparation Of Technetium Tc99M Sestamibi, Pegulicianine, Technetium Tc 99M Sestamibi, Technetium Tc 99M Sulfur Colloid, Technetium Tc 99M Sulfur Colloid Kit, Tetrakis(2-Methoxyisobutylisocyanide)Copper(I) Tetrafluoroborate, Tilmanocept) are listed but are not treatments. Source: openFDA drug label API (api.fda.gov/drug/label.json), retrieved 2026-09-11. Labels change; this reflects the current label text, not the approval history. Not prescribing guidance.

Cell therapy against mesothelin

ClinicalTrials.gov · retrieved 2026-09-11 · weekly

mesothelin is the busiest cell-therapy antigen in breast cancer: 9 registered trials, 7 still active. It has no gene entry of its own and is reached through MSLN: a form or product of that gene.

TrialPhaseStatusTitleLast update
NCT048428121RecruitingEngineered TILs/CAR-TILs to Treat Advanced Solid Tumors2024-06-25
NCT066233961RecruitingA Study of Mesothelin-Targeted CAR T-Cell Therapy in People With Esophagogastric Cancer2026-02-11
NCT074860891/2RecruitingDual-Target CAR-NK Cells for Advanced Breast Cancer (HER2+ and TNBC)2026-03-20
NCT075108021/2RecruitingDual-Target CAR-NK Cells for Advanced Breast Cancer HER2+ TNBC2026-04-06
NCT075235291/2RecruitingBiomarker-Guided Dual-Target CAR-T Cells for Advanced Solid Tumors2026-04-13
NCT027921141ActiveT-Cell Therapy for Advanced Breast Cancer2026-07-16
NCT024142691/2ActiveMalignant Pleural Disease Treated With Autologous T Cells Genetically Engineered to Target the Cancer-Cell Surface Antigen Mesothelin2026-07-22
NCT025807471UnknownTreatment of Relapsed and/or Chemotherapy Refractory Advanced Malignancies by CART-meso2015-10-20
NCT056234881TerminatedCAR T Cells in Mesothelin-Expressing Breast Cancer2025-08-12

9 of 9 shown, most recently active first. Other antigens searched: MUC1 (9), ROR1 (5), HER2 (3), PD-L1 (3), TROP2 (1), Nectin-4 (1). Source: ClinicalTrials.gov API v2, retrieved 2026-09-11. Trials are matched on the antigen named in the title or intervention, so a trial stating only a product code is missed.

Research momentum

PubMed MeSH · monthly

Every term below is a share of the breast cancer literature, not a count, because the field itself grew: 2015–2018 (n=6,000) against 2021–2025 (n=6,000). A topic whose papers doubled while the field doubled has not risen.

These are sample shares. The two windows hold 46,801 and 68,867 papers; MeSH terms were read from an evenly spaced sample of 6,000 and 6,000 of them, taken across the whole window rather than from its most recent papers. Percentages carry sampling error of roughly a percentage point and small differences between two terms are not meaningful.

Rising, with a real baseline

MeSH term2015–182021–25ChangeShare now
Artificial Intelligence0.1%1.8%17.98×108 papers
Camptothecin0.1%1.0%9.99×60 papers
Deep Learning0.27%2.42%9.06×145 papers
Molecular Dynamics Simulation0.12%0.92%7.85×55 papers
Immunoconjugates0.22%1.42%6.54×85 papers
Molecular Docking Simulation0.42%2.55%6.12×153 papers
Copper0.1%0.5%5.0×30 papers
Extracellular Vesicles0.12%0.58%5.0×35 papers
Machine Learning0.52%2.47%4.77×148 papers
Ubiquitination0.1%0.47%4.66×28 papers

Cooling

MeSH term2015–182021–25ChangeShare now
Tumor Cells, Cultured2.47%0.27%0.11×16 papers
Survival Analysis2.83%0.43%0.15×26 papers
Biomarkers1.5%0.25%0.17×15 papers
Biopsy2.12%0.4%0.19×24 papers
Odds Ratio1.03%0.2%0.19×12 papers
Up-Regulation1.75%0.35%0.2×21 papers

Biggest topics now

MeSH term2015–182021–25ChangeShare now
Triple Negative Breast Neoplasms7.6%13.88%1.83×833 papers
Prognosis13.35%12.85%0.96×771 papers
Biomarkers, Tumor10.63%12.0%1.13×720 papers
Gene Expression Regulation, Neoplastic11.62%11.65%1.0×699 papers
Antineoplastic Agents8.17%11.08%1.36×665 papers
Cell Proliferation10.58%10.9%1.03×654 papers
Erb-b2 Receptor Tyrosine Kinases8.17%9.02%1.1×541 papers
Apoptosis6.37%7.0%1.1×420 papers
Tumor Microenvironment1.93%6.9%3.57×414 papers
Treatment Outcome8.23%6.32%0.77×379 papers

Publication mix

Type2015–182021–25
Clinical Trial0.0%0.1%
Randomized Controlled Trial3.2%3.9%
Review8.4%9.3%
Meta-Analysis2.0%2.4%
Case Reports0.0%2.2%

Query: Breast Neoplasms[MeSH Major Topic] NOT ("Phyllodes Tumor"[MeSH]). Terms need at least 12 papers in the recent window and, in the rising table, at least 5 in the earlier one — a term going from 1 paper to 12 is a large fold change and no evidence of anything. Ubiquitous descriptors (Humans, Animals, age bands) and the disease’s own term are dropped. Windows are read whole where they fit and sampled where they do not; the totals and the sample sizes are both in the JSON beside this page. Source: PubMed MeSH, retrieved 2026-09-11.

Disease burden

What the public sources count, and how closely each category matches this disease.

MeasureValueMatchWhat it counts
New cases each year321,910 cases/yeardirect2026
Deaths each year42,140 deaths/yeardirect2026
Incidence rate132.5 cases per 100,000 women per yeardirect2019-2023
Death rate18.9 deaths per 100,000 women per yeardirect2020-2024
People living with it4,238,585 women living with the diseasedirect2023
Median age at diagnosis64.0 yearsdirect2019-2023
median age at death71 yearsdirect2020-2024
Five-year relative survival91.9%direct2016-2022

Years of life lost

1.2 years per case, 375,476 a year, from survival and age at diagnosis rather than from a death count. derived proxy What this costs to fund is in Funding.

3 assumptions behind this estimate
  • Five-year relative survival stands in for cure; a death after five years is not counted.
  • The median age at diagnosis stands in for the whole age distribution.
  • Life expectancy at birth (78.4 years) is the reference, rather than remaining expectancy at the age of death from a life table.
  • Each assumption moves the result by more than the difference between the two diseases currently on this site, so this figure separates a disease from one ten times its size, not from a close neighbour.

Funding

NIH RePORTER · quarterly

NIH obligations naming breast cancer, after removing the 32,318 records across all years that matched the search but are about something else. That filter is not cosmetic: without it this section reports another field’s funding as this disease’s.

$512.8MNIH obligations, FY2025from $425.0M in FY2013 · +21%
905distinct projects funded917 in FY2013
$512.8Mpeak year was FY2025obligations, all institutes
88%of FY2025 awards from NCI873 of 995

NIH obligations by fiscal year

$128M$256M$385M$513M13151719212325
YearObligationsAwardsDistinct projectsDropped as off-topic
FY2013$425.0M1,0719172,524
FY2014$428.7M1,1169442,488
FY2015$399.7M1,1559662,419
FY2016$385.4M1,0509302,384
FY2017$414.5M1,0599462,347
FY2018$455.3M1,1499642,941
FY2019$434.6M1,1591,0112,599
FY2020$486.3M1,1611,0152,545
FY2021$463.2M1,1381,0152,463
FY2022$483.1M1,1901,0352,459
FY2023$505.7M1,2201,0602,500
FY2024$474.8M1,1711,0232,459
FY2025$512.8M1,0179052,190

Where FY2025 money went

InstitutionObligationsAwards
Division Of Basic Sciences - Nci$34.9M27
University Of California, San Francisco$24.4M29
Univ Of North Carolina Chapel Hill$12.0M30
Sloan-Kettering Inst Can Research$10.4M15
Division Of Cancer Epidemiology And Genetics$10.3M0
Washington University$9.7M19
Mayo Clinic Rochester$8.9M17
Dana-Farber Cancer Inst$8.8M19
University Of California At Davis$8.4M23
University Of Wisconsin-Madison$8.0M0

Text search breast cancer over project title, terms and abstract, per fiscal year. Awards are individual funding actions; distinct projects collapse them by core project number, so a multi-year grant counts once. The most recent year may be incomplete. Source: NIH RePORTER, retrieved 2026-09-12.

What that buys

Against 375,476 years of life lost a year, FY2025 obligations are $1,366 per life-year — $1,593 per case. The estimate and its assumptions are in Disease burden.

Who funds it, FY2025

The total says how much. These say who from, through what kind of award, and to whom — which a dollar figure cannot.

NIH institutes

NCI873 · 86%
NIGMS27 · 3%
NIBIB23 · 2%
NIEHS16 · 2%
VA15 · 1%
NIMHD15 · 1%

Projects by administering institute. The rows above are the top 10 and account for 995 of 1,017.

Award mechanisms

R01503 · 49%
R2146 · 5%
ZIA44 · 4%
R3741 · 4%
U0133 · 3%
U5432 · 3%

R01 is an investigator-initiated grant; ZIA is NIH intramural, meaning the work happens inside NIH rather than being funded outside it. The rows above are the top 15 and account for 885 of 1,017.

Where it lands

Division Of Basic Sciences - Nci$34.9M · 6.8%
University Of California, San Francisco$24.4M · 4.8%
Univ Of North Carolina Chapel Hill$12.0M · 2.3%
Sloan-Kettering Inst Can Research$10.4M · 2.0%
Division Of Cancer Epidemiology And Gene$10.3M · 2.0%
Washington University$9.7M · 1.9%

Share of $512.8M in FY2025. The top three hold 14%.

Public datasets, ranked

NCBI GEO + Europe PMC + iCite · weekly

8,677 human GEO series match breast cancer. Keyword relevance cannot tell a 4,113-sample patient cohort from a six-well cell-line experiment, so this ranking scores four things GEO does not expose: how often the accession is named in full-text papers, field-normalised citation impact, clinical annotation, and cohort type.

Composition of the 3909-study ranked set

cell line 1248unspecified 1169patient 941mixed 497xenograft 54
1248 cell line1169 unspecified941 patient497 mixed54 xenograft1581 carry clinical annotation1021 carry survival270 patient cohorts ≥100 GEO samples231,595 GEO samples totalin 127 single-cell series a GEO sample is one cell, not one patient

Established

high reuse, older
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE176078A single-cell and spatially resolved atlas of human breast cancers2021 · single-cell2652768.8
patient cohortAPT 0.75survivalmolecularPD-L11,347 cites
GSE2034Breast cancer relapse free survival2005 · array28672739.6
patient cohortAPT 0.95survival2,020 cites
GSE3494An expression signature for p53 in breast cancer predicts mutation status, transcriptional effects, and patient survival2005 · array50253817.6
patient cohortAPT 0.95survivalstage948 cites
GSE6532Definition of clinically distinct molecular subtypes in estrogen receptor positive breast carcinomas using genomic grade2007 · array74148412.2
APT 0.95survivalstagemolecularERBB2617 cites
GSE2990Gene Expression Profiling in Breast Cancer: Understanding the Molecular Basis of Histologic Grade To Improve Prognosis2006 · array18927730.1
patient cohortAPT 0.95survivalstage1,530 cites
GSE4922Genetic Reclassification of Histologic Grade Delineates New Clinical Subtypes of Breast Cancer2006 · array57833510.5
patient cohortAPT 0.95survivalstage537 cites
GSE7390Strong Time Dependence of the 76-Gene Prognostic Signature2007 · array19861814.5
patient cohortAPT 0.95survival731 cites
GSE11121The humoral immune system has a key prognostic impact in node-negative breast cancer2008 · array20038412.7
patient cohortAPT 0.95survivalstage637 cites

Recent

2022 onward, by score
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE202203Clinical associations of ESR2 (estrogen receptor beta; ERβ) expression across thousands of primary breast tumors2022 · sequencing3,207444.7
patient cohortAPT 0.75survivalstagemolecularESR159 cites
GSE196096I-SPY2-990 mRNA/RPPA Data Resource2022 · array1,72410817.0
patient cohortAPT 0.95stagemolecularHER2290 cites
GSE47994Tumor-infiltrating lymphocytes, prognosis and trastuzumab benefit in early-stage breast cancer patients from the FinHER trial2022 · array337828.2
patient cohortAPT 0.95survivalstagemolecularHER2TRASTUZUMAB1,039 cites
GSE266919Distinct Cellular Mechanisms Underlie Chemotherapies and Their Combinations with PD-L1 Checkpoint Inhibitor in Triple-Negative Breast Cancer [TNBC]2025 · single-cell1171027.3
patient cohortAPT 0.75molecularATEZOLIZUMABPD-L1115 cites
GSE246613Single-cell and spatial profiling identify three response trajectories to pembrolizumab and radiation therapy in triple negative breast cancer2024 · single-cell2662615.2
patient cohortAPT 0.75150 cites
GSE233242Tumor circadian clock strength influences metastatic potential and predicts patient prognosis in Luminal A breast cancer2024 · sequencing86176.3
patient cohortAPT 0.75survivalmolecularHER244 cites

Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-12. SubSeries are collapsed to one row per study by linked PMID. Of 7,192 series retrieved, 23 were dropped by the profile’s exclusion rules and 2,053 named the disease only in passing. 1 further series named in the profile as contamination are excluded here. The ranked set is a relevance-ranked sample, not a census, so the composition figures describe the sample only.

Where the gaps are

Derived from the sections above · recomputed on every refresh

Each card below is a disagreement between two of the tables on this page — a drug that exists but was never tried here, a target that looks tested and was not, a gene with no drug whose product has a busy clinical programme. They are computed from the same facts as the tables, so they cannot contradict them.

PTEN

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

BRCA1

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

BRCA2

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

TP53

8 registered trials, 1 withdrawn before enrolling anyone and none active. This target reads as tried; it was not.

How a machine reads this page

Static

This page is written to be quoted correctly by a model as much as read by a person. The same facts are available as JSON at the sibling URL below, which is what to cite.

Fully server-rendered

Every figure is in the HTML at first byte. No JavaScript runs, no figure is fetched after load, and nothing on this page requires a renderer to see.

Every number carries a source

Each section names the API it came from and the date it was retrieved: Open Targets (2026-09-11), ClinicalTrials.gov (2026-09-11), openFDA (2026-09-11), NCBI GEO (2026-09-12), PubMed (2026-09-11), NIH RePORTER (2026-09-12).

Negatives stated explicitly

Where nothing exists for breast cancer — no drug, no trial, no approval — the page says so in those words rather than omitting the row. An absent row is unquotable; a stated negative is the finding.

Denominators, not just percentages

Every share is printed with the count and the total it came from, so a figure can be checked rather than taken.

The filters are published

3 exclusion patterns are applied to free text before anything is ranked, because MCF-7, MDA-MB-231, 4T1 and MCF-10A is used as a model system in endocrine-disruptor screening (MCF-7), natural-product cytotoxicity (MCF-7, MDA-MB-231), syngeneic tumour immunology and drug delivery (4T1, E0771), mammary epithelial biology (MCF-10A). What was removed and why is stated in each section rather than silently applied.

{
  "disease": "Breast cancer",
  "mesh": "Breast Neoplasms",
  "facts": "https://usebiotransfer.org/disease/breast-cancer.json",
  "methods": "https://usebiotransfer.org/methods/",
  "note": "Every figure on the page is in that JSON with its source and retrieval date. Quote from it rather than from the HTML."
}