Target landscape
Open Targets · retrieved 2026-09-16 · weekly12 genes recurrently implicated in gallbladder 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: Gallbladder cancer does have labelled therapy — 3 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 gallbladder cancer is actually treated with, which includes agents approved under broader indications. All three are on this page and they are kept apart deliberately.
| Gene | Drugs | Approval, and whether it reached this disease | Open Targets tractabilitycomputed from protein features and literature — a signal that a modality is worth trying, not evidence that it works | Cell therapy here |
|---|---|---|---|---|
| ERBB2 across cancers → | 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 gallbladder cancer: Zanidatamab.8 active of 26 gallbladder cancer trials | antibody, other clinical modality, protein degrader, small molecule | 1 active of 1 trial |
| TP53 across cancers → | 8 | Phase 3Alrizomadlin, Cenersen, Contusugene Ladenovec, Eprenetapopt, Idasanutlin, Navtemadlin, Siremadlin, TeprasiranNo gallbladder cancer trial of any of these drugs | other clinical modality, protein degrader, small molecule | — |
| KRAS across cancers → | 3 | 2 approvedAdagrasib, SotorasibApproved in non-small cell lung carcinoma. No gallbladder cancer indication appears on these drugs’ labels.No gallbladder cancer trial of any of these drugs | antibody, protein degrader, small molecule | — |
| PIK3CA across cancers → | 31 | 3 approvedAlpelisib, Copanlisib, InavolisibApproved in breast cancer, breast neoplasm, breast carcinoma and 3 other indications. No gallbladder cancer indication appears on these drugs’ labels.1 trials, none active | antibody, protein degrader, small molecule | — |
| CDKN2A across cancers → | 0 | No drug— | — | — |
| ARID1A across cancers → | 0 | No drug— | protein degrader | — |
| ERBB3 | 17 | 3 approvedPatritumab Deruxtecan, Vandetanib, ZenocutuzumabApproved in medullary thyroid gland carcinoma, thyroid tumor, non-small cell lung carcinoma and 1 other indications. No gallbladder cancer indication appears on these drugs’ labels.2 trials, none active | antibody, other clinical modality, protein degrader, small molecule | 1 active of 1 trial |
| EGFR across cancers → | 74 | 23 approvedAfatinib, Afatinib Dimaleate, Amivantamab, Aumolertinib, Brigatinib, Cetuximab, Cetuximab Sarotalocan, Dacomitinib, Erlotinib, Gefitinib, Icotinib, Lapatinib, Lapatinib Ditosylate, Lazertinib, Mobocertinib, Necitumumab, Neratinib, Nimotuzumab, Olmutinib, Osimertinib, Panitumumab, Rociletinib, VandetanibApproved in non-small cell lung carcinoma, anaplastic large cell lymphoma, malignant tumor of neck and 14 other indications. No gallbladder cancer indication appears on these drugs’ labels.2 active of 29 gallbladder cancer trials | antibody, other clinical modality, protein degrader, small molecule | — |
| CTNNB1 across cancers → | 1 | Phase 2Pri-724No gallbladder cancer trial of any of these drugs | antibody, other clinical modality, protein degrader, small molecule | — |
| SMAD4 across cancers → | 0 | No drug— | protein degrader, small molecule | — |
| FGFR2 across cancers → | 26 | 10 approvedE-7090, Erdafitinib, Futibatinib, Infigratinib, Nintedanib, Nintedanib Esylate, Palifermin, Pemigatinib, Regorafenib, TraferminApproved in biliary tract cancer, urothelial carcinoma, urinary bladder carcinoma and 11 other indications. No gallbladder cancer indication appears on these drugs’ labels.1 active of 3 gallbladder cancer trials | antibody, other clinical modality, protein degrader, small molecule | — |
| IDH1 across cancers → | 7 | 3 approvedIvosidenib, Olutasidenib, VorasidenibApproved in acute myeloid leukemia by FAB classification, cholangiocarcinoma, astrocytoma (excluding glioblastoma) and 1 other indications. No gallbladder cancer indication appears on these drugs’ labels.No gallbladder cancer trial of any of these drugs | antibody, protein degrader, small molecule | — |
Dataset evidence counts studies in the 24-study ranked set whose title or abstract names the gene; the bar is scaled to ERBB2. Sources: Open Targets Platform and NCBI GEO, retrieved 2026-09-16. 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 · weekly3 drugs carry an FDA label naming gallbladder cancer: Durvalumab, Pembrolizumab, Zanidatamab. Separately, 51 of the drugs returned for the genes in the table above are approved only for other diseases and reach gallbladder cancer through trials, not through their labels.
Every label that names gallbladder cancer
| Drug | Role | What the label says |
|---|---|---|
| DurvalumabIMFINZI | Labelled here | Biliary Tract Cancers IMFINZI, in combination with gemcitabine and cisplatin, is indicated for the treatment of adult patients with locally advanced or metastatic biliary tract cancer (BTC). |
| PembrolizumabKEYTRUDA, KEYTRUDA QLEX | Labelled here | Biliary Tract Cancer (BTC) in combination with gemcitabine and cisplatin, for the treatment of patients with locally advanced unresectable or metastatic biliary tract cancer. |
| ZanidatamabZIIHERA | Labelled here | Biliary Tract Cancer (BTC) • for the treatment of adults with previously treated, unresectable or metastatic HER2-positive (IHC 3+) BTC, as detected by an FDA-authorized test.* |
0 labels match indications_and_usage:"gallbladder cancer" OR indications_and_usage:"gallbladder carcinoma" OR indications_and_usage:"biliary tract cancer" OR indications_and_usage:"biliary tract carcinoma"; they collapse to 3 distinct molecules once salt forms, biosimilars and co-formulated hyaluronidase are merged. Source: openFDA drug label API (api.fda.gov/drug/label.json), retrieved 2026-09-16. Labels change; this reflects the current label text, not the approval history. Not prescribing guidance.
Cell therapy against HER2
ClinicalTrials.gov · retrieved 2026-09-16 · weeklyHER2 is the busiest cell-therapy antigen in gallbladder cancer: 1 registered trials, 1 still active. It has no gene entry of its own and is reached through ERBB2: the receptor HER2 encodes, amplified in about one gallbladder cancer in six -- more often than in any other biliary site -- and the target of zanidatamab, approved for HER2-positive biliary tract cancer.
| Trial | Phase | Status | Title | Last update |
|---|---|---|---|---|
| NCT07641036 | 1/2 | Recruiting | Dual-Target HER2/CEA CAR-NK Cells in Advanced Biliary Tract Cancer | 2026-06-11 |
1 of 1 shown, most recently active first. Source: ClinicalTrials.gov API v2, retrieved 2026-09-16. 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 · monthlyEvery term below is a share of the gallbladder cancer literature, not a count, because the field itself grew: 2015–2018 (n=782) against 2021–2025 (n=1,200). A topic whose papers doubled while the field doubled has not risen.
Rising, with a real baseline
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Propensity Score | 0.77% | 2.0% | 2.61× | 24 papers |
| Biliary Tract Neoplasms | 0.77% | 2.0% | 2.61× | 24 papers |
| Drug Resistance, Neoplasm | 0.64% | 1.42% | 2.22× | 17 papers |
| Length of Stay | 0.64% | 1.42% | 2.22× | 17 papers |
| Neuroendocrine Tumors | 0.9% | 1.83% | 2.05× | 22 papers |
| Laparoscopy | 1.79% | 3.58% | 2.0× | 43 papers |
| Transcription Factors | 0.9% | 1.67% | 1.86× | 20 papers |
| SEER Program | 1.02% | 1.83% | 1.79× | 22 papers |
| Liver | 1.41% | 2.5% | 1.78× | 30 papers |
| Prevalence | 0.77% | 1.33% | 1.74× | 16 papers |
Cooling
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Time Factors | 6.14% | 1.17% | 0.19× | 14 papers |
| Kaplan-Meier Estimate | 7.54% | 1.67% | 0.22× | 20 papers |
| Survival Analysis | 5.12% | 1.17% | 0.23× | 14 papers |
| Antineoplastic Agents | 4.6% | 1.33% | 0.29× | 16 papers |
| Neoplasm Invasiveness | 9.21% | 3.42% | 0.37× | 41 papers |
| Predictive Value of Tests | 3.32% | 1.25% | 0.38× | 15 papers |
Biggest topics now
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Cholecystectomy | 19.31% | 19.08% | 0.99× | 229 papers |
| Prognosis | 23.02% | 18.83% | 0.82× | 226 papers |
| Neoplasm Staging | 22.25% | 16.5% | 0.74× | 198 papers |
| Gallbladder | 12.02% | 13.0% | 1.08× | 156 papers |
| Adenocarcinoma | 15.22% | 10.17% | 0.67× | 122 papers |
| Cell Proliferation | 12.02% | 9.25% | 0.77× | 111 papers |
| Gene Expression Regulation, Neoplastic | 10.87% | 8.83% | 0.81× | 106 papers |
| Biomarkers, Tumor | 11.64% | 8.25% | 0.71× | 99 papers |
| Polyps | 5.12% | 7.67% | 1.5× | 92 papers |
| Ultrasonography | 6.01% | 7.0% | 1.16× | 84 papers |
Publication mix
| Type | 2015–18 | 2021–25 |
|---|---|---|
| Randomized Controlled Trial | 0.4% | 0.8% |
| Review | 9.0% | 7.2% |
| Meta-Analysis | 2.0% | 2.2% |
| Case Reports | 0.0% | 6.0% |
Query: Gallbladder Neoplasms[MeSH Major Topic] NOT ("Cholangiocarcinoma"[MeSH] OR "Bile Duct Neoplasms"[MeSH] OR "Carcinoma, Hepatocellular"[MeSH] OR "Cholecystitis"[MeSH] OR "Cholelithiasis"[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. Source: PubMed MeSH, retrieved 2026-09-16.
Disease burden
What the public sources count, and how closely each category matches this disease. The same figures for every disease on the site are on one table.
| Measure | Value | Match | What it counts |
|---|---|---|---|
| New cases each year | 12,640 cases/year | proxy | counts gallbladder and nearby large bile duct cancer, which is broader than this disease; 2026 American Cancer Society, Key Statistics for Gallbladder Cancer, retrieved 2026-09-16 |
| Deaths each year | 4,590 deaths/year | proxy | counts gallbladder and nearby large bile duct cancer, which is broader than this disease; 2026 American Cancer Society, Key Statistics for Gallbladder Cancer, retrieved 2026-09-16 |
| New cases each year, estimated | 5,056 cases/year | derived proxy | 12,640 x 0.4, from gallbladder and nearby large bile duct cancer; 2026 American Cancer Society, Key Statistics for Gallbladder Cancer, retrieved 2026-09-16 |
| Deaths each year | — | not published | The page gives deaths for the gallbladder and large bile ducts together and no share for the gallbladder alone. |
| Five-year relative survival | — | not published | The American Cancer Society publishes five-year relative survival by SEER stage (localized, regional, distant), not one figure; an average would be a derivation the source does not make. "Only about 1 of 5 gallbladder cancers is found in the early stages." |
| Median age at diagnosis | — | not published | Not published on the page; SEER has no page for the site. |
Years of life lost: not computed. Years of life lost needs survival, age at diagnosis and a case count. five_year_relative_survival, median_age_at_diagnosis is not recorded for this disease.
Funding
NIH RePORTER · quarterlyNIH obligations naming gallbladder cancer, after removing the 142 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.
NIH obligations by fiscal year
| Year | Obligations | Awards | Distinct projects | Dropped as off-topic |
|---|---|---|---|---|
| FY2013 | $2.5M | 1 | 1 | 15 |
| FY2014 | $2.8M | 1 | 1 | 10 |
Where FY2014 money went
| Institution | Obligations | Awards |
|---|---|---|
| Division Of Cancer Epidemiology And Genetics | $2.8M | 1 |
Text search gallbladder cancer OR gallbladder carcinoma 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 2026-09-16.
Who funds it, FY2014
The total says how much. These say who from, through what kind of award, and to whom — which a dollar figure cannot.
NIH institutes
Projects by administering institute. The rows above are the top 1 and account for 1 of 1.
Award mechanisms
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 1 and account for 1 of 1.
Where it lands
Share of $2.8M in FY2014. The top three hold 100%.
Public datasets, ranked
NCBI GEO + Europe PMC + iCite · weekly53 human GEO series match gallbladder cancer. Keyword relevance cannot tell a 56-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 24-study ranked set
Established
high reuse, older| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE76633 | To find out lncRNAs contribute to the development of gallbladder cancer2016 · array | 18 | 26 | 6.7 | APT 0.75189 cites |
| GSE104165 | miRNA profiling in gallbladder carcinoma2017 · array | 48 | 19 | 1.6 | patient cohortAPT 0.25survival35 cites |
| GSE139682 | The gene expression profiles of gallbladder cancer2019 · sequencing | 20 | 27 | 2.6 | APT 0.7584 cites |
| GSE100363 | Identification of differentially expressed circRNA in gallbladder cancer compared with matched normal tissue2019 · sequencing | 8 | 5 | 6.2 | patient cohortAPT 0.75157 cites |
| GSE62335 | Long noncoding RNAs and mRNAs expression analysis of gallbladder cancer2014 · array | 10 | 11 | 2.6 | APT 0.581 cites |
| GSE132223 | The expression profiles of GBC liver metastasis2019 · sequencing | 9 | 7 | 0.6 | patient cohortAPT 0.0515 cites |
| GSE74048 | The long noncoding RNA expression profile of human gallbladder carcinoma identified by microarray analysis2015 · array | 6 | 13 | — | survival |
Recent
2022 onward, by score| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE202479 | RNA sequencing revealed the multi-stage transcriptome transformations during the development of gallbladder cancer associated with chronic inflammation2022 · sequencing | 20 | 13 | 1.3 | APT 0.25survivalstage14 cites |
| GSE259311 | Spatial transcriptomic profiling of precursor lesions of gallbladder adenocarcinoma2024 · spatial | 56 | 1 | 0.8 | patient cohortAPT 0.25survivalstage6 cites |
| GSE154801 | FGF19-FGFR4 promotes the progression of gallbladder carcinoma in a biliary autocrine pathway dependent on GPBAR1-EGR1 axis2023 · sequencing | 8 | 0 | 2.7 | mixedAPT 0.75survivalstage51 cites |
| GSE176159 | Exosomal MicroRNAs Signature Acts as Efficient Biomarker for Non-Invasive Diagnosis of Gallbladder Carcinoma2022 · sequencing | 16 | 1 | 1.5 | APT 0.5survival19 cites |
| GSE208659 | Transcriptomic data from a gallbladder cancer cell line with acquired chemoresistance to gemcitabine [NOZ]2022 · array | 6 | 4 | 0.7 | mixedAPT 0.05survival7 cites |
| GSE243306 | CEACAM6 orchestrates gallbladder cancer aggressiveness through molecular interplay with Integrin and PRKCD.2024 · sequencing | 20 | 1 | 1.1 | APT 0.058 cites |
Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-16. SubSeries are collapsed to one row per study by linked PMID. Of 53 series retrieved, 4 were dropped by the profile’s exclusion rules and 20 named the disease only in passing. 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 refreshEach 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.
KRAS
2 approved drugs (Adagrasib, Sotorasib) and no registered trial in gallbladder cancer. The molecules exist; nobody has tested them here.
CDKN2A
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
ARID1A
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
SMAD4
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
IDH1
3 approved drugs (Ivosidenib, Olutasidenib, Vorasidenib) and no registered trial in gallbladder cancer. The molecules exist; nobody has tested them here.
How a machine reads this page
StaticThis 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. The cross-disease layer — burden, genes, drugs and antigens across every briefing — is described at /disease/api.json.
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 (2026-09-16), ClinicalTrials.gov (2026-09-16), openFDA (2026-09-16), NCBI GEO (2026-09-16), PubMed (2026-09-16), NIH RePORTER (2026-09-16).
Negatives stated explicitly
Where nothing exists for gallbladder 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
4 exclusion patterns are applied to free text before anything is ranked, because none of note is used as a model system in gallbladder cancer. What was removed and why is stated in each section rather than silently applied.
{
"disease": "Gallbladder cancer",
"mesh": "Gallbladder Neoplasms",
"facts": "https://usebiotransfer.org/disease/gallbladder-cancer.json",
"methods": "https://usebiotransfer.org/methods/",
"all_diseases": "https://usebiotransfer.org/disease/api.json",
"note": "Every figure on the page is in that JSON with its source and retrieval date. Quote from it rather than from the HTML."
}