Target landscape
Open Targets · retrieved 2026-09-12 · weekly12 genes recurrently implicated in lower-grade glioma, triaged for whether anything can actually be aimed at them. The zeros are the informative rows.
Of 12 recurrently implicated genes, 7 carry any drug at all. That is a statement about these 12 gene targets, not about the disease: Lower-grade glioma does have labelled therapy — 2 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 lower-grade glioma 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 |
|---|---|---|---|---|
| IDH1 across cancers → | 7 | 3 approvedIvosidenib, Olutasidenib, VorasidenibApproved in lower-grade glioma: Vorasidenib.1 active of 1 lower-grade glioma trial | antibody, protein degrader, small molecule | — |
| IDH2 across cancers → | 2 | 2 approvedEnasidenib, VorasidenibApproved in lower-grade glioma: Vorasidenib.1 active of 1 lower-grade glioma trial | protein degrader, small molecule | — |
| TP53 across cancers → | 8 | Phase 3Alrizomadlin, Cenersen, Contusugene Ladenovec, Eprenetapopt, Idasanutlin, Navtemadlin, Siremadlin, TeprasiranNo lower-grade glioma trial of any of these drugs | other clinical modality, protein degrader, small molecule | — |
| ATRX | 0 | No drug— | protein degrader | — |
| CIC | 0 | No drug— | protein degrader | — |
| FUBP1 | 0 | No drug— | protein degrader | — |
| CDKN2A across cancers → | 0 | No drug— | — | — |
| TERT across cancers → | 1 | 1 approvedImetelstatApproved in anemia, myelodysplastic syndrome. No lower-grade glioma indication appears on these drugs’ labels.No lower-grade glioma trial of any of these drugs | antibody, other clinical modality, protein degrader, small molecule | — |
| PIK3CA across cancers → | 31 | 3 approvedAlpelisib, Copanlisib, InavolisibApproved in breast cancer, breast neoplasm, breast carcinoma and 3 other indications. No lower-grade glioma indication appears on these drugs’ labels.No lower-grade glioma trial of any of these drugs | antibody, protein degrader, small molecule | — |
| NOTCH1 across cancers → | 1 | Phase 1BrontictuzumabNo lower-grade glioma trial of any of these drugs | antibody, protein degrader, small molecule | — |
| MGMT across cancers → | 0 | No drug— | protein degrader, small molecule | — |
| PDGFRA across cancers → | 32 | 14 approvedAvapritinib, Becaplermin, Cediranib, Masitinib, Midostaurin, Nintedanib, Nintedanib Esylate, Olaratumab, Pazopanib, Quizartinib, Regorafenib, Ripretinib, Sunitinib, Sunitinib MalateApproved in gastrointestinal stromal tumor, Skin ulcer, mast cell leukemia and 12 other indications. No lower-grade glioma indication appears on these drugs’ labels.No lower-grade glioma trial of any of these drugs | antibody, other clinical modality, protein degrader, small molecule | — |
Dataset evidence counts studies in the 73-study ranked set whose title or abstract names the gene; the bar is scaled to IDH1. Sources: Open Targets Platform and NCBI GEO, retrieved 2026-09-12. 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 · weekly2 drugs carry an FDA label naming lower-grade glioma: Temozolomide, Vorasidenib. Separately, 21 of the drugs returned for the genes in the table above are approved only for other diseases and reach lower-grade glioma through trials, not through their labels.
Every label that names lower-grade glioma
| Drug | Role | What the label says |
|---|---|---|
| TemozolomideTEMODAR, TEMOZOLOMIDE, Temozolomide | Labelled here | Anaplastic astrocytoma |
| VorasidenibVORANIGO | Labelled here | VORANIGO is indicated for the treatment of adult and pediatric patients 12 years and older with Grade 2 astrocytoma or oligodendroglioma with a susceptible isocitrate dehydrogenase-1 (IDH1) or isocitrate dehydrogenase-2 (IDH2) mutation, as detected by an FDA-approved test, following surgery including biopsy, sub-total resection, or gross total resection [see Dosage and Administration |
1 labels match indications_and_usage:"grade 2 astrocytoma" OR indications_and_usage:"grade 2 oligodendroglioma" OR indications_and_usage:"astrocytoma or oligodendroglioma" OR indications_and_usage:"anaplastic astrocytoma" OR indications_and_usage:"oligodendroglioma" OR indications_and_usage:"IDH1 or IDH2 mutation"; they collapse to 2 distinct molecules once salt forms, biosimilars and co-formulated hyaluronidase are merged. Source: openFDA drug label API (api.fda.gov/drug/label.json), retrieved 2026-09-12. Labels change; this reflects the current label text, not the approval history. Not prescribing guidance.
Cell therapy
ClinicalTrials.gov · retrieved 2026-09-12 · weeklyNo cell-therapy trial in this disease names one of the antigens in the profile. That is a finding, not a gap in the query: the antigens searched are listed in the machine-readable facts alongside the synonyms used.
Research momentum
PubMed MeSH · monthlyEvery term below is a share of the lower-grade glioma literature, not a count, because the field itself grew: 2015–2018 (n=769) against 2021–2025 (n=778). 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 |
|---|---|---|---|---|
| Cyclin-Dependent Kinase Inhibitor p16 | 1.43% | 5.53% | 3.86× | 43 papers |
| Glioma | 7.8% | 27.76% | 3.56× | 216 papers |
| Isocitrate Dehydrogenase | 8.32% | 23.65% | 2.84× | 184 papers |
| Progression-Free Survival | 0.65% | 1.8% | 2.77× | 14 papers |
| Mutation | 14.17% | 31.49% | 2.22× | 245 papers |
| DNA Methylation | 2.21% | 4.76% | 2.15× | 37 papers |
| Epilepsy | 0.78% | 1.67% | 2.14× | 13 papers |
| Oligodendroglioma | 5.46% | 10.93% | 2.0× | 85 papers |
| In Situ Hybridization, Fluorescence | 1.04% | 1.93% | 1.85× | 15 papers |
| World Health Organization | 1.95% | 3.21% | 1.65× | 25 papers |
Cooling
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Disease Progression | 5.72% | 1.54% | 0.27× | 12 papers |
| Immunohistochemistry | 7.54% | 2.06% | 0.27× | 16 papers |
| Diagnosis, Differential | 7.02% | 2.44% | 0.35× | 19 papers |
| Gene Expression Regulation, Neoplastic | 7.15% | 2.7% | 0.38× | 21 papers |
| Antineoplastic Agents | 5.2% | 2.19% | 0.42× | 17 papers |
| Cerebellar Neoplasms | 4.16% | 1.8% | 0.43× | 14 papers |
Biggest topics now
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Brain Neoplasms | 62.16% | 70.44% | 1.13× | 548 papers |
| Mutation | 14.17% | 31.49% | 2.22× | 245 papers |
| Glioma | 7.8% | 27.76% | 3.56× | 216 papers |
| Isocitrate Dehydrogenase | 8.32% | 23.65% | 2.84× | 184 papers |
| Magnetic Resonance Imaging | 25.49% | 19.02% | 0.75× | 148 papers |
| Prognosis | 13.91% | 15.3% | 1.1× | 119 papers |
| Oligodendroglioma | 5.46% | 10.93% | 2.0× | 85 papers |
| Proto-Oncogene Proteins B-raf | 7.93% | 7.84% | 0.99× | 61 papers |
| Biomarkers, Tumor | 10.53% | 6.56% | 0.62× | 51 papers |
| Tuberous Sclerosis | 5.72% | 6.3% | 1.1× | 49 papers |
Publication mix
| Type | 2015–18 | 2021–25 |
|---|---|---|
| Clinical Trial | 0.1% | 0.0% |
| Randomized Controlled Trial | 0.9% | 0.6% |
| Review | 10.7% | 9.8% |
| Meta-Analysis | 0.7% | 0.1% |
| Case Reports | 0.0% | 5.7% |
Query: Astrocytoma[MeSH Major Topic] NOT ("Glioblastoma"[MeSH] OR "Optic Nerve Glioma"[MeSH] OR "Medulloblastoma"[MeSH] OR "Ependymoma"[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 2026-09-12.
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 | 3,778 cases/year | derived | the sum of four CBTRUS Table 6 annual averages: diffuse astrocytoma 1,507 + anaplastic astrocytoma 1,211 + oligodendroglioma 712 + anaplastic oligodendroglioma 348; 2017-2021 |
| Incidence rate | 1.12 cases per 100,000 per year | derived | the sum of the four age-adjusted rates in Table 6: 0.45 + 0.35 + 0.22 + 0.10; 2017-2021 |
| Deaths each year | — | not published | CBTRUS reports mortality for malignant brain and CNS tumours as a whole; deaths by histology are not published. |
| Five-year relative survival | — | not published | CBTRUS publishes median survival in months by histology (Table 15: diffuse astrocytoma 64, anaplastic astrocytoma 21, oligodendroglioma 207, anaplastic oligodendroglioma 107, 2001-2020), not a five-year relative figure for the group; the histologies differ too much to average. |
| Median age at diagnosis | — | not published | Published for IDH-mutant astrocytoma alone (37 years, 2018-2021) and not for the group; oligodendroglioma is older and the IDH-wildtype astrocytomas older still (65). |
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 lower-grade glioma, after removing the 55 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 | $0.3M | 1 | 1 | 2 |
| FY2015 | $0.4M | 1 | 1 | 1 |
| FY2016 | $0.4M | 2 | 2 | 0 |
| FY2017 | $0.7M | 3 | 3 | 1 |
| FY2018 | $0.9M | 3 | 3 | 3 |
| FY2019 | $0.5M | 2 | 2 | 7 |
| FY2020 | $4.1M | 3 | 3 | 9 |
| FY2021 | $0.5M | 2 | 2 | 8 |
| FY2022 | $0.4M | 1 | 1 | 9 |
| FY2023 | $0.4M | 2 | 1 | 8 |
Where FY2023 money went
| Institution | Obligations | Awards |
|---|---|---|
| University Of California, San Francisco | $0.4M | 2 |
Text search lower-grade glioma OR low-grade glioma OR oligodendroglioma OR IDH-mutant glioma 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.
Who funds it, FY2023
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 2 of 2.
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 2 of 2.
Where it lands
Share of $0.4M in FY2023. The top three hold 100%.
Public datasets, ranked
NCBI GEO + Europe PMC + iCite · weekly2,598 human GEO series match lower-grade glioma. Keyword relevance cannot tell a 6,341-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 73-study ranked set
Established
high reuse, older| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE89567 | Single cell RNA-seq analysis of IDH-mutant astrocytoma2017 · sequencing | 6,341 | 106 | 22.0 | patient cohortAPT 0.75molecularIDH770 cites |
| GSE70630 | Single cell RNA-seq analysis of oligodendroglioma2016 · sequencing | 4,825 | 76 | 24.5 | patient cohortAPT 0.75931 cites |
| GSE107850 | Expression based Intrinsic Glioma Subtypes are prognostic in low grade gliomas of the EORTC22033-26033 clinical trial.2019 · array | 195 | 32 | 1.1 | patient cohortAPT 0.75survivalstagemolecularIDHTEMOZOLOMIDE33 cites |
| GSE104293 | The methylome of DDR genes and benefit from RT or TMZ in IDH mutant low grade glioma treated in EORTC 220332018 · methylation | 132 | 11 | 2.5 | patient cohortAPT 0.75survivalstagemolecularIDHMGMTTEMOZOLOMIDE72 cites |
| GSE70991 | Insulator dysfunction and oncogene activation in IDH mutant gliomas2015 · chromatin | 33 | 6 | 25.8 | APT 0.75survivalmolecularIDHIDH1PDGFRA994 cites |
| GSE147352 | Transcriptome profiling of human glioma and normal brain tissues by rRNA-deleted total RNAseq2021 · sequencing | 118 | 43 | 5.7 | APT 0.5stage113 cites |
| GSE184941 | Modeling Malignant Progression in Glioma2021 · sequencing | 180 | 12 | 3.9 | APT 0.5survivalstagemolecularIDH38 cites |
| GSE82009 | caArray_louis-00379: Gene Expression-based Classification of Malignant Gliomas Correlates Better with Survival than Histological Classification2016 · array | 50 | 5 | 11.1 | patient cohortAPT 0.95survivalstage557 cites |
Recent
2022 onward, by score| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE232312 | Vorasidenib and ivosidenib in IDH1-mutant low-grade glioma: a randomized, perioperative phase 1 trial2023 · sequencing | 41 | 0 | 17.7 | patient cohortAPT 0.95stagemolecularIDH1IVOSIDENIBR132H197 cites |
| GSE260928 | Mutant IDH inhibitors induce lineage differentiation in IDH-mutant Oligodendroglioma I2024 · single-cell | 10 | 3 | 5.7 | patient cohortAPT 0.75molecularIDHNOTCH153 cites |
| GSE260850 | Longitudinal epigenome analysis of IDH-mutant astrocytomas from initial and recurrent surgical specimens2024 · methylation | 31 | 2 | 5.8 | patient cohortAPT 0.75survivalmolecularIDH23 cites |
| GSE279950 | Clinical value of MGMT promoter methylation score in IDHmt low-grade glioma for predicting benefit from TMZ treatment2025 · methylation | 109 | 3 | 0.6 | patient cohortAPT 0.25survivalstagemolecularIDHMGMTTEMOZOLOMIDE4 cites |
| GSE222423 | Genomic profiles of IDH-mutant gliomas: MYCN amplified IDH-mutant astrocytoma had the worst prognosis and true mixed oligoastrocytoma does not exist2023 · methylation | 3 | 1 | 2.4 | patient cohortAPT 0.75survivalstagemolecularCDKN2ACICFUBP122 cites |
| GSE175877 | DNA methylation profiling for molecular classification of adult diffuse lower‑grade gliomas2023 · methylation | 106 | 2 | 2.6 | APT 0.75survivalstagemolecularIDH45 cites |
Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-12. SubSeries are collapsed to one row per study by linked PMID. Of 2,541 series retrieved, 1,962 were dropped by the profile’s exclusion rules and 492 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.
ATRX
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
CIC
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
FUBP1
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
CDKN2A
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
TERT
1 approved drug (Imetelstat) and no registered trial in lower-grade glioma. The molecules exist; nobody has tested them here.
PIK3CA
3 approved drugs (Alpelisib, Copanlisib, Inavolisib) and no registered trial in lower-grade glioma. The molecules exist; nobody has tested them here.
MGMT
No drug in any database targets MGMT, while 3 trials target MGMT. A gene-centric search finds nothing here and concludes wrongly.
PDGFRA
14 approved drugs (Avapritinib, Becaplermin, Cediranib) and no registered trial in lower-grade glioma. 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 (2026-09-12), ClinicalTrials.gov (2026-09-12), openFDA (2026-09-12), NCBI GEO (2026-09-12), PubMed (2026-09-12), NIH RePORTER (2026-09-12).
Negatives stated explicitly
Where nothing exists for lower-grade glioma — 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: U87 and U251 are glioblastoma lines and belong to that profile is used as a model system in glioblastoma cell biology. What was removed and why is stated in each section rather than silently applied.
{
"disease": "Lower-grade glioma",
"mesh": "Astrocytoma",
"facts": "https://usebiotransfer.org/disease/lower-grade-glioma.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."
}