Disease Briefing

Lower-grade glioma: 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 73 studies · 16,323 GEO samples
Reading as
Reorders emphasis only — nothing is hidden or loaded on demand.

Answer block

12 genes recurrently implicated in lower-grade glioma — IDH1, IDH2, TP53, ATRX, CIC, FUBP1, CDKN2A, TERT, PIK3CA, NOTCH1, MGMT, PDGFRA — 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.

2
drugs carry an FDA label naming lower-grade glioma: Temozolomide, Vorasidenib. This counts labels, not treatment — the disease is also treated with agents approved under broader indications
2
of the 12 genes above carry a drug that is approved in lower-grade glioma itself — IDH1, IDH2. Across all of them 89 drug entries reach these genes, 82 distinct once salt forms are merged
0
registered IDH cell-therapy trials in lower-grade glioma, 0 active. Counted from ClinicalTrials.gov across 7 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
9
targets carry an Open Targets tractability signal and have no clinical programme of any kind: TP53, ATRX, CIC, FUBP1, TERT, PIK3CA, NOTCH1, MGMT, PDGFRA
2,598
human GEO series match the disease; 73 survive on-topic filtering, and only 7 are patient cohorts of 100+ samples
106
Europe PMC full-text papers name GSE89567 — the highest accession-mention count in the set. A mention is not proof of reanalysis, so read it as reach rather than reuse
$0.0M
NIH obligations in FY2025, up -100% since 2013 — while distinct core projects went 1 to 0. Larger awards rather than more distinct core projects; core projects are not the same unit as laboratories

Target landscape

Open Targets · retrieved 2026-09-12 · weekly

12 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.

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
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 · weekly

2 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.

2Labelled for lower-grade gliomaFDA INDICATIONS AND USAGE names the disease
21Approved, but for another diseasereturned for the genes in the table above
0Backbone agents listing itbroad cytotoxics whose labels name many tumours

Every label that names lower-grade glioma

DrugRoleWhat the label says
TemozolomideTEMODAR, TEMOZOLOMIDE, TemozolomideLabelled hereAnaplastic astrocytoma
VorasidenibVORANIGOLabelled hereVORANIGO 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 · weekly

No 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 · monthly

Every 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 term2015–182021–25ChangeShare now
Cyclin-Dependent Kinase Inhibitor p161.43%5.53%3.86×43 papers
Glioma7.8%27.76%3.56×216 papers
Isocitrate Dehydrogenase8.32%23.65%2.84×184 papers
Progression-Free Survival0.65%1.8%2.77×14 papers
Mutation14.17%31.49%2.22×245 papers
DNA Methylation2.21%4.76%2.15×37 papers
Epilepsy0.78%1.67%2.14×13 papers
Oligodendroglioma5.46%10.93%2.0×85 papers
In Situ Hybridization, Fluorescence1.04%1.93%1.85×15 papers
World Health Organization1.95%3.21%1.65×25 papers

Cooling

MeSH term2015–182021–25ChangeShare now
Disease Progression5.72%1.54%0.27×12 papers
Immunohistochemistry7.54%2.06%0.27×16 papers
Diagnosis, Differential7.02%2.44%0.35×19 papers
Gene Expression Regulation, Neoplastic7.15%2.7%0.38×21 papers
Antineoplastic Agents5.2%2.19%0.42×17 papers
Cerebellar Neoplasms4.16%1.8%0.43×14 papers

Biggest topics now

MeSH term2015–182021–25ChangeShare now
Brain Neoplasms62.16%70.44%1.13×548 papers
Mutation14.17%31.49%2.22×245 papers
Glioma7.8%27.76%3.56×216 papers
Isocitrate Dehydrogenase8.32%23.65%2.84×184 papers
Magnetic Resonance Imaging25.49%19.02%0.75×148 papers
Prognosis13.91%15.3%1.1×119 papers
Oligodendroglioma5.46%10.93%2.0×85 papers
Proto-Oncogene Proteins B-raf7.93%7.84%0.99×61 papers
Biomarkers, Tumor10.53%6.56%0.62×51 papers
Tuberous Sclerosis5.72%6.3%1.1×49 papers

Publication mix

Type2015–182021–25
Clinical Trial0.1%0.0%
Randomized Controlled Trial0.9%0.6%
Review10.7%9.8%
Meta-Analysis0.7%0.1%
Case Reports0.0%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.

MeasureValueMatchWhat it counts
New cases each year3,778 cases/yearderivedthe sum of four CBTRUS Table 6 annual averages: diffuse astrocytoma 1,507 + anaplastic astrocytoma 1,211 + oligodendroglioma 712 + anaplastic oligodendroglioma 348; 2017-2021
Incidence rate1.12 cases per 100,000 per yearderivedthe sum of the four age-adjusted rates in Table 6: 0.45 + 0.35 + 0.22 + 0.10; 2017-2021
Deaths each yearnot publishedCBTRUS reports mortality for malignant brain and CNS tumours as a whole; deaths by histology are not published.
Five-year relative survivalnot publishedCBTRUS 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 diagnosisnot publishedPublished 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 · quarterly

NIH 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.

$0.4MNIH obligations, FY2023from $0.3M in FY2013 · +55%
1distinct projects funded1 in FY2013
$4.1Mpeak year was FY2020obligations, all institutes
100%of FY2023 awards from NCI2 of 2

NIH obligations by fiscal year

$1M$2M$3M$4M131618202223
YearObligationsAwardsDistinct projectsDropped as off-topic
FY2013$0.3M112
FY2015$0.4M111
FY2016$0.4M220
FY2017$0.7M331
FY2018$0.9M333
FY2019$0.5M227
FY2020$4.1M339
FY2021$0.5M228
FY2022$0.4M119
FY2023$0.4M218

Where FY2023 money went

InstitutionObligationsAwards
University Of California, San Francisco$0.4M2

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

NCI2 · 100%

Projects by administering institute. The rows above are the top 1 and account for 2 of 2.

Award mechanisms

P012 · 100%

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

University Of California, San Francisco$0.4M · 100.0%

Share of $0.4M in FY2023. The top three hold 100%.

Public datasets, ranked

NCBI GEO + Europe PMC + iCite · weekly

2,598 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

patient 34unspecified 25mixed 8cell line 6
34 patient25 unspecified8 mixed6 cell line68 carry clinical annotation28 carry survival7 patient cohorts ≥100 GEO samples16,323 GEO samples totalin 5 single-cell series a GEO sample is one cell, not one patient

Established

high reuse, older
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE89567Single cell RNA-seq analysis of IDH-mutant astrocytoma2017 · sequencing6,34110622.0
patient cohortAPT 0.75molecularIDH770 cites
GSE70630Single cell RNA-seq analysis of oligodendroglioma2016 · sequencing4,8257624.5
patient cohortAPT 0.75931 cites
GSE107850Expression based Intrinsic Glioma Subtypes are prognostic in low grade gliomas of the EORTC22033-26033 clinical trial.2019 · array195321.1
patient cohortAPT 0.75survivalstagemolecularIDHTEMOZOLOMIDE33 cites
GSE104293The methylome of DDR genes and benefit from RT or TMZ in IDH mutant low grade glioma treated in EORTC 220332018 · methylation132112.5
patient cohortAPT 0.75survivalstagemolecularIDHMGMTTEMOZOLOMIDE72 cites
GSE70991Insulator dysfunction and oncogene activation in IDH mutant gliomas2015 · chromatin33625.8
APT 0.75survivalmolecularIDHIDH1PDGFRA994 cites
GSE147352Transcriptome profiling of human glioma and normal brain tissues by rRNA-deleted total RNAseq2021 · sequencing118435.7
APT 0.5stage113 cites
GSE184941Modeling Malignant Progression in Glioma2021 · sequencing180123.9
APT 0.5survivalstagemolecularIDH38 cites
GSE82009caArray_louis-00379: Gene Expression-based Classification of Malignant Gliomas Correlates Better with Survival than Histological Classification2016 · array50511.1
patient cohortAPT 0.95survivalstage557 cites

Recent

2022 onward, by score
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE232312Vorasidenib and ivosidenib in IDH1-mutant low-grade glioma: a randomized, perioperative phase 1 trial2023 · sequencing41017.7
patient cohortAPT 0.95stagemolecularIDH1IVOSIDENIBR132H197 cites
GSE260928Mutant IDH inhibitors induce lineage differentiation in IDH-mutant Oligodendroglioma I2024 · single-cell1035.7
patient cohortAPT 0.75molecularIDHNOTCH153 cites
GSE260850Longitudinal epigenome analysis of IDH-mutant astrocytomas from initial and recurrent surgical specimens2024 · methylation3125.8
patient cohortAPT 0.75survivalmolecularIDH23 cites
GSE279950Clinical value of MGMT promoter methylation score in IDHmt low-grade glioma for predicting benefit from TMZ treatment2025 · methylation10930.6
patient cohortAPT 0.25survivalstagemolecularIDHMGMTTEMOZOLOMIDE4 cites
GSE222423Genomic profiles of IDH-mutant gliomas: MYCN amplified IDH-mutant astrocytoma had the worst prognosis and true mixed oligoastrocytoma does not exist2023 · methylation312.4
patient cohortAPT 0.75survivalstagemolecularCDKN2ACICFUBP122 cites
GSE175877DNA methylation profiling for molecular classification of adult diffuse lower‑grade gliomas2023 · methylation10622.6
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 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.

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

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. 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."
}