Target landscape
Open Targets · retrieved 2026-09-30 · weekly12 genes recurrently implicated in marginal zone lymphoma, triaged for whether anything can actually be aimed at them. The zeros are the informative rows.
Of 12 recurrently implicated genes, 6 carry any drug at all. That is a statement about these 12 gene targets, not about the disease: Marginal zone lymphoma 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 marginal zone lymphoma 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 |
|---|---|---|---|---|
| MYD88 across cancers → | 0 | No drug— | antibody, protein degrader | — |
| KLF2 | 0 | No drug— | protein degrader | — |
| NOTCH2 across cancers → | 1 | Phase 2TarextumabNo marginal zone lymphoma trial of any of these drugs | antibody, protein degrader, small molecule | — |
| TNFAIP3 across cancers → | 0 | No drug— | protein degrader | — |
| BIRC3 | 1 | Phase 2BirinapantNo marginal zone lymphoma trial of any of these drugs | protein degrader, small molecule | — |
| MALT1 | 1 | WithdrawalMepazineNo marginal zone lymphoma trial of any of these drugs | protein degrader, small molecule | 1 active of 1 trial |
| CARD11 | 0 | No drug— | antibody, protein degrader | — |
| KMT2D across cancers → | 0 | No drug— | antibody, protein degrader, small molecule | — |
| PTPRD | 0 | No drug— | antibody, protein degrader | — |
| TP53 across cancers → | 8 | Phase 3Alrizomadlin, Cenersen, Contusugene Ladenovec, Eprenetapopt, Idasanutlin, Navtemadlin, Siremadlin, TeprasiranNo marginal zone lymphoma trial of any of these drugs | other clinical modality, protein degrader, small molecule | — |
| BTK across cancers → | 20 | 5 approvedAcalabrutinib, Orelabrutinib, Rilzabrutinib, Ritlecitinib, TirabrutinibApproved in mantle cell lymphoma, B-cell chronic lymphocytic leukemia, autoimmune thrombocytopenic purpura and 1 other indications. No marginal zone lymphoma indication appears on these drugs’ labels.48 active of 79 marginal zone lymphoma trials | antibody, protein degrader, small molecule | 1 active of 1 trial |
| MS4A1 across cancers → | 18 | 5 approvedEpcoritamab, Mosunetuzumab, Obinutuzumab, Odronextamab, TositumomabApproved in follicular lymphoma, B-cell non-Hodgkin lymphoma, diffuse large B-cell lymphoma and 1 other indications. No marginal zone lymphoma indication appears on these drugs’ labels.77 active of 256 marginal zone lymphoma trials | antibody, other clinical modality, protein degrader, small molecule | 2 active of 3 trials |
Dataset evidence counts studies in the 39-study ranked set whose title or abstract names the gene; the bar is scaled to TNFAIP3. Sources: Open Targets Platform and NCBI GEO, retrieved 2026-09-30. 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 marginal zone lymphoma: Lenalidomide, Lisocabtagene Maraleucel, Zanubrutinib. Separately, 10 of the drugs returned for the genes in the table above are approved only for other diseases and reach marginal zone lymphoma through trials, not through their labels.
Every label that names marginal zone lymphoma
| Drug | Role | What the label says |
|---|---|---|
| LenalidomideLENALIDOMIDE, Lenalidomide, Revlimid | Labelled here | Marginal Zone Lymphoma REVLIMID in combination with a rituximab product, is indicated for the treatment of adult patients with previously treated marginal zone lymphoma (MZL). 1.6. . |
| Lisocabtagene MaraleucelBREYANZI | Labelled here | Marginal Zone Lymphoma (MZL) BREYANZI is indicated for the treatment of adult patients with relapsed or refractory marginal zone lymphoma (MZL) who have received at least 2 prior lines of systemic therapy. |
| ZanubrutinibBRUKINSA | Labelled here | Marginal Zone Lymphoma BRUKINSA is indicated for the treatment of adult patients with relapsed or refractory marginal zone lymphoma (MZL) who have received at least one anti–CD20-based regimen. |
16 labels carry a positive indication naming the disease under indications_and_usage:"marginal zone lymphoma"; 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 2026-09-18. Labels change; this reflects the current label text, not the approval history. Not prescribing guidance.
Labels that name marginal zone lymphoma without indicating for it
A label can name a disease under Limitations of Use, in a contraindication or as a risk. These were read and are not counted above.
| Drug | Why not | What the label says |
|---|---|---|
| TafasitamabMONJUVI | Excluded by label | Limitations of Use : MONJUVI is not indicated and is not recommended for the treatment of patients with relapsed or refractory marginal zone lymphoma outside of controlled clinical trials. |
Cell therapy against CD20
ClinicalTrials.gov · retrieved 2026-09-18 · weeklyCD20 is the busiest cell-therapy target among those this briefing searched in marginal zone lymphoma: 3 registered trials naming it, 2 still active. It has no gene entry of its own and is reached through MS4A1: a form or product of that gene.
| Trial | Phase | Status | Title | Last update |
|---|---|---|---|---|
| NCT07225439 | 1 | Recruiting | Rituximab (Rtx) + Tafasitamab in Combination With Allogeneic NK Cells for Treatment of Relapsed/Refractory (r/r) B-cell Non-Hodgkin Lymphoma (NHL) | 2026-09-09 |
| NCT03277729 | 1/2 | Active | A Phase I/II Study to Evaluate the Safety of Cellular Immunotherapy Using Autologous T Cells Engineered to Express a CD20-Specific Chimeric Antigen Receptor for Patients With Relapsed or Refractory B Cell Non-Hodgkin Lymphomas | 2026-06-22 |
| NCT00176475 | 1 | Terminated | Irradiated Donor Lymphocytes and Rituximab in Treating Patients With Relapsed or Refractory Lymphoproliferative Disease | 2013-09-17 |
3 of 3 shown, most recently active first. Other targets searched: BTK (1). Source: ClinicalTrials.gov API v2, retrieved 2026-09-18. A trial counts here when its registered conditions name marginal zone lymphoma or a tumour-agnostic basket, its title names an administered cell product, and the title names this target: a HER2 CAR-T trial that adds a PD-1 antibody is a HER2 trial. A trial stating only a product code is missed.
Research momentum
PubMed MeSH · monthlyEvery term below is a share of the marginal zone lymphoma literature, not a count, because the field itself grew: 2015–2018 (n=604) against 2021–2025 (n=613). 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 |
|---|---|---|---|---|
| Lymphoma, Non-Hodgkin | 1.82% | 7.34% | 4.03× | 45 papers |
| Mucous Membrane | 1.32% | 2.94% | 2.22× | 18 papers |
| Lymphoid Tissue | 2.48% | 5.06% | 2.04× | 31 papers |
| Lymphoma | 1.49% | 2.61% | 1.75× | 16 papers |
| Radiotherapy Dosage | 1.49% | 2.61% | 1.75× | 16 papers |
| Neoplasm Recurrence, Local | 3.81% | 6.2% | 1.63× | 38 papers |
| Stomach Neoplasms | 12.75% | 20.39% | 1.6× | 125 papers |
| Helicobacter pylori | 7.78% | 12.23% | 1.57× | 75 papers |
| Disease Progression | 1.32% | 1.96% | 1.48× | 12 papers |
| Helicobacter Infections | 8.94% | 12.23% | 1.37× | 75 papers |
Cooling
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Immunohistochemistry | 8.77% | 2.94% | 0.33× | 18 papers |
| Biomarkers, Tumor | 6.62% | 2.61% | 0.39× | 16 papers |
| Splenic Neoplasms | 9.77% | 3.92% | 0.4× | 24 papers |
| Biopsy | 10.93% | 4.73% | 0.43× | 29 papers |
| Follow-Up Studies | 6.95% | 3.1% | 0.45× | 19 papers |
| Remission Induction | 4.64% | 2.28% | 0.49× | 14 papers |
Biggest topics now
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Stomach Neoplasms | 12.75% | 20.39% | 1.6× | 125 papers |
| Helicobacter pylori | 7.78% | 12.23% | 1.57× | 75 papers |
| Helicobacter Infections | 8.94% | 12.23% | 1.37× | 75 papers |
| Treatment Outcome | 18.05% | 11.58% | 0.64× | 71 papers |
| Prognosis | 9.11% | 11.09% | 1.22× | 68 papers |
| Rituximab | 11.26% | 8.65% | 0.77× | 53 papers |
| Lymphoma, Non-Hodgkin | 1.82% | 7.34% | 4.03× | 45 papers |
| Neoplasm Recurrence, Local | 3.81% | 6.2% | 1.63× | 38 papers |
| Eye Neoplasms | 5.3% | 6.04% | 1.14× | 37 papers |
| Lung Neoplasms | 8.44% | 5.55% | 0.66× | 34 papers |
Publication mix
| Type | 2015–18 | 2021–25 |
|---|---|---|
| Clinical Trial | 0.0% | 0.2% |
| Randomized Controlled Trial | 0.2% | 0.0% |
| Review | 16.1% | 11.3% |
| Meta-Analysis | 0.3% | 1.1% |
| Case Reports | 0.2% | 7.5% |
Query: Lymphoma, B-Cell, Marginal Zone[MeSH Major Topic] NOT ("Lymphoma, Follicular"[MeSH] OR "Waldenstrom Macroglobulinemia"[MeSH] OR "Leukemia, Lymphocytic, Chronic, B-Cell"[MeSH] OR "Lymphoma, Mantle-Cell"[MeSH] OR "Lymphoma, Large B-Cell, Diffuse"[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 2026-09-17.
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 | 79,320 cases/year | proxy | counts non-hodgkin lymphoma, which is broader than this disease; 2026 SEER Cancer Stat Facts, Non-Hodgkin Lymphoma, retrieved 2026-09-17 |
| Deaths each year | 19,970 deaths/year | proxy | counts non-hodgkin lymphoma, which is broader than this disease; 2026 SEER Cancer Stat Facts, Non-Hodgkin Lymphoma, retrieved 2026-09-17 |
| Incidence rate | 18.7 cases per 100,000 per year | proxy | counts non-hodgkin lymphoma, which is broader than this disease; 2019-2023 SEER Cancer Stat Facts, Non-Hodgkin Lymphoma, retrieved 2026-09-17 |
| Death rate | 4.8 deaths per 100,000 per year | proxy | counts non-hodgkin lymphoma, which is broader than this disease; 2020-2024 SEER Cancer Stat Facts, Non-Hodgkin Lymphoma, retrieved 2026-09-17 |
| People living with it | 872,940 people living with the disease | proxy | counts non-hodgkin lymphoma, which is broader than this disease; 2023 SEER Cancer Stat Facts, Non-Hodgkin Lymphoma, retrieved 2026-09-17 |
| New cases each year | — | not published | SEER publishes no subtype page for marginal zone lymphoma; the American Cancer Society gives a share of lymphomas as a range ("about 5% to 10%") and no count. |
| Deaths each year | — | not published | Not published for the subtype. |
| Five-year relative survival | — | not published | Not published for the subtype by SEER or the American Cancer Society. |
| Median age at diagnosis | — | not published | Not published for the subtype. |
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, incident cases is not recorded for this disease.
Funding
NIH RePORTER · quarterlyNIH obligations naming marginal zone lymphoma, after removing the 67 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.
No matching project in FY2022–FY2025. The figures below are for FY2021, the last fiscal year in which a RePORTER award passed this briefing’s topic filter; the query and the filter are in the JSON beside this page, and a zero here is a search result, not a statement that no such research is funded.
NIH obligations by fiscal year
| Year | Obligations | Awards | Distinct projects | Dropped as off-topic |
|---|---|---|---|---|
| FY2013 | $0.3M | 1 | 1 | 9 |
| FY2020 | $1.0M | 1 | 1 | 4 |
| FY2021 | $1.0M | 1 | 1 | 7 |
Where FY2021 money went
| Institution | Obligations | Awards |
|---|---|---|
| Division Of Clinical Sciences - Nci | $1.0M | 1 |
Text search marginal zone lymphoma OR MALT lymphoma OR mucosa-associated lymphoid tissue lymphoma 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 2026-09-19.
Who funds it, FY2021
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 $1.0M in FY2021. The top three hold 100%.
Public datasets, ranked
NCBI GEO + Europe PMC + iCite · weekly99 human GEO series match marginal zone lymphoma. Keyword relevance cannot tell a 218-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 39-study ranked set
Established
high reuse, older| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE24881 | Affymetrix SNP array data for Marginal Zone Lymphoma samples2011 · array | 218 | 5 | 6.8 | patient cohortAPT 0.95survivalmolecularTNFAIP3TP53303 cites |
| GSE68078 | Cytoscan HD arrays data for Nodal marginal zone lymphoma (NMZL)2015 · array | 58 | 2 | 4.1 | APT 0.95survivalmolecularBIRC3CARD11MYD88140 cites |
| GSE24485 | miRNA expression profile of human MALT lymphoma compared to gastritis and gDLBCL2010 · array | 22 | 2 | 3.3 | patient cohortAPT 0.75stagemolecularHELICOBACTER142 cites |
| GSE35278 | Genomic analysis of marginal zone and lymphoplasmacytic lymphomas identified common and disease-specific abnormalities2012 · array | 114 | 2 | 1.3 | patient cohortAPT 0.75molecularTNFAIP3TP5352 cites |
| GSE18736 | Differential Expression of NF-kB target genes in MALT lymphoma with and without chromosome translocation: insights into molecular mechanism2010 · array | 33 | 1 | 2.1 | mixedAPT 0.5molecularBCL2ERADICATIONMALT191 cites |
| GSE25639 | A mouse model of deregulation of the malt1 oncogene recapitulates the pathogenesis of human malt lymphoma2012 · array | 114 | 26 | 1.4 | xenograftAPT 0.25molecularMALT170 cites |
| GSE16024 | Identification of molecular mechanisms involved in pathogenesis of MALT lymphoma from small sample size2010 · array | 62 | 7 | — | patient cohortmolecularBCL2ERADICATIONMALT1 |
| GSE9327 | Microarray expression of B-cell Non-Hodgkins Lymphoma cases2008 · array | 200 | 15 | 0.3 | APT 0.0519 cites |
Recent
2022 onward, by score| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE252608 | Multimodal single-cell profiling identifies distinct patterns of T-cell infiltration in nodal B-cell lymphoma entities2024 · single-cell | 102 | 3 | 6.7 | patient cohortAPT 0.7562 cites |
| GSE154834 | Overlap Between Pediatric Nodal Marginal Zone Lymphoma (PNMZL) and Pediatric-Type Follicular Lymphoma (PTFL) : Morphological and Molecular Analysis2022 · array | 56 | 1 | 2.9 | APT 0.7536 cites |
| GSE221412 | Early detection of extranodal marginal zone lymphoma in Sjögren's syndrome patients through immunogenetics2023 · other | 28 | 1 | 1.4 | patient cohortAPT 0.259 cites |
| GSE279602 | Epigenetic features support the diagnosis of B-cell prolymphocytic leukemia and identify two clinico-biological subtypes2025 · methylation | 20 | 1 | 0.1 | patient cohortAPT 0.25survival1 cites |
| GSE260667 | Epigenome analysis of nodal marginal zone lymphoma and diffuse large b cell lymphoma2024 · methylation | 52 | 1 | — | patient cohortAPT 0.05 |
| GSE227833 | A single cell RNA-Seq 5’ study of splenic marginal zone lymphomas (SMZL) and spleen healthy donors2024 · sequencing | 8 | 1 | 0.6 | patient cohortAPT 0.055 cites |
Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-19. SubSeries are collapsed to one row per study by linked PMID. Of 99 series retrieved, 12 were dropped by the profile’s exclusion rules and 33 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.
MYD88
Open Targets lists no drug against it and no trial in marginal zone lymphoma names it. A bounded negative: the sources and search terms are in the JSON beside this page.
KLF2
Open Targets lists no drug against it and no trial in marginal zone lymphoma names it. A bounded negative: the sources and search terms are in the JSON beside this page.
TNFAIP3
Open Targets lists no drug against it and no trial in marginal zone lymphoma names it. A bounded negative: the sources and search terms are in the JSON beside this page.
MALT1
1 cell-therapy trials against BTK, 1 active, and no approved product. The clinical activity is real and none of it has reached a label.
CARD11
Open Targets lists no drug against it and no trial in marginal zone lymphoma names it. A bounded negative: the sources and search terms are in the JSON beside this page.
KMT2D
Open Targets lists no drug against it and no trial in marginal zone lymphoma names it. A bounded negative: the sources and search terms are in the JSON beside this page.
PTPRD
Open Targets lists no drug against it and no trial in marginal zone lymphoma names it. A bounded negative: the sources and search terms are in the JSON beside this page.
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 (2026-09-30), ClinicalTrials.gov (2026-09-18), openFDA (2026-09-18), NCBI GEO (2026-09-19), PubMed (2026-09-17), NIH RePORTER (2026-09-19).
Negatives stated explicitly
Where the searches find nothing for marginal zone lymphoma — no drug, no trial, no approval — the page says so in those words rather than omitting the row, and names the source searched. An absent row is unquotable; a bounded 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
5 exclusion patterns are applied to free text before anything is ranked, because none: no line is in regular use is used as a model system in marginal zone lymphoma. What was removed and why is stated in each section rather than silently applied.
{
"disease": "Marginal zone lymphoma",
"mesh": "Lymphoma, B-Cell, Marginal Zone",
"facts": "https://usebiotransfer.org/disease/marginal-zone-lymphoma.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."
}