Target landscape
Open Targets · retrieved 2026-09-12 · weekly12 genes recurrently implicated in myelodysplastic syndromes, triaged for whether anything can actually be aimed at them. The zeros are the informative rows.
Of 12 recurrently implicated genes, 5 carry any drug at all. That is a statement about these 12 gene targets, not about the disease: Myelodysplastic syndromes does have labelled therapy — 10 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 myelodysplastic syndromes 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 |
|---|---|---|---|---|
| SF3B1 across cancers → | 0 | No drug— | protein degrader, small molecule | — |
| TP53 across cancers → | 8 | Phase 3Alrizomadlin, Cenersen, Contusugene Ladenovec, Eprenetapopt, Idasanutlin, Navtemadlin, Siremadlin, Teprasiran1 active of 7 myelodysplastic syndromes trials | other clinical modality, protein degrader, small molecule | — |
| TET2 | 0 | No drug— | protein degrader, small molecule | — |
| ASXL1 across cancers → | 0 | No drug— | protein degrader | — |
| DNMT3A across cancers → | 2 | 2 approvedAzacitidine, DecitabineApproved in myelodysplastic syndromes: Azacitidine, Decitabine.97 active of 365 myelodysplastic syndromes trials | protein degrader, small molecule | — |
| RUNX1 across cancers → | 0 | No drug— | protein degrader, small molecule | — |
| SRSF2 | 0 | No drug— | protein degrader | — |
| U2AF1 | 0 | No drug— | protein degrader | — |
| EZH2 across cancers → | 3 | 2 approvedTazemetostat, Tazemetostat HydrobromideApproved in follicular lymphoma, sarcoma. No myelodysplastic syndromes indication appears on these drugs’ labels.No myelodysplastic syndromes trial of any of these drugs | protein degrader, small molecule | — |
| STAG2 across cancers → | 0 | No drug— | protein degrader | — |
| IDH2 across cancers → | 2 | 2 approvedEnasidenib, VorasidenibApproved in acute myeloid leukemia by FAB classification, astrocytoma (excluding glioblastoma), oligodendroglioma. No myelodysplastic syndromes indication appears on these drugs’ labels.9 active of 13 myelodysplastic syndromes trials | protein degrader, small molecule | — |
| BCL2 across cancers → | 5 | 3 approvedNavitoclax, Oblimersen, VenetoclaxApproved in B-cell chronic lymphocytic leukemia. No myelodysplastic syndromes indication appears on these drugs’ labels.72 active of 116 myelodysplastic syndromes trials | antibody, other clinical modality, protein degrader, small molecule | — |
Dataset evidence counts studies in the 237-study ranked set whose title or abstract names the gene; the bar is scaled to SF3B1. 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 · weekly10 drugs carry an FDA label naming myelodysplastic syndromes: Azacitidine, Azacitidine For, Cedazuridine And Decitabine, Decitabine, Imatinib, Imatinib Oral, Imetelstat, Ivosidenib, Lenalidomide, Luspatercept. Separately, 7 of the drugs returned for the genes in the table above are approved only for other diseases and reach myelodysplastic syndromes through trials, not through their labels.
Every label that names myelodysplastic syndromes
| Drug | Role | What the label says |
|---|---|---|
| AzacitidineAZACITIDINE, AZACITIDINE AZACITIDINE, Azacitidine | Labelled here | Myelodysplastic Syndromes (MDS) Azacitidine for injection is indicated for treatment of adult patients with the following French-American- British (FAB) myelodysplastic syndrome subtypes: refractory anemia (RA) or refractory anemia with ringed sideroblasts (if accompanied by neutropenia or thrombocytopenia or requiring transfusions), refractory anemia with excess blasts (RAEB), refractory anemi... |
| Azacitidine ForAZACITIDINE | Labelled here | Myelodysplastic Syndromes (MDS) Azacitidine for injection is indicated for treatment of adult patients with the following French-American-British (FAB) myelodysplastic syndrome subtypes: refractory anemia (RA) or refractory anemia with ringed sideroblasts (if accompanied by neutropenia or thrombocytopenia or requiring transfusions), refractory anemia with excess blasts (RAEB), refractory anemia... |
| Cedazuridine And DecitabineINQOVI | Labelled here | Myelodysplastic Syndromes or Chronic Myelomonocytic Leukemia INQOVI is indicated for treatment of adult patients with myelodysplastic syndromes (MDS), including previously treated and untreated, de novo and secondary MDS with the following French-American-British subtypes (refractory anemia, refractory anemia with ringed sideroblasts, refractory anemia with excess blasts, and chronic myelomonoc... |
| DecitabineDECITABINE, Decitabine, decitabine | Labelled here | Decitabine for Injection is indicated for treatment of adult patients with myelodysplastic syndromes (MDS) including previously treated and untreated, de novo and secondary MDS of all French-American-British subtypes (refractory anemia, refractory anemia with ringed sideroblasts, refractory anemia with excess blasts, refractory anemia with excess blasts in transformation, and chronic myelomonoc... |
| ImatinibGleevec, IMATINIB MESYLATE, Imatinib | Labelled here | Myelodysplastic/Myeloproliferative Diseases (MDS/MPD) Adult patients with myelodysplastic/myeloproliferative diseases associated with platelet-derived growth factor receptor (PDGFR) gene re-arrangements. |
| Imatinib OralIMKELDI | Labelled here | Myelodysplastic/Myeloproliferative Diseases (MDS/MPD) Adult patients with myelodysplastic/myeloproliferative diseases associated with platelet-derived growth factor receptor (PDGFR) gene re-arrangements. |
| ImetelstatRYTELO | Labelled here | RYTELO is indicated for the treatment of adult patients with low- to intermediate-1 risk myelodysplastic syndromes (MDS) with transfusion-dependent anemia requiring 4 or more red blood cell units over 8 weeks who have not responded to or have lost response to or are ineligible for erythropoiesis-stimulating agents (ESA). |
| IvosidenibTIBSOVO | Labelled here | Relapsed or refractory Myelodysplastic Syndromes (MDS) For the treatment of adult patients with relapsed or refractory myelodysplastic syndromes |
| LenalidomideLENALIDOMIDE, Lenalidomide, Revlimid | Labelled here | Myelodysplastic Syndromes REVLIMID is indicated for the treatment of adult patients with transfusion-dependent anemia due to low- or intermediate-1-risk myelodysplastic syndromes (MDS) associated with a deletion 5q cytogenetic abnormality with or without additional cytogenetic abnormalities. |
| LuspaterceptReblozyl | Labelled here | Myelodysplastic Syndromes Associated Anemia REBLOZYL is indicated for the treatment of anemia without previous erythropoiesis stimulating agent use (ESA-naïve) in adult patients with very low- to intermediate-risk myelodysplastic syndromes (MDS) who may require regular red blood cell (RBC) transfusions. |
| TreosulfanGRAFAPEX | Backbone | Myelodysplastic Syndrome GRAFAPEX is indicated in combination with fludarabine as a preparative regimen for allogeneic hematopoietic stem cell transplantation in adult and pediatric patients 1 year of age and older with myelodysplastic syndrome (MDS). |
180 labels match indications_and_usage:"myelodysplastic syndromes" OR indications_and_usage:"myelodysplastic syndrome" OR indications_and_usage:"myelodysplastic"; they collapse to 11 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 against hypomethylating
ClinicalTrials.gov · retrieved 2026-09-12 · weeklyhypomethylating is the busiest cell-therapy antigen in myelodysplastic syndromes: 6 registered trials, 1 still active, 1 withdrawn before enrolling anyone.
| Trial | Phase | Status | Title | Last update |
|---|---|---|---|---|
| NCT04623944 | 1 | Active | NKX101, Intravenous Allogeneic CAR NK Cells, in Adults With AML or MDS | 2024-12-27 |
| NCT01390311 | 1 | Completed | Azacitidine After Chemotherapy and Donor Lymphocyte Infusion in Patients With Relapsed Acute Myeloid Leukemia or Myelodysplastic Syndrome Previously Treated With Donor Stem Cell Transplant | 2015-04-27 |
| NCT01593670 | 2 | Completed | Decitabine and Vorinostat Conditioning Followed by CD3-/CD19- NK Cells Infusion for High Risk Myelodysplastic Syndromes | 2019-05-21 |
| NCT02017457 | 2 | Completed | Azacytidine and Lymphocytes in Relapse of AML or MDS After Allogeneic Stem Cell Transplantation. | 2019-12-10 |
| NCT02458235 | 2 | Completed | Donor Lymphocyte Infusion With Azacitidine to Prevent Hematologic Malignancy Relapse After Stem Cell Transplantation | 2020-10-12 |
| NCT06572631 | 1 | Withdrawn | Multi-antigen Specific CD8+ T Cells With Decitabine and Lymphodepleting Chemotherapy for the Treatment of Patients With Relapsed or Refractory AML or MDS Following an Allogeneic Hematopoietic Cell Transplantation From a Matched Donor | 2025-05-25 |
6 of 6 shown, most recently active first. Source: ClinicalTrials.gov API v2, retrieved 2026-09-12. 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 myelodysplastic syndromes literature, not a count, because the field itself grew: 2015–2018 (n=1,961) against 2021–2025 (n=2,376). 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 |
|---|---|---|---|---|
| Complement Inactivating Agents | 0.61% | 5.68% | 9.28× | 135 papers |
| Neoplasms | 0.66% | 4.67% | 7.05× | 111 papers |
| Recombinant Fusion Proteins | 0.41% | 2.23% | 5.47× | 53 papers |
| Complement C3 | 0.31% | 1.14% | 3.71× | 27 papers |
| Anemia, Hemolytic, Autoimmune | 0.36% | 1.14% | 3.18× | 27 papers |
| GATA2 Deficiency | 1.02% | 2.95% | 2.89× | 70 papers |
| Cross-Sectional Studies | 0.31% | 0.88% | 2.89× | 21 papers |
| Pyrazoles | 0.25% | 0.63% | 2.48× | 15 papers |
| Hemolysis | 2.24% | 5.51% | 2.46× | 131 papers |
| Myelodysplastic-Myeloproliferative Diseases | 0.61% | 1.47% | 2.41× | 35 papers |
Cooling
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Disease-Free Survival | 5.1% | 0.59% | 0.12× | 14 papers |
| Survival Analysis | 5.2% | 0.88% | 0.17× | 21 papers |
| Karyotyping | 3.47% | 0.72% | 0.21× | 17 papers |
| Combined Modality Therapy | 2.35% | 0.51% | 0.22× | 12 papers |
| Kaplan-Meier Estimate | 4.08% | 0.88% | 0.22× | 21 papers |
| Case-Control Studies | 4.49% | 1.14% | 0.25× | 27 papers |
Biggest topics now
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Mutation | 15.6% | 19.44% | 1.25× | 462 papers |
| Hemoglobinuria, Paroxysmal | 11.37% | 17.38% | 1.53× | 413 papers |
| Prognosis | 20.6% | 14.44% | 0.7× | 343 papers |
| Hematopoietic Stem Cell Transplantation | 10.15% | 10.35% | 1.02× | 246 papers |
| Treatment Outcome | 13.21% | 9.13% | 0.69× | 217 papers |
| Bone Marrow | 9.59% | 7.2% | 0.75× | 171 papers |
| Antibodies, Monoclonal, Humanized | 4.39% | 7.07% | 1.61× | 168 papers |
| Azacitidine | 9.64% | 6.27% | 0.65× | 149 papers |
| Complement Inactivating Agents | 0.61% | 5.68% | 9.28× | 135 papers |
| Hemolysis | 2.24% | 5.51% | 2.46× | 131 papers |
Publication mix
| Type | 2015–18 | 2021–25 |
|---|---|---|
| Clinical Trial | 0.0% | 0.2% |
| Randomized Controlled Trial | 1.6% | 2.1% |
| Review | 17.3% | 16.0% |
| Meta-Analysis | 0.9% | 0.9% |
| Case Reports | 0.0% | 3.3% |
Query: Myelodysplastic Syndromes[MeSH Major Topic] NOT ("Anemia, Aplastic"[MeSH] OR "Leukemia, Myeloid, Acute"[MeSH] OR "Primary Myelofibrosis"[MeSH] OR "Polycythemia Vera"[MeSH] OR "Thrombocythemia, Essential"[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 | 10,000 cases/year | direct | American Cancer Society, Key Statistics for Myelodysplastic Syndromes, retrieved 2026-09-12 |
| Deaths each year | — | not published | Not published by the page; SEER has no page for MDS, and deaths are recorded as AML when the disease transforms. |
| Five-year relative survival | — | not published | The American Cancer Society gives survival by IPSS-R risk group as medians in years, not a five-year relative figure; an average across risk groups would be a derivation the source does not make. |
| Median age at diagnosis | — | not published | Not published as a median on the page; MDS is a disease of the elderly, most diagnosed after 70. |
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 myelodysplastic syndromes, after removing the 1,959 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 | $15.1M | 42 | 37 | 123 |
| FY2014 | $18.4M | 48 | 45 | 136 |
| FY2015 | $24.9M | 61 | 53 | 142 |
| FY2016 | $24.6M | 63 | 59 | 129 |
| FY2017 | $23.6M | 65 | 61 | 141 |
| FY2018 | $23.3M | 71 | 67 | 180 |
| FY2019 | $29.1M | 63 | 61 | 151 |
| FY2020 | $25.5M | 58 | 57 | 149 |
| FY2021 | $25.9M | 63 | 60 | 170 |
| FY2022 | $28.2M | 62 | 58 | 161 |
| FY2023 | $27.9M | 59 | 59 | 169 |
| FY2024 | $28.9M | 59 | 57 | 149 |
| FY2025 | $30.3M | 62 | 59 | 159 |
Where FY2025 money went
| Institution | Obligations | Awards |
|---|---|---|
| Division Of Basic Sciences - Nci | $4.6M | 4 |
| University Of Pennsylvania | $3.2M | 0 |
| Fred Hutchinson Cancer Center | $3.2M | 4 |
| Columbia University Health Sciences | $2.0M | 4 |
| Albert Einstein College Of Medicine | $1.9M | 3 |
| Northwestern University | $1.9M | 5 |
| Cincinnati Childrens Hosp Med Ctr | $1.8M | 3 |
| Weill Medical Coll Of Cornell Univ | $0.9M | 3 |
| Yale University | $0.8M | 2 |
| University Of Texas Hlth Science Center | $0.8M | 0 |
Text search myelodysplastic syndromes 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, 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
Projects by administering institute. The rows above are the top 7 and account for 62 of 62.
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 15 and account for 58 of 62.
Where it lands
Share of $30.3M in FY2025. The top three hold 36%.
Public datasets, ranked
NCBI GEO + Europe PMC + iCite · weekly597 human GEO series match myelodysplastic syndromes. Keyword relevance cannot tell a 320-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 237-study ranked set
Established
high reuse, older| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE114922 | RNA sequencing of bone marrow CD34+ hematopoietic stem and progenitor cells from patients with myelodysplastic syndrome and healthy controls2018 · sequencing | 131 | 39 | 6.3 | patient cohortAPT 0.75molecularSF3B1SRSF2U2AF1211 cites |
| GSE19429 | Expression data from bone marrow CD34+ cells of MDS patients and healthy controls2010 · array | 200 | 97 | 4.6 | patient cohortAPT 0.75survival235 cites |
| GSE58831 | Gene expression data from bone marrow CD34+ cells of patients with myelodysplastic syndromes (MDS) and healthy controls2015 · array | 176 | 55 | 4.6 | patient cohortAPT 0.95survival182 cites |
| GSE15061 | Gene array prediction of AML transformation in MDS2009 · array | 870 | 57 | 2.5 | APT 0.75survival123 cites |
| GSE63569 | RNA sequencing of bone marrow CD34+ cells from myelodysplastic syndrome patients with and without SF3B1 mutation and from healthy controls2014 · sequencing | 17 | 23 | 3.7 | patient cohortAPT 0.75molecularASXL1SF3B1143 cites |
| GSE152710 | A methylation signature at diagnosis in patients with high-risk Myelodysplastic Syndromes and secondary Acute Myeloid Leukemia predicts azacitidine response but not relapse2021 · methylation | 166 | 9 | 1.9 | patient cohortAPT 0.5survivalstagemolecularAZACITIDINEHYPOMETHYLATING36 cites |
| GSE30195 | Gene expression profiling in myelodysplastic syndromes2011 · array | 19 | 10 | 10.0 | patient cohortAPT 0.75molecularU2AF1503 cites |
| GSE4619 | Gene expression profiling of CD34+ cells from MDS patients and normal controls2006 · array | 66 | 28 | 3.1 | patient cohortAPT 0.75164 cites |
Recent
2022 onward, by score| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE204845 | Single-cell multi-omics defines the cell-type specific impact of splicing aberrations in human hematopoietic clonal outgrowths2023 · single-cell | 39 | 3 | 3.5 | patient cohortAPT 0.75stagemolecularSF3B151 cites |
| GSE290183 | Distinct routes of clonal progression in SF3B1-mutant myelodysplastic syndromes2025 · sequencing | 15 | 1 | 1.7 | patient cohortAPT 0.5survivalstagemolecularRUNX1SF3B1STAG27 cites |
| GSE249547 | Comparing malignant monocytosis across the updated WHO and ICC classifications of 20222023 · sequencing | 290 | 1 | 3.6 | patient cohortAPT 0.75survival23 cites |
| GSE270430 | Allogeneic HSPC-engineered CD33-targeting CAR-NKT cells synergize with hypomethylating agents for effective and safe treatment of myeloid malignancies2025 · sequencing | 4 | 1 | 12.7 | patient cohortAPT 0.75molecularHYPOMETHYLATING51 cites |
| GSE309540 | Expression profiling of the human bone marrow niche remodeling in clonal hematopoiesis and myelodysplasia [exhaustion]2025 · single-cell | 36 | 1 | 4.7 | patient cohortAPT 0.5stage19 cites |
| GSE223305 | Investigating microenvironment in MDS2023 · sequencing | 215 | 3 | 1.1 | APT 0.75survival9 cites |
Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-12. SubSeries are collapsed to one row per study by linked PMID. Of 597 series retrieved, 107 were dropped by the profile’s exclusion rules and 183 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.
SF3B1
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
TET2
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
ASXL1
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
RUNX1
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
SRSF2
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
U2AF1
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
EZH2
2 approved drugs (Tazemetostat, Tazemetostat Hydrobromide) and no registered trial in myelodysplastic syndromes. The molecules exist; nobody has tested them here.
STAG2
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
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 myelodysplastic syndromes — 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 MOLM-13 (AML) as a stand-in is used as a model system in AML biology; there is no widely used MDS line. What was removed and why is stated in each section rather than silently applied.
{
"disease": "Myelodysplastic syndromes",
"mesh": "Myelodysplastic Syndromes",
"facts": "https://usebiotransfer.org/disease/myelodysplastic-syndromes.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."
}