Disease Briefing

Nasopharyngeal carcinoma: 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 2026-09-16Sources Open Targets · ClinicalTrials.gov · openFDA · GEO · PubMed · Europe PMC · iCite · RePORTERRanked 227 studies · 4,447 GEO samples
Reading as
Reorders emphasis only — nothing is hidden or loaded on demand.

Answer block

12 genes recurrently implicated in nasopharyngeal carcinoma — CD274, PDCD1, EGFR, CDKN2A, NFKBIA, CYLD, TRAF3, PIK3CA, TP53, KMT2D, VEGFA, MTOR — 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 nasopharyngeal carcinoma: Penpulimab, Toripalimab. This counts labels, not treatment — the disease is also treated with agents approved under broader indications
1
of the 12 genes above carry a drug that is approved in nasopharyngeal carcinoma itself — PDCD1. Across all of them 202 drug entries reach these genes, 190 distinct once salt forms are merged
14
registered EBV cell-therapy trials in nasopharyngeal carcinoma, 3 active and 1 withdrawn. Counted from ClinicalTrials.gov across 8 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
5
targets carry an Open Targets tractability signal and have no clinical programme of any kind: NFKBIA, CYLD, TRAF3, KMT2D, MTOR. EGFR has cell-therapy trials, so it is undrugged rather than untouched
978
human GEO series match the disease; 227 survive on-topic filtering, and only 4 are patient cohorts of 100+ samples
358
Europe PMC full-text papers name GSE12452 — the highest accession-mention count in the set. A mention is not proof of reanalysis, so read it as reach rather than reuse
$10.4M
NIH obligations in FY2025, up 76% since 2013 — while distinct core projects went 14 to 11. Larger awards rather than more distinct core projects; core projects are not the same unit as laboratories

Target landscape

Open Targets · retrieved 2026-09-16 · weekly

12 genes recurrently implicated in nasopharyngeal carcinoma, 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: Nasopharyngeal carcinoma 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 nasopharyngeal carcinoma 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
CD274 across cancers → 13 5 approvedAtezolizumab, Avelumab, Cosibelimab, Durvalumab, SugemalimabApproved in urothelial carcinoma, non-small cell lung carcinoma, breast cancer and 6 other indications. No nasopharyngeal carcinoma indication appears on these drugs’ labels.10 active of 15 nasopharyngeal carcinoma trials antibody, other clinical modality, protein degrader, small molecule
PDCD1 across cancers → 26 9 approvedCemiplimab, Dostarlimab, Nivolumab, Pembrolizumab, Retifanlimab, Serplulimab, Sintilimab, Tislelizumab, ToripalimabApproved in nasopharyngeal carcinoma: Toripalimab.147 active of 234 nasopharyngeal carcinoma trials antibody, other clinical modality, protein degrader, small molecule
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 nasopharyngeal carcinoma indication appears on these drugs’ labels.16 active of 85 nasopharyngeal carcinoma trials antibody, other clinical modality, protein degrader, small molecule 0 active of 1 trial
CDKN2A across cancers → 0 No drug
NFKBIA 0 No drug antibody, protein degrader, small molecule
CYLD 0 No drug antibody, protein degrader, small molecule
TRAF3 0 No drug protein degrader
PIK3CA across cancers → 31 3 approvedAlpelisib, Copanlisib, InavolisibApproved in breast cancer, breast neoplasm, breast carcinoma and 3 other indications. No nasopharyngeal carcinoma indication appears on these drugs’ labels.2 trials, none active antibody, protein degrader, small molecule
TP53 across cancers → 8 Phase 3Alrizomadlin, Cenersen, Contusugene Ladenovec, Eprenetapopt, Idasanutlin, Navtemadlin, Siremadlin, Teprasiran1 trials, none active other clinical modality, protein degrader, small molecule
KMT2D across cancers → 0 No drug antibody, protein degrader, small molecule
VEGFA across cancers → 13 8 approvedAbicipar Pegol, Aflibercept, Bevacizumab, Bevacizumab Gamma, Brolucizumab, Faricimab, Pegaptanib, RanibizumabApproved in ocular vascular disorder, retinal vein occlusion, choroidal neovascularization and 23 other indications. No nasopharyngeal carcinoma indication appears on these drugs’ labels.7 active of 21 nasopharyngeal carcinoma trials antibody, other clinical modality, protein degrader, small molecule
MTOR across cancers → 25 2 approvedPerhexiline, RidaforolimusApproved in cardiovascular disorder, angina pectoris. No nasopharyngeal carcinoma indication appears on these drugs’ labels.No nasopharyngeal carcinoma trial of any of these drugs antibody, protein degrader, small molecule

Dataset evidence counts studies in the 227-study ranked set whose title or abstract names the gene; the bar is scaled to TP53. 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 · weekly

2 drugs carry an FDA label naming nasopharyngeal carcinoma: Penpulimab, Toripalimab. Separately, 49 of the drugs returned for the genes in the table above are approved only for other diseases and reach nasopharyngeal carcinoma through trials, not through their labels.

2Labelled for nasopharyngeal carcinomaFDA INDICATIONS AND USAGE names the disease
49Approved, but for another diseasereturned for the genes in the table above
0Backbone agents listing itbroad cytotoxics whose labels name many tumours
3Active EBV cell-therapy trialsof 14 registered

Every label that names nasopharyngeal carcinoma

DrugRoleWhat the label says
PenpulimabPenpulimab kcqxLabelled hereRecurrent Metastatic Non-Keratinizing Nasopharyngeal Carcinoma Penpulimab-kcqx, as a single agent, is indicated for the treatment of adults with metastatic non-keratinizing NPC and disease progression on or after platinum-based chemotherapy and at least one other prior line of therapy.
ToripalimabLOQTORZILabelled hereLOQTORZI is a programmed death receptor-1 (PD-1)- blocking antibody indicated: in combination with cisplatin and gemcitabine, for first-line treatment of adults with metastatic or with recurrent locally advanced nasopharyngeal carcinoma (NPC)

0 labels match indications_and_usage:"nasopharyngeal carcinoma" OR indications_and_usage:"nasopharyngeal cancer"; 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 2026-09-16. Labels change; this reflects the current label text, not the approval history. Not prescribing guidance.

Cell therapy against EBV

ClinicalTrials.gov · retrieved 2026-09-16 · weekly

EBV is the busiest cell-therapy antigen in nasopharyngeal carcinoma: 14 registered trials, 3 still active, 1 withdrawn before enrolling anyone.

TrialPhaseStatusTitleLast update
NCT05587543EARLY/1RecruitingClinical Study on the EBV CAR-T /TCR-T Cells in the Treatment of Nasopharyngeal Carcinoma2026-04-02
NCT020653621ActiveTGF-beta Resistant Cytotoxic T-lymphocytes in Treatment of EBV-positive Nasopharyngeal Carcinoma / RESIST-NPC2026-01-29
NCT072472011/2Not yet recruitingIntegrating Allogeneic NK Cells in High-risk Advanced Stage III-IV Nasopharyngeal Cancer Patients2026-03-30
NCT006908722UnknownGemcitabine and Carboplatin Followed By Laboratory-Treated T Lymphocytes in Treating Patients With Metastatic or Locally Recurrent Epstein-Barr Virus-Positive Nasopharyngeal Cancer2009-06-29
NCT005159571WithdrawnStudy of LMP1- and LMP2- Specific Cytotoxic T-Lymphocytes (CTL)2012-04-16
NCT006092191CompletedT-Lymphocytes in Treating Patients With Epstein-Barr Virus-Positive Nasopharyngeal Cancer, NPC2012-10-10
NCT007063161CompletedAdministration of Epstein Barr Virus - Specific Cytotoxic T-Lymphocytes to Metastatic EBV-Positive Nasopharygneal Cancer2015-07-10
NCT029803151/2UnknownA New EBV Related Technologies of T Cells in Treating Malignant Tumors and Clinical Application2016-12-02
NCT009534202CompletedCarboplatin and Docetaxel Followed by Epstein-Barr Virus Cytotoxic T Lymphocytes2017-08-18
NCT032826171UnknownDendritic Cell Therapy With CD137L-DC-EBV-VAX in Locally Advanced Stage IV or Locally Recurrent/Metastatic Nasopharyngeal Carcinoma2017-09-14

10 of 14 shown, most recently active first. Other antigens searched: EGFR (1). 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 · monthly

Every term below is a share of the nasopharyngeal carcinoma literature, not a count, because the field itself grew: 2015–2018 (n=395) against 2021–2025 (n=1,583). A topic whose papers doubled while the field doubled has not risen.

Rising, with a real baseline

MeSH term2015–182021–25ChangeShare now
Immunotherapy1.52%4.3%2.83×68 papers
Carcinoma2.53%5.37%2.12×85 papers
Nomograms2.28%3.66%1.61×58 papers
Radiotherapy Planning, Computer-Assisted2.28%3.6%1.58×57 papers
Propensity Score1.27%1.96%1.55×31 papers
Drug Resistance, Neoplasm2.03%3.03%1.5×48 papers
Nasopharyngeal Neoplasms64.81%94.0%1.45×1488 papers
Programmed Cell Death 1 Receptor1.27%1.83%1.45×29 papers
Radiation Tolerance3.04%4.3%1.41×68 papers
Fluorodeoxyglucose F181.27%1.71%1.35×27 papers

Cooling

MeSH term2015–182021–25ChangeShare now
Survival Analysis7.85%1.58%0.2×25 papers
Immunohistochemistry3.04%0.76%0.25×12 papers
Proportional Hazards Models6.84%1.83%0.27×29 papers
Combined Modality Therapy4.56%1.26%0.28×20 papers
Reproducibility of Results3.54%1.14%0.32×18 papers
Biomarkers2.28%0.76%0.33×12 papers

Biggest topics now

MeSH term2015–182021–25ChangeShare now
Nasopharyngeal Neoplasms64.81%94.0%1.45×1488 papers
Prognosis20.51%21.29%1.04×337 papers
Gene Expression Regulation, Neoplastic14.18%18.0%1.27×285 papers
Cell Proliferation15.19%15.86%1.04×251 papers
Chemoradiotherapy14.43%11.31%0.78×179 papers
Herpesvirus 4, Human11.9%11.18%0.94×177 papers
Mice, Nude9.37%10.49%1.12×166 papers
Neoplasm Staging16.96%10.17%0.6×161 papers
Treatment Outcome11.65%10.04%0.86×159 papers
Cell Movement9.37%9.54%1.02×151 papers

Publication mix

Type2015–182021–25
Clinical Trial0.0%0.2%
Randomized Controlled Trial2.5%3.2%
Review3.8%5.9%
Meta-Analysis2.8%2.6%
Case Reports0.0%0.9%

Query: Nasopharyngeal Carcinoma[MeSH Major Topic] NOT ("Squamous Cell Carcinoma of Head and Neck"[MeSH] OR "Mouth Neoplasms"[MeSH] OR "Laryngeal Neoplasms"[MeSH] OR "Oropharyngeal Neoplasms"[MeSH] OR "Nasopharyngitis"[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.

MeasureValueMatchWhat it counts
New cases each year60,480 cases/yearproxycounts oral cavity and pharynx cancer, which is broader than this disease; 2026
Deaths each year13,150 deaths/yearproxycounts oral cavity and pharynx cancer, which is broader than this disease; 2026
Incidence rate11.7 cases per 100,000 per yearproxycounts oral cavity and pharynx cancer, which is broader than this disease; 2019-2023
Death rate2.7 deaths per 100,000 per yearproxycounts oral cavity and pharynx cancer, which is broader than this disease; 2020-2024
People living with it461,008 people living with the diseaseproxycounts oral cavity and pharynx cancer, which is broader than this disease; 2023
New cases each yearnot publishedThe American Cancer Society gives no count: "In most parts of the world, including the United States, there is less than one case for every 100,000 people each year", and "in some parts of China, there are as many as 25 to 30 cases per 100,000 men and 15 to 20 cases per 100,000 women." SEER has no page for the site.
Deaths each yearnot publishedNot published for the disease alone.
Five-year relative survivalnot publishedThe American Cancer Society publishes five-year relative survival by SEER stage, not one figure.
Median age at diagnosisnot publishedNot published as a median; the page describes two peaks in low-incidence countries, at 15-24 and at 65-79, and one at 45-59 where the disease is endemic.

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 · quarterly

NIH obligations naming nasopharyngeal carcinoma, after removing the 326 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.

$10.4MNIH obligations, FY2025from $5.9M in FY2013 · +76%
11distinct projects funded14 in FY2013
$10.4Mpeak year was FY2025obligations, all institutes
75%of FY2025 awards from NCI9 of 12

NIH obligations by fiscal year

$3M$5M$8M$10M13151719212325
YearObligationsAwardsDistinct projectsDropped as off-topic
FY2013$5.9M141426
FY2014$3.2M8822
FY2015$1.2M3323
FY2016$2.5M6621
FY2017$1.4M3320
FY2018$1.0M1121
FY2019$2.8M3326
FY2020$1.1M2226
FY2021$1.8M5424
FY2022$1.7M4431
FY2023$5.3M6532
FY2024$5.4M9828
FY2025$10.4M121126

Where FY2025 money went

InstitutionObligationsAwards
Midwest Research Institute$3.5M1
Wistar Institute$3.4M3
Division Of Basic Sciences - Nci$1.1M1
Fred Hutchinson Cancer Center$0.6M1
Univ Of North Carolina Chapel Hill$0.4M1
University Of Wisconsin-Madison$0.4M1
Metaclipse Therapeutics Corporation$0.4M1
University Of Pittsburgh At Pittsburgh$0.2M1
New York Medical College$0.2M1
Northwestern University$0.2M1

Text search nasopharyngeal carcinoma OR nasopharyngeal cancer 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, 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

NCI9 · 75%
NIAID2 · 17%
NIDCR1 · 8%

Projects by administering institute. The rows above are the top 3 and account for 12 of 12.

Award mechanisms

P013 · 25%
R213 · 25%
R013 · 25%
N431 · 8%
N021 · 8%
ZIA1 · 8%

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 6 and account for 12 of 12.

Where it lands

Midwest Research Institute$3.5M · 33.1%
Wistar Institute$3.4M · 32.9%
Division Of Basic Sciences - Nci$1.1M · 10.3%
Fred Hutchinson Cancer Center$0.6M · 5.9%
Univ Of North Carolina Chapel Hill$0.4M · 4.2%
University Of Wisconsin-Madison$0.4M · 4.1%

Share of $10.4M in FY2025. The top three hold 76%.

Public datasets, ranked

NCBI GEO + Europe PMC + iCite · weekly

978 human GEO series match nasopharyngeal carcinoma. Keyword relevance cannot tell a 330-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 227-study ranked set

cell line 81unspecified 78patient 47mixed 19xenograft 2
81 cell line78 unspecified47 patient19 mixed2 xenograft117 carry clinical annotation59 carry survival4 patient cohorts ≥100 GEO samples4,447 GEO samples totalin 12 single-cell series a GEO sample is one cell, not one patient

Established

high reuse, older
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE12452mRNA expression profiling of nasopharyngeal carcinoma2008 · array413584.1
APT 0.75molecularEBVEPSTEIN-BARR213 cites
GSE102349Genomic Analysis of Nasopharyngeal Carcinoma Reveals TME-based Subtypes2017 · sequencing1131785.2
patient cohortAPT 0.75168 cites
GSE150430Single-cell transcriptomics reveals regulators underlying immune cell diversity and immune subtypes associated with prognosis in nasopharyngeal carcinoma2020 · single-cell167613.2
APT 0.95survival364 cites
GSE162025Tumour Heterogeneity and Intercellular Networks of Nasopharyngeal Carcinoma at Single Cell Resolution2020 · single-cell405111.7
APT 0.75molecularEPSTEIN-BARR250 cites
GSE150825Comprehensive single-cell sequencing reveals the stromal dynamics and tumor-specific characteristics in the microenvironment of nasopharyngeal carcinoma2021 · single-cell35299.9
patient cohortAPT 0.75survival184 cites
GSE64634mRNA expression profiling of nasopharyngeal carcinoma2017 · array161106.4
APT 0.75molecularEPSTEIN-BARR204 cites
GSE47552Transcriptome analysis reveals molecular profiles associated with evolving steps of monoclonal gammopathies2014 · array99832.1
patient cohortAPT 0.5stage73 cites
GSE103611Gene expression-profiling to predict distant metastasis in locoregionally advanced nasopharyngeal carcinoma2019 · array48209.1
patient cohortAPT 0.95survival253 cites

Recent

2022 onward, by score
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE206245Single-Cell and Spatial Transcriptome Analyses Reveal Tertiary Lymphoid Structures Linked to Tumour Progression and Immunotherapy Response in Nasopharyngeal Carcinoma2024 · single-cell18810.8
patient cohortAPT 0.75survivalmolecularEBVPD-198 cites
GSE224450Clinical efficacy and biomarker analysis of dual PD-1/CTLA-4 blockade in recurrent/metastatic EBV-associated nasopharyngeal carcinoma2023 · array4134.1
patient cohortAPT 0.75survivalmolecularCTLA-4EBVIPILIMUMAB47 cites
GSE120926Single-cell RNA sequencing defines the interplay between tumor cells, virus and microenvironment in nasopharyngeal carcinoma2024 · single-cell5637.6
patient cohortAPT 0.75survivalmolecularEBV201 cites
GSE289272Interferon responsive high endothelial venules drive tumor tertiary lymphoid structure formation and predict response to anti-PD-1 immunotherapy in nasopharyngeal carcinoma2025 · single-cell5525.7
patient cohortAPT 0.75survivalmolecularPD-122 cites
GSE180272LncRNA expression-profiling to predict distant metastasis in locoregionally advanced nasopharyngeal carcinoma2022 · array5673.0
patient cohortAPT 0.75survival49 cites
GSE189642Transcriptional data of tissues in pacients with nasopharyngeal carcinoma2022 · sequencing2438.8
APT 0.95140 cites

Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-16. SubSeries are collapsed to one row per study by linked PMID. Of 978 series retrieved, 321 were dropped by the profile’s exclusion rules and 376 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.

CDKN2A

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

NFKBIA

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

CYLD

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

TRAF3

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

KMT2D

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

MTOR

2 approved drugs (Perhexiline, Ridaforolimus) and no registered trial in nasopharyngeal carcinoma. 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 (2026-09-16), 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 nasopharyngeal carcinoma — 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

5 exclusion patterns are applied to free text before anything is ranked, because CNE1 and CNE2 (HeLa-contaminated stocks) is used as a model system in the disease, but some stocks are HeLa. What was removed and why is stated in each section rather than silently applied.

{
  "disease": "Nasopharyngeal carcinoma",
  "mesh": "Nasopharyngeal Carcinoma",
  "facts": "https://usebiotransfer.org/disease/nasopharyngeal-carcinoma.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."
}