Target landscape
Open Targets · retrieved 2026-09-30 · weekly9 genes recurrently implicated in neuroblastoma, triaged for whether anything can actually be aimed at them. The zeros are the informative rows.
Of 9 recurrently implicated genes, 3 carry any drug at all. That is a statement about these 9 gene targets, not about the disease: Neuroblastoma does have labelled therapy — 3 drugs, listed in the next section.
Two different questions
The table below asks what can be aimed at 9 recurrently implicated genes. That is narrower than what is approved for the disease, and narrower again than what neuroblastoma 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 |
|---|---|---|---|---|
| MYCN across cancers → | 0 | No drug— | protein degrader, small molecule | — |
| ALK across cancers → | 11 | 3 approvedAlectinib, Brigatinib, EntrectinibApproved in non-small cell lung carcinoma, anaplastic large cell lymphoma. No neuroblastoma indication appears on these drugs’ labels.6 active of 12 neuroblastoma trials | antibody, other clinical modality, protein degrader, small molecule | — |
| GPC2 | 0 | No drug— | antibody, protein degrader | 2 active of 2 trials |
| B4GALNT1 | 0 | No drug— | antibody, protein degrader | 12 active of 19 trials |
| TERT across cancers → | 1 | 1 approvedImetelstatApproved in myelodysplastic syndrome, anemia. No neuroblastoma indication appears on these drugs’ labels.Tried and abandoned: all 2 neuroblastoma trials withdrawn before enrolling | antibody, other clinical modality, protein degrader, small molecule | — |
| LIN28B | 0 | No drug— | — | — |
| PHOX2B | 0 | No drug— | — | — |
| CD276 across cancers → | 2 | Phase 2/38H9 131I, Enoblituzumab2 trials, none active | antibody, protein degrader | 5 active of 6 trials |
| L1CAM | 0 | No drug— | antibody, protein degrader | — |
Dataset evidence counts studies in the 582-study ranked set whose title or abstract names the gene; the bar is scaled to MYCN. 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 neuroblastoma: Dinutuximab, Eflornithine, Naxitamab. Separately, 4 of the drugs returned for the genes in the table above are approved only for other diseases and reach neuroblastoma through trials, not through their labels.
Every label that names neuroblastoma
| Drug | Role | What the label says |
|---|---|---|
| DinutuximabUnituxin | Labelled here | Unituxin is a GD2-binding monoclonal antibody indicated, in combination with granulocyte-macrophage colony-stimulating factor (GM-CSF), interleukin-2 (IL-2), and 13-cis-retinoic acid (RA), for the treatment of pediatric patients with high-risk neuroblastoma who achieve at least a partial response to prior first-line multiagent, multimodality therapy. |
| Eflornithineiwilfin | Labelled here | IWILFIN is an ornithine decarboxylase inhibitor indicated to reduce the risk of relapse in adult and pediatric patients with high-risk neuroblastoma (HRNB) who have demonstrated at least a partial response to prior multiagent, multimodality therapy including anti-GD2 immunotherapy. |
| NaxitamabDANYELZA | Labelled here | DANYELZA is indicated, in combination with granulocyte-macrophage colony-stimulating factor (GM-CSF), for the treatment of pediatric patients 1 year of age and older and adult patients with relapsed or refractory high-risk neuroblastoma in the bone or bone marrow who have demonstrated a partial response, minor response, or stable disease to prior therapy. |
| CyclophosphamideCYCLOPHOSPHAMIDE, Cyclophosphamide, Frindovyx | Backbone | Cyclophosphamide is an alkylating drug indicated for treatment of: Malignant Diseases: malignant lymphomas: Hodgkin's disease, lymphocytic lymphoma, mixed-cell type lymphoma, histiocytic lymphoma, Burkitt's lymphoma; multiple myeloma, leukemias, mycosis fungoides, neuroblastoma, adenocarcinoma of ovary, retinoblastoma, breast carcinoma |
| DoxorubicinDOXOrubicin Hydrochloride, Doxorubicin Hydrochloride, Doxorubicin hydrochloride | Backbone | for the treatment of: acute lymphoblastic leukemia, acute myeloblastic leukemia, Hodgkin lymphoma, Non-Hodgkin lymphoma, metastatic breast cancer, metastatic Wilms' tumor, metastatic neuroblastoma, metastatic soft tissue sarcoma, metastatic bone sarcomas, metastatic ovarian carcinoma, metastatic transitional cell bladder carcinoma, metastatic thyroid carcinoma, metastatic gastric carcinoma, met... |
| VincristineVinCRIStine Sulfate | Backbone | Vincristine Sulfate Injection has also been shown to be useful in combination with other oncolytic agents in Hodgkin's disease, non–Hodgkin's malignant lymphomas, rhabdomyosarcoma, neuroblastoma, and Wilms' tumor. |
| Iobenguane I-123AdreView | Not a therapy | Pheochromocytoma and Neuroblastoma AdreView is a radiopharmaceutical indicated for use in the detection of primary or metastatic pheochromocytoma or neuroblastoma as an adjunct to other diagnostic tests. |
51 labels carry a positive indication naming the disease under indications_and_usage:"neuroblastoma"; they collapse to 7 distinct molecules once salt forms, biosimilars and co-formulated hyaluronidase are merged. Diagnostic and contrast agents (Iobenguane I-123) are listed but are not treatments. 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.
Cell therapy against GD2
ClinicalTrials.gov · retrieved 2026-09-18 · weeklyGD2 is the busiest cell-therapy target among those this briefing searched in neuroblastoma: 19 registered trials naming it, 12 still active, 2 withdrawn before enrolling anyone. It has no gene entry of its own and is reached through B4GALNT1: the glycolipid B4GALNT1 synthesises.
| Trial | Phase | Status | Title | Last update |
|---|---|---|---|---|
| NCT06684639 | EARLY/1 | Recruiting | A Study on the Efficacy of GD2-CAR T Cells in the Treatment of Neuroblastoma | 2024-12-20 |
| NCT03294954 | 1 | Recruiting | GD2 Specific CAR and Interleukin-15 Expressing Autologous NKT Cells to Treat Children With Neuroblastoma | 2025-09-19 |
| NCT05400603 | 1 | Recruiting | Allogeneic Expanded Gamma Delta T Cells With GD2 Chemoimmunotherapy in Relapsed /Refractory Neuroblastoma or Refractory/ Relapsed Osteosarcoma | 2025-12-26 |
| NCT03721068 | 1 | Recruiting | Study of CAR T-Cells Targeting the GD2 With IL-15+iCaspase9 for Relapsed/Refractory Neuroblastoma or Relapsed/Refractory Osteosarcoma | 2026-03-27 |
| NCT07502287 | 1/2 | Recruiting | Dual-Target GD2/B7-H3 CAR-NK Cells for Pediatric Relapsed or Refractory Neuroblastoma | 2026-03-30 |
| NCT06450041 | 2 | Recruiting | NANT 2021-01 Phase II STING (Sequential Temozolomide, Irinotecan, NK Cells and GD2 mAb) Trial | 2026-07-20 |
| NCT03373097 | 1/2 | Active | Anti-GD2 CAR T Cells in Pediatric Patients Affected by High Risk and/or Relapsed/Refractory Neuroblastoma or Other GD2-positive Solid Tumors | 2025-02-05 |
| NCT05990751 | 1 | Active | Multi-modular Chimeric Antigen Receptor Targeting GD2 in Neuroblastoma | 2026-04-24 |
| NCT03635632 | 1 | Active | C7R-GD2.CART Cells for Patients With Relapsed or Refractory Neuroblastoma and Other GD2 Positive Cancers (GAIL-N) | 2026-07-06 |
| NCT04211675 | 1/2 | Active | NK Cells Infusions With Irinotecan, Temozolomide, and Dinutuximab | 2026-09-16 |
10 of 19 shown, most recently active first. Other targets searched: B7-H3 (6), GPC2 (2). Source: ClinicalTrials.gov API v2, retrieved 2026-09-18. A trial counts here when its registered conditions name neuroblastoma 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 neuroblastoma literature, not a count, because the field itself grew: 2015–2018 (n=1,940) against 2021–2025 (n=3,179). 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 |
|---|---|---|---|---|
| Receptors, Chimeric Antigen | 0.26% | 1.51% | 5.86× | 48 papers |
| Molecular Docking Simulation | 0.36% | 1.6% | 4.45× | 51 papers |
| Tumor Microenvironment | 1.49% | 5.1% | 3.41× | 162 papers |
| Positron Emission Tomography Computed Tomography | 0.77% | 2.45% | 3.17× | 78 papers |
| Neurotoxicity Syndromes | 0.26% | 0.82% | 3.17× | 26 papers |
| Macrophages | 0.31% | 0.94% | 3.05× | 30 papers |
| Antioxidants | 0.67% | 2.01% | 3.0× | 64 papers |
| Glucose | 0.36% | 0.94% | 2.62× | 30 papers |
| Immunotherapy, Adoptive | 0.77% | 1.86% | 2.4× | 59 papers |
| T-Lymphocytes | 0.72% | 1.64% | 2.27× | 52 papers |
Cooling
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Time Factors | 3.04% | 0.44% | 0.14× | 14 papers |
| Oncogene Proteins | 3.66% | 0.63% | 0.17× | 20 papers |
| Kaplan-Meier Estimate | 3.3% | 0.63% | 0.19× | 20 papers |
| Dose-Response Relationship, Drug | 3.56% | 0.66% | 0.19× | 21 papers |
| Survival Analysis | 3.3% | 0.63% | 0.19× | 20 papers |
| Tumor Cells, Cultured | 5.98% | 1.16% | 0.19× | 37 papers |
Biggest topics now
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Gene Expression Regulation, Neoplastic | 17.63% | 11.32% | 0.64× | 360 papers |
| Cell Proliferation | 18.3% | 10.66% | 0.58× | 339 papers |
| Prognosis | 11.24% | 10.47% | 0.93× | 333 papers |
| Apoptosis | 15.15% | 10.13% | 0.67× | 322 papers |
| N-Myc Proto-Oncogene Protein | 10.46% | 9.63% | 0.92× | 306 papers |
| Antineoplastic Agents | 11.44% | 7.49% | 0.65× | 238 papers |
| Biomarkers, Tumor | 7.99% | 5.54% | 0.69× | 176 papers |
| Neoplasm Recurrence, Local | 5.67% | 5.16% | 0.91× | 164 papers |
| Tumor Microenvironment | 1.49% | 5.1% | 3.41× | 162 papers |
| Signal Transduction | 10.93% | 5.1% | 0.47× | 162 papers |
Publication mix
| Type | 2015–18 | 2021–25 |
|---|---|---|
| Clinical Trial | 0.1% | 0.0% |
| Randomized Controlled Trial | 0.4% | 0.3% |
| Review | 6.5% | 7.0% |
| Meta-Analysis | 0.5% | 0.5% |
| Case Reports | 0.0% | 1.6% |
Query: Neuroblastoma[MeSH Major Topic] NOT ("Esthesioneuroblastoma, Olfactory"[MeSH] OR "Nose Neoplasms"[MeSH] OR "Alzheimer Disease"[MeSH] OR "Parkinson Disease"[MeSH] OR "Neurodegenerative Diseases"[MeSH] OR "Stroke"[MeSH] OR "Brain Ischemia"[MeSH] OR "Neuroprotective Agents"[MeSH] OR "Amyloid beta-Peptides"[MeSH] OR "Cholinesterase Inhibitors"[MeSH] OR "Dopaminergic Neurons"[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 2026-09-11.
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 | 650 cases/year | direct | a lower bound, so nothing is divided by it NCI PDQ, Neuroblastoma Treatment (Health Professional), retrieved 2026-09-10 |
| Incidence rate | 8.3 cases per 1,000,000 per year | direct | under 15 years NCI PDQ, Neuroblastoma Treatment (Health Professional), retrieved 2026-09-10 |
| Birth prevalence | 1 in 7,000 live births | direct | NCI PDQ, Neuroblastoma Treatment (Health Professional), retrieved 2026-09-10 |
| Five-year relative survival | 85.0% | direct | 2014-2020; under 15 years NCI PDQ, Neuroblastoma Treatment (Health Professional), retrieved 2026-09-10 |
| Median age at diagnosis | 1.4 years | direct | 17 months / 12 NCI PDQ, Neuroblastoma Treatment (Health Professional), retrieved 2026-09-10 |
| Deaths each year | — | not published | NCI PDQ gives incidence and survival but no annual death count, and SEER publishes no neuroblastoma stat facts page. Recorded as a gap rather than derived from incidence and survival, which would put an estimate beside measured values. CDC WONDER is the route to it. |
Years of life lost (proxy)
11.5 years per case, 7,506 a year, from survival and age at diagnosis rather than from a death count. derived proxy Not the WHO/GBD measure, which uses age at death and a life table; comparable across these briefings, not with published YLL figures. What this costs to fund is in Funding.
3 assumptions behind this estimate
- Five-year relative survival stands in for cure; a death after five years is not counted.
- The median age at diagnosis stands in for the whole age distribution.
- Life expectancy at birth (78.4 years) is the reference, rather than remaining expectancy at the age of death from a life table.
- Each assumption moves the result by more than the difference between the two diseases currently on this site, so this figure separates a disease from one ten times its size, not from a close neighbour.
Funding
NIH RePORTER · quarterlyNIH obligations naming neuroblastoma, after removing the 2,752 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 | $17.7M | 53 | 45 | 217 |
| FY2014 | $19.2M | 51 | 42 | 212 |
| FY2015 | $13.6M | 41 | 36 | 187 |
| FY2016 | $14.9M | 40 | 38 | 179 |
| FY2017 | $18.0M | 42 | 38 | 187 |
| FY2018 | $21.5M | 55 | 47 | 214 |
| FY2019 | $19.7M | 51 | 48 | 217 |
| FY2020 | $27.5M | 53 | 51 | 235 |
| FY2021 | $30.2M | 62 | 57 | 226 |
| FY2022 | $30.2M | 57 | 53 | 228 |
| FY2023 | $27.8M | 60 | 57 | 227 |
| FY2024 | $31.1M | 67 | 59 | 228 |
| FY2025 | $33.5M | 59 | 56 | 195 |
Where FY2025 money went
| Institution | Obligations | Awards |
|---|---|---|
| Children'S Hosp Of Philadelphia | $7.7M | 11 |
| Division Of Basic Sciences - Nci | $6.0M | 5 |
| St. Jude Children'S Research Hospital | $3.6M | 5 |
| Virginia Commonwealth University | $1.7M | 4 |
| Baylor College Of Medicine | $1.6M | 5 |
| Dana-Farber Cancer Inst | $1.0M | 4 |
| Nanopharmaceuticals, Llc | $0.9M | 0 |
| Seattle Children'S Hospital | $0.9M | 0 |
| Children'S Research Institute | $0.7M | 0 |
| University Of Pennsylvania | $0.7M | 2 |
Text search neuroblastoma 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.
What that buys
Against 7,506 years of life lost a year, FY2025 obligations are $4,468 per life-year — $51,597 per case. Cases are a lower bound, so the per-case figure is an upper bound. The estimate and its assumptions are in Disease burden.
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 4 and account for 59 of 59.
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 56 of 59.
Where it lands
Share of $33.5M in FY2025. The top three hold 52%.
Public datasets, ranked
NCBI GEO + Europe PMC + iCite · weekly1,628 human GEO series match neuroblastoma. Keyword relevance cannot tell a 1,747-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 580-study ranked set
Established
high reuse, older| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE49710 | RNA-Seq reveals an unprecedented complexity of the neuroblastoma transcriptome and is suitable for clinical endpoint prediction [microarray]2014 · array | 498 | 210 | 19.7 | patient cohortAPT 0.75stagemolecularMYCN724 cites |
| GSE16476 | Integrated bioinformatic and wet-lab approach to identify potential oncogenic networks in neuroblastoma2012 · array | 88 | 156 | 16.6 | APT 0.95survivalmolecularMYCN735 cites |
| GSE85047 | Gene expression data from primary neuroblastoma tumors2018 · array | 283 | 96 | 3.9 | patient cohortAPT 0.75survivalmolecularMYCN135 cites |
| GSE3446 | Gene expression profiles of primary tumors from patients with metastatic neuroblastoma lacking MYCN amplification2006 · array | 234 | 33 | 3.4 | patient cohortAPT 0.75survivalstagemolecularMYCN183 cites |
| GSE80154 | Enhancer invasion shapes MYCN dependent transcriptional amplification in neuroblastoma2018 · chromatin | 144 | 18 | 5.3 | patient cohortAPT 0.75survivalstagemolecularMYCN185 cites |
| GSE45480 | Hox-C9 activates the intrinsic pathway of apoptosis and is associated with spontaneous regression in neuroblastoma2013 · array | 881 | 142 | 5.1 | APT 0.75205 cites |
| GSE90683 | Heterogeneity of neuroblastoma cell identity revealed by transcriptional circuitries2017 · chromatin | 101 | 27 | 11.4 | mixedAPT 0.75molecularPHOX2B404 cites |
| GSE3960 | Classification of neuroblastoma by integrating gene expression pattern with regional alterations in DNA copy number2006 · array | 102 | 49 | 5.6 | patient cohortAPT 0.95258 cites |
Recent
2022 onward, by score| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE223071 | Anti-GD2 CAR-NKT cells in relapsed or refractory neuroblastoma: updated phase 1 trial interim results2023 · sequencing | 31 | 5 | 14.4 | mixedAPT 0.95stagemolecularGD2173 cites |
| GSE147766 | The immune cell atlas of human neuroblastoma2022 · single-cell | 19 | 16 | 5.7 | cell lineAPT 0.75survival89 cites |
| GSE181437 | A multimodal assay identifies optimized binders for a bicistronic CAR against GPC2 OR CD276 to overcome heterogeneity in Neuroblastoma2022 · sequencing | 15 | 2 | 3.7 | patient cohortAPT 0.75stagemolecularB7-H3CD276GLYPICAN-260 cites |
| GSE221317 | Methylome from liquid biopsy cell-free DNA using enzymatic conversion of unmethylated cysteines2023 · methylation | 84 | 2 | 1.3 | patient cohortAPT 0.75survivalstagemolecularMYCN12 cites |
| GSE218003 | Gene expression profile at single cell level of neuroblastoma tumors and their tumor microenvironment2023 · single-cell | 126 | 6 | 9.9 | APT 0.7593 cites |
| GSE181582 | IGF2BP1 induces neuroblastoma via a druggable feedforward loop with MYCN promoting 17q oncogene expression2023 · sequencing | 264 | 5 | 3.7 | APT 0.75molecularMYCN43 cites |
Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-19. SubSeries are collapsed to one row per study by linked PMID. Of 1,628 series retrieved, 99 were dropped by the profile’s exclusion rules and 682 named the disease only in passing. 2 further series named in the profile as contamination are excluded here. 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.
MYCN
Open Targets lists no drug against it and no trial in neuroblastoma names it. A bounded negative: the sources and search terms are in the JSON beside this page.
GPC2
Open Targets lists no drug against GPC2, while 2 trials target GPC2. A gene-centric search finds nothing here and concludes wrongly.
B4GALNT1
Open Targets lists no drug against B4GALNT1, while 118 trials target GD2 — the antigen it produces. A gene-centric search finds nothing here and concludes wrongly.
TERT
2 registered trials, 2 withdrawn before enrolling anyone and none active. This target reads as tried; it was not.
LIN28B
Open Targets lists no drug against it and no trial in neuroblastoma names it. A bounded negative: the sources and search terms are in the JSON beside this page.
PHOX2B
Open Targets lists no drug against it and no trial in neuroblastoma names it. A bounded negative: the sources and search terms are in the JSON beside this page.
CD276
6 cell-therapy trials against B7-H3, 5 active, and no approved product. The clinical activity is real and none of it has reached a label.
L1CAM
Open Targets lists no drug against L1CAM, while 1 trials target L1CAM. A gene-centric search finds nothing here and concludes wrongly.
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 (2026-09-11), NIH RePORTER (2026-09-19).
Negatives stated explicitly
Where the searches find nothing for neuroblastoma — 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
2 exclusion patterns are applied to free text before anything is ranked, because SH-SY5Y is used as a model system in neurodegeneration research. What was removed and why is stated in each section rather than silently applied.
{
"disease": "Neuroblastoma",
"mesh": "Neuroblastoma",
"facts": "https://usebiotransfer.org/disease/neuroblastoma.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."
}