Target landscape
Open Targets · retrieved 2026-09-16 · weekly12 genes recurrently implicated in osteosarcoma, triaged for whether anything can actually be aimed at them. The zeros are the informative rows.
Of 12 recurrently implicated genes, 10 carry any drug at all. That is a statement about these 12 gene targets, not about the disease: No drug carries an FDA label naming osteosarcoma either, which the next section states in full.
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 osteosarcoma 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 |
|---|---|---|---|---|
| TP53 across cancers → | 8 | Phase 3Alrizomadlin, Cenersen, Contusugene Ladenovec, Eprenetapopt, Idasanutlin, Navtemadlin, Siremadlin, TeprasiranNo osteosarcoma trial of any of these drugs | other clinical modality, protein degrader, small molecule | — |
| RB1 across cancers → | 0 | No drug— | protein degrader, small molecule | — |
| MYC across cancers → | 0 | No drug— | protein degrader, small molecule | — |
| CDK4 across cancers → | 15 | 4 approvedAbemaciclib, Palbociclib, Ribociclib, TrilaciclibApproved in breast cancer, breast neoplasm, breast carcinoma and 2 other indications. No osteosarcoma indication appears on these drugs’ labels.6 active of 15 osteosarcoma trials | protein degrader, small molecule | — |
| MDM2 across cancers → | 4 | Phase 3Alrizomadlin, Idasanutlin, Navtemadlin, SiremadlinNo osteosarcoma trial of any of these drugs | 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 osteosarcoma indication appears on these drugs’ labels.2 active of 5 osteosarcoma trials | antibody, other clinical modality, protein degrader, small molecule | — |
| KDR across cancers → | 70 | 19 approvedAxitinib, Cabozantinib, Cabozantinib S-Malate, Cediranib, Fruquintinib, Lenvatinib, Midostaurin, Nintedanib, Nintedanib Esylate, Pazopanib, Ramucirumab, Regorafenib, Rivoceranib, Sorafenib, Sunitinib, Sunitinib Malate, Surufatinib, Tivozanib, VandetanibApproved in renal cell carcinoma, thyroid cancer, thyroid tumor and 21 other indications. No osteosarcoma indication appears on these drugs’ labels.28 active of 61 osteosarcoma trials | antibody, other clinical modality, protein degrader, small molecule | — |
| ERBB2 across cancers → | 45 | 17 approvedAfatinib, Afatinib Dimaleate, Dacomitinib, Lapatinib, Lapatinib Ditosylate, Margetuximab, Masoprocol, Neratinib, Pertuzumab, Trastuzumab, Trastuzumab Deruxtecan, Trastuzumab Duocarmazine, Trastuzumab Emtansine, Tucatinib, Vandetanib, Zanidatamab, ZenocutuzumabApproved in non-small cell lung carcinoma, breast cancer, breast neoplasm and 10 other indications. No osteosarcoma indication appears on these drugs’ labels.2 active of 4 osteosarcoma trials | antibody, other clinical modality, protein degrader, small molecule | 2 active of 2 trials |
| IGF1R across cancers → | 20 | 3 approvedMasoprocol, Mecasermin, TeprotumumabApproved in prostate cancer, Growth delay, hypothyroidism and 3 other indications. No osteosarcoma indication appears on these drugs’ labels.1 active of 14 osteosarcoma trials | antibody, other clinical modality, protein degrader, small molecule | — |
| CD276 across cancers → | 2 | Phase 2/38H9 131I, Enoblituzumab2 trials, none active | antibody, protein degrader | 5 active of 6 trials |
| PTHLH | 1 | Phase 1/2CalNo osteosarcoma trial of any of these drugs | antibody, small molecule | — |
| CDK6 across cancers → | 10 | 4 approvedAbemaciclib, Palbociclib, Ribociclib, TrilaciclibApproved in breast cancer, breast neoplasm, breast carcinoma and 2 other indications. No osteosarcoma indication appears on these drugs’ labels.6 active of 15 osteosarcoma trials | protein degrader, small molecule | — |
Dataset evidence counts studies in the 247-study ranked set whose title or abstract names the gene; the bar is scaled to MYC. 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 · weeklyNo drug carries an FDA label naming osteosarcoma. The 49 approved drugs returned for the genes above are approved for other diseases and reach this one only through trials.
Every label that names osteosarcoma
| Drug | Role | What the label says |
|---|---|---|
| Leucovorin CalciumLEUCOVORIN CALCIUM, Leucovorin Calcium, Leucovorin calcium | Backbone | Leucovorin rescue is indicated after high dose methotrexate therapy in osteosarcoma. |
| LevoleucovorinKHAPZORY, LEVOLEUCOVORIN, LEVOLEUCOVORIN CALCIUM | Backbone | Levoleucovorin injection rescue is indicated after high-dose methotrexate therapy in osteosarcoma. |
| Levoleucovorin CalciumLevoleucovorin | Backbone | Levoleucovorin Injection is a folate analog indicated for: Rescue after high-dose methotrexate therapy in adult and pediatric patients with osteosarcoma. |
| MethotrexateMETHOTREXATE, Methotrexate | Backbone | Osteosarcoma Methotrexate Injection is indicated for the treatment of adults and pediatric patients with osteosarcoma as part of a combination chemotherapy regimen. |
0 labels match indications_and_usage:"osteosarcoma" OR indications_and_usage:"osteogenic sarcoma"; they collapse to 4 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 GD2
ClinicalTrials.gov · retrieved 2026-09-16 · weeklyGD2 is the busiest cell-therapy antigen in osteosarcoma: 9 registered trials, 5 still active, 1 withdrawn before enrolling anyone.
| Trial | Phase | Status | Title | Last update |
|---|---|---|---|---|
| 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 |
| 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 |
| NCT03635632 | 1 | Active | C7R-GD2.CART Cells for Patients With Relapsed or Refractory Neuroblastoma and Other GD2 Positive Cancers (GAIL-N) | 2026-07-06 |
| NCT03356782 | 1/2 | Not yet recruiting | Safety and Efficacy Evaluation of 4th Generation Safety-engineered CAR T Cells Targeting Sarcomas | 2026-08-26 |
| NCT02173093 | 1/2 | Unknown | Activated T Cells Armed With GD2 Bispecific Antibody in Children and Young Adults With Neuroblastoma and Osteosarcoma | 2019-01-29 |
| NCT03209869 | 1 | Withdrawn | Treatment of Relapsed or Refractory Neuroblastoma and Osteosarcoma With Expanded Haploidentical NK Cells and Hu14.18-IL2 | 2022-09-13 |
| NCT02107963 | 1 | Completed | A Phase I Trial of T Cells Expressing an Anti-GD2 Chimeric Antigen Receptor in Children and Young Adults With GD2+ Solid Tumors | 2024-05-16 |
| NCT04539366 | 1 | Suspended | Testing a New Immune Cell Therapy, GD2-Targeted Modified T-cells (GD2CART), in Children, Adolescents, and Young Adults With Relapsed/Refractory Osteosarcoma and Neuroblastoma, GD2-CAR PERSIST Trial | 2026-08-05 |
9 of 9 shown, most recently active first. Other antigens searched: B7-H3 (6), PD-1 (5), HER2 (2). 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 · monthlyEvery term below is a share of the osteosarcoma literature, not a count, because the field itself grew: 2015–2018 (n=2,726) against 2021–2025 (n=3,665). 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 |
|---|---|---|---|---|
| Tumor Microenvironment | 1.21% | 10.18% | 8.41× | 373 papers |
| Molecular Docking Simulation | 0.18% | 1.45% | 7.88× | 53 papers |
| RNA, Circular | 0.51% | 3.41% | 6.64× | 125 papers |
| Printing, Three-Dimensional | 0.18% | 0.98% | 5.35× | 36 papers |
| Polymers | 0.18% | 0.85% | 4.61× | 31 papers |
| SEER Program | 0.22% | 0.95% | 4.34× | 35 papers |
| Hydrogels | 0.22% | 0.93% | 4.21× | 34 papers |
| Tissue Scaffolds | 0.29% | 1.2% | 4.09× | 44 papers |
| Sarcoma | 1.1% | 3.68% | 3.35× | 135 papers |
| Immunotherapy | 0.88% | 2.92% | 3.32× | 107 papers |
Cooling
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Transfection | 4.0% | 0.35% | 0.09× | 13 papers |
| 3' Untranslated Regions | 3.52% | 0.44% | 0.12× | 16 papers |
| Genetic Predisposition to Disease | 2.27% | 0.33% | 0.14× | 12 papers |
| Neoplasm Transplantation | 2.27% | 0.33% | 0.14× | 12 papers |
| Neoplasm Staging | 5.32% | 0.82% | 0.15× | 30 papers |
| Down-Regulation | 7.45% | 1.15% | 0.15× | 42 papers |
Biggest topics now
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Bone Neoplasms | 70.43% | 86.63% | 1.23× | 3175 papers |
| Cell Proliferation | 34.34% | 26.28% | 0.77× | 963 papers |
| Gene Expression Regulation, Neoplastic | 27.33% | 19.21% | 0.7× | 704 papers |
| Prognosis | 14.82% | 15.55% | 1.05× | 570 papers |
| Apoptosis | 23.04% | 14.76% | 0.64× | 541 papers |
| Cell Movement | 18.71% | 13.32% | 0.71× | 488 papers |
| MicroRNAs | 19.88% | 12.33% | 0.62× | 452 papers |
| Tumor Microenvironment | 1.21% | 10.18% | 8.41× | 373 papers |
| Signal Transduction | 14.75% | 9.41% | 0.64× | 345 papers |
| Antineoplastic Agents | 10.71% | 8.84% | 0.83× | 324 papers |
Publication mix
| Type | 2015–18 | 2021–25 |
|---|---|---|
| Randomized Controlled Trial | 0.4% | 0.4% |
| Review | 6.2% | 8.7% |
| Meta-Analysis | 1.9% | 0.8% |
| Case Reports | 0.0% | 1.8% |
Query: Osteosarcoma[MeSH Major Topic] NOT ("Sarcoma, Ewing"[MeSH] OR "Chondrosarcoma"[MeSH] OR "Giant Cell Tumor of Bone"[MeSH] OR "Dogs"[MeSH] OR "Dog Diseases"[MeSH] OR "Osteoblasts"[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.
| Measure | Value | Match | What it counts |
|---|---|---|---|
| New cases each year | 1,000 cases/year | direct | American Cancer Society, Key Statistics for Osteosarcoma, retrieved 2026-09-16 |
| New cases each year | 4,110 cases/year | proxy | counts bone and joint cancer, which is broader than this disease; 2026 SEER Cancer Stat Facts, Bone and Joint Cancer, retrieved 2026-09-16 |
| Deaths each year | 2,210 deaths/year | proxy | counts bone and joint cancer, which is broader than this disease; 2026 SEER Cancer Stat Facts, Bone and Joint Cancer, retrieved 2026-09-16 |
| Incidence rate | 1.1 cases per 100,000 per year | proxy | counts bone and joint cancer, which is broader than this disease; 2019-2023 SEER Cancer Stat Facts, Bone and Joint Cancer, retrieved 2026-09-16 |
| Death rate | 0.5 deaths per 100,000 per year | proxy | counts bone and joint cancer, which is broader than this disease; 2020-2024 SEER Cancer Stat Facts, Bone and Joint Cancer, retrieved 2026-09-16 |
| People living with it | 65,261 people living with the disease | proxy | counts bone and joint cancer, which is broader than this disease; 2023 SEER Cancer Stat Facts, Bone and Joint Cancer, retrieved 2026-09-16 |
| Deaths each year | — | not published | Not published on the page; SEER reports deaths for bone and joint cancer as a whole. |
| Five-year relative survival | — | not published | The American Cancer Society publishes five-year relative survival by SEER stage, not one figure; an average would be a derivation the source does not make. |
| Median age at diagnosis | — | not published | Not published as a median: "most osteosarcomas occur in children, teens, and young adults between the ages of 10 and 30", and "about 1 in 5 osteosarcomas occur in people older than 60". |
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 osteosarcoma, after removing the 2,926 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 | $5.5M | 18 | 16 | 240 |
| FY2014 | $4.7M | 15 | 14 | 233 |
| FY2015 | $5.5M | 17 | 16 | 219 |
| FY2016 | $5.9M | 19 | 19 | 212 |
| FY2017 | $7.9M | 27 | 24 | 220 |
| FY2018 | $7.3M | 25 | 21 | 241 |
| FY2019 | $7.2M | 19 | 18 | 210 |
| FY2020 | $7.1M | 19 | 19 | 211 |
| FY2021 | $13.6M | 28 | 26 | 218 |
| FY2022 | $13.5M | 26 | 25 | 220 |
| FY2023 | $18.8M | 28 | 27 | 249 |
| FY2024 | $17.6M | 30 | 30 | 238 |
| FY2025 | $21.1M | 32 | 32 | 215 |
Where FY2025 money went
| Institution | Obligations | Awards |
|---|---|---|
| Division Of Basic Sciences - Nci | $6.1M | 4 |
| Division Of Cancer Epidemiology And Genetics | $2.4M | 0 |
| University Of California Los Angeles | $2.1M | 0 |
| Stanford University | $1.3M | 2 |
| University Of Florida | $1.2M | 0 |
| Virginia Polytechnic Inst And St Univ | $1.1M | 3 |
| Dana-Farber Cancer Inst | $1.1M | 2 |
| University Of Tx Md Anderson Can Ctr | $0.9M | 3 |
| Johns Hopkins University | $0.7M | 1 |
| Albert Einstein College Of Medicine | $0.7M | 1 |
Text search osteosarcoma 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
Projects by administering institute. The rows above are the top 2 and account for 32 of 32.
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 13 and account for 32 of 32.
Where it lands
Share of $21.1M in FY2025. The top three hold 50%.
Public datasets, ranked
NCBI GEO + Europe PMC + iCite · weekly1,011 human GEO series match osteosarcoma. Keyword relevance cannot tell a 144-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 247-study ranked set
Established
high reuse, older| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE21257 | Genome-wide gene expression profiling on pre-chemotherapy biopsies of osteosarcoma patients who developed metastases within 5yrs (n=34) and patients who did not develop metastases within 5yrs (n=19)2011 · array | 53 | 467 | 10.2 | patient cohortAPT 0.75survivalstage419 cites |
| GSE152048 | Single cell analysis of osteosarcoma tissues2020 · single-cell | 76 | 161 | 21.1 | APT 0.75525 cites |
| GSE16091 | Gene expression profiles of human osteosarcoma, set22009 · array | 34 | 108 | 5.7 | patient cohortAPT 0.75survival229 cites |
| GSE162454 | Single-cell RNA sequencing of human osteosarcoma2021 · single-cell | 6 | 185 | 8.9 | APT 0.75157 cites |
| GSE99671 | Whole transcriptome analysis identifies differentially regulated networks between osteosarcoma and normal bone samples2017 · sequencing | 51 | 92 | 3.7 | mixedAPT 0.7599 cites |
| GSE33383 | Identification of osteosarcoma driver genes by integrative analysis of copy number and gene expression data2012 · array | 131 | 75 | 2.8 | mixedAPT 0.5survivalstage116 cites |
| GSE65071 | Plasma profiling of miRNAs in human specimens from osteosarcoma patients.2015 · other | 35 | 63 | 2.3 | patient cohortAPT 0.5survival67 cites |
| GSE39058 | microRNA- and mRNA-based studies in paraffin-archived human osteosarcoma specimens reveal profiles with reproducible and independent prognostic value2013 · array | 164 | 122 | 2.7 | APT 0.5survival90 cites |
Recent
2022 onward, by score| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE218035 | Long-read transcriptome sequencing reveals expression characteristics of osteosarcoma2023 · sequencing | 36 | 14 | 4.0 | patient cohortAPT 0.2517 cites |
| GSE237070 | Single-cell RNA sequencing of human various osteosarcoma tissues2024 · single-cell | 9 | 6 | 6.8 | patient cohortAPT 0.554 cites |
| GSE237033 | MAGEA antigens as immunotherapeutic targets for advanced osteosarcoma2024 · sequencing | 23 | 6 | 2.4 | mixedAPT 0.5survival17 cites |
| GSE253548 | The whole transcriptome analysis using FFPE and fresh tissue samples identifies the molecular fingerprint of osteosarcoma2024 · sequencing | 90 | 4 | 3.7 | mixedAPT 0.523 cites |
| GSE246405 | Systematic analyses of RNA-binding proteins uncover therapeutically promising vulnerabilities in osteosarcoma2024 · sequencing | 14 | 3 | 2.2 | patient cohortAPT 0.25survivalmolecularMYC15 cites |
| GSE270231 | Aberrant activation of wound healing programs within the metastatic niche facilitates lung colonization by osteosarcoma cells2024 · single-cell | 7 | 4 | 3.4 | patient cohortAPT 0.7514 cites |
Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-16. SubSeries are collapsed to one row per study by linked PMID. Of 1,011 series retrieved, 191 were dropped by the profile’s exclusion rules and 525 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.
RB1
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
MYC
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
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.
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 (2026-09-16), 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 osteosarcoma — 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 U2OS, MG-63, Saos-2 and HOS (general-purpose lines) is used as a model system in DNA-damage and cell-cycle biology (U2OS), osteoblast differentiation and biomaterials (MG-63, Saos-2), virology (HOS). What was removed and why is stated in each section rather than silently applied.
{
"disease": "Osteosarcoma",
"mesh": "Osteosarcoma",
"facts": "https://usebiotransfer.org/disease/osteosarcoma.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."
}