Target landscape
Open Targets · retrieved 2026-09-16 · weekly12 genes recurrently implicated in rhabdomyosarcoma, triaged for whether anything can actually be aimed at them. The zeros are the informative rows.
Of 12 recurrently implicated genes, 8 carry any drug at all. That is a statement about these 12 gene targets, not about the disease: Rhabdomyosarcoma does have labelled therapy — 1 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 rhabdomyosarcoma 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 |
|---|---|---|---|---|
| PAX3 | 0 | No drug— | — | — |
| FOXO1 | 0 | No drug— | protein degrader, small molecule | — |
| MYOD1 | 0 | No drug— | protein degrader | — |
| FGFR4 across cancers → | 16 | 5 approvedErdafitinib, Futibatinib, Infigratinib, Nintedanib, Nintedanib EsylateApproved in urothelial carcinoma, urinary bladder carcinoma, biliary tract cancer and 7 other indications. No rhabdomyosarcoma indication appears on these drugs’ labels.2 active of 2 rhabdomyosarcoma trials | antibody, other clinical modality, protein degrader, small molecule | 1 active of 1 trial |
| NRAS across cancers → | 1 | Phase 2SalirasibNo rhabdomyosarcoma trial of any of these drugs | antibody, protein degrader, small molecule | — |
| KRAS across cancers → | 3 | 2 approvedAdagrasib, SotorasibApproved in non-small cell lung carcinoma. No rhabdomyosarcoma indication appears on these drugs’ labels.No rhabdomyosarcoma trial of any of these drugs | antibody, protein degrader, small molecule | — |
| HRAS across cancers → | 1 | Phase 2SalirasibNo rhabdomyosarcoma trial of any of these drugs | antibody, protein degrader, small molecule | — |
| TP53 across cancers → | 8 | Phase 3Alrizomadlin, Cenersen, Contusugene Ladenovec, Eprenetapopt, Idasanutlin, Navtemadlin, Siremadlin, TeprasiranNo rhabdomyosarcoma trial of any of these drugs | other clinical modality, 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 rhabdomyosarcoma indication appears on these drugs’ labels.2 active of 8 rhabdomyosarcoma trials | protein degrader, small molecule | — |
| IGF1R across cancers → | 20 | 3 approvedMasoprocol, Mecasermin, TeprotumumabApproved in prostate cancer, Growth delay, hypothyroidism and 3 other indications. No rhabdomyosarcoma indication appears on these drugs’ labels.7 trials, none active | antibody, other clinical modality, protein degrader, small molecule | — |
| MYCN across cancers → | 0 | No drug— | protein degrader, small molecule | — |
| MDM2 across cancers → | 4 | Phase 3Alrizomadlin, Idasanutlin, Navtemadlin, SiremadlinNo rhabdomyosarcoma trial of any of these drugs | antibody, protein degrader, small molecule | — |
Dataset evidence counts studies in the 160-study ranked set whose title or abstract names the gene; the bar is scaled to PAX3. 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 · weekly1 drug carries an FDA label naming rhabdomyosarcoma: Dactinomycin. Separately, 14 of the drugs returned for the genes in the table above are approved only for other diseases and reach rhabdomyosarcoma through trials, not through their labels.
Every label that names rhabdomyosarcoma
| Drug | Role | What the label says |
|---|---|---|
| DactinomycinDACTINOMYCIN, Dactinomycin, dactinomycin | Labelled here | Rhabdomyosarcoma Dactinomycin for Injection is indicated for the treatment of adult and pediatric patients with rhabdomyosarcoma, as part of a multi-phase, combination chemotherapy regimen. |
| 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. |
15 labels match indications_and_usage:"rhabdomyosarcoma"; 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 PD-1
ClinicalTrials.gov · retrieved 2026-09-16 · weeklyPD-1 is the busiest cell-therapy antigen in rhabdomyosarcoma: 3 registered trials, 2 still active. It has no gene entry of its own and is reached through PDCD1: a form or product of that gene.
| Trial | Phase | Status | Title | Last update |
|---|---|---|---|---|
| NCT04995003 | 1 | Recruiting | HER2 Chimeric Antigen Receptor (CAR) T Cells in Combination With Checkpoint Blockade in Patients With Advanced Sarcoma | 2026-01-22 |
| NCT04483778 | 1 | Active | B7H3 CAR T Cell Immunotherapy for Recurrent/Refractory Solid Tumors in Children and Young Adults | 2026-04-28 |
| NCT04730349 | 1/2 | Terminated | A Study of Bempegaldesleukin (BEMPEG: NKTR-214) in Combination With Nivolumab in Children, Adolescents and Young Adults With Recurrent or Treatment-resistant Cancer | 2023-03-24 |
3 of 3 shown, most recently active first. Other antigens searched: B7-H3 (3), FGFR4 (1), GD2 (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 · monthlyEvery term below is a share of the rhabdomyosarcoma literature, not a count, because the field itself grew: 2015–2018 (n=718) against 2021–2025 (n=1,013). 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 |
|---|---|---|---|---|
| DNA-Binding Proteins | 0.7% | 3.85% | 5.53× | 39 papers |
| Sarcoma | 2.23% | 8.39% | 3.77× | 85 papers |
| Gene Fusion | 0.84% | 2.27% | 2.72× | 23 papers |
| Ribonuclease III | 0.97% | 2.47% | 2.53× | 25 papers |
| DEAD-box RNA Helicases | 1.11% | 2.67% | 2.39× | 27 papers |
| Transcription Factors | 3.06% | 6.22% | 2.03× | 63 papers |
| Transcriptome | 0.7% | 1.38% | 1.98× | 14 papers |
| Bone Neoplasms | 1.11% | 1.97% | 1.77× | 20 papers |
| Soft Tissue Neoplasms | 5.15% | 8.69% | 1.69× | 88 papers |
| Urinary Bladder | 0.97% | 1.58% | 1.62× | 16 papers |
Cooling
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Biopsy | 6.41% | 1.38% | 0.22× | 14 papers |
| Tomography, X-Ray Computed | 8.22% | 2.17% | 0.26× | 22 papers |
| Neoplasm Staging | 6.27% | 2.07% | 0.33× | 21 papers |
| Cell Survival | 3.62% | 1.18% | 0.33× | 12 papers |
| Neoplasm Metastasis | 3.76% | 1.28% | 0.34× | 13 papers |
| Treatment Outcome | 11.7% | 4.15% | 0.35× | 42 papers |
Biggest topics now
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Rhabdomyosarcoma, Embryonal | 19.08% | 22.01% | 1.15× | 223 papers |
| Prognosis | 10.58% | 13.72% | 1.3× | 139 papers |
| Rhabdomyosarcoma, Alveolar | 13.23% | 11.75% | 0.89× | 119 papers |
| Biomarkers, Tumor | 8.64% | 9.48% | 1.1× | 96 papers |
| Soft Tissue Neoplasms | 5.15% | 8.69% | 1.69× | 88 papers |
| Sarcoma | 2.23% | 8.39% | 3.77× | 85 papers |
| Neoplasm Recurrence, Local | 7.38% | 8.29% | 1.12× | 84 papers |
| Antineoplastic Combined Chemotherapy Protocols | 12.12% | 8.09% | 0.67× | 82 papers |
| Oncogene Proteins, Fusion | 5.15% | 6.91% | 1.34× | 70 papers |
| Transcription Factors | 3.06% | 6.22% | 2.03× | 63 papers |
Publication mix
| Type | 2015–18 | 2021–25 |
|---|---|---|
| Randomized Controlled Trial | 0.7% | 0.7% |
| Review | 11.0% | 8.8% |
| Meta-Analysis | 0.3% | 0.5% |
| Case Reports | 0.0% | 7.9% |
Query: Rhabdomyosarcoma[MeSH Major Topic] NOT ("Sarcoma, Ewing"[MeSH] OR "Rhabdomyoma"[MeSH] OR "Neuroblastoma"[MeSH] OR "Sarcoma, Synovial"[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 | 13,910 cases/year | proxy | counts soft tissue cancer, which is broader than this disease; 2026 SEER Cancer Stat Facts, Soft Tissue including Heart Cancer, retrieved 2026-09-16 |
| Deaths each year | 5,400 deaths/year | proxy | counts soft tissue cancer, which is broader than this disease; 2026 SEER Cancer Stat Facts, Soft Tissue including Heart Cancer, retrieved 2026-09-16 |
| Incidence rate | 3.5 cases per 100,000 per year | proxy | counts soft tissue cancer, which is broader than this disease; 2019-2023 SEER Cancer Stat Facts, Soft Tissue including Heart Cancer, retrieved 2026-09-16 |
| Death rate | 1.3 deaths per 100,000 per year | proxy | counts soft tissue cancer, which is broader than this disease; 2020-2024 SEER Cancer Stat Facts, Soft Tissue including Heart Cancer, retrieved 2026-09-16 |
| People living with it | 181,366 people living with the disease | proxy | counts soft tissue cancer, which is broader than this disease; 2023 SEER Cancer Stat Facts, Soft Tissue including Heart Cancer, retrieved 2026-09-16 |
| New cases each year | — | not published | The American Cancer Society gives a range for children only: "About 350 to 400 new pediatric cases of rhabdomyosarcoma occur each year in the United States", and no adult count. A point in the range would be a choice the source does not make. SEER publishes no Stat Facts page for the disease. |
| Deaths each year | — | not published | Not published on the page. |
| Five-year relative survival | — | not published | The American Cancer Society publishes survival by risk group (low, intermediate, high), not one relative figure. |
| Median age at diagnosis | — | not published | Not published as a median: "more than half of them occurring in children younger than 10 years old". |
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 rhabdomyosarcoma, after removing the 1,740 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 | $6.5M | 18 | 17 | 37 |
| FY2014 | $6.8M | 16 | 16 | 32 |
| FY2015 | $4.3M | 14 | 14 | 38 |
| FY2016 | $5.6M | 17 | 16 | 110 |
| FY2017 | $7.2M | 22 | 21 | 173 |
| FY2018 | $7.8M | 22 | 22 | 192 |
| FY2019 | $21.9M | 29 | 26 | 208 |
| FY2020 | $17.7M | 31 | 28 | 191 |
| FY2021 | $12.5M | 31 | 31 | 177 |
| FY2022 | $15.6M | 37 | 34 | 170 |
| FY2023 | $16.4M | 39 | 37 | 157 |
| FY2024 | $20.6M | 42 | 35 | 132 |
| FY2025 | $17.6M | 33 | 32 | 123 |
Where FY2025 money went
| Institution | Obligations | Awards |
|---|---|---|
| Division Of Basic Sciences - Nci | $6.0M | 8 |
| St. Jude Children'S Research Hospital | $2.6M | 5 |
| Massachusetts Institute Of Technology | $2.3M | 0 |
| Massachusetts General Hospital | $1.1M | 2 |
| Research Inst Nationwide Children'S Hosp | $0.9M | 3 |
| University Of Colorado Denver | $0.8M | 0 |
| University Of Houston | $0.7M | 1 |
| University Of Virginia | $0.5M | 1 |
| University Of California, San Francisco | $0.5M | 1 |
| Ohio State University | $0.5M | 0 |
Text search rhabdomyosarcoma 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 33 of 33.
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 10 and account for 33 of 33.
Where it lands
Share of $17.6M in FY2025. The top three hold 61%.
Public datasets, ranked
NCBI GEO + Europe PMC + iCite · weekly374 human GEO series match rhabdomyosarcoma. Keyword relevance cannot tell a 159-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 160-study ranked set
Established
high reuse, older| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE92689 | caArray_trich-00099: Identification of a PAX-FKHR gene expression signature that defines molecular classes and determines the prognosis of alveolar rhabdomyosarcomas2016 · array | 186 | 10 | 5.0 | mixedAPT 0.75survivalstagemolecularPAX3259 cites |
| GSE83728 | Epigenetic Lanscape and BRD4 Transcriptional Dependency of PAX3-FOXO1 Driven Rhabdomyosarcoma2017 · chromatin | 80 | 12 | 7.6 | APT 0.75molecularFOXO1PAX3274 cites |
| GSE167059 | Methylation profiling reveals novel molecular classes of rhabdomyosarcoma2021 · methylation | 158 | 6 | 1.6 | patient cohortAPT 0.75survivalmolecularMYOD128 cites |
| GSE108022 | Gene Expression in Human Rhabdomyosarcoma2018 · sequencing | 106 | 31 | 2.0 | APT 0.2563 cites |
| GSE66533 | Expression Profiling of human Fusion-Positive and Fusion-Negative Rhabdomyosarcoma2016 · array | 58 | 26 | 1.5 | APT 0.549 cites |
| GSE19063 | Genome-wide map of PAX3-FKHR binding sites in rhabdomyosarcoma2010 · chromatin | 7 | 5 | 4.3 | cell lineAPT 0.75molecularFGFR4PAX3200 cites |
| GSE41263 | Affymetrix SNP array data for pediatric rhabdomyosarcoma (RMS)2013 · chromatin | 55 | 2 | 1.0 | mixedAPT 0.5survivalmolecularFOXO1PAX336 cites |
| GSE85171 | Epigenetic Reprogramming of mutant RAS-driven Rhabdomyosarcoma via MEK Inhibition2018 · chromatin | 60 | 5 | 3.5 | APT 0.75121 cites |
Recent
2022 onward, by score| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE174376 | A single-cell/nucleus atlas of pediatric rhabdomyosarcoma2022 · chromatin | 64 | 6 | 3.7 | patient cohortAPT 0.7559 cites |
| GSE224183 | Multi-Omic and Functional Analysis for Classification and Treatment of Sarcomas with FUS-TFCP2 or EWSR1-TFCP2 Fusions2023 · sequencing | 101 | 1 | 3.8 | patient cohortAPT 0.75molecularCDK4CDK4/625 cites |
| GSE195709 | Stem cell and developmental hierarchies in rhabdomyosarcoma2022 · single-cell | 22 | 7 | 3.7 | mixedAPT 0.7561 cites |
| GSE157095 | Targeting KDM4B to disrupt the core regulatory transcription network governed by PAX3-FOXO1 in high-risk rhabdomyosarcoma2022 · chromatin | 104 | 2 | 2.5 | APT 0.75stagemolecularFOXO1PAX339 cites |
| GSE228127 | Multimodal single-cell profiling reveals the enhanced antitumor activity of FGFR4/CD276 BiCisCAR T cells in rhabdomyosarcoma2024 · single-cell | 12 | 1 | 3.9 | xenograftAPT 0.75stagemolecularCD276FGFR4MYOD131 cites |
| GSE218974 | Single-cell profiling of alveolar rhabdomyosarcoma reveals RAS pathway inhibitors as cell-fate hijackers with therapeutic relevance2022 · single-cell | 7 | 4 | 4.7 | APT 0.75molecularFOXO1PAX356 cites |
Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-16. SubSeries are collapsed to one row per study by linked PMID. Of 374 series retrieved, 18 were dropped by the profile’s exclusion rules and 123 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.
PAX3
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
FOXO1
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
MYOD1
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
KRAS
2 approved drugs (Adagrasib, Sotorasib) and no registered trial in rhabdomyosarcoma. The molecules exist; nobody has tested them here.
MYCN
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 (2026-09-16), 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 rhabdomyosarcoma — 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 RD (unlistable) and RH30 is used as a model system in RD is used as a myogenic and enterovirus host line; RH30 is used for the disease. What was removed and why is stated in each section rather than silently applied.
{
"disease": "Rhabdomyosarcoma",
"mesh": "Rhabdomyosarcoma",
"facts": "https://usebiotransfer.org/disease/rhabdomyosarcoma.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."
}