Target landscape
Open Targets · retrieved 2026-09-12 · weekly12 genes recurrently implicated in small intestine cancer, triaged for whether anything can actually be aimed at them. The zeros are the informative rows.
Of 12 recurrently implicated genes, 9 carry any drug at all. That is a statement about these 12 gene targets, not about the disease: Small intestine cancer does have labelled therapy — 8 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 small intestine cancer 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 |
|---|---|---|---|---|
| KRAS across cancers → | 3 | 2 approvedAdagrasib, SotorasibApproved in non-small cell lung carcinoma. No small intestine cancer indication appears on these drugs’ labels.2 active of 8 small intestine cancer trials | 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 | — |
| APC across cancers → | 0 | No drug— | antibody, protein degrader, small molecule | — |
| SMAD4 across cancers → | 0 | No drug— | 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 small intestine cancer indication appears on these drugs’ labels.10 active of 26 small intestine cancer trials | antibody, other clinical modality, protein degrader, small molecule | 0 active of 2 trials |
| BRAF across cancers → | 16 | 6 approvedDabrafenib, Encorafenib, Regorafenib, Sorafenib, Tovorafenib, VemurafenibApproved in small intestine cancer: Regorafenib.5 active of 13 small intestine cancer trials | antibody, protein degrader, small molecule | — |
| KIT across cancers → | 33 | 15 approvedAvapritinib, Cediranib, Dasatinib, Imatinib, Masitinib, Midostaurin, Pazopanib, Pexidartinib, Quizartinib, Regorafenib, Ripretinib, Sorafenib, Sunitinib, Sunitinib Malate, TivozanibApproved in small intestine cancer: Avapritinib, Regorafenib, Ripretinib, Sunitinib.2 active of 21 small intestine cancer trials | antibody, protein degrader, small molecule | — |
| PDGFRA across cancers → | 32 | 14 approvedAvapritinib, Becaplermin, Cediranib, Masitinib, Midostaurin, Nintedanib, Nintedanib Esylate, Olaratumab, Pazopanib, Quizartinib, Regorafenib, Ripretinib, Sunitinib, Sunitinib MalateApproved in small intestine cancer: Avapritinib, Regorafenib, Ripretinib, Sunitinib.2 active of 14 small intestine cancer trials | antibody, other clinical modality, protein degrader, small molecule | — |
| MEN1 across cancers → | 2 | 1 approvedRevumenibApproved in leukemia. No small intestine cancer indication appears on these drugs’ labels.No small intestine cancer trial of any of these drugs | protein degrader, small molecule | — |
| CDKN1B | 0 | No drug— | protein degrader, small molecule | — |
| SSTR2 | 12 | 6 approvedLanreotide, Lutetium Oxodotreotide Lu-177, Octreotide, Paltusotine, Pasireotide, Pasireotide PamoateApproved in small intestine cancer: Lanreotide, Octreotide.12 trials, none active | antibody, other clinical modality, protein degrader, small molecule | — |
| MTOR across cancers → | 25 | 2 approvedPerhexiline, RidaforolimusApproved in cardiovascular disorder, angina pectoris. No small intestine cancer indication appears on these drugs’ labels.1 trials, none active | antibody, protein degrader, small molecule | — |
Dataset evidence counts studies in the 16-study ranked set whose title or abstract names the gene; the bar is scaled to APC. 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 · weekly8 drugs carry an FDA label naming small intestine cancer: Avapritinib, Everolimus, Lanreotide, Lutetium Lu 177 Dotatate, Octreotide, Regorafenib, Ripretinib, Sunitinib. Separately, 45 of the drugs returned for the genes in the table above are approved only for other diseases and reach small intestine cancer through trials, not through their labels.
Every label that names small intestine cancer
| Drug | Role | What the label says |
|---|---|---|
| AvapritinibAyvakit | Labelled here | PDGFRA Exon 18 Mutation-Positive Unresectable or Metastatic Gastrointestinal Stromal Tumor (GIST) AYVAKIT ® is indicated for the treatment of adults with unresectable or metastatic GIST harboring a platelet-derived growth factor receptor alpha (PDGFRA) exon 18 mutation, including PDGFRA D842V mutations [see Dosage and Administration |
| EverolimusAfinitor, Afinitor Disperz, Everolimus | Labelled here | Limitations of Use: AFINITOR is not indicated for the treatment of patients with functional carcinoid tumors. |
| LanreotideLANREOTIDE ACETATE, Lanreotide Acetate, SOMATULINE DEPOT | Labelled here | Gastroenteropancreatic Neuroendocrine Tumors SOMATULINE DEPOT is indicated for the treatment of adult patients with unresectable, well or moderately differentiated, locally advanced or metastatic gastroenteropancreatic neuroendocrine tumors (GEP-NETs) to improve progression-free survival. |
| Lutetium Lu 177 DotatateLutathera | Labelled here | LUTATHERA is indicated for the treatment of adult and pediatric patients 12 years and older with somatostatin receptor-positive gastroenteropancreatic neuroendocrine tumors (GEP-NETs), including foregut, midgut, and hindgut neuroendocrine tumors. |
| OctreotideBYNFEZIA Pen, OCTREOTIDE ACETATE, Octreotide | Labelled here | Carcinoid Tumors Long-term treatment of the severe diarrhea and flushing episodes associated with metastatic carcinoid tumors. |
| RegorafenibStivarga | Labelled here | Gastrointestinal Stromal Tumors STIVARGA is indicated for the treatment of adult patients with locally advanced, unresectable or metastatic gastrointestinal stromal tumor (GIST) who have been previously treated with imatinib mesylate and sunitinib malate. |
| RipretinibQINLOCK | Labelled here | QINLOCK is a kinase inhibitor indicated for the treatment of adult patients with advanced gastrointestinal stromal tumor (GIST) who have received prior treatment with 3 or more kinase inhibitors, including imatinib. |
| SunitinibSUNITINIB MALATE, SUTENT, Sunitinib Malate | Labelled here | Gastrointestinal Stromal Tumor SUTENT is indicated for the treatment of adult patients with gastrointestinal stromal tumor (GIST) after disease progression on or intolerance to imatinib mesylate. |
14 labels match indications_and_usage:"small intestine cancer" OR indications_and_usage:"cancer of the small intestine" OR indications_and_usage:"small bowel adenocarcinoma" OR indications_and_usage:"small intestinal adenocarcinoma" OR indications_and_usage:"gastroenteropancreatic neuroendocrine" OR indications_and_usage:"midgut carcinoid" OR indications_and_usage:"carcinoid tumors" OR indications_and_usage:"gastrointestinal stromal tumor"; they collapse to 8 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 PD-1
ClinicalTrials.gov · retrieved 2026-09-12 · weeklyPD-1 is the busiest cell-therapy antigen in small intestine cancer: 2 registered trials, 0 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 |
|---|---|---|---|---|
| NCT03970382 | 1 | Suspended | A Study of Gene Edited Autologous Neoantigen Targeted TCR T Cells With or Without Anti-PD-1 in Patients With Solid Tumors | 2022-08-18 |
| NCT02983045 | 1/2 | Completed | A Dose Escalation and Cohort Expansion Study of NKTR-214 in Combination With Nivolumab and Other Anti-Cancer Therapies in Patients With Select Advanced Solid Tumors | 2023-03-13 |
2 of 2 shown, most recently active first. Other antigens searched: HER2 (2), EGFR (2), VEGF (1). 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 small intestine cancer literature, not a count, because the field itself grew: 2015–2018 (n=1,775) against 2021–2025 (n=1,649). 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 |
|---|---|---|---|---|
| Neoplasms, Glandular and Epithelial | 0.39% | 2.37% | 6.0× | 39 papers |
| Quality of Life | 0.28% | 0.91% | 3.23× | 15 papers |
| Robotic Surgical Procedures | 0.28% | 0.91% | 3.23× | 15 papers |
| Goblet Cells | 0.51% | 1.58% | 3.11× | 26 papers |
| Organometallic Compounds | 0.39% | 1.21% | 3.07× | 20 papers |
| Appendix | 3.55% | 8.91% | 2.51× | 147 papers |
| Neoplasms, Cystic, Mucinous, and Serous | 0.51% | 1.21% | 2.39× | 20 papers |
| Cytoreduction Surgical Procedures | 3.83% | 8.91% | 2.33× | 147 papers |
| Endoscopic Mucosal Resection | 3.49% | 7.52% | 2.15× | 124 papers |
| Propensity Score | 0.51% | 1.09% | 2.15× | 18 papers |
Cooling
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Antineoplastic Agents | 3.94% | 0.73% | 0.18× | 12 papers |
| Survival Analysis | 3.04% | 0.85% | 0.28× | 14 papers |
| Immunohistochemistry | 6.25% | 1.76% | 0.28× | 29 papers |
| Biopsy | 6.03% | 1.82% | 0.3× | 30 papers |
| Tumor Burden | 2.99% | 0.91% | 0.3× | 15 papers |
| Endoscopy, Gastrointestinal | 4.28% | 1.27% | 0.3× | 21 papers |
Biggest topics now
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Appendiceal Neoplasms | 19.89% | 35.66% | 1.79× | 588 papers |
| Duodenal Neoplasms | 22.82% | 28.08% | 1.23× | 463 papers |
| Adenocarcinoma | 16.56% | 18.5% | 1.12× | 305 papers |
| Neuroendocrine Tumors | 11.77% | 16.13% | 1.37× | 266 papers |
| Intestine, Small | 14.42% | 13.95% | 0.97× | 230 papers |
| Peritoneal Neoplasms | 7.38% | 12.31% | 1.67× | 203 papers |
| Prognosis | 10.87% | 12.07% | 1.11× | 199 papers |
| Treatment Outcome | 15.55% | 10.73% | 0.69× | 177 papers |
| Adenocarcinoma, Mucinous | 6.14% | 9.95% | 1.62× | 164 papers |
| Appendectomy | 5.92% | 9.88% | 1.67× | 163 papers |
Publication mix
| Type | 2015–18 | 2021–25 |
|---|---|---|
| Randomized Controlled Trial | 0.5% | 0.2% |
| Review | 11.8% | 9.9% |
| Meta-Analysis | 0.6% | 0.8% |
| Case Reports | 0.0% | 9.2% |
Query: Intestinal Neoplasms[MeSH Major Topic] NOT ("Colorectal Neoplasms"[MeSH] OR "Colonic Neoplasms"[MeSH] OR "Rectal Neoplasms"[MeSH] OR "Stomach Neoplasms"[MeSH] OR "Ampulla of Vater"[MeSH] OR "Common Bile Duct Neoplasms"[MeSH] OR "Pancreatic Neoplasms"[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 | 14,450 cases/year | direct | 2026 SEER Cancer Stat Facts, Small Intestine Cancer, retrieved 2026-09-12 |
| Deaths each year | 2,170 deaths/year | direct | 2026 SEER Cancer Stat Facts, Small Intestine Cancer, retrieved 2026-09-12 |
| Incidence rate | 2.7 cases per 100,000 people per year | direct | 2019-2023 SEER Cancer Stat Facts, Small Intestine Cancer, retrieved 2026-09-12 |
| Death rate | 0.5 deaths per 100,000 people per year | direct | 2020-2024 SEER Cancer Stat Facts, Small Intestine Cancer, retrieved 2026-09-12 |
| People living with it | 93,952 people living with the disease | direct | 2023 SEER Cancer Stat Facts, Small Intestine Cancer, retrieved 2026-09-12 |
| Median age at diagnosis | 66.0 years | direct | 2019-2023 SEER Cancer Stat Facts, Small Intestine Cancer, retrieved 2026-09-12 |
| median age at death | 73 years | direct | 2020-2024 SEER Cancer Stat Facts, Small Intestine Cancer, retrieved 2026-09-12 |
| Five-year relative survival | 71.8% | direct | 2016-2022 SEER Cancer Stat Facts, Small Intestine Cancer, retrieved 2026-09-12 |
Years of life lost
3.5 years per case, 50,529 a year, from survival and age at diagnosis rather than from a death count. derived proxy 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 small intestine cancer, after removing the 1,701 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 |
|---|---|---|---|---|
| FY2016 | $0.2M | 1 | 1 | 110 |
| FY2017 | $0.5M | 2 | 2 | 113 |
| FY2018 | $0.9M | 2 | 2 | 134 |
| FY2019 | $0.6M | 1 | 1 | 120 |
| FY2020 | $1.1M | 2 | 2 | 126 |
| FY2021 | $1.2M | 2 | 2 | 123 |
| FY2022 | $1.7M | 3 | 3 | 170 |
| FY2023 | $1.5M | 2 | 2 | 155 |
| FY2024 | $1.6M | 2 | 2 | 158 |
| FY2025 | $2.3M | 3 | 3 | 137 |
Where FY2025 money went
| Institution | Obligations | Awards |
|---|---|---|
| National Institute Of Diabetes And Digestive And Kidney Diseases | $1.0M | 1 |
| National Heart, Lung, And Blood Institute | $0.7M | 1 |
| Dana-Farber Cancer Inst | $0.6M | 1 |
Text search small intestine 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 2026-09-12.
What that buys
Against 50,529 years of life lost a year, FY2025 obligations are $45 per life-year — $158 per case. 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 3 and account for 3 of 3.
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 2 and account for 3 of 3.
Where it lands
Share of $2.3M in FY2025. The top three hold 100%.
Public datasets, ranked
NCBI GEO + Europe PMC + iCite · weekly491 human GEO series match small intestine cancer. Keyword relevance cannot tell a 133-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 16-study ranked set
Established
high reuse, older| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE73832 | Integrated DNA methylation and RNA expression in Small Intestinal neuroendocrine tumors2016 · methylation | 133 | 2 | 5.3 | patient cohortAPT 0.75survivalmolecularCDKN1B145 cites |
| GSE33568 | MicroRNA expression profiling of small-intestine neuroendocrine tumors and human neuroendocrine tumor cell lines2013 · array | 25 | 3 | 3.0 | mixedAPT 0.75survival95 cites |
| GSE9576 | Gene expression profiling of classical midgut carcinoid primary tumors and liver metastasis2008 · array | 12 | 6 | 2.8 | patient cohortAPT 0.75120 cites |
| GSE153314 | SMAD4 haploinsufficiency in small intestinal neuroendocrine tumors2021 · array | 131 | 1 | 1.0 | patient cohortAPT 0.25molecularCDKN1BSMAD415 cites |
| GSE111156 | Gene Expression Changes in the Duodenal Adenoma-Carcinoma Sequence in Familial Adenomatous Polyposis (FAP)2018 · array | 48 | 5 | — | patient cohortstagemolecularAPC |
| GSE140312 | Single-Cell RNA-Seq Analysis of Metastasis-Primary Tumor Dissimilarity in a Patient with Gastrointestinal Neuroendocrine Cancer2020 · single-cell | 2 | 11 | 0.5 | patient cohortAPT 0.2518 cites |
| GSE61467 | DNA methylation screening of small bowel adenocarcinoma2015 · methylation | 56 | 4 | 1.2 | patient cohortAPT 0.7541 cites |
| GSE23418 | Small bowel adenocarcinoma copy number profiles are more closely related to colorectal than to gastric cancers2011 · array | 91 | 0 | 0.8 | patient cohortAPT 0.7537 cites |
Recent
2022 onward, by score| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE229203 | Origins, diversity and clinical relevance of small intestinal neuroendocrine tumors [methylation]2025 · methylation | 200 | 2 | 5.2 | APT 0.5survival17 cites |
| GSE279475 | Single-Cell RNA-seq analysis of small intestine neuroendocrine tumors reveals the cell of origin and trajectory of gene-expression associated with the early tumor development2025 · single-cell | 34 | 0 | — | patient cohortAPT 0.053 cites |
| GSE277215 | Insights into intestinal neuroendocrine tumors in relation to normal human EEC differentiation2026 · chromatin | 53 | 1 | — | APT 0.05 |
| GSE216067 | Exposure to the olfactory receptor 51E1 agonist nonanoic acid alters small intestinal neuroendocrine tumor phenotype2022 · sequencing | 2 | 1 | 0.6 | APT 0.257 cites |
| GSE301265 | Spatial Transcriptomics Reveals Local Subtype-Specific Identity and Signaling within Multifocal Small Intestinal Neuroendocrine Tumors2026 · spatial | 8 | 1 | — | APT 0.05 |
Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-12. SubSeries are collapsed to one row per study by linked PMID. Of 491 series retrieved, 185 were dropped by the profile’s exclusion rules and 285 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.
APC
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
SMAD4
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
MEN1
1 approved drug (Revumenib) and no registered trial in small intestine cancer. The molecules exist; nobody has tested them here.
CDKN1B
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
SSTR2
16 registered trials, 7 withdrawn before enrolling anyone and none active. This target reads as tried; it was not.
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 small intestine cancer — 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 HCT-8 is used as a model system in Cryptosporidium and enteric-pathogen culture, intestinal epithelial infection models. What was removed and why is stated in each section rather than silently applied.
{
"disease": "Small intestine cancer",
"mesh": "Intestinal Neoplasms",
"facts": "https://usebiotransfer.org/disease/small-intestine-cancer.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."
}