Target landscape
Open Targets · retrieved 2026-09-12 · weekly12 genes recurrently implicated in testicular cancer, triaged for whether anything can actually be aimed at them. The zeros are the informative rows.
Of 12 recurrently implicated genes, 5 carry any drug at all. That is a statement about these 12 gene targets, not about the disease: Testicular cancer 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 testicular 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 |
|---|---|---|---|---|
| KIT across cancers → | 33 | 15 approvedAvapritinib, Cediranib, Dasatinib, Imatinib, Masitinib, Midostaurin, Pazopanib, Pexidartinib, Quizartinib, Regorafenib, Ripretinib, Sorafenib, Sunitinib, Sunitinib Malate, TivozanibApproved in gastrointestinal stromal tumor, blast phase chronic myelogenous leukemia, BCR-ABL1 positive, lymphoid leukemia and 15 other indications. No testicular cancer indication appears on these drugs’ labels.13 trials, none active | antibody, protein degrader, small molecule | — |
| KRAS across cancers → | 3 | 2 approvedAdagrasib, SotorasibApproved in non-small cell lung carcinoma. No testicular cancer indication appears on these drugs’ labels.No testicular cancer 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 testicular cancer trial of any of these drugs | other clinical modality, protein degrader, small molecule | — |
| MDM2 across cancers → | 4 | Phase 3Alrizomadlin, Idasanutlin, Navtemadlin, SiremadlinNo testicular cancer trial of any of these drugs | antibody, protein degrader, small molecule | — |
| NANOG | 0 | No drug— | — | — |
| POU5F1 | 0 | No drug— | protein degrader, small molecule | — |
| SOX17 | 0 | No drug— | — | — |
| SOX2 across cancers → | 0 | No drug— | protein degrader, small molecule | — |
| CCND2 | 0 | No drug— | protein degrader, small molecule | — |
| TERT across cancers → | 1 | 1 approvedImetelstatApproved in anemia, myelodysplastic syndrome. No testicular cancer indication appears on these drugs’ labels.No testicular cancer trial of any of these drugs | antibody, other clinical modality, protein degrader, small molecule | — |
| CDKN2A across cancers → | 0 | No drug— | — | — |
| XIST | 0 | No drug— | — | — |
Dataset evidence counts studies in the 67-study ranked set whose title or abstract names the gene; the bar is scaled to SOX2. 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 · weekly1 drug carries an FDA label naming testicular cancer: Dactinomycin. Separately, 18 of the drugs returned for the genes in the table above are approved only for other diseases and reach testicular cancer through trials, not through their labels.
Every label that names testicular cancer
| Drug | Role | What the label says |
|---|---|---|
| DactinomycinDACTINOMYCIN, Dactinomycin, dactinomycin | Labelled here | Metastatic Nonseminomatous Testicular Cancer Dactinomycin for Injection is indicated for the treatment of adult and pediatric patients with metastatic, nonseminomatous testicular cancer, as part of a multi-phase, combination chemotherapy regimen. |
| CisplatinCisplatin | Backbone | Advanced Testicular Cancer Cisplatin Injection is indicated for the treatment of advanced testicular cancer. |
| EtoposideAvopef, Etoposide | Backbone | Refractory Testicular Cancer AVOPEF, in combination with chemotherapy, is indicated for the treatment of refractory testicular cancer in adult patients. |
| IfosfamideIFEX, IFOSFAMIDE, Ifosfamide | Backbone | IFEX is an alkylating drug indicated for use in adults in combination with certain other approved antineoplastic agents for third-line chemotherapy of germ cell testicular cancer. |
0 labels match indications_and_usage:"testicular cancer" OR indications_and_usage:"testicular tumor" OR indications_and_usage:"germ cell tumor" OR indications_and_usage:"testicular germ cell"; 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 2026-09-12. Labels change; this reflects the current label text, not the approval history. Not prescribing guidance.
Cell therapy against CLDN6
ClinicalTrials.gov · retrieved 2026-09-12 · weeklyCLDN6 is the busiest cell-therapy antigen in testicular cancer: 3 registered trials, 2 still active, 1 withdrawn before enrolling anyone.
| Trial | Phase | Status | Title | Last update |
|---|---|---|---|---|
| NCT05410717 | 1 | Recruiting | CLDN6/GPC3/Mesothelin/AXL-CAR-NK Cell Therapy for Advanced Solid Tumors | 2024-06-25 |
| NCT04503278 | 1 | Active | A Clinical Study of the Safety and Effectiveness of an Investigational Cell Therapy Given With and Without an Investigational RNA-based Vaccine in Patients With Organ Tumors | 2026-06-18 |
| NCT06940804 | 2 | Withdrawn | A Clinical Study Investigating the Therapeutic Effects and Safety of an Investigational Cell Therapy Given With and Without an Additional Investigational Product in Males With Testicular Cancer or a Form of Cancer That Developed From Sperm | 2025-07-02 |
3 of 3 shown, most recently active first. Other antigens searched: PD-1 (1), PD-L1 (1), CTLA-4 (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 testicular cancer literature, not a count, because the field itself grew: 2015–2018 (n=1,475) against 2021–2025 (n=1,824). 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 |
|---|---|---|---|---|
| Urology | 0.54% | 2.47% | 4.55× | 45 papers |
| Tumor Microenvironment | 0.34% | 1.43% | 4.2× | 26 papers |
| Medical Oncology | 0.54% | 1.86% | 3.44× | 34 papers |
| Semen | 0.54% | 1.43% | 2.63× | 26 papers |
| Pregnancy | 0.75% | 1.81% | 2.43× | 33 papers |
| Semen Analysis | 0.47% | 1.15% | 2.43× | 21 papers |
| Adrenal Hyperplasia, Congenital | 0.68% | 1.54% | 2.26× | 28 papers |
| Colonic Neoplasms | 0.34% | 0.71% | 2.1× | 13 papers |
| Sex Cord-Gonadal Stromal Tumors | 0.95% | 1.7% | 1.79× | 31 papers |
| MicroRNAs | 2.44% | 4.22% | 1.73× | 77 papers |
Cooling
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Time Factors | 4.2% | 0.99% | 0.23× | 18 papers |
| Genetic Predisposition to Disease | 3.46% | 1.04% | 0.3× | 19 papers |
| Tomography, X-Ray Computed | 6.37% | 1.97% | 0.31× | 36 papers |
| Risk Assessment | 3.05% | 0.99% | 0.32× | 18 papers |
| Bleomycin | 4.27% | 1.43% | 0.33× | 26 papers |
| Recurrence | 2.17% | 0.71% | 0.33× | 13 papers |
Biggest topics now
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Neoplasms, Germ Cell and Embryonal | 44.27% | 50.6% | 1.14× | 923 papers |
| Seminoma | 18.98% | 17.93% | 0.94× | 327 papers |
| Orchiectomy | 18.31% | 14.14% | 0.77× | 258 papers |
| Biomarkers, Tumor | 9.76% | 11.35% | 1.16× | 207 papers |
| Neoplasm Staging | 14.24% | 11.02% | 0.77× | 201 papers |
| Lymph Node Excision | 8.0% | 10.42% | 1.3× | 190 papers |
| Neoplasm Recurrence, Local | 7.8% | 8.55% | 1.1× | 156 papers |
| Prognosis | 10.31% | 7.84% | 0.76× | 143 papers |
| Retroperitoneal Space | 5.69% | 7.68% | 1.35× | 140 papers |
| Testis | 10.37% | 7.46% | 0.72× | 136 papers |
Publication mix
| Type | 2015–18 | 2021–25 |
|---|---|---|
| Clinical Trial | 0.0% | 0.1% |
| Randomized Controlled Trial | 0.7% | 0.4% |
| Review | 15.3% | 13.6% |
| Meta-Analysis | 0.9% | 1.4% |
| Case Reports | 0.0% | 4.9% |
Query: Testicular Neoplasms[MeSH Major Topic] NOT ("Ovarian Neoplasms"[MeSH] OR "Leydig Cell Tumor"[MeSH] OR "Sertoli Cell Tumor"[MeSH] OR "Sertoli-Leydig Cell Tumor"[MeSH] OR "Lymphoma"[MeSH] OR "Brain Neoplasms"[MeSH] OR "Mediastinal Neoplasms"[MeSH] OR "Infertility, Male"[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 | 9,810 cases/year | direct | 2026 SEER Cancer Stat Facts, Testicular Cancer, retrieved 2026-09-12 |
| Deaths each year | 630 deaths/year | direct | 2026 SEER Cancer Stat Facts, Testicular Cancer, retrieved 2026-09-12 |
| Incidence rate | 6.1 cases per 100,000 men per year | direct | 2019-2023 SEER Cancer Stat Facts, Testicular Cancer, retrieved 2026-09-12 |
| Death rate | 0.3 deaths per 100,000 men per year | direct | 2020-2024 SEER Cancer Stat Facts, Testicular Cancer, retrieved 2026-09-12 |
| People living with it | 325,990 men living with the disease | direct | 2023 SEER Cancer Stat Facts, Testicular Cancer, retrieved 2026-09-12 |
| Median age at diagnosis | 33.0 years | direct | 2019-2023 SEER Cancer Stat Facts, Testicular Cancer, retrieved 2026-09-12 |
| median age at death | 40 years | direct | 2020-2024 SEER Cancer Stat Facts, Testicular Cancer, retrieved 2026-09-12 |
| Five-year relative survival | 94.6% | direct | 2016-2022 SEER Cancer Stat Facts, Testicular Cancer, retrieved 2026-09-12 |
Years of life lost
2.5 years per case, 24,050 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 testicular cancer, after removing the 778 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 | $13.3M | 6 | 6 | 67 |
| FY2014 | $14.9M | 8 | 8 | 79 |
| FY2015 | $16.1M | 8 | 8 | 58 |
| FY2016 | $14.6M | 5 | 5 | 60 |
| FY2017 | $13.5M | 4 | 4 | 64 |
| FY2018 | $11.7M | 4 | 4 | 76 |
| FY2019 | $15.9M | 4 | 4 | 58 |
| FY2020 | $3.0M | 8 | 7 | 60 |
| FY2021 | $20.3M | 9 | 9 | 53 |
| FY2022 | $18.2M | 11 | 10 | 51 |
| FY2023 | $17.3M | 9 | 8 | 57 |
| FY2024 | $15.7M | 10 | 9 | 52 |
| FY2025 | $14.2M | 8 | 7 | 43 |
Where FY2025 money went
| Institution | Obligations | Awards |
|---|---|---|
| Division Of Cancer Epidemiology And Genetics | $12.3M | 2 |
| University Of California-Irvine | $0.8M | 2 |
| University Of Minnesota | $0.7M | 1 |
| Massachusetts General Hospital | $0.4M | 2 |
| Cornell University | $0.0M | 1 |
Text search testicular 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 24,050 years of life lost a year, FY2025 obligations are $591 per life-year — $1,448 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 2 and account for 8 of 8.
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 4 and account for 8 of 8.
Where it lands
Share of $14.2M in FY2025. The top three hold 97%.
Public datasets, ranked
NCBI GEO + Europe PMC + iCite · weekly133 human GEO series match testicular cancer. Keyword relevance cannot tell a 276-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 67-study ranked set
Established
high reuse, older| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE3218 | Expression Profiling of Adult Male Germ Cell Tumors2005 · array | 214 | 51 | 4.7 | patient cohortAPT 0.75survival244 cites |
| GSE12630 | Gene expression profiles of poorly differentiated, undifferentiated and metastatic cancers2009 · array | 276 | 21 | 3.2 | patient cohortAPT 0.95146 cites |
| GSE10783 | Validation Set for Prediction of Outcome in Adult Male Germ Cell Tumors2008 · array | 68 | 18 | 1.3 | patient cohortAPT 0.75survival60 cites |
| GSE18155 | Malignant Germ Cell Tumors Display Common microRNA Profiles Resulting in Global Changes in Expression of mRNA Targets2010 · array | 94 | 13 | 5.9 | APT 0.95231 cites |
| GSE74104 | Imprints and DPPA3 are bypassed during pluripotency- and differentiation-coupled methylation reprogramming in testicular germ cell tumors2016 · methylation | 267 | 6 | 1.5 | APT 0.5molecularNANOG48 cites |
| GSE1818 | Testicular germ cell tumors and their histological subgroups2005 · array | 30 | 13 | 3.3 | cell lineAPT 0.75169 cites |
| GSE99420 | Gene Expression Signatures Prognostic for Relapse in Stage I Testicular Germ Cell Tumors (TGCT)2018 · array | 60 | 9 | 0.4 | patient cohortAPT 0.25survivalstage9 cites |
| GSE3921 | Embryonic stem cells and pluripotent germ cell tumors2005 · array | 74 | 1 | 9.3 | mixedAPT 0.75531 cites |
Recent
2022 onward, by score| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE197778 | Single-cell RNA sequencing of metastatic testicular seminoma reveals the cellular and molecular characteristics of metastatic cell lineage2022 · single-cell | 4 | 7 | 1.6 | mixedAPT 0.5survivalstagemolecularPOU5F121 cites |
| GSE261811 | T cells in testicular germ cell tumors: new evidence of fundamental contributions by rare subsets2024 · single-cell | 4 | 2 | 3.7 | patient cohortAPT 0.75survival23 cites |
| GSE278498 | Refractory testicular germ cell tumors are highly sensitive to the targeting of polycomb pathway demethylases KDM6A and KDM6B2024 · sequencing | 36 | 1 | 2.5 | patient cohortAPT 0.25stagemolecular14 cites |
| GSE262137 | Perfluorooctanesulfonic acid alters pro-cancer phenotypes and metabolic and transcriptional signatures in testicula germ cell tumors2024 · sequencing | 26 | 2 | 3.9 | cell lineAPT 0.75survival16 cites |
| GSE216043 | Genome-scale CRISPR screen reveals neddylation to contribute to cisplatin resistance of testicular germ cell tumors2023 · sequencing | 36 | 2 | 1.4 | mixedAPT 0.25survival16 cites |
| GSE256162 | Transcriptional and epigenetic changes from the genesis of the human male germline through to adulthood provide a map of prenatal and postnatal molecular drivers of differentiation and reveal the developmental origin of seminoma.2024 · chromatin | 50 | 1 | 1.5 | mixedAPT 0.25molecular11 cites |
Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-12. SubSeries are collapsed to one row per study by linked PMID. Of 133 series retrieved, 16 were dropped by the profile’s exclusion rules and 33 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.
KRAS
2 approved drugs (Adagrasib, Sotorasib) and no registered trial in testicular cancer. The molecules exist; nobody has tested them here.
NANOG
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
POU5F1
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
SOX17
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
SOX2
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
CCND2
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
TERT
1 approved drug (Imetelstat) and no registered trial in testicular cancer. The molecules exist; nobody has tested them here.
CDKN2A
No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.
XIST
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 (2026-09-12), 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 testicular 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
6 exclusion patterns are applied to free text before anything is ranked, because NTERA-2 is used as a model system in human neuron-differentiation models (NT2-N neurons). What was removed and why is stated in each section rather than silently applied.
{
"disease": "Testicular cancer",
"mesh": "Testicular Neoplasms",
"facts": "https://usebiotransfer.org/disease/testicular-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."
}