Disease Briefing

Vulvar cancer: research and therapeutic landscape

A live synthesis of what is being targeted, what is being trialled, which datasets exist, and where the actionable gaps sit — assembled from public APIs, with every figure traceable to its source.

Generated 2026-09-12Sources Open Targets · ClinicalTrials.gov · openFDA · GEO · PubMed · Europe PMC · iCite · RePORTERRanked 8 studies · 199 GEO samples
Reading as
Reorders emphasis only — nothing is hidden or loaded on demand.

Answer block

12 genes recurrently implicated in vulvar cancer — TP53, CDKN2A, PIK3CA, HRAS, NOTCH1, EGFR, CD274, PDCD1, TERT, FAT1, KMT2D, PTEN — triaged for what can actually be aimed at them, alongside the trials, public datasets, literature and funding around the disease. Every figure below carries its source and retrieval date in the section it comes from.

1
drugs carry an FDA label naming vulvar cancer: Bleomycin. This counts labels, not treatment — the disease is also treated with agents approved under broader indications
0
of the 12 genes above carries a drug approved in vulvar cancer — 166 drug entries reach them, 155 distinct once salt forms are merged, and 41 of those are approved for other indications. A statement about these gene targets, not about the disease
5
registered HPV E6/E7 cell-therapy trials in vulvar cancer, 2 active. Counted from ClinicalTrials.gov across 5 synonyms, deduplicated by NCT id, interventional studies only — the query is published in the JSON beside this page so the number can be re-derived
8
targets carry an Open Targets tractability signal and have no clinical programme of any kind: TP53, PIK3CA, HRAS, NOTCH1, TERT, FAT1, KMT2D, PTEN. PDCD1 has cell-therapy trials, so it is undrugged rather than untouched
50
human GEO series match the disease; 8 survive on-topic filtering, and only 0 are patient cohorts of 100+ samples
118
Europe PMC full-text papers name GSE63678 — the highest accession-mention count in the set. A mention is not proof of reanalysis, so read it as reach rather than reuse
$0.4M
NIH obligations in FY2025, across 1 distinct core project — and none in FY2013: no project matched the disease that year. There is no growth rate to give from a base of zero

Target landscape

Open Targets · retrieved 2026-09-12 · weekly

12 genes recurrently implicated in vulvar cancer, 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: Vulvar 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 vulvar cancer is actually treated with, which includes agents approved under broader indications. All three are on this page and they are kept apart deliberately.

GeneDrugsApproval, and whether it reached this diseaseOpen Targets tractabilitycomputed from protein features and literature — a signal that a modality is worth trying, not evidence that it worksCell therapy here
TP53 across cancers → 8 Phase 3Alrizomadlin, Cenersen, Contusugene Ladenovec, Eprenetapopt, Idasanutlin, Navtemadlin, Siremadlin, TeprasiranNo vulvar cancer trial of any of these drugs other clinical modality, protein degrader, small molecule
CDKN2A across cancers → 0 No drug
PIK3CA across cancers → 31 3 approvedAlpelisib, Copanlisib, InavolisibApproved in breast cancer, breast neoplasm, breast carcinoma and 3 other indications. No vulvar cancer indication appears on these drugs’ labels.No vulvar cancer trial of any of these drugs antibody, protein degrader, small molecule
HRAS across cancers → 1 Phase 2SalirasibNo vulvar cancer trial of any of these drugs antibody, protein degrader, small molecule
NOTCH1 across cancers → 1 Phase 1BrontictuzumabNo vulvar cancer trial of any of these drugs antibody, protein degrader, small molecule
EGFR across cancers → 74 23 approvedAfatinib, Afatinib Dimaleate, Amivantamab, Aumolertinib, Brigatinib, Cetuximab, Cetuximab Sarotalocan, Dacomitinib, Erlotinib, Gefitinib, Icotinib, Lapatinib, Lapatinib Ditosylate, Lazertinib, Mobocertinib, Necitumumab, Neratinib, Nimotuzumab, Olmutinib, Osimertinib, Panitumumab, Rociletinib, VandetanibApproved in non-small cell lung carcinoma, anaplastic large cell lymphoma, malignant tumor of neck and 14 other indications. No vulvar cancer indication appears on these drugs’ labels.1 trials, none active antibody, other clinical modality, protein degrader, small molecule
CD274 across cancers → 13 5 approvedAtezolizumab, Avelumab, Cosibelimab, Durvalumab, SugemalimabApproved in urothelial carcinoma, non-small cell lung carcinoma, breast cancer and 6 other indications. No vulvar cancer indication appears on these drugs’ labels.4 active of 9 vulvar cancer trials antibody, other clinical modality, protein degrader, small molecule
PDCD1 across cancers → 26 9 approvedCemiplimab, Dostarlimab, Nivolumab, Pembrolizumab, Retifanlimab, Serplulimab, Sintilimab, Tislelizumab, ToripalimabApproved in basal cell carcinoma, cutaneous squamous cell carcinoma, cervical cancer and 23 other indications. No vulvar cancer indication appears on these drugs’ labels.12 active of 19 vulvar cancer trials antibody, other clinical modality, protein degrader, small molecule 0 active of 1 trial
TERT across cancers → 1 1 approvedImetelstatApproved in anemia, myelodysplastic syndrome. No vulvar cancer indication appears on these drugs’ labels.No vulvar cancer trial of any of these drugs antibody, other clinical modality, protein degrader, small molecule
FAT1 across cancers → 0 No drug antibody, protein degrader
KMT2D across cancers → 0 No drug antibody, protein degrader, small molecule
PTEN across cancers → 0 No drug antibody, protein degrader, small molecule

Dataset evidence counts studies in the 8-study ranked set whose title or abstract names the gene; the bar is scaled to TP53. 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 · weekly

1 drug carries an FDA label naming vulvar cancer: Bleomycin. Separately, 41 of the drugs returned for the genes in the table above are approved only for other diseases and reach vulvar cancer through trials, not through their labels.

1Labelled for vulvar cancerFDA INDICATIONS AND USAGE names the disease
41Approved, but for another diseasereturned for the genes in the table above
0Backbone agents listing itbroad cytotoxics whose labels name many tumours
2Active HPV E6/E7 cell-therapy trialsof 5 registered

Every label that names vulvar cancer

DrugRoleWhat the label says
BleomycinBleomycinLabelled hereIt has been shown to be useful in the management of the Squamous Cell Carcinoma Head and neck (including mouth, tongue, tonsil, nasopharynx, oropharynx, sinus, palate, lip, buccal mucosa, gingivae, epiglottis, skin, larynx), penis, cervix, and vulva.

22 labels match indications_and_usage:"vulvar cancer" OR indications_and_usage:"vulvar carcinoma" OR indications_and_usage:"carcinoma of the vulva" OR indications_and_usage:"vulva"; they collapse to 1 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 HPV E6/E7

ClinicalTrials.gov · retrieved 2026-09-12 · weekly

HPV E6/E7 is the busiest cell-therapy antigen in vulvar cancer: 5 registered trials, 2 still active.

TrialPhaseStatusTitleLast update
NCT056399721/2RecruitingE7 T-cell Receptor (TCR) -T Cell Induction Therapy for Locoregionally Advanced HPV-associated Cancers2026-06-12
NCT056862262RecruitingE7 TCR-T Cell Immunotherapy for Human Papillomavirus (HPV) Associated Cancers2026-06-12
NCT039377912TerminatedImmunotherapy With E7 T Cell Receptor T Cells for Vulvar High-Grade Squamous Intraepithelial Lesions2021-04-13
NCT028583101/2CompletedE7 TCR T Cells for Human Papillomavirus-Associated Cancers2026-03-09
NCT023795201CompletedHPV-16/18 E6/E7-Specific T Lymphocytes, Relapsed HPV-Associated Cancers, HESTIA2026-04-15

5 of 5 shown, most recently active first. Other antigens searched: PD-1 (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 · monthly

Every term below is a share of the vulvar cancer literature, not a count, because the field itself grew: 2015–2018 (n=624) against 2021–2025 (n=763). A topic whose papers doubled while the field doubled has not risen.

Rising, with a real baseline

MeSH term2015–182021–25ChangeShare now
Tumor Suppressor Protein p532.24%7.73%3.45×59 papers
Lichen Sclerosus et Atrophicus1.6%4.19%2.62×32 papers
Vulvar Diseases2.08%5.24%2.52×40 papers
Bartholin's Glands1.44%3.54%2.45×27 papers
Prevalence0.8%1.83%2.29×14 papers
Carcinoma, Adenoid Cystic0.8%1.57%1.96×12 papers
Sentinel Lymph Node2.72%5.24%1.92×40 papers
Surveys and Questionnaires0.96%1.83%1.91×14 papers
Mutation1.92%3.54%1.84×27 papers
Indocyanine Green0.96%1.7%1.77×13 papers

Cooling

MeSH term2015–182021–25ChangeShare now
Neoplasm Invasiveness5.61%1.7%0.3×13 papers
Disease-Free Survival5.61%2.1%0.37×16 papers
Biopsy6.41%2.75%0.43×21 papers
Survival Rate6.09%2.62%0.43×20 papers
Follow-Up Studies6.09%2.88%0.47×22 papers
Radiotherapy, Adjuvant4.65%2.49%0.54×19 papers

Biggest topics now

MeSH term2015–182021–25ChangeShare now
Carcinoma, Squamous Cell36.7%35.39%0.96×270 papers
Vulva16.67%21.1%1.27×161 papers
Papillomavirus Infections10.26%16.64%1.62×127 papers
Carcinoma in Situ10.42%12.19%1.17×93 papers
Neoplasm Recurrence, Local15.38%12.19%0.79×93 papers
Prognosis13.78%11.4%0.83×87 papers
Neoplasm Staging14.9%11.4%0.77×87 papers
Lymph Node Excision11.06%10.88%0.98×83 papers
Lymphatic Metastasis10.58%9.7%0.92×74 papers
Biomarkers, Tumor8.97%9.44%1.05×72 papers

Publication mix

Type2015–182021–25
Randomized Controlled Trial0.6%0.5%
Review14.6%11.5%
Meta-Analysis2.4%1.2%
Case Reports0.0%5.8%

Query: Vulvar Neoplasms[MeSH Major Topic] NOT ("Melanoma"[MeSH] OR "Paget Disease, Extramammary"[MeSH] OR "Vaginal Neoplasms"[MeSH] OR "Cervical Intraepithelial Neoplasia"[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.

MeasureValueMatchWhat it counts
New cases each year7,130 cases/yeardirect2026
Deaths each year1,750 deaths/yeardirect2026
Incidence rate2.6 cases per 100,000 women per yeardirect2019-2023
Death rate0.6 deaths per 100,000 women per yeardirect2020-2024
Median age at diagnosis70.0 yearsdirect2019-2023
median age at death76 yearsdirect2020-2024
Five-year relative survival69.7%direct2016-2022

Years of life lost

2.5 years per case, 18,147 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 · quarterly

NIH obligations naming vulvar cancer, after removing the 368 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.

$0.4MNIH obligations, FY2025from $0.2M in FY2014 · +81%
1distinct projects funded1 in FY2014
$0.8Mpeak year was FY2018obligations, all institutes
100%of FY2025 awards from NCI1 of 1

NIH obligations by fiscal year

$0M$0M$1M$1M141719212325
YearObligationsAwardsDistinct projectsDropped as off-topic
FY2014$0.2M1138
FY2015$0.2M1128
FY2017$0.5M3320
FY2018$0.8M5418
FY2019$0.7M3323
FY2020$0.3M1127
FY2021$0.2M1126
FY2022$0.2M1134
FY2023$0.1M1138
FY2024$0.4M2229
FY2025$0.4M1133

Where FY2025 money went

InstitutionObligationsAwards
Johns Hopkins University$0.4M1

Text search vulvar 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 18,147 years of life lost a year, FY2025 obligations are $20 per life-year — $52 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

NCI1 · 100%

Projects by administering institute. The rows above are the top 1 and account for 1 of 1.

Award mechanisms

P501 · 100%

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 1 and account for 1 of 1.

Where it lands

Johns Hopkins University$0.4M · 100.0%

Share of $0.4M in FY2025. The top three hold 100%.

Public datasets, ranked

NCBI GEO + Europe PMC + iCite · weekly

50 human GEO series match vulvar cancer. Keyword relevance cannot tell a 23-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 8-study ranked set

unspecified 6patient 2
6 unspecified2 patient3 carry clinical annotation1 carry survival0 patient cohorts ≥100 GEO samples199 GEO samples totalin 1 single-cell series a GEO sample is one cell, not one patient

Established

high reuse, older
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE63678Expression data from Vulvar, Cervical, Endometrial Carcinoma tissue2015 · array351181.7
APT 0.555 cites
GSE28442Expression of marker genes in the lymph nodes predicts the recurrence of squamous cell vulvar carcinoma.2011 · array840.3
patient cohortAPT 0.25survivalstage12 cites
GSE38230SCC of the vulva2013 · array3240.8
APT 0.527 cites
GSE5563Gene expression profile of VIN lesions in comparison to controls2006 · array1970.6
APT 0.2523 cites
GSE66987No Viral Association Found in a Set of Differentiated Vulvar Intraepithelial Neoplasia Cases by Human Papillomavirus and Pan-Viral Microarray Testing2015 · array1220.3
APT 0.255 cites
GSE68409UNCOVERING VULVAR CARCINOMA: AN INTEGRATIVE APPROACH2016 · array3400.4
APT 0.2512 cites

Recent

2022 onward, by score
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE183454RNA sequencing of invasive vulvar squamous cell carcinoma (VSCC)2022 · sequencing2351.4
patient cohortAPT 0.5stage17 cites
GSE311892The local cellular response to Human Papillomavirus focuses on basal layer restoration as visualized in situ by specific cellular neighborhoods near infected cells2025 · single-cell361
APT 0.05stage

Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-12. SubSeries are collapsed to one row per study by linked PMID. Of 50 series retrieved, 5 were dropped by the profile’s exclusion rules and 34 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 refresh

Each 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.

CDKN2A

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

PIK3CA

3 approved drugs (Alpelisib, Copanlisib, Inavolisib) and no registered trial in vulvar cancer. The molecules exist; nobody has tested them here.

TERT

1 approved drug (Imetelstat) and no registered trial in vulvar cancer. The molecules exist; nobody has tested them here.

FAT1

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

KMT2D

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

PTEN

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

How a machine reads this page

Static

This 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 vulvar 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

3 exclusion patterns are applied to free text before anything is ranked, because A431 is used as a model system in EGFR biology, antibody and ADC testing, photodynamic therapy across cancer research. What was removed and why is stated in each section rather than silently applied.

{
  "disease": "Vulvar cancer",
  "mesh": "Vulvar Neoplasms",
  "facts": "https://usebiotransfer.org/disease/vulvar-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."
}