Target landscape
Open Targets · retrieved 2026-09-12 · weekly12 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.
| 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 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 · weekly1 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.
Every label that names vulvar cancer
| Drug | Role | What the label says |
|---|---|---|
| BleomycinBleomycin | Labelled here | It 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 · weeklyHPV E6/E7 is the busiest cell-therapy antigen in vulvar cancer: 5 registered trials, 2 still active.
| Trial | Phase | Status | Title | Last update |
|---|---|---|---|---|
| NCT05639972 | 1/2 | Recruiting | E7 T-cell Receptor (TCR) -T Cell Induction Therapy for Locoregionally Advanced HPV-associated Cancers | 2026-06-12 |
| NCT05686226 | 2 | Recruiting | E7 TCR-T Cell Immunotherapy for Human Papillomavirus (HPV) Associated Cancers | 2026-06-12 |
| NCT03937791 | 2 | Terminated | Immunotherapy With E7 T Cell Receptor T Cells for Vulvar High-Grade Squamous Intraepithelial Lesions | 2021-04-13 |
| NCT02858310 | 1/2 | Completed | E7 TCR T Cells for Human Papillomavirus-Associated Cancers | 2026-03-09 |
| NCT02379520 | 1 | Completed | HPV-16/18 E6/E7-Specific T Lymphocytes, Relapsed HPV-Associated Cancers, HESTIA | 2026-04-15 |
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 · monthlyEvery 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 term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Tumor Suppressor Protein p53 | 2.24% | 7.73% | 3.45× | 59 papers |
| Lichen Sclerosus et Atrophicus | 1.6% | 4.19% | 2.62× | 32 papers |
| Vulvar Diseases | 2.08% | 5.24% | 2.52× | 40 papers |
| Bartholin's Glands | 1.44% | 3.54% | 2.45× | 27 papers |
| Prevalence | 0.8% | 1.83% | 2.29× | 14 papers |
| Carcinoma, Adenoid Cystic | 0.8% | 1.57% | 1.96× | 12 papers |
| Sentinel Lymph Node | 2.72% | 5.24% | 1.92× | 40 papers |
| Surveys and Questionnaires | 0.96% | 1.83% | 1.91× | 14 papers |
| Mutation | 1.92% | 3.54% | 1.84× | 27 papers |
| Indocyanine Green | 0.96% | 1.7% | 1.77× | 13 papers |
Cooling
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Neoplasm Invasiveness | 5.61% | 1.7% | 0.3× | 13 papers |
| Disease-Free Survival | 5.61% | 2.1% | 0.37× | 16 papers |
| Biopsy | 6.41% | 2.75% | 0.43× | 21 papers |
| Survival Rate | 6.09% | 2.62% | 0.43× | 20 papers |
| Follow-Up Studies | 6.09% | 2.88% | 0.47× | 22 papers |
| Radiotherapy, Adjuvant | 4.65% | 2.49% | 0.54× | 19 papers |
Biggest topics now
| MeSH term | 2015–18 | 2021–25 | Change | Share now |
|---|---|---|---|---|
| Carcinoma, Squamous Cell | 36.7% | 35.39% | 0.96× | 270 papers |
| Vulva | 16.67% | 21.1% | 1.27× | 161 papers |
| Papillomavirus Infections | 10.26% | 16.64% | 1.62× | 127 papers |
| Carcinoma in Situ | 10.42% | 12.19% | 1.17× | 93 papers |
| Neoplasm Recurrence, Local | 15.38% | 12.19% | 0.79× | 93 papers |
| Prognosis | 13.78% | 11.4% | 0.83× | 87 papers |
| Neoplasm Staging | 14.9% | 11.4% | 0.77× | 87 papers |
| Lymph Node Excision | 11.06% | 10.88% | 0.98× | 83 papers |
| Lymphatic Metastasis | 10.58% | 9.7% | 0.92× | 74 papers |
| Biomarkers, Tumor | 8.97% | 9.44% | 1.05× | 72 papers |
Publication mix
| Type | 2015–18 | 2021–25 |
|---|---|---|
| Randomized Controlled Trial | 0.6% | 0.5% |
| Review | 14.6% | 11.5% |
| Meta-Analysis | 2.4% | 1.2% |
| Case Reports | 0.0% | 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.
| Measure | Value | Match | What it counts |
|---|---|---|---|
| New cases each year | 7,130 cases/year | direct | 2026 SEER Cancer Stat Facts, Vulvar Cancer, retrieved 2026-09-12 |
| Deaths each year | 1,750 deaths/year | direct | 2026 SEER Cancer Stat Facts, Vulvar Cancer, retrieved 2026-09-12 |
| Incidence rate | 2.6 cases per 100,000 women per year | direct | 2019-2023 SEER Cancer Stat Facts, Vulvar Cancer, retrieved 2026-09-12 |
| Death rate | 0.6 deaths per 100,000 women per year | direct | 2020-2024 SEER Cancer Stat Facts, Vulvar Cancer, retrieved 2026-09-12 |
| Median age at diagnosis | 70.0 years | direct | 2019-2023 SEER Cancer Stat Facts, Vulvar Cancer, retrieved 2026-09-12 |
| median age at death | 76 years | direct | 2020-2024 SEER Cancer Stat Facts, Vulvar Cancer, retrieved 2026-09-12 |
| Five-year relative survival | 69.7% | direct | 2016-2022 SEER Cancer Stat Facts, Vulvar Cancer, retrieved 2026-09-12 |
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 · quarterlyNIH 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.
NIH obligations by fiscal year
| Year | Obligations | Awards | Distinct projects | Dropped as off-topic |
|---|---|---|---|---|
| FY2014 | $0.2M | 1 | 1 | 38 |
| FY2015 | $0.2M | 1 | 1 | 28 |
| FY2017 | $0.5M | 3 | 3 | 20 |
| FY2018 | $0.8M | 5 | 4 | 18 |
| FY2019 | $0.7M | 3 | 3 | 23 |
| FY2020 | $0.3M | 1 | 1 | 27 |
| FY2021 | $0.2M | 1 | 1 | 26 |
| FY2022 | $0.2M | 1 | 1 | 34 |
| FY2023 | $0.1M | 1 | 1 | 38 |
| FY2024 | $0.4M | 2 | 2 | 29 |
| FY2025 | $0.4M | 1 | 1 | 33 |
Where FY2025 money went
| Institution | Obligations | Awards |
|---|---|---|
| Johns Hopkins University | $0.4M | 1 |
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
Projects by administering institute. The rows above are the top 1 and account for 1 of 1.
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 1 and account for 1 of 1.
Where it lands
Share of $0.4M in FY2025. The top three hold 100%.
Public datasets, ranked
NCBI GEO + Europe PMC + iCite · weekly50 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
Established
high reuse, older| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE63678 | Expression data from Vulvar, Cervical, Endometrial Carcinoma tissue2015 · array | 35 | 118 | 1.7 | APT 0.555 cites |
| GSE28442 | Expression of marker genes in the lymph nodes predicts the recurrence of squamous cell vulvar carcinoma.2011 · array | 8 | 4 | 0.3 | patient cohortAPT 0.25survivalstage12 cites |
| GSE38230 | SCC of the vulva2013 · array | 32 | 4 | 0.8 | APT 0.527 cites |
| GSE5563 | Gene expression profile of VIN lesions in comparison to controls2006 · array | 19 | 7 | 0.6 | APT 0.2523 cites |
| GSE66987 | No Viral Association Found in a Set of Differentiated Vulvar Intraepithelial Neoplasia Cases by Human Papillomavirus and Pan-Viral Microarray Testing2015 · array | 12 | 2 | 0.3 | APT 0.255 cites |
| GSE68409 | UNCOVERING VULVAR CARCINOMA: AN INTEGRATIVE APPROACH2016 · array | 34 | 0 | 0.4 | APT 0.2512 cites |
Recent
2022 onward, by score| Accession | Study | Samples | MentionsEurope PMC | RCR | Evidence |
|---|---|---|---|---|---|
| GSE183454 | RNA sequencing of invasive vulvar squamous cell carcinoma (VSCC)2022 · sequencing | 23 | 5 | 1.4 | patient cohortAPT 0.5stage17 cites |
| GSE311892 | The local cellular response to Human Papillomavirus focuses on basal layer restoration as visualized in situ by specific cellular neighborhoods near infected cells2025 · single-cell | 36 | 1 | — | 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 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.
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
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 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."
}