Disease Briefing

Neuroblastoma: 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 2026-09-10Sources Open Targets · ClinicalTrials.gov · openFDA · GEO · PubMed · Europe PMC · iCite · RePORTERRanked 232 studies · 14,640 samples
Reading as
Reorders emphasis only — nothing is hidden or loaded on demand.

Answer block

9 genes recurrently implicated in neuroblastoma — MYCN, ALK, GPC2, B4GALNT1, TERT, LIN28B, PHOX2B, CD276, L1CAM — 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.

3
drugs carry an FDA label naming neuroblastoma: Dinutuximab, Eflornithine, Naxitamab. This counts labels, not treatment — the disease is also treated with agents approved under broader indications
0
of the 9 genes above carries a drug approved in neuroblastoma — 16 drug entries reach them, 14 distinct once salt forms are merged, and 7 of those are approved for other indications. A statement about these gene targets, not about the disease
28
registered GD2 cell-therapy trials in neuroblastoma, 16 active and 2 withdrawn. 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
1
target carries an Open Targets tractability signal and has no clinical programme of any kind: MYCN. GPC2, B4GALNT1, CD276, L1CAM all have cell-therapy trials, so they are undrugged rather than untouched
1,625
human GEO series match the disease; 232 survive on-topic filtering, and only 17 are patient cohorts of 100+ samples
208
Europe PMC full-text papers name GSE49710 — the highest accession-mention count in the set. A mention is not proof of reanalysis, so read it as reach rather than reuse
$187.3M
NIH obligations in FY2025, up 106% since 2013 — while distinct core projects went 202 to 205. Larger awards rather than more distinct core projects; core projects are not the same unit as laboratories

Target landscape

Open Targets · retrieved 2026-09-07 · weekly

9 genes recurrently implicated in neuroblastoma, triaged for whether anything can actually be aimed at them. The zeros are the informative rows.

Of 9 recurrently implicated genes, 3 carry any drug at all. That is a statement about these 9 gene targets, not about the disease: Neuroblastoma does have labelled therapy — 3 drugs, listed in the next section.

Two different questions

The table below asks what can be aimed at 9 recurrently implicated genes. That is narrower than what is approved for the disease, and narrower again than what neuroblastoma 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
MYCN 0 No drug protein degrader, small molecule
ALK 11 6 approvedAlectinib, Brigatinib, Ceritinib, Crizotinib, Entrectinib, LorlatinibApproved in non-small cell lung carcinoma, anaplastic large cell lymphoma. No neuroblastoma indication appears on these drugs’ labels.6 active of 12 neuroblastoma trials antibody, other clinical modality, protein degrader, small molecule
GPC2 0 No drug antibody, protein degrader 2 active of 2 trials
B4GALNT1 0 No drug antibody, protein degrader 16 active of 28 trials
TERT 1 1 approvedImetelstatApproved in anemia, myelodysplastic syndrome. No neuroblastoma indication appears on these drugs’ labels.Tried and abandoned: all 2 neuroblastoma trials withdrawn before enrolling antibody, other clinical modality, protein degrader, small molecule
LIN28B 0 No drug
PHOX2B 0 No drug
CD276 2 Phase 2/38H9 131I, Enoblituzumab2 trials, none active antibody, protein degrader 6 active of 7 trials
L1CAM 0 No drug antibody, protein degrader 1 active of 1 trial

Dataset evidence counts studies in the 232-study ranked set whose title or abstract names the gene; the bar is scaled to MYCN. Sources: Open Targets Platform and NCBI GEO, retrieved 2026-09-07. 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

3 drugs carry an FDA label naming neuroblastoma: Dinutuximab, Eflornithine, Naxitamab. Separately, 7 of the drugs returned for the genes in the table above are approved only for other diseases and reach neuroblastoma through trials, not through their labels.

3Labelled for neuroblastomaFDA INDICATIONS AND USAGE names the disease
7Approved, but for another diseasereturned for the genes in the table above
3Backbone agents listing itbroad cytotoxics whose labels name many tumours
16Active GD2 cell-therapy trialsof 28 registered

Every label that names neuroblastoma

DrugRoleWhat the label says
DinutuximabUnituxinLabelled hereUnituxin is a GD2-binding monoclonal antibody indicated, in combination with granulocyte-macrophage colony-stimulating factor (GM-CSF), interleukin-2 (IL-2), and 13-cis-retinoic acid (RA), for the treatment of pediatric patients with high-risk neuroblastoma who achieve at least a partial response to prior first-line multiagent, multimodality therapy.
EflornithineiwilfinLabelled hereIWILFIN is an ornithine decarboxylase inhibitor indicated to reduce the risk of relapse in adult and pediatric patients with high-risk neuroblastoma (HRNB) who have demonstrated at least a partial response to prior multiagent, multimodality therapy including anti-GD2 immunotherapy.
NaxitamabDANYELZALabelled hereDANYELZA is indicated, in combination with granulocyte-macrophage colony-stimulating factor (GM-CSF), for the treatment of pediatric patients 1 year of age and older and adult patients with relapsed or refractory high-risk neuroblastoma in the bone or bone marrow who have demonstrated a partial response, minor response, or stable disease to prior therapy.
CyclophosphamideCYCLOPHOSPHAMIDE, Cyclophosphamide, FrindovyxBackboneCyclophosphamide is an alkylating drug indicated for treatment of: Malignant Diseases: malignant lymphomas: Hodgkin's disease, lymphocytic lymphoma, mixed-cell type lymphoma, histiocytic lymphoma, Burkitt's lymphoma; multiple myeloma, leukemias, mycosis fungoides, neuroblastoma, adenocarcinoma of ovary, retinoblastoma, breast carcinoma
DoxorubicinDOXOrubicin Hydrochloride, Doxorubicin Hydrochloride, Doxorubicin hydrochlorideBackbonefor the treatment of: acute lymphoblastic leukemia, acute myeloblastic leukemia, Hodgkin lymphoma, Non-Hodgkin lymphoma, metastatic breast cancer, metastatic Wilms' tumor, metastatic neuroblastoma, metastatic soft tissue sarcoma, metastatic bone sarcomas, metastatic ovarian carcinoma, metastatic transitional cell bladder carcinoma, metastatic thyroid carcinoma, metastatic gastric carcinoma, met...
VincristineVinCRIStine SulfateBackboneVincristine 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.
Iobenguane I-123AdreViewNot a therapyPheochromocytoma and Neuroblastoma AdreView is a radiopharmaceutical indicated for use in the detection of primary or metastatic pheochromocytoma or neuroblastoma as an adjunct to other diagnostic tests.

93 labels match indications_and_usage:"neuroblastoma"; they collapse to 7 distinct molecules once salt forms, biosimilars and co-formulated hyaluronidase are merged. Diagnostic and contrast agents (Iobenguane I-123) are listed but are not treatments. Source: openFDA drug label API (api.fda.gov/drug/label.json), retrieved 2026-09-08. Labels change; this reflects the current label text, not the approval history. Not prescribing guidance.

Cell therapy against GD2

ClinicalTrials.gov · retrieved 2026-09-07 · weekly

GD2 is the busiest cell-therapy antigen in neuroblastoma: 28 registered trials, 16 still active, 2 withdrawn before enrolling anyone. It has no gene entry of its own and is reached through B4GALNT1, which synthesises it.

TrialPhaseStatusTitleLast update
NCT06684639EARLY/1RecruitingA Study on the Efficacy of GD2-CAR T Cells in the Treatment of Neuroblastoma2024-12-20
NCT068365051/2RecruitingSafety and Efficacy of CAR-T Cell Therapy for Relapsed/refractory Neuroblastoma and Desmoplastic Small Round Cell Tumors: a Single-arm, Open-label Trial.2025-02-26
NCT042116751/2RecruitingNK Cells Infusions With Irinotecan, Temozolomide, and Dinutuximab2025-05-13
NCT032949541RecruitingGD2 Specific CAR and Interleukin-15 Expressing Autologous NKT Cells to Treat Children With Neuroblastoma2025-09-19
NCT054006031RecruitingAllogeneic Expanded Gamma Delta T Cells With GD2 Chemoimmunotherapy in Relapsed /Refractory Neuroblastoma or Refractory/ Relapsed Osteosarcoma2025-12-26
NCT073755633RecruitingChemoimmunotherapy Combined With Autologous NK Cell Therapy for Pediatric Patients With Refractory and Relapsed High-Risk Neuroblastoma and Ganglioneuroblastoma2026-01-29
NCT037210681RecruitingStudy of CAR T-Cells Targeting the GD2 With IL-15+iCaspase9 for Relapsed/Refractory Neuroblastoma or Relapsed/Refractory Osteosarcoma2026-03-27
NCT075022871/2RecruitingDual-Target GD2/B7-H3 CAR-NK Cells for Pediatric Relapsed or Refractory Neuroblastoma2026-03-30
NCT064500412RecruitingNANT 2021-01 Phase II STING (Sequential Temozolomide, Irinotecan, NK Cells and GD2 mAb) Trial2026-07-20
NCT033730971/2ActiveAnti-GD2 CAR T Cells in Pediatric Patients Affected by High Risk and/or Relapsed/Refractory Neuroblastoma or Other GD2-positive Solid Tumors2025-02-05

10 of 28 shown, most recently active first. Other antigens searched: B7-H3 (7), GPC2 (2), L1CAM (1). Source: ClinicalTrials.gov API v2, retrieved 2026-09-07. 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 neuroblastoma literature, not a count, because the field itself grew: 2015–2018 (n=1,931) against 2021–2025 (n=3,122). A topic whose papers doubled while the field doubled has not risen.

Rising, with a real baseline

MeSH term2015–182021–25ChangeShare now
Receptors, Chimeric Antigen0.26%1.54%5.94×48 papers
Molecular Docking Simulation0.36%1.47%4.06×46 papers
Tumor Microenvironment1.5%5.19%3.45×162 papers
Positron Emission Tomography Computed Tomography0.78%2.5%3.22×78 papers
Macrophages0.31%0.96%3.09×30 papers
Antioxidants0.67%1.89%2.81×59 papers
Neurotoxicity Syndromes0.26%0.67%2.6×21 papers
Immunotherapy, Adoptive0.78%1.89%2.43×59 papers
T-Lymphocytes0.73%1.67%2.3×52 papers
Glucose0.36%0.74%2.03×23 papers

Cooling

MeSH term2015–182021–25ChangeShare now
Time Factors3.06%0.45%0.15×14 papers
Oncogene Proteins3.68%0.64%0.17×20 papers
Kaplan-Meier Estimate3.31%0.64%0.19×20 papers
Dose-Response Relationship, Drug3.52%0.67%0.19×21 papers
Survival Analysis3.31%0.64%0.19×20 papers
Neoplasm Proteins3.63%0.7%0.19×22 papers

Biggest topics now

MeSH term2015–182021–25ChangeShare now
Gene Expression Regulation, Neoplastic17.56%11.5%0.66×359 papers
Cell Proliferation18.28%10.76%0.59×336 papers
Prognosis11.29%10.67%0.94×333 papers
Apoptosis14.97%9.8%0.65×306 papers
N-Myc Proto-Oncogene Protein10.51%9.77%0.93×305 papers
Retrospective Studies7.15%9.71%1.36×303 papers
Antineoplastic Agents11.5%7.59%0.66×237 papers
Biomarkers, Tumor8.03%5.61%0.7×175 papers
Neoplasm Recurrence, Local5.7%5.25%0.92×164 papers
Tumor Microenvironment1.5%5.19%3.45×162 papers

Publication mix

Type2015–182021–25
Clinical Trial0.1%0.0%
Randomized Controlled Trial0.4%0.3%
Review6.5%7.0%
Meta-Analysis0.5%0.5%
Case Reports0.0%1.6%

Query: neuroblastoma[MeSH Major Topic] NOT (Alzheimer Disease[MeSH] OR Parkinson Disease[MeSH] OR "Neurodegenerative Diseases"[MeSH] OR Stroke[MeSH] OR "Brain Ischemia"[MeSH] OR "Reperfusion Injury"[MeSH] OR "Neuroprotective Agents"[MeSH] OR "Cholinesterase Inhibitors"[MeSH] OR "Amyloid beta-Peptides"[MeSH] OR "Esthesioneuroblastoma, Olfactory"[MeSH] OR "Nose Neoplasms"[MeSH] OR "Dopaminergic Neurons"[MeSH] OR "Pesticides"[MeSH] OR "Oxidopamine"[MeSH] OR "Acetylcholinesterase"[MeSH] OR "1-Methyl-4-phenylpyridinium"[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 not recorded.

Disease burden

What the public sources count, and how closely each category matches this disease.

MeasureValueMatchWhat it counts
New cases each year650 cases/yeardirecta lower bound, so nothing is divided by it
Incidence rate8.3 cases per 1,000,000 per yeardirectunder 15 years
Birth prevalence1 in 7,000 live birthsdirect
Five-year relative survival85.0%direct2014-2020; under 15 years
Median age at diagnosis1.4 yearsdirect17 months / 12
Deaths each yearnot publishedNCI PDQ gives incidence and survival but no annual death count, and SEER publishes no neuroblastoma stat facts page. Recorded as a gap rather than derived from incidence and survival, which would put an estimate beside measured values. CDC WONDER is the route to it.

Years of life lost

11.5 years per case, 7,506 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 neuroblastoma, after removing the 428 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.

$187.3MNIH obligations, FY2025from $90.8M in FY2013 · +106%
205distinct projects funded202 in FY2013
$202.5Mpeak year was FY2021obligations, all institutes
81%of FY2025 awards from NCI181 of 223

NIH obligations by fiscal year

$51M$101M$152M$202M13151719212325
YearObligationsAwardsDistinct projectsDropped as off-topic
FY2013$90.8M22720246
FY2014$98.3M23320533
FY2015$87.2M20118729
FY2016$87.9M18717735
FY2017$110.2M19417540
FY2018$120.7M23018942
FY2019$142.2M24121931
FY2020$170.8M26223531
FY2021$202.5M26923623
FY2022$171.9M26523624
FY2023$174.8M25321936
FY2024$181.3M26722830
FY2025$187.3M22920528

Where FY2025 money went

InstitutionObligationsAwards
Division Of Basic Sciences - Nci$32.4M24
Public Health Institute$22.9M0
Children'S Hosp Of Philadelphia$12.8M18
University Of Southern California$12.2M7
Division Of Cancer Epidemiology And Genetics$11.6M0
St. Jude Children'S Research Hospital$7.3M13
Children'S Hospital Of Los Angeles$6.9M5
Dana-Farber Cancer Inst$6.3M11
Cog Research Foundation, Llc$4.6M0
Stanford University$3.6M0

Text search neuroblastoma 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 2026-09-10.

What that buys

Against 7,506 years of life lost a year, FY2025 obligations are $24,958 per life-year — $288,210 per case. Cases are a lower bound, so the per-case figure is an upper bound. 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

NCI181 · 79%
NINDS9 · 4%
NIGMS8 · 3%
NIAID6 · 3%
NEI4 · 2%
NIDA4 · 2%

Projects by administering institute. The rows above are the top 10 and account for 223 of 229.

Award mechanisms

R0181 · 35%
ZIA29 · 13%
P3015 · 7%
P018 · 3%
U017 · 3%
F317 · 3%

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 15 and account for 192 of 229.

Where it lands

Division Of Basic Sciences - Nci$32.4M · 17.3%
Public Health Institute$22.9M · 12.2%
Children'S Hosp Of Philadelphia$12.8M · 6.9%
University Of Southern California$12.2M · 6.5%
Division Of Cancer Epidemiology And Gene$11.6M · 6.2%
St. Jude Children'S Research Hospital$7.3M · 3.9%

Share of $187.3M in FY2025. The top three hold 36%.

Public datasets, ranked

NCBI GEO + Europe PMC + iCite · weekly

1,625 human GEO series match neuroblastoma. Keyword relevance cannot tell a 1,747-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 231-study ranked set

unspecified 81patient 76cell line 65xenograft 9
81 unspecified76 patient65 cell line9 xenograft133 carry clinical annotation81 carry survival16 patient cohorts ≥100 samples13,297 samples total

Established

high reuse, older
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE49710RNA-Seq reveals an unprecedented complexity of the neuroblastoma transcriptome and is suitable for clinical endpoint prediction [microarray]2014 · array49820819.7
patient cohortAPT 0.75stagemolecularMYCN724 cites
GSE85047Gene expression data from primary neuroblastoma tumors2018 · array283963.9
patient cohortAPT 0.75survivalmolecularMYCN135 cites
GSE3446Gene expression profiles of primary tumors from patients with metastatic neuroblastoma lacking MYCN amplification2006 · array234333.4
patient cohortAPT 0.75survivalstagemolecularMYCN183 cites
GSE90683Heterogeneity of neuroblastoma cell identity revealed by transcriptional circuitries2017 · chromatin1012711.4
patient cohortAPT 0.75molecularPHOX2B404 cites
GSE80154Enhancer invasion shapes MYCN dependent transcriptional amplification in neuroblastoma2018 · chromatin144125.3
patient cohortAPT 0.75survivalstagemolecularMYCN185 cites
GSE3960Classification of neuroblastoma by integrating gene expression pattern with regional alterations in DNA copy number2006 · array102495.6
patient cohortAPT 0.95258 cites
GSE26494array-CGH profiling of human neuroblastoma samples obtained from infants included in the INES99.1, INES99.2 and INES99.3 trials2011 · array218221.7
patient cohortAPT 0.95survivalstage697 cites
GSE120572A mechanistic classification of clinical phenotypes in neuroblastoma2018 · array394258.1
APT 0.95254 cites

Recent

2022 onward, by score
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE218003Gene expression profile at single cell level of neuroblastoma tumors and their tumor microenvironment2023 · single-cell12669.9
APT 0.7593 cites
GSE181582IGF2BP1 induces neuroblastoma via a druggable feedforward loop with MYCN promoting 17q oncogene expression2023 · sequencing26433.7
APT 0.75molecularMYCN43 cites
GSE284343Eighteen-year survival after GD2-directed Chimeric Antigen Receptor-Modified Immune Effector Cell Treatment for Neuroblastoma2025 · sequencing12014.3
patient cohortAPT 0.95survivalmolecularGD258 cites
GSE2128825-Hydroxymethylcytosine Profiling of Cell-Free DNA Identifies Bivalent Genes That Are Prognostic of Survival in High-Risk Neuroblastoma2024 · chromatin20811.4
patient cohortAPT 0.5survivalstage13 cites
GSE261828Joint single-cell genetic and transcriptomic analysis reveal embedded premalignant subclones and progressive cell states in human neuroblastoma2024 · single-cell1322.2
patient cohortAPT 0.5molecularMYCN18 cites
GSE245175Neuroblastoma heterogeneity and plasticity over disease progression are rooted in the dynamics of an early sympathetic transcriptional trajectory2024 · single-cell7931.4
patient cohortAPT 0.2511 cites

Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-08. SubSeries are collapsed to one row per study by linked PMID. Of 594 series retrieved, 37 were dropped by the profile’s exclusion rules and 233 named the disease only in passing. 2 further series named in the profile as contamination are excluded here. 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.

MYCN

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

GPC2

No drug in any database targets GPC2, while 2 trials target GPC2. A gene-centric search finds nothing here and concludes wrongly.

B4GALNT1

No drug in any database targets B4GALNT1, while 118 trials target GD2 — the antigen it produces. A gene-centric search finds nothing here and concludes wrongly.

TERT

2 registered trials, 2 withdrawn before enrolling anyone and none active. This target reads as tried; it was not.

LIN28B

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

PHOX2B

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

CD276

7 cell-therapy trials against B7-H3, 6 active, and no approved product. The clinical activity is real and none of it has reached a label.

L1CAM

No drug in any database targets L1CAM, while 1 trials target L1CAM. A gene-centric search finds nothing here and concludes wrongly.

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.

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 (2026-09-07), ClinicalTrials.gov (2026-09-07), openFDA (2026-09-08), NCBI GEO (2026-09-08), NIH RePORTER (2026-09-10).

Negatives stated explicitly

Where nothing exists for neuroblastoma — 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

2 exclusion patterns are applied to free text before anything is ranked, because SH-SY5Y is used as a model system in neurodegeneration research. What was removed and why is stated in each section rather than silently applied.

{
  "disease": "Neuroblastoma",
  "mesh": "Neuroblastoma",
  "facts": "https://usebiotransfer.org/disease/neuroblastoma.json",
  "methods": "https://usebiotransfer.org/methods/",
  "note": "Every figure on the page is in that JSON with its source and retrieval date. Quote from it rather than from the HTML."
}