Adenocarcinoma
diseaseOn this page
Also known as adenocarcinoma NOS (morphologic abnormality)adenocarcinoma, malignantadenocarcinoma, no subtype (morphologic abnormality)adenocarcinomasADNOS
Summary
Adenocarcinoma (MONDO:0004970) is a disease (an umbrella term covering 64 Mondo subtypes) with 2 cohort genes and 211 clinical trials. Top therapeutic interventions include carboplatin, crizotinib, and lapatinib.
At a glance
- Umbrella term: 64 Mondo subtypes
- Cohort genes: 2
- ClinVar variants: 2
- Clinical trials: 211
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | adenocarcinoma |
| Mondo ID | MONDO:0004970 |
| EFO | EFO:0000228 |
| MeSH | D000230 |
| DOID | DOID:299 |
| NCIT | C2852 |
| SNOMED CT | 443961001 |
| UMLS | C0001418 |
| MedGen | 122 |
| Is cancer (heuristic) | no |
Also known as: adenocarcinoma · adenocarcinoma NOS (morphologic abnormality) · adenocarcinoma, malignant · adenocarcinoma, no subtype (morphologic abnormality) · adenocarcinomas · ADNOS
Data availability: 2 ClinVar variants · 1 cell line.
Disease family
An umbrella term covering 64 Mondo subtypes.
Classification path: disease › human disease › disease by etiologic mechanism › cancer or benign tumor › neoplastic disease or syndrome › neoplasm › cancer › carcinoma › adenocarcinoma
Related subtypes (48): retroperitoneum carcinoma, head and neck carcinoma, peritoneal carcinoma, neuroendocrine carcinoma, laryngeal carcinoma, bone carcinoma, carcinoma ex pleomorphic adenoma, scrotal carcinoma, skin carcinoma, malignant myoepithelioma, trachea carcinoma, epithelial-myoepithelial carcinoma, lipid-rich carcinoma, comedocarcinoma, in situ carcinoma, urinary bladder carcinoma, breast carcinoma, squamous cell carcinoma, lung carcinoma, prostate carcinoma, renal carcinoma, uterine carcinoma, vulvar carcinoma, large cell carcinoma, undifferentiated carcinoma, basaloid carcinoma, cribriform carcinoma, digestive system carcinoma, fallopian tube carcinoma, penile carcinoma, sarcomatoid carcinoma, thymic carcinoma, transitional cell carcinoma, ureter carcinoma, papillary carcinoma, Krebs 2 carcinoma, thyroid gland carcinoma, vaginal carcinoma, choroid plexus carcinoma, malignant epithelial tumor of ovary, mucin-producing carcinoma, basal cell carcinoma, carcinoma of urethra, combined carcinoid and adenocarcinoma, secondary carcinoma, invasive carcinoma, glycogen-rich carcinoma, lymph node carcinoma
Subtypes (64): epididymal adenocarcinoma, rete testis adenocarcinoma, seminal vesicle adenocarcinoma, ethmoid sinus adenocarcinoma, lacrimal gland adenocarcinoma, papillary adenocarcinoma, fallopian tube adenocarcinoma, bladder adenocarcinoma, ovarian adenocarcinoma, trabecular adenocarcinoma, middle ear adenocarcinoma, bile duct adenocarcinoma, granular cell carcinoma, small intestine adenocarcinoma, urethra adenocarcinoma, villous adenocarcinoma, thymus gland adenocarcinoma, nasal cavity adenocarcinoma, ureter adenocarcinoma, adenocarcinoma in situ, gastroesophageal junction adenocarcinoma, maxillary sinus adenocarcinoma, mucinous adenocarcinoma, acinar cell carcinoma, adenoid cystic carcinoma, breast adenocarcinoma, clear cell adenocarcinoma, colorectal adenocarcinoma, endometrioid adenocarcinoma, esophageal adenocarcinoma, gastric adenocarcinoma, lung adenocarcinoma, prostate adenocarcinoma, renal cell carcinoma, signet ring cell carcinoma, cervical adenocarcinoma, serous adenocarcinoma, endometrium adenocarcinoma, sweat gland carcinoma, cystadenocarcinoma, tubular adenocarcinoma, mesonephric adenocarcinoma, scirrhous adenocarcinoma, pancreatic adenocarcinoma, follicular variant thyroid gland papillary carcinoma, gallbladder adenocarcinoma, hepatoid adenocarcinoma, intestinal type adenocarcinoma, micropapillary serous carcinoma, minor salivary gland adenocarcinoma, poorly differentiated thyroid gland carcinoma, salivary gland basal cell adenocarcinoma, submandibular gland adenocarcinoma, sebaceous adenocarcinoma, hepatocellular carcinoma, parathyroid gland carcinoma, pituitary adenocarcinoma, vaginal adenocarcinoma, Paget disease, diffuse type adenocarcinoma, vulvar adenocarcinoma, thyroid gland adenocarcinoma, gastroesophageal adenocarcinoma, adenoacanthoma
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
ClinVar germline variants
2 retrieved; paginated sample, class counts are floors:
1 pathogenic, 1 pathogenic/likely pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 181974 | NM_000051.4(ATM):c.6095G>A (p.Arg2032Lys) | ATM | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 12365 | NM_000546.6(TP53):c.733G>A (p.Gly245Ser) | TP53 | Pathogenic | reviewed by expert panel |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 28 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| TP53 | Orphanet:1333 | Familial pancreatic carcinoma |
| TP53 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| TP53 | Orphanet:1501 | Adrenocortical carcinoma |
| TP53 | Orphanet:210159 | Adult hepatocellular carcinoma |
| TP53 | Orphanet:251576 | Gliosarcoma |
| TP53 | Orphanet:251579 | Giant cell glioblastoma |
| TP53 | Orphanet:251899 | Choroid plexus carcinoma |
| TP53 | Orphanet:2807 | Papilloma of choroid plexus |
| TP53 | Orphanet:293199 | Pleomorphic rhabdomyosarcoma |
| TP53 | Orphanet:3318 | Essential thrombocythemia |
| TP53 | Orphanet:524 | Li-Fraumeni syndrome |
| TP53 | Orphanet:52688 | Myelodysplastic syndrome |
| TP53 | Orphanet:585909 | B-lymphoblastic leukemia/lymphoma with t(9;22)(q34.1;q11.2) |
| TP53 | Orphanet:667662 | Breast implant-associated anaplastic large cell lymphoma |
| TP53 | Orphanet:668 | Osteosarcoma |
| TP53 | Orphanet:67038 | B-cell chronic lymphocytic leukemia |
| TP53 | Orphanet:70573 | Small cell lung cancer |
| TP53 | Orphanet:96253 | Cushing disease |
| TP53 | Orphanet:99756 | Alveolar rhabdomyosarcoma |
| TP53 | Orphanet:99757 | Embryonal rhabdomyosarcoma |
| ATM | Orphanet:100 | Ataxia-telangiectasia |
| ATM | Orphanet:1331 | Familial prostate cancer |
| ATM | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| ATM | Orphanet:227535 | Hereditary breast cancer |
| ATM | Orphanet:370109 | Ataxia-telangiectasia variant |
| ATM | Orphanet:440437 | Familial colorectal cancer Type X |
| ATM | Orphanet:52416 | Mantle cell lymphoma |
| ATM | Orphanet:67038 | B-cell chronic lymphocytic leukemia |
Cohort genes → proteins
2 cohort genes, 2 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 2 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| TP53 | HGNC:11998 | ENSG00000141510 | P04637 | Cellular tumor antigen p53 | clinvar |
| ATM | HGNC:795 | ENSG00000149311 | Q13315 | Serine-protein kinase ATM | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| TP53 | Cellular tumor antigen p53 | Multifunctional transcription factor that induces cell cycle arrest, DNA repair or apoptosis upon binding to its target DNA sequence. |
| ATM | Serine-protein kinase ATM | Serine/threonine protein kinase which activates checkpoint signaling upon double strand breaks (DSBs), apoptosis and genotoxic stresses such as ionizing ultraviolet A light (UVA), thereby acting as a DNA damage sensor. |
Protein-family classification
Druggable: 1 · Difficult: 1 · Unknown: 0 · Druggable fraction: 0.5
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Kinase | 1 | 13.9× | 0.142 |
| Transcription factor | 1 | 4.1× | 0.228 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| TP53 | Transcription factor | no | p53_tumour_suppressor, p53-like_TF_DNA-bd_sf, p53_tetrameristn | |
| ATM | Kinase | yes | 2.7.11.1 | PI3/4_kinase_cat_dom, PIK-rel_kinase_FAT, FATC_dom |
Expression context
Cohort genes with no expression data: 0.
2 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 2 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| ganglionic eminence | 1 |
| tendon of biceps brachii | 1 |
| ventricular zone | 1 |
| calcaneal tendon | 1 |
| colonic epithelium | 1 |
| corpus callosum | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| TP53 | 223 | ubiquitous | marker | ventricular zone, ganglionic eminence, tendon of biceps brachii |
| ATM | 286 | ubiquitous | marker | calcaneal tendon, colonic epithelium, corpus callosum |
Protein interactions among cohort
Intra-cohort edges: 1.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| TP53 | 22,736 |
| ATM | 7,383 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ATM | TP53 | biogrid_interaction, string_interaction |
Structural data
PDB: 2 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| TP53 | P04637 | 313 |
| ATM | Q13315 | 14 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 95. Enrichment computed across 2 evidence-associated genes (2 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 2 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| TP53 Regulates Transcription of Caspase Activators and Caspases | 2 | 951.7× | 8e-05 | TP53, ATM |
| Stabilization of p53 | 2 | 761.3× | 8e-05 | TP53, ATM |
| TP53 Regulates Transcription of Genes Involved in Cytochrome C Release | 2 | 543.8× | 8e-05 | TP53, ATM |
| Regulation of TP53 Activity through Methylation | 2 | 543.8× | 8e-05 | TP53, ATM |
| Regulation of TP53 Degradation | 2 | 292.8× | 2e-04 | TP53, ATM |
| Autodegradation of the E3 ubiquitin ligase COP1 | 2 | 265.6× | 2e-04 | TP53, ATM |
| TP53 Regulates Transcription of DNA Repair Genes | 2 | 181.3× | 4e-04 | TP53, ATM |
| DNA Damage/Telomere Stress Induced Senescence | 2 | 163.1× | 4e-04 | TP53, ATM |
| Recruitment and ATM-mediated phosphorylation of repair and signaling proteins at DNA double strand breaks | 2 | 146.4× | 5e-04 | TP53, ATM |
| G2/M Checkpoints | 2 | 134.3× | 5e-04 | TP53, ATM |
| G2/M DNA damage checkpoint | 2 | 120.2× | 6e-04 | TP53, ATM |
| Regulation of TP53 Activity through Phosphorylation | 2 | 117.7× | 6e-04 | TP53, ATM |
| Loss of function of TP53 in cancer due to loss of tetramerization ability | 1 | 5710.0× | 0.001 | TP53 |
| Regulation of TP53 Expression | 1 | 2855.0× | 0.002 | TP53 |
| Transcriptional activation of cell cycle inhibitor p21 | 1 | 1427.5× | 0.004 | TP53 |
| Activation of NOXA and translocation to mitochondria | 1 | 951.7× | 0.006 | TP53 |
| Sensing of DNA Double Strand Breaks | 1 | 951.7× | 0.006 | ATM |
| RUNX3 regulates CDKN1A transcription | 1 | 815.7× | 0.006 | TP53 |
| PI5P Regulates TP53 Acetylation | 1 | 634.4× | 0.008 | TP53 |
| Activation of PUMA and translocation to mitochondria | 1 | 571.0× | 0.008 | TP53 |
| TP53 Regulates Transcription of Death Receptors and Ligands | 1 | 475.8× | 0.008 | TP53 |
| Pexophagy | 1 | 475.8× | 0.008 | ATM |
| Defective homologous recombination repair (HRR) due to PALB2 loss of function | 1 | 475.8× | 0.008 | ATM |
| Urea cycle | 1 | 439.2× | 0.008 | TP53 |
| Regulation of TP53 Activity through Association with Co-factors | 1 | 407.9× | 0.008 | TP53 |
| Diseases of DNA Double-Strand Break Repair | 1 | 407.9× | 0.008 | ATM |
| Defective homologous recombination repair (HRR) due to BRCA2 loss of function | 1 | 407.9× | 0.008 | ATM |
| TP53 regulates transcription of several additional cell death genes whose specific roles in p53-dependent apoptosis remain uncertain | 1 | 380.7× | 0.008 | TP53 |
| TP53 Regulates Transcription of Genes Involved in G1 Cell Cycle Arrest | 1 | 356.9× | 0.008 | TP53 |
| p53-Dependent G1 DNA Damage Response | 1 | 356.9× | 0.008 | ATM |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 2 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| replicative senescence | 2 | 991.3× | 2e-04 | TP53, ATM |
| cellular response to gamma radiation | 2 | 601.9× | 2e-04 | TP53, ATM |
| determination of adult lifespan | 2 | 432.1× | 3e-04 | TP53, ATM |
| somitogenesis | 2 | 374.5× | 3e-04 | TP53, ATM |
| DNA damage response, signal transduction by p53 class mediator | 2 | 358.6× | 3e-04 | TP53, ATM |
| cellular senescence | 2 | 295.6× | 3e-04 | TP53, ATM |
| positive regulation of neuron apoptotic process | 2 | 271.8× | 3e-04 | TP53, ATM |
| double-strand break repair | 2 | 203.0× | 5e-04 | TP53, ATM |
| neuron apoptotic process | 2 | 185.2× | 5e-04 | TP53, ATM |
| multicellular organism growth | 2 | 137.0× | 9e-04 | TP53, ATM |
| negative regulation of helicase activity | 1 | 8426.0× | 0.001 | TP53 |
| cellular response to actinomycin D | 1 | 8426.0× | 0.001 | TP53 |
| regulation of intrinsic apoptotic signaling pathway by p53 class mediator | 1 | 8426.0× | 0.001 | TP53 |
| negative regulation of G1 to G0 transition | 1 | 8426.0× | 0.001 | TP53 |
| regulation of apoptotic process | 2 | 83.4× | 0.002 | TP53, ATM |
| positive regulation of mitochondrial membrane permeability | 1 | 4213.0× | 0.002 | TP53 |
| oligodendrocyte apoptotic process | 1 | 4213.0× | 0.002 | TP53 |
| establishment of RNA localization to telomere | 1 | 4213.0× | 0.002 | ATM |
| establishment of protein-containing complex localization to telomere | 1 | 4213.0× | 0.002 | ATM |
| negative regulation of glucose catabolic process to lactate via pyruvate | 1 | 4213.0× | 0.002 | TP53 |
| positive regulation of telomerase catalytic core complex assembly | 1 | 4213.0× | 0.002 | ATM |
| negative regulation of pentose-phosphate shunt | 1 | 4213.0× | 0.002 | TP53 |
| regulation of cell cycle | 2 | 74.6× | 0.002 | TP53, ATM |
| protein stabilization | 2 | 66.9× | 0.002 | TP53, ATM |
| pre-B cell allelic exclusion | 1 | 2808.7× | 0.002 | ATM |
| obsolete homolactic fermentation | 1 | 2808.7× | 0.002 | TP53 |
| cellular response to nitrosative stress | 1 | 2808.7× | 0.002 | ATM |
| signal transduction by p53 class mediator | 1 | 2808.7× | 0.002 | TP53 |
| negative regulation of miRNA processing | 1 | 2808.7× | 0.002 | TP53 |
| intrinsic apoptotic signaling pathway in response to hypoxia | 1 | 2808.7× | 0.002 | TP53 |
Therapeutics
Drugs indicated for this disease
6 approved, 17 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Docetaxel Anhydrous | Approved (phase 4) |
| Fluorouracil | Approved (phase 4) |
| Mitomycin | Approved (phase 4) |
| Thiotepa | Approved (phase 4) |
| Tislelizumab | Approved (phase 4) |
| Zolbetuximab | Approved (phase 4) |
| Bevacizumab | Phase 3 (in late-stage trials) |
| Cadonilimab | Phase 3 (in late-stage trials) |
| Capecitabine | Phase 3 (in late-stage trials) |
| Cisplatin | Phase 3 (in late-stage trials) |
| Domvanalimab | Phase 3 (in late-stage trials) |
| Gimeracil | Phase 3 (in late-stage trials) |
| Nimotuzumab | Phase 3 (in late-stage trials) |
| Nivolumab | Phase 3 (in late-stage trials) |
| Oteracil | Phase 3 (in late-stage trials) |
| Oxaliplatin | Phase 3 (in late-stage trials) |
| Paclitaxel | Phase 3 (in late-stage trials) |
| Pulocimab | Phase 3 (in late-stage trials) |
| Rivoceranib | Phase 3 (in late-stage trials) |
| Sugemalimab | Phase 3 (in late-stage trials) |
| Tegafur | Phase 3 (in late-stage trials) |
| Toripalimab | Phase 3 (in late-stage trials) |
| Zimberelimab | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Adebrelimab, Albumin Human, Avelumab, Bemarituzumab, Camrelizumab, Capivasertib, Carboplatin, Ceralasertib, Cetuximab, Crizotinib, Degarelix, Durvalumab, Envafolimab, Enzalutamide, Epirubicin, Gemcitabine, Ipilimumab, Irinotecan, KN-026, Lapatinib, Lenvatinib, Metformin, Motexafin Gadolinium, Osimertinib, Palbociclib, Pembrolizumab, Pemetrexed, Ramucirumab, Selumetinib, Serplulimab, Sintilimab, Sitravatinib, Sorafenib, Sunitinib, Trastuzumab, Trastuzumab Deruxtecan.
Drug target analysis
Approved (phase 4): 2 · Phase ≥3: 2 · Phased (≥1): 2 · Undrugged: 0
Druggability breadth: 2 of 2 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| TP53 | NITROFURANTOIN |
| ATM | AMIODARONE HYDROCHLORIDE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| TP53 | 196 | 4 |
| ATM | 35 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| NITROFURANTOIN | 4 | TP53 |
| DIOSMIN | 4 | TP53 |
| VERTEPORFIN | 4 | TP53 |
| CANDESARTAN CILEXETIL | 4 | TP53 |
| DIENESTROL | 4 | TP53 |
| CLOTRIMAZOLE | 4 | TP53 |
| COLCHICINE | 4 | TP53 |
| NABUMETONE | 4 | TP53 |
| SALMETEROL XINAFOATE | 4 | TP53 |
| AMIODARONE HYDROCHLORIDE | 4 | ATM, TP53 |
| FURAZOLIDONE | 4 | ATM, TP53 |
| AMOXAPINE | 4 | TP53 |
| RALOXIFENE HYDROCHLORIDE | 4 | TP53 |
| NICARDIPINE HYDROCHLORIDE | 4 | TP53 |
| SULCONAZOLE NITRATE | 4 | TP53 |
| PYRITHIONE ZINC | 4 | TP53 |
| LACTIC ACID | 4 | TP53 |
| OXYMETHOLONE | 4 | TP53 |
| CHLOROXINE | 4 | TP53 |
| PROPIOLACTONE | 4 | TP53 |
| CLOMIPRAMINE HYDROCHLORIDE | 4 | TP53 |
| PHENYL AMINOSALICYLATE | 4 | TP53 |
| THIORIDAZINE HYDROCHLORIDE | 4 | TP53 |
| AMITRIPTYLINE HYDROCHLORIDE | 4 | ATM, TP53 |
| ETHOPROPAZINE HYDROCHLORIDE | 4 | TP53 |
| MECHLORETHAMINE HYDROCHLORIDE | 4 | TP53 |
| ECONAZOLE NITRATE | 4 | TP53 |
| TRIFLUPROMAZINE HYDROCHLORIDE | 4 | TP53 |
| PROCHLORPERAZINE EDISYLATE | 4 | TP53 |
| DEQUALINIUM CHLORIDE | 4 | TP53 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| TP53 | 869 | Binding:775, ADMET:83, Functional:10, Toxicity:1 |
| ATM | 240 | Binding:233, Functional:5, ADMET:2 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| ATM | 2.7.11.1 | non-specific serine/threonine protein kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| TP53 | 869 |
| ATM | 240 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 2; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| NITROFURANTOIN | 4 | TP53 |
| DIOSMIN | 4 | TP53 |
| VERTEPORFIN | 4 | TP53 |
| CANDESARTAN CILEXETIL | 4 | TP53 |
| DIENESTROL | 4 | TP53 |
| CLOTRIMAZOLE | 4 | TP53 |
| COLCHICINE | 4 | TP53 |
| NABUMETONE | 4 | TP53 |
| SALMETEROL XINAFOATE | 4 | TP53 |
| AMIODARONE HYDROCHLORIDE | 4 | ATM, TP53 |
| FURAZOLIDONE | 4 | ATM, TP53 |
| AMOXAPINE | 4 | TP53 |
| RALOXIFENE HYDROCHLORIDE | 4 | TP53 |
| NICARDIPINE HYDROCHLORIDE | 4 | TP53 |
| SULCONAZOLE NITRATE | 4 | TP53 |
| PYRITHIONE ZINC | 4 | TP53 |
| LACTIC ACID | 4 | TP53 |
| OXYMETHOLONE | 4 | TP53 |
| CHLOROXINE | 4 | TP53 |
| PROPIOLACTONE | 4 | TP53 |
| CLOMIPRAMINE HYDROCHLORIDE | 4 | TP53 |
| PHENYL AMINOSALICYLATE | 4 | TP53 |
| THIORIDAZINE HYDROCHLORIDE | 4 | TP53 |
| AMITRIPTYLINE HYDROCHLORIDE | 4 | ATM, TP53 |
| ETHOPROPAZINE HYDROCHLORIDE | 4 | TP53 |
| MECHLORETHAMINE HYDROCHLORIDE | 4 | TP53 |
| ECONAZOLE NITRATE | 4 | TP53 |
| TRIFLUPROMAZINE HYDROCHLORIDE | 4 | TP53 |
| PROCHLORPERAZINE EDISYLATE | 4 | TP53 |
| DEQUALINIUM CHLORIDE | 4 | TP53 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 2 | TP53, ATM |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
0 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
Clinical trials & evidence
Clinical trials
Clinical trials: 211.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| PHASE2 | 68 |
| Not specified | 66 |
| PHASE1 | 33 |
| PHASE1/PHASE2 | 17 |
| PHASE3 | 15 |
| PHASE4 | 8 |
| PHASE2/PHASE3 | 3 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01365143 | PHASE4 | TERMINATED | Prospective Randomized Trial Comparing Robotic Versus Open Radical Prostatectomy |
| NCT01579721 | PHASE4 | COMPLETED | Prospective Randomized Study of SILS Versus CLS for Rectal Cancer |
| NCT01665417 | PHASE4 | UNKNOWN | Icotinib as First-line and Maintenance Treatment in EGFR Mutated Patients With Lung Adenocarcinoma |
| NCT02103257 | PHASE4 | UNKNOWN | Sequential Icotinib Plus Chemotherapy Versus Icotinib Alone as First-line Treatment in Stage IIIB/IV Lung Adenocarcinoma |
| NCT02151149 | PHASE4 | COMPLETED | Safety and Efficacy Study of Abraxane in Combination With Carboplatin to Treat Advanced NSCL Cancer in the Elderly |
| NCT02194556 | PHASE4 | UNKNOWN | Sequential and Maintenance Icotinib Plus Chemotherapy Versus Icotinib Maintenance After Chemotherapy in Advanced NSCLC |
| NCT02335151 | PHASE4 | COMPLETED | CTC Pancreatic Adenocarcinoma |
| NCT04401059 | PHASE4 | UNKNOWN | Synergistic Effect of Elemene Plus TKIs Compared With TKIs in EGFR-mutated Advanced NSCLC:Prospective Study |
| NCT05581121 | PHASE3 | RECRUITING | PARa-aOrtic LymphAdenectomy in Locally Advanced Cervical Cancer |
| NCT07385703 | PHASE3 | NOT_YET_RECRUITING | Clinical Study on the Efficacy and Safety of LM-302 Injection Combined With Tislelizumab and Tislelizumab Combined Chemotherapy for the Treatment of Gastric or Gastroesophageal Junction Adenocarcinoma. |
| NCT00127478 | PHASE2/PHASE3 | COMPLETED | A Long Term Safety Study With Atrasentan |
| NCT00140075 | PHASE3 | COMPLETED | Adjuvant Epirubicin/Cytoxan Followed By A Taxane VS. Epirubicin/Taxane As Treatment For Node-Positive Breast Cancer |
| NCT00443196 | PHASE2/PHASE3 | COMPLETED | Testing Drug Sensitivity of Ovarian, Fallopian and Primary Peritoneal Adenocarcinomas |
| NCT00548548 | PHASE3 | COMPLETED | A Study of Bevacizumab in Combination With Capecitabine and Cisplatin as First-line Therapy in Patients With Advanced Gastric Cancer |
| NCT00917384 | PHASE3 | COMPLETED | Study of IMC-1121B (Ramucirumab) With Best Supportive Care in Participants With Gastric Cancer and Adenocarcinoma |
| NCT00949650 | PHASE3 | COMPLETED | BIBW 2992 (Afatinib) Versus Chemotherapy as First Line Treatment in NSCLC With EGFR Mutation |
| NCT01009593 | PHASE3 | TERMINATED | Efficacy and Tolerability of ABT-869 Versus Sorafenib in Advanced Hepatocellular Carcinoma (HCC) |
| NCT01121393 | PHASE3 | COMPLETED | BIBW 2992 (Afatinib) vs Gemcitabine-cisplatin in 1st Line Non-small Cell Lung Cancer (NSCLC) |
| NCT01130233 | PHASE3 | UNKNOWN | Randomized Trial on Robotic Assisted Resection for Rectal Cancer |
| NCT01249352 | PHASE2/PHASE3 | COMPLETED | A Study of Chemoradiation Associated with Nimotuzumab As the Treatment of Locally Advanced Esophageal Cancer |
| NCT01363466 | PHASE3 | TERMINATED | Evaluation of Hysterectomy After Chemoradiation Therapy for Stage IB2/II Cervical Cancer |
| NCT01365156 | PHASE3 | COMPLETED | Extraperitoneal Para-aortic Lymph Node Dissection (EPLND) for Cervix |
| NCT02125240 | PHASE3 | UNKNOWN | Icotinib Versus Placebo as Adjuvant Therapy in EGFR-mutant Lung Adenocarcinoma |
| NCT03013010 | PHASE3 | COMPLETED | PREACT Study: Locally Advanced Gastric Cancer, Chemoradiotherapy vs. Chemotherapy Followed by D2 Surgery and Adjuvant Chemotherapy |
| NCT04222972 | PHASE3 | TERMINATED | A Study of Pralsetinib Versus Standard of Care for First-Line Treatment of Advanced Non-Small Cell Lung Cancer (NSCLC) |
| NCT05325164 | PHASE3 | WITHDRAWN | Methadone for ‘Adenocarcinopathic’ Pain Treatment |
| NCT02133196 | PHASE2 | RECRUITING | T Cell Receptor Immunotherapy for Patients With Metastatic Non-Small Cell Lung Cancer |
| NCT03488667 | PHASE2 | ACTIVE_NOT_RECRUITING | Perioperative mFOLFOX Plus Pembrolizumab in Gastroesophageal Junction (GEJ) and Stomach Adenocarcinoma |
| NCT04069273 | PHASE2 | RECRUITING | Novel SEQUEnced Immunotherapy With Anti-angiogenesis and Chemotherapy in Advanced gastroesophageaL Adenocarcinoma |
| NCT04543071 | PHASE2 | RECRUITING | Chemo4METPANC Combination Chemokine Inhibitor, Immunotherapy, and Chemotherapy in Pancreatic Adenocarcinoma |
| NCT04605913 | PHASE1/PHASE2 | RECRUITING | Nab-Paclitaxel + Cisplatin + Gemcitabine + TTF in pt. w/ Metastatic PAC |
| NCT05101356 | PHASE1/PHASE2 | RECRUITING | A Cancer Vaccine (Labvax 3(22)-23) and GM-CSF Alone or in Combination With Pembrolizumab for the Treatment of Advanced Stage Adenocarcinoma |
| NCT05776524 | PHASE2 | RECRUITING | Study of Amplitude-Modulated Radiofrequency Electromagnetic Fields in Metastatic Pancreatic Cancer |
| NCT05922930 | PHASE1/PHASE2 | RECRUITING | Study of TROP2 CAR Engineered IL15-transduced Cord Blood-derived NK Cells Delivered Intraperitoneally for the Management of Platinum Resistant Ovarian Cancer, Mesonephric-like Adenocarcinoma, and Pancreatic Cancer |
| NCT06121700 | PHASE2 | RECRUITING | Radiotherapy + Chemoimmunotherapy Followed by Surgery in Patients With Limited Metastatic Gastric or GEJ Cancer |
| NCT06241469 | PHASE2 | NOT_YET_RECRUITING | Efficacy and Safety of Sintilimab Combined With Nab-paclitaxel and Tegio (aTS) as First-line Treatment of Unresectable Locally Advanced, Recurrent or Metastatic Adenocarcinoma of Gastric and Gastroesophageal Junction,a Phase II Clinical Study |
| NCT07259317 | PHASE2 | RECRUITING | Relacorilant With Nab-Paclitaxel and Gemcitabine in Patients With Metastatic Pancreatic Adenocarcinoma |
| NCT07368985 | PHASE2 | NOT_YET_RECRUITING | Pembrolizumab and Lenvatinib in Patients With High Risk Locally Advanced Cervix Cancer |
| NCT07574541 | PHASE2 | NOT_YET_RECRUITING | Multitargeted Recombinant Ad5 PSA/MUC-1/Brachyury-Based Immunotherapy (TriAdeno) Vaccine With IL-15 Superagonist N-803 in Participants With Clinically Localized Prostate Cancer Undergoing Active Surveillance |
| NCT00054873 | PHASE2 | COMPLETED | Tezacitabine With or Without 5-Fluorouracil (5-FU) for Advanced Esophageal Cancer or Gastric Cancer |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| CARBOPLATIN | 4 | 9 |
| CRIZOTINIB | 4 | 3 |
| LAPATINIB | 4 | 3 |
| RAMUCIRUMAB | 4 | 3 |
| AFATINIB | 4 | 2 |
| PEMETREXED | 4 | 2 |
| PRALSETINIB | 4 | 2 |
| AVELUMAB | 4 | 1 |
| AXITINIB | 4 | 1 |
| CAPECITABINE | 4 | 1 |
| CAPIVASERTIB | 4 | 1 |
| DESFLURANE | 4 | 1 |
| ERIBULIN MESYLATE | 4 | 1 |
| ERLOTINIB | 4 | 1 |
| GEMCITABINE | 4 | 1 |
| INTERFERON ALFA-2A | 4 | 1 |
| IPILIMUMAB | 4 | 1 |
| IXABEPILONE | 4 | 1 |
| METHADONE | 4 | 1 |
| OSIMERTINIB | 4 | 1 |
| PALBOCICLIB | 4 | 1 |
| PANITUMUMAB | 4 | 1 |
| PARICALCITOL | 4 | 1 |
| SELUMETINIB | 4 | 1 |
| SORAFENIB | 4 | 1 |
| SUNITINIB | 4 | 1 |
| TEMSIROLIMUS | 4 | 1 |
| TISLELIZUMAB | 4 | 1 |
| TRAMETINIB | 4 | 1 |
| ICOTINIB | 3 | 3 |
Related Atlas pages
- Cohort genes: TP53, ATM
- Drugs: Carboplatin, Crizotinib, Lapatinib, Ramucirumab, Afatinib, Pemetrexed, Pralsetinib, Avelumab, Axitinib, Capecitabine, Capivasertib, Desflurane, Eribulin, Erlotinib, Gemcitabine, INTERFERON ALFA-2A, Ipilimumab, Ixabepilone, Methadone, Osimertinib, Palbociclib, Panitumumab, Paricalcitol, Selumetinib, Sorafenib, Sunitinib, Temsirolimus, Tislelizumab, Trametinib, Icotinib