ORPHA:466962
SMARCA4-deficient sarcoma of thorax
Also known as: SMARCA4-deficient thoracic sarcoma
Publications
107
57.8th percentile
Trials
0
Interventional, condition-specific
Researchers
768
Distinct authors in sample
Gene link
—
Readiness
2/6
Stages with a signal
Clinical definition (Orphanet)
A rare soft tissue tumor characterized by a compressive mass located in the mediastinum and/or pleura and lung, including prominent lymph node involvement, histologically poorly differentiated and frequently showing rhabdoid features. Loss of SMARCA4 is typically accompanied by SMARCA2-deficiency. Presenting symptoms include dyspnea, cough, chest pain, or dysphagia, among others. The tumors are aggressive with limited response to chemotherapies, rapid local progression, high recurrence rate after surgical resection, and short median survival times. There is a strong association with smoking.
How rare: <1 / 1 000 000 — fewer than one in a million. In a city the size of Kolkata, that might mean on the order of fifteen people.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0018761
- UMLS:C5554190
- NCIT:C183115
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
2/6 stages with a signal
No specific-condition interventional trial, but broader-category trials exist — discuss eligibility with a clinician.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
107 matched papers (106 in last 10 years) Source
- Phenotype characterisedNot found
No HPO disease–phenotype associations via Monarch for these Mondo IDs
- Animal modelNot found
No Alliance genotype “model of” associations via Monarch for these Mondo IDs
- Orphan designationNot found
No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source
- Interventional trialPartial
None under the specific name; 1669 for broader category sarcoma
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
None returned for this Mondo ID. That often means “not linked under this ID,” not “no clinical features.”
Animal models (Monarch / Alliance)
None returned for this Mondo ID. Empty here is not proof that no model organism work exists under another name or gene.
Monarch fetch 2026-07-29
Therapies
Designations, candidates, and chemicals
FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.
Orphan designation (FDA · EMA)
No designation matched this disease via UMLS or preferred name on the FDA OOPD mirror or EMA orphan register. Absence here is not proof that none exists under another wording.
Open Targets candidates
No drugs or clinical candidates returned for this Mondo ID on Open Targets.
CTD chemicals (MyDisease.info)
No CTD chemical associations returned for this Mondo ID.
Literature
Is anyone studying this?
107
107 papers have ever been published on this condition (under this name). For scale, breast cancer has over 700,000. Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
107 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).
106 in the last 10 years · high confidence · 57.8th percentile (publications denominator)
Phrase hits: 107 · MeSH hits: 0
Who's working on it?
768
Distinct author names in 107 sampled papers — named people below.
Who's working on it?
No interventional trial matched this name; these authors publish on it in the sampled literature — a practical starting point for contact.
- 01Wang J5 papers · 2025
Department of Radiation Oncology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China.
Papers in Europe PMC - 02Kunimasa K4 papers · 2021
Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Papers in Europe PMC - 03Montecalvo J4 papers · 2023
Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York; Department of Pathology, Henry Ford Hospital, Detroit, Michigan (current affiliation).
Papers in Europe PMC - 04Sauter JL4 papers · 2023
Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Papers in Europe PMC - 05Wang Y4 papers · 2026
Orthopedic Medical Center, Cangzhou Central Hospital, Cangzhou, China.
Papers in Europe PMC - 06Hasegawa T3 papers · 2023
Department of Surgical Pathology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Papers in Europe PMC - 07Inoue T3 papers · 2021
Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Papers in Europe PMC - 08Jain D3 papers · 2024
Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Papers in Europe PMC - 09Kuhara H3 papers · 2021
Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Papers in Europe PMC - 10Kumagai T3 papers · 2021
Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
0
interventional trials for this specific condition
No interventional trial testing a treatment matched this specific condition name on ClinicalTrials.gov (observational studies and pan-disease registries are listed separately when present). 1,669 trials are registered for sarcoma, the broader category — shown separately because they may or may not enrol this specific subtype.
Data as of 11 September 2026 · last trial check 11 September 2026
No matched interventional trials. This is true for 77.2% of diseases in the trials denominator (5501 of 7126). Here are the researchers publishing on it.
high confidence · 38.6th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
No interventional trial testing a treatment was found for this specific condition name on ClinicalTrials.gov.
1,669 interventional trials matched sarcoma, the broader category — listed below. Those studies are not counted in the condition-specific total.
Broader category: sarcoma
1,669
Interventional trials for the parent category, exclusive of NCT IDs already counted above. Eligibility for this subtype is not guaranteed.
Worth raising with a clinician. How we count trials.
Recruiting under the broader category
- NCT03054792·ENROLLING BY INVITATION·Molecular-Functional Imaging of Hypoxia in Childhood Sarcomas
Conditions: Rhabdomyosarcoma · Non-Rhabdo. Soft Tissue Sarcoma·Matched via name phrase
- NCT04995003·RECRUITING·HER2 Chimeric Antigen Receptor (CAR) T Cells in Combination With Checkpoint Blockade in Patients With Advanced Sarcoma
Conditions: Sarcoma · HER-2 Protein Overexpression · Osteosarcoma · Rhabdomyosarcoma·Matched via name phrase
- NCT06537596·RECRUITING·89Zr-olaratumab Dosimetry in Participants With PDGFR Alpha Positive Solid Tumours and Soft Tissue Sarcoma
Conditions: Soft Tissue Sarcoma · PDGFR Alpha Positive Solid Tumours·Matched via name phrase
- NCT05968768·RECRUITING·To Evaluate the Efficacy and Safety of Naxitamab in Patients With Refractory Ewing's Sarcoma (Butterfly)
Conditions: Ewing Sarcoma·Matched via name phrase
- NCT06126510·RECRUITING·Clinical Study of VG161 in the Treatment of Advanced Bone and Soft Tissue Sarcoma
Conditions: Sarcoma·Matched via name phrase
- NCT04921917·RECRUITING·Exercise and Soft Tissue Sarcoma
Conditions: Soft Tissue Sarcoma·Matched via name phrase
- NCT04055220·RECRUITING·Efficacy and Safety of Regorafenib as Maintenance Therapy After First-line Treatment in Patients With Bone Sarcomas
Conditions: Bone Sarcoma · Osteosarcoma · Ewing Sarcoma · Chondrosarcoma·Matched via name phrase
- NCT05726383·RECRUITING·Iscador® P (Mistletoe) Immunotherapy for Recurrent Resectable Osteogenic Sarcoma
Conditions: Osteogenic Sarcoma Recurrent·Matched via name phrase
- NCT04999761·RECRUITING·AB122 Platform Study
Conditions: Advanced or Metastatic Solid Tumor · Pancreatic Ductal Adenocarcinoma · Colorectal Cancer · Non-small Cell Lung Cancer·Matched via name phrase
- NCT03548428·RECRUITING·Stereotaxic Body Irradiation of Oligometastase in Sarcoma (Stereosarc)
Conditions: Sarcoma · Radiosurgery·Matched via name phrase
- NCT04797767·RECRUITING·Venetoclax and CLAG-M for the Treatment of Acute Myeloid Leukemia and High-Grade Myeloid Neoplasms
Conditions: Acute Biphenotypic Leukemia · Acute Myeloid Leukemia · Mixed Phenotype Acute Leukemia · Myeloid Neoplasm·Matched via name phrase
- NCT03967834·RECRUITING·Multimodal Immune Characterization of RAre Soft Tissue Sarcoma - MIRAS Project From SARRA (SARcome RAre) Project of the French Sarcoma Group
Conditions: Soft Tissue Sarcoma · Clear Cell Sarcoma · Epithelioid Sarcoma · Perivascular Epithelioid Cell Neoplasms·Matched via name phrase
- NCT04308330·RECRUITING·Vorinostat in Combination With Chemotherapy in Relapsed/Refractory Solid Tumors and CNS Malignancies
Conditions: Ewing Sarcoma · Rhabdomyosarcoma · Wilms Tumor · Neuroblastoma·Matched via name phrase
- NCT05890781·RECRUITING·Engineering Immune Organoids to Study Pediatric Cancer
Conditions: Brain Tumor · Kidney Tumor · Neuroblastoma · Sarcoma·Matched via name phrase
- NCT03715933·RECRUITING·Phase 1 Study of INBRX-109 in Subjects With Locally Advanced or Metastatic Solid Tumors Including Sarcomas
Conditions: Ewing Sarcoma · Colorectal Adenocarcinoma·Matched via name phrase
Other registries (secondary)
Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.
raw 0 · after dedupe 0 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 0 · dropped 0 · fetched 2026-07-30
Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri
No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).
Where to find support
Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.
Orphanet entry for SMARCA4-deficient sarcoma of thorax — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
"SMARCA4-deficient sarcoma of thorax" OR "SMARCA4-deficient sarcoma of the thorax" OR "SMARCA4-deficient thoracic sarcoma"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"SMARCA4-deficient sarcoma of thorax" OR "SMARCA4-deficient sarcoma of the thorax" OR "SMARCA4-deficient thoracic sarcoma"
Study-type breakdown: 0 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.
Parent-category trials query:
"sarcoma"
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Confidence reasoning
- Preferred label is multi-word and distinctive
- No synonyms dropped by stoplist
- No label/synonym collisions with other diseases in this corpus
Ingested 2026-07-27T17:03:05.937Z
