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A rare, highly aggressive and lethal carcinoma that affects children and young adults. It arises from midline epithelial structures, most commonly the head, neck, and mediastinum. It is a poorly differentiated carcinoma and is characterized by mutations and rearrangement of the NUT gene. A balanced translocation t(15;19) is present that results in the creation of a fusion gene involving the NUT gene, most commonly BRD4-NUT fusion gene.
Biomarker and diagnostic research for nut midline carcinoma has been reported in the published literature.
No approved treatments are currently available for nut midline carcinoma. An additional 4 compounds hold orphan drug designation.
While no drugs are FDA-approved specifically for nut midline carcinoma, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for nut midline carcinoma. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
8 clinical trials registered, 3 recruiting. Interventions under study include other interventions, drug therapy, procedural interventions, and gene therapy. Pipeline includes 1 PHASE2, 3 PHASE1. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT07072143](https://clinicaltrials.gov/study/NCT07072143) |
Data assembled from 5 of 12 sources · Last updated Sep 18, 2026, 3:32 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Designated
Exclusivity End |
|---|
Designation Status |
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small molecule (heterocyclic compound) that epigenetically regulates gene expression through bromodomain and extra-terminal domain inhibition | small molecule (heterocyclic compound) that epigenetically regulates gene expression through bromodomain and extra-terminal domain inhibition | Zenith Epigenetics Ltd. | 2025 | — | Designated |
(R)-N-(2-fluorobenzyl)-2,4-dimethyl-1-(oxetan-3-ylmethyl)-3-oxo- 1,2,3,4-tetrahydroquinoxaline-6-carboxamide | (R)-N-(2-fluorobenzyl)-2,4-dimethyl-1-(oxetan-3-ylmethyl)-3-oxo- 1,2,3,4-tetrahydroquinoxaline-6-carboxamide | Deepcure Inc. | 2025 | — | Designated |
mesylate synthetic small molecule inhibitor of HDAC and PI3K | mesylate synthetic small molecule inhibitor of HDAC and PI3K | Curis, Inc. | 2016 | — | Designated |
2-[(4S)-6-(4-chlorophenyl)-1,7,8-trimethylthiophenol[3,2-f]1,2,4-triazolo[4,3-a]1,4-diazepin-4-yl]-N-[3-(4-methylpiperazinyl)propyl]acetamide | 2-[(4S)-6-(4-chlorophenyl)-1,7,8-trimethylthiophenol[3,2-f]1,2,4-triazolo[4,3-a]1,4-diazepin-4-yl]-N-[3-(4-methylpiperazinyl)propyl]acetamide | Genentech, Inc (a Roche Group Member) | 2015 | — | Withdrawn |
Gene therapy approaches for nut midline carcinoma have been reported in the published literature.
8 trials found
An International Study on Pediatric Patients With Rare Tumors. |
— |
Azienda Ospedaliera di Padova |
RECRUITING |
[NCT07459127](https://clinicaltrials.gov/study/NCT07459127) | Multicenter Retrospective Cohort of Pulmonary NUT Carcinoma | — | Three Gorges Hospital of Chongqing University | UNKNOWN |
[NCT05488548](https://clinicaltrials.gov/study/NCT05488548) | Dual BET and CBP/p300 Inhibitor in Patients With Targeted Advanced Solid Tumors and Hematological Malignancies | PHASE1 | Epigenetix, Inc. | RECRUITING |
[NCT05265429](https://clinicaltrials.gov/study/NCT05265429) | Biology of Young Lung Cancer Study: The YOUNG LUNG Study | — | Dana-Farber Cancer Institute | UNKNOWN |
[NCT05019716](https://clinicaltrials.gov/study/NCT05019716) | Testing the Safety and Efficacy of the Addition of a New Anti-cancer Drug, ZEN003694, to Chemotherapy Treatment (Cisplatin and Etoposide or Carboplatin and Paclitaxel) for Adult and Pediatric Patients (12-17 Years) With NUT Carcinoma | PHASE1 | National Cancer Institute (NCI) | UNKNOWN |
111 publications have been identified in PubMed for nut midline carcinoma. Kisho has analyzed 58 by research type. Research spans Case Report / Case Series (34%), Review / Meta-Analysis (31%), and Basic Science / Preclinical (16%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 20 | 34% |
Research summaries | 18 | 31% |
Laboratory research | 9 | 16% |
Testing and diagnosis research | 4 | 7% |
Disease patterns and progression | 4 | 7% |
Other research | 1 | 2% |
Clinical study results | 1 | 2% |
New treatment approaches | 1 | 2% |
Okuno K (2026). [PMID: 41988352](https://pubmed.ncbi.nlm.nih.gov/41988352/). *Cureus*. [Case Report / Case Series]
Javed H (2026). [PMID: 41800272](https://pubmed.ncbi.nlm.nih.gov/41800272/). *Int Med Case Rep J*. [Case Report / Case Series]
Macagno N (2026). [PMID: 41651604](https://pubmed.ncbi.nlm.nih.gov/41651604/). *Surg Pathol Clin*. [Review / Meta-Analysis]
Coca-Pelaz A (2026). [PMID: 41729486](https://pubmed.ncbi.nlm.nih.gov/41729486/). *Oncol Ther*. [Other]
Zhang Y (2026). [PMID: 41737331](https://pubmed.ncbi.nlm.nih.gov/41737331/). *Innovation (Camb)*. [Review / Meta-Analysis]
Ye Z (2026). [PMID: 41328494](https://pubmed.ncbi.nlm.nih.gov/41328494/). *Head Neck*. [Diagnostic / Biomarker]
Schulz L (2026). [PMID: 42223602](https://pubmed.ncbi.nlm.nih.gov/42223602/). *Strahlenther Onkol*. [Clinical Trial Publication]
Shan G (2026). [PMID: 41339294](https://pubmed.ncbi.nlm.nih.gov/41339294/). *Interdiscip Cardiovasc Thorac Surg*. [Case Report / Case Series]
Shiraishi T (2026). [PMID: 41590214](https://pubmed.ncbi.nlm.nih.gov/41590214/). *Clin Pract*. [Case Report / Case Series]
Jensen JL (2026). [PMID: 41644270](https://pubmed.ncbi.nlm.nih.gov/41644270/). *J Immunother Cancer*. [Basic Science / Preclinical]
AI-curated news mentioning nut midline carcinoma
Updated Sep 16, 2026
A pooled analysis highlights the role of radiotherapy in improving long-term survival rates for patients with thoracic NUT carcinoma. The study reveals significant clinical outcome heterogeneity, suggesting the need for tailored treatment approaches.
A recent study highlights the impact of radiotherapy dose and chemotherapy selection on outcomes in head and neck NUT carcinoma, showcasing a 7-year complete remission case. This research provides valuable insights for optimizing treatment strategies in this rare cancer.
A case report details a downhill esophageal variceal rupture linked to superior vena cava syndrome in a patient with NUT carcinoma. This finding contributes to the understanding of complications associated with this rare cancer.