OncoSignal
Live from Open Targets Platform, fetched 2026-11-11 17:30 UTC. Every row links to its source record.

NOS1 nitric oxide synthase 1

ENSG00000089250 · protein coding · Open Targets profile

Produces nitric oxide (NO) which is a messenger molecule with diverse functions throughout the body. In the brain and peripheral nervous system, NO displays many properties of a neurotransmitter. Probably has nitrosylase activity and mediates cysteine S-nitrosylation of cytoplasmic target proteins such SRR. .

None of the 2 drugs recorded against NOS1 is approved yet; 1 reached Phase 3

Each band is a group of drugs. It runs from the kind of drug on the left to the furthest stage that drug has reached in any disease on the right. Thicker bands mean more drugs.

1 small molecule drug at Phase 3: TILARGININE ACETATE1 small molecule drug at Phase 2: TILARGININESmall molecule 2Phase 3 1Phase 2 1

Approved bands are highlighted. Withdrawn means the drug was pulled from the market or from development. A combined phase counts as the later one (Phase 1/2 is shown as Phase 2). Hover a band for the drug names. Source: Open Targets Platform, fetched live.

In 2 of 13 cancers, the evidence for NOS1 comes mainly from inherited variants

Each row is a cancer, strongest overall evidence first. The two dots show how strong the inherited (germline) and tumour-mutation (somatic) evidence is; the line between them is the gap.

Inherited (germline) variantsMutations in tumours (somatic)
00.250.50.751cervical carcinomacervical carcinomacervical carcinoma: germline 0.66melanomamelanomasecondary malignant neoplasmsecondary malignant neoplasmsecondary malignant neoplasm: germline 0.20intrahepatic cholangiocarcinomaintrahepatic cholangiocarcinomacervical cancercervical cancercolorectal carcinomacolorectal carcinomanasopharyngeal carcinomanasopharyngeal carcinomatriple-negative breast carcinomatriple-negative breast carcinomametaplastic breast carcinomametaplastic breast carcinomaovarian carcinomaovarian carcinomabreast cancerbreast cancerovarian cancerovarian cancertuberous sclerosistuberous sclerosis

Scores run from 0 (no evidence) to 1 (strongest). A missing dot at 0 means Open Targets holds no evidence of that kind. Source: Open Targets Platform, fetched live.

Tractability

Small molecule
Advanced Clinical, Structure with Ligand, High-Quality Ligand, Druggable Family
Antibody
GO CC high conf, UniProt loc med conf, Human Protein Atlas loc
PROTAC
UniProt Ubiquitination, Half-life Data, Small Molecule Binder

gnomAD loss of function constraint: o/e 0.30998000502586365 (upper bound 0.39142999053001404). Low values mean loss of function is poorly tolerated, a safety flag for inhibition.

Who runs trials of these drugs

Principal investigators and study chairs on 7 registry trials, updated in the last three years, of the most advanced drugs against NOS1 (tilarginine), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.

5 of 7 trials of drugs against NOS1 have sites only in United States

Registry trials of tilarginine updated in the last three years, counted by the country group of their listed sites. A trial with sites in several groups counts in each; 7 of 7 have all sites in one country.

Sites only in this groupSites here and elsewhere
United StatesUnited States: 5 trials with sites only hereUnited States: 0 trials with sites here and elsewhere5EuropeEurope: 2 trials with sites only hereEurope: 0 trials with sites here and elsewhere2

Site counts are not patients per country, and trials registered only outside ClinicalTrials.gov are not covered. Where sites are is a fact about the record, not a judgement of its quality. Europe is the EU and EEA, the UK and Switzerland. Source: ClinicalTrials.gov, fetched live.

10 trials of drugs against NOS1 were stopped early; 5 give no reason

Terminated, withdrawn and suspended interventional trials of tilarginine, newest update first, live from ClinicalTrials.gov. Each reason is quoted exactly as the registry gives it; we do not sort reasons into safety, efficacy or business. Dates are the last registry update. Showing the 10 most recent of 10.

  • terminated · 2024-03-27 · GlaxoSmithKline · matched by the registry's drug synonyms
    “The study is terminated due to feasibility in recruitment.”
  • terminated · 2022-02-11 · University of Wisconsin, Madison · matched by the registry's drug synonyms
    “Due to COVID-19, difficulty obtaining study drugs, difficulty recruiting obese subjects, and limited access to on-call physicians.”
  • terminated · 2019-12-17 · National Heart, Lung, and Blood Institute (NHLBI) · matched by the registry's drug synonyms
    No reason given
  • withdrawn · 2019-08-15 · Medical University of Vienna · matched by the registry's drug synonyms
    No reason given
  • withdrawn · 2019-01-10 · University of Wisconsin, Madison · matched by the registry's drug synonyms
    “This study was never funded, never fully IRB approved, and thus never enrolled anyone.”
  • terminated · 2018-08-15 · Emory University · matched by the registry's drug synonyms
    “Limited clinical staff”
  • terminated · 2018-01-23 · University of Michigan · matched by the registry's drug synonyms
    “Futility: Impossible to recruit enough hypertensive participants to match Chronic Kidney Disease (CKD) participants on needed parameters.”
  • terminated · 2014-11-17 · Medical University of Vienna · matched by the registry's drug synonyms
    No reason given
  • terminated · 2014-11-14 · Medical University of Vienna · matched by the registry's drug synonyms
    No reason given
  • terminated · 2006-08-04 · Arginox Pharmaceuticals · Tilarginine Acetate Injection intravenous infusion
    No reason given
Paediatric incentives and obligations for NOS1's drugs

For tilarginine: what EMA and FDA publish about paediatric plans, orphan status and pediatric approvals, and how many registered studies take children. Each line is a yes, no or not published fact from the record linked under it; none of it is a forecast.

Rare pediatric disease voucher. FDA, content current as of 29 Apr 2026: “As of February 3, 2026, enactment of the Consolidated Appropriations Act, 2026, the rare pediatric disease PRV program will sunset after September 30, 2029. FDA may not award any PRVs under this program after September 30, 2029.” Voucher sale prices are not shown here; they appear only as company-reported news. FDA: Rare Pediatric Disease Designation and Priority Review Voucher Programs

All 2 drugs and clinical candidates as a table

Each drug, stage and indication links to its Open Targets record, where the trials and approvals behind it are listed. Salt forms (for example a mesylate) are listed as Open Targets records them, as separate entries.

DrugTypeHighest stageIndicationsSource records
TILARGININE ACETATESmall moleculephase 3myocardial infarction, acute myocardial infarction, angina pectorisOpen Targets · ChEMBL
TILARGININESmall moleculephase 2acute chest syndrome, sickle cell disease, metaplastic breast carcinoma, triple-negative breast carcinoma, breast cancer, cirrhosis of liver, septic shock, pulmonary hypertension, +24 moreOpen Targets · ChEMBL