Evidence map›Paper›PMID 25675162›Full record

ArticleOphthalmic plastic and reconstructive surgery

Efficacy of Vismodegib (Erivedge) for Basal Cell Carcinoma Involving the Orbit and Periocular Area.

Hakan Demirci, Francis Worden, Christine C Nelson, Victor M Elner, Alon Kahana

Abstract read
In one paragraph

Article in Ophthalmic plastic and reconstructive surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Treatment of periocular basal cell carcinoma with neoadjuvant vismodegib.American journal of ophthalmology case reports · 2020
    Article
  11. Article
  12. [Alternative treatment options for periorbital basal cell carcinoma].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2020
    Review
  13. [Advanced periocular basal cell carcinoma-a therapeutic challenge].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2019
    Article
  14. Targeting GLI Transcription Factors in Cancer.Molecules (Basel, Switzerland) · 2018
    Review
  15. Analysis of hedgehog signaling in periocular sebaceous carcinoma.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2018
    Observational
  16. Hedgehog signaling regulates ciliary localization of mouse odorant receptors.Proceedings of the National Academy of Sciences of the United States of America · 2017
    Article
  17. Review
  18. Article
  19. [Current diagnostics and therapy recommendations for ocular basal cell carcinoma].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2017
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Hakan DemirciDepartment of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, U.S.A.
Francis Worden
Christine C Nelson
Victor M Elner
Alon Kahana
University of Michigan–Ann Arbor · US

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
A Zebrafish model of extraocular muscle regeneration.R01EY022633 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KAHANA, ALON · 2013 to 2016
$1.5M
A zebrafish model for studying orbital development and diseaseK08EY018689 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KAHANA, ALON · 2008 to 2012
$1.1M
NCI NIH HHS P30 CA046592NEI NIH HHS K08 EY018689NEI NIH HHS L40 EY019187NEI NIH HHS R01 EY022633
6 · The paper itself

Abstract

purposeEvaluate the effectiveness of vismodegib in the management of basal cell carcinoma with orbital extension and/or extensive periocular involvement.

methodsRetrospective chart review of 6 consecutive patients with biopsy-proven orbital basal cell carcinoma and 2 additional patients with extensive periocular basal cell carcinoma who were treated with oral vismodegib (150 mg/day) was performed.

resultsBasal cell carcinoma extended in the orbit in 6 of 8 patients (involving orbital bones in 1 patient), and 2 of 8 patients had extensive periocular involvement (1 with basal cell nevus syndrome). Vismodegib therapy was the only treatment in 6 patients, off-label neoadjuvant in 1 patient, and adjuvant treatment in 1 patient. Orbital tumors in all 4 patients who received vismodegib as sole treatment showed partial response with a mean 83% shrinkage in tumor size after a median of 7 months of therapy. In the 2 patients receiving vismodegib as neoadjuvant or adjuvant therapies, there was complete response after a median of 7 months of therapy and no evidence of clinical recurrence after discontinuing therapy for a median of 15 months. The 2 patients with extensive periocular involvement experienced complete clinical response after a median 14 months of treatment. During treatment, the most common side effects were muscle spasm (75%) followed by alopecia (50%), dysgeusia (25%), dysosmia, and episodes of diarrhea and constipation (13%).

conclusionsBasal cell carcinoma with orbital extension and extensive periocular involvement responds to vismodegib therapy. The long-term prognosis remains unknown, and additional prospective studies are indicated.

Indexed as

Administration, OralAgedAged, 80 and overAnilidesAntineoplastic AgentsBasal Cell CarcinomaEyelid NeoplasmsFemaleHumansMaleMiddle AgedOrbital NeoplasmsPyridinesRetrospective StudiesSkin NeoplasmsTreatment OutcomeAnilidesAntineoplastic AgentsHhAntag691Pyridines

Identifiers

PMID25675162
PMCPMC4564370
OpenAlexW2313159054

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.