Evidence map›Paper›PMID 27581207›Full record

Trial reportOrphanet journal of rare diseases2016

Safety and efficacy of vismodegib in patients with basal cell carcinoma nevus syndrome: pooled analysis of two trials.

Anne Lynn S Chang, Sarah T Arron, Michael R Migden, James A Solomon, Simon Yoo, Bann-Mo Day, Edward F McKenna, Aleksandar Sekulic

2 registry-linked trialsOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Orphanet journal of rare diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.3field-weighted citation impact, top 8% 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.

NCT00833417 phase2completednot on this map

A Pivotal Phase II, Multicenter, Single-arm, Two-cohort Trial Evaluating the Efficacy and Safety of GDC-0449 in Patients With Advanced Basal Cell Carcinoma

TypeinterventionalSponsorGenentech, Inc.Ran2009 to 2014Enrolled104ConditionsBasal Cell CarcinomaArmsVismodegib 150 mg
NCT01160250 approved for marketingnot on this map

A Single-Arm, Open-Label, Expanded Access Study of Vismodegib (GDC-0449) in Patients With Locally Advanced or Metastatic Basal Cell Carcinoma

Typeexpanded_accessSponsorGenentech, Inc.Ran2010 to 2012ConditionsBasal Cell CarcinomaArmsvismodegib (GDC-0449)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. A case of nevoid basal cell carcinoma syndrome dominated by facial basal cell carcinoma.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022
    Article
  6. Triple-Negative Breast Cancer: A Review of Conventional and Advanced Therapeutic Strategies.International journal of environmental research and public health · 2020
    Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. 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

8 authors at 6 institutions in 1 country.

Anne Lynn S ChangStanford University, 450 Broadway, Pavilion C, 2nd floor, Redwood City, CA, 94063, USA. alschang@stanford.edu.
Sarah T ArronUniversity of California, San Francisco, 1701 Divisadero Street, Box 0316, San Francisco, CA, 94115, USA.
Michael R MigdenThe University of Texas MD Anderson Cancer Center, Unit 1452, 1400 Pressler Street, Houston, TX, 77030, USA.
James A SolomonAmeriderm Research, 725 West Granada Boulevard, Suite 44, Ormond Beach, FL, 32174, USA.
Simon YooNorthwestern University, 676 North St. Clair Street, Suite 1600, Chicago, IL, 60611, USA.
Bann-Mo DayGenentech, Inc., 1 DNA Way, South San Francisco, CA, 94080, USA.
Edward F McKennaGenentech, Inc., 1 DNA Way, South San Francisco, CA, 94080, USA.
Aleksandar SekulicMayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ, 85259, USA.
AmerisourceBergen (United States) · USMayo Clinic in Arizona · USNorthwestern University · USStanford University · USThe University of Texas MD Anderson Cancer Center · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAberrant activation of the Hedgehog (Hh) pathway is a key driver in the pathogenesis of basal cell carcinomas (BCCs), including patients with BCC nevus syndrome (BCCNS). It is unclear whether BCCs arising in patients with BCCNS respond differently to vismodegib than in patients without BCCNS. We examined the best overall response rate (BORR) and adverse events (AEs) of vismodegib in patients with advanced BCC (aBCC) with and without BCCNS.

methodsPatients were treated with vismodegib 150 mg/day in the ERIVANCE BCC trial (ClinicalTrials.gov number, NCT00833417) and the expanded access study (EAS; ClinicalTrials.gov number, NCT01160250). BCCNS diagnosis was based on medical history at the time of enrollment. Metastatic BCC response was evaluated using Response Evaluation Criteria In Solid Tumors, version 1.0 (RECIST v1.0) in both studies. Locally advanced BCC was evaluated by a novel composite end point in ERIVANCE BCC and by RECIST v1.0 in the EAS. Response assessments were performed every 8 weeks in ERIVANCE BCC and every 8-16 weeks in the EAS. Safety assessments (National Cancer Institute Common Terminology Criteria for Adverse Events, version 3.0) were performed monthly in both trials. Because of described differences in response assessment/schedule, patients with BCCNS were not pooled across trials. Analytic cohorts for BCCNS and sporadic aBCC were created within each trial for comparison using descriptive statistical methods.

resultsForty-one patients with BCCNS were included in the study: 22 from ERIVANCE BCC and 19 from the EAS. Investigator-assessed BORR in BCCNS groups ranged from 31 to 81 % in patients with locally advanced BCC (n = 33) and was 50 % in patients with metastatic BCC (n = 6). These results were comparable with the non-BCCNS groups. Incidence and severity of AEs were also comparable between the BCCNS and non-BCCNS groups. Amenorrhea was observed in both patient cohorts and was reversible in two patients who discontinued treatment.

conclusionVismodegib demonstrated comparable efficacy and safety against aBCC in patients with and without BCCNS.

Indexed as

AdultAgedAged, 80 and overAnilidesAntineoplastic AgentsBasal Cell CarcinomaFemaleHedgehog ProteinsHumansMaleMiddle AgedPyridinesSkin NeoplasmsYoung AdultAnilidesAntineoplastic AgentsHedgehog ProteinsHhAntag691PyridinesBasal cell carcinomaBasal cell carcinoma nevus syndromeVismodegib

Identifiers

PMID27581207
PMCPMC5007799
OpenAlexW2510064256

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.