Evidence map›Paper›PMID 31996838›Full record

ArticleEye (London, England)2020

Vismodegib for periocular basal cell carcinoma: an international multicentre case series.

H Oliphant, J Laybourne, K Chan, A Haridas, M R Edmunds, D Morris, L Clarke, M Althaus, P Norris, M Cranstoun and 2 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Eye (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Patient Perspectives of Quality Compared to Quantity of Life Regarding Orbital Exenteration.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
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  3. Review
  4. Article
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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

12 authors at 6 institutions in 2 countries.

H OliphantSussex Eye Hospital, Brighton Sussex University Hospital, Eastern Road, Brighton, BN2 5BF, UK. huw.oliphant@nhs.net.
J LaybourneManchester Royal Eye Hospital, Oxford Road, Manchester, M13 9WL, UK.
K ChanDepartment of Ophthalmology, 23 Mein Street, Newtown, Wellington, 6021, New Zealand.
A HaridasCardiff Eye Unit, University Hospital of Wales, Heath Park Way, Cardiff, CF14 4XW, UK.
M R EdmundsCardiff Eye Unit, University Hospital of Wales, Heath Park Way, Cardiff, CF14 4XW, UK.
D MorrisCardiff Eye Unit, University Hospital of Wales, Heath Park Way, Cardiff, CF14 4XW, UK.
L ClarkeNewcastle Eye Centre, Royal Victoria Infirmary, Queen Victoria Road, Newcastle Upon Tyne, NE1 4LP, UK.
M AlthausNewcastle Eye Centre, Royal Victoria Infirmary, Queen Victoria Road, Newcastle Upon Tyne, NE1 4LP, UK.
P NorrisDepartment of Oral and Maxillofacial Surgery, Queen Victoria Hospital, Holtye Road, East Grinstead, RH19 3DZ, UK.
M CranstounDepartment of Ophthalmology, The Royal Brisbane and Women's Hospital, Herston, QLD, Australia.
T J SullivanDepartment of Ophthalmology, The Royal Brisbane and Women's Hospital, Herston, QLD, Australia.
S N RajakSussex Eye Hospital, Brighton Sussex University Hospital, Eastern Road, Brighton, BN2 5BF, UK.
University Hospital of Wales · GBRoyal Brisbane and Women's Hospital · AURoyal Victoria Infirmary · GBSussex Eye Hospital · GBManchester Royal Eye Hospital · GBQueen Victoria Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVismodegib (Erivedge, Genentech) is a first-in-class inhibitor of the hedgehog (Hh) pathway, which is licensed for use in locally advanced basal cell carcinoma (BCC) and metastatic BCC. The National Institute for Health and Care Excellence withdrew recommendation for use of vismodegib secondary to a lack of data comparing vismodegib to standard supportive care. The purpose of this multicentre, international case series is to report outcomes of patients with locally advanced periocular BCC who have been treated with vismodegib.

methodsThe medical records of all patients treated with vismodegib were retrospectively reviewed across seven institutions in the United Kingdom, Australia, and New Zealand.

resultsThirteen patients were identified. Seven (54%) patients were male. All BCCs were ill-defined, with seven (58%) having orbital involvement at presentation. Median treatment time was 7 months (range 2-36 months). Eleven out of 13 patients developed side effects, the most common being fatigue in six patients (46%). Median follow-up was 24 months (range 12-48 months). Complete response was found in 5/13 patients (38%) and a partial response in 8/13 patients (62%). Six patients had further surgery after vismodegib, with three classed as globe-sparing operations. Three patients developed recurrence (23%). Three patients (23%) ultimately underwent exenteration. DISCUSSION: This study demonstrates vismodegib to be a well-tolerated treatment which may, in some cases, facilitate globe-sparing surgery and hence avoid disfiguring operations such as exenteration. Uncertainty does remain regarding the long-term outcomes of patients treated with vismodegib.

Indexed as

Antineoplastic AgentsBasal Cell CarcinomaSkin NeoplasmsAnilidesAustraliaFemaleHedgehog ProteinsHumansMaleNeoplasm Recurrence, LocalNew ZealandPyridinesRetrospective StudiesTreatment OutcomeUnited KingdomAnilidesAntineoplastic AgentsHedgehog ProteinsHhAntag691Pyridines

Identifiers

PMID31996838
PMCPMC7784971
OpenAlexW3003985023

What OpenQuestion holds

Textmetadata
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.