Evidence map›Paper›PMID 40439508›Full record

Trial reportThe British journal of dermatology2025

Efficacy and safety of rigosertib in patients with recessive dystrophic epidermolysis bullosa-associated advanced/metastatic cutaneous squamous cell carcinoma.

Martin Laimer, Andrew P South, Elisabeth Mayr, Sophie Kitzmueller, Lauren Banner, Michael Alexander, Linda Hosler, Henry Yang, Matthew Parris, Meena Arora and 4 more

Abstract readClinical Trial, Phase IIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in The British journal of dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Martin LaimerDepartment of Dermatology and Allergology and EB House Austria, University Hospital of the Paracelsus Medical University, Salzburg, Austria.
Andrew P SouthDepartment of Pharmacology, Physiology and Cancer Biology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0001-7650-0835
Elisabeth MayrDepartment of Dermatology and Allergology and EB House Austria, University Hospital of the Paracelsus Medical University, Salzburg, Austria.
Sophie KitzmuellerDepartment of Dermatology and Allergology and EB House Austria, University Hospital of the Paracelsus Medical University, Salzburg, Austria.
Lauren BannerDepartment of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, PA, USA.
Michael AlexanderDepartment of Pharmacology, Physiology and Cancer Biology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Linda HoslerJefferson Clinical Research Institute, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Henry YangDepartment of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, PA, USA.
Matthew ParrisOnconova Therapeutics Inc., Newtown, PA, USA.
Meena AroraOnconova Therapeutics Inc., Newtown, PA, USA.
Georg ZimmermannDepartment of Artificial Intelligence and Human Interfaces, Faculty of Digital and Analytical Sciences, Paris Lodron University Salzburg, Austria.
Gregor Schweighofer-ZwinkDepartment of Nuclear Medicine and Endocrinology, University Hospital of the Paracelsus Medical University, Salzburg, Austria.
Johann W BauerDepartment of Dermatology and Allergology and EB House Austria, University Hospital of the Paracelsus Medical University, Salzburg, Austria.ORCID 0000-0002-6085-9170
Neda NikbakhtDepartment of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, PA, USA.

Funding

Cure EB 20102-F1901166-KZPCure EB 20204-WISS/225/197-2019Debra AustriaDebra InternationalDebra of AmericaDigital 20204-WISS/263/6-6022
6 · The paper itself

Abstract

backgroundRecessive dystrophic epidermolysis bullosa (RDEB) is an epithelial fragility disease primarily affecting the skin and is caused by variants in the COL7A1 gene. Individuals with RDEB are predisposed to develop highly aggressive cutaneous squamous cell carcinomas (SCCs) which are the most common cause of premature death. There is a lack of effective prevention or treatment options for patients with RDEB-SCC.

objectivesTo evaluate the antitumour activity and safety of the polo-like kinase-1 (PLK1) inhibitor, rigosertib, two investigator-initiated open-label, single-arm phase II studies were opened in Europe and the USA and enrolled five patients with RDEB diagnosed with locally advanced and/or metastatic SCCs whose disease had not previously responded successfully to standard care.

methodsUsing a common protocol, patients were offered either oral or intravenous (IV) administration of rigosertib with consultation from the treating physician. Patients were monitored with clinical photography, biopsy, positron emission tomography/computed tomography scans and quality of life (QoL) questionnaires over the 12-month duration of the trial. The pharmacokinetics of drug absorption was monitored in four patients.

resultsAntitumour efficacy with acceptable toxicity was seen in patients on IV or oral therapy and two patients had a complete response within 6 months of treatment. Their QoL was not negatively impacted by treatment and drug absorption exceeded that seen in previous patient populations presumably due to the relatively high dosing in a cohort of underweight patients.

conclusionsThese data identify rigosertib as a promising drug therapy for patients with RDEB-SCC where there is a substantial unmet need, absence of approved therapies and where tumours arise on a background of a unique fibrotic and inflammatory environment -characterized by germline mutations in COL7A1 that promote the development of homogenous primary tumours with aberrant PLK1 -activity.

Indexed as

Antineoplastic AgentsCarcinoma, Squamous CellEpidermolysis Bullosa DystrophicaGlycineSkin NeoplasmsSulfonesAdultAgedCell Cycle ProteinsFemaleHumansMaleMiddle AgedPolo-Like Kinase 1Protein Serine-Threonine KinasesProto-Oncogene ProteinsAntineoplastic AgentsCell Cycle ProteinsGlycineON 01910Polo-Like Kinase 1Protein Serine-Threonine KinasesProto-Oncogene ProteinsSulfones

Identifiers

PMID40439508

What OpenQuestion holds

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Registered trials

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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.