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Vismodegib for Treatment of Basal Cell Carcinoma (Erivedge)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01543581
Recruitment Status : Completed
First Posted : March 5, 2012
Results First Posted : September 26, 2014
Last Update Posted : September 26, 2014
Information provided by (Responsible Party):
Abel Torres, MD, Loma Linda University

Brief Summary:
The primary objectives of this study are to assess, using Mohs micrographic surgery (MMS) at the end of treatment, the efficacy (primary) and safety (secondary) of vismodegib compared to placebo in the oral adjunctive pre surgical treatment of basal cell carcinoma. A secondary objective is to assess how often and in what types of lesions does pre surgical treatment with vismodegib result in complete eradication of the tumor.

Condition or disease Intervention/treatment Phase
Basal Cell Carcinoma Drug: Vismodegib Drug: Placebo Phase 2

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 3 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: Placebo-controlled, Double Blind Study to Assess Efficacy and Safety of Oral Vismodegib for the Treatment of Basal Cell Carcinoma Preceding Excision by Mohs Micrographic Surgery (MMS)
Study Start Date : May 2012
Actual Primary Completion Date : June 2013
Actual Study Completion Date : July 2013

Resource links provided by the National Library of Medicine

Drug Information available for: Vismodegib

Arm Intervention/treatment
Active Comparator: Vismodegib
Oral vismodegib, 150mg per day for 12 weeks.
Drug: Vismodegib
Oral vismodegib, 150mg per day for 12 weeks.
Other Name: Erivedge

Placebo Comparator: Inactive placebo
Those to whom the inactive placebo is given.
Drug: Placebo

Primary Outcome Measures :
  1. Mohs Micrographic Surgery (MMS) [ Time Frame: The Mohs surgical excision of the target tumor was performed within two weeks, after the last day of treatment. ]
    The final wound size taken immediately after the completion of Mohs surgery (i.e., upon reaching tumor-free tissue margins) was determined using pre treatment lesion outlined plus one additional concentric 2mm margin removed to establish an objective consistent measure for wound size. The diameter of the final wound size was measured in mm.

Secondary Outcome Measures :
  1. Complete Response Rate [ Time Frame: 12 to 14 weeks ]
    A secondary variable is the complete response rate, defined as the proportion of patients with no histological evidence of basal cell carcinoma on the post treatment MMS excision of the target tumor area. For this analysis, the placebo data will be pooled together to calculate the complete response rate for the placebo group.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  1. Willing and able to give informed consent.
  2. At least 18 years of age.
  3. Have a confirmed BCC at one of listed anatomical sites which must be biopsy-confirmed at the study site and meets this criteria:

    • non-infected
    • minimum tumor area of 0.5 cm2 in an anatomic location at risk for significant deformity or functional impairment with surgery.
    • macroscopically (clinically) consistent with BCC
    • histologically consistent with BCC
    • suitable for treatment with Mohs surgical excision
    • identifiable by subject or reliable subject representative
  4. Free of any significant physical abnormalities (e.g., tattoos) at treatment site.
  5. Willing and able to participate in the study as an outpatient, making frequent visits to clinic during treatment and follow-up periods and comply with study requirements, including:

    • Consenting to biopsy of the lesion at baseline, if needed, before beginning study drug treatment
    • Attend all scheduled clinic visits during pre-study, treatment, and follow-up periods
    • Will delay excision of the target tumor site until time mandated in the protocol, unless evidence of disease progression or lack of drug tolerability
    • Post-excisional follow-up visits until the area is healed to investigator's satisfaction
  6. Female of reproductive potential must use 2 forms of acceptable contraception (including one acceptable barrier method with spermicide) during therapy and for 7 months after completing therapy.
  7. Male patients must use condoms at all times, with spermicide, even after vasectomy, during sexual intercourse with females during treatment and for 2 months after the last dose.
  8. Agrees not to donate blood or blood products during the study and for 7 months after last dose.

Exclusion Criteria:

  1. Prior treatment with GDC-0449 or any HH Pathway Inhibitor
  2. Have evidence of clinically significant, unstable cardiovascular or immunosuppressive, hematologic, hepatic, neurologic, renal, endocrine, collagen-vascular, or gastrointestinal abnormalities or disease. Subjects with clinically stable medical conditions including, but not limited to, controlled hypertension, diabetes mellitus type II, hypercholesterolemia, or osteoarthritis, will be allowed to enter the study.
  3. Have any dermatological disease at treatment site that may be exacerbated by treatment with vismodegib or cause difficulty with examination (e.g., psoriasis, eczema).
  4. Inability or unwillingness to swallow capsules
  5. Pregnancy or lactation
  6. Have a desire to conceive in the future.
  7. Patients with known Gorlin's (basal cell nevus) syndrome or clinical suspicion of Gorlin's Syndrome)
  8. Recent (i.e., within the past 28 days), current, or planned participation in another experimental drug study
  9. Have active chemical dependency or alcoholism..
  10. Have received following treatments for BCC in the treatment area within designated time period before study treatment initiation:

    Treatment Time Period:

    Prescribed topical retinoids 4 weeks Surgical excision 4 weeks Curettage 4 weeks Cryo destruction or chemo destruction 4 weeks

  11. Received treatment for non-melanoma skin cancer or precancerous condition [squamous cell carcinoma (SCC), or actinic keratosis (AK)] within treatment area within 4 weeks of study treatment initiation, or currently have SCC, malignant melanoma (MM), or any other dermatological condition in treatment area that requires treatment.
  12. Received any cancer chemotherapy within 6 months before study treatment initiation (subject must not currently have any evidence of cancer, other than skin cancer).
  13. Received any of the following treatments within 4 weeks before study treatment initiation:

    • Interferon or interferon inducers
    • Immunomodulators or immunosuppressive therapies
    • Cytotoxic drugs
    • Investigational drugs
    • Drugs known to have major organ toxicity
    • Oral corticosteroids
    • Inhaled corticosteroids (> 1200 Xg/day for beclomethasone, or > 600 Xg/day for fluticasone)
    • Topical steroids in treatment area

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01543581

Sponsors and Collaborators
Abel Torres, MD
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Principal Investigator: Abel Torres, MD Professor and Chairman, Department of Dermatology

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Responsible Party: Abel Torres, MD, Abel Torres, M.C.,J.D, Chairman and Professor of Dermatology, Loma Linda University Identifier: NCT01543581     History of Changes
Other Study ID Numbers: 5110325
First Posted: March 5, 2012    Key Record Dates
Results First Posted: September 26, 2014
Last Update Posted: September 26, 2014
Last Verified: September 2014
Keywords provided by Abel Torres, MD, Loma Linda University:
Basal Cell Carcinoma
Treatment of Skin Cancer
Additional relevant MeSH terms:
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Carcinoma, Basal Cell
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms, Basal Cell