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Carcinoma, Basal CellPhase 2virgilioNCT02956889

To Assess The Efficacy And Safety Of Vismodegib And Radiotherapy In Advanced Basal Cell Carcinoma

A Phase 2 study testing Vismodegib and Radiotherapy in people with Carcinoma, Basal Cell, run by Istituto Clinico Humanitas at 1 site in Italy.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a Fleming-A' Hern, single arm, multicenter, no-profit, phase II study of radiotherapy and Vismodegib in adult patients with high risk or locally advanced basal cell carcinoma not amenable to radical surgery cell carcinoma (BCC) (comparator: not applicable). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Carcinoma, Basal Cell
What is being tested?
Vismodegib and Radiotherapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
14 participants
Where
1 siteItaly
Study dates
Oct 2016to Jan 2020
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written, signed informed consent
  • Age ≥ 18 years
  • Histopathologic confirmation that the lesion is BCC before enrollment
  • Patients with high risk of relapse BCC not undergone radical surgery, for which treating physician must consider the disease to be no more operable.
  • Clinical features defining high risk of relapse include infiltrative growth margins, size, tumor location, histological subtype (the morpheaform, the sclerosing, the infiltrating, the micronodular and the metatypical subtypes are associated with higher risk of relapse as compared to the risk associated with the superficial and the nodular types), recurrent-refractory tumors (see Table 1), basal cell carcinoma size (largest tumor diameter) ≤ 5 cm for head and neck tumors
  • Clinical features for definition of "BCC not amenable for radical surgery" include:
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  • BCC that has recurred in the same location after minimum 2 surgical procedures (excluding biopsies) and/or curative resection is deemed unlikely
  • multifocal BCC or extensive tumors (see table 1) with bleeding or infected areas
  • anticipated substantial morbidity and/or deformity from surgery (e.g., removal of all or part of a facial structure, such as nose, ear, eyelid, eye; or requirement for limb amputation)
  • Patients with BCCs localized where surgery is technically difficult, or would result in unacceptable tissue destruction
  • Patients with a clinical contraindication to surgery
  • Previous radiotherapy on other BCC
  • Patients with measurable and/or non-measurable disease (as defined by RECIST, v1.1) are allowed
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
  • Adequate hematopoietic capacity, defined as the following:
  • Hemoglobin : 8.5 g/dl
  • Absolute neutrophil count (ANC) ≥ 1500/mL
  • Platelet count ≥ 75,000/mL
  • Adequate hepatic function, defined as the following:
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3 times the upper limit of normal (ULN)Total bilirubin ≤ 1.5 × ULN or within 3 × ULN for patients with documented Gilbert syndrome. Adequate renal function, defined by calculated serum creatinine clearance (CrCl) ≥ 30 mL/min
  • For women of childbearing potential, a negative serum pregnancy test within 7days prior to commencement of dosing is required.
  • Women of child-bearing potential must use two methods of acceptable contraception including one highly effective method and a barrier method, as directed by their physician, during treatment and for at least 24 months after completion of study treatment. Highly effective methods of contraception are defined as those which result in a low failure rate (i.e., less than 1% per year) when used consistently and correctly (e.g., implants, injectables, combined oral contraception, or intra-uterine devices). At the discretion of the Investigator, acceptable methods of contraception may include total abstinence. Periodic abstinence (e.g., calendar, ovulation, symptothermal, and post ovulation methods) and withdrawal are not acceptable methods of contraception (See Appendix B).
  • For male patients with female partners of childbearing potential, agreement to use a condom, even after a vasectomy, during sexual intercourse with female partners while being treated with Vismodegib, and for 2 months after completion of study treatment
  • Agreement not to donate blood or blood products during the study and for at least 24 months after completion of study treatment (Vismodegib).

Who cannot join

  • Inability or unwillingness to swallow capsules
  • Inability or unwillingness to comply with study procedures
  • Pregnancy or lactation (lactation not allowed for at least 24 months after completion of study treatment)
  • Concurrent non-protocol-specified anti-tumor therapy (e.g., chemotherapy, other targeted therapy, photodynamic therapy, including participation in an experimental drug study)
  • Metastatic BCC
  • Gorlin Syndrome or any other contraindication to radiotherapy
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  • Recent (i.e., within the past 28 days prior to enrollment in this study) or current participation in another experimental drug study
  • Uncontrolled medical illness, including advanced malignancies, at the discretion of the Investigator
  • History of other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that might affect interpretation of the results of the study or renders the patient at high risk for treatment complications

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • Istituto Clinico humanitas

    Rozzano, Mi, 20089

Other trials in Italy

About this study

Official title: A Single Arm, Phase II, Multicenter Study To Assess The Efficacy And Safety Of Vismodegib And Radiotherapy In Patients With High Risk Or Locally Advanced Basal Cell Carcinoma Not Amenable To Radical Surgery

This is a Fleming-A' Hern, single arm, multicenter, no-profit, phase II study of radiotherapy and Vismodegib in adult patients with high risk or locally advanced basal cell carcinoma not amenable to radical surgery cell carcinoma (BCC) (comparator: not applicable).

The recruitment period is expected to be approximately 24 months. The trial will consist of a Screening/Baseline period (Day -28 to -1), a Treatment Period when patients will be treated with radiotherapy (4 weeks) followed by Vismodegib 150 mg/die continuously for six cycles (24 weeks).

The study will end 14 months after start of treatment of the last patient enrolled and evaluable according to primary end point.

Read the detailed description

This is a Fleming-A' Hern, single arm, multicenter, no-profit, phase II study of radiotherapy and Vismodegib in adult patients with high risk or locally advanced basal cell carcinoma not amenable to radical surgery cell carcinoma (BCC) (comparator: not applicable).

The recruitment period is expected to be approximately 24 months. The trial will consist of a Screening/Baseline period (Day -28 to -1), a Treatment Period when patients will be treated with radiotherapy (4 weeks) followed by Vismodegib 150 mg/die continuously for six cycles (24 weeks).

The study will end 14 months after start of treatment of the last patient enrolled and evaluable according to primary end point.

The primary objective is to evaluate the activity of the study therapy (radiotherapy followed by six cycles of Vismodegib 150 mg/d continuously) in terms of proportion of patients progression free at 12 months.

The secondary objectives are: to evaluate the efficacy of the study therapy in terms of progression free survival (PFS) and overall survival (OS); to assess the response in terms of overall response rate (ORR) (complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD)); to assess duration of response (DoR); to assess the safety in terms of incidence, type, and severity of adverse events (AEs) and serious adverse events (SAEs) ;to measure the effects of skin disease on quality of life (QoL) of patients under therapy (Skindex-16)

Being tested
Vismodegib, Radiotherapy
Keywords
Carcinoma, Basal Cell, Vismodegib, Radiotherapy
Medical subject headings
Carcinoma, Basal Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • VismodegibDrug

    Also called Erivedge

    Patients will receive a continuous once-daily oral dosing of Vismodegib at a dosage of 150 mg .

  • RadiotherapyRadiation

    Radiotherapy (RT) will be administered with a total dose of 50 Gy/2.5 Gy per fraction over 4 weeks.

Study groups in NCT02956889
Study groupRoleWhat they receive
Vismodegib & RadiotherapyExperimentalRadiotherapy (RT) will be administered with a total dose of 50 Gy/2.5 Gy per fraction over 4 weeks. Treatment with Vismodegib will start within 4 weeks by the end of radiotherapy and will continue for 6 cycles
Receives: Drug: Vismodegib; Radiation: Radiotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. evaluate the activity of the study therapy in terms of proportion of patients progression free

    The primary objective is to evaluate the activity of the study therapy (radiotherapy followed by six cycles of Vismodegib 150 mg/d continuously) in terms of proportion of patients progression free at 12 months.

    Measured: 1 years

Secondary outcomes (6)
  1. evaluate the efficacy of the study therapy in terms of progression free survival

    The secondary objectives are: to evaluate the efficacy of the study therapy in terms of progression free survival (PFS)

    Measured: 2 years

  2. evaluate the efficacy of the study therapy in terms overall survival

    The secondary objectives are: to evaluate the efficacy of the study therapy in terms of overall survival (OS);

    Measured: 2 years

  3. response in terms of overall response rate (ORR)

    to assess the response in terms of ORR (complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD))

    Measured: 2 years

  4. duration of response

    to assess duration of response (DoR);

    Measured: 2 years

  5. assess the safety in terms of incidence, type, and severity of adverse events (AEs) and serious adverse events (SAEs)

    to assess the safety in terms of incidence, type, and severity of AEs and SAEs

    Measured: 2 years

  6. measure the effects of skin disease on quality of life (QoL) of patients

    to measure the effects of skin disease on quality of life (QoL) of patients under therapy (Skindex-16)

    Measured: 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Nov 2016 (estimated)
  2. Study startOct 2016
  3. Primary completionFeb 2019
  4. Study completionJan 2020

Why it stopped: low recruitment rate

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
14 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02956889
Sponsor's protocol ID
ONC-2015-001
Acronym
virgilio
Status last verified
Jan 2020
First submitted
20 Jul 2016
Last updated
29 Jan 2020
Results posted
No
Data monitoring committee
No
Individual data sharing
No: not planned

Publications

  • Diffey BL, Langtry JA. Skin cancer incidence and the ageing population. Br J Dermatol. 2005 Sep;153(3):679-80. doi: 10.1111/j.1365-2133.2005.06799.x. No abstract available.

    PubMed 16120172
  • Gailani MR, Stahle-Backdahl M, Leffell DJ, Glynn M, Zaphiropoulos PG, Pressman C, Unden AB, Dean M, Brash DE, Bale AE, Toftgard R. The role of the human homologue of Drosophila patched in sporadic basal cell carcinomas. Nat Genet. 1996 Sep;14(1):78-81. doi: 10.1038/ng0996-78.

    PubMed 8782823
  • Von Hoff DD, LoRusso PM, Rudin CM, Reddy JC, Yauch RL, Tibes R, Weiss GJ, Borad MJ, Hann CL, Brahmer JR, Mackey HM, Lum BL, Darbonne WC, Marsters JC Jr, de Sauvage FJ, Low JA. Inhibition of the hedgehog pathway in advanced basal-cell carcinoma. N Engl J Med. 2009 Sep 17;361(12):1164-72. doi: 10.1056/NEJMoa0905360. Epub 2009 Sep 2.

    PubMed 19726763
  • Telfer NR, Colver GB, Morton CA; British Association of Dermatologists. Guidelines for the management of basal cell carcinoma. Br J Dermatol. 2008 Jul;159(1):35-48. doi: 10.1111/j.1365-2133.2008.08666.x.

    PubMed 18593385
  • Sekulic A, Migden MR, Oro AE, Dirix L, Lewis KD, Hainsworth JD, Solomon JA, Yoo S, Arron ST, Friedlander PA, Marmur E, Rudin CM, Chang AL, Low JA, Mackey HM, Yauch RL, Graham RA, Reddy JC, Hauschild A. Efficacy and safety of vismodegib in advanced basal-cell carcinoma. N Engl J Med. 2012 Jun 7;366(23):2171-9. doi: 10.1056/NEJMoa1113713.

    PubMed 22670903
  • Chang AL, Solomon JA, Hainsworth JD, Goldberg L, McKenna E, Day BM, Chen DM, Weiss GJ. Expanded access study of patients with advanced basal cell carcinoma treated with the Hedgehog pathway inhibitor, vismodegib. J Am Acad Dermatol. 2014 Jan;70(1):60-9. doi: 10.1016/j.jaad.2013.09.012. Epub 2013 Nov 1.

    PubMed 24189279
  • Tang JY, Mackay-Wiggan JM, Aszterbaum M, Yauch RL, Lindgren J, Chang K, Coppola C, Chanana AM, Marji J, Bickers DR, Epstein EH Jr. Inhibiting the hedgehog pathway in patients with the basal-cell nevus syndrome. N Engl J Med. 2012 Jun 7;366(23):2180-8. doi: 10.1056/NEJMoa1113538.

    PubMed 22670904
  • Strasswimmer JM. Potential Synergy of Radiation Therapy With Vismodegib for Basal Cell Carcinoma. JAMA Dermatol. 2015 Sep;151(9):925-6. doi: 10.1001/jamadermatol.2015.0977. No abstract available.

    PubMed 25874820
  • Pollom EL, Bui TT, Chang AL, Colevas AD, Hara WY. Concurrent Vismodegib and Radiotherapy for Recurrent, Advanced Basal Cell Carcinoma. JAMA Dermatol. 2015 Sep;151(9):998-1001. doi: 10.1001/jamadermatol.2015.0326.

    PubMed 25874733

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Vismodegib and Radiotherapy in people with Carcinoma, Basal Cell, run by Istituto Clinico Humanitas at 1 site in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 24 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 29 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: low recruitment rate). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

evaluate the activity of the study therapy in terms of proportion of patients progression free (time frame: 1 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02956889, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jan 2020.

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