Experience with sonidegib in patients with advanced basal cell carcinoma: case reports

Sonidegib is a Hedgehog signalling pathway inhibitor approved for use in patients with advanced basal cell carcinoma (BCC) not eligible for surgery or radiotherapy. This report describes clinical experience with sonidegib in two patients with locally advanced BCC (one with a tumour adjacent to the r...

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Main Authors: Susana Puig, Carlos Serra-Guillén, Gemma Pérez-Pastor, Álvaro Martínez-Domenech, Ricardo Fernández-de-Misa Cabrera
Format: Article
Language:English
Published: BioExcel Publishing Ltd 2022-05-01
Series:Drugs in Context
Subjects:
Online Access:https://www.drugsincontext.com/experience-with-sonidegib-in-patients-with-advanced-basal-cell-carcinoma-case-reports
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author Susana Puig
Carlos Serra-Guillén
Gemma Pérez-Pastor
Álvaro Martínez-Domenech
Ricardo Fernández-de-Misa Cabrera
author_facet Susana Puig
Carlos Serra-Guillén
Gemma Pérez-Pastor
Álvaro Martínez-Domenech
Ricardo Fernández-de-Misa Cabrera
author_sort Susana Puig
collection DOAJ
description Sonidegib is a Hedgehog signalling pathway inhibitor approved for use in patients with advanced basal cell carcinoma (BCC) not eligible for surgery or radiotherapy. This report describes clinical experience with sonidegib in two patients with locally advanced BCC (one with a tumour adjacent to the right eye and the other with a tumour associated with the left ear) and in one patient with Gorlin syndrome. Two of the patients had recurrent and intractable tumours. Treatment with sonidegib 200 mg/day led to remission in both patients with locally advanced BCC within 7 months and to a reduction in the size and number of lesions after 4 months in the patient with Gorlin syndrome. Adverse effects reported in these patients were cramps, alopecia, ageusia and weight loss, all of which were mild and consistent with the known toxicity profile for sonidegib. Sonidegib has an important role to play in the effective treatment of challenging cases of advanced BCC. In parallel, a need remains to improve management protocols for patients with advanced BCC, particularly through earlier intervention and a multidisciplinary team approach.
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spelling doaj.art-b95a2244a998454893b20439349c801a2022-12-22T00:26:52ZengBioExcel Publishing LtdDrugs in Context1740-43982022-05-01111810.7573/dic.2022-3-8Experience with sonidegib in patients with advanced basal cell carcinoma: case reportsSusana PuigCarlos Serra-GuillénGemma Pérez-PastorÁlvaro Martínez-DomenechRicardo Fernández-de-Misa CabreraSonidegib is a Hedgehog signalling pathway inhibitor approved for use in patients with advanced basal cell carcinoma (BCC) not eligible for surgery or radiotherapy. This report describes clinical experience with sonidegib in two patients with locally advanced BCC (one with a tumour adjacent to the right eye and the other with a tumour associated with the left ear) and in one patient with Gorlin syndrome. Two of the patients had recurrent and intractable tumours. Treatment with sonidegib 200 mg/day led to remission in both patients with locally advanced BCC within 7 months and to a reduction in the size and number of lesions after 4 months in the patient with Gorlin syndrome. Adverse effects reported in these patients were cramps, alopecia, ageusia and weight loss, all of which were mild and consistent with the known toxicity profile for sonidegib. Sonidegib has an important role to play in the effective treatment of challenging cases of advanced BCC. In parallel, a need remains to improve management protocols for patients with advanced BCC, particularly through earlier intervention and a multidisciplinary team approach.https://www.drugsincontext.com/experience-with-sonidegib-in-patients-with-advanced-basal-cell-carcinoma-case-reportscase reportsgorlin syndromelocally advanced basal cell carcinomasonidegibvismodegib
spellingShingle Susana Puig
Carlos Serra-Guillén
Gemma Pérez-Pastor
Álvaro Martínez-Domenech
Ricardo Fernández-de-Misa Cabrera
Experience with sonidegib in patients with advanced basal cell carcinoma: case reports
Drugs in Context
case reports
gorlin syndrome
locally advanced basal cell carcinoma
sonidegib
vismodegib
title Experience with sonidegib in patients with advanced basal cell carcinoma: case reports
title_full Experience with sonidegib in patients with advanced basal cell carcinoma: case reports
title_fullStr Experience with sonidegib in patients with advanced basal cell carcinoma: case reports
title_full_unstemmed Experience with sonidegib in patients with advanced basal cell carcinoma: case reports
title_short Experience with sonidegib in patients with advanced basal cell carcinoma: case reports
title_sort experience with sonidegib in patients with advanced basal cell carcinoma case reports
topic case reports
gorlin syndrome
locally advanced basal cell carcinoma
sonidegib
vismodegib
url https://www.drugsincontext.com/experience-with-sonidegib-in-patients-with-advanced-basal-cell-carcinoma-case-reports
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AT gemmaperezpastor experiencewithsonidegibinpatientswithadvancedbasalcellcarcinomacasereports
AT alvaromartinezdomenech experiencewithsonidegibinpatientswithadvancedbasalcellcarcinomacasereports
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