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Long-term efficacy and safety of sonidegib in patients with locally advanced and metastatic basal cell carcinoma: 30-month analysis of the randomized phase 2 BOLT study.

Identifieur interne : 000877 ( PubMed/Checkpoint ); précédent : 000876; suivant : 000878

Long-term efficacy and safety of sonidegib in patients with locally advanced and metastatic basal cell carcinoma: 30-month analysis of the randomized phase 2 BOLT study.

Auteurs : J T Lear [Royaume-Uni] ; M R Migden [États-Unis] ; K D Lewis [États-Unis] ; A L S. Chang [États-Unis] ; A. Guminski [Australie] ; R. Gutzmer [Allemagne] ; L. Dirix [Belgique] ; P. Combemale [France] ; A. Stratigos [Grèce] ; R. Plummer [Royaume-Uni] ; H. Castro [Suisse] ; T. Yi [États-Unis] ; M. Mone [États-Unis] ; J. Zhou [États-Unis] ; U. Trefzer [Allemagne] ; M. Kaatz [Allemagne] ; C. Loquai [Allemagne] ; R. Kudchadkar [États-Unis] ; D. Sellami [États-Unis] ; R. Dummer [Suisse]

Source :

RBID : pubmed:28846163

Abstract

Patients with locally advanced basal cell carcinoma (laBCC) or metastatic BCC (mBCC), two difficult-to-treat populations, have had limited treatment options. Sonidegib, a hedgehog pathway inhibitor (HPI), was approved in laBCC based on results from the BOLT trial.

DOI: 10.1111/jdv.14542
PubMed: 28846163


Affiliations:


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pubmed:28846163

Le document en format XML

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<nlm:affiliation>Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Novartis Pharmaceuticals Corporation, East Hanover, NJ</wicri:regionArea>
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<name sortKey="Dummer, R" sort="Dummer, R" uniqKey="Dummer R" first="R" last="Dummer">R. Dummer</name>
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<nlm:affiliation>UniversitätsSpital Zürich-Skin Cancer Center, University Hospital, Zürich, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>UniversitätsSpital Zürich-Skin Cancer Center, University Hospital, Zürich</wicri:regionArea>
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<title level="j">Journal of the European Academy of Dermatology and Venereology : JEADV</title>
<idno type="eISSN">1468-3083</idno>
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<div type="abstract" xml:lang="en">Patients with locally advanced basal cell carcinoma (laBCC) or metastatic BCC (mBCC), two difficult-to-treat populations, have had limited treatment options. Sonidegib, a hedgehog pathway inhibitor (HPI), was approved in laBCC based on results from the BOLT trial.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="Publisher" Owner="NLM">
<PMID Version="1">28846163</PMID>
<DateCreated>
<Year>2017</Year>
<Month>08</Month>
<Day>28</Day>
</DateCreated>
<DateRevised>
<Year>2017</Year>
<Month>11</Month>
<Day>06</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1468-3083</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2017</Year>
<Month>Aug</Month>
<Day>28</Day>
</PubDate>
</JournalIssue>
<Title>Journal of the European Academy of Dermatology and Venereology : JEADV</Title>
<ISOAbbreviation>J Eur Acad Dermatol Venereol</ISOAbbreviation>
</Journal>
<ArticleTitle>Long-term efficacy and safety of sonidegib in patients with locally advanced and metastatic basal cell carcinoma: 30-month analysis of the randomized phase 2 BOLT study.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/jdv.14542</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Patients with locally advanced basal cell carcinoma (laBCC) or metastatic BCC (mBCC), two difficult-to-treat populations, have had limited treatment options. Sonidegib, a hedgehog pathway inhibitor (HPI), was approved in laBCC based on results from the BOLT trial.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate long-term efficacy and safety of sonidegib in laBCC and mBCC in the BOLT 18- and 30-month analyses.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">BOLT (NCT01327053, ClinicalTrials.gov), a double-blind phase 2 study, enrolled patients from July 2011 until January 2013. Eligible HPI-treatment-naïve patients with laBCC not amenable to curative surgery/radiotherapy or mBCC were randomized 1 : 2 to sonidegib 200 mg (laBCC, n = 66; mBCC, n = 13) or 800 mg (laBCC, n = 128; mBCC, n = 23). Tumour response was assessed per central and investigator review.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">With 30 months of follow-up, among patients treated with sonidegib 200 mg (approved dose), objective response rates were 56.1% (central) and 71.2% (investigator) in laBCC and 7.7% (central) and 23.1% (investigator) in mBCC. Tumour responses were durable as follows: median duration of response was 26.1 months (central) and 15.7 months (investigator) in laBCC and 24.0 months (central) and 18.1 months (investigator) in mBCC. Five patients with laBCC and three with mBCC in the 200-mg arm died. Median overall survival was not reached in either population; 2-year overall survival rates were 93.2% (laBCC) and 69.3% (mBCC). In laBCC, efficacy was similar regardless of aggressive or non-aggressive histology. Sonidegib 200 mg continued to have a better safety profile than 800 mg, with lower rates of grade 3/4 adverse events (43.0% vs. 64.0%) and adverse events leading to discontinuation (30.4% vs. 40.0%).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Sonidegib continued to demonstrate long-term efficacy and safety in these populations. These data support the use of sonidegib 200 mg per local treatment guidelines.</AbstractText>
<CopyrightInformation>© 2017 European Academy of Dermatology and Venereology.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Lear</LastName>
<ForeName>J T</ForeName>
<Initials>JT</Initials>
<AffiliationInfo>
<Affiliation>Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Migden</LastName>
<ForeName>M R</ForeName>
<Initials>MR</Initials>
<AffiliationInfo>
<Affiliation>Departments of Dermatology and Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lewis</LastName>
<ForeName>K D</ForeName>
<Initials>KD</Initials>
<AffiliationInfo>
<Affiliation>Division of Medical Oncology, University of Colorado School of Medicine, Aurora, CO, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Chang</LastName>
<ForeName>A L S</ForeName>
<Initials>ALS</Initials>
<AffiliationInfo>
<Affiliation>Stanford University School of Medicine, Redwood City, CA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Guminski</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Royal North Shore Hospital, St Leonards, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Gutzmer</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Medizinische Hochschule Hannover, Hannover, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Dirix</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Sint-Augustinus Ziekenhuis, Antwerp, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Combemale</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Anti Cancer Institute, Léon Bérard, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Stratigos</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Andreas Syggros Hospital, University of Athens, Athens, Greece.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Plummer</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
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<Affiliation>Northern Centre for Cancer Care, Freeman Hospital, Newcastle upon Tyne, UK.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Castro</LastName>
<ForeName>H</ForeName>
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</AffiliationInfo>
</Author>
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<LastName>Yi</LastName>
<ForeName>T</ForeName>
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<ForeName>M</ForeName>
<Initials>M</Initials>
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</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Zhou</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
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</AffiliationInfo>
</Author>
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<LastName>Trefzer</LastName>
<ForeName>U</ForeName>
<Initials>U</Initials>
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<Affiliation>Dermatologikum Berlin, Berlin, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kaatz</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>University Hospital Jena, Jena, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Loquai</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
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</AffiliationInfo>
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<LastName>Kudchadkar</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
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</AffiliationInfo>
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<ForeName>D</ForeName>
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<Affiliation>Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA.</Affiliation>
</AffiliationInfo>
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<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>UniversitätsSpital Zürich-Skin Cancer Center, University Hospital, Zürich, Switzerland.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
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<Month>08</Month>
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<Country>England</Country>
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<NlmUniqueID>9216037</NlmUniqueID>
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<Month>08</Month>
<Day>07</Day>
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<Month>8</Month>
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<li>Australie</li>
<li>Belgique</li>
<li>France</li>
<li>Grèce</li>
<li>Royaume-Uni</li>
<li>Suisse</li>
<li>États-Unis</li>
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<li>Attique (région)</li>
<li>Auvergne-Rhône-Alpes</li>
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<li>Berlin</li>
<li>Californie</li>
<li>Canton de Zurich</li>
<li>Colorado</li>
<li>Grand Manchester</li>
<li>Géorgie (États-Unis)</li>
<li>New Jersey</li>
<li>Rhénanie-Palatinat</li>
<li>Rhône-Alpes</li>
<li>Texas</li>
</region>
<settlement>
<li>Athènes</li>
<li>Berlin</li>
<li>Hanovre</li>
<li>Lyon</li>
<li>Manchester</li>
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<li>Zurich</li>
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