Skip to content

STEVIE: A Study of Vismodegib in Patients With Locally Advanced or Metastatic Basal Cell Carcinoma

A Single Arm, Open-label, Phase II, Multicentre Study, to Assess the Safety of Vismodegib (GDC-0449) in Patient With Locally Advanced or Metastatic Basal Cell Carcinoma (BCC)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01367665
Enrollment
1232
Registered
2011-06-07
Start date
2011-07-01
Completion date
2017-06-14
Last updated
2019-06-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Basal Cell Carcinoma

Brief summary

This single-arm, open-label, multi-center study will evaluate the safety and efficacy of vismodegib (GDC-0449) in patients with locally advanced or metastatic basal cell carcinoma. Patients will receive oral doses of vismodegib 150 mg once daily until disease progression or unacceptable toxicity.

Interventions

DRUGvismodegib

150 mg once daily until disease progression or unacceptable toxicity

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Adult patients, \>/=18 years of age * Metastatic or locally advanced basal cell carcinoma considered inoperable or that surgery is contraindicated and radiotherapy is contraindicated or inappropriate * Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2

Exclusion criteria

* Concurrent anti-tumor therapy * Completion of the most recent anti-tumor therapy less than 21 days prior to the initiation of treatment * Uncontrolled medical illness

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Who Experienced Any Adverse Events (AEs), AEs Grade 3 or 4, AEs Leading to Drug Interruptions or Discontinuations and Any Serious Adverse Events (SAEs)Baseline to the data cut-off of 14 June 2017 (up to 6 years)Adverse events were graded according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care activity of daily living with inability to perform bathing, dressing and undressing, feeding self, using the toilet, taking medications but not bedridden. Grade 4: An immediate threat to life. Urgent medical intervention is required in order to maintain survival.
Percentage of Participants Who Died Due to Adverse Events, Disease Progression or Other ReasonsBaseline to the data cut-off of 14 June 2017 (up to 6 years)Reasons for other included unknown, natural causes, cardiac decompensation, general state alteration, deterioration of general state, clinical deterioration taking into consideration patient's age, old age, and disease progression of mediastinal squamous cell carcinoma (SCC).
Percentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersBaseline to the data cut-off of 14 June 2017 (up to 6 years)
Exposure to Study Treatment: Duration on TreatmentBaseline to the data cut-off of 14 June 2017 (up to 6 years)Duration on treatment was the number of days between first and last dose of study treatment.
Exposure to Study Treatment - Dose IntensityBaseline to the data cut-off of 14 June 2017 (up to 6 years)Dose intensity was defined as the percentage of actual number of doses received versus planned.

Secondary

MeasureTime frameDescription
Change From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomBaseline to the data cut-off date of 14 June 2017 (up to 6 years).The Skindex-16 questionnaire includes three domains for the assessment of the effects of skin disease on participants' quality of life: symptoms, emotions and function. For each domain, responses from the questionnaire were transformed to a linear scale of 100 varying from 0 (never bothered, i.e., best) to 100 (always bothers, i.e., worst).
Best Overall Response Rate (BORR)Baseline to the data cut-off of 14 June 2017 (up to 6 years)BORR was defined as the percentage of participants achieving either a complete response (CR) or a partial response (PR) as assessed by the Investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. CR was defined as the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) required a reduction in short axis to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Percentage of Participants With a ≥ 30% Reduction in Composite Symptom Severity Score According to MDASI Scale08-May-2013 (Protocol Version ≥ 4) to the data cut-off date of 14 June 2017 (approximately 4 years and 1 month).M.D. Anderson Symptom Inventory (MDASI) scale. The MDASI core instrument is a 19-item patient self-report questionnaire whose items comprise two scales, symptom severity and symptom interference. For 13 items (i.e., pain, fatigue, nausea, disturbed sleep, distress, shortness of breath, difficulty remembering things, lack of appetite, drowsiness, dry mouth, sadness, vomiting, and numbness or tingling), participants were asked to rate how severe the symptoms were when at their worst in the last 24 hours. For the remaining 6 items, participants were asked to rate how much the symptoms have interfered with 6 areas of functioning (i.e., general activity, walking, work, mood, relations with other people, and enjoyment of life) in the last 24 hours.
Percentage of Participants With a ≥ 30% Reduction in Disease-Related Symptoms According to MDASI Scale08-May-2013 (Protocol Version ≥ 4) to the data cut-off date of 14 June 2017 (approximately 4 years and 1 month).M.D. Anderson Symptom Inventory (MDASI) scale. The MDASI core instrument is a 19-item patient self-report questionnaire whose items comprise two scales, symptom severity and symptom interference. For 13 items (i.e., pain, fatigue, nausea, disturbed sleep, distress, shortness of breath, difficulty remembering things, lack of appetite, drowsiness, dry mouth, sadness, vomiting, and numbness or tingling), participants were asked to rate how severe the symptoms were when at their worst in the last 24 hours. For the remaining 6 items, participants were asked to rate how much the symptoms have interfered with 6 areas of functioning (i.e., general activity, walking, work, mood, relations with other people, and enjoyment of life) in the last 24 hours.
Duration of ResponseBaseline to the data cut-off of 14 June 2017 (up to 6 years)Duration of response was defined as the time interval between the date of the earliest qualifying response (CR or PR) and the date of disease progression or death for any cause. Median duration of response was estimated using Kaplan-Meier estimates.
Time to ResponseBaseline to the data cut-off of 14 June 2017 (up to 6 years)Time to response was defined as the interval between the date of first treatment and the date of first documentation of confirmed CR or PR (whichever occur first).
Progression-Free Survival (PFS)Baseline to the data cut-off of 14 June 2017 (up to 6 years)PFS was defined as the time interval between the date of the first therapy and the date of progression or death for any causes, whichever occurs first. Disease progression was assessed by the investigator.
Overall Survival (OS)Baseline to the data cut-off of 14 June 2017 (up to 6 years)OS was defined as the time from the date of first treatment to the date of death, regardless of the cause of death.

Countries

Argentina, Australia, Austria, Belgium, Bosnia and Herzegovina, Brazil, Bulgaria, Canada, Colombia, Croatia, Czechia, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Israel, Italy, Lithuania, Mexico, Netherlands, New Zealand, Norway, Poland, Portugal, Romania, Russia, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey (Türkiye), United Kingdom

Participant flow

Pre-assignment details

A total of 1232 participants were enrolled in the study, but only 1215 received at least one dose of any study treatment. Results include only the treated 1215 participants. Not Done category includes participants who did not complete the final end of study completion CRF page, including those who withdrew due to termination of the study.

Participants by arm

ArmCount
Vismodegib - Locally Advanced
Participants received vismodegib 150 mg orally once a day until one of the following occurred: Disease progression, intolerable toxicity most probably attributable to vismodegib, consent withdrawal, death, study termination by the Sponsor, or other reason deemed by the Investigator.
1,119
Vismodegib - Metastatic
Participants received vismodegib 150 mg orally once a day until one of the following occurred: Disease progression, intolerable toxicity most probably attributable to vismodegib, consent withdrawal, death, study termination by the Sponsor, or other reason deemed by the Investigator.
96
Total1,215

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath10219
Overall StudyLost to Follow-up22222
Overall StudyNot Done11814

Baseline characteristics

CharacteristicVismodegib - MetastaticTotalVismodegib - Locally Advanced
Age, Continuous66.6 years
STANDARD_DEVIATION 13
69.5 years
STANDARD_DEVIATION 15.9
69.7 years
STANDARD_DEVIATION 16.1
Race/Ethnicity, Customized
Race: : Asian
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Race: : Black or African American
1 Participants2 Participants1 Participants
Race/Ethnicity, Customized
Race: : Not Applicable
3 Participants317 Participants314 Participants
Race/Ethnicity, Customized
Race: : Other
0 Participants15 Participants15 Participants
Race/Ethnicity, Customized
Race: : White
92 Participants879 Participants787 Participants
Sex: Female, Male
Female
36 Participants521 Participants485 Participants
Sex: Female, Male
Male
60 Participants694 Participants634 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
103 / 1,11919 / 96
other
Total, other adverse events
1,065 / 1,11990 / 96
serious
Total, serious adverse events
272 / 1,11931 / 96

Outcome results

Primary

Exposure to Study Treatment - Dose Intensity

Dose intensity was defined as the percentage of actual number of doses received versus planned.

Time frame: Baseline to the data cut-off of 14 June 2017 (up to 6 years)

ArmMeasureValue (MEDIAN)
Vismodegib - Locally AdvancedExposure to Study Treatment - Dose Intensity97.62 percentage of doses
Vismodegib - MetastaticExposure to Study Treatment - Dose Intensity98.51 percentage of doses
Primary

Exposure to Study Treatment: Duration on Treatment

Duration on treatment was the number of days between first and last dose of study treatment.

Time frame: Baseline to the data cut-off of 14 June 2017 (up to 6 years)

ArmMeasureValue (MEDIAN)
Vismodegib - Locally AdvancedExposure to Study Treatment: Duration on Treatment256.0 days
Vismodegib - MetastaticExposure to Study Treatment: Duration on Treatment337.0 days
Primary

Percentage of Participants Who Died Due to Adverse Events, Disease Progression or Other Reasons

Reasons for other included unknown, natural causes, cardiac decompensation, general state alteration, deterioration of general state, clinical deterioration taking into consideration patient's age, old age, and disease progression of mediastinal squamous cell carcinoma (SCC).

Time frame: Baseline to the data cut-off of 14 June 2017 (up to 6 years)

ArmMeasureGroupValue (NUMBER)
Vismodegib - Locally AdvancedPercentage of Participants Who Died Due to Adverse Events, Disease Progression or Other ReasonsOther1.3 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Died Due to Adverse Events, Disease Progression or Other ReasonsAdverse Event6.1 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Died Due to Adverse Events, Disease Progression or Other ReasonsDisease Progression1.9 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Died Due to Adverse Events, Disease Progression or Other ReasonsOther0 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Died Due to Adverse Events, Disease Progression or Other ReasonsAdverse Event6.3 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Died Due to Adverse Events, Disease Progression or Other ReasonsDisease Progression13.5 percentage of participants
Primary

Percentage of Participants Who Experienced Any Adverse Events (AEs), AEs Grade 3 or 4, AEs Leading to Drug Interruptions or Discontinuations and Any Serious Adverse Events (SAEs)

Adverse events were graded according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care activity of daily living with inability to perform bathing, dressing and undressing, feeding self, using the toilet, taking medications but not bedridden. Grade 4: An immediate threat to life. Urgent medical intervention is required in order to maintain survival.

Time frame: Baseline to the data cut-off of 14 June 2017 (up to 6 years)

ArmMeasureGroupValue (NUMBER)
Vismodegib - Locally AdvancedPercentage of Participants Who Experienced Any Adverse Events (AEs), AEs Grade 3 or 4, AEs Leading to Drug Interruptions or Discontinuations and Any Serious Adverse Events (SAEs)Any AEs with maximum severity of Grade 3 or 443.4 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Experienced Any Adverse Events (AEs), AEs Grade 3 or 4, AEs Leading to Drug Interruptions or Discontinuations and Any Serious Adverse Events (SAEs)Any AEs leading to study drug interruption40.5 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Experienced Any Adverse Events (AEs), AEs Grade 3 or 4, AEs Leading to Drug Interruptions or Discontinuations and Any Serious Adverse Events (SAEs)Any Serious AEs24.3 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Experienced Any Adverse Events (AEs), AEs Grade 3 or 4, AEs Leading to Drug Interruptions or Discontinuations and Any Serious Adverse Events (SAEs)Any AEs leading to study drug discontinuation33.8 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Experienced Any Adverse Events (AEs), AEs Grade 3 or 4, AEs Leading to Drug Interruptions or Discontinuations and Any Serious Adverse Events (SAEs)Any AEs98.4 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Experienced Any Adverse Events (AEs), AEs Grade 3 or 4, AEs Leading to Drug Interruptions or Discontinuations and Any Serious Adverse Events (SAEs)Any AEs leading to study drug discontinuation17.7 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Experienced Any Adverse Events (AEs), AEs Grade 3 or 4, AEs Leading to Drug Interruptions or Discontinuations and Any Serious Adverse Events (SAEs)Any AEs99.0 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Experienced Any Adverse Events (AEs), AEs Grade 3 or 4, AEs Leading to Drug Interruptions or Discontinuations and Any Serious Adverse Events (SAEs)Any AEs with maximum severity of Grade 3 or 452.1 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Experienced Any Adverse Events (AEs), AEs Grade 3 or 4, AEs Leading to Drug Interruptions or Discontinuations and Any Serious Adverse Events (SAEs)Any Serious AEs32.3 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Experienced Any Adverse Events (AEs), AEs Grade 3 or 4, AEs Leading to Drug Interruptions or Discontinuations and Any Serious Adverse Events (SAEs)Any AEs leading to study drug interruption35.4 percentage of participants
Primary

Percentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory Parameters

Time frame: Baseline to the data cut-off of 14 June 2017 (up to 6 years)

ArmMeasureGroupValue (NUMBER)
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersSGOT/AST (aspartate aminotransferase) - High1.5 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersWhite Blood Cell Count (High)0.2 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersCreatine Kinase (High)0.1 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersNeutrophils, Total, Abs (Low)0.5 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersCreatinine (High)1.3 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersWhite Blood Cell Count (Low)0.2 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersGlucose (Low)0.4 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersHemoglobin (Low)1.3 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersPotassium (High1.1 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersPotassium (Low)0.8 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersAlkaline Phosphatase (High)0.6 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersSodium (High)0.2 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersPlatelet (Low)0.2 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersSodium (Low)2.6 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersSGPT/ALT (alanine aminotransferase) - High2.2 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersTotal Bilirubin (High)0.4 percentage of participants
Vismodegib - Locally AdvancedPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersHemoglobin (High)0.1 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersTotal Bilirubin (High)0 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersHemoglobin (High)0 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersHemoglobin (Low)2.1 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersNeutrophils, Total, Abs (Low)0 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersPlatelet (Low)0 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersWhite Blood Cell Count (High)1.0 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersWhite Blood Cell Count (Low)0 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersAlkaline Phosphatase (High)0 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersSGPT/ALT (alanine aminotransferase) - High4.2 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersSGOT/AST (aspartate aminotransferase) - High3.1 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersCreatine Kinase (High)0 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersCreatinine (High)2.1 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersGlucose (Low)0 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersPotassium (Low)1.0 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersSodium (High)0 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersSodium (Low)4.2 percentage of participants
Vismodegib - MetastaticPercentage of Participants Who Report a Shift in NCI CTCAE Grades to 3/4 in Hematology and Biochemistry Laboratory ParametersPotassium (High4.2 percentage of participants
Secondary

Best Overall Response Rate (BORR)

BORR was defined as the percentage of participants achieving either a complete response (CR) or a partial response (PR) as assessed by the Investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. CR was defined as the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) required a reduction in short axis to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Time frame: Baseline to the data cut-off of 14 June 2017 (up to 6 years)

Population: Only included participants that had histologically confirmed measurable disease at baseline.

ArmMeasureGroupValue (NUMBER)
Vismodegib - Locally AdvancedBest Overall Response Rate (BORR)CR33.9 percentage of participants
Vismodegib - Locally AdvancedBest Overall Response Rate (BORR)PR35.3 percentage of participants
Vismodegib - MetastaticBest Overall Response Rate (BORR)CR4.8 percentage of participants
Vismodegib - MetastaticBest Overall Response Rate (BORR)PR32.5 percentage of participants
Secondary

Change From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and Symptom

The Skindex-16 questionnaire includes three domains for the assessment of the effects of skin disease on participants' quality of life: symptoms, emotions and function. For each domain, responses from the questionnaire were transformed to a linear scale of 100 varying from 0 (never bothered, i.e., best) to 100 (always bothers, i.e., worst).

Time frame: Baseline to the data cut-off date of 14 June 2017 (up to 6 years).

Population: Only included participants that had histologically confirmed disease at baseline. For each time point, Number Analyzed refers to patients with non-missing values.

ArmMeasureGroupValue (MEAN)Dispersion
Vismodegib - Locally AdvancedChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomFunction: C7D1-11.09 units on a scaleStandard Deviation 26.49
Vismodegib - Locally AdvancedChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomEmotion: End of Study-24.66 units on a scaleStandard Deviation 33.13
Vismodegib - Locally AdvancedChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomFunction: End of Study-9.84 units on a scaleStandard Deviation 28.03
Vismodegib - Locally AdvancedChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomSymptom: C2D1-9.92 units on a scaleStandard Deviation 22.02
Vismodegib - Locally AdvancedChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomEmotion: C7D1-26.04 units on a scaleStandard Deviation 30.8
Vismodegib - Locally AdvancedChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomSymptom: C7D1-12.03 units on a scaleStandard Deviation 24.95
Vismodegib - Locally AdvancedChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomFunction: C2D1-7.43 units on a scaleStandard Deviation 22.18
Vismodegib - Locally AdvancedChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomSymptom: End of Study-11.85 units on a scaleStandard Deviation 27.05
Vismodegib - Locally AdvancedChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomEmotion: C2D1 (Cycle 2 Day 1)-18.02 units on a scaleStandard Deviation 26.12
Vismodegib - MetastaticChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomSymptom: End of Study1.85 units on a scaleStandard Deviation 22.15
Vismodegib - MetastaticChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomEmotion: C2D1 (Cycle 2 Day 1)-8.68 units on a scaleStandard Deviation 23.5
Vismodegib - MetastaticChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomEmotion: C7D1-13.14 units on a scaleStandard Deviation 33.25
Vismodegib - MetastaticChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomEmotion: End of Study7.76 units on a scaleStandard Deviation 27.61
Vismodegib - MetastaticChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomFunction: C2D1-1.71 units on a scaleStandard Deviation 16.31
Vismodegib - MetastaticChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomFunction: C7D1-10.00 units on a scaleStandard Deviation 24.74
Vismodegib - MetastaticChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomSymptom: C2D1-5.06 units on a scaleStandard Deviation 23.1
Vismodegib - MetastaticChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomSymptom: C7D1-6.73 units on a scaleStandard Deviation 28.92
Vismodegib - MetastaticChange From Baseline Scores of Skindex-16 Questionnaire Domains of Emotion, Function and SymptomFunction: End of Study4.81 units on a scaleStandard Deviation 29.8
Secondary

Duration of Response

Duration of response was defined as the time interval between the date of the earliest qualifying response (CR or PR) and the date of disease progression or death for any cause. Median duration of response was estimated using Kaplan-Meier estimates.

Time frame: Baseline to the data cut-off of 14 June 2017 (up to 6 years)

Population: Only included participants that had histologically confirmed disease, measureable disease status at baseline (measureable or non-measureable) and reported a response of CR or PR.

ArmMeasureValue (MEDIAN)
Vismodegib - Locally AdvancedDuration of Response18.89 months
Vismodegib - MetastaticDuration of Response13.93 months
Secondary

Overall Survival (OS)

OS was defined as the time from the date of first treatment to the date of death, regardless of the cause of death.

Time frame: Baseline to the data cut-off of 14 June 2017 (up to 6 years)

Population: Only included participants that had histologically confirmed disease and measureable disease status at baseline (measureable or non-measureable).

ArmMeasureValue (MEDIAN)
Vismodegib - Locally AdvancedOverall Survival (OS)NA months
Vismodegib - MetastaticOverall Survival (OS)NA months
Secondary

Percentage of Participants With a ≥ 30% Reduction in Composite Symptom Severity Score According to MDASI Scale

M.D. Anderson Symptom Inventory (MDASI) scale. The MDASI core instrument is a 19-item patient self-report questionnaire whose items comprise two scales, symptom severity and symptom interference. For 13 items (i.e., pain, fatigue, nausea, disturbed sleep, distress, shortness of breath, difficulty remembering things, lack of appetite, drowsiness, dry mouth, sadness, vomiting, and numbness or tingling), participants were asked to rate how severe the symptoms were when at their worst in the last 24 hours. For the remaining 6 items, participants were asked to rate how much the symptoms have interfered with 6 areas of functioning (i.e., general activity, walking, work, mood, relations with other people, and enjoyment of life) in the last 24 hours.

Time frame: 08-May-2013 (Protocol Version ≥ 4) to the data cut-off date of 14 June 2017 (approximately 4 years and 1 month).

Population: Included only participants who were enrolled after Protocol Version 4 was implemented, had non-missing data and average baseline score ≥ 4. Per protocol, the MDASI measurements were measured in Metastatic patients only.

ArmMeasureValue (NUMBER)
Vismodegib - Locally AdvancedPercentage of Participants With a ≥ 30% Reduction in Composite Symptom Severity Score According to MDASI Scale33.3 Percentage of participants
Secondary

Percentage of Participants With a ≥ 30% Reduction in Disease-Related Symptoms According to MDASI Scale

M.D. Anderson Symptom Inventory (MDASI) scale. The MDASI core instrument is a 19-item patient self-report questionnaire whose items comprise two scales, symptom severity and symptom interference. For 13 items (i.e., pain, fatigue, nausea, disturbed sleep, distress, shortness of breath, difficulty remembering things, lack of appetite, drowsiness, dry mouth, sadness, vomiting, and numbness or tingling), participants were asked to rate how severe the symptoms were when at their worst in the last 24 hours. For the remaining 6 items, participants were asked to rate how much the symptoms have interfered with 6 areas of functioning (i.e., general activity, walking, work, mood, relations with other people, and enjoyment of life) in the last 24 hours.

Time frame: 08-May-2013 (Protocol Version ≥ 4) to the data cut-off date of 14 June 2017 (approximately 4 years and 1 month).

Population: Included only participants who were enrolled after Protocol Version 4 was implemented, had non-missing data and baseline score ≥4. Per protocol, the MDASI measurements were measured in Metastatic patients only.

ArmMeasureValue (NUMBER)
Vismodegib - Locally AdvancedPercentage of Participants With a ≥ 30% Reduction in Disease-Related Symptoms According to MDASI Scale60.0 Percentage of participants
Secondary

Progression-Free Survival (PFS)

PFS was defined as the time interval between the date of the first therapy and the date of progression or death for any causes, whichever occurs first. Disease progression was assessed by the investigator.

Time frame: Baseline to the data cut-off of 14 June 2017 (up to 6 years)

Population: Only included participants that had histologically confirmed disease and measureable disease status at baseline (measureable or non-measureable).

ArmMeasureValue (MEDIAN)
Vismodegib - Locally AdvancedProgression-Free Survival (PFS)20.30 months
Vismodegib - MetastaticProgression-Free Survival (PFS)12.85 months
Secondary

Time to Response

Time to response was defined as the interval between the date of first treatment and the date of first documentation of confirmed CR or PR (whichever occur first).

Time frame: Baseline to the data cut-off of 14 June 2017 (up to 6 years)

Population: Only included participants that had histologically confirmed measurable disease at baseline.

ArmMeasureValue (MEDIAN)
Vismodegib - Locally AdvancedTime to Response3.65 months
Vismodegib - MetastaticTime to ResponseNA months

Source: ClinicalTrials.gov · Data processed: Mar 17, 2026