Basal Cell Carcinoma, Hedgehog Pathway
Conditions
Keywords
Itraconazole
Brief summary
Patients with localized basocellular carcinoma of the skin, will receive oral Itraconazole, 200 mg twice daily, for 60 days, prior to curative intent surgery.
Detailed description
Patients with localized basocellular carcinoma of the skin, will receive oral Itraconazole, 200 mg once daily, for 60 days, before surgery with curative intent. Tumor area regression will be measured through dermatologic evaluation and photographic documentation on baseline and at the end of the 60 day treatment period. The activity of the Hedgehog pathway will be measured on tissue samples obtained at the time of diagnosis and at the time of curative intent surgery, through the measuring of the Ki67 index.
Interventions
Oral Itraconazole capsules, 200 mg, twice daily, for 60 days prior to surgery with curative intent.
Sponsors
Hospital de Clinicas de Porto Alegre
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with diagnosis of Basocellular Carcinoma (BCC) of the Skin, histologically confirmed. * At least one BCC lesion with 10 mm in the longest diameter * Disease amenable to surgical intervention with curable intent. * Signed Informed Consent * PS ECOG 0 to 3
Exclusion criteria
* Chronic renal disease, with a glomerular filtration rate of less than 30 ml/min * Acute or chronic liver disease, as measured by: total bilirubin \> than 1.5 x ULN and AST and ALT \> than 5 x ULN. * Symptomatic cardiac insufficiency or an ejection fraction lower than 50% measured through echocardiography, * Other active malignancies in the last year. * Uncontrolled systemic hypertension, * Any chronic infections such as tuberculosis, viral hepatitis and HIV. * Pregnancy, suspected or confirmed. * Known intolerance to the use of Itraconazole.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| clinical response | 60 days | tumor area response registered through dermatologic evaluation |
| hedgehog pathway activity | 60 days | Measured through the Ki67 index on pathological specimens at the beginning and at the end of treatment. |
Countries
Brazil
Contacts
Primary ContactRenato M Bakos, Ph. D.
Backup ContactRodrigo P Pereira, M.D.
Outcome results
None listed