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Vismodegib in Basal Cell Carcinomas (BCC) Chemoprevention

Primary Purpose

Basal Cell Carcinomas

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Vismodegib
Placebo
Sponsored by
University of Arizona
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Basal Cell Carcinomas

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Signed and dated informed consent document indicating that the subject (or legally acceptable representative) has been informed of all pertinent aspects
  • Comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
  • At least 18 years of age at the time of informed consent.
  • History of 3 or more biopsy confirmed BCCs in the preceding 2 years, calculated from 2 years prior to the screening visit.
  • No active skin cancers.
  • Women of reproductive potential must agree to use two forms of acceptable contraception
  • Male subjects must agree to use condoms at all times, even after a vasectomy, during sexual intercourse with female partners of reproductive potential during treatment with vismodegib and for 2 months after the last dose to avoid exposing a pregnant partner and the unborn fetus to vismodegib.
  • Male patients must agree not to donate sperm during the study and for 2 months after discontinuation of vismodegib
  • Agreement not to donate blood or blood products during the study and for 7 months after the last dose.
  • Ability to understand and the willingness to sign a written informed consent document in English

Exclusion Criteria:

  • Women who are pregnant or lactating, or planning pregnancy while enrolled in the study or for 7 months after the last dose of the study drug.
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements. Subjects with clinically stable chronic medical conditions including, but not limited to, controlled hypertension, diabetes mellitus type II, hypercholesterolemia, or osteoarthritis, will be allowed to enter the study.
  • Inability or unwillingness to swallow capsules.
  • Have a history of alcohol of substance abuse, unless in full remission for greater than 6 months prior to the screening visit (Day 0) when the consent form is signed.
  • Known to be infected with human immunodeficiency virus (HIV), hepatitis B or hepatitis C viruses.
  • Currently receiving vismodegib, biologics or chemotherapy
  • Currently undergoing treatment with photodynamic therapy, topical chemotherapy agents including Imiquimod, fluorouracil
  • Subjects who have Gorlins syndrome
  • Subjects who have received any type of solid organ transplant
  • Subjects taking immunosuppressive medications at the screening visit. (Day 0)
  • Participation in other study using an investigational or experimental therapy or procedure within 4 weeks or 5 half-lives (whichever is longer) before the screening visit and/or during study participation. Subjects cannot participate in studies of other investigational or experimental therapies or procedures at any time during their participation in this study.
  • Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study.
  • Subjects unable or unwilling to comply with the study visit schedule and requirements of the study
  • Subjects unable to speak and read the English language
  • A subject who, in the opinion of the sponsor-investigator will be uncooperative or unable to comply with study procedures.

Sites / Locations

  • University of Arizona Cancer Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Placebo

Vismodegib

Arm Description

receive 150 mg of oral placebo daily for a period of 2 months

receive 150 mg of vismodegib daily for a period of 2 months

Outcomes

Primary Outcome Measures

The Effect of Vismodegib Pulse Therapy on the Incidence of Newly Diagnosed Basal Cell Carcinomas (BCC)
Measured by the incidence of biopsy confirmed BCC over a 24 month period

Secondary Outcome Measures

The Incidence of Newly Diagnosed Squamous Cell Carcinomas (SCC) in the Same Subjects Receiving Vismodegib Treatment When Compared With Placebo
Measured by the incidence of biopsy confirmed SCC over the same 24 month period

Full Information

First Posted
February 18, 2014
Last Updated
July 30, 2019
Sponsor
University of Arizona
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1. Study Identification

Unique Protocol Identification Number
NCT02067104
Brief Title
Vismodegib in Basal Cell Carcinomas (BCC) Chemoprevention
Official Title
A Placebo Controlled Double-Blind Study to Evaluate the Efficacy of Vismodegib as Chemoprevention of New Bcc Development in High Risk Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
July 2019
Overall Recruitment Status
Terminated
Why Stopped
Low enrollment
Study Start Date
February 17, 2014 (Actual)
Primary Completion Date
December 31, 2016 (Actual)
Study Completion Date
December 31, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Arizona

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is a single site double blinded Phase II study to evaluate the chemopreventative effectiveness of vismodegib in the treatment of subjects at high risk for developing basal cell carcinomas (BCC).
Detailed Description
The primary objective of this study will be to determine if vismodegib pulse therapy will significantly reduce the incidence of newly diagnosed basal cell carcinomas (BCC) in high risk individuals when compared with placebo, as measured by the incidence of biopsy confirmed BCC over a 24 month period. The secondary objective will be to determine that there will be no difference in the incidence of newly diagnosed squamous cell carcinomas (SCC) in the same subjects receiving vismodegib treatment when compared with placebo, as measured by the incidence of biopsy confirmed SCC over the same 24 month period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Basal Cell Carcinomas

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
9 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
receive 150 mg of oral placebo daily for a period of 2 months
Arm Title
Vismodegib
Arm Type
Experimental
Arm Description
receive 150 mg of vismodegib daily for a period of 2 months
Intervention Type
Drug
Intervention Name(s)
Vismodegib
Other Intervention Name(s)
Erivedge
Intervention Description
Pulse therapy pattern of 2 months of daily treatment and 2 months of no treatment for 24 months.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Pulse therapy pattern of 2 months of daily treatment and 2 months of no treatment for 24 months.
Primary Outcome Measure Information:
Title
The Effect of Vismodegib Pulse Therapy on the Incidence of Newly Diagnosed Basal Cell Carcinomas (BCC)
Description
Measured by the incidence of biopsy confirmed BCC over a 24 month period
Time Frame
24 Months
Secondary Outcome Measure Information:
Title
The Incidence of Newly Diagnosed Squamous Cell Carcinomas (SCC) in the Same Subjects Receiving Vismodegib Treatment When Compared With Placebo
Description
Measured by the incidence of biopsy confirmed SCC over the same 24 month period
Time Frame
24 Months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed and dated informed consent document indicating that the subject (or legally acceptable representative) has been informed of all pertinent aspects Comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. At least 18 years of age at the time of informed consent. History of 3 or more biopsy confirmed BCCs in the preceding 2 years, calculated from 2 years prior to the screening visit. No active skin cancers. Women of reproductive potential must agree to use two forms of acceptable contraception Male subjects must agree to use condoms at all times, even after a vasectomy, during sexual intercourse with female partners of reproductive potential during treatment with vismodegib and for 2 months after the last dose to avoid exposing a pregnant partner and the unborn fetus to vismodegib. Male patients must agree not to donate sperm during the study and for 2 months after discontinuation of vismodegib Agreement not to donate blood or blood products during the study and for 7 months after the last dose. Ability to understand and the willingness to sign a written informed consent document in English Exclusion Criteria: Women who are pregnant or lactating, or planning pregnancy while enrolled in the study or for 7 months after the last dose of the study drug. Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements. Subjects with clinically stable chronic medical conditions including, but not limited to, controlled hypertension, diabetes mellitus type II, hypercholesterolemia, or osteoarthritis, will be allowed to enter the study. Inability or unwillingness to swallow capsules. Have a history of alcohol of substance abuse, unless in full remission for greater than 6 months prior to the screening visit (Day 0) when the consent form is signed. Known to be infected with human immunodeficiency virus (HIV), hepatitis B or hepatitis C viruses. Currently receiving vismodegib, biologics or chemotherapy Currently undergoing treatment with photodynamic therapy, topical chemotherapy agents including Imiquimod, fluorouracil Subjects who have Gorlins syndrome Subjects who have received any type of solid organ transplant Subjects taking immunosuppressive medications at the screening visit. (Day 0) Participation in other study using an investigational or experimental therapy or procedure within 4 weeks or 5 half-lives (whichever is longer) before the screening visit and/or during study participation. Subjects cannot participate in studies of other investigational or experimental therapies or procedures at any time during their participation in this study. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study. Subjects unable or unwilling to comply with the study visit schedule and requirements of the study Subjects unable to speak and read the English language A subject who, in the opinion of the sponsor-investigator will be uncooperative or unable to comply with study procedures.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clara Curiel-Lewandroski
Organizational Affiliation
University of Arizona
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Arizona Cancer Center
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85724
Country
United States

12. IPD Sharing Statement

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Vismodegib in Basal Cell Carcinomas (BCC) Chemoprevention

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