ClinicalTrials.gg
CompletedNCT00957229GDC-0449Updated Jan 11, 2021Results posted

To Determine The Efficacy and Safety of GDC-0449 in Patients With Basal Cell Nevus Syndrome (BCNS)

A Phase 2 interventional study of GDC-0449 in Basal Cell Nevus Syndrome and Gorlin Syndrome, sponsored by UCSF Benioff Children's Hospital Oakland. Completed at 2 sites in United States. Open to participants aged 35 Years to 75 Years. Per ClinicalTrials.gov, last updated 2021-01-11.

Sponsored by UCSF Benioff Children's Hospital Oakland · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
41
Allocation
Randomized
Ages
35 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 20 studies in Basal Cell Nevus Syndrome with a site in United States — 1 open to participants now, 1 under way, none of them phase 3. Basal Cell Nevus Syndrome · United States.

Enrollment
6th of 18
41 · median 35
Started
2009
with 1 other
Phase 2
10 of 20
none open now
Registered
3rd of 20
by date
Lead sponsor
6 of 20
UCSF Benioff Children's Hospital Oakland

Among the 20 studies in Basal Cell Nevus Syndrome with a site in United States, this one is the 6th largest by enrollment of the 18 interventional ones that give a count, is one of 2 that started in 2009, is one of 10 in phase 2, and was the 3rd registered.

Basal Cell Nevus Syndrome

35 studies on the registry are indexed under Basal Cell Nevus Syndrome; 4 are open to participants now.

Browse Basal Cell Nevus Syndrome studies →

Open to participants now

1 of the 20 studies in Basal Cell Nevus Syndrome with a site in United States is open now. Recruiting first, the newest first:

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 3 Basal Cell Nevus Syndrome studies recruiting now, 3 set no upper age limit and none stop at 75 or younger; 3 take children under 18; none take healthy volunteers.

This study: 35 Years to 75 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 20 studies in Basal Cell Nevus Syndrome with a site in United States, or all of them as a file.
02

Study summary

The purpose of this study is to reduce the number of new surgically eligible BCCs by 50% appearing during month 3-18 of medication ingestion.

Read the detailed description

This is a Phase II, 18 month, double blind, randomized placebo-controlled, two arm multicenter clinical study design. During the 18-month treatment period, the safety and chemopreventive efficacy of 150 mg/day GDC-0449 versus placebo will be assessed, and include evaluations of the skin at monthly intervals for the first three months and then every 3 months for the next 15 months. Removal of new surgically eligible BCCs (SEBs) will be done by primary skin care physicians (PSCPs) or at Study Centers. A Data Safety Monitoring Board (DSMB) will review unblinded results for an interim analysis when 20 subjects have completed 12 months of drug. This review will focus on adverse events and efficacy results. Subjects will be monitored for the development of new SEBs after they discontinue study treatment. At the end of the 18 months, given that the observed adverse events are minimal, patients on placebo will be offered the opportunity to take GDC-0449 for 18 months in an open label continuation, followed by six months observation, and patients on GDC449 will be monitored for the next 24 months for assessment of the duration of benefit after stopping the drug.

03

Conditions studied

  • Basal Cell Nevus Syndrome
  • Gorlin Syndrome
04

Who can participate

Ages eligible
35 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

The subject:

  • has had diagnosed at least 10 SEB (of diameter 3 mm diameter or greater on the nose or periorbital skin, 5 mm or greater elsewhere on the face, or 9 mm or greater on non-facial areas excluding the skin below the knees) during the two years before study entry, as documented histologically in physicians' records and/or diagnosed clinically by a Study Investigator at baseline.
  • meet diagnostic criteria for basal cell nevus syndrome
  • is willing to abstain from application of non-study topical medications to the skin for the duration of the study, including prescription and over the counter preparations. Subjects will be encouraged to use sunscreen (SPF 15) at least once daily on all exposed skin sites.
  • is willing to forego treatment of BCCs unless the BCCs are documented by Study Investigators, preferably on two separate visits, except when the PSCP believes that delay in treatment potentially might compromise the health of the subject.
  • has normal laboratory tests as defined by the following: Normal hematopoietic capacity, Normal hepatic function: and ALT greater than or equal to 2x the (ULN) Total within normal range 0.20 mg/dl to 1.50 mg/dl or within 3x ULN for patients with Gilbert's disease Normal renal function: normal serum creatinine or measured less than 50 mL/minute. Fasting cholesterol greater than or equal to 220 untreated
  • be willing to not donate blood or semen for three months following discontinuation of Study medications.
  • is willing to avoid pregnancy in his partner as defined by the following: Male subject is willing to use a latex condom during the study and for 3 months after the last dose during sexual contact with a female of , even if he has had a successful vasectomy. His partner must also use a form of

Exclusion criteria

Exclusion Criteria:

The subject:

  • has used topical or systemic therapies that might interfere with the evaluation of the study medication during the study. Specifically these include the use of: (i) to more than 5% of the skin (ii) retinoids systemically or topically to more than 5% of the skin during the six months prior to study entry; (iii) alpha-hydroxy acids to more than 5% of the skin during the six months prior to study entry (iv) 5-fluorouracil or imiquimod systemically or topically to the skin above the knees during the six months prior to study entry. (v) treatment with systemic chemotherapy within one year prior to starting study medication.
  • has a history of to any of the ingredients in the study medication formulations.
  • is unable to return for follow-up visits and tests.
  • has uncontrolled systemic disease, including known positive patients.
  • has history of congestive heart failure.
  • has uncontrolled hypocalcemia, hypomagnesemia, or hypokalemia
  • has history of liver disease, including viral or hepatitis, current alcohol abuse, or cirrhosis.
  • has any condition or situation which in the Investigator's opinion may put the subject at significant risk, could confound the study results, or could interfere significantly with the subject's participation in the study.
  • has a history of invasive cancer within the past five years excluding non-melanoma skin cancer, Stage I cervical cancer, ductal carcinoma in situ of the breast, or CLL Stage 0.
  • has current, recent (within 4 weeks of Day 1), or planned participation in an experimental drug study while enrolled in this study.
  • is a female who is pregnant, plans to ever to become pregnant, capable of becoming pregnant or is breast feeding.
  • is a male who is unwilling or unable to comply with pregnancy prevention measures.
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
41 participants (actual)

Study arms

  • Placebo comparator
    Sugar pill

    placebo pill by mouth once daily

    Drug: GDC-0449

  • Experimental
    GDC-0449

    vismodegib 150MG by mouth once daily

    Drug: GDC-0449

Interventions

  • capsule, 150 mg, one pill daily, 18 months

    Also known as: Hedgehog Inhibitor, Hedgehog Antagonist

06

What researchers measure

Primary outcomes

  1. Number of New Surgically Eligible Basal-cell Carcinomas

    Number of new surgically eligible basal-cell carcinomas per patient per year

    Time frame: 3 months of receiving study drug

Secondary outcomes

  1. Change in Size of the Existing Carcinomas, Expressed as the Sum of Cumulative Diameters in Millimeters Over an 18 Month Period

    Time frame: Baseline and 18 months

  2. Number of New Surgically Eligible Basal-cell Carcinomas After Stopping Vismodegib Treatment

    The number of new surgically eligible basal-cell carcinomas per patient per month is reported.

    Time frame: These five patients were given placebo for a mean of 7.4 months (SD 2.3). After receiving vismodegib for a mean of 13.8 months (SD 6.8) and then discontinuing vismodegib for a mean of 11.8 months (SD 7.9) the new basal-cell carcinoma rate is reported.

07

Results

Posted Jan 11, 2021

Participant flow

Study Start
Participant flow — Study Start
MilestoneSugar PillGDC-0449
Started1526
Completed1423
Not completed13
Withdrew: Adverse event03
Withdrew: Disease progression10
Reallocated to or Continued Vismodegib
Participant flow — Reallocated to or Continued Vismodegib
MilestoneSugar PillGDC-0449
Started1423
Completed1121
Not completed32
Withdrew: Death11
Withdrew: Adverse event21

Outcome measures

PrimaryNumber of New Surgically Eligible Basal-cell Carcinomas

Number of new surgically eligible basal-cell carcinomas per patient per year

Time frame:
3 months of receiving study drug
Reported as:
Mean · events per patient year
Number of New Surgically Eligible Basal-cell Carcinomas
events per patient yearSugar PillGDC-0449
Number of New Surgically Eligible Basal-cell Carcinomas34 ± 1.322 ± 0.12
SecondaryChange in Size of the Existing Carcinomas, Expressed as the Sum of Cumulative Diameters in Millimeters Over an 18 Month Period
Time frame:
Baseline and 18 months
Reported as:
Number · Millimeters
Change in Size of the Existing Carcinomas, Expressed as the Sum of Cumulative Diameters in Millimeters Over an 18 Month Period
MillimetersSugar PillGDC-0449
Change in Size of the Existing Carcinomas, Expressed as the Sum of Cumulative Diameters in Millimeters Over an 18 Month Period55 (NA to NA)-60 (NA to NA)
SecondaryNumber of New Surgically Eligible Basal-cell Carcinomas After Stopping Vismodegib Treatment

The number of new surgically eligible basal-cell carcinomas per patient per month is reported.

Time frame:
These five patients were given placebo for a mean of 7.4 months (SD 2.3). After receiving vismodegib for a mean of 13.8 months (SD 6.8) and then discontinuing vismodegib for a mean of 11.8 months (SD 7.9) the new basal-cell carcinoma rate is reported.
Reported as:
Mean · carcinomas per patient per month
Number of New Surgically Eligible Basal-cell Carcinomas After Stopping Vismodegib Treatment
carcinomas per patient per monthSugar PillGDC-0449
Number of New Surgically Eligible Basal-cell Carcinomas After Stopping Vismodegib Treatment1.7 ± 1.50.06 ± 0.12

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Sugar Pill0/15 (0%)2/15 (13.3%)12/15 (80%)
GDC-04492/40 (5%)21/40 (52.5%)40/40 (100%)
Most frequent serious events
Showing 10 of 14
Most frequent serious events
EventSugar PillGDC-0449
Weight lossMetabolism and nutrition disorders0/156/40
Cardiac stent for blocked arteryCardiac disorders1/150/40
HysterectomyReproductive system and breast disorders1/150/40
Muscle crampsMusculoskeletal and connective tissue disorders0/152/40
PneumoniaInfections and infestations0/152/40
Reactions to antibioticInjury, poisoning and procedural complications0/152/40
Chest painCardiac disorders0/152/40
Atrial flutterCardiac disorders0/151/40
ColitisGastrointestinal disorders0/151/40
OesophagitisGastrointestinal disorders0/151/40
Most frequent other events
Showing 10 of 12
Most frequent other events
EventSugar PillGDC-0449
Hair lossSkin and subcutaneous tissue disorders1/1540/40
Muscle crampsMusculoskeletal and connective tissue disorders1/1540/40
DysgeusiaGastrointestinal disorders1/1537/40
Gastrointestinal upsetGastrointestinal disorders2/1526/40
Weight lossMetabolism and nutrition disorders1/1525/40
FatigueGeneral disorders0/1519/40
Common coldRespiratory, thoracic and mediastinal disorders3/158/40
AcneSkin and subcutaneous tissue disorders2/157/40
Runny noseRespiratory, thoracic and mediastinal disorders0/157/40
RashSkin and subcutaneous tissue disorders0/155/40

Baseline characteristics

Age, Continuous
Age, Continuous(years)Sugar PillGDC-0449Total
Mean53 ± 854 ± 854 ± 8
Sex: Female, Male
Sex: Female, Male(Participants)Sugar PillGDC-0449Total
Female6814
Male91827
Region of Enrollment
Region of Enrollment(participants)Sugar PillGDC-0449Total
United States152641
08

Study locations

2 sites
  • Children's Hospital Oakland Research Institiute
    Oakland, California 94609, United States
  • Herbert Irving Comprehensive Cancer Center at Columbia University Medical Center
    New York, New York 10032, United States
09

References and documents

Publications

  • Tang JY, Mackay-Wiggan JM, Aszterbaum M, Yauch RL, Lindgren J, Chang K, Coppola C, Chanana AM, Marji J, Bickers DR, Epstein EH Jr. Inhibiting the hedgehog pathway in patients with the basal-cell nevus syndrome. N Engl J Med. 2012 Jun 7;366(23):2180-8. doi: 10.1056/NEJMoa1113538. PubMed 22670904 ↗
  • Ally MS, Tang JY, Joseph T, Thompson B, Lindgren J, Raphael MA, Ulerio G, Chanana AM, Mackay-Wiggan JM, Bickers DR, Epstein EH Jr. The use of vismodegib to shrink keratocystic odontogenic tumors in patients with basal cell nevus syndrome. JAMA Dermatol. 2014 May;150(5):542-5. doi: 10.1001/jamadermatol.2013.7444. PubMed 24623282 ↗
  • Tang JY, Ally MS, Chanana AM, Mackay-Wiggan JM, Aszterbaum M, Lindgren JA, Ulerio G, Rezaee MR, Gildengorin G, Marji J, Clark C, Bickers DR, Epstein EH Jr. Inhibition of the hedgehog pathway in patients with basal-cell nevus syndrome: final results from the multicentre, randomised, double-blind, placebo-controlled, phase 2 trial. Lancet Oncol. 2016 Dec;17(12):1720-1731. doi: 10.1016/S1470-2045(16)30566-6. Epub 2016 Nov 10. PubMed 27838224 ↗

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Aug 2009, a primary completion of Jan 2014 and a completion of Jan 2014. It does not say whether these dates are actual or estimated.

Results were first posted in Jan 2021, 7 years after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 5, 2009
First posted
Aug 12, 2009
Start
Aug 2009
Primary completionActual
Jan 2014
CompletionActual
Jan 2014
Results first posted
Jan 11, 2021
Last update
Jan 11, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 11, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00957229
Lead sponsor
UCSF Benioff Children's Hospital Oakland
Collaborators
Genentech, Inc.
Responsible party
Sponsor
First posted
Aug 12, 2009
Start date
Aug 2009
Primary completion
Jan 2014
Completion
Jan 2014
Results posted
Jan 11, 2021
Last update
Jan 11, 2021

Study contacts

Ervin Epstein, MD
principal investigator · UCSF Benioff Children's Hospital Oakland

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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