Case Report


Sonidegib: Real-life experience with Hedgehog inhibitor for the treatment of locally advanced basal cell carcinoma

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1 Unità Operativa Complessa Oncologia, Ospedale “S. Vincenzo”, Taormina (ME), Sicily, Italy

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Alessia Dottore

Alessia Dottore, Unità Operativa Complessa Oncologia, Ospedale “S. Vincenzo”, Taormina (ME), Sicily,

Italy

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Article ID: 100134Z10AD2024

doi: 10.5348/100134Z10AD2024CR

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How to cite this article

Dottore A, Briguglio R, Priolo D, Ferraù F. Sonidegib: Real-life experience with Hedgehog inhibitor for the treatment of locally advanced basal cell carcinoma. J Case Rep Images Oncology 2024;10(2):6–9.

ABSTRACT


Introduction: Sonidegib, a Hedgehog inhibitor approved for the treatment of advanced basal cell carcinoma (BCC), reported an objective response rate of 60.6% (central review) and 74.2% (investigator review) and a median duration of response of 26.1 months in the pivotal trial BOLT. The therapy showed an excellent tolerability profile. The most frequent adverse events are muscle spasms, dysgeusia, alopecia, nausea, increased creatine kinase, weight loss and fatigue.

Case Report: This article reports the case of a neglected patient in which sonidegib rapidly led to an important tumor mass reduction and improvement of quality of life without of adverse effects.

Conclusion: The peculiar efficacy and tolerability of sonidegib, in addition to representing a current gold standard for the treatment of the advanced disease, allow us to hypothesize its use on a larger scale in a modern multidisciplinary strategy (delete with surgery and radiotherapy).

Keywords: Basal cell carcinoma, Real-life experience, Sonidegib

SUPPORTING INFORMATION


Author Contributions

Alessia Dottore - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Roberta Briguglio - Acquisition of data, Drafting the article, Final approval of the version to be published

Domenico Priolo - Acquisition of data, Drafting the article, Final approval of the version to be published

Francesco Ferraù - Substantial contributions to conception and design, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2024 Alessia Dottore et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.