Most Read Articles
27 Nov 2017
The amino sulphonic acid taurine may safely and effectively reduce portal pressure in cirrhotic patients, a study has shown.
Prof. Vincent Wong, Prof. Ray Kim, Dr. Tan Poh Seng, 10 Sep 2019
Chronic hepatitis B (CHB) remains a major public health concern because of its worldwide distribution and potential adverse sequelae, including cirrhosis and hepatocellular carcinoma (HCC). At a recent symposium held during the GIHep Singapore 2019, Professor Vincent Wong from the Chinese University of Hong Kong and Professor Ray Kim from the Stanford University School of Medicine, Stanford, California, US, discussed antiviral treatments for CHB, with a focus on the novel agent tenofovir alafenamide (Vemlidy®). Dr Tan Poh Seng from the National University Hospital, Singapore, chaired the symposium.
26 Nov 2019
Podcast: Professor R. Scott Wright speaks about the potential role of inclisiran in providing durable reductions in LDL-cholesterol levels in patients with atherosclerotic cardiovascular disease.
Jairia Dela Cruz, 12 Dec 2019
Use of isatuximab (Isa) in combination with pomalidomide and dexamethasone (PomDex) appears to lead to more favourable outcomes in elderly patients with relapsed/refractory multiple myeloma (RRMM) as compared with PomDex alone, according to the results of a subgroup analysis of the ICARIA-MM trial presented at the 61st Annual Meeting of the American Society of Hematology (ASH 2019).

Vismodegib holds therapeutic potential in advanced basal cell carcinoma

10 Jan 2020

The Hedgehog pathway inhibitor vismodegib appears to be effective in the treatment of locally advanced periocular basal cell carcinoma (BCC), with adverse events (AEs) that are mostly manageable, as reported in a recent study.

The researchers reviewed the medical records of 21 patients (median age, 76 years; 76.2 percent male) with locally advanced and metastatic orbital (n=15) or periocular (n=6) BCC treated with vismodegib. Treatment went on for a median of 9 months.

Follow-up duration was 26 months overall and 17 months after cessation of treatment. Complete response was seen in 10 patients and partial response in another 10 patients, whereas disease remained stable in the remaining patient. Among the complete responders, five sustained a complete response at 16 months and three who stopped treatment experienced recurrence 8 months later.

Most treatment-related adverse reactions were low grade (grade 1 or 2). Frequently reported grade 1 or 2 complications were muscle spasm (76 percent), dysgeusia (57 percent), alopaecia (47 percent), weight loss (47 percent) and reduced appetite (19 percent). Hepatoxicity was the only documented high-grade (grade 3 or 4) adverse event (10 percent).

Treatment was withdrawn in eight patients due to side effects. There were five deaths overall, most of which were deemed unrelated to vismodegib therapy, except for one patient who died from potentially treatment-related sepsis (grade 5 adverse event).

The present data show that long periods of complete tumour regression can be achieved in some patients even after discontinuation of the medication, according to the researchers. However, the optimal treatment protocol and duration have yet to be established, highlighting a need for more prospective multicenter trials.

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Most Read Articles
27 Nov 2017
The amino sulphonic acid taurine may safely and effectively reduce portal pressure in cirrhotic patients, a study has shown.
Prof. Vincent Wong, Prof. Ray Kim, Dr. Tan Poh Seng, 10 Sep 2019
Chronic hepatitis B (CHB) remains a major public health concern because of its worldwide distribution and potential adverse sequelae, including cirrhosis and hepatocellular carcinoma (HCC). At a recent symposium held during the GIHep Singapore 2019, Professor Vincent Wong from the Chinese University of Hong Kong and Professor Ray Kim from the Stanford University School of Medicine, Stanford, California, US, discussed antiviral treatments for CHB, with a focus on the novel agent tenofovir alafenamide (Vemlidy®). Dr Tan Poh Seng from the National University Hospital, Singapore, chaired the symposium.
26 Nov 2019
Podcast: Professor R. Scott Wright speaks about the potential role of inclisiran in providing durable reductions in LDL-cholesterol levels in patients with atherosclerotic cardiovascular disease.
Jairia Dela Cruz, 12 Dec 2019
Use of isatuximab (Isa) in combination with pomalidomide and dexamethasone (PomDex) appears to lead to more favourable outcomes in elderly patients with relapsed/refractory multiple myeloma (RRMM) as compared with PomDex alone, according to the results of a subgroup analysis of the ICARIA-MM trial presented at the 61st Annual Meeting of the American Society of Hematology (ASH 2019).