Radiation after Sonic Hedgehog inhibitor response for locally advanced basal cell carcinoma
Official title: Evaluation of Radiotherapy After Complete Response to Sonic Hedgehog Pathway Inhibitors in Patients With Locally Advanced Basal Cell Carcinoma: a Prospective Multicenter Study
Run by University Hospital, Lille · NCT05561634 · Data updated 2026-11-12
This trial tests whether giving radiotherapy after a complete response to Sonic Hedgehog inhibitors (vismodegib or sonidegib) helps people with locally advanced basal cell carcinoma stay cancer-free.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 82 (estimated) |
| Sponsor | University Hospital, Lille Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Lille) |
| Status | Recruiting |
| Started | June 20, 2023 |
| Main results expected | June 20, 2029 |
| Study ends | June 20, 2029 |
| Registry record updated | September 30, 2025 |
| Trial ID | NCT05561634 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with locally advanced, non-recurrent BCC who achieved a histologically confirmed complete response after a first course of a Sonic Hedgehog inhibitor and who have pre-treatment photos or CT for tumor delineation are ideal candidates.
✕Probably not a fit
Patients with distant metastases, Gorlin's syndrome, prior overlapping radiotherapy to the region, pregnant women, those with life expectancy under one year, or those unable/unwilling to consent or participate are not eligible and unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective multicenter Phase 2 study enrolling adults with locally advanced, non-recurrent basal cell carcinoma who achieved a histologically confirmed complete response after a first course of Sonic Hedgehog inhibitors. Eligible participants have pre-treatment photographs or CT scans to allow delineation of the original tumor and no prior overlapping radiotherapy to the region. Enrolled patients receive consolidation radiotherapy after SHHi-induced complete response and are followed with clinical exams and imaging to monitor for relapse and treatment-related toxicity. Outcomes will focus on relapse rates after treatment discontinuation and the safety/tolerability of adding radiotherapy in this setting.
Why it matters
Potential benefit: If successful, consolidation radiotherapy could lower the high relapse rate seen after stopping Sonic Hedgehog inhibitors and reduce the need to restart systemic therapy.
How similar studies have gone: A few case reports have suggested combining vismodegib with radiotherapy can improve response, but there are no prior prospective studies specifically testing consolidation radiotherapy after complete response, so evidence is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient over 18 years * Locally advanced non-recurrent BCC in complete response after first course of SHHi * Complete response has to be confirmed histologically * Available photography or CT scan before SHHi treatment allowing delineation of the initial tumor Exclusion Criteria: * Patients with distant metastasis * Patients with Gorlin's syndrome * Prior radiotherapy to the region of the studied cancer that would result in overlap of radiation therapy fields * Pregnant women * Life expectancy less than 1 year * Inability to receive informed consent * Inability to participate in the entire study * Lack of social security coverage * Refusal to sign consent
Where it's running
-
CHU Lille
Lille, France Recruiting
Study contacts
- Principal investigator: Laurent Mortier, MD,PhD — University Hospital, Lille
- Study coordinator: Laurent Mortier, MD,PhD
- Email: laurent.mortier@chru-lille.fr
- Phone: 0320445962
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.