Vismodegib is an orally active small molecule that inhibits the hedgehog signaling pathway by binding to and inhibiting the transmembrane protein smoothened homologue (SMO). It was discovered by high-throughput screening of a library of small-molecule compounds and subsequent optimization through medicinal chemistry. Since it targets the hedgehog signaling pathway, vismodegib has anti-tumor activity in basal-cell carcinoma. The Hedgehog signaling pathway plays an important role in the development of organs and tissues during embryogenesis. Afterwards, it is silenced in all cells and tissues, except for hair, skin and stem cells. However, dysregulated or aberrant Hedgehog signaling has been associated with basal cell carcinoma pathogenesis. In January 2012, vismodegib was approved by the FDA for the treatment of adult basal cell carcinoma. In July 2013, it was approved by the EMA, and since then, it has been approved by several other countries.
用于不能手术或放疗的局部晚期皮肤基底细胞癌患者和肿瘤已转移的患者。
Clínica Universidad de Navarra, Pamplona, Navarra, Spain
Stanford University School of Medicine, Palo Alto, California, United States
Klinik Johann Wolfgang von Goethe Uni; Klinik für Dermatologie, Venerologie und Allergologie, Frankfurt, Germany
CHU Ambroise Paré, Paris, France
Institut Gustave Roussy, Villejuif, France
CH de Boulogne sur mer, Boulogne sur mer, France
Tulane University Medical School, New Orleans, Louisiana, United States
Suburban Lung Associates, Elk Grove, Illinois, United States
Allied Clinical Research, Reno, Nevada, United States
Arizona Cancer Center, Tucson, Arizona, United States
Florida Cancer Specialists, West Palm Beach, Florida, United States
Oncology Hematology Care Inc, Cincinnati, Ohio, United States
Florida Cancer Specialists-Broadway, Fort Myers, Fort Myers, Florida, United States
Saint Joseph's Hospital and Medical Center, Phoenix, Arizona, United States
Mayo Clinic in Arizona, Scottsdale, Arizona, United States
Arizona Oncology Services Foundation, Scottsdale, Arizona, United States
University of Alabama at Birmingham Cancer Center, Birmingham, Alabama, United States
Thomas Hospital, Fairhope, Alabama, United States
Mobile Infirmary Medical Center, Mobile, Alabama, United States
University of Michigan Hospital, Ann Arbor, Michigan, United States
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