PMID- 37509282 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230731 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 15 IP - 14 DP - 2023 Jul 14 TI - Sonidegib in Locally Advanced Basal Cell Carcinoma: A Monocentric Retrospective Experience and a Review of Published Real-Life Data. LID - 10.3390/cancers15143621 [doi] LID - 3621 AB - Basal cell carcinoma (BCC) represents the most common skin cancer and locally advanced BCC (laBCC) refers to an aggressive, large, infiltrative BCC that cannot be treated by surgery or radiotherapy. Sonidegib is a Hedghehog inhibitor (HHi) indicated for laBCC. This is a monocentric retrospective real-life study of laBCCs receiving Sonidegib treatment. Although Sonidegib is widely used, since its approval by Food and Drug Administration in 2015, only a limited number of real-life experiences have been reported. Eleven patients, including four patients diagnosed with Basal Cell Naevus syndrome, received treatment with Sonidegib for laBCCs. Seven (63.6%) patients experienced adverse events (AEs) but only three had to discontinue treatment and were therefore excluded from the following results. Four patients (50%) achieved complete clinical remission (CR); in all cases the remission was confirmed by biopsy. Partial response (PR) was found in three patients out of eight (37.5%). One patient out of eight (12.5%) showed a steady disease (SD). None of the patients showed signs of progression during treatment with HHi. Sonidegib showed the same efficacy in treating laBCCs as already seen in trials. All four patients suffering from Basal Cell Naevus syndrome achieved disease control by being treated with Sonidegib. Consequently, we strongly advise the joint management of laBCCs through a multidisciplinary team whenever feasible. FAU - Nazzaro, Gianluca AU - Nazzaro G AUID- ORCID: 0000-0001-8534-6497 AD - Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Benzecry, Valentina AU - Benzecry V AD - Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Mattioli, Maria A AU - Mattioli MA AUID- ORCID: 0000-0001-6532-5066 AD - Department of Physiopathology and Transplantation, University of Milan, 20122 Milan, Italy. FAU - Denaro, Nerina AU - Denaro N AUID- ORCID: 0000-0002-8605-4290 AD - Oncology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Beltramini, Giada A AU - Beltramini GA AD - Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. AD - Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy. FAU - Marzano, Angelo V AU - Marzano AV AUID- ORCID: 0000-0002-8160-4169 AD - Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. AD - Department of Physiopathology and Transplantation, University of Milan, 20122 Milan, Italy. FAU - Passoni, Emanuela AU - Passoni E AD - Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. LA - eng PT - Journal Article DEP - 20230714 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC10377077 OTO - NOTNLM OT - Hedgehog inhibitor OT - basal cell carcinoma OT - locally advanced basal cell carcinoma OT - real-life OT - sonidegib COIS- The authors declare no conflict of interest. EDAT- 2023/07/29 11:53 MHDA- 2023/07/29 11:54 PMCR- 2023/07/14 CRDT- 2023/07/29 01:11 PHST- 2023/06/21 00:00 [received] PHST- 2023/07/11 00:00 [revised] PHST- 2023/07/12 00:00 [accepted] PHST- 2023/07/29 11:54 [medline] PHST- 2023/07/29 11:53 [pubmed] PHST- 2023/07/29 01:11 [entrez] PHST- 2023/07/14 00:00 [pmc-release] AID - cancers15143621 [pii] AID - cancers-15-03621 [pii] AID - 10.3390/cancers15143621 [doi] PST - epublish SO - Cancers (Basel). 2023 Jul 14;15(14):3621. doi: 10.3390/cancers15143621.