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Potential Skin Cancer Breakthrough Tested at Scottsdale Healthcare Published Today in New England Journal of Medicine
Date:9/2/2009

on Hoff and colleagues at Johns Hopkins University and Karmanos Cancer Institute demonstrated that GDC-0449, a Hedgehog Pathway Inhibitor, appears to shrink tumors in locally-advanced and metastatic basal cell carcinoma (BCC) while having limited side effects including a loss of sense of taste, and a small amount of hair loss and weight loss. GDC-0449 was discovered by Genentech and was jointly validated through a series of preclinical studies performed under a collaboration agreement between Genentech and Curis, Inc. (Cambridge, Mass). Genentech is a wholly-owned subsidiary of the Roche Group.

Known as the "Hedgehog" trial, results suggest a durable clinical benefit, defined as tumor shrinkage visible on X-ray or other physical exam or improvement in symptoms without tumor growth -- was observed in 18 of 33 patients evaluated.

"Until now, we did not have any treatments that can effectively slow the tumor growth in these patients with advanced skin cancer. Using the right drug for each cancer, or precision oncology as we call it, has great potential against other cancers as well," said Dr. Von Hoff.

Abnormal activation of the Hedgehog signaling pathway appears to be an important mechanism for many different types of cancers to develop, survive or grow. This pathway can be inactivated by a chemical called cyclopamine found in the California corn lily. Initial observation and isolation of cyclopamine from the corn lily was made in 1957. Subsequently, scientists at Genentech developed an oral drug called GDC-0449 which can inhibit key components of the Hedgehog pathway.

Basal cell cancer was chosen as the first cancer to be studied, as most BCCs have abnormalities or mutations of Hedgehog pathway genes named PATCHED and SMOOTHENED.

"Success of this new therapy is another example of applying genetic information to medicine. We are constantly working to improve treatment op
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SOURCE Scottsdale Healthcare
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