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Updated: Jun 17, 2026

Cell Population Analyses During Skin Carcinogenesis
Published on: August 21, 2013
The hedgehog pathway inhibitor GDC-0449 shows potential in skin and other cancers
1Queensland University of Technology, School of Life Sciences, Faculty of Science and Technology, GPO Box 2434, QLD4001, Brisbane, Australia. sheila.doggrell@qut.edu.au
Background:
The hedgehog signalling pathway is vital in early development, but then becomes dormant, except in some cancer tumours. Hedgehog inhibitors are being developed for potential use in cancer.
Objectives/Methods:
The objective of this evaluation is to review the initial clinical studies of the hedgehog inhibitor, GDC-0449, in subjects with cancer.
Results:
Phase I trials have shown that GDC-0449 has benefits in subjects with metastatic or locally advanced basal-cell carcinoma and in one subject with medulloblastoma. GDC-0449 was well tolerated.
Conclusions:
Long-term efficacy and safety studies of GDC-0449 in these conditions and other solid cancers are now underway. These clinical trials with GDC-0449, and trials with other hedgehog inhibitors, will reveal whether it is beneficial and safe to inhibit the hedgehog pathway in a wide range of solid tumours or not.
Insights
The hedgehog inhibitor GDC-0449 shows promise for treating basal-cell carcinoma and medulloblastoma. Further studies are ongoing to determine its long-term safety and efficacy in various cancers.
Area of Science:
- Oncology
- Developmental Biology
- Pharmacology
Background:
- The hedgehog signaling pathway is crucial during embryonic development.
- This pathway is reactivated in certain types of cancer.
- Hedgehog inhibitors are under investigation as potential cancer therapeutics.
Purpose of the Study:
- To review early clinical investigations of the hedgehog inhibitor GDC-0449.
- To assess the initial safety and efficacy of GDC-0449 in cancer patients.
Main Methods:
- Phase I clinical trials were conducted.
- The study evaluated GDC-0449 in patients with specific cancer types.
Main Results:
- GDC-0449 demonstrated therapeutic benefits in patients with metastatic or locally advanced basal-cell carcinoma.
- A single patient with medulloblastoma also showed a positive response.
- The drug was generally well-tolerated by study participants.
Conclusions:
- Ongoing long-term studies will further evaluate the efficacy and safety of GDC-0449.
- These studies include basal-cell carcinoma, medulloblastoma, and other solid tumors.
- The broader utility of hedgehog pathway inhibition in cancer treatment will be clarified by these trials.
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