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Updated: Jan 24, 2026

A Real-time Potency Assay for Chimeric Antigen Receptor T Cells Targeting Solid and Hematological Cancer Cells
Published on: November 12, 2019
Hedgehog signaling inhibitors in solid and hematological cancers
Jorge E Cortes1, Ralf Gutzmer2, Mark W Kieran3
1Department of Leukemia, MD Anderson Cancer Center, 1515 Holcombe Blvd. #428, Houston, TX 77030, USA.
Background:
The hedgehog signaling pathway is normally tightly regulated. Mutations in hedgehog pathway components may lead to abnormal activation. Aberrantly activated hedgehog signaling plays a major role in the development of solid and hematological cancer. In recent years, inhibitors have been developed that attenuate hedgehog signaling; 2 have been approved for use in basal cell carcinoma (BCC), while others are under development or in clinical trials. The aim of this review is to provide an overview of known hedgehog inhibitors (HHIs) and their potential for the treatment of hematological cancers and solid tumors beyond BCC.
Design:
Published literature was searched to identify articles relating to HHIs in noncutaneous cancer. Both preclinical and clinical research articles were included. In addition, relevant clinical trial results were identified from www.clinicaltrials.gov. Information on the pharmacology of HHIs is also included.
Results:
HHIs show activity in a variety of solid and hematological cancers. In preclinical studies, HHIs demonstrated efficacy in pancreatic cancer, rhabdomyosarcoma, breast cancer, and acute myeloid leukemia (AML). In clinical studies, HHIs showed activity in medulloblastoma, as well as prostate, pancreatic, and hematological cancers. Current clinical trials testing the efficacy of HHIs are underway for prostate, pancreatic, and breast cancers, as well as multiple myeloma and AML.
Conclusions:
As clinical trial results become available, it will be possible to discern which additional tumor types are suited to HHI mono- or combination therapy with other anticancer agents. The latter strategy may be useful for delaying or overcoming drug resistance.
Insights
Hedgehog inhibitors (HHIs) show promise in treating various cancers beyond skin cancer. Further clinical trials will determine their role in combination therapies to overcome drug resistance.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The hedgehog signaling pathway is crucial in development but its aberrant activation drives cancer.
- Mutations in hedgehog pathway components can lead to uncontrolled cell growth.
- Hedgehog inhibitors (HHIs) are emerging as targeted therapies for various cancers.
Purpose of the Study:
- To review known hedgehog inhibitors (HHIs).
- To explore the potential of HHIs in treating hematological cancers and solid tumors beyond basal cell carcinoma (BCC).
Main Methods:
- Literature search for preclinical and clinical studies on HHIs in non-cutaneous cancers.
- Inclusion of relevant clinical trial data from clinicaltrials.gov.
- Inclusion of pharmacological information on HHIs.
Main Results:
- HHIs demonstrate efficacy in preclinical models of pancreatic cancer, rhabdomyosarcoma, breast cancer, and acute myeloid leukemia (AML).
- Clinical studies show HHI activity in medulloblastoma, prostate cancer, pancreatic cancer, and hematological malignancies.
- Ongoing clinical trials are evaluating HHIs for prostate, pancreatic, breast cancers, multiple myeloma, and AML.
Conclusions:
- Clinical trial outcomes will identify additional tumor types responsive to HHI monotherapy or combination therapy.
- Combination strategies may prove effective in delaying or overcoming acquired drug resistance.
- HHIs represent a promising therapeutic avenue for a range of difficult-to-treat cancers.
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