A Matching-Adjusted Indirect Comparison of Sonidegib and Vismodegib in Advanced Basal Cell Carcinoma
Table 1
Overview of trial designs, including outcome definitions.
Trial characteristics
BOLT
ERIVANCE
Study description
(i) Multicenter, international, randomized, double-blind, phase 2 study to investigate the safety and efficacy of sonidegib (ii) Patients were randomized to receive either 200 mg or 800 mg of sonidegib [5]
(i) Single-arm, multicenter, international, nonrandomized, phase 2 study to investigate the safety and efficacy of vismodegib [8]
Key inclusion criteria
(i) Histologically confirmed diagnosis, with measurable disease of ≥1 lesion, ≥10 mm in at least 1 dimension by MRI or color photograph (ii) Patients were not amenable to radiation therapy, curative surgery, or other local therapies (iii) Patients were not required to have received any prior therapy [5]
(i) Histologically confirmed diagnosis, with measurable disease of ≥1 lesion, ≥10 mm in the longest dimension (ii) Patients were considered to be inoperable or medically contraindicated to surgery (iii) Patients were required to have been given radiotherapy unless radiotherapy was contraindicated or inappropriate [8]
Key exclusion criteria
(i) Life expectancy was not mentioned (ii) Presence of superficial multifocal BCC that may be considered unresectable was not mentioned [5]
(i) Patients with life expectancy <12 weeks [8] (ii) Patients with superficial multifocal BCC that may be considered unresectable due to breadth of involvement [9]
Periods for reported results (minimum duration of follow-up)
(i) Primary analysis (6 months of follow-up) [14] (ii) 12-Month update (12 months of follow-up) [5] (iii) 18-Month update (18 months of follow-up) [7]
(i) Primary analysis (9 months of follow-up) [8] (ii) 6-Month update (15 months of follow-up) [15] (iii) 12-Month update (21 months of follow-up) [16] (iv) 18-Month update (27 months of follow-up) [17] (v) 24-Month update (33 months of follow-up) [18] (vi) 30-Month update (39 months of follow-up) [19]
Primary efficacy endpoint
(i) ORR by central review
(i) ORR by central review
Other efficacy and safety outcomes available
(i) DOR (ii) Complete response rate (iii) PFS (iv) Overall survival (v) Time to response (vi) Specific adverse events
(i) DOR (ii) Complete response rate (iii) PFS (iv) Overall survival (v) Specific adverse events
Assessment of tumor response
(i) mRECIST: composite assessment of MRI (per RECIST v1.1) [20], photograph (per WHO [21]), and histology (ii) Prespecified sensitivity analysis using ERIVANCE-like criteria
(i) Composite assessment of MRI or photograph (per RECIST v1.0) [22], ulceration, and histology
BCC: basal cell carcinoma; DOR: duration of response; mRECIST: modified RECIST; MRI: magnetic resonance imaging; ORR: objective response rate; PFS: progression-free survival; RECIST: Response Evaluation Criteria in Solid Tumors; WHO: World Health Organization. Only patients with locally advanced BCC in the 200 mg arm are included in this analysis.