Efficacy and safety of vismodegib in periocular and orbital basal cell carcinoma: a systematic review and meta-analysis - Takeaways - MDSpire

Efficacy and safety of vismodegib in periocular and orbital basal cell carcinoma: a systematic review and meta-analysis

  • By

  • Dalal Alessa

  • May 11, 2026

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  • 1

    Vismodegib shows a pooled complete response rate of 38.4% and a partial response rate of 39.2% in treating periocular and orbital basal cell carcinoma.

  • 2

    Recurrence rates after discontinuation of vismodegib therapy are significant, reported at 17.4%, indicating challenges in long-term management.

  • 3

    Exenteration was performed in 28.1% of patients despite vismodegib treatment, highlighting the limitations of this therapy.

  • 4

    Adverse events were reported in 90.3% of patients, with common issues including alopecia, muscle spasms, and weight loss.

  • 5

    Careful patient selection and monitoring are crucial for optimizing outcomes with vismodegib in periocular and orbital basal cell carcinoma.

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