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An introduction to the Hedgehog Pathway and its clinical indications

Notch-Hedge Clinical Trials Developmental Pathway

http://clinicaltrials.gov/ct2/show/NCT01071564

The Notch like the Hedgehog pathway is very important in stem cell maintenance and repair of cells. This is also a Roche Compound.

http://www.cnb.uam.es/~jlpompa/


The second is a blocker of Hh (hedgehog) signaling, GDC-0449, which we are combining with a blocker of gamma secretase (RO4929097) in a novel study for people with recurrent sarcomas. We are seeking funding to perform this multi-center study, focusing on biopsies ...


Hedgehog Pathway Images and Videos

Genentech:

You Tube:
    An award-winning short video clip exploring the Sonic Hedgehog Signaling Pathway for an Embryology - CBNS 169 course.
    Won the first ever best editing video award for CBNS 169!!! :)
    http://www.youtube.com/watch?v=ZryiyO32q-0

Infinity Pharma
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Adult Cells and the Hedgehog Pathway

The theory of Adult Stem Cells causing some/most cancers goes like this.

There is long-known association between cancer and chronic tissue injury. For example, if you stay out in the sun your are more likely to develop skin cancer. If you smoke you increase your risk for lung cancers. Another example is drinking. Continued chemical insult can also cause many cancers or even environmental factors.

How does this relate to ASC?
    Every time your tissue ...
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Hedgehog Pathway Cancer and Metastasis

Hedgehog Pathway Cancer and Metastasis

Increase Hh Pathway Activation leads to Increase Snail protein expression and Decreased E-cadherin & Tight Junctions

E-cadherin stretches across the cell membrane and acts as a sort of molecular “glue” that binds neighboring cells together. About 95 percent of human cancers arise from epithelial cell types that rely on E-cadherin adhesion to maintain their orderly structure. Without this E-cadherin glue, cancer cells are able to metastasize. “Our view is that ...
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Hedgehog Pathway Clinical Implications

There are three main focuses of research surrounding the Hh pathway that could become relevant in a clinical application

1) Embryonic Stem cells for regenerative medicine (agonist/antagonist)
2) Agonist (turns pathway on)---which encompasses, degenerative diseases, stroke, hair growth in the adult body
3) Antagonist (turns pathway off)----Cancer http://www.pathway2curis.com/the-hedgehog-pathway-and-its-cancers-f7.html

I will touch on the basics of each topic and in the science section of this forum you can dig into the details of each one.

1) ...
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PII Trial Started of Pancreatic Cancer and GDC-0499

http://clinicaltrials.gov/ct2/show/NCT01064622
Gemcitabine Hydrochloride With or Without GDC-0449 in Treating Patients With Recurrent or Metastatic Pancreatic Cancer
Purpose
RATIONALE: Drugs used in chemotherapy, such as gemcitabine hydrochloride, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. GDC-0449 may slow the growth of tumor cells. It is not yet known whether giving gemcitabine hydrochloride together with GDC-0449 is ...


Novartis Pharmaceuticals LDE225 & LEQ506 hedgehog inihbitor

Advanced Solid Tumors
http://clinicaltrials.gov/ct2/show/NCT00880308?term=LDE225 PI
This first-in-human dose-escalation study is to characterize the safety, tolerability, pharmacokinetics and pharmacodynamics of LDE225 given orally on a daily dosing schedule in patients with advanced solid tumors.
  • Study Start Date: March 2009
  • Estimated Primary Completion Date: December 2010

Skin Basal Cell Carcinomas in Gorlin's Syndrome Patients PI / PII
http://clinicaltrials.gov/ct2/show/NCT00961896?term=LDE225
A double-blind, randomized, vehicle-controlled Proof of Concept (PoC) study to evaluate the safety, local tolerability, pharmacokinetics and pharmacodynamics of ...


Infinity Pharmaceuticals hedgehog inhibitor IPI-926

Advanced and/or Metastatic Solid Tumor Malignancies PI
http://clinicaltrials.gov/ct2/show/NCT00761696?term=IPI-926
A Phase 1 Study of IPI-926 in Patients With Advanced and/or Metastatic Solid Tumor Malignancies

A Study Evaluating IPI-926 in Combination With Gemcitabine in Patients With Metastatic Pancreatic Cancer PI/PII
http://clinicaltrials.gov/ct2/show/NCT01130142
Study IPI-926-03 is a Phase 1b/2 clinical trial to evaluate IPI 926 in combination with gemcitabine in patients with previously untreated metastatic pancreatic cancer. Phase 1b is designed as a dose escalation study. Once the maximum ...


Phase II clinical trial update BCC / Colon / Ovarian cancers

First Line Colon Cancer
    Completed Enrollment Q2 2009 N=199

Advanced Ovarian Cancer
    Completed Enrollment Q4 2009 N=104

Advanced BCC
    FPI Q1 2009 N=100


List of Related Hedgehog Pathway Cancers

Mutation Driven
  • Rhabdomyosarcoma
  • Medulloblastoma
  • Nevoid Basal Cell Carcinoma Syndrome (NBCCS)
  • Basal Cell Carcinoma
  • Gorlin Syndrome

Ligand Driven
  • Breast Cancer
  • Esophageal Cancer
  • Gastric Cancer
  • Glioblastoma
  • Pancreatic Cancer
  • Prostate Cancer
  • Small-Cell Lung Cancer (SCLC)
  • Colon Cancer
Read more : List of Related Hedgehog Pathway Cancers | Views : 570 | Replies : 0 | Forum : Hedgehog Pathway Related Cancers


 

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