TheraRadar
Data updated: May 26, 2026

ERIVEDGE (vismodegib)

Smoothened Receptor Antagonists Trial Activity: Stable 14 active trials
Oncology Approved 2012-01-30

Erivedge is a medication used for adults with advanced forms of basal cell carcinoma. It treats patients whose skin cancer has spread to other parts of the body or has returned after surgical procedures. It also provides an option for those with locally advanced disease who are not eligible for surgery or radiation therapy.

Source: FDA Label • Roche • Hedgehog Pathway Inhibitor

How ERIVEDGE Works

This medication works by targeting the Hedgehog signaling pathway. It binds to and inhibits a specific transmembrane protein called Smoothened. By blocking this protein, the drug interferes with the signal transduction process within the Hedgehog pathway.

Development Insights

National Cancer Institute (NCI) conducting 18 trials (30%)
237 indications explored (Broad Platform)
basal cell carcinoma (11 trials)
recurrent pancreatic carcinoma (4 trials)
refractory malignant solid neoplasm (3 trials)
2
Indications
--
Phase 3 Trials
1
Priority Reviews
14
Years on Market

Details

Status
Prescription
First Approved
2012-01-30
Patent Cliff
2028
Revenue
$283M (FY-2022)

Pro Metrics

Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
CAPSULE

Companies

Active Ingredient: VISMODEGIB

ERIVEDGE Approval History

2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
15 FDA actions from 2012 to 2023 · 1 indication expansions
Mar 2023 SUPPL
Label · Labeling
Jul 2020 SUPPL
Label · Labeling
Mar 2019 SUPPL
Label · Labeling

What ERIVEDGE Treats

2 indications

ERIVEDGE is approved for 2 conditions since its original approval in 2012. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Metastatic Basal Cell Carcinoma
  • Basal Cell Carcinoma
Source: FDA Label

ERIVEDGE Boxed Warning

EMBRYO-FETAL TOXICITY ERIVEDGE can cause embryo-fetal death or severe birth defects when administered to a pregnant woman. ERIVEDGE is embryotoxic, fetotoxic, and teratogenic in animals. Teratogenic effects included severe midline defects, missing digits, and other irreversible malformations [see Warnings and Precautions (5.1) , Use in Specific Populations (8.1) ] . Verify the pregnancy status of females of reproductive potential within 7 days prior to initiating ERIVEDGE. Advise pregnant women ...

ERIVEDGE Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

What's emerging in ERIVEDGE's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications ERIVEDGE treats. First-in-class if their pivotal trials read out positive.

Drugs Similar to ERIVEDGE

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EXTROVIS
Shared indications:
Basal Cell Carcinoma
FAVLYXA
FLUOROURACIL
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AVYXA HOLDINGS
Shared indications:
Basal Cell Carcinoma
FLUOROURACIL
FLUOROURACIL
1 shared
TARO
Shared indications:
Basal Cell Carcinoma
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Clinical Trial Registry

61 trials
Trial Sponsor ID Phase Status Title
NCT02465060 NCI-2015-00054 NCI-2015-00054, EAY131 Ph 2 active not recruiting Targeted Therapy Directed by Genetic Testing in Treating Patients With Advanced Refractory Solid Tumors, Lymphomas, or Multiple Myeloma (The MATCH Screening Trial)
NCT02523014 A071401 NCI-2015-00546 Ph 2 recruiting Vismodegib, FAK Inhibitor GSK2256098, Capivasertib, and Abemaciclib in Treating Patients With Progressive Meningiomas
NCT00959647 results posted SHH4437g GO01352 Ph 2 completed A Study of Vismodegib (GDC-0449) in Patients Treated With Vismodegib in a Previous Genentech-sponsored Phase I or II Cancer Study
NCT06357988 results posted NCI-2024-01149 NCI-2024-01149, EAY131-T Ph 2 active not recruiting Testing GDC-0449 (Vismodegib) as Potentially Targeted Treatment in Cancers With Smoothened or Patched 1 Mutant Tumors (MATCH - Subprotocol T)
NCT02667574 VISMONEO 2013_36 2013-004338-13 Ph 2 completed Study Evaluating the Interest of Vismodegib as Neo-adjuvant Treatment of Basal Cell Carcinoma (BCC)
NCT00878163 NCI-2011-01400 NCI-2011-01400, CDR0000638302 Ph 1 active not recruiting GDC-0449 and Erlotinib Hydrochloride With or Without Gemcitabine Hydrochloride in Treating Patients With Metastatic Pancreatic Cancer or Solid Tumors That Cannot Be Removed by Surgery
NCT01267955 results posted NCI-2011-02564 NCI-2011-02564, CDR0000691728 Ph 2 active not recruiting Vismodegib in Treating Patients With Advanced Chondrosarcomas
NCT03297606 CAPTUR PM1 ESR-17-12831, CA209-9DL Ph 2 recruiting Canadian Profiling and Targeted Agent Utilization Trial (CAPTUR)
NCT06616623 OSU-23268 NCI-2024-07859 Ph 1 recruiting Vismodegib and Atezolizumab for the Treatment of Recurrent or Metastatic Non-Small Cell Lung Cancer
NCT05538091 HCC 22-017 Ph 2 recruiting Vismodegib Combined With Atezolizumab in Platinum Resistant Ovarian, Fallopian Tube, and Primary Peritoneal Cancer
NCT03498521 CUPISCO results posted MX39795 2017-003040-20 Ph 2 completed A Phase II Randomized Study Comparing the Efficacy and Safety of Targeted Therapy or Cancer Immunotherapy Versus Platinum-Based Chemotherapy in Patients With Cancer of Unknown Primary Site
NCT01878617 SJMB12 NCI-2013-01125, R01CA187079 Ph 2 active not recruiting A Clinical and Molecular Risk-Directed Therapy for Newly Diagnosed Medulloblastoma
NCT05561634 RADIOSONIC 2021_0710 2022-A01424-39 Ph 2 recruiting Radiotherapy by Sonic Hedgehog Pathway Inhibitors in Basal Cell Carcinoma
NCT04341181 ProTarget ProTarget Ph 2 recruiting ProTarget - A Danish Nationwide Clinical Trial on Targeted Cancer Treatment Based on Genomic Profiling
NCT01064622 results posted NCI-2011-01454 NCI-2011-01454, 10-00099 Ph 2 completed Gemcitabine Hydrochloride With or Without Vismodegib in Treating Patients With Recurrent or Metastatic Pancreatic Cancer
NCT06344052 SP-002-004 Ph 2 recruiting To Assess the Safety and Efficacy of SP-002 with Vismodegib for the Treatment of Locally Advanced Basal Cell Carcinoma
NCT01774253 results posted NMTRCPG007 Ph 2 terminated Erivedge (Vismodegib) in the Treatment of Pediatric Patients With Refractory Pontine Glioma
NCT02091141 results posted ML28897 PRO 02 Ph 2 completed My Pathway: A Study Evaluating Herceptin/Perjeta, Tarceva, Zelboraf/Cotellic, Erivedge, Alecensa, and Tecentriq Treatment Targeted Against Certain Molecular Alterations in Participants With Advanced Solid Tumors
NCT05159245 FINPROVE FINPROVE Ph 2 recruiting The Finnish National Study to Facilitate Patient Access to Targeted Anti-cancer Drugs
NCT03878524 STUDY00015588 NCI-2020-02743, STUDY00015588 Ph 1 terminated Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) PRIME Trial
NCT02925234 DRUP M15DRU Ph 2 recruiting The Drug Rediscovery Protocol (DRUP Trial)
NCT02073838 Ribavirin=005 Ph 2 completed Ribavirin and Hedgehog Inhibitor With or Without Decitabine in AML
NCT03158389 N²M² NCT-2014-0235/N2M2 2015-002752-27 Ph 1, Ph 2 completed NCT Neuro Master Match - N²M² (NOA-20)
NCT03035188 NICCI ADO-EP02 (ML29328) Ph 2 completed Neoadjuvant Vismodegib in Patients With Large and/or Recurrent Resectable Basal Cell Carcinoma
NCT02436408 VISORB results posted UMCC 2014.022 HUM00082579 Ph 4 completed VISmodegib for ORbital and Periocular Basal Cell Carcinoma
NCT02337517 results posted NCI-2014-02672 NCI-2014-02672, IIT 9664 Ph 2 terminated Vismodegib in Treating Patients With Steroid-Refractory Chronic Graft-Versus-Host Disease
NCT01835626 results posted 122011 NCI-2013-00871 Ph 2 completed Phase II Study of Radiation Therapy and Vismodegib for Advanced Head/Neck Basal Cell Carcinoma
NCT02366312 KCOT results posted 15-00254 ML28859 Ph 2 completed A Phase 2, Single-center, Single-arm, Open Label Trial of Vismodegib in Patients With Keratocystic Odontogenic Tumors
NCT00887159 results posted NCI-2011-01917 NCI-2011-01917, 09-0679 Ph 2 completed A Randomized Phase II Study of Cisplatin and Etoposide in Combination With Either Hedgehog Inhibitor GDC-0449 or IGF-1R MOAB IMC-A12 for Patients With Extensive Stage
NCT01556009 Vismodegib results posted 2011-077 ML28244 Ph 2 completed Trial Comparing the Effects of Intermittent Vismodegib vs. PDT in Patients With Multiple Basal Cell Carcinomas
NCT02956889 virgilio ONC-2015-001 Ph 2 terminated To Assess The Efficacy And Safety Of Vismodegib And Radiotherapy In Advanced Basal Cell Carcinoma
NCT03767439 AAAS1021 Ph 2 withdrawn Nivolumab With Vismodegib in Patients With Basal Cell Nevus Syndrome
NCT02067104 results posted 1401183410 ML28585 Ph 2 terminated Vismodegib in Basal Cell Carcinomas (BCC) Chemoprevention
NCT01367665 results posted MO25616 2011-000195-34 Ph 2 completed STEVIE: A Study of Vismodegib in Patients With Locally Advanced or Metastatic Basal Cell Carcinoma
NCT01601184 MEVITEM 2011-003372-37 Ph 1, Ph 2 terminated Study of Vismodegib in Combination With Temozolomide Versus Temozolomide Alone in Patients With Medulloblastomas With an Activation of the Sonic Hedgehog Pathway
NCT01537107 MC1111 NCI-2011-03809 Ph 1 completed Sirolimus and Vismodegib in Treating Patients With Solid Tumors or Pancreatic Cancer That is Metastatic or Cannot Be Removed By Surgery
NCT02690948 results posted IRB-34925 NCI-2015-01869, 350 Ph 1, Ph 2 completed Pembrolizumab With or Without Vismodegib in Treating Metastatic or Unresectable Basal Cell Skin Cancer
NCT01163084 results posted NCI-2010-01737 NCI-2010-01737, CDR0000670590 Ph 1, Ph 2 terminated Leuprolide Acetate or Goserelin Acetate With or Without Vismodegib Followed by Surgery in Treating Patients With Locally Advanced Prostate Cancer
NCT01154452 results posted NCI-2011-01412 NCI-2011-01412, CDR0000680558 Ph 1, Ph 2 completed Vismodegib and Gamma-Secretase/Notch Signalling Pathway Inhibitor RO4929097 in Treating Patients With Advanced or Metastatic Sarcoma
NCT02639117 PDT-Vismo 1511201549 Ph 1 completed Photodynamic Therapy and Vismodegib for Multiple Basal Cell Carcinomas
NCT02593760 WO29806 2015-001620-33 Ph 1 completed A Study to Evaluate the Efficacy and Safety of Vismodegib in Combination With Ruxolitinib for the Treatment of Intermediate- or High-Risk Myelofibrosis (MF)
NCT02648048 ISLAND2 GB29764 2015-003481-81 Ph 1 completed A Study of Oral Vismodegib in Combination With Pirfenidone in Participants With Idiopathic Pulmonary Fibrosis
NCT01815840 results posted MO28295 2012-003305-10 Ph 2 completed A Study of Two Vismodegib Regimens in Participants With Multiple Basal Cell Carcinomas
NCT00980343 results posted NCI-2012-02922 NCI-2012-02922, CDR0000654829 Ph 2 completed GDC-0449 in Treating Patients With Recurrent Glioblastoma Multiforme That Can Be Removed by Surgery
NCT01195415 results posted NCI-2011-03746 NCI-2011-03746, UMCC 2010-003 Ph 2 completed Vismodegib and Gemcitabine Hydrochloride in Treating Patients With Advanced Pancreatic Cancer
NCT01174264 results posted NCI-2012-03099 NCI-2012-03099, NCI 8395 Ph 1, Ph 2 completed Evaluation of Food Effect on Pharmacokinetics of Vismodegib
NCT01898598 results posted ML28726 Ph 2 terminated A Study of Vismodegib With Surgery in Participants With Previously Untreated Basal Cell Carcinoma
NCT01944943 VISMOLY VISMOLY Ph 2 terminated Phase II Study of Vismodegib in Patients With Refractory or Relapsed B-cell Lymphoma or Chronic Lymphocytic Leukemia
NCT02168530 GB29298 2014-000963-42 Ph 2 withdrawn A Study of Oral Vismodegib for the Treatment of Idiopathic Pulmonary Fibrosis (IPF)
NCT01772290 GP28465 Ph 1 completed A Drug-Drug Interaction Study of the Effect of Rabeprazole, Itraconazole or Fluconazole on the Pharmacokinetics of Vismodegib

Showing 50 of 61 trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ERIVEDGE FDA Label Details

Indications & Usage

FDA Label (PDF)

ERIVEDGE is indicated for the treatment of Metastatic Basal Cell Carcinoma; Basal Cell Carcinoma.

⚠️ BOXED WARNING

WARNING: EMBRYO-FETAL TOXICITY ERIVEDGE can cause embryo-fetal death or severe birth defects when administered to a pregnant woman. ERIVEDGE is embryotoxic, fetotoxic, and teratogenic in animals. Teratogenic effects included severe midline defects, missing digits, and other irreversible malformation...

View full patent landscape →
2 OB patents · 1 families · 75 international docs across 27 countries

ERIVEDGE Patents & Exclusivity

Latest Patent: Dec 2028

Patents (2 active)

US9278961 Expires Dec 15, 2028
US7888364 Expires Nov 11, 2028
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for ERIVEDGE

Revenue Insights

  • FY-2022: $283M
  • Historical trend analysis

Patent Timeline

  • Cliff: 2028
  • 2 active patents

Trial Analysis

  • 61 total trials
  • Stage: Stable

Competitive Landscape

  • 6 similar drugs
  • Same target/indication analysis
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Full approval history • All patents • Revenue trends • Competitor analysis

Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment