선택지 정리됨
비흑색종 피부암(BCC / cSCC): 국가별 치료 선택지
이 페이지는 한국어 임상 치료 설명을 새로 쓰지 않습니다. 권위 출처, 진료 전 정리 질문, 임상시험 검색어, 구축 상태를 보여주는 안전한 시작점입니다.
국가별 선택지
국가별 치료 선택지
공식 규제·평가 기관 출처를 바탕으로 한 국가별 승인·접근 상태입니다. 무엇이 어디에 존재하는지를 보여줄 뿐, 추천이 아닙니다.
United States
- Surgery; radiation therapy; vismodegib (Erivedge); sonidegib (Odomzo); cemiplimab-rwlc (Libtayo)[1]FDA-approvedHedgehog pathway inhibition treatment context; no mutation biomarker required by fetched sources; Locally advanced or metastatic BCC; advanced BCC where surgery/radiation may not be appropriate; BCC after hedgehog pathway inhibitor treatment or when HHI is not appropriate. · NCI PDQ is an evidence summary, not a payer source. FDA approval notice does not determine individual eligibility, sequencing, tolerability, or reimbursement. Sonidegib and vismodegib indications differ and require label-level confirmation for exact use. Confidence/conflicts: High for U.S. framework and FDA cemiplimab approval; exact HHI label wording and payer access remain follow-up gaps.
European Union
- Cemiplimab (Libtayo)[2]EMA authorisedNo biomarker requirement stated in fetched EMA page; Adult metastatic or locally advanced cSCC not candidates for curative surgery/radiation; adult high-risk recurrence after surgery and radiation adjuvant setting. · EMA central authorization does not establish reimbursement or access in Germany, France, or other member states. No claim is made for pembrolizumab EU cSCC status from fetched sources. Confidence/conflicts: High for EMA authorization text; member-state reimbursement remains a gap.
United Kingdom
- Cemiplimab (Libtayo)[3]ApprovedNo biomarker requirement stated in fetched NICE recommendation; Adults with metastatic or locally advanced cSCC when curative surgery or curative radiotherapy is not suitable. · NICE recommendation is England/Wales NHS appraisal context and includes stopping and commercial-arrangement conditions. It does not establish Scotland/Northern Ireland status or MHRA label specifics. Confidence/conflicts: High for NICE recommendation text; devolved UK status and MHRA label specifics remain gaps.
- Vismodegib (Erivedge); best supportive care comparator context[4]ApprovedNo biomarker requirement stated in fetched NICE recommendation; Symptomatic metastatic BCC; locally advanced BCC inappropriate for surgery or radiotherapy in adults. · This is a negative NICE recommendation in England/Wales context, not an MHRA label denial. It does not establish Scotland/Northern Ireland status, private access, or later appraisals of cemiplimab/sonidegib. Existing patients started before guidance publication may have different funding arrangements as NICE states. Confidence/conflicts: High for NICE vismodegib non-recommendation; UK cemiplimab/sonidegib status remains active gap.
출처
- National Cancer Institute (NCI) — national cancer agency news / FDA approval context · national cancer agency news / FDA approval context
- European Medicines Agency (EMA) — regulator EPAR · regulator EPAR
- NICE — technology appraisal recommendation · technology appraisal recommendation
- NICE — technology appraisal recommendation · technology appraisal recommendation
위 내용은 공식 규제·접근 상태일 뿐, 의학적 조언이나 추천이 아니고, 적격성을 판단하지도 않습니다. 어떤 선택지가 적합한지는 환자의 상황과 종양내과 팀에 달려 있습니다. 규제 상태는 바뀔 수 있으니 표시된 출처에서 확인하세요. 임상 세부 내용은 영문이 정본입니다. 최종 확인 2026.06.
승인된 치료 너머
임상시험 및 신흥 선택지
환자가 거주하는 국가에서 아직 승인된 표준 치료가 아닌 선택지입니다 — 연구, 임상시험, 허가 외 사용, 담당 종양내과 의사가 먼저 언급하지 않을 수 있는 초기 근거입니다. 각 항목은 근거의 강도에 따라 구분됩니다. 여기에 실린 항목은 조사하고 의료진과 상의할 정보일 뿐, 효과가 입증되었거나 안전하거나 현재 이용 가능하다는 의미가 아닙니다. 임상 세부 내용은 영문이 정본입니다.
임상시험 진행 중
- Cemiplimab-rwlc (Libtayo); pembrolizumab (Keytruda); surgery; radiation therapy; clinical trials임상시험임상시험InvestigationalUnited States · No biomarker requirement stated in fetched sources; PD-1 inhibitor class is treatment mechanism; Recurrent or metastatic cSCC not amenable to curative surgery or radiation; locally advanced cSCC not amenable to curative surgery; adjuvant treatment after surgery and radiation for high-risk recurrence. · NCI PDQ is an evidence summary, not a payer source. FDA approval notices do not determine eligibility, toxicity suitability, or reimbursement. Adjuvant cemiplimab applies only to the high-risk post-surgery/radiation context described by FDA. Confidence/conflicts: High for U.S. evidence summary and approval notices; payer and sequencing details remain unverified. U.S. Food and Drug Administration (FDA) — regulator approval notice
- Cemiplimab; pembrolizumab plus berahyaluronidase alfa; INCB099280; AZD6750 plus rilvegostomig임상시험 · NCT03969004임상시험Trial only (registry)Japan · No biomarker requirement stated for the cSCC-specific Japan records; broad solid-tumor studies may have protocol-specific requirements; High-risk cSCC after surgery and radiation; recurrent/metastatic cSCC; locally advanced unresectable cSCC; advanced/metastatic solid-tumor cohorts including skin SCC. · Registry records do not establish PMDA approval, reimbursement, routine access, or individual eligibility. Some studies are active-not-recruiting or completed. Broad solid-tumor cohorts do not prove cSCC-specific enrollment at every site. Confidence/conflicts: High for Japan registry-listed cSCC activity; PMDA/routine access unverified. ClinicalTrials.gov — clinical-trial registry
- Er:YAG ablative fractional laser-assisted photodynamic therapy; MAL-PDT; MDNA11 plus pembrolizumab임상시험 · NCT02018679임상시험Trial only (registry)Korea · MSI-H, dMMR, or high tumor mutational burden may apply to some broad IL-2 study cohorts; no mutation biomarker required by fetched nodular BCC PDT record; Nodular BCC local therapy study; advanced/unresectable solid tumor cohort including BCC. · Registry records do not establish MFDS approval, reimbursement, routine access, or individual eligibility. The MDNA11 record is broad and does not prove BCC-specific enrollment at every South Korea site. Confidence/conflicts: Medium-high for Korea registry-listed BCC activity; regulator/access unverified. ClinicalTrials.gov — clinical-trial registry
- INCB099280; HMBD-001 plus cetuximab with or without docetaxel; sigvotatug vedotin with pembrolizumab and platinum chemotherapy; AZD6750 plus rilvegostomig; TBio-6517 plus pembrolizumab; TransCon TLR7/8 agonist with or without pembrolizumab임상시험 · NCT05888844임상시험Trial only (registry)Korea · No biomarker requirement stated for cSCC-specific INCB099280 and HMBD-001 records; broad cohorts may have protocol-specific criteria; Advanced cSCC; advanced/metastatic squamous cancer including cSCC; advanced solid tumors including cSCC; neoadjuvant cSCC context in a terminated study. · Registry records do not establish MFDS approval, reimbursement, routine access, or individual eligibility. Some studies are terminated or active-not-recruiting, and broad cohort studies require confirmation that the cSCC cohort is open locally. Confidence/conflicts: High for Korea registry-listed cSCC study activity; regulator/access status unverified. ClinicalTrials.gov — clinical-trial registry
- Pucotenlimab plus becotatug vedotin; camrelizumab plus albumin-bound paclitaxel; HLX07; IBI318; camrelizumab plus cisplatin임상시험 · NCT07394244임상시험Trial only (registry)China · No biomarker requirement stated in fetched China cSCC registry records; Advanced cSCC; locally advanced or metastatic cSCC; squamous cell carcinoma of skin. · Registry records do not establish NMPA approval, reimbursement, routine access, or individual eligibility. Several China records have unknown or not-yet-recruiting status despite listed site status; IBI318 record is terminated. Confidence/conflicts: High for China registry-listed cSCC study activity; NMPA/access unverified. ClinicalTrials.gov — clinical-trial registry
- Sonidegib phosphate capsules; ZSP1602; ivonescimab / ivocizumab임상시험 · NCT06880848임상시험Trial only (registry)China · Hedgehog pathway inhibitor context for sonidegib; no mutation biomarker required by fetched China records; Adult locally advanced BCC; advanced solid tumor/BCC cohort; rare tumor cohort including BCC. · Registry records do not establish NMPA approval, reimbursement, routine access, or individual eligibility. The ZSP1602 and ivonescimab studies are broad cohorts and require protocol confirmation for BCC-specific access. Confidence/conflicts: High for China registry-listed BCC study activity; NMPA/access unverified. ClinicalTrials.gov — clinical-trial registry
- Vismodegib; placebo comparator임상시험 · NCT01815840임상시험Trial only (registry)Russia · Hedgehog pathway inhibitor context; no mutation biomarker required by fetched Russia registry records; Multiple BCC; locally advanced or metastatic BCC. · Registry records do not establish Russian regulator approval, reimbursement, routine access, or current availability. Both studies are completed. Confidence/conflicts: High for historical Russia registry-listed vismodegib activity; current local access unverified. ClinicalTrials.gov — clinical-trial registry
- Cosibelimab (CK-301); cemiplimab; pembrolizumab; CV8102 with or without anti-PD-1 therapy임상시험 · NCT03212404임상시험Trial only (registry)Thailand · No biomarker requirement stated in fetched Thailand/Russia cSCC records; Advanced cancers including cSCC; high-risk cSCC after surgery and radiation; locally advanced cSCC after surgery and radiation; intratumoral therapy context in skin SCC. · Thailand evidence is a broad advanced-cancer record and does not establish cSCC-specific enrollment at each Thai site. Russian records are registry/trial records only and do not establish Russian regulator approval, reimbursement, current enrollment, or routine access. Confidence/conflicts: Medium-high for Thailand/Russia registry activity; country approvals and active access unverified. ClinicalTrials.gov — clinical-trial registry
임상시험이나 초기 보고에 실렸다는 것은 해당 선택지가 연구되고 있다는 의미일 뿐, 효과가 있거나 특정 환자에게 안전하거나 현재 등록 가능하다는 뜻은 아닙니다. 어떤 선택지가 적합한지는 담당 종양내과 팀과 임상시험 팀이 함께 상의할 문제입니다. 최종 확인 2026.06.
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진료 전 정리할 정보
- Is the cSCC locally advanced, recurrent/metastatic, or post-surgery/radiation high-risk?
- Is curative surgery or curative radiation considered unsuitable?
- Which PD-1 inhibitor is approved, accessible, and appropriate in the treating setting?
- Is curative surgery or radiation unsuitable, or is this an adjuvant post-surgery/radiation high-risk setting?