West China Hospital, Sichuan University
Chengdu, Sichuan, 610000, China
Location status: Recruiting
NCT Number: NCT07567235
This phase I, open-label, single-arm, non-randomized clinical trial uses a "3+3" dose-escalation design to evaluate the safety, tolerability, and preliminary efficacy of intradermal delivery of complement factor H (CFH) fragment (human, 860-1231aa) via ice microneedles for the prevention of radiation-induced skin fibrosis in patients with head and neck squamous cell carcinoma (excluding nasopharyngeal carcinoma) receiving postoperative adjuvant radiotherapy. The main questions are: 1. The safety profile, including dose-limiting toxicities (DLTs) within 28 days after the first dose, adverse events, and tolerability. 2.Preliminary efficacy, assessed by changes in irradiated skin thickness, palpation of fibrotic area, CTCAE grade ≤2 fibrosis rate, and quality of life. Participants receive CFH ice microneedle patches twice weekly for a total of 8 doses (starting at 0.5 mg, escalating to 1.0 mg and 2.0 mg), applied to the skin area to be irradiated.
Interested in participating?
Request Info18 year–75 year
All sexes
Interventional
Phase 1
Chengdu, Sichuan, 610000, China
Location status: Recruiting
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Hemoglobin ≥ 80 g/L; neutrophil count > 1.5 × 10⁹/L; platelet count ≥ 80 × 10⁹/L; Total bilirubin ≤ 1.5 × upper limit of normal (ULN); ALT or AST ≤ 2.5 × ULN (or ≤ 5 × ULN in the presence of liver metastases); Serum creatinine ≤ 1.5 × ULN or creatinine clearance (CrCl) ≥ 60 mL/min (Cockcroft-Gault formula); Prothrombin time (PT) and international normalized ratio (INR) ≤ 1.5 × ULN (unless on warfarin anticoagulation); Left ventricular ejection fraction (LVEF) ≥ 50%.
Exclusion criteria
Recombinant human CFH protein delivered intradermally via ice microneedle patches at a total dose of 0.5 mg per administration, twice weekly for a total of 8 doses, starting on the first day of radiotherapy.
Recombinant human CFH protein delivered intradermally via ice microneedle patches at a total dose of 1.0 mg per administration, twice weekly for a total of 8 doses, starting on the first day of radiotherapy.
Recombinant human CFH protein delivered intradermally via ice microneedle patches at a total dose of 2.0 mg per administration, twice weekly for a total of 8 doses, starting on the first day of radiotherapy.
Time frame: First 28 days after the first study drug administration
Number of participants experiencing DLT within 28 days after the first dose of CFH protein delivered via ice microneedles.
Time frame: Total study period up to approximately 6 months post-radiotherapy
Number of participants with adverse events, graded according to NCI CTCAE v5.0.
Time frame: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
Change in skin thickness of the irradiated area measured by ultrasound.
Time frame: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
Change in surface area (length × width) and volume (surface area × thickness) of palpable skin fibrosis in the irradiated area.
Time frame: Within 6 months after completion of radiotherapy
Number of participants who develop radiation-induced skin fibrosis of grade ≤2 according to NCI CTCAE v5.0.
Time frame: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
Change in QoL scores assessed by SQLI-16 questionnaires. Minimum Value:0 Maximum Value:100 Higher Score Means:Worse outcome (higher score indicates greater impairment of quality of life)
Time frame: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
Change in QoL scores assessed by QLQ-C30 questionnaires. Minimum Value:0 Maximum Value:100 Higher Score Means:For Global Health Status / QoL scale:Better outcome
Time frame: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
Change in QoL scores assessed by QLQ-H&N35 questionnaires. Minimum Value:0 Maximum Value:100 Higher Score Means:Worse outcome (higher score indicates more severe symptoms/problems)
Time frame: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
Change in QoL scores assessed by DLQl questionnaires. Minimum Value:0 Maximum Value:30 Higher Score Means:Worse outcome (higher score indicates greater impairment of skin-related quality of life)
Contact information is provided by the study sponsor or research team.
West China Hospital
Other
A Clinical Study to Evaluate the Safety and Tolerability of Intradermal Delivery of CFH Protein Via Ice Microneedles for the Prevention of Radiation-Induced Skin Fibrosis
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View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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