- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT07567235
Clinical Study of CFH Protein Via Ice Microneedles for Radiation-Induced Skin Fibrosis
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
Přehled studie
Postavení
Typ studie
Zápis (Odhadovaný)
Fáze
- Fáze 1
Kontakty a umístění
Studijní kontakt
- Jméno: Xingchen Peng, MD, PhD
- Telefonní číslo: +8618980606753
- E-mail: pxx2014@163.com
Studijní místa
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Sichuan
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Chengdu, Sichuan, Čína, 610000
- Nábor
- West China Hospital, Sichuan University
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Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Popis
Inclusion Criteria:
- Male or female patients aged 18 to 75 years (inclusive) at screening.
- Histologically confirmed head and neck squamous cell carcinoma (excluding nasopharyngeal carcinoma) scheduled to receive postoperative adjuvant radiotherapy.
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0-2.
Adequate major organ function within 7 days before treatment, meeting the following 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%.
- Ability to understand and voluntarily sign a written informed consent form prior to any study procedures.
Exclusion Criteria:
- Presence of ulceration or open wound in the treatment area, or any contraindication to cutaneous administration including: Inflammation, trauma, or skin breakdown at the administration site; Severe bleeding or coagulation tendency (e.g., markedly low platelet or clotting factors); Any abnormality or permanent body art (e.g., tattoo) at the administration site that would interfere with observation of local reactions;
- Presence of connective tissue disease or other systemic dermatologic conditions (e.g., systemic lupus erythematosus, dermatomyositis, polymyositis, systemic sclerosis, scleroderma, toxic epidermal necrolysis, Stevens-Johnson syndrome, etc.).
- Known allergy to the investigational drug (including any excipients) or history of severe allergic reactions to any drug, food, or vaccine, such as anaphylactic shock, laryngeal edema, anaphylactic dyspnea, Henoch-Schönlein purpura, thrombocytopenic purpura, or Arthus reaction.
- Any uncontrolled clinical disease (e.g., respiratory, circulatory, digestive, nervous, hematologic, genitourinary, or endocrine system disease) or psychiatric disorder (e.g., depression, schizophrenia) that, in the investigator's judgment, would interfere with providing informed consent, interpretation of study results, pose additional risk to the patient, or otherwise compromise study objectives.
- Participation in another clinical trial of a drug or device within 3 months prior to screening.
- History of drug abuse or known medical, psychological, or social conditions (e.g., alcoholism or drug addiction).
- Pregnant or breastfeeding women, or women/partners planning pregnancy during the period from screening through 12 months after the last dose.
- Any other condition that, in the investigator's opinion, makes the patient unsuitable for participation in this trial.
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Prevence
- Přidělení: Nerandomizované
- Intervenční model: Sekvenční přiřazení
- Maskování: Žádné (otevřený štítek)
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
|---|---|
|
Experimentální: Dose Level 1: CFH Protein 0.5 mg via Ice Microneedles
Participants receive intradermal delivery of CFH protein at a total dose of 0.5 mg per administration via ice microneedle patches, twice weekly for a total of 8 doses, starting on the first day of radiotherapy.
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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.
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Experimentální: Dose Level 2: CFH Protein 1.0 mg via Ice Microneedles
Participants receive intradermal delivery of CFH protein at a total dose of 1.0 mg per administration via ice microneedle patches, 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.
|
|
Experimentální: Dose Level 3: CFH Protein 2.0 mg via Ice Microneedles
Participants receive intradermal delivery of CFH protein at a total dose of 2.0 mg per administration via ice microneedle patches, 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.
|
Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Incidence of Dose-Limiting Toxicities (DLTs)
Časové okno: First 28 days after the first study drug administration
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Number of participants experiencing DLT within 28 days after the first dose of CFH protein delivered via ice microneedles.
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First 28 days after the first study drug administration
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Incidence and Severity of Adverse Events (AEs)
Časové okno: Total study period up to approximately 6 months post-radiotherapy
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Number of participants with adverse events, graded according to NCI CTCAE v5.0.
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Total study period up to approximately 6 months post-radiotherapy
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Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Change in Irradiated Skin Thickness
Časové okno: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
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Change in skin thickness of the irradiated area measured by ultrasound.
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Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
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Change in Palpable Fibrotic Area (Surface Area and Volume)
Časové okno: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
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Change in surface area (length × width) and volume (surface area × thickness) of palpable skin fibrosis in the irradiated area.
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Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
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Number of Participants with CTCAE Grade ≤2 Fibrosis
Časové okno: Within 6 months after completion of radiotherapy
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Number of participants who develop radiation-induced skin fibrosis of grade ≤2 according to NCI CTCAE v5.0.
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Within 6 months after completion of radiotherapy
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Change in Skindex Life Quality Index (SQLI) score-16
Časové okno: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
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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)
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Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
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Change in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) score
Časové okno: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
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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
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Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
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Change in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Head and Neck Cancer Module (EORTC QLQ-H&N35) score
Časové okno: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
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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)
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Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
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Change in Dermatology Life Quality Index (DLQI) score
Časové okno: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
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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)
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Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
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Spolupracovníci a vyšetřovatelé
Sponzor
Publikace a užitečné odkazy
Obecné publikace
- Gothard L, Cornes P, Earl J, Hall E, MacLaren J, Mortimer P, Peacock J, Peckitt C, Woods M, Yarnold J. Double-blind placebo-controlled randomised trial of vitamin E and pentoxifylline in patients with chronic arm lymphoedema and fibrosis after surgery and radiotherapy for breast cancer. Radiother Oncol. 2004 Nov;73(2):133-9. doi: 10.1016/j.radonc.2004.09.013.
- Delanian S, Porcher R, Rudant J, Lefaix JL. Kinetics of response to long-term treatment combining pentoxifylline and tocopherol in patients with superficial radiation-induced fibrosis. J Clin Oncol. 2005 Dec 1;23(34):8570-9. doi: 10.1200/JCO.2005.02.4729. Epub 2005 Oct 31.
- Fijardo M, Kwan JYY, Bissey PA, Citrin DE, Yip KW, Liu FF. The clinical manifestations and molecular pathogenesis of radiation fibrosis. EBioMedicine. 2024 May;103:105089. doi: 10.1016/j.ebiom.2024.105089. Epub 2024 Apr 5.
- Jozsi M, Schneider AE, Karpati E, Sandor N. Complement factor H family proteins in their non-canonical role as modulators of cellular functions. Semin Cell Dev Biol. 2019 Jan;85:122-131. doi: 10.1016/j.semcdb.2017.12.018. Epub 2018 Jan 5.
- Straub JM, New J, Hamilton CD, Lominska C, Shnayder Y, Thomas SM. Radiation-induced fibrosis: mechanisms and implications for therapy. J Cancer Res Clin Oncol. 2015 Nov;141(11):1985-94. doi: 10.1007/s00432-015-1974-6. Epub 2015 Apr 25.
- Mayor S. WHO priority list of medical devices for cancer management. Lancet Oncol. 2017 Jul;18(7):856. doi: 10.1016/S1470-2045(17)30407-2. Epub 2017 May 25. No abstract available.
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Odhadovaný)
Primární dokončení (Odhadovaný)
Dokončení studie (Odhadovaný)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
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