- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg 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
Studieoversigt
Status
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
- Navn: Xingchen Peng, MD, PhD
- Telefonnummer: +8618980606753
- E-mail: pxx2014@163.com
Studiesteder
-
-
Sichuan
-
Chengdu, Sichuan, Kina, 610000
- Rekruttering
- West China Hospital, Sichuan University
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
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.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Ikke-randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: 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.
|
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.
|
|
Eksperimentel: 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.
|
|
Eksperimentel: 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.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Incidence of Dose-Limiting Toxicities (DLTs)
Tidsramme: 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.
|
First 28 days after the first study drug administration
|
|
Incidence and Severity of Adverse Events (AEs)
Tidsramme: Total study period up to approximately 6 months post-radiotherapy
|
Number of participants with adverse events, graded according to NCI CTCAE v5.0.
|
Total study period up to approximately 6 months post-radiotherapy
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in Irradiated Skin Thickness
Tidsramme: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
|
Change in skin thickness of the irradiated area measured by ultrasound.
|
Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
|
|
Change in Palpable Fibrotic Area (Surface Area and Volume)
Tidsramme: 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.
|
Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
|
|
Number of Participants with CTCAE Grade ≤2 Fibrosis
Tidsramme: 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.
|
Within 6 months after completion of radiotherapy
|
|
Change in Skindex Life Quality Index (SQLI) score-16
Tidsramme: 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)
|
Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
|
|
Change in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) score
Tidsramme: 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
|
Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
|
|
Change in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Head and Neck Cancer Module (EORTC QLQ-H&N35) score
Tidsramme: 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)
|
Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
|
|
Change in Dermatology Life Quality Index (DLQI) score
Tidsramme: 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)
|
Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
|
Samarbejdspartnere og efterforskere
Sponsor
Publikationer og nyttige links
Generelle publikationer
- 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.
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- HX 2026-339
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .