- ICH GCP
- Registre américain des essais cliniques
- Essai clinique 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
Aperçu de l'étude
Statut
Type d'étude
Inscription (Estimé)
Phase
- La phase 1
Contacts et emplacements
Coordonnées de l'étude
- Nom: Xingchen Peng, MD, PhD
- Numéro de téléphone: +8618980606753
- E-mail: pxx2014@163.com
Lieux d'étude
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Sichuan
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Chengdu, Sichuan, Chine, 610000
- Recrutement
- West China Hospital, Sichuan University
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-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La description
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.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: La prévention
- Répartition: Non randomisé
- Modèle interventionnel: Affectation séquentielle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: 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.
|
|
Expérimental: 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.
|
|
Expérimental: 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.
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Incidence of Dose-Limiting Toxicities (DLTs)
Délai: 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.
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First 28 days after the first study drug administration
|
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Incidence and Severity of Adverse Events (AEs)
Délai: 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
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Change in Irradiated Skin Thickness
Délai: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
|
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
|
|
Change in Palpable Fibrotic Area (Surface Area and Volume)
Délai: 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.
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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
Délai: 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
|
|
Change in Skindex Life Quality Index (SQLI) score-16
Délai: 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
Délai: 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
Délai: 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
|
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Change in Dermatology Life Quality Index (DLQI) score
Délai: 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)
|
Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
|
Collaborateurs et enquêteurs
Parrainer
Publications et liens utiles
Publications générales
- 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.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- HX 2026-339
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Informations sur les médicaments et les dispositifs, documents d'étude
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