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Clinical Study of CFH Protein Via Ice Microneedles for Radiation-Induced Skin Fibrosis

5 juli 2026 uppdaterad av: Xingchen Peng, West China Hospital

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

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.

Studieöversikt

Studietyp

Interventionell

Inskrivning (Beräknad)

9

Fas

  • Fas 1

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

  • Namn: Xingchen Peng, MD, PhD
  • Telefonnummer: +8618980606753
  • E-post: pxx2014@163.com

Studieorter

    • Sichuan
      • Chengdu, Sichuan, Kina, 610000
        • Rekrytering
        • West China Hospital, Sichuan University

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Nej

Beskrivning

Inclusion Criteria:

  1. Male or female patients aged 18 to 75 years (inclusive) at screening.
  2. Histologically confirmed head and neck squamous cell carcinoma (excluding nasopharyngeal carcinoma) scheduled to receive postoperative adjuvant radiotherapy.
  3. Eastern Cooperative Oncology Group (ECOG) performance status score of 0-2.
  4. 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%.

  5. Ability to understand and voluntarily sign a written informed consent form prior to any study procedures.

Exclusion Criteria:

  1. 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;
  2. 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.).
  3. 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.
  4. 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.
  5. Participation in another clinical trial of a drug or device within 3 months prior to screening.
  6. History of drug abuse or known medical, psychological, or social conditions (e.g., alcoholism or drug addiction).
  7. Pregnant or breastfeeding women, or women/partners planning pregnancy during the period from screening through 12 months after the last dose.
  8. Any other condition that, in the investigator's opinion, makes the patient unsuitable for participation in this trial.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: Icke-randomiserad
  • Interventionsmodell: Sekventiell tilldelning
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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.
Experimentell: 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.
Experimentell: 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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Incidence of Dose-Limiting Toxicities (DLTs)
Tidsram: 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)
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change in Irradiated Skin Thickness
Tidsram: 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)
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

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Publikationer och användbara länkar

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Allmänna publikationer

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

15 juni 2026

Primärt slutförande (Beräknad)

1 mars 2027

Avslutad studie (Beräknad)

1 mars 2027

Studieregistreringsdatum

Först inskickad

20 april 2026

Först inskickad som uppfyllde QC-kriterierna

27 april 2026

Första postat (Faktisk)

5 maj 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

8 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

5 juli 2026

Senast verifierad

1 april 2026

Mer information

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