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

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-75
SponsorWest China Hospital

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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.

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

Disqualifiers

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.

Trial design

Design model

Sequential

Treatments tested in this trial

  • CFH Protein-loaded Ice Microneedles (0.5 mg)

    Biological/Vaccine

    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.

  • CFH Protein-loaded Ice Microneedles (1.0 mg)

    Biological/Vaccine

    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.

  • CFH Protein-loaded Ice Microneedles (2.0 mg)

    Biological/Vaccine

    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.

Treatment groups

9 Participants
are divided into 3 treatment groups
Group A: Dose Level 1: CFH Protein 0.5 mg via Ice MicroneedlesExperimental treatment 1 intervention
Group B: Dose Level 2: CFH Protein 1.0 mg via Ice MicroneedlesExperimental treatment 1 intervention
Group C: Dose Level 3: CFH Protein 2.0 mg via Ice MicroneedlesExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of Dose-Limiting Toxicities (DLTs)

Number of participants experiencing DLT within 28 days after the first dose of CFH protein delivered via ice microneedles.

Time frame
First 28 days after the first study drug administration
2

Incidence and Severity of Adverse Events (AEs)

Number of participants with adverse events, graded according to NCI CTCAE v5.0.

Time frame
Total study period up to approximately 6 months post-radiotherapy

Secondary outcomes

1

Change in Irradiated Skin Thickness

Change in skin thickness of the irradiated area measured by ultrasound.

Time frame
Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
2

Change in Palpable Fibrotic Area (Surface Area and Volume)

Change in surface area (length × width) and volume (surface area × thickness) of palpable skin fibrosis in the irradiated area.

Time frame
Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
3

Number of Participants with CTCAE Grade ≤2 Fibrosis

Number of participants who develop radiation-induced skin fibrosis of grade ≤2 according to NCI CTCAE v5.0.

Time frame
Within 6 months after completion of radiotherapy
4

Change in Skindex Life Quality Index (SQLI) score-16

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

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.