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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
9
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.
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.
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.
West China Hospital, Sichuan University
Chengdu, Sichuan, China
RECRUITINGIncidence 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
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
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
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
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
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
Change in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) score
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
Time frame: 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
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)
Time frame: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
Change in Dermatology Life Quality Index (DLQI) score
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)
Time frame: Baseline (pre-radiotherapy) to within 6 months after completion of radiotherapy
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