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Trial · Interventional

Enrolling by invitationPhase 3Registry data

Investigation of Effect of Formulated Methylene Blue on Treatment of Squamous Cell Carcinoma Skin Cancer in Inoperable Patients and Not Suitable for Radiotherapy

NCTNCT07311057 (opens ClinicalTrials.gov in a new tab)Other idIR.MUMS.IRH.REC.1404.226

Overview

Status
Enrolling by invitation
Phase
Phase 3
Enrollment
20 participants (estimated)
Sponsor
Daryoush Hamidi Alamdari, PhD · Other
Design
Allocation not applicable · Open label (no masking)
Countries
1 country

Iran

Start
20 Dec 2025
Primary completion
20 Jan 2026 (estimated)
Completion
20 Jan 2026 (estimated)
First posted
30 Dec 2025
Last update posted
6 Jan 2026
Conditions
SCC - Squamous Cell Carcinoma · SCC - Squamous Cell Carcinoma of Skin · Inoperable Disease

Timeline

1 trial · 1 ongoing

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
202520262027
  1. Ph 3

    Investigation of Effect of Formulated Methylene Blue on Treatment of Squamous Cell Carcinoma Skin Cancer in Inoperable Patients and Not Suitable for Radiotherapy

    NCT07311057

    20 Dec 2025 to est. 20 Jan 2026

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The goal of this clinical trial is to evaluate whether formulated methylene blue can safely and effectively treat advanced or inoperable Squamous Cell Carcinoma (SCC), a common type of skin cancer. This condition mainly affects adults and often occurs on the head or neck. Some patients cannot undergo surgery or radiotherapy due to tumor invasion, recurrence, or health limitations. The main questions this study aims to answer are: Can formulated methylene blue reduce tumor size and promote healing in patients with advanced SCC? Is this treatment safe and well-tolerated? There is no comparison group in this study. Researchers will assess each patient's response before and after the treatment. Participants will: Receive topical methylene blue solution or ointment applied to the affected skin every two days for one month. Undergo clinical and photographic evaluation before, during, and after treatment. Use a proven wound-healing gel following methylene blue therapy to assist tissue recovery. Blood tests and clinical follow-up will be conducted for six months to monitor safety and long-term effects. The study aims to provide new evidence for a non-invasive and low-cost therapeutic option for patients who cannot receive standard treatments.

Interventions

  • Formulated Topical Methylene Blue (0.5 mg/mL)Drug
  • Wound Healing GelDrug

Arms1

  • Experimental

    Formulated Methylene Blue Treatment Arm

    Participants in this single-arm, open-label pilot study will receive topical methylene blue-based dressing for the management of advanced or inoperable squamous cell carcinoma (SCC) wounds. Wound area and depth will be evaluated weekly for four weeks using standardized digital photography (30 cm distance) and sterile metallic measurement tools. Images will be analyzed with HealUp software to quantify wound area and healing progression. The study aims to preliminarily assess the efficacy and safety of methylene blue in promoting wound healing among five patients with refractory SCC lesions who are not candidates for surgery or radiotherapy.

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Rate of Wound Healing and Tumor Regression in Inoperable squamous Cell Carcinoma Treated with Topical Formulated Methylene Blue

    Time frame · Baseline, every week for 4 weeks during treatment, and at 8 weeks post-treatment follow-up.

    Registry description

    The primary outcome of this study is to evaluate the efficacy of topical formulated methylene blue (0.5 mg/mL) in promoting wound healing and reducing tumor size in patients with inoperable or radiotherapy-resistant squamous cell carcinoma (SCC). The assessment includes measurement of wound area and depth using standardized digital photography and calibrated sterile metal measurers. Images will be analyzed with the HealUp software to determine the rate of epithelialization and reduction in lesion size. The degree of tissue regeneration and clinical response will be documented before treatment and at defined follow-up intervals.

Secondary outcomes(1)
  1. Changes in Inflammatory and Biochemical Markers Before and After Treatment with Topical Formulated Methylene Blue

    Time frame · At baseline (before treatment) and at completion of therapy (approximately 4 to 8 weeks after treatment initiation).

    Registry description

    The secondary outcome is to assess the variation in systemic inflammatory and biochemical parameters, including C-reactive protein (CRP), alanine aminotransferase (ALT), and aspartate aminotransferase (AST), measured before initiation of treatment and after complete wound healing. These biomarkers will be evaluated to determine the systemic safety profile and potential anti-inflammatory effects of topical formulated methylene blue. Blood samples will be analyzed in the central laboratory of Imam Reza Hospital using standard clinical chemistry assays.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

No results are posted for this trial.

A trial that is still running, or that stopped early, may post results later.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Histopathologically confirmed diagnosis of squamous cell carcinoma (SCC) * Provision of written informed consent to participate in the study * Lack of willingness or eligibility for surgical excision or radiotherapy, or contraindication to intralesional medical treatments such as interferon-alpha or 5-fluorouracil (5-FU) * Age ≥ 18 years * Lesion size \< 2 cm in diameter * Presence of multiple lesions Exclusion Criteria: * Withdrawal of consent at any stage of the study * Pregnancy or breastfeeding * History of severe adverse reactions to medications * Inability or unwillingness to attend follow-up visits * History of cardiovascular disease * History of thromboembolic disorders * Prior radiotherapy to the affected area * History of chronic arsenic exposure * Immunodeficiency * Presence of severe systemic illness * Known allergy or hypersensitivity to methylene blue * History of bleeding disorders or abnormal coagulation * Severe inflammatory or dermatologic conditions in the treatment area * Failure to complete the full course of treatment

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