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Mesenchymal Stem Cells for Radiation-induced Xerostomia

Primary Purpose

Radiation Toxicity, Xerostomia Due to Radiotherapy, Dry Mouth

Status
Enrolling by invitation
Phase
Phase 1
Locations
Denmark
Study Type
Interventional
Intervention
Autologous adipose-derived mesenchymal stem/stromal cells
Placebo
Sponsored by
Rigshospitalet, Denmark
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Radiation Toxicity focused on measuring Xerostomia Due to Radiotherapy

Eligibility Criteria

18 Years - 99 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Assessment of safety and treatment efficacy in subjects who were enrolled in the MESRIX Phase I/II clinical trial
  2. Subjects who were treated with either autologous mesenchymal stem cells or placebo
  3. Subjects who voluntarily decided to participate and signed the consent form after receiving explanations on the trial

Exclusion Criteria:

1. Subjects who were not enrolled in the MESRIX trial

Sites / Locations

  • Department of Otolaryngology, University Hospital of Copenhagen

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Autologous Adipose-derived mesenchymal stem cells

Placebo

Arm Description

Autologous adipose-derived mesenchymal stem cells transplanted intraglandular in patients with radiation-induced hyposalivation and xerostomia

2 ml placebo: Isotonic NaCl (0.9mg(ml) and human albumin (HA) 1%

Outcomes

Primary Outcome Measures

Safety: Serious Adverse Events (SAEs) and new chronic diseases
SAEs according to the ICH-GCP definition and new chronic diseases. For patients not attending the planned hospital visit consider searching The National Patient Register will be searched for registered SAEs. Number of patients
Overall survival
Overall survival is defined as the time from the intraglandular dose of the investigational product (MSCs or placebo) to the date of death or the date the subject is last known to be alive
Relapse of oropharyngeal cancer
Number of participants with relapse will be reported
New malignancies
Number of subjects who have new malignancies will be reported
Zoonotic Diseases
Number of subjects diagnosed Zoonotic Diseases will be reported

Secondary Outcome Measures

Patient-reported outcome measures-Health-related quality of life (HRQoL
Xerostomia Questionnaire (XQ) ( Median item scores for each of the 8 questions will be reported (score range 0-10) and the XQ summary/composite score (0-100))

Full Information

First Posted
March 12, 2019
Last Updated
October 20, 2020
Sponsor
Rigshospitalet, Denmark
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1. Study Identification

Unique Protocol Identification Number
NCT03876197
Brief Title
Mesenchymal Stem Cells for Radiation-induced Xerostomia
Official Title
Follow-up Study of Safety and Efficacy in Subjects Who Participated in the Study of Intraglandular Mesenchymal Stem Cells in Patients With Radiation-induced Hyposalivation and Xerostomia (MESRIX)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2020
Overall Recruitment Status
Enrolling by invitation
Study Start Date
August 1, 2020 (Actual)
Primary Completion Date
December 1, 2022 (Anticipated)
Study Completion Date
December 1, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Rigshospitalet, Denmark

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A prospective study for long-term follow-up (LTFU) to evaluate safety and efficacy in subjects who participated in the Phase 1/2 randomized placebo-controlled trial MESRIX.
Detailed Description
This is a LTFU study to assess the long-term and late effects of treatment with MSCs or placebo given ultrasound-guided into the submandibular glands in subjects participating in the MESRIX trial. Study participants from the MESRIX trial will be invited for a clinical visit. The visit will include medical history, an ENT examination; measurements of the saliva production by sialometry, a Magnetic resonance imaging scan (MRI) and obtaining data on the patient-reported outcome with Xerostomia Questionnaire (XQ) and Visual-Analogue-Symptomatic scale (VAS). Subjects, who are not able or willing to attend a clinical visit, will be encouraged to fill out the Questionnaires online or on paper. If a study participant has deceased, information of the cause of death will be investigated in The Danish Register of Causes of Death

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Radiation Toxicity, Xerostomia Due to Radiotherapy, Dry Mouth, Hyposalivation, Mesenchymal Stem Cells, Mesenchymal Stromal Cells, Long Term Adverse Effects
Keywords
Xerostomia Due to Radiotherapy

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Long-term follow-up of Randomized controlled trial MESRIX
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Autologous Adipose-derived mesenchymal stem cells
Arm Type
Experimental
Arm Description
Autologous adipose-derived mesenchymal stem cells transplanted intraglandular in patients with radiation-induced hyposalivation and xerostomia
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
2 ml placebo: Isotonic NaCl (0.9mg(ml) and human albumin (HA) 1%
Intervention Type
Biological
Intervention Name(s)
Autologous adipose-derived mesenchymal stem/stromal cells
Intervention Description
Autologous adipose-derived mesenchymal stem/stromal cells
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Isotonic NaCl (0,9mg/ml) and human albumin (HA) 1%
Primary Outcome Measure Information:
Title
Safety: Serious Adverse Events (SAEs) and new chronic diseases
Description
SAEs according to the ICH-GCP definition and new chronic diseases. For patients not attending the planned hospital visit consider searching The National Patient Register will be searched for registered SAEs. Number of patients
Time Frame
5 years from randomization
Title
Overall survival
Description
Overall survival is defined as the time from the intraglandular dose of the investigational product (MSCs or placebo) to the date of death or the date the subject is last known to be alive
Time Frame
5 years from randomization
Title
Relapse of oropharyngeal cancer
Description
Number of participants with relapse will be reported
Time Frame
5 years from randomization
Title
New malignancies
Description
Number of subjects who have new malignancies will be reported
Time Frame
5 years from randomization
Title
Zoonotic Diseases
Description
Number of subjects diagnosed Zoonotic Diseases will be reported
Time Frame
5 years from randomization
Secondary Outcome Measure Information:
Title
Patient-reported outcome measures-Health-related quality of life (HRQoL
Description
Xerostomia Questionnaire (XQ) ( Median item scores for each of the 8 questions will be reported (score range 0-10) and the XQ summary/composite score (0-100))
Time Frame
5 years from randomization

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Assessment of safety and treatment efficacy in subjects who were enrolled in the MESRIX Phase I/II clinical trial Subjects who were treated with either autologous mesenchymal stem cells or placebo Subjects who voluntarily decided to participate and signed the consent form after receiving explanations on the trial Exclusion Criteria: 1. Subjects who were not enrolled in the MESRIX trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Charlotte Lynggaard, MD
Organizational Affiliation
Department of Otolaryngology, Rigshospitalet, Copenhagen, Denmark
Official's Role
Principal Investigator
Facility Information:
Facility Name
Department of Otolaryngology, University Hospital of Copenhagen
City
Copenhagen
Country
Denmark

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Mesenchymal Stem Cells for Radiation-induced Xerostomia

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