AzTrials
AzTrials

Xerostomia Due to Radiotherapy (Disorder)Phase 1/2NCT03061110

Stromal Vascular Fraction for Treatment of Xerostomia

A Phase 1/2 study testing Stromal Vascular Fraction in people with Xerostomia Due to Radiotherapy (Disorder), run by Midwestern Regional Medical Center at 1 site in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
Search all trials

Trial summary

Prospective, single center, double armed, randomized treatment with observation only (standard of care) control group. Subjects receiving study treatment will have 6 months of study follow-up. Read more about this study

Who is it for?
Ages 21 years and older
What is being tested?
Stromal Vascular Fraction
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteUnited States
Study dates
1 Nov 2018to 31 Dec 2020
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and Female subjects are both eligible
  • Subjects must be 21 years of age or older
  • History of treated Head and Neck Cancer, no evidence of active cancer at the time of the study
  • Original tumor not located adjacent to the parotid or sub-mandibular glands
  • Diagnosis of radiation-induced xerostomia
  • study is fully explained
Show all 12Show fewer
  • Females of child bearing potential agree to use acceptable methods of contraception through 6 month study follow-up.
  • No current malignancy or history of previous malignancy within the last five years, other than the head and neck cancer, with the exception of adequately treated non-abdominal, non-melanoma cutaneous carcinoma (basal cell or squamous cell carcinoma of the skin)
  • Willing to undergo a minor surgical procedure (small-volume liposuction, totaling approximately 60-120cc) and a single treatment of an injection of approximately 30ml of autologous Stromal Vascular Fraction taking approximately 10 minutes
  • Abdominal area amenable to liposuction of at least 60-120cc of adipose tissue based on Investigator(s) examination
  • Willing to be available for all baseline, treatment and follow-up examinations required by protocol
  • Willing to forego participation in any other study throughout the duration of this study unless receiving prior approval by Investigator

Who cannot join

  • Patients taking immunosuppressive therapy in the prior 3 months
  • Autoimmune disorders
  • Patients who are pregnant or currently breast-feeding children
  • Patients participating in a study of an experimental drug or medical device within 60 days of study entry
  • Uncontrolled hypertension
  • Reported unstable cardiovascular disease (e.g., unstable angina, myocardial infarction within past 6 months, cardiac failure or life-threatening arrhythmia, congestive heart failure) or symptomatic postural hypotension within 6 months before screening
Show all 11Show fewer
  • Hemoglobin A1c > 8% within 8 weeks prior to study treatment
  • Current use of steroids or immunosuppressant therapies
  • Any other condition, which, in the opinion of the Investigator, would contraindicate treatment, affect compliance, interfere with study evaluations, limit study participation, or confound the interpretation of study results
  • History of Sjogren's Syndrome or related autoimmune disease.
  • Taking medication for which xerostomia is a known major side effect

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Midwestern Regional Medical Center

    Zion, Illinois, 60099

Other trials in United States

About this study

Official title: Evaluation of the Use of the Tissue Genesis® Icellator Cell Isolation System® ("Icellator") Autologous Adipose Stromal Vascular Fraction Cells as a Treatment for Post-Irradiated Induced Xerostomia in Head and Neck Cancer Patients

Prospective, single center, double armed, randomized treatment with observation only (standard of care) control group. Subjects receiving study treatment will have 6 months of study follow-up. Stromal vascular fraction (SVF), an adipose-derived tissue preparation, will be injected into salivary glands to determine safety and efficacy to restore saliva production in head and neck cancer patients with chronic xerostomia resulting from radiation therapy.

Being tested
Stromal Vascular Fraction, Usual Care

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Stromal Vascular FractionBiological

    Also called Adipose-Derived Stem Cells

    Stromal Vascular Fraction will be produced from the subject's own adipose tissue by the Tissue Genesis Icellator device.

  • Usual CareOther

    Also called Standard of Care

    Usual care will include over-the-counter and prescription methods to treat xerostomia.

Study groups in NCT03061110
Study groupRoleWhat they receive
Usual CareActive comparatorSubjects in the Usual Care arm will receive typical therapies to manage the symptoms of dry mouth including but not limited to: chewing gum, sucking sugar-free candy, sipping water, mouth rinses and over-the-counter artificial saliva preparations.
Receives: Other: Usual Care
Stromal Vascular FractionExperimentalSubjects in the Stromal Vascular Fraction arm will receive single injections into each of the six (6) peri-oral salivary glands (parotid, submandibular, sublingual).
Receives: Biological: Stromal Vascular Fraction

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Acute Safety Profile (Reported Adverse Events graded according to CTCAE guidelines)

    Reported Adverse Events graded according to CTCAE guidelines will be recorded starting at or after the time of injection and at or before 72 hours post injection.

    Measured: 72 hours

Secondary outcomes (31)
  1. Chronic Safety Profile (Reported Adverse Events graded according to Common Terminology Criteria for Adverse Events (CTCAE) guidelines)

    Reported Adverse Events graded according to Common Terminology Criteria for Adverse Events (CTCAE) guidelines will be recorded starting on Day 0 (day of SVF injection) and ending at 12 months.

    Measured: Months 3, 6 and 12 after Day 0 (date of injection)

  2. Unstimulated Saliva Production

    Rate of saliva production over a 5-minute period. (g/minute)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  3. Stimulated Saliva Production

    Rate of saliva production while chewing gum over a 5-minute period. (g/minute)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  4. University of Rotterdam Hospital Xerostomia Questionnaire- "How severe is your dry mouth problem?"

    Mean score calculated from patient-reported survey (Likert Scale; 1 = Normal; 2 = somewhat more complaints than before radiation therapy; 3 = considerable more complaints than before radiation therapy; and 4 = Permanent complaints of a very dry mouth)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  5. University of Rotterdam Hospital Xerostomia Questionnaire - "Under which circumstances does the dry mouth problem occur? (In the open air)

    Incidence of each indication calculated from categorical patient-reported survey (Yes, No, Not Applicable)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  6. University of Rotterdam Hospital Xerostomia Questionnaire - "Under which circumstances does the dry mouth problem occur? (In the open air in case of wind and cold)

    Incidence of each indication calculated from categorical patient-reported survey (Yes, No, Not Applicable)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  7. University of Rotterdam Hospital Xerostomia Questionnaire - "Under which circumstances does the dry mouth problem occur? (In air-conditioned spaces)

    Incidence of each indication calculated from categorical patient-reported survey (Yes, No, Not Applicable)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  8. University of Rotterdam Hospital Xerostomia Questionnaire - "Under which circumstances does the dry mouth problem occur? (Especially dry mouth during daytime)

    Incidence of each indication calculated from categorical patient-reported survey (Yes, No, Not Applicable)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  9. University of Rotterdam Hospital Xerostomia Questionnaire - "Under which circumstances does the dry mouth problem occur? (Especially dry mouth at nighttime)

    Incidence of each indication calculated from categorical patient-reported survey (Yes, No, Not Applicable)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  10. University of Rotterdam Hospital Xerostomia Questionnaire - "Under which circumstances does the dry mouth problem occur? (Always dry mouth night and day)

    Incidence of each indication calculated from categorical patient-reported survey (Yes, No, Not Applicable)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  11. University of Rotterdam Hospital Xerostomia Questionnaire - "Under which circumstances does the dry mouth problem occur? (Especially bother of the dry mouth during meals)

    Incidence of each indication calculated from categorical patient-reported survey (Yes, No, Not Applicable)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  12. University of Rotterdam Hospital Xerostomia Questionnaire- "How often do you wake up at night because of a dry mouth?"

    Number of events as reported by patient (Number)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  13. University of Rotterdam Hospital Xerostomia Questionnaire - "How would you describe the quality of your saliva?"

    Mean score calculated from patient-reported survey (Likert Scale; 1 = Normal, watery fluid; 2 = Normal watery but too little volume; 3 = Sticky saliva; and 4 = No saliva at all)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  14. University of Rotterdam Hospital Xerostomia Questionnaire - "Do you have difficulties with speech because of the dry mouth?"

    Mean score calculated from patient-reported survey (Likert Scale; 1 = No problems; unchanged with respect to situation before radiation therapy; 2 = Occasionally some difficulty with speech; 3 = Frequently speech problems; 4 = always difficulties with speech; and 5= always major speech problems)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  15. University of Rotterdam Hospital Xerostomia Questionnaire - "Do you need to sip water to facilitate speech?"

    Mean score calculated from patient-reported survey (Likert Scale; 1 = Never; 2 = Occasionally; 3 = Frequently; 4 = Always; and 5= Even have to interrupt speaking to take a sip of water)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  16. University of Rotterdam Hospital Xerostomia Questionnaire - "Is swallowing changed because of the dry mouth problem?"

    Mean score calculated from patient-reported survey (Likert Scale; 1 = No problems; unchanged with respect to situation before radiation therapy; 2 = Occasionally some difficulty with swallowing; 3 = Frequently problems with swallowing; 4 = Always swallowing difficulties; and 5 = Swallowing is seriously impaired because of the dry mouth problem)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  17. University of Rotterdam Hospital Xerostomia Questionnaire - "Has the dry mouth a negative influence on chewing?"

    Mean score calculated from patient-reported survey (Likert Scale; 1 = No change in chewing capability; 2 = Some difficulty with chewing; 3 = Frequently difficulties with chewing; 4 = Always difficulties with chewing; 5 = Chewing is seriously hampered because of the dry mouth problem)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  18. University of Rotterdam Hospital Xerostomia Questionnaire - "Do you need to sip water to facilitate eating?"

    Mean score calculated from patient-reported survey (Likert Scale; 1 = No never; 2 = Sometimes, depending on the quality of the food; 3 = Frequently; more often than before radiation therapy; and 4 = Always need to take a sip of water/ fluid with every bite of food)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  19. University of Rotterdam Hospital Xerostomia Questionnaire - "Did you change your feeding habits?"

    Mean score calculated from patient-reported survey (Likert Scale; 1 = No change; 2 = Minor changes, such as avoiding some products; 3 = Can eat only mashed food; 4 = Can eat only liquid food; and 5= Tube feeding)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  20. University of Rotterdam Hospital Xerostomia Questionnaire - "Do you have painful, dry, or crusted lips?"

    Mean score calculated from patient-reported survey (Likert Scale; 1 = Never; 2 = Sometimes, depending on the weather and environmental circumstances; 3 = Frequently; and 4 = Always, day and night)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  21. University of Rotterdam Hospital Xerostomia Questionnaire - "Do you need to carry a bottle of fluid with you when leaving home?"

    Mean score calculated from patient-reported survey (Likert Scale; 1 = Never 2 = Occasionally; 3 = Frequently; 4 = Very often; and 5 = Always)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  22. University of Rotterdam Hospital Xerostomia Questionnaire - "Do you have a sore or painful mouth?"

    Mean score calculated from patient-reported survey (Likert Scale; 1 = Never 2 = Occasionally; 3 = Frequently; 4 = Very often; and 5 = Always)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  23. University of Rotterdam Hospital Xerostomia Questionnaire - "Did your taste change?"

    Mean score calculated from patient-reported survey (Likert Scale; 1 = No change; normal taste sensation; 2 = Some reduction in taste discrimination and sensation; 3 = Considerable change in taste; 4 = No taste sensation at all; and 5 = Always a bad taste in the mouth)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  24. University of Rotterdam Hospital Xerostomia Questionnaire - "Do you often have an infected oral mucosa or irritated gums?"

    Incidence of each indication calculated from categorical patient-reported survey (Yes, No, Not Applicable)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  25. University of Rotterdam Hospital Xerostomia Questionnaire - "Did your teeth deteriorate after radiation therapy?"

    Mean score calculated from patient-reported survey (Likert Scale; 1 = never; 2 = Occasionally; 3 = Frequently; and 4 = Very often)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  26. University of Rotterdam Hospital Xerostomia Questionnaire - Overall Xerostomia Index

    Overall Xerostomia Index is calculated from the first three questions of the Questionnaire [I = (Q1 x 15.8) + (Q2 x 8.5) + (Q3 x 5.9) - 33.2; where Qn = score of that question.]

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  27. University of Michigan Xerostomia-Related Quality of Life Scale - Physical Functioning

    Mean score calculated from patient-reported survey (Likert Scale; 0=Best Functioning to 4=Worst Functioning)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  28. University of Michigan Xerostomia-Related Quality of Life Scale - Pain/Discomfort

    Mean score calculated from patient-reported survey (Likert Scale; 0=No Pain to 4=Worst Pain)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  29. University of Michigan Xerostomia-Related Quality of Life Scale - Personal/Psychological Functioning

    Mean score calculated from patient-reported survey (Likert Scale; 0=Best Functioning to 4=Worst Functioning)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  30. University of Michigan Xerostomia-Related Quality of Life Scale - Social Functioning

    Mean score between Baseline and 3 months calculated from patient-reported survey (Likert Scale; 0=Best Functioning to 4=Worst Functioning)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

  31. Late Effects Normal Tissue-Subjective Objective Management Analytica (LENT-SOMA) survey

    Mean score calculated from patient-reported survey (Likert Scale; 1=Best Functioning to 4=Worst Functioning)

    Measured: Assessed at Baseline and 3 months, 6 months and 12 months after Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Feb 2017
  2. Study start1 Nov 2018 (estimated)
  3. Primary completion28 Dec 2020 (estimated)
  4. Study completion31 Dec 2020 (estimated)

Why it stopped: Internal funding not awarded.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Subjects will be randomly assigned to usual care (palliation of symptoms) or injection of stromal vascular fraction.
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03061110
Sponsor's protocol ID
MZ2017003
Status last verified
Apr 2018
First submitted
17 Feb 2017
Last updated
30 Apr 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Stromal Vascular Fraction in people with Xerostomia Due to Radiotherapy (Disorder), run by Midwestern Regional Medical Center at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 30 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Acute Safety Profile (Reported Adverse Events graded according to CTCAE guidelines) (time frame: 72 hours). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Apr 2018.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in