Stromal Vascular Fraction for Treatment of Xerostomia

NCT ID: NCT03061110

Last Updated: 2018-04-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE1/PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-01

Study Completion Date

2020-12-31

Brief Summary

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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.

Detailed Description

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Conditions

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Xerostomia Due to Radiotherapy (Disorder)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Subjects will be randomly assigned to usual care (palliation of symptoms) or injection of stromal vascular fraction.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Usual Care

Subjects 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.

Group Type ACTIVE_COMPARATOR

Usual Care

Intervention Type OTHER

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

Stromal Vascular Fraction

Subjects in the Stromal Vascular Fraction arm will receive single injections into each of the six (6) peri-oral salivary glands (parotid, submandibular, sublingual).

Group Type EXPERIMENTAL

Stromal Vascular Fraction

Intervention Type BIOLOGICAL

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

Interventions

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Stromal Vascular Fraction

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

Intervention Type BIOLOGICAL

Usual Care

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

Intervention Type OTHER

Other Intervention Names

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Adipose-Derived Stem Cells Standard of Care

Eligibility Criteria

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Inclusion Criteria

* 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
* 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

Exclusion Criteria

* 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
* 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
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Midwestern Regional Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Stephen Ray, MD

Surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Stephen Ray, MD

Role: PRINCIPAL_INVESTIGATOR

Midwestern Regional Medical Center

Locations

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Midwestern Regional Medical Center

Zion, Illinois, United States

Site Status

Countries

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United States

Other Identifiers

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MZ2017003

Identifier Type: -

Identifier Source: org_study_id