The trial will include participants with Xerostomia (International Classification of Diseases-10: DQ 838A) who have been treated with raditherapy for a head and neck cancer prevoiusly. MedDRA version: 20.1 Level: PT Classification code 10013781 Term: Dry mouth System Organ Class: 10017947 - Gastrointestinal disorders MedDRA version: 20.0 Level: LLT Classification code 10048223 Term: Xerostomia System Organ Class: 10017947 - Gastrointestinal disorders MedDRA version: 20.0 Level: HLT Classifica
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Previous radiotherapy for head and neck cancer 2 years follow-up without recurrence Clinically hyposalivation: unstimulated salivary flow =65 years) yes F.1.3.1 Number of subjects for this age range 40
Exclusion criteria
Exclusion criteria: Any cancer in the previous 2 years ( not including OPSCC and basocellular carcinoma) Smoking within the last 6 months Xerogenic medications within the last 3 months Any current or previous other diseases in the salivary glands (Sjögrens syndrome, Sialolithiasis etc.) Pregnancy or planned pregnancy with the next 2 years Breastfeeding Any other disease/condition juged by the investigator to be grounds for exclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Timepoint(s) of evaluation of this end point: 4 months and 12 months after intervention;Main Objective: The objective is to examine whether enrichment of the submandibular glands with injections of allogeneic ASCs will improve the salivary function in radiation-induced salivary damage. ;Secondary Objective: Screening of changes in quality of life and immune response secondary to treatment with allogeneic adipose-derived mesenchymal stem cells. Further the objective is to investigate whether repeated treatment witj allogenic ASCs is better than a single treatment. ;Primary end point(s): Change in unstimulated salivary flow rate | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. Safety 2. Change in quality of life. 3. Change in saliva flow rate assessed by sialometri 4. Immune response to allogeneic ASC. 5. Change in the composition of saliva 6. Change in salivary gland function at four months, 1 year and 2 years after repeated treatment, measured by an increase in unstimulated and stimulated whole SFR. 7. Change in quality of life after repeated treatment. Evaluated by a decrease in complaints of xerostomia as evaluated by two patient questionnaires (EORTC QLQ Module for H&N-35and XQ) at four months, 1 year and 2 years. 8. Change in the composition of saliva after four months, 1 year and 2 years after repeated treatment. ;Timepoint(s) of evaluation of this end point: Blood samples 4 and 12 months after intervention. For repeated treatment also after 24 months. Quality of life questionnaires after 4 and 12 months after intervention. For repeated treatment also after 24 months. Sialometri after 4 and 12 months after intervention. For repeated treatment also after 24 months. | — |
Countries
Denmark
Contacts
Rigshospitalet, Department of Otorhinolaryngology, Head and Neck Surgery & Audiology