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Mesenchymal Stromal Cells

Stem Cell Therapy for Dry Mouth After Cancer Treatment

Phase 1
Waitlist Available
Led By Randall J Kimple, MD,PhD
Research Sponsored by University of Wisconsin, Madison
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Individuals at least 18 years of age and no older than 90 years of age
Xerostomia defined as less than or equal to 80 percent of baseline (pre-radiation) salivary function per patient estimate
Must not have
History of sialolithiasis
History of autoimmune diseases affecting salivary glands, including Sjögren's syndrome, lupus, scleroderma, type I diabetes, sarcoidosis, and amyloidosis
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline (up to 8 weeks before injection), 3, 6, and 12 months post-injection
Awards & highlights
No Placebo-Only Group

Summary

This trial will study if it is safe to use a person's own stem cells to help treat dry mouth after radiation therapy for head and neck cancer. Up to 12 people will be enrolled and the study will last up to 2 years.

Who is the study for?
This trial is for adults aged 18-90 with a history of head and neck cancer who are now disease-free for at least 2 years post-treatment. Participants must have significant dry mouth after radiation therapy, be able to give consent, undergo bone marrow biopsy under local anesthesia, and not be pregnant or planning pregnancy. Contraception use is required.
What is being tested?
The study tests the safety of using one's own modified bone marrow cells (MSCs) to treat severe dry mouth caused by radiation in head and neck cancer treatment. Up to 12 patients will receive this experimental therapy and will be monitored for up to two years.
What are the potential side effects?
Potential side effects may include discomfort or complications from the bone marrow biopsy procedure, reactions at the injection site, or immune responses due to infused MSCs. Specific side effects related to MSCs are still being studied.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am between 18 and 90 years old.
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I believe my saliva production is less than 80% of what it was before radiation.
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I can care for myself but may not be able to do active work.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have had salivary gland stones in the past.
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I have an autoimmune disease like Sjögren's, lupus, or type I diabetes.
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I have chronic graft versus host disease.
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I am not taking any anti-cholinergic medications.
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I am not pregnant, breastfeeding, or planning to become pregnant during the study.
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I have one submandibular gland.
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I have untreated yeast infection in my mouth.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline (up to 8 weeks before injection), 1, 3, 6, 12, and 24 months post-injection
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline (up to 8 weeks before injection), 1, 3, 6, 12, and 24 months post-injection for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Percentage of Subjects Experiencing Dose Limiting Toxicity (DLT)
Secondary study objectives
Change in Saliva Production Rate
Change in Salivary Gland Size
Change in Salivary Gland Stiffness Measured by Shear Wave Velocity
+8 more

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment with MSCsExperimental Treatment1 Intervention
A single dose of MSCs injected into the submandibular glands of patients with radiation-induced xerostomia (primary objective) Following primary outcomes, a second injection of 10 (8 - 12) x 106 MSCs will be offered for injection into each participant's contralateral submandibular gland.

Find a Location

Who is running the clinical trial?

University of Wisconsin Carbone Cancer Center (UWCCC)UNKNOWN
2 Previous Clinical Trials
15 Total Patients Enrolled
University of Wisconsin, MadisonLead Sponsor
1,233 Previous Clinical Trials
3,200,255 Total Patients Enrolled
National Institute of Dental and Craniofacial Research (NIDCR)NIH
307 Previous Clinical Trials
850,114 Total Patients Enrolled
1 Trials studying Dry Mouth
929 Patients Enrolled for Dry Mouth
Jacques Galipeau, MDStudy DirectorUniversity of Wisconsin, Madison
6 Previous Clinical Trials
86 Total Patients Enrolled
Randall J Kimple, MD,PhDPrincipal InvestigatorUniversity of Wisconsin, Madison

Media Library

Autologous bone-marrow derived, interferon gamma stimulated mesenchymal stromal cells (Mesenchymal Stromal Cells) Clinical Trial Eligibility Overview. Trial Name: NCT04489732 — Phase 1
Dry Mouth Research Study Groups: Treatment with MSCs
Dry Mouth Clinical Trial 2023: Autologous bone-marrow derived, interferon gamma stimulated mesenchymal stromal cells Highlights & Side Effects. Trial Name: NCT04489732 — Phase 1
Autologous bone-marrow derived, interferon gamma stimulated mesenchymal stromal cells (Mesenchymal Stromal Cells) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04489732 — Phase 1
~2 spots leftby Dec 2025