An investigator-initiated, non-randomized, open label study to investigate the safety, feasibility and tolerability of intraglandular injection of allogeneic mesenchymal stem/stromal cells (MSCs) into the submandibular and parotid glands of the patients with radiation-induced hyposalivation and xerostomia after radiation for a oropharyngeal squamous cell carcinoma
Patients with previous oropharyngeal cancer and radiation-induced hyposalivation and xerostomia (dry mouth syndrome) will receive intraglandular injections of allogeneic adipose-derived MSCs into the submandibular and parotid glands. The trial will be Good Clinical Practice (GCP) Monitored. From healthy donors, MSCs will be produced at a Good Manufacturing Practice (GMP) Facility. The patients will be followed for four months for safety, tolerability, and efficacy registration. Changes in quality of life, unstimulated, and stimulated whole saliva flow rate, salivary gland function will be assessed. Immune response towards receiving allogeneic MSCs will be evaluated in plasma and saliva. Changes in the composition and quality of the whole saliva will be investigated. Saliva from the participants will altså be compared to saliva from ten healthy controls.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
Culture expanded allogeneic adipose derived stem/stromal cells
Department of Otolaryngology, Rigshospitalet, University Hospital of Copenhagen
Copenhagen, Denmark
Department of Otolaryngology, Rigshospitalet
Copenhagen, Denmark
Safety: Number of patients with serious adverse events
Registration of number of patients with serious adverse events in a 4 months follow-up period
Time frame: 4 months
Immune reponse :Development of donor specific antibodies
Registration of development of tissue antibodies towards donor cells
Time frame: 4 months
Efficacy: Change in Unstimulated Whole Salivary flow rate
Unstimulated whole saliva flow rate is assessed by sialometry
Time frame: 4 months
Efficacy: Change in Stimulated Whole Salivary flow rate
Unstimulated whole saliva flow rate is assessed by sialometry
Time frame: 4 months
Efficacy: Change in quality of life
Change in quality of life evaluted by QLQ-H\&N-35 and XQ questionnaires
Time frame: 4 months
Efficacy: Salivary gland function
Assessed by salivary gland 99mTc scintigraphy
Time frame: 4 months
Efficacy: Change in Saliva composition
Change in inorganic saliva composition
Time frame: 4 months
Efficacy: Change in Saliva Proteomics
Change in Saliva proteomics
Time frame: 4 months
Efficacy: Change in RNA in Saliva
Change in RNA in saliva
Time frame: 4 months
Immune reponse
Reactions in plasma and saliva will be assessed
Time frame: 4 months
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