Repeated Mesenchymal Stem Cell Therapy for Radiation-Induced Hyposalivation and Xerostomia in Head and Neck Cancer Survivors

2025-522559-25-00 Therapeutic exploratory (Phase II) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruitment pending
Participants planned 100
Countries 1
Sites 1

Xerostomia due to readiotherapy for a head & neck cancer

To evaluate the effect of two repeated intraglandular injections with ASCs, relative to placebo, in improving unstimulated whole salivary flow rate in radiation-induced xerostomia 8 months from baseline.

Key facts

Sponsor
Rigshospitalet
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04], Diseases [C] - Otorhinolaryngologic Diseases [C09]
Decision date (initial)
2025-09-08
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Efficacy

To evaluate the effect of two repeated intraglandular injections with ASCs, relative to placebo, in improving unstimulated whole salivary flow rate in radiation-induced xerostomia 8 months from baseline.

Secondary objectives 3

  1. change in stimulated whole salivary flow rate
  2. de novo development of drug specific antibodies
  3. symptoms assessed using patient reported outcomes (PRO) with focus on (a) health-related quality of life, (b) dry mouth, (c) sticky saliva, and (d) swallowing, and (e) personalized goal assessment

Conditions and MedDRA coding

Xerostomia due to readiotherapy for a head & neck cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. 1. Former radiotherapy for squamous cell carcinoma, or adenocarcinoma, of the nasal sinus, larynx, pharynx, and oral cavity
  2. 2. WHO Performance status 0-1
  3. 3. Presence of xerostomia daily
  4. UWS of 0.05 mL/min to 0.5 ml/min
  5. 5. Age above 18
  6. 6. Informed consent

Exclusion criteria 9

  1. 1. Any active cancer in the previous 0,5 year (not including the head and neck cancer and basocellular carcinomas)
  2. 2. Xerogenic medications at inclusion
  3. 3. Penicillin or streptomycin allergy assessed by health personnel
  4. 4. Any other previous or active disease of the salivary glands (e.g. Sjögren’s Disease, sialolothiasis)
  5. 5. Previous submandibular surgery or biopsy
  6. 6. Pregnancy or planned pregnancy until 4 months after second treatment
  7. 7. Breastfeeding
  8. 8. Smoking within the last 6 months
  9. 9. Alcohol abuse within the last 6 months (consumption must not be above 10 units/week (Danish National board health alcohol guidelines)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary outcome measure will be unstimulated whole salivary flow rate (measured by sialometry) from baseline (t=0) to 8 months, assessed at baseline, 4, and 8 months. This domain has been chosen as whole salivary flow rate is observed to be the cardinal symptom in xerostomia[34]. The primary endpoint will be assessed as the difference between groups measured after 8 months in mL/min.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Culture expanded Adipose Derived Regenerative Cells, ADRC001

PRD10512270 · Product

Active substance
ADRC001
Other product name
ADRC001
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAGLANDULAR USE
Max daily dose
1 ml millilitre(s)
Max total dose
2 ml millilitre(s)
Max treatment duration
4 Month(s)
Authorisation status
Not Authorised
MA holder
OUPHET
Paediatric formulation
No
Orphan designation
No

Placebo 1

Sterile Isotone Saline Water

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Rigshospitalet

Sponsor organisation
Rigshospitalet
Address
Blegdamsvej 9
City
Copenhagen Oe
Postcode
2100
Country
Denmark

Scientific contact point

Organisation
Rigshospitalet
Contact name
Joachim Hansen

Public contact point

Organisation
Rigshospitalet
Contact name
Joachim Hansen

Third parties 1

OrganisationCity, countryDuties
Region Hovedstaden
ORG-100003705
Frederiksberg, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Authorised, recruitment pending 100 1
Rest of world 0

Investigational sites

Denmark

1 site · Authorised, recruitment pending
Rigshospitalet
Department of otorhinolaryngology, Head and Neck surgery, Blegdamsvej 9, 2100, Copenhagen Oe

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 8 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) MESRIX-More_Protocol 4
Protocol (for publication) MESRIX-More_Protocol for CTIS tracked changes 4
Recruitment arrangements (for publication) Letter to potential participants_MESRIX-more 2
Recruitment arrangements (for publication) Participant recruitment_mesrixmore 4
Subject information and informed consent form (for publication) Deltagerinformation MESRIX-more 4
Subject information and informed consent form (for publication) GRIX questionnaire 1
Subject information and informed consent form (for publication) Sprgeskema_EORTC QOL HN35_mesrixmore 1
Synopsis of the protocol (for publication) Protocol synopsis_mesrixmore 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-06-06 Denmark Acceptable
2025-09-05
2025-09-08