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Breast cancer is the most common cancer type among women. Treatment in many cases involves axillary lymphadenectomy followed by radiation therapy. This increases the risk of lymphedema development which occurs in up to 30% of such cases. The present treatment paradigm is conservative with compression garments. There is a need for more effective treatment options and regenerative medicine offers hope for a change to a more curative approach. This Phase 2 trial will examine the efficacy and safety of treatment with freshly isolated adipose-derived stromal cells administered as a cell-assisted lipotransfer to the affected axillary region.
Breast cancer is the most common cancer type among women. Treatment in many cases involves axillary lymphadenectomy followed by radiation therapy. This increases the risk of lymphedema development which occurs in up to 30% of such cases. The present treatment paradigm is conservative with compression garments. There is a need for more effective treatment options and regenerative medicine offers hope for a change to a more curative approach. This Phase 2 trial will examine the efficacy and safety of treatment with freshly isolated adipose-deried stromal cells administered as a cell-assisted lipotransfer to the affected axillary region.
Investigators plan to include 10 patients with unilateral lymphedema after previous breast cancer treatment
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment | Experimental | Treatment of lymphedema with cell-assisted lipotransfer using autologous stromal vascular fraction |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cell-assisted lipotransfer | Procedure | Stromal vascular fraction, autologous. Isolated using Celution System (Cytori) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in arm volume | Assessed by clinical measurements | Baseline, 1, 3, 6, 12 and 48 months |
| Measure | Description | Time Frame |
|---|---|---|
| Side effects of treatment | Any side effects of experimental treatment. Assessed by asking the patient at each visit. All reported findings will be reported at study completion | 1, 3, 6, 12 and 48 months |
| Subjective change assessed LYMQOL questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Navid M Toyserkani, MD | Dept. Plastic and Reconstructive Surgery, Odense University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Odense University Hospital | Odense | 5000 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28653440 | Derived | Toyserkani NM, Jensen CH, Andersen DC, Sheikh SP, Sorensen JA. Treatment of Breast Cancer-Related Lymphedema with Adipose-Derived Regenerative Cells and Fat Grafts: A Feasibility and Safety Study. Stem Cells Transl Med. 2017 Aug;6(8):1666-1672. doi: 10.1002/sctm.17-0037. Epub 2017 Jun 27. | |
| 27151914 | Derived |
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| ID | Term |
|---|---|
| D008209 | Lymphedema |
| ID | Term |
|---|---|
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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Subjective change of lymphedema assessed by questionnaire |
| Baseline, 1, 3, 6, 12 and 48 months |
| Subjective change assessed DASH questionnaire | Subjective change of lymphedema assessed by questionnaire | Baseline, 1, 3, 6, 12 and 48 months |
| Change in lymph drainage | Change in lymph drainage assessed by lymphoscintigraphy compared with preoperative lymphoscintigraphy | Baseline and 12 months |
| Subjective change in feeling of tension in arm assessed by numeric scale from 0-10 | Feeling of tension in the arm (separately) 0=healthy and 10=worst imaginable | Baseline, 1, 3, 6, 12 and 48 months |
| Subjective change in feeling of heaviness in arm assessed by numeric scale from 0-10 | Feeling of heaviness in the arm (separately) 0=healthy and 10=worst imaginable | Baseline, 1, 3, 6, 12 and 48 months |
| Change in arm volume | Assessed by DXA scan | Baseline, 3, 6 and 12 months |
| Number of arm infections | Number of arm infections needing antibiotic treatment. Assesed by asking the patient each visit. | Baseline, 1, 3, 6, 12 and 48 months |
| Change in conservative lymphedema treatment | Change in use or type of conservative lymphedema treatments. Assesed by asking the patient each visit. | Baseline, 1, 3, 6, 12 and 48 months |
| Toyserkani NM, Jensen CH, Sheikh SP, Sorensen JA. Cell-Assisted Lipotransfer Using Autologous Adipose-Derived Stromal Cells for Alleviation of Breast Cancer-Related Lymphedema. Stem Cells Transl Med. 2016 Jul;5(7):857-9. doi: 10.5966/sctm.2015-0357. Epub 2016 May 5. |