Cell sheet trial for esophageal cancer patients ends early with just one volunteer
NCT ID NCT04689594
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a treatment using a sheet of the patient's own mouth cells to prevent the esophagus from narrowing after cancer removal surgery. Only one person took part before the study was stopped early. The goal was to see if the cell sheet could safely reduce scarring and keep the esophagus open.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Human (autologous) oral mucosal cell sheet
- What this could lead to
- If it works, this could offer a way to prevent esophageal narrowing after cancer surgery, reducing the need for repeated procedures.
- What could go wrong
- The trial was terminated early with only 1 participant, so results are very limited. It is unclear if the treatment is effective or safe in a larger group.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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1 person
The number who actually took part.
- Started
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Feb 2021
- Finished
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Dec 2023
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patients who plan to undergo ESD for the treatment of superficial esophageal cancer 2. Patients aged \>=20 years at the time of consent 3. Patients with no clinical metastasis (cN0M0) by cervical to abdominal CT 4. Patients with an endoscopically diagnosed depth of wall invasion remaining in the epithelium (EP) or lamina propria mucosae (LPM) 5. Patients with a tumor diagnosed as \>=50% and \<100% of circumference, and with prediction that resection circumference will be \>=75% and \<100%. 6. Patients with a tumor the major axis is \<=50 mm, and with prediction that a major axis of a resection will be \<=80 mm. 7. If the patient has multiple lesions, the circumference of all minor lesions other than the one lesion with the largest circumference (major lesion) must be \<50%. However, if it is predicted that the major axis of the mucosal defect is \>80 mm due to treating the major and minor lesions and assembling ulcers after the treating, the patient is excluded. 8. Patients with squamous cell carcinoma (including high-grade intraepithelial neoplasia) as confirmed by biopsy 9. Patients whose lesion is confirmed to be localized in the thoracic esophagus (lesions in the cervical esophagus or abdominal esophagus will be excluded). The location of the lesion will be determined by endoscopy. 10. Patients who have not received pretreatment for esophageal cancer. Treatment by ESD for superficial esophageal cancer for which the depth of wall invasion has been assessed to remain in the epithelium (EP) or lamina propria mucosae (LPM) is not included in the definition of pretreatment. However, patients who have a scar due to previous ESD in the major or minor lesions will be excluded from the study. 11. Patients with an ECOG Performance Status (PS) of 0 or 1 12. Patients in whom a commonly used endoscope with a tip diameter of 8.9 mm can pass 13. Patients with a dysphagia score of 0 14. Patients whose laboratory values within 28 days before enrolment meet all of the following criteria: * White blood cell count: \>=4,000/microL * Platelet count: \>=100,000/microL * AST: \<=100 IU/L * ALT: \<=100 IU/L * Total bilirubin: \<=2.0 mg/dL * Serum creatinine: \<=2.0 mg/dL 15. Patients who have received sufficient explanation about the study and provided written voluntary consent. 16. Patients who meet any of the following criteria: * With fibrous nodule shadow on IGRA negative diagnostic imaging * Required continuous systemic administration of immunosuppressants * With diabetes with blood glucose level of 180 mg/dL or more 2 hours after meal even with insulin * With 7.0% or more of hemoglobin A1c (HbA1c, (International standard value (NGSP value)) even if taking 2 or more drug treatments for more than 3 months * With high blood pressure which does not reach the target value even if taking 2-3 antihypertensive drugs or reach it with 4 or more antihypertensive drugs * With glaucoma, posterior capsule cataract or herpes simplex keratitis (Ophthalmology consultation is not mandatory) * With a risk of administration of corticosteroids based on medical judgment. Exclusion Criteria: 1. Patients with cardiac disease (myocardial infarction, unstable angina, and heart failure), renal disease (nephrotic syndrome and kidney failure) 2. Patients who have an active (within 1 year) malignancy other than esophageal cancer 3. Patients with active bacterial, fungal, or viral infection 4. Patients who are being treated with a corticosteroid except for topical corticosteroids (ointments and creams) and oral ointments or patches used for treating stomatitis after oral mucosal tissue taken from D-16 to D-1. 5. Patients who are positive for any of serological test (HBs antigen, HBc antibody/HBs antibody, HCV antibody, HIV-1/2 antibody, HTLV-1 antibody, syphilis treponema antibody) or nucleic acid amplification test (HBV-DNA, HCV-RNA, HIV-RNA). However, this does not apply if the HBs antibody is positive and HBV-DNA is negative and the reason is clear that he was vaccinated with the hepatitis B vaccine. 6. Patients with a mental disorder that is difficult to control 7. Pregnant women, lactating women, and potentially pregnant women 8. Patients who have participated in another clinical study within 6 months, those who are participating in another clinical study, and those who plan to participate in another clinical study during participation in this study 9. Patients from whom tissues cannot be collected due to a disease (e.g., stomatitis, erosion, mass, and blister) in the oral mucosa at the tissue collection site 10. Patients with a history of hypersensitivity to antibiotic preparations (ampicillin sodium, sulbactam sodium, streptomycin sulfate, gentamicin sulfate, or amphotericin B) or who have taken drugs that may affect the study (within 28 days before enrolment)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Okayama University Hospital
Okayama, 700-8558, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.