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CompletedNCT04615455AMASSUpdated Mar 8, 2023

Mesenchymal Stem Cell Therapy of Dry Eye Disease in Patients With Sjögren's Syndrome

A Phase 2 interventional study of ASCs and Cryostor CS10 in Keratoconjunctivitis Sicca, in Sjogren's Syndrome, sponsored by Rigshospitalet, Denmark. Completed at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-03-08.

Sponsored by Rigshospitalet, Denmark · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

AMASS is a double-blinded randomized clinical trial with the purpose of investigating whether injection of allogeneic adipose-derived mesenchymal stem cells (ASCs) into the lacrimal gland (LG) results in increased ocular comfort compared to placebo.

Read the detailed description

AMASS is a double-blinded randomized clinical trial which will be performed at the Department of Ophthalmology, University Hospital of Copenhagen, Denmark. 40 patients with severe aqueous deficient dry eye disease (ADDE) due to Sjögren's Syndrome (SS) will be recruited from the Dept. of Ophthalmology, Rigshospitalet, and allocated in ratio 1:1 to either injection of allogeneic adipose-derived mesenchymal stem cells (ASCs) or placebo (vehicle, Crystore CS10) into the lacrimal gland (LG) in one eye. We hypothesize that injection of allogeneic ASCs into the LG increases tear production and reduce inflammation resulting in increased ocular comfort compared to placebo.

02

Conditions studied

  • Keratoconjunctivitis Sicca, in Sjogren's Syndrome
03

In context

Keratoconjunctivitis Sicca

85 studies on the registry are indexed under Keratoconjunctivitis Sicca; 1 is open to participants now.

This study's enrollment of 40 is below the median of 82 across 75 interventional studies indexed under Keratoconjunctivitis Sicca.

Browse Keratoconjunctivitis Sicca studies →

Lead sponsor

Rigshospitalet, Denmark is the lead sponsor of 1,007 studies on the registry; 175 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of Sjögren's syndrome according to the 2016 American College of Rheumatology/European League Against Rheumatism classification criteria for primary Sjögren's syndrome
  • OSDI-score ≥ 33
  • Schirmer's test 1-5 mm/5 minutes
  • NIKBUT \< 10 sec

Exclusion criteria

Exclusion Criteria:

  • LG volume on MRI \< 0,2 cm3 in the study eye
  • Previous treatment with ASCs or other stem cell products in the LG(s)
  • Reduced immune response (e.g. positive)
  • Pregnancy or planned pregnancy within the next 2 years
  • Breastfeeding
  • Topical treatment with eye drops other than to treat dry eye disease (DED)
  • Any other disease/condition judged by the investigator to be grounds for exclusion, such as infection in or around the eye
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Adipose tissue-derived mesenchymal stem cells (ASCs)

    One transconjunctival injection of allogeneic ASCs into the LG in one eye.

    Drug: ASCs

  • Placebo comparator
    Placebo (vehicle, Cryostor CS10)

    One transconjunctival injection of Cryostor CS10 into the LG in one eye.

    Drug: Cryostor CS10

Interventions

  • DrugASCs

    ASCs expanded from healthy donors. The ASC product contains 22 million ASCs/ml.

    Also known as: Allogeneic adipose-derived mesenchymal stem cells

  • DrugCryostor CS10

    CryoStor® CS10 freeze medium

06

What researchers measure

Primary outcomes

  1. Ocular Surface Disease Index (OSDI)

    The OSDI is a valid and reliable instrument for measuring dry eye disease severity

    Time frame: 4 months after treatment

Secondary outcomes

  1. Non-invasive keratography tear break-up time (NIKBUT)

    As measured with the Keratograph 5M (Oculus™)

    Time frame: 4 months after treatment

  2. Tear meniscus height (TMH)

    As measured with the Keratograph 5M (Oculus™)

    Time frame: 4 months after treatment

  3. Schirmer's I test

    Change in tear production as evaluated with the Schirmer's I test

    Time frame: 4 months after treatment

  4. Tear osmolarity

    Change in tear osmolarity measured with TearLab™

    Time frame: 4 months after treatment

  5. Oxford scale

    Change in staining of the ocular surface (grade 0-5 with 0 being absent corneal staining and 5 being severe corneal staining)

    Time frame: 4 months after treatment

  6. HLA anti-bodies

    Development of anti-human leucocyte antigen (HLA) anti-bodies evaluated with Luminex HLA anti-body screening Development of anti-HLA anti-bodies evaluated with Luminex HLA anti-body screening Development of donor-specific HLA-antibodies

    Time frame: 12 months after treatment

07

Study locations

1 site
  • Rigshospitalet
    Copenhagen, DK 2200, Denmark
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2020 to primary completion in Dec 2022, 24 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 3, 2020
First posted
Nov 4, 2020
StartActual
Nov 3, 2020
Primary completionActual
Dec 1, 2022
CompletionActual
Jan 1, 2023
Last update
Mar 8, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 8, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04615455
Responsible party
Michael Møller-Hansen (Principal investigator, Rigshospitalet, Denmark) — Principal investigator
First posted
Nov 4, 2020
Start date
Nov 3, 2020
Primary completion
Dec 1, 2022
Completion
Jan 1, 2023
Last update
Mar 8, 2023

Study contacts

Steffen Heegaard, MD, DMSc
study chair · Rigshospitalet, Denmark

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Allogeneic Adipose-derived Mesenchymal Stem Cells

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