ClinicalTrials.gg
Enrolling by invitationNCT07913646Updated Nov 3, 2026

Adipose-derived Stem Cells in Treatment of Esophageal Strictures

An interventional study of Adipose-derived stem cells and stromal vascular fraction in Esophageal Stenosis Acquired, sponsored by Oslo University Hospital. Enrolling by invitation at 1 site in Norway. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Oslo University Hospital · Not applicable, Interventional, and Treatment

Updated Nov 3, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The goal of this clinical trial is to examine the effect of injection of adipose tissue derived stem cells in benign esophageal strictures in patients who have previously required at least 10 balloon dilations without satisfactory results on symptoms and esophageal diameter. This pilot trial will primarily examine the effects of the intervention on resolution of dysphagia and achieving a diameter ≥13 mm of the esophageal lumen. The trial will investigate dysphagia after two weeks, one, two and six months and diameter of the esophagus after one, two and six months. The trial will also record the following secondary outcomes: stricture diameter at each endoscopy, time to stricture requiring new dilation due to symptoms and diameter \< 13 mm as well as adverse events.

Participants will be required to undergo a procedure which starts by harvesting of adipose tissue from the abdominal subcutaneous fat. A concentrate of stem cells and supportive cells will be prepared on site, before balloon dilation of the esophageal stricture and then injection of the cell preparation within the dilated stricture.

Participants will then undergo follow-up after:

  • Two weeks: telephone call, open question concerning side effects and dysphagia score
  • One month: dysphagia score and upper endoscopy with measured diameter of stricture
  • Two months: dysphagia score and upper endoscopy with measured diameter of stricture
  • Six months: dysphagia score and upper endoscopy with measured diameter of stricture.

The patient will at any timepoint contact the hospital if symptoms occur and an endoscopy with dilation is needed (rescue dilation). The time from intervention to rescue dilation will then be recorded.

Read the detailed description

The primary aims of the study are 1) to evaluate improvements in stricture severity and patient symptoms, and 2) to monitor for any adverse effects.

Patients 18-80 years, n = 10

Inclusion criteria

  1. Benign esophageal stricture diagnosed by endoscopy and histology Refractory stenosis defined as previous balloon or bougie dilation treatment at least ten times
  2. Length of stricture up to 3.0 cm

Exclusion criteria

  • The use of platelet inhibitors other than acetylsalicylic acid, BMI \< 18 or > 35, liver cirrhosis, other significant comorbidity such as COPD GOLD 3-4, unstable coronary heart disease, current malignant disease.
  • WHO performance status >1.
  • Previous scarring in abdominal subcutaneous tissue making fat grafting difficult
  • Previous non-adherence to scheduled follow-up
  • Unable to understand Norwegian or unable to sign informed consent

Primary outcomes

  • Resolution of dysphagia defined as Mellow Pinkas score = 0 or an improvement of ≥ 2 points during follow-up and luminal diameter ≥ 13 mm.

Secondary outcomes

  • Stricture diameter at endoscopies after treatment. Luminal diameter ≥13 mm defined as complete resolution.
  • Time to stricture requiring new dilation, due to symptoms and diameter \<13 mm.
  • Adverse events or complications

Procedures and timeline for follow-up Dysphagia scoring and endoscopic assessment of stricture diameter. Dysphagia scoring will be performed before procedure start. The endoscopy will start with assessment of stricture diameter measured using an open biopsy forceps (7.5 mm) for lumen less than 6 mm, balloon inflation or bougie insertion depending on stricture location for larger lumen diameters. The estimated diameter will be defined as the first size with resistance when pulling the instrument through the stricture.

Baseline characteristics will be recorded based on an interview and information extracted from the medical record, including age, sex, BMI, medication, etiology of stenosis and time since surgery

Interventional procedure

  • Deep sedation administration by anesthesiologist in addition to local anesthesia infiltration will be given.
  • Stromal vascular fraction (SVF) with adipose-derived stem cells (ADSCs) and nanofat will be obtained by liposuction, mechanical rupturing of adipose cells before centrifugation following previously published protocols.
  • The esophageal stricture will be dilated to the maximal diameter perceived safe by the endoscopy team.
  • Nanofat injection. Thereafter, injections of 0.5 ml will be delivered in each octant for each 1 cm of the length of the stenosis in the submucosal layer. The injections will be delivered through a endoscopic injection needle.

Evaluation of outcomes after the procedure Two weeks

  • Telephone call
  • Open question concerning side effects
  • Dysphagia score (Mellow Pinkas) One month
  • Dysphagia score (Mellow Pinkas)
  • Upper endoscopy with measured diameter of stricture Two months
  • Dysphagia score (Mellow Pinkas)
  • Upper endoscopy with measured diameter of stricture Six months
  • Dysphagia score (Mellow Pinkas)
  • Upper endoscopy with measured diameter of stricture
  • Review of medical record focused on need for stricture dilations

The patient will at any timepoint contact the hospital if symptoms occur and an endoscopy with dilation is needed (rescue dilation). The time from intervention to rescue dilation will then be recorded.

02

Conditions studied

  • Esophageal Stenosis Acquired

Keywords

  • esophagus
  • stricture
03

In context

Constriction, Pathologic

456 studies on the registry are indexed under Constriction, Pathologic; 109 are open to participants now.

This study's planned enrollment of 10 is below the median of 72 across 295 interventional studies indexed under Constriction, Pathologic.

Browse Constriction, Pathologic studies →

Lead sponsor

Oslo University Hospital is the lead sponsor of 834 studies on the registry; 149 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
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

  1. Benign esophageal stricture diagnosed by endoscopy and histology stenosis defined as previous balloon or bougie dilation treatment at least ten times
  2. Length of stricture up to 3.0 cm

Exclusion criteria

Exclusion Criteria:

  • The use of inhibitors other than acetylsalicylic acid, \< 18 or > 35, liver cirrhosis, other significant comorbidity such as GOLD 3-4, unstable coronary heart disease, current malignant disease.
  • >1.
  • Previous scarring in abdominal subcutaneous tissue making fat grafting difficult
  • Previous non-adherence to scheduled follow-up
  • Unable to understand Norwegian or unable to sign
Terms in these criteria, in plain language(6)

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    Intervention

    Adipose derived stem cells and stromal vascular fraction will be injected in the benign esophageal stricture

    Procedure: Adipose-derived stem cells and stromal vascular fraction

Interventions

  • ProcedureAdipose-derived stem cells and stromal vascular fraction

    Adipose-derived stem cells and stromal vascular fraction will be injected into benign esophageal strictures in all patients (n=10).

06

What researchers measure

Primary outcomes

  1. Resolution of dysphagia and esophageal stricture

    Resolution of dysphagia defined as Mellow Pinkas score = 0 or an improvement of ≥ 2 points and esophageal luminal diameter ≥ 13 mm

    Time frame: Six months

Secondary outcomes

  1. Esophageal diameter

    Stricture diameter at endoscopies after treatment.

    Time frame: Six months

  2. Time to stricture requiring new dilation

    Time to stricture requiring new (rescue) dilation, due to symptoms and diameter \<13 mm

    Time frame: Six months

  3. Adverse events

    Adverse events or complications

    Time frame: Six months

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No — This is restricted by the Regional Committees for Medical Research Ethics South East Norway

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Dec 2027, 13 months later.

Of 90 non-industry interventional studies with no phase under Constriction, Pathologic, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 49. This study's planned 13 months is below that.

Counting every sponsor, half of 133 studies reached it within 36 months; a quarter within 18 and three quarters within 53.

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

Registered
Oct 27, 2026
First posted
Nov 3, 2026
StartEst.
Nov 1, 2026
Primary completionEst.
Dec 31, 2027
CompletionEst.
Dec 31, 2027
Last update
Nov 3, 2026
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.
Registered
First appeared on the registry. No changes since
Nov 3, 2026
Show all 1 update
  1. Nov 3, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07913646
Responsible party
Reidar Fossmark (Professor, Oslo University Hospital) — Principal investigator
First posted
Nov 3, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Nov 3, 2026

Study contacts

Reidar Fossmark, MD, PhD
principal investigator · Oslo University Hospital, Ullevål, Oslo Norway

Oversight

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

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