Status:

TERMINATED

Impact of ADM in Reduction of Surgical Complexity of Breast Reconstructions With Implants (Nava)

Lead Sponsor:

LifeCell

Conditions:

Patients With Breast Cancer Requiring Mastectomy and Suitable for Reconstruction

Eligibility:

FEMALE

18+ years

Phase:

NA

Brief Summary

The objective of this study is to demonstrate that acellular dermal matrix, Strattice™ Reconstructive Tissue Matrix, can reduce the surgical complexity and post-operative pain of breast reconstruction...

Detailed Description

This study is designed to compare the clinical outcomes of patients undergoing mastectomy followed by a direct to implant breast reconstruction with Strattice™ Reconstructive Tissue Matrix to patients...

Eligibility Criteria

Inclusion

  • A study patient may be included if she:
  • Has planned to undergo a unilateral or bilateral mastectomy and have small to medium size breasts (predicted breast implant size maximally 500 gms), with none or moderate (Grade 1 or 2) ptosis, and healthy, sufficiently thick, well-vascularized skin flaps anticipated by the surgeon.
  • Is a clinically suitable candidate for immediate reconstruction with ADM based single stage reconstruction technique (as defined for use in the Experimental arm).
  • Is female, ≥18 years of age.
  • Is willing to undergo immediate breast reconstruction with sub-pectoralis muscle placement of a breast implant by either the Experimental (ADM based single stage) or the Control (TE/Implant based two stage) techniques.
  • Is in good health other than breast pathology and is suited to general anesthesia and planned treatments.
  • Understands and is willing to follow all aspects of the study protocol including randomization and has signed and dated the approved Informed Consent Form prior to any study-related procedures being performed.

Exclusion

  • A study patient is excluded from participation to the study if she:
  • Has undergone breast radiation treatment and/or be preoperatively evaluated to require radiation treatment to the breast area during the course of the study.
  • Has collagen-vascular, connective tissue, or uncorrectable bleeding disorders as determined clinically by the PI.
  • Has a BMI that is ≥ 35.
  • Has any disease, including uncontrolled diabetes, which is clinically known to impact wound healing ability.
  • Has an autoimmune disease, an immune deficiency, or is on immune suppression drugs other than any other current treatment for breast cancer.
  • Currently has an alcohol/substance abuse problem or have had a relapse within 1 year prior to screening visit.
  • Is pregnant, or lactating.
  • Has concomitant unrelated condition of breast/chest wall/skin that, as determined by the PI, could affect the surgical outcome (e.g. significant chest wall abnormalities including pectus excavatum or pectus carinatum).
  • Has an abscess or infection at the time of surgery.
  • Has undergone previous breast surgery with the exception of breast biopsy, cyst removal, and lumpectomy.
  • Has had a prior soft tissue support device implanted in the breast or is participating in another clinical trial with a breast related device (e.g. drains, expanders, implants).
  • Has a known pork allergy or is sensitive to polysorbate.

Key Trial Info

Start Date :

March 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2017

Estimated Enrollment :

36 Patients enrolled

Trial Details

Trial ID

NCT01853436

Start Date

March 1 2013

End Date

July 1 2017

Last Update

May 25 2017

Active Locations (1)

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Fondazione IRCCS Instituto Nazionale dei Tumori

Milan, Italy