Status:

NOT_YET_RECRUITING

Hyperbaric Oxygen Therapy to Improve Autologous Fat Graft Intake in Irradiated Breast

Lead Sponsor:

University Hospital, Geneva

Conditions:

Breast Reconstruction

Lipofilling

Eligibility:

FEMALE

18+ years

Phase:

NA

Brief Summary

The goal of this clinical trial is to learn if hyperbaric oxygen therapy (HBOT) enhances fat graft survival in lipofilling procedures in irradiated breast cancer patients. The main questions it aims t...

Detailed Description

This is a prospective, monocentric, randomized controlled phase II crossover clinical trial designed to evaluate the efficacy and safety of hyperbaric oxygen therapy (HBOT) in improving fat graft rete...

Eligibility Criteria

Inclusion

  • Adult (18 y.o. or more) female patients considered for lipofilling following breast reconstruction in an oncological setting which received radiation therapy on the affected breast.
  • Ability to provide informed consent, documented by signature

Exclusion

  • Pregnancy or breastfeeding
  • Unability to provide informed consent
  • Previous enrolment into the current investigation
  • Contra-indication to HBOT :
  • Anamnestically reported spontaneous pneumothorax
  • Status post-thoracotomy
  • Significant intra-pulmonary lesions (including emphysematous bullae)
  • Respiratory function disorders (both obstructive and restrictive syndromes)
  • Pregnancy
  • Major psychiatric disorders
  • Uncontrollable claustrophobic reaction
  • Seizures, even if treated and asymptomatic for some time
  • Status post-severe traumatic brain injury with neurological deficits and seizures
  • Decompensated heart failure
  • Recent myocardial infarction (\<6 months) or with persistent hemodynamic sequelae
  • Spastic coronary angina
  • Cardiac arrhythmias, atrioventricular block, Wolff-Parkinson-White syndrome, sinus node dysfunction, Lown-Ganong-Levine syndrome
  • Cardiac pacemakers with unknown pressure resistance
  • Severe bradycardia
  • Sinus ostium displacement (acute or chronic)
  • Displacement of the auditory canal entrance (acute or chronic)
  • Status post-tympanoplasty type I-III \<3 months
  • Acute febrile state
  • Optic neuritis
  • Unstabilized hyperthyroidism
  • Contra-indication to MRI :
  • Non-MRI-compatible pacemaker, cochlear implant, drug-infusion pump or neurostimulator.
  • Metallic foreign body in critical area (eye, brain, etc.)
  • Ferromagnetic vascular surgical clips of older generation, e.g., for intracranial aneurysm repair.

Key Trial Info

Start Date :

November 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2028

Estimated Enrollment :

16 Patients enrolled

Trial Details

Trial ID

NCT07140198

Start Date

November 1 2025

End Date

December 1 2028

Last Update

August 24 2025

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Hyperbaric Oxygen Therapy to Improve Autologous Fat Graft Intake in Irradiated Breast | DecenTrialz