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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04646057
Other study ID # 19-004
Secondary ID
Status Active, not recruiting
Phase N/A
First received
Last updated
Start date January 15, 2021
Est. completion date December 2024

Study information

Verified date November 2023
Source Surgical Innovation Associates, Inc.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study compares outcomes of prospective mesh-based breast reconstructions to historical control breast reconstructions with no mesh.


Description:

Plastic surgeons have a variety of biologic and synthetic mesh available for use. However, no mesh has adequately evaluated safety and effectiveness for FDA approval or clearance for use in breast reconstruction. Therefore, no mesh is an appropriate comparator for a randomized clinical study. This multi-center, prospective, clinical study with matched historical controls of total submuscular 2-stage breast reconstructions with no mesh will evaluate the safety and effectiveness of DuraSorbĀ® monofilament surgical mesh when implanted in subjects undergoing 2-stage breast reconstruction. Women scheduled for mastectomy and immediate 2-stage breast reconstruction will sign informed consent and satisfy eligibility criteria prior to the first stage of surgery and DuraSorbĀ® implantation. Maximum study follow-up is through one year after definitive reconstruction.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 168
Est. completion date December 2024
Est. primary completion date June 2024
Accepts healthy volunteers No
Gender Female
Age group 22 Years to 70 Years
Eligibility Inclusion Criteria: - Female between the inclusive ages of 22 and 70 at the time of initial expander surgery - Scheduled to undergo either unilateral or bilateral mastectomy with immediate 2-stage breast reconstruction - Is able to understand the study requirements and is willing to provide written informed consent - Is willing and able to return for all scheduled study visits Exclusion Criteria: - Is pregnant or planning to become pregnant during study participation - Has a history of failed tissue expansion or breast implantation at the intended reconstruction site - has a residual gross tumor at the intended reconstruction site - has been treated for a systemic infection or a local infection at the surgical site that the investigator determines will affect the safety of the subject during breast reconstruction and/or mesh use - has, as determined by the investigator, unsuitable tissue integrity for immediate 2-stage breast reconstruction - has undergone previous radiation therapy to the reconstruction site or chest wall - is scheduled to undergo post-operative radiation therapy at the reconstruction site - has a Body Mass Index (BMI) < 14 or > 44 - has used nicotine products within 90 days of screening - is currently taking medications including non-NSAID anti-coagulants, immunosuppressants (including systemic steroids), or other medications determined by the investigator to place the subject at an increased risk of local complications of breast reconstruction - has been diagnosed with a comorbid condition determined by the investigator to place the subject at an increased risk of complications - has participated in any other clinical study that the investigator feels may interfere with this clinical study

Study Design


Related Conditions & MeSH terms


Intervention

Device:
DuraSorb®
Monofilament Surgical Mesh

Locations

Country Name City State
United States Harvard Brigham and Women's Faulkner Hospital Boston Massachusetts
United States Northwestern Specialists Plastic Surgery Chicago Illinois
United States Northwestern University Feinberg School of Medicine Chicago Illinois
United States NorthShore University Health System Evanston Illinois
United States Kelsey-Seybold Clinic Houston Texas
United States University of Wisconsin Health University Hospital Madison Wisconsin
United States NYU Grossman School of Medicine New York New York

Sponsors (1)

Lead Sponsor Collaborator
Surgical Innovation Associates, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Composite Clinical Success (CCS) This outcome measure is a combination of effectiveness and safety components. CCS is defined as intraoperative fill volume of at least 45% of the total expander size and the absence of expander or implant removal for cause or major cosmetic revision between the DuraSorb Treatment Arm and historical controls. 12 Month Follow-Up
Primary Local Complications of Breast Reconstruction The rates of a set of breast reconstruction complications (i.e. infection, serum, necrosis, etc.) will be measured between the DuraSorb Treatment Arm and historical controls. 12 Month Follow-Up
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