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Clinical Trial Details — Status: Withdrawn

Administrative data

NCT number NCT04716959
Other study ID # 20-565
Secondary ID
Status Withdrawn
Phase Phase 3
First received
Last updated
Start date January 14, 2021
Est. completion date December 13, 2021

Study information

Verified date December 2021
Source Memorial Sloan Kettering Cancer Center
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to compare two standard techniques for breast reconstruction-the prepectoral technique and the subpectoral technique. Again, the prepectoral technique involves putting a tissue expander on top of the pectoralis muscle, while the subpectoral technique involves putting a tissue expander under the pectoralis muscle. The standard approach used at MSK is the subpectoral technique. This study will help researchers find out whether the subpectoral approach is better, the same as, or worse than the prepectoral approach. To decide which approach is better, the researchers will look at which technique causes fewer complications after surgery (for example, infection or the need for a second surgery). Researchers are also interested in seeing which approach causes less pain and use of pain medication after surgery.


Recruitment information / eligibility

Status Withdrawn
Enrollment 0
Est. completion date December 13, 2021
Est. primary completion date December 13, 2021
Accepts healthy volunteers No
Gender Female
Age group 21 Years to 60 Years
Eligibility Inclusion Criteria: - Women aged 21-60 years - Planning to undergo immediate two stage prosthetic breast reconstruction with TE placement as the first stage. - Planning to undergo unilateral or bilateral mastectomy. - Planning to undergo nipple- or skin-sparing mastectomy. - Mastectomy weight less than 800 grams. - Adequate mastectomy skin perfusion or patients with adequate perfusion but nonviable mastectomy skin that can be excised (= 4 cm) at the defect margins with otherwise adequate perfusion. Exclusion Criteria: - Receipt of neoadjuvant chemotherapy for locally advanced breast cancer. - Presence of preoperative axillary lymph node metastasis. - Presence of intraoperative sentinel node positivity. - History of radiotherapy. - Current smoker. - Planning to undergo direct-to-implant reconstruction. - BMI >35. - Prior sternotomy.

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Prepectoral Prosthetic Breast Reconstruction
The prepectoral approach involves placing the tissue expander on top of the pectoralis muscle.
Subpectoral Prosthetic Breast Reconstruction
The subpectoral approach involves placing the tissue expander under the pectoralis muscle with or without acellular dermal matrix (ADM).

Locations

Country Name City State
United States Memorial Sloan Kettering BaskingRidge (Consent and Followup) Basking Ridge New Jersey
United States Memorial Sloan Kettering Commack (Consent and Followup) Commack New York
United States Memorial Sloan Kettering Westchester (Consent and Followup) Harrison New York
United States Memorial Sloan Kettering Monmouth (Consent and Followup) Middletown New Jersey
United States Memorial Sloan Kettering Bergen (Consent and Followup ) Montvale New Jersey
United States Memorial Sloan Kettering Cancer Center (All Protocol Activities) New York New York
United States Memorial Sloan Kettering Nassau (Consent and Followup) Rockville Centre New York

Sponsors (1)

Lead Sponsor Collaborator
Memorial Sloan Kettering Cancer Center

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary major perioperative complications 90-day major complications for tissue expanders (i.e., infection, explantation, and reoperation for mastectomy flap necrosis):
Infection: any event requiring restart of antibiotics (oral or intravenous) following completion of initial perioperative antibiotics or an admission to the hospital for cellulitis.
Explantation: need for tissue expander removal for any cause.
Reoperation: skin excision performed in either the clinic or the main operating room for mastectomy skin flap necrosis.
90 days
Secondary minor complications Minor complication for tissue expanders is defined as: Seroma: clinically significant non-infected fluid collection requiring either needle aspiration or drain replacement 90 days
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