Breast Reconstruction Following Mastectomy Clinical Trial
Official title:
Prepectoral vs Partial Subpectoral Two-Stage Implant-Based Breast Reconstruction
NCT number | NCT04874402 |
Other study ID # | CASE1121 |
Secondary ID | |
Status | Withdrawn |
Phase | N/A |
First received | |
Last updated | |
Start date | October 1, 2023 |
Est. completion date | June 30, 2025 |
Verified date | June 2023 |
Source | Case Comprehensive Cancer Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to investigate the to analyze the patient satisfaction and complication rates under controlled conditions of the increasingly popular prepectoral technique for implant-based breast reconstruction.
Status | Withdrawn |
Enrollment | 0 |
Est. completion date | June 30, 2025 |
Est. primary completion date | June 30, 2024 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 19 Years and older |
Eligibility | Inclusion Criteria: - Undergoing two-stage implant-based breast reconstruction for either breast cancer or breast cancer risk reduction Exclusion Criteria: - Active use of any tobacco products - Uncontrolled diabetes defined by HbA1c greater than 7.5% - Class II obesity or higher defined by a body mass index equal or greater than 35 kg/m2 - History of radiation to the affect breast or chest - Immunocompromised patients - Clinical evidence of significant mastectomy flap ischemia prior to the initiation of the reconstructive procedure |
Country | Name | City | State |
---|---|---|---|
United States | Cleveland Clinic Florida, Case Comprehensive Cancer Center | Weston | Florida |
Lead Sponsor | Collaborator |
---|---|
Case Comprehensive Cancer Center |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Patient satisfaction as measured by BREAST-Q-scores | Patient satisfaction will be assessed using BREAST-Q-scores. BREAST-Q is a patient-reported outcome instrument used to assess the outcomes of different breast surgeries among women. Modules selected will be "Psychosocial Well-Being, Physical Well-Being: Chest and Satisfaction with Breasts" within the Reconstruction (Preoperative) module and "Psychosocial Well-Being, Physical Well-Being: Chest, Satisfaction with Breasts and Satisfaction with Implants" within the Reconstruction (Postoperative) module For each BRESAT-Q scale, items are summed and transformed to a score with range from 0 to 100, and with greater values representing more satisfaction and higher levels of breast related quality of life. A two-sample T-test will be used to assess the changes in mean scores of satisfaction between two arms |
Preoperatively | |
Primary | Patient satisfaction as measured by BREAST-Q-scores | Patient satisfaction will be assessed using BREAST-Q-scores. BREAST-Q is a patient-reported outcome instrument used to assess the outcomes of different breast surgeries among women. Modules selected will be "Psychosocial Well-Being, Physical Well-Being: Chest and Satisfaction with Breasts" within the Reconstruction (Preoperative) module and "Psychosocial Well-Being, Physical Well-Being: Chest, Satisfaction with Breasts and Satisfaction with Implants" within the Reconstruction (Postoperative) module For each BRESAT-Q scale, items are summed and transformed to a score with range from 0 to 100, and with greater values representing more satisfaction and higher levels of breast related quality of life. A two-sample T-test will be used to assess the changes in mean scores of satisfaction between two arms |
postoperative day 90 +/-30 days | |
Secondary | Overall complication rates | Overall complication rates in both arms. Fisher's exact test will be performed to evaluate the differences in overall and specific complication rates between the two arms | Preoperatively | |
Secondary | Overall complication rates | Overall complication rates in both arms. Fisher's exact test will be performed to evaluate the differences in overall and specific complication rates between the two arms | Postoperative day 1 | |
Secondary | Overall complication rates | Overall complication rates in both arms. Fisher's exact test will be performed to evaluate the differences in overall and specific complication rates between the two arms | Postoperative day 7 +/-7 days | |
Secondary | Overall complication rates | Overall complication rates in both arms. Fisher's exact test will be performed to evaluate the differences in overall and specific complication rates between the two arms | Postoperative day 14 +/-7 days | |
Secondary | Overall complication rates | Overall complication rates in both arms. Fisher's exact test will be performed to evaluate the differences in overall and specific complication rates between the two arms | postoperative day 21 +/-7 days | |
Secondary | Overall complication rates | Overall complication rates in both arms. Fisher's exact test will be performed to evaluate the differences in overall and specific complication rates between the two arms | postoperative day 90 +/-30 days | |
Secondary | Specific complication rates | Presence of seroma, hematoma, superficial and deep surgical site infection, wound dehiscence, skin necrosis, capsular contracture, rippling/visibility/palpability, and implant loss. Furthermore, the complications will be classified in major or minor based on the need for a surgical intervention to treat the complication or not, respectively. Fisher's exact test will be performed to evaluate the differences in overall and specific complication rates between the two arms |
Preoperatively | |
Secondary | Specific complication rates | Presence of seroma, hematoma, superficial and deep surgical site infection, wound dehiscence, skin necrosis, capsular contracture, rippling/visibility/palpability, and implant loss. Furthermore, the complications will be classified in major or minor based on the need for a surgical intervention to treat the complication or not, respectively. Fisher's exact test will be performed to evaluate the differences in overall and specific complication rates between the two arms |
Postoperative day 1 | |
Secondary | Specific complication rates | Presence of seroma, hematoma, superficial and deep surgical site infection, wound dehiscence, skin necrosis, capsular contracture, rippling/visibility/palpability, and implant loss. Furthermore, the complications will be classified in major or minor based on the need for a surgical intervention to treat the complication or not, respectively. Fisher's exact test will be performed to evaluate the differences in overall and specific complication rates between the two arms |
Postoperative day 7 +/-7 days | |
Secondary | Specific complication rates | Presence of seroma, hematoma, superficial and deep surgical site infection, wound dehiscence, skin necrosis, capsular contracture, rippling/visibility/palpability, and implant loss. Furthermore, the complications will be classified in major or minor based on the need for a surgical intervention to treat the complication or not, respectively. Fisher's exact test will be performed to evaluate the differences in overall and specific complication rates between the two arms |
Postoperative day 14 +/-7 days | |
Secondary | Specific complication rates | Presence of seroma, hematoma, superficial and deep surgical site infection, wound dehiscence, skin necrosis, capsular contracture, rippling/visibility/palpability, and implant loss. Furthermore, the complications will be classified in major or minor based on the need for a surgical intervention to treat the complication or not, respectively. Fisher's exact test will be performed to evaluate the differences in overall and specific complication rates between the two arms |
postoperative day 21 +/-7 days | |
Secondary | Postoperative pain intensity | Pain intensity evaluated using a visual analog scale. A mixed model with repeated measures will be conducted to analyze the differences in the postoperative pain at the immediate postoperative period and during the tissue expansion phase between the two arms | Postoperative day 1 | |
Secondary | Postoperative pain intensity | Pain intensity evaluated using a visual analog scale. A mixed model with repeated measures will be conducted to analyze the differences in the postoperative pain at the immediate postoperative period and during the tissue expansion phase between the two arms | Postoperative day 7 +/-7 days | |
Secondary | Postoperative pain intensity | Pain intensity evaluated using a visual analog scale. A mixed model with repeated measures will be conducted to analyze the differences in the postoperative pain at the immediate postoperative period and during the tissue expansion phase between the two arms | Postoperative day 14 +/-7 days | |
Secondary | Postoperative pain intensity | Pain intensity evaluated using a visual analog scale. A mixed model with repeated measures will be conducted to analyze the differences in the postoperative pain at the immediate postoperative period and during the tissue expansion phase between the two arms | postoperative day 21 +/-7 days |
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
NCT06013514 -
Post-market Prospective Clinical Study of Nagor Perle Mammary Implants
|
||
Recruiting |
NCT05031962 -
Safety and Clinical Performance of a Biological Matrix Used in Implant-based Breast Reconstruction
|
||
Completed |
NCT02775409 -
Prospective Trial of Subcutaneous Versus Subpectoral 2-Staged Implant-Based Breast Reconstruction
|
N/A |