Patient Activated Controlled Expansion (PACE) Trial
PACE
1 other identifier
interventional
40
1 country
1
Brief Summary
The purpose of this study is to determine whether a patient controlled tissue expander can improve the results and patient experience in breast reconstruction. The study hypothesis is that patient controlled expansion will lead to rapid and more comfortable outcomes than historical precedents.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable breast-cancer
Started Jun 2009
Typical duration for not_applicable breast-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2009
CompletedFirst Submitted
Initial submission to the registry
November 5, 2009
CompletedFirst Posted
Study publicly available on registry
November 6, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2013
CompletedAugust 10, 2018
August 1, 2018
3.9 years
November 5, 2009
August 8, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Expansion to and maintenance of clinically desired breast volume (not exceeding implant maximum) until permanent implant placement or 6 months (whichever comes first) unless prohibited by a non-device related failure.
6 months
Secondary Outcomes (4)
Safety as evidenced by a low incidence of device-related adverse events.
6 months
Time required to achieve desired expansion results.
6 months
Overall patient treatment satisfaction.
6 months
Overall surgeon treatment satisfaction.
6 months
Study Arms (1)
Post-mastectomy
EXPERIMENTALPost-mastectomy patients undergoing expander reconstruction
Interventions
Patient activated controlled expansion for post-mastectomy breast reconstruction
Eligibility Criteria
You may qualify if:
- Female between the ages of 18 and 65 years.
- Planned breast reconstruction surgery post-mastectomy.
- Able to provide informed consent.
- Able to understand protocol components.
You may not qualify if:
- Tissue at the intended expansion site is determined unsuitable by the surgeon (i.e., infection, compromised vascularity, history of compromised wound healing, mastectomy skin flaps of questionable viability, excessively tight skin envelope, previous radiation treatment, active ulceration)
- Residual gross tumor at the intended expansion site
- History of or planned adjuvant radiation therapy
- Co-morbid condition determined by the surgeon to pose unduly high risk of surgical and/or postoperative complications.
- Obesity with BMI of 30 or above
- Current smoker
- Psychologically unsuitable patient
- Patient unable to understand the protocol for tissue expansion
- Planned flight or assent to altitude exceeding 1000 meters above baseline during the expansion period.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Mount Hospital
Perth, Western Australia, 6000, Australia
Related Publications (2)
Connell TF. Patient-activated controlled expansion for breast reconstruction using controlled carbon dioxide inflation: confirmation of a feasibility study. Plast Reconstr Surg. 2014 Oct;134(4):503e-511e. doi: 10.1097/PRS.0000000000000551.
PMID: 25357043DERIVEDConnell AF. Patient-activated controlled expansion for breast reconstruction with controlled carbon dioxide inflation: a feasibility study. Plast Reconstr Surg. 2011 Oct;128(4):848-852. doi: 10.1097/PRS.0b013e3182268b80.
PMID: 21921761DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Anthony Connell, M.D.
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 5, 2009
First Posted
November 6, 2009
Study Start
June 1, 2009
Primary Completion
May 1, 2013
Study Completion
June 1, 2013
Last Updated
August 10, 2018
Record last verified: 2018-08