NCT01771913

Brief Summary

The purpose of this study is to investigate if there is a relationship between the take of fat grafts with and without ADSCs and the presence of specific surface markers on the cells of the stromal vascular fraction.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
20

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Mar 2012

Typical duration for phase_2

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2012

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

January 14, 2013

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 18, 2013

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2014

Completed
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2015

Completed
4 months until next milestone

Results Posted

Study results publicly available

August 24, 2015

Completed
Last Updated

August 24, 2015

Status Verified

July 1, 2015

Enrollment Period

2.5 years

First QC Date

January 14, 2013

Results QC Date

June 25, 2015

Last Update Submit

July 30, 2015

Conditions

Keywords

adipocytescell transplantationsmesenchymal stem cellimmunophenotypingadipose tissuebreast reconstructionmammaplastymagnetic resonance imagingfat necrosis

Outcome Measures

Primary Outcomes (1)

  • Volume Maintenance

    Volumetry of the reconstructed breasts will be accomplished through MRI and OsiriX software. Osirix software allows breast volume calculation through the determination of regions of interest (ROIs) on an MRI sequence. Once the pre (V1) and postoperative (V2) volumes were determined the following formula was applied: (V2 - V1) X 100/graft volume. The result, expressed in percentage, expresses graft volume persistence.

    up to 1 year

Secondary Outcomes (1)

  • Immunophenotyping

    baseline

Other Outcomes (1)

  • Number of Participants Experiencing Fat Necrosis in the Postoperative Period

    up to 3 years

Study Arms (2)

centrifuged fat graft

SHAM COMPARATOR

female patients who underwent breast reconstruction and present with volume insufficiency will undergo centrifuged fat graft for contour and volume refinements.

Genetic: centrifuged fat graft

ADSCs enriched centrifuged fat graft

ACTIVE COMPARATOR

female patients who underwent breast reconstruction and present volume insufficiency will undergo ADSCs enriched fat grafting for volume and irregularity contour improvement

Genetic: ADSCs enriched fat graft

Interventions

fat from the abdominal subcutaneous tissue will be taken by vacuum assisted lipectomy and immediately prepared to be grafted in the reconstructed breast that presents contour irregularities and/or volume insufficiency. No adipose derived stem cells will enrich the fat grafts in this group.

centrifuged fat graft

fat from the abdominal subcutaneous tissue will be taken by suction assisted lipectomy and stromal vascular fraction will be isolated and immediately added to the fat graft that will be employed to improve contour irregularities and volume insufficiency of reconstructed breasts.

ADSCs enriched centrifuged fat graft

Eligibility Criteria

Age20 Years - 70 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • contour irregularities and volume insufficiency in reconstructed breasts no matter the method of reconstruction employed
  • local flaps with conditions to receive fat grafts
  • good health condition

You may not qualify if:

  • breast cancer patients under chemotherapy
  • smokers
  • bad health condition
  • patients too thin
  • patients that require a new reconstructive surgery (secondary reconstruction)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Municipal Carmino Caricchio

São Paulo, São Paulo, 03063-000, Brazil

Location

Related Publications (4)

  • Spear SL, Wilson HB, Lockwood MD. Fat injection to correct contour deformities in the reconstructed breast. Plast Reconstr Surg. 2005 Oct;116(5):1300-5. doi: 10.1097/01.prs.0000181509.67319.cf.

  • Zuk PA, Zhu M, Mizuno H, Huang J, Futrell JW, Katz AJ, Benhaim P, Lorenz HP, Hedrick MH. Multilineage cells from human adipose tissue: implications for cell-based therapies. Tissue Eng. 2001 Apr;7(2):211-28. doi: 10.1089/107632701300062859.

  • Gimble JM, Bunnell BA, Casteilla L, Jung JS, Yoshimura K. Phases I-III Clinical Trials Using Adult Stem Cells. Stem Cells Int. 2011 Feb 23;2010:604713. doi: 10.4061/2010/604713. No abstract available.

  • Yoshimura K, Sato K, Aoi N, Kurita M, Hirohi T, Harii K. Cell-assisted lipotransfer for cosmetic breast augmentation: supportive use of adipose-derived stem/stromal cells. Aesthetic Plast Surg. 2008 Jan;32(1):48-55; discussion 56-7. doi: 10.1007/s00266-007-9019-4. Epub 2007 Sep 1.

MeSH Terms

Conditions

Fat Necrosis

Condition Hierarchy (Ancestors)

NecrosisPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Dr. Luiz Alexandre Lorico Tissiani
Organization
Faculdade de Medicina - Universidade de Sao Paulo

Study Officials

  • Nivaldo Alonso, PhD

    University of Sao Paulo

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, Chief of Breast Reconstructive Unit at Hospital Municipal Carmino Caricchio

Study Record Dates

First Submitted

January 14, 2013

First Posted

January 18, 2013

Study Start

March 1, 2012

Primary Completion

September 1, 2014

Study Completion

May 1, 2015

Last Updated

August 24, 2015

Results First Posted

August 24, 2015

Record last verified: 2015-07

Locations