Reconstruction Outcomes in Immediate Post-mastectomy Breast Reconstruction With ADM
A Prospective, Randomized, Multi-Center Clinical Study Comparing Outcomes in Patients Undergoing Prosthetic, Acellular Dermal Matrix (ADM) Assisted, Immediate Post-Mastectomy Breast Reconstruction
1 other identifier
interventional
224
1 country
7
Brief Summary
Evaluation and comparison of clinical and aesthetic outcomes associated with the use of two allograft dermal matrices (ADMs) currently in use for tissue assisted immediate post-mastectomy breast reconstruction.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2017
Typical duration for not_applicable
7 active sites
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
First Submitted
Initial submission to the registry
May 3, 2017
CompletedFirst Posted
Study publicly available on registry
May 9, 2017
CompletedStudy Start
First participant enrolled
July 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2019
CompletedSeptember 19, 2018
May 1, 2018
1.6 years
May 3, 2017
September 18, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Post Reconstruction Complication Rates
To compare the overall complication rate between the cohorts defined as either 1) post-operative infection specific to the reconstructed breast(s) requiring either intravenous antibiotic treatment or operative intervention, 2) seroma, and/or 3) reconstructive failure
12 months
Secondary Outcomes (2)
Comparison of Each Complication Rate
12 months
Comparison of Aesthetic Outcomes (Photographs)
12 months
Study Arms (2)
Cohort A
ACTIVE COMPARATORFlexHD ADM
Cohort B
ACTIVE COMPARATORAlloDerm RTU ADM
Interventions
Tissue assisted breast reconstruction with FlexHD pliable perforated ADM
Tissue assisted breast reconstruction with AlloDerm RTU perforated ADM
Eligibility Criteria
You may qualify if:
- Scheduled to undergo immediate, post-mastectomy, tissue assisted breast reconstruction, Reconstruction shall be either one-stage (direct-to-implant) or two-stage, unilateral or bilateral, prophylactic or therapeutic
- Females at least 18 years of age
- Non-smokers, former smokers and/or smokers who have not smoked within 1 month before surgery, and who agree to not smoke or utilize e-cigarettes during the post-operative period
- Have signed a written informed consent
- Have the ability to understand and comply with the requirements and follow-up time points of the study
You may not qualify if:
- Previous breast surgery with the exception of biopsy
- Previous radiation treatment in either breast at any time
- Undergoing autologous breast reconstruction
- Pre-pectoral implant placement
- Undergoing delayed reconstruction
- Requiring Wise pattern reduction of mastectomy skin flap
- History of chronic steroid use within the past 6 months
- History of HIV positive
- Previous organ transplant
- Pregnant or lactating females
- Clinically significant systemic disease, as determined by the investigator, which could affect study participation or study results
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
Northwestern University Medical Center
Chicago, Illinois, 60611, United States
NorthShore Health Systems
Evanston, Illinois, 60062, United States
Louisiana State Health Science Center
New Orleans, Louisiana, 70115, United States
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
Faulkner Brigham & Women's Hospital
Jamaica Plain, Massachusetts, 02130, United States
New York University Langone Medical Center
New York, New York, 10017, United States
Harris Methodist Southlake Hospital
Fort Worth, Texas, 76104, United States
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- 3-4 independent breast surgeons using predefined criteria will assess the aesthetic outcomes of each subject using photographs of their pre-mastectomy and 12 month post-reconstructions. The surgeons will not be apprised of the ADM type or post-mastectomy site/surgeon
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 3, 2017
First Posted
May 9, 2017
Study Start
July 1, 2017
Primary Completion
February 1, 2019
Study Completion
May 1, 2019
Last Updated
September 19, 2018
Record last verified: 2018-05
Data Sharing
- IPD Sharing
- Will not share