NCT04967976

Brief Summary

This is the first prospective randomized and controlled study on the efficacy and safety of TiLOOP® Bra mesh in patients with expander-implant breast reconstruction. The investigators hypothesize that incoporating TiLOOP Bra mesh with tissue expanders will reduce the rates of capsular contraction, improve the efficiency of expansion and provide better aesthetic result.

Trial Health

80
On Track

Trial Health Score

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

Enrollment
300

participants targeted

Target at P75+ for not_applicable breast-cancer

Timeline
3mo left

Started Aug 2021

Longer than P75 for not_applicable breast-cancer

Geographic Reach
3 countries

6 active sites

Status
recruiting

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 Progress95%
Aug 2021Aug 2026

First Submitted

Initial submission to the registry

June 10, 2021

Completed
1 month until next milestone

First Posted

Study publicly available on registry

July 20, 2021

Completed
12 days until next milestone

Study Start

First participant enrolled

August 1, 2021

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2023

Completed
3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2026

Expected
Last Updated

July 20, 2021

Status Verified

April 1, 2021

Enrollment Period

2 years

First QC Date

June 10, 2021

Last Update Submit

July 19, 2021

Conditions

Keywords

breast cancerbreast reconstructionradiationsynthetic mesh

Outcome Measures

Primary Outcomes (2)

  • Complication Rates

    complications related to the reconstructed breast, including flap complications, capsular contracture, surgical site infection, prosthetic malposition/extrusion, reconstruction failure, etc.

    up to 24 months after surgery

  • Expansion Efficiency

    percentage of average injected saline volume to total volume (E=average volume/ total volume)through study completion, an average of 1 year

    through study completion, an average of 1 year

Secondary Outcomes (6)

  • number of revision surgery

    from the completion of expander exchange up to 24 months after surgery

  • aesthetic outcome graded by Harris evaluation score and Breast-Q questionaire

    from the completion of expander exchange up to 24 months after surgery

  • psychological evaluation by Breast-Q questionnaire

    from the completion of expander exchange up to 24 months after surgery

  • total cost

    from expander implation up to the completion of expander exchange,through study completion, an average of 1 year

  • number of occurrence of deep venous thrombosis

    from expander implation up to the completion of expander exchange, through study completion, an average of 1 year

  • +1 more secondary outcomes

Study Arms (2)

Breast Reconstruction with breast mesh

EXPERIMENTAL

The tissue expander-implant reconstruction with TiLoop Bra mesh.

Procedure: TiLoop Bra mesh in expander-implant breast reconstrution

Breast Reconstruction without breast mesh

ACTIVE COMPARATOR

The tissue expander-implant reconstruction without TiLoop Bra mesh. The tissue expander is placed sub-pectoral and covered by muscle/fascia.

Procedure: sub-pectoral expander-implant breast reconstruction

Interventions

The tissue expander is inserted with TiLoop Bra mesh in the first stage of reconstruction immediately after nipple/skin-sparing mastectomy. The tissue expander is placed sub-pectoral.

Breast Reconstruction with breast mesh

The tissue expander is inserted without TiLoop Bra mesh in the first stage of reconstruction immediately after nipple/skin-sparing mastectomy. The tissue expander is placed sub-pectoral and covered by muscle/fascia.

Breast Reconstruction without breast mesh

Eligibility Criteria

Age18 Years - 70 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosed with breast cancer
  • More than 18 years old
  • Karnofsky Performance Status (KPS) larger than 80
  • No clinical or imaging evidence of distant metastasis
  • BMI \< 35kg/m2
  • Patients with no or mild breast ptosis
  • No severe deficiency in hematological, cardiovascular system, no immune-deficiency, no severe abnormal liver or kidney function.
  • Mental Health Patient

You may not qualify if:

  • \. Patients with distant metastasis of breast cancer or local recurrence; 2. Past ipsilateral breast/chest wall radiation; 3. Inflammatory breast cancer, stage IV breast cancer 4. History of severe allergic or specific constitution; 5. Mental illness; 6. Drug/alcohol abuse; 7. Pregnancy, lactation, or impregnated during the trial period; 8. Non-eligible to the study enrollment based on researchers' discretion

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

MD Anderson Cancer Center

Houston, Texas, 77030, United States

RECRUITING

Gansu Provincial Cancer Hospital

Lanzhou, Gansu, China

RECRUITING

Jilin Cancer Hospital

Ch’ang-ch’un, Jilin, China

RECRUITING

Tianjin Medical University Cancer Institute and Hospital

Tianjin, Tianjin Municipality, 300060, China

RECRUITING

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, China

RECRUITING

Technical University of Munich

Munich, Germany

RECRUITING

MeSH Terms

Conditions

Breast Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 10, 2021

First Posted

July 20, 2021

Study Start

August 1, 2021

Primary Completion

August 1, 2023

Study Completion (Estimated)

August 1, 2026

Last Updated

July 20, 2021

Record last verified: 2021-04

Locations