Brijjit® for Wound Closure in Gender Affirming Mastectomies
A Single-Center Study of Brijjit® - A Force Modulating Tissue Bridge For Skin Closure in Gender-Affirming Mastectomies
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
New York
-
New York, New York, United States, 10016
- NYU Langone Health
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient self-identifies as Transgender or Gender Expansive
- Patient will undergo primary bilateral double incision mastectomy at NYULH
- All clinical criteria to be eligible for primary mastectomy must be met
- Ability to care for donor site and adhere to wound therapy (either solo or with care-giver assistance)
- Willingness to return for scheduled follow-up visits through 1 year post-operatively
- 18 years of age or older
- English Speaking
Exclusion Criteria:
- Individuals with previously diagnosed allergies or a history of adverse effects related to adhesives / adhesive tapes
- Individuals with a history of the following prescription medication use in the last year: Accutane, Systemic glucocorticoids and/or Local glucocorticoids or immunosuppressants (i.e. topical tacrolimus, topical clindamycin etc.) at the intervention site
- Individuals with a history of significant scarring or adverse scarring (hypertrophic scars or keloid scars)
- Individuals with pre-existing scars at the GAM wound closure site
- Individuals with a disorder known to negatively affect wound healing (i.e. autoimmune disease, connective tissue disease)
- Individuals with malnutrition
- Individuals with a BMI >30 kg/m2
- Individuals with a history of radiation therapy
- Active smokers or smokeless nicotine use
- History of Previous Mastectomy
- Patient is actively immunosuppressed i.e. AIDS (HIV+ acceptable), or Systemic immunosuppressants
- Patients unable to attend post-operative follow-ups in person
- Patients with a considerable history of medical non-compliance
- Patient will receive GAM not including double incisions (i.e. periareolar)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Right chest with Brijjit® FMTB
Patients will be assigned to have their right chest closure completed via Brijjit® FMTB.
While the other chest (not selected for intervention) will be closed via traditional suture-based methods and will serve as an internal control.
|
Brijjit® is a non-invasive device which serves as a force modulating tissues bridges (FMTB) to aid in wound healing.
This device used in would closure and serves to modify the mechanical forces on a wound which are implicated in adverse outcomes including scar formation and complications like wound dehiscence.
Brijjit® is a flexible device which attaches via adhesive to the tissue on either side of the wound, approximates the tissue and off-loads forces.
Other Names:
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Experimental: Left chest with Brijjit® FMTB
Patients will be assigned to have their left chest closure completed via Brijjit® FMTB.
While the other chest (not selected for intervention) will be closed via traditional suture-based methods and will serve as an internal control.
|
Brijjit® is a non-invasive device which serves as a force modulating tissues bridges (FMTB) to aid in wound healing.
This device used in would closure and serves to modify the mechanical forces on a wound which are implicated in adverse outcomes including scar formation and complications like wound dehiscence.
Brijjit® is a flexible device which attaches via adhesive to the tissue on either side of the wound, approximates the tissue and off-loads forces.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Subjective scar evaluation by patient outcomes using POSAS
Time Frame: screening/baseline visit
|
Patient and Observer assessment scale (POSAS) will be used to visually assess their scar appearance and complete the 10-point scale.
The patient scale will include questions regarding pain, itch, thickness, color, stiffness, irregularity, and overall opinion.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
screening/baseline visit
|
|
Subjective scar evaluation by patient outcomes using POSAS
Time Frame: week 2 visit
|
Patient and Observer assessment scale (POSAS) will be used to visually assess their scar appearance and complete the 10-point scale.
The patient scale will include questions regarding pain, itch, thickness, color, stiffness, irregularity, and overall opinion.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
week 2 visit
|
|
Subjective scar evaluation by patient outcomes using POSAS
Time Frame: week 4 visit
|
Patient and Observer assessment scale (POSAS) will be used to visually assess their scar appearance and complete the 10-point scale.
The patient scale will include questions regarding pain, itch, thickness, color, stiffness, irregularity, and overall opinion.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
week 4 visit
|
|
Subjective scar evaluation by patient outcomes using POSAS
Time Frame: week 6 visit
|
Patient and Observer assessment scale (POSAS) will be used to visually assess their scar appearance and complete the 10-point scale.
The patient scale will include questions regarding pain, itch, thickness, color, stiffness, irregularity, and overall opinion.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
week 6 visit
|
|
Subjective scar evaluation by patient outcomes using POSAS
Time Frame: week 8 visit
|
Patient and Observer assessment scale (POSAS) will be used to visually assess their scar appearance and complete the 10-point scale.
The patient scale will include questions regarding pain, itch, thickness, color, stiffness, irregularity, and overall opinion.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
week 8 visit
|
|
Subjective scar evaluation by patient outcomes using POSAS
Time Frame: 3-month post-surgery visit
|
Patient and Observer assessment scale (POSAS) will be used to visually assess their scar appearance and complete the 10-point scale.
The patient scale will include questions regarding pain, itch, thickness, color, stiffness, irregularity, and overall opinion.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
3-month post-surgery visit
|
|
Subjective scar evaluation by patient outcomes using POSAS
Time Frame: 6-months post-surgery visit
|
Patient and Observer assessment scale (POSAS) will be used to visually assess their scar appearance and complete the 10-point scale.
The patient scale will include questions regarding pain, itch, thickness, color, stiffness, irregularity, and overall opinion.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
6-months post-surgery visit
|
|
Subjective scar evaluation by patient outcomes using POSAS
Time Frame: 12-months post-surgery visit
|
Patient and Observer assessment scale (POSAS) will be used to visually assess their scar appearance and complete the 10-point scale.
The patient scale will include questions regarding pain, itch, thickness, color, stiffness, irregularity, and overall opinion.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
12-months post-surgery visit
|
|
Subjective scar evaluation by surgeon outcomes using POSAS
Time Frame: screening/baseline visit
|
Clinician will visually assess the scar appearance during the visit and complete the 10-point scale.
The observer scale will include items with subcategories related to vascularity, pigmentation, relief/texture, thickness, pliability, surface area and overall opinion.Scores are tabulated out of 70.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
screening/baseline visit
|
|
Subjective scar evaluation by surgeon outcomes using POSAS
Time Frame: week 2 visit
|
Clinician will visually assess the scar appearance during the visit and complete the 10-point scale.
The observer scale will include items with subcategories related to vascularity, pigmentation, relief/texture, thickness, pliability, surface area and overall opinion.Scores are tabulated out of 70.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
week 2 visit
|
|
Subjective scar evaluation by surgeon outcomes using POSAS
Time Frame: week 4 visit
|
Clinician will visually assess the scar appearance during the visit and complete the 10-point scale.
The observer scale will include items with subcategories related to vascularity, pigmentation, relief/texture, thickness, pliability, surface area and overall opinion.Scores are tabulated out of 70.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
week 4 visit
|
|
Subjective scar evaluation by surgeon outcomes using POSAS
Time Frame: week 6 visit
|
Clinician will visually assess the scar appearance during the visit and complete the 10-point scale.
The observer scale will include items with subcategories related to vascularity, pigmentation, relief/texture, thickness, pliability, surface area and overall opinion.Scores are tabulated out of 70.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
week 6 visit
|
|
Subjective scar evaluation by surgeon outcomes using POSAS
Time Frame: week 8 visit
|
Clinician will visually assess the scar appearance during the visit and complete the 10-point scale.
The observer scale will include items with subcategories related to vascularity, pigmentation, relief/texture, thickness, pliability, surface area and overall opinion.Scores are tabulated out of 70.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
week 8 visit
|
|
Subjective scar evaluation by surgeon outcomes using POSAS
Time Frame: 3-month post-surgery visit
|
Clinician will visually assess the scar appearance during the visit and complete the 10-point scale.
The observer scale will include items with subcategories related to vascularity, pigmentation, relief/texture, thickness, pliability, surface area and overall opinion.Scores are tabulated out of 70.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
3-month post-surgery visit
|
|
Subjective scar evaluation by surgeon outcomes using POSAS
Time Frame: 6-months post-surgery visit
|
Clinician will visually assess the scar appearance during the visit and complete the 10-point scale.
The observer scale will include items with subcategories related to vascularity, pigmentation, relief/texture, thickness, pliability, surface area and overall opinion.Scores are tabulated out of 70.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
6-months post-surgery visit
|
|
Subjective scar evaluation by surgeon outcomes using POSAS
Time Frame: 12-months post-surgery visit
|
Clinician will visually assess the scar appearance during the visit and complete the 10-point scale.
The observer scale will include items with subcategories related to vascularity, pigmentation, relief/texture, thickness, pliability, surface area and overall opinion.Scores are tabulated out of 70.
Each item on both scales has a score of 1 to 10.
The lowest score is 1 and corresponds to the normal skin situation.
The total score of both scales can be calculated simply by adding the scores of each of the six items.
The total score will range from 6 to 60.
|
12-months post-surgery visit
|
|
Photographic assessment for objective scar evaluation
Time Frame: screening/baseline visir
|
Standard and close-up photography (part of standard of care) will be utilized for evaluation of the appearance surgical scars.
These photographs will be taken utilizing the Nikon D7200 at screening/baseline, week 2, week 4, week 6, week 8, 3-month post-surgery, 6-months post-surgery and 12-months post-surgery.
There will be no statistical analyses employed on the photographs
|
screening/baseline visir
|
|
Photographic assessment for objective scar evaluation
Time Frame: week 2 visit
|
Standard and close-up photography (part of standard of care) will be utilized for evaluation of the appearance surgical scars.
These photographs will be taken utilizing the Nikon D7200 at screening/baseline, week 2, week 4, week 6, week 8, 3-month post-surgery, 6-months post-surgery and 12-months post-surgery.
There will be no statistical analyses employed on the photographs
|
week 2 visit
|
|
Photographic assessment for objective scar evaluation
Time Frame: week 4 visit
|
Standard and close-up photography (part of standard of care) will be utilized for evaluation of the appearance surgical scars.
These photographs will be taken utilizing the Nikon D7200 at screening/baseline, week 2, week 4, week 6, week 8, 3-month post-surgery, 6-months post-surgery and 12-months post-surgery.
There will be no statistical analyses employed on the photographs
|
week 4 visit
|
|
Photographic assessment for objective scar evaluation
Time Frame: week 6 visit
|
Standard and close-up photography (part of standard of care) will be utilized for evaluation of the appearance surgical scars.
These photographs will be taken utilizing the Nikon D7200 at screening/baseline, week 2, week 4, week 6, week 8, 3-month post-surgery, 6-months post-surgery and 12-months post-surgery.
There will be no statistical analyses employed on the photographs
|
week 6 visit
|
|
Photographic assessment for objective scar evaluation
Time Frame: week 8 visit
|
Standard and close-up photography (part of standard of care) will be utilized for evaluation of the appearance surgical scars.
These photographs will be taken utilizing the Nikon D7200 at screening/baseline, week 2, week 4, week 6, week 8, 3-month post-surgery, 6-months post-surgery and 12-months post-surgery.
There will be no statistical analyses employed on the photographs
|
week 8 visit
|
|
Photographic assessment for objective scar evaluation
Time Frame: 3-month post-surgery visit
|
Standard and close-up photography (part of standard of care) will be utilized for evaluation of the appearance surgical scars.
These photographs will be taken utilizing the Nikon D7200 at screening/baseline, week 2, week 4, week 6, week 8, 3-month post-surgery, 6-months post-surgery and 12-months post-surgery.
There will be no statistical analyses employed on the photographs
|
3-month post-surgery visit
|
|
Photographic assessment for objective scar evaluation
Time Frame: 6-months post-surgery visit
|
Standard and close-up photography (part of standard of care) will be utilized for evaluation of the appearance surgical scars.
These photographs will be taken utilizing the Nikon D7200 at screening/baseline, week 2, week 4, week 6, week 8, 3-month post-surgery, 6-months post-surgery and 12-months post-surgery.
There will be no statistical analyses employed on the photographs
|
6-months post-surgery visit
|
|
Photographic assessment for objective scar evaluation
Time Frame: 12-months post-surgery visit
|
Standard and close-up photography (part of standard of care) will be utilized for evaluation of the appearance surgical scars.
These photographs will be taken utilizing the Nikon D7200 at screening/baseline, week 2, week 4, week 6, week 8, 3-month post-surgery, 6-months post-surgery and 12-months post-surgery.
There will be no statistical analyses employed on the photographs
|
12-months post-surgery visit
|
|
Colorimetry of Scar
Time Frame: screening/baseline visit
|
The Pantone SkinTone Guide is a handheld tool consisting of 110 color swatches that realistically mimic human skin tones, with stepwise variations in lightness and undertone.
The guide was specifically formulated to be the closest physical representation of skin colors and is the only internationally available color standard to accurately match skin tones.
Each SkinTone number is comprised of a four-digit alphanumeric number; the first two numbers reflect the hue or undertone of the skin while the second two represent the tone or lightness and darkness of the skin.
This tool will be utilized to establish a clinically acceptable objective assessment for assessing the coloring of patients' scars.
|
screening/baseline visit
|
|
Colorimetry of Scar
Time Frame: week 2 visit
|
The Pantone SkinTone Guide is a handheld tool consisting of 110 color swatches that realistically mimic human skin tones, with stepwise variations in lightness and undertone.
The guide was specifically formulated to be the closest physical representation of skin colors and is the only internationally available color standard to accurately match skin tones.
Each SkinTone number is comprised of a four-digit alphanumeric number; the first two numbers reflect the hue or undertone of the skin while the second two represent the tone or lightness and darkness of the skin.
This tool will be utilized to establish a clinically acceptable objective assessment for assessing the coloring of patients' scars.
|
week 2 visit
|
|
Colorimetry of Scar
Time Frame: week 4 visit
|
The Pantone SkinTone Guide is a handheld tool consisting of 110 color swatches that realistically mimic human skin tones, with stepwise variations in lightness and undertone.
The guide was specifically formulated to be the closest physical representation of skin colors and is the only internationally available color standard to accurately match skin tones.
Each SkinTone number is comprised of a four-digit alphanumeric number; the first two numbers reflect the hue or undertone of the skin while the second two represent the tone or lightness and darkness of the skin.
This tool will be utilized to establish a clinically acceptable objective assessment for assessing the coloring of patients' scars.
|
week 4 visit
|
|
Colorimetry of Scar
Time Frame: week 6 visit
|
The Pantone SkinTone Guide is a handheld tool consisting of 110 color swatches that realistically mimic human skin tones, with stepwise variations in lightness and undertone.
The guide was specifically formulated to be the closest physical representation of skin colors and is the only internationally available color standard to accurately match skin tones.
Each SkinTone number is comprised of a four-digit alphanumeric number; the first two numbers reflect the hue or undertone of the skin while the second two represent the tone or lightness and darkness of the skin.
This tool will be utilized to establish a clinically acceptable objective assessment for assessing the coloring of patients' scars.
|
week 6 visit
|
|
Colorimetry of Scar
Time Frame: week 8 visit
|
The Pantone SkinTone Guide is a handheld tool consisting of 110 color swatches that realistically mimic human skin tones, with stepwise variations in lightness and undertone.
The guide was specifically formulated to be the closest physical representation of skin colors and is the only internationally available color standard to accurately match skin tones.
Each SkinTone number is comprised of a four-digit alphanumeric number; the first two numbers reflect the hue or undertone of the skin while the second two represent the tone or lightness and darkness of the skin.
This tool will be utilized to establish a clinically acceptable objective assessment for assessing the coloring of patients' scars.
|
week 8 visit
|
|
Colorimetry of Scar
Time Frame: 3-month post-surgery visit
|
The Pantone SkinTone Guide is a handheld tool consisting of 110 color swatches that realistically mimic human skin tones, with stepwise variations in lightness and undertone.
The guide was specifically formulated to be the closest physical representation of skin colors and is the only internationally available color standard to accurately match skin tones.
Each SkinTone number is comprised of a four-digit alphanumeric number; the first two numbers reflect the hue or undertone of the skin while the second two represent the tone or lightness and darkness of the skin.
This tool will be utilized to establish a clinically acceptable objective assessment for assessing the coloring of patients' scars.
|
3-month post-surgery visit
|
|
Colorimetry of Scar
Time Frame: 6-months post-surgery visit
|
The Pantone SkinTone Guide is a handheld tool consisting of 110 color swatches that realistically mimic human skin tones, with stepwise variations in lightness and undertone.
The guide was specifically formulated to be the closest physical representation of skin colors and is the only internationally available color standard to accurately match skin tones.
Each SkinTone number is comprised of a four-digit alphanumeric number; the first two numbers reflect the hue or undertone of the skin while the second two represent the tone or lightness and darkness of the skin.
This tool will be utilized to establish a clinically acceptable objective assessment for assessing the coloring of patients' scars.
|
6-months post-surgery visit
|
|
Colorimetry of Scar
Time Frame: 12-months post-surgery visit
|
The Pantone SkinTone Guide is a handheld tool consisting of 110 color swatches that realistically mimic human skin tones, with stepwise variations in lightness and undertone.
The guide was specifically formulated to be the closest physical representation of skin colors and is the only internationally available color standard to accurately match skin tones.
Each SkinTone number is comprised of a four-digit alphanumeric number; the first two numbers reflect the hue or undertone of the skin while the second two represent the tone or lightness and darkness of the skin.
This tool will be utilized to establish a clinically acceptable objective assessment for assessing the coloring of patients' scars.
|
12-months post-surgery visit
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Rachel Bluebond-Langner, NYU Langone Health
Study record dates
Study Major Dates
Study Start (Anticipated)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 22-00304
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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