PREFIX FEASIBILITY Study - PRojection & Safety Evaluation of the FIXNip Nipple Reconstruction Implant
This is a prospective, single center, controlled, open-label feasibility IDE clinical study enrolling patients with a history of breast cancer who have previously undergone total mastectomy with breast reconstruction and are seeking nipple reconstruction.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Texas
-
Houston, Texas, United States, 77030
- Recruiting
- MD Anderson
-
Contact:
- Sara Hull
- Phone Number: +18324996321
- Email: sehull@mdanderson.org
-
Principal Investigator:
- Olenczak
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Female Subject age 22 years or older
- Subject of childbearing potential must agree to use medically accepted methods of contraception throughout the study and have a negative pregnancy test at screening
- History of breast cancer treated with total mastectomy only, with implant-based or autologous breast reconstruction seeking reconstruction of the nipple-areolar complex.
- Local tissue thickness at the intended nipple location of at least 10 mm, confirmed by both pinch test and ultrasound-based assessment. Tissue thickness requirement must extend across the entire implant coverage area.
- At least 12 months have elapsed since the last course of chemotherapy with absolute neutrophil count of ≥2
- At least 12 months have elapsed since the last breast and nipple reconstruction surgery.
- Local tissue thickness at the intended nipple location of at least 10 mm, confirmed by both pinch test and ultrasound-based assessment. Tissue thickness requirement must extend across the entire implant coverage area.
- At least 12 months have elapsed since the last course of chemotherapy with absolute neutrophil count of ≥2
- At least 12 months have elapsed since the last breast and nipple reconstruction surgery.
Exclusion Criteria:
- Subject with active malignant disease.
- Subject undergoing active treatment with targeted therapies or immunotherapies (e.g. Abemaciclib, Pembrolizumab)
- Any medical condition that in the opinion of the investigator may be associated with unduly high risk of intra-or post-operative complications (e.g., insulin dependent diabetes, connective tissue disorder, chronic lung or severe cardiovascular disease).
- Any history of radiation therapy to the chest wall or the breast(s). Subjects with a residual native nipple- areola complex, including those who have undergone nipple-sparing mastectomy.
- Any history of failed nipple flap reconstruction
- Subjects with a residual native nipple-areola complex, including those who have undergone nipple-sparing mastectomy.
- Subjects who are currently using tissue expanders or who plan to undergo tissue expander placement during the study period.
- History of hypertrophic scarring or keloid formation.
- Current use of any medications that can interfere with wound healing, impair the immune system functionality or impair blood clotting mechanisms.
- Active infection within the last 90 days.
- Subject who is pregnant, nursing, or planning pregnancy during the study period.
- Subject with known connective tissue disease.
- Diagnosis of the following rheumatic diseases or syndromes with the patient on systemic treatmen systemic lupus erythematosus, Sjogren's syndrome, scleroderma, polymyositis or any connective tissue disorder, rheumatoid arthritis crystalline arthritis, arthritis, infec infections arthritis, spondyloarthropathies, and any other inflammatory arthritis, fibromyalgia, or chronic fatigue syndrome.
- Subject is chronically treated with steroids or had steroid therapy in the past 3 months prior to the study (regardless of route of administration).
- Subjects exhibiting psychological characteristics that, in the opinion of the Investigator and/or consulting physician(s) is incompatible with the risks associated with the surgical procedure, prosthesis, and compliance with protocol requirements.
- Past or current capsular contracture, defined as Baker III or IV
- Subject who is currently participating in, or has participated in, any other investigational drug or device study within 90 days prior to enrollment will be excluded, to allow an appropriate washout period and to ensure the valid collection and interpretation of data under this protocol.
- Subject with known allergies to silicone and/ or nitinol.
- Subjects who are current smokers or who have used nicotine-containing products (including cigarettes, e-cigarettes/vaping, cigars, pipes, nicotine patches, or chewing tobacco) within 3 months prior to enrollment will be excluded, due to the increased risk of impaired wound healing and skin and soft tissue ischemia.
- Any condition that, in the Investigator's opinion, would preclude the use of the study device, interfere with the evaluation of the device or breast related outcomes.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Device Feasibility
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Feasibility
NRI implantation |
NRI implantation |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Feasibility study under an Investigational Device Exemption (IDE)
Time Frame: 12 months
|
This feasibility study is intended to generate device-performance data to inform the design of a subsequent pivotal clinical study. |
12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Nipple Projection Outcomes
Time Frame: 12 months
|
Maintenance of nipple projection at 12 months post Fixnip NRI implantation procedure compared to nipple projection measurement at 4-6 weeks post FixNip NRI implantation procedure (Visit 4) |
12 months
|
|
Patient Satisfaction
Time Frame: 12 months
|
"Final Score" of Nipple Specific Adjusted BREAST-Q QoL Questionnaire at 6- and 12- months post procedure. |
12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
- PREFIX-FS-CP-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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