- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00802477
Application Of Autologous Blood Products During Modified Radical Mastectomy
July 29, 2011 updated by: Marshall University
Prospective Randomized Study Comparing Mastectomy Outcomes With Versus Without the Application of Autologous Blood Products to the Surgical Site
The purpose of this study is to determine if the application of autologous (your own blood) blood products during mastectomy improves wound healing and decreases complications following surgery compared to mastectomy without the use of autologous blood products.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
A frequent complication of mastectomy is seroma formation with rates in the literature reported at 3-50%.
Although seroma formation can be considered more of a nuisance than a serious complication, the presence of seroma can lead to wound infection, skin flap necrosis, wound dehiscence, nerve injury, and lymphedema in mastectomy patients.Various approaches to reduce seroma formation have included the use of external compression dressings, ultrasound cutting devices, suction drainage systems, and bovine thrombin.
Although some of these interventions have demonstrated efficacy, none has gained widespread acceptance.
Investigation of alternative interventions during mastectomy procedures that could reduce the rate of postoperative seroma formation, thereby reducing the likelihood of the onset of more serious complications, still has value to the patient and surgeon.
The use of autologous blood products (ABP), in particular platelet rich plasma (PRP), has been advocated for numerous indications.
As a surgical tool, ABP are typically applied to the surgical site during the latter stages of the procedure in combination with bovine thrombin.
The aim of PRP application is to accelerate the healing cascade via application of elevated cytokine concentrations released during platelet degranulation.
It is hypothesized that the elevated cytokine levels will elucidate an accelerated healing response of the affected tissue.
Preliminary evidence suggests that this expedited healing response correlates with a reduction in postoperative wound complications.
Platelet poor plasma, a by-product of PRP processing, has been advocated as providing additional hemostasis.
The majority of the literature discussing clinical applications of ABP to date, has been unblinded and nonrandomized.
Although useful as demonstrations of the safety of ABP, this current literature does not truly investigate the efficacy of these applications.
There is a need for well-designed, well-controlled studies investigating the application of ABP as surgical tools.
It is hypothesized that a significant reduction in postoperative complications, in particular seroma formation, will result due to the use of ABP during these procedures.
Study Type
Interventional
Enrollment (Anticipated)
100
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: GiGi Gerlach, RN
- Phone Number: 304-399-3386
- Email: gigi.gerlach@chhi.org
Study Contact Backup
- Name: Leann R Ross, RN
- Phone Number: 304-399-6617
- Email: leann.ross@chhi.org
Study Locations
-
-
West Virginia
-
Huntington, West Virginia, United States, 25701
- Recruiting
- University Oncology Services at Edwards Comprehensive Cancer Center
-
Contact:
- Leann Ross, RN
- Phone Number: 304-399-6617
- Email: leann.ross@chhi.org
-
Principal Investigator:
- Shawn McKinney, MD
-
Sub-Investigator:
- Jack Traylor, MD
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patient undergoing a modified radical mastectomy, simple mastectomy or axillary lymph node dissection.
- Patient signature of informed consent form
Exclusion Criteria:
- Pregnancy
- < 18 years of age
- History of anemia (hemoglobin < 11.0)
- History of any blood disorder, deep vein thrombosis, pulmonary emboli or clotting disorders.
- Un-cooperative patient or patient with neurological disorders who are incapable of following directions or who are predictably unwilling to return for follow-up examinations
- Allergy to bovine products
- History of MRSA in last 12 months
- Communicable disease or diseases that may limit follow- up (e.g. immunocompromised conditions, hepatitis, active tuberculosis)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 1
Application of Autologous Blood Products to surgical site during mastectomy.
|
Autologous blood products (platelet rich and platelet poor plasma) produced by the PlasmaxTM Plus Plasma Concentration System will be applied to the surgical site.
|
Active Comparator: 2
Standard Modified Radical Mastectomy
|
Mastectomy per standard procedure without the application of autologous blood products.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Amount of Drainage during first 7 days postoperative. Drains will be removed during a follow-up visit to be held seven days postoperatively or when drainage is 30-35 ml in a 24 hour period, unless prohibited by complication.
Time Frame: 7 days
|
7 days
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The secondary endpoint for this study will be the rate of patients experiencing at least one of the following postoperative wound complications: 1. Seroma Formation 2. Surgical Site Infection
Time Frame: 6 weeks post -op
|
6 weeks post -op
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Shawn McKinney, MD, University Physicians and Surgeons, Inc. d/b/a University Oncology Services
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
December 1, 2008
Primary Completion (Anticipated)
January 1, 2012
Study Completion (Anticipated)
March 1, 2012
Study Registration Dates
First Submitted
December 4, 2008
First Submitted That Met QC Criteria
December 4, 2008
First Posted (Estimate)
December 5, 2008
Study Record Updates
Last Update Posted (Estimate)
August 1, 2011
Last Update Submitted That Met QC Criteria
July 29, 2011
Last Verified
July 1, 2011
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- MU9339
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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