[미국 FDA의 승인 또는 허가를 받지 않은 기기의 시험] (STANCE)
Prospective, randomized, controlled study to assess the safety and effectiveness of GalaFLEX LITE™ Scaffold in revision surgery for reduction of capsular contracture recurrence and/or malposition in implant-based breast augmentation patients versus patients undergoing conventional revision surgery with no supportive matrix or acellular dermal matrix (ADM). Subjects will be randomized 2:1 to receive either GalaFLEX LITE™ Scaffold or standard care (no ADM or matrix placement). This study is designed using an adaptive approach. The number of the treated breasts will range between 250 and 530.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
상세 설명
Capsular contracture is the number one complication leading to revision surgery after breast augmentation(2-4) which has been commonly cited as impacting 10 to 20% of all breast augmentation patients.(5-10) A prospective, randomized controlled study of patients presenting with Baker grade III or IV capsular contracture will be undertaken to investigate the ability of P4HB (specifically GalaFLEX LITE™ Scaffold) to reduce the recurrence of clinically significant CC and/or malposition requiring surgical correction. The primary endpoint is a composite of capsular contracture recurrence and/or breast implant malposition recommended for surgery OR breast infections requiring oral or IV antibiotic treatment within 90 days of surgery and/or peri-implant fluid collection needing a drainage procedure within 10-90 days of surgery.
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 해당 없음
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Niccole Diaz
- 전화번호: 407-694-0553
- 이메일: Niccole.Diaz@bd.com
연구 연락처 백업
- 이름: Jenna Baccari
- 이메일: jenna.baccari@bd.com
연구 장소
-
-
Arizona
-
Scottsdale, Arizona, 미국, 82521
- 모병
- Defyne MD
-
수석 연구원:
- Oren Tessler
-
연락하다:
- Amy Norzagaray
- 전화번호: 480-561-6185
- 이메일: manager@defynemd.com
-
-
California
-
Beverly Hills, California, 미국, 90210
- 모병
- The Practice Plastic Surgery
-
수석 연구원:
- Kelly Killeen, MD, FACS
-
연락하다:
- Star Skillens
- 전화번호: 310 278-8200
- 이메일: star@thepracticeps.com
-
Huntington Beach, California, 미국, 92647
- 모병
- California Aesthetic Center
-
수석 연구원:
- Steve Vu
-
연락하다:
- Tracy Bui-Vu
- 전화번호: (714) 848-1133
- 이메일: tracy@stevevumd.com
-
Newport Beach, California, 미국, 92660
- 모병
- Newport Plastic and Reconstructive Surgery Associates
-
수석 연구원:
- Hisham Seify
-
연락하다:
- Christine Puentes
- 전화번호: 949-251-1502
- 이메일: christinep@newportplastic.com
-
Newport Beach, California, 미국, 92660
- 모병
- Donald S Mowlds, MD A Professional Corporation
-
연락하다:
- Mallory Painter
- 전화번호: 949-759-5539
- 이메일: mallory@donaldmowldsmd.com
-
수석 연구원:
- Donald S Mowlds, MD
-
Pasadena, California, 미국, 91101
- 모병
- Stewart Wang MD Inc.
-
연락하다:
- Dulce Valenzuela
- 전화번호: 626-796-6680
- 이메일: dulce@wangplasticsurgery.com
-
수석 연구원:
- Stewart Wang
-
San Diego, California, 미국, 92121
- 빼는
- Tim Sayed MD
-
San Diego, California, 미국, 92107
- 모병
- Charlie Chen MD., Corp
-
수석 연구원:
- Charlie Chen
-
연락하다:
- Aimee Beltran
- 전화번호: 858-255-1538
- 이메일: info@charliechenmd.com
-
-
Colorado
-
Lone Tree, Colorado, 미국, 80124
- 모병
- Beauty by Buford
-
수석 연구원:
- Gregory Buford
-
연락하다:
- Kaylie Delacerda
- 전화번호: 609-964-7993
- 이메일: kaylie@kerloresearch.com
-
-
Florida
-
Boca Raton, Florida, 미국, 33431
- 빼는
- Sanctuary Plastic Surgery
-
Miami, Florida, 미국, 33134
- 모병
- Careaga Plastic Surgery
-
연락하다:
- Barbara Garcia
- 전화번호: 305-574-9262
- 이메일: bgarcia@absolutemedicalcenter.com
-
수석 연구원:
- Daniel Careaga, MD
-
Orlando, Florida, 미국, 32819
- 모병
- Aesthetic Enhancements Plastic Surgery
-
연락하다:
- Ashley Czarniak
- 전화번호: 407-218-4550
- 이메일: ashley@drarmandosoto.com
-
수석 연구원:
- Armando Soto
-
Orlando, Florida, 미국, 32827
- 모병
- Scazorla Plastic Surgery
-
연락하다:
- Christian Trinidad
- 전화번호: 407-313-1040
- 이메일: c.trinidad@nabellaplasticsurgery.com
-
수석 연구원:
- Sarah Cazorla, MD
-
St. Petersburg, Florida, 미국, 33710
- 모병
- Billington Plastic Surgery
-
수석 연구원:
- Alicia Billington, MD
-
연락하다:
- Nicole Costa
- 전화번호: 727 341-0337
- 이메일: nicole@billingtonmd.com
-
Tampa, Florida, 미국, 33606
- 모병
- VIVIFY Plastic Surgery
-
연락하다:
- Marlie Marino
- 전화번호: 386-986-7010
- 이메일: Marlie@vivifyps.com
-
수석 연구원:
- Dallas Buchanan, MD
-
-
Georgia
-
Alpharetta, Georgia, 미국, 30005
- 모병
- The Graivier Center
-
연락하다:
- Avery Miller
- 전화번호: 770-772-0695
- 이메일: a.miller@thegraiviercenter.com
-
수석 연구원:
- David Hill, MD
-
Atlanta, Georgia, 미국, 30328
- 모병
- Monarch Plastic Surgery and Skin Renewal Center
-
연락하다:
- Ashlee Kenny
- 전화번호: 404-250-3333
- 이메일: ashlee@monarchga.com
-
수석 연구원:
- Carmen Kavali
-
-
Illinois
-
Chicago, Illinois, 미국, 60642
- 모병
- Iteld Plastic Surgery
-
연락하다:
- Kimmy Vu
- 전화번호: 3127574505
- 이메일: kimmy@driteld.com
-
수석 연구원:
- Lawrence Iteld, MD
-
-
Indiana
-
Indianapolis, Indiana, 미국, 46290
- 모병
- Meridian Plastic Surgery Center
-
연락하다:
- Lisa Young
- 전화번호: 317-575-0330
- 이메일: lyoung@meridianplastic.com
-
수석 연구원:
- Bruce W Van Natta
-
-
Louisiana
-
Mandeville, Louisiana, 미국, 70448
- 모병
- Northshore Plastic Surgery
-
연락하다:
- Erin Peak
- 전화번호: 985-237-6050
- 이메일: erin@drboudreaux.com
-
수석 연구원:
- Jeffrey Claiborne
-
-
Missouri
-
St Louis, Missouri, 미국, 63110
- 모병
- The Washington University
-
수석 연구원:
- Justin Sacks
-
연락하다:
- Jeremy Eisele
- 전화번호: 314-362-4639
- 이메일: jeisele@wustl.edu
-
-
Nevada
-
Reno, Nevada, 미국, 89511
- 모병
- Reno Tahoe Plastic Surgery
-
연락하다:
- Erika Jolley
- 전화번호: 775-284-2020
- 이메일: erika@drmccormack.com
-
수석 연구원:
- Tiffany McCormack, MD
-
-
New Jersey
-
West Long Branch, New Jersey, 미국, 07764
- 모병
- VIP Plastic Surgery
-
수석 연구원:
- Rahul Vemula
-
연락하다:
- Paige Dalton
- 전화번호: 7329630809
- 이메일: paige@doctorvnj.com
-
-
New York
-
New York, New York, 미국, 10021
- 모병
- Luxurgery
-
연락하다:
- Christina Uong
- 전화번호: 212-508-0000
- 이메일: cku@luxurgery.com
-
수석 연구원:
- Sachin Shridharani, MD
-
New York, New York, 미국, 10036
- 모병
- Plastic Surgery Institute of New York
-
연락하다:
- Matthew DelMauro
- 전화번호: 646-257-2677
- 이메일: DrDelMauro@BodySculptingCenterNYC.com
-
수석 연구원:
- Matthew DelMauro, MD
-
부수사관:
- Adam Schaffner, MD
-
-
North Carolina
-
Huntersville, North Carolina, 미국, 28078
- 모병
- H/K/B Surgery
-
수석 연구원:
- Bill Kortesis, MD, FACS
-
연락하다:
- Devin White
- 전화번호: 145 704-659-2529
- 이메일: Devin@hkbsurgery.com
-
-
Oklahoma
-
Tulsa, Oklahoma, 미국, 74137
- 빼는
- Essential Medical Research
-
-
Pennsylvania
-
Pittsburgh, Pennsylvania, 미국, 15213
- 모병
- Pittsburgh Center for Plastic Surgery
-
연락하다:
- LeeAnn Fowler
- 전화번호: 412-802-6100
- 이메일: lfowler@pghplasticsurgery.com
-
수석 연구원:
- Armando Davila, MD
-
-
Tennessee
-
Nashville, Tennessee, 미국, 37203
- 모병
- The Plastic Surgery Center of Nashville With HKB
-
연락하다:
- LaTasha Bolden
- 전화번호: 615-467-6777
- 이메일: latasha@nashvillesurgery.com
-
연락하다:
- Kayla Sturdivant
- 이메일: kayla@nashvillesurgery.com
-
수석 연구원:
- Mary Gingrass, MD
-
부수사관:
- Melinda Haws
-
-
Texas
-
Dallas, Texas, 미국, 75219
- 모병
- Farah Naz Khan
-
연락하다:
- Matt Phillips
- 전화번호: 469-437-5426
- 이메일: matt@khanplasticsurgery.com
-
수석 연구원:
- Farah Khan
-
El Paso, Texas, 미국, 79936
- 모병
- Southwest Plastic Surgery
-
연락하다:
- Michael Sanchez
- 이메일: michael@swplasticsurgery.com
-
수석 연구원:
- Frank Agullo
-
Houston, Texas, 미국, 77024
- 모병
- Aesthetic Center for Plastic Surgery
-
연락하다:
- Kirk Zihlman
- 이메일: kzihlman@kalonaesthetics.com
-
수석 연구원:
- Kristi Hustak
-
San Antonio, Texas, 미국, 78257
- 모병
- Hill Country Plastic Surgery
-
연락하다:
- Sylvia Trujillo
- 전화번호: 210-658-3555
- 이메일: Sylvia.Trujillo@hillcountryps.com
-
수석 연구원:
- Amita Shah
-
부수사관:
- Scott Farber
-
San Antonio, Texas, 미국, 78258
- 종료됨
- Next Stage Clinical Research
-
-
Utah
-
Draper, Utah, 미국, 84020
- 모병
- The Plastics Clinic
-
수석 연구원:
- Jerry Chidester
-
연락하다:
- Xoey Gunn
- 전화번호: (385) 337-3228
- 이메일: xgunn@theplasticsclinic.com
-
-
Washington
-
Seattle, Washington, 미국, 98005
- 모병
- Athenix Advanced Plastic Surgery & Aesthetic Center
-
연락하다:
- Kathy Ross
- 전화번호: 425-307-3546
- 이메일: drdry@athenixbody.com
-
수석 연구원:
- Gavin Dry
-
Vancouver, Washington, 미국, 98660
- 모병
- Allen Gabriel MD
-
수석 연구원:
- Allen Gabriel
-
연락하다:
- Olivia Develasco
- 이메일: Olivia@allengabrielmd.com
-
-
참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Genetically female ≥22 and ≤70 years of age;
- Breast augmentation subject with capsular contracture (Baker grade III or IV);
- Desires a new silicone implant with no more than a ± 150cc volume change in implant size;
- Planned revision approach via inframammary fold (IMF) incision;
- Willing and able to comply with the study procedures including the 2-year follow-up visit;
- Can complete all required study visits as scheduled (i.e., physically attend);
- Has reviewed and completed an FDA required Breast Implant Patient Decision Checklist (e.g., implant-specific provided by the manufacturer);
- Has compatible smart technology that can be used for downloading/using the electronic patient diary; and,
- Provision of signed and dated informed consent form.
Exclusion Criteria:
- BMI <18 or >35
- Existing and/or replacement implant size > 800 cc
- Has an extra-capsular silicone breast implant rupture where silicone gel has leaked outside of the capsule) in breast(s) intended for treatment
- Has prior use of a matrix (synthetic or biologic) in the breast(s) intended for treatment
- Abnormal breast findings on imaging within 1-year prior to randomization that have not been determined to be benign
- Subject reported current, or prior history of, Systemic Symptoms Associated with Breast Implants (SSBI - formerly referred to as BII (Breast Implant Illness))
- Infection present in the study breast(s) (day of index procedure (surgery) exclusions)
- Current or recent breastfeeding (within 3-months of enrollment) or history of mastitis within the 6-months prior to enrollment
- Prior or current diagnosis of breast cancer
- Has a mass that was palpated and has not been determined benign via acceptable imaging (MRI) or biopsy results
- Has undergone prior chest radiation treatment
- Has received chemotherapy within the last 12 months
- Current or recent (within 1-year of enrollment) alcohol/substance abuse
- Current or recent (within 4-weeks of enrollment) nicotine user (includes cigarettes, vaping, patches, gum, etc.)
- History of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIAALCL) or Breast Implant Associated Squamous Cell Carcinoma (BIA-SCC)
- Planned use of any other matrix (synthetic, biosynthetic, or biological) in the study breast(s) other than the GalaFLEX LITE™ Scaffold used to fully wrap the implant
- Planned (within the 2-year follow-up time period) use of medical (e.g. montelukast/Singulair; zafirlukast/Accolate), physical (e.g. massage), or device assisted (e.g. mechanical/thermal ultrasound) tools to manage the breast capsule(s)
- 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, autoimmune disease, connective tissue disorder, chronic lung or severe cardiovascular disease)
- Concurrent or planned use (within the 2-year follow-up time period) of autologous fat transfer in the study breast(s)
- Planned (within the 2-year follow-up time period) elective cosmetic surgery on the study breast(s) (e.g., staged mastopexy; revision for implant size change)
- Currently enrolled or has plans to enroll in another interventional clinical study that would interfere with this study
- Is pregnant or plans to become pregnant during the study period
- Known allergy to tetracycline hydrochloride and/or kanamycin sulfate
- 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
- Subject will not remain under the care of the investigator for all breast related plastic surgery procedures while enrolled in the study
- Actively using immunosuppressants such as oral steroids or biological therapies (inhalers or topical steroids are permitted)
- Confirmed diagnosis of the following rheumatic diseases or syndromes: systemic lupus erythematosus, Sjorgren's syndrome, scleroderma, polymyositis, or any connective tissue disorder, rheumatoid arthritis, crystalline arthritis, infectious arthritis, spondyloarthropathies, any other inflammatory arthritis, fibromyalgia, or chronic fatigue syndrome
- Has, in the investigator's opinion, a mental illness or disability that would preclude their participation in the study
- Subject has an implant that was never commercially available in the United States
- Has been implanted with any silicone implant other than breast implants
- Is taking any drugs that would interfere with blood clotting or might result in elevated risk of significant postoperative complications (e.g., anticoagulants or antiplatelet medications such as Xarelto, Aspirin, or Eliquis. NSAIDs such as Celebrex, Ibuprofen, Meloxicam are not exclusionary).
- Works for Sponsor or any of their subsidiaries, the study surgeon, or is helping to conduct the study or are directly related to anyone that works for BD or any of their subsidiaries or the study surgeons
- Subjects planning to undergo significant weight loss utilizing surgical intervention or prescribed medication(s) (e.g., gastric bypass; gastric sleeve; GLP1 agonists). Subjects with stable weight after previous surgery or current GLP-1 agonists use are not excluded.
Day of Index Procedure (Surgery) Exclusion Criteria
- Has an extra-capsular rupture (breast implant silicone gel has leaked outside of the capsule) in breast(s) intended for treatment
- Suspicions of cancer from intraoperative capsule appearance such as capsule masses (based on surgical opinion/visual findings; does not require definitive pathology) inclusive of both BIA-ALCL and BIA-SCC; or,
- Presence of a systemic infection, infection at the surgical site, or infection anywhere in the body at the time of surgery.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: GalaFlex Light Scaffold
Surgery performed with GalaFlex Lite Scaffold. |
Bioabsorbable surgical mesh manufactured from poly-4-hydroxybutyrate (P4HB) and knitted into a surgical scaffold used to reinforce soft tissue |
|
활성 비교기: Standard Surgery
Surgery performed using standard surgical procedures with no scaffold. |
Surgery performed without the use of a scaffold |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Effectiveness of GalaFLEX LITE™ Scaffold for the stabilization of the implant pocket
기간: 24-months after index surgery
|
Composite of Recurrent Capsular Contracture Baker grade III/IV and/or breast implant malposition |
24-months after index surgery
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Patient quality of life and satisfaction (12-month)
기간: 12-months after index surgery
|
Select Breast-Q© modules (standardized patient survey) for the treated breast(s): psychosocial wellbeing; sexual wellbeing; satisfaction with breasts; and physical wellbeing - chest |
12-months after index surgery
|
|
Patient quality of life and satisfaction
기간: 24-months after index surgery
|
Select Breast-Q© modules (standardized patient survey) for the treated breast(s): psychosocial wellbeing; sexual wellbeing; satisfaction with breasts; and physical wellbeing - chest |
24-months after index surgery
|
|
Safety of GalaFLEX LITE™ Scaffold for the stabilization of the implant pocket, reduction of capsular contracture recurrence, and/or malposition
기간: 90 days
|
The occurrence of:
|
90 days
|
기타 결과 측정
기타 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Device or procedure related adverse events
기간: 24-months after index surgery
|
Select adverse events including: breast infection requiring PO or IV antibiotics related to the revision surgery; breast fluid collection requiring a drainage procedure; breast implant loss; any unscheduled/unanticipated breast reoperation; breast implant malposition recommended for surgery; skin necrosis; wound dehiscence; any seroma within 90 days of surgery; any hematoma within 90 days of surgery; capsular contracture Baker Grade >1; and red breast syndrome |
24-months after index surgery
|
공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
기타 연구 ID 번호
- DVL-BR-001
개별 참가자 데이터(IPD) 계획
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