Patient Controlled Tissue Expansion for Breast Reconstruction

NCT ID: NCT01425268

Last Updated: 2017-06-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

158 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-31

Study Completion Date

2015-08-31

Brief Summary

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This study is designed to compare the performance and safety of the AirXpander tissue expander to standard saline expanders in patients undergoing two-stage breast reconstruction following mastectomy.

Detailed Description

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This is a pivotal, prospective, multi-center randomized, controlled, open-label clinical study designed to compare the performance and safety of the AirXpander Tissue Expander System to currently cleared saline tissue expanders. Subject who meet the inclusion and agree to participate in the study will be enrolled and randomized to either the investigational arm (AirXpander Tissue Expander) or the control arm (standard saline tissue expander) using a 2:1 (AirXpander to saline) permuted block randomization stratified by investigational center and procedure (unilateral or bilateral). If the subject is having a bilateral procedure, the same type of expander will be implanted in each side. Subjects in both arms will be followed in the same manner until the explantation of the tissue expander(s) and exchange for permanent implant(s).

Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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AeroForm Tissue Expansion

AeroForm Tissue Expansion inflation with carbon dioxide by remote control

Group Type EXPERIMENTAL

AeroForm Tissue Expansion

Intervention Type DEVICE

The AeroForm Patient Controlled Tissue Expander is a breast tissue expander implanted following mastectomy and activated by remote control to release small doses of carbon dioxide from an internal reservoir to fill and inflate the expander.

Saline Tissue Expansion

Saline Tissue Expansion inflated by needle injections of saline

Group Type ACTIVE_COMPARATOR

Saline Tissue Expansion

Intervention Type PROCEDURE

A saline tissue expander is a breast tissue expander which is implanted following mastectomy and inflated over time using needle injections to fill and inflate the expander with saline.

Interventions

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AeroForm Tissue Expansion

The AeroForm Patient Controlled Tissue Expander is a breast tissue expander implanted following mastectomy and activated by remote control to release small doses of carbon dioxide from an internal reservoir to fill and inflate the expander.

Intervention Type DEVICE

Saline Tissue Expansion

A saline tissue expander is a breast tissue expander which is implanted following mastectomy and inflated over time using needle injections to fill and inflate the expander with saline.

Intervention Type PROCEDURE

Other Intervention Names

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AirXpander Tissue Expander System Patient Activated Controlled Expansion (PACE) AeroForm Patient Activated Tissue Expander AeroForm Tissue Expander System AeroForm Tissue Expander saline breast tissue expander saline expander breast tissue expander tissue expander

Eligibility Criteria

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Inclusion Criteria

1. Subject is a woman between the ages of 18-70.
2. Subject needs to have tissue expansion as part of her breast reconstruction.
3. Subject is able to provide written informed consent.
4. Subject is able and willing to comply with all of the study requirements.
5. Subject is able to understand and manage at home dosing regimen.

Exclusion Criteria

1. Subjects skin is not suitable for tissue expansion.
2. Subject has remaining tumor cells following her mastectomy.
3. Subject has a current or prior infection at the intended expansion site.
4. Subjects skin has been damaged by previous radiation treatments and the use of non radiated tissue from another part of her body will not be used.

4a. Subject had planned radiation therapy at the intended expansion site while the expander is implanted.

5\. Subject has a history of failed tissue expansion or breast implantation at the intended expansion site.

6\. Subject has any existing medical condition that the doctor thinks puts the subject at an increased risk of complications (e.g., severe collagen vascular disease, poorly managed diabetes).

7\. Subject is taking any medications that the doctor thinks puts the subject at an increased risk of complications (e.g., prednisone, Coumadin).

8\. Subject is currently participating in a concurrent investigational drug or device study.

9\. Subject is a current tobacco smoker. 10. Subject is overweight (BMI \> 33). 11. Subject is unwilling to comply with the air travel or altitude restriction of not \> 3300 feet (1000 meters) from baseline during the time the AeroForm tissue expander is implanted.

12\. Subject has a currently implanted electronic device such as a pacemaker, defibrillator, neurostimulator device, or drug infusion device.

13\. Subject is pregnant or planning on becoming pregnant during the study period.

14\. Subject has a history of psychological condition, drug or alcohol misuse which may interfere with their ability to use the device safely.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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AirXpanders, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jeffrey A. Ascherman, M.D.

Role: PRINCIPAL_INVESTIGATOR

New York-Presbyterian Hospital / Columbia University

Locations

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Marin General Hospital

Greenbrae, California, United States

Site Status

Susan Downey

Los Angeles, California, United States

Site Status

University of California, Irvine Medical Center

Orange, California, United States

Site Status

Sutter Healthcare-Sacramento

Sacramento, California, United States

Site Status

Good Samaritan Hospital, San Jose

San Jose, California, United States

Site Status

eSSe Plastic Surgery

Fort Lauderdale, Florida, United States

Site Status

Baptist Medical Center South

Jacksonville, Florida, United States

Site Status

Norton Healthcare Pavilion

Louisville, Kentucky, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Faulkner Hospital

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

University of Massachusetts Memorial Medical Center

Worcester, Massachusetts, United States

Site Status

Columbia University

New York, New York, United States

Site Status

South Nassau Communities Hospital

Oceanside, New York, United States

Site Status

Novant Health Presbyterian Medical Center

Charlotte, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

The Methodist Hospital

Houston, Texas, United States

Site Status

Countries

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United States

References

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Ascherman JA, Zeidler K, Morrison KA, Appel JZ, Berkowitz RL, Castle J, Colwell A, Chun Y, Johnson D, Mohebali K. Carbon Dioxide-Based versus Saline Tissue Expansion for Breast Reconstruction: Results of the XPAND Prospective, Randomized Clinical Trial. Plast Reconstr Surg. 2016 Dec;138(6):1161-1170. doi: 10.1097/PRS.0000000000002784.

Reference Type BACKGROUND
PMID: 27879582 (View on PubMed)

Zeidler KR, Berkowitz RL, Chun YS, Alizadeh K, Castle J, Colwell AS, Desai AR, Evans G, Hollenbeck S, Johnson DJ, Morris D, Ascherman JA. AeroForm patient controlled tissue expansion and saline tissue expansion for breast reconstruction: a randomized controlled trial. Ann Plast Surg. 2014 May;72 Suppl 1:S51-5. doi: 10.1097/SAP.0000000000000175.

Reference Type DERIVED
PMID: 24740025 (View on PubMed)

Other Identifiers

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CTP-0003 AirXpanders

Identifier Type: -

Identifier Source: org_study_id

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