Trial Outcomes & Findings for CPG Styles Study: A Study of the Safety of the Contour Profile Gel Breast Implants (CPG Styles Study) (NCT NCT01959880)

NCT ID: NCT01959880

Last Updated: 2016-11-11

Results Overview

Time of occurrence calculated as the number of days from the date of the implant procedure to the onset date of the event. Patients were censored as of the date of their last office visit, the 120 month time point, or the date of explantation of all initial study devices, whichever was earliest.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1891 participants

Primary outcome timeframe

6 years

Results posted on

2016-11-11

Participant Flow

Participant milestones

Participant milestones
Measure
Primary Augmentation
The Augmentation cohort will include patients who have post-lactational mammary involution or wish general breast enlargement.
Primary Reconstruction
The Reconstruction cohort will include patients with loss of breast due to mastectomy or with deformities secondary to disease, malignancy, trauma, and congenital deformity. Congenital deformities will include deformities of the breast itself as well as skeletal abnormalities reflected in breast deformity or asymmetry.
Revison Augmentation
Patients in this cohort will have had previous breast augmentation with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast augmentation surgery.
Revision Reconstruction
Patients in this cohort will have had previous breast reconstruction with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast reconstruction surgery.
Overall Study
STARTED
1132
369
209
181
Overall Study
COMPLETED
0
0
1
0
Overall Study
NOT COMPLETED
1132
369
208
181

Reasons for withdrawal

Reasons for withdrawal
Measure
Primary Augmentation
The Augmentation cohort will include patients who have post-lactational mammary involution or wish general breast enlargement.
Primary Reconstruction
The Reconstruction cohort will include patients with loss of breast due to mastectomy or with deformities secondary to disease, malignancy, trauma, and congenital deformity. Congenital deformities will include deformities of the breast itself as well as skeletal abnormalities reflected in breast deformity or asymmetry.
Revison Augmentation
Patients in this cohort will have had previous breast augmentation with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast augmentation surgery.
Revision Reconstruction
Patients in this cohort will have had previous breast reconstruction with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast reconstruction surgery.
Overall Study
Withdrawal by Subject
11
13
8
7
Overall Study
Death
1
10
1
2
Overall Study
Lost to Follow-up
95
18
15
8
Overall Study
Explantation w/o study device reimplant.
22
17
5
12
Overall Study
Study completed early-FDA approved
1003
311
179
152

Baseline Characteristics

CPG Styles Study: A Study of the Safety of the Contour Profile Gel Breast Implants (CPG Styles Study)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Primary Augmentation
n=1132 Participants
The Augmentation cohort will include patients who have post-lactational mammary involution or wish general breast enlargement.
Primary Reconstruction
n=369 Participants
The Reconstruction cohort will include patients with loss of breast due to mastectomy or with deformities secondary to disease, malignancy, trauma, and congenital deformity. Congenital deformities will include deformities of the breast itself as well as skeletal abnormalities reflected in breast deformity or asymmetry.
Revison Augmentation
n=209 Participants
Patients in this cohort will have had previous breast augmentation with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast augmentation surgery.
Revision Reconstruction
n=181 Participants
Patients in this cohort will have had previous breast reconstruction with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast reconstruction surgery.
Total
n=1891 Participants
Total of all reporting groups
Age, Continuous
34.3 years
STANDARD_DEVIATION 9.88 • n=5 Participants
49.2 years
STANDARD_DEVIATION 10.58 • n=7 Participants
46.7 years
STANDARD_DEVIATION 10.25 • n=5 Participants
56.1 years
STANDARD_DEVIATION 9.37 • n=4 Participants
40.7 years
STANDARD_DEVIATION 12.86 • n=21 Participants
Sex: Female, Male
Female
1132 Participants
n=5 Participants
369 Participants
n=7 Participants
209 Participants
n=5 Participants
181 Participants
n=4 Participants
1891 Participants
n=21 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
58 Participants
n=5 Participants
5 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
68 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
15 Participants
n=5 Participants
14 Participants
n=7 Participants
0 Participants
n=5 Participants
4 Participants
n=4 Participants
33 Participants
n=21 Participants
Race (NIH/OMB)
White
986 Participants
n=5 Participants
334 Participants
n=7 Participants
192 Participants
n=5 Participants
162 Participants
n=4 Participants
1674 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
73 Participants
n=5 Participants
16 Participants
n=7 Participants
15 Participants
n=5 Participants
12 Participants
n=4 Participants
116 Participants
n=21 Participants
Region of Enrollment
United States
1132 participants
n=5 Participants
369 participants
n=7 Participants
209 participants
n=5 Participants
181 participants
n=4 Participants
1891 participants
n=21 Participants

PRIMARY outcome

Timeframe: 6 years

Population: All enrolled subjects are included.

Time of occurrence calculated as the number of days from the date of the implant procedure to the onset date of the event. Patients were censored as of the date of their last office visit, the 120 month time point, or the date of explantation of all initial study devices, whichever was earliest.

Outcome measures

Outcome measures
Measure
Primary Augmentation
n=1132 Participants
The Augmentation cohort will include patients who have post-lactational mammary involution or wish general breast enlargement.
Primary Reconstruction
n=369 Participants
The Reconstruction cohort will include patients with loss of breast due to mastectomy or with deformities secondary to disease, malignancy, trauma, and congenital deformity. Congenital deformities will include deformities of the breast itself as well as skeletal abnormalities reflected in breast deformity or asymmetry.
Revison Augmentation
n=209 Participants
Patients in this cohort will have had previous breast augmentation with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast augmentation surgery.
Revision Reconstruction
n=181 Participants
Patients in this cohort will have had previous breast reconstruction with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast reconstruction surgery.
6-Year Kaplan-Meier Estimated Cumulative Incidence Rate of Occurrence of Any Reoperation
8.3 percentage of subjects
Interval 6.6 to 10.5
31.7 percentage of subjects
Interval 25.5 to 39.1
13.8 percentage of subjects
Interval 8.6 to 21.6
31.3 percentage of subjects
Interval 23.8 to 40.4

PRIMARY outcome

Timeframe: 6 years

Population: All enrolled subjects are included.

Baker III was identified as "firm with visible distortion" and Baker IV was identified as "obvious spherical distortion". Time of occurrence calculated as the number of days from the date of the implant procedure to the onset date of the event. Patients were censored as of the date of their last office visit, the 120 month time point, or the date of explantation of all initial study devices, whichever was earliest.

Outcome measures

Outcome measures
Measure
Primary Augmentation
n=1132 Participants
The Augmentation cohort will include patients who have post-lactational mammary involution or wish general breast enlargement.
Primary Reconstruction
n=369 Participants
The Reconstruction cohort will include patients with loss of breast due to mastectomy or with deformities secondary to disease, malignancy, trauma, and congenital deformity. Congenital deformities will include deformities of the breast itself as well as skeletal abnormalities reflected in breast deformity or asymmetry.
Revison Augmentation
n=209 Participants
Patients in this cohort will have had previous breast augmentation with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast augmentation surgery.
Revision Reconstruction
n=181 Participants
Patients in this cohort will have had previous breast reconstruction with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast reconstruction surgery.
6-Year Kaplan-Meier Estimated Cumulative Incidence Rate of Occurrence of Baker III, IV Capsular Contracture
1.5 percentage of subjects
Interval 0.8 to 2.7
8.8 percentage of subjects
Interval 5.3 to 14.4
1.6 percentage of subjects
Interval 0.5 to 5.0
7.8 percentage of subjects
Interval 3.6 to 16.6

PRIMARY outcome

Timeframe: 6 years

Population: All enrolled subjects are included.

Time of occurrence calculated as the number of days from the date of the implant procedure to the onset date of the event. Patients were censored as of the date of their last office visit, the 120 month time point, or the date of explantation of all initial study devices, whichever was earliest.

Outcome measures

Outcome measures
Measure
Primary Augmentation
n=1132 Participants
The Augmentation cohort will include patients who have post-lactational mammary involution or wish general breast enlargement.
Primary Reconstruction
n=369 Participants
The Reconstruction cohort will include patients with loss of breast due to mastectomy or with deformities secondary to disease, malignancy, trauma, and congenital deformity. Congenital deformities will include deformities of the breast itself as well as skeletal abnormalities reflected in breast deformity or asymmetry.
Revison Augmentation
n=209 Participants
Patients in this cohort will have had previous breast augmentation with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast augmentation surgery.
Revision Reconstruction
n=181 Participants
Patients in this cohort will have had previous breast reconstruction with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast reconstruction surgery.
6-Year Kaplan-Meier Estimated Cumulative Incidence Rate of Occurrence of Infection
1.0 percentage of subjects
Interval 0.6 to 1.8
2.4 percentage of subjects
Interval 1.2 to 4.8
1.0 percentage of subjects
Interval 0.2 to 3.8
2.3 percentage of subjects
Interval 0.9 to 6.0

PRIMARY outcome

Timeframe: 6 years

Population: All enrolled subjects are included.

Time of occurrence calculated as the number of days from the date of the implant procedure to the onset date of the event. Patients were censored as of the date of their last office visit, the 120 month time point, or the date of explantation of all initial study devices, whichever was earliest.

Outcome measures

Outcome measures
Measure
Primary Augmentation
n=1132 Participants
The Augmentation cohort will include patients who have post-lactational mammary involution or wish general breast enlargement.
Primary Reconstruction
n=369 Participants
The Reconstruction cohort will include patients with loss of breast due to mastectomy or with deformities secondary to disease, malignancy, trauma, and congenital deformity. Congenital deformities will include deformities of the breast itself as well as skeletal abnormalities reflected in breast deformity or asymmetry.
Revison Augmentation
n=209 Participants
Patients in this cohort will have had previous breast augmentation with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast augmentation surgery.
Revision Reconstruction
n=181 Participants
Patients in this cohort will have had previous breast reconstruction with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast reconstruction surgery.
6-Year Kaplan-Meier Estimated Cumulative Incidence Rate of Occurrence of Explantation With or Without Replacement
5.0 percentage of subjects
Interval 3.5 to 7.1
20.2 percentage of subjects
Interval 14.6 to 27.5
8.6 percentage of subjects
Interval 4.5 to 16.2
16.5 percentage of subjects
Interval 10.9 to 24.6

Adverse Events

Primary Augmentation

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Primary Reconstruction

Serious events: 10 serious events
Other events: 0 other events
Deaths: 0 deaths

Revison Augmentation

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Revision Reconstruction

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Primary Augmentation
n=1132 participants at risk
The Augmentation cohort will include patients who have post-lactational mammary involution or wish general breast enlargement.
Primary Reconstruction
n=369 participants at risk
The Reconstruction cohort will include patients with loss of breast due to mastectomy or with deformities secondary to disease, malignancy, trauma, and congenital deformity. Congenital deformities will include deformities of the breast itself as well as skeletal abnormalities reflected in breast deformity or asymmetry.
Revison Augmentation
n=209 participants at risk
Patients in this cohort will have had previous breast augmentation with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast augmentation surgery.
Revision Reconstruction
n=181 participants at risk
Patients in this cohort will have had previous breast reconstruction with silicone or saline filled implants and are having a revision surgery to correct or improve the result of any previous breast reconstruction surgery.
General disorders
Death
0.09%
1/1132 • Baseline (Surgery) to 6 Years
Adverse events were collected as Complications in alignment with 2006 FDA Guidance. Consistent with this document, complications are not classified as serious or non-serious. Key safety endpoints are summarized under Outcome Measures. Complications are collected systematically using a pre-specified list of anticipated complications. No individual complications met the 5% threshold for reporting.
2.7%
10/369 • Baseline (Surgery) to 6 Years
Adverse events were collected as Complications in alignment with 2006 FDA Guidance. Consistent with this document, complications are not classified as serious or non-serious. Key safety endpoints are summarized under Outcome Measures. Complications are collected systematically using a pre-specified list of anticipated complications. No individual complications met the 5% threshold for reporting.
0.48%
1/209 • Baseline (Surgery) to 6 Years
Adverse events were collected as Complications in alignment with 2006 FDA Guidance. Consistent with this document, complications are not classified as serious or non-serious. Key safety endpoints are summarized under Outcome Measures. Complications are collected systematically using a pre-specified list of anticipated complications. No individual complications met the 5% threshold for reporting.
1.1%
2/181 • Baseline (Surgery) to 6 Years
Adverse events were collected as Complications in alignment with 2006 FDA Guidance. Consistent with this document, complications are not classified as serious or non-serious. Key safety endpoints are summarized under Outcome Measures. Complications are collected systematically using a pre-specified list of anticipated complications. No individual complications met the 5% threshold for reporting.

Other adverse events

Adverse event data not reported

Additional Information

Michael Schwiers

Mentor

Phone: 513-337-1172

Results disclosure agreements

  • Principal investigator is a sponsor employee Investigator and his/her collaborators are free to publish the background, methods, and results of their own research without restraint. Prior review of any proposed manuscript or abstract will be provided to the sponsor to prevent premature disclosure of trade secrets or proprietary information. The review will occur 30 days prior to submission of manuscript or abstract for consideration of publication or to a conference. Sponsor reserves right to publish or present the overall study results.
  • Publication restrictions are in place

Restriction type: OTHER