Use of Glubran 2 ® in Axillary Lymphadenectomy Without Drain

NCT ID: NCT05280353

Last Updated: 2024-09-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

134 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-01

Study Completion Date

2026-06-01

Brief Summary

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Axillary lymphadenectomy in breast cancer continues to be a common practice in certain patients. The use of sealants and drains continues to be a source of disagreement among the scientific community. That is why the study was designed to show whether the sealant reduces seroma after axillary lymphadenectomy without drainage.

Detailed Description

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A study has been designed to assess whether the sealant reduces the rate of symptomatic seroma measured by the number of evacuating punctures. Likewise, the decrease in volume due to the seroma between the two groups and the quality of life of the patients is assessed, given that none of them has a drain

Conditions

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Seroma Following Procedure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

MULTICENTRIC, PROSPECTIVE, RANDOMIZED CLINICAL TRIAL
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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lymphadenectomy without drainage and with Glubran

Application of Glubran 2 in axillary dissection with the objective of seroma reduction. No drain

Group Type EXPERIMENTAL

Glubran 2

Intervention Type OTHER

Application of Glubran 2 sealant (liquid) in axillary hollow

Lymphadenectomy without drainage

No intervention required, only axillary dissection without drain

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Glubran 2

Application of Glubran 2 sealant (liquid) in axillary hollow

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Over 18 years old
* Conservative surgery for breast cancer with associated axillary lymphadenectomy

Exclusion Criteria

* Mastectomy
* History of axillary surgery or ipsilateral axillary radiotherapy
* ASA 4 patients. (ASA 3 patients selected)
* Lack of adequate cognitive capacity and/or signed informed consent
* Pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Consorci Sanitari del Maresme

OTHER

Sponsor Role collaborator

Omphis Foundation

OTHER

Sponsor Role lead

Responsible Party

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Sandra Lopez Gordo

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sandra Lopez Gordo, Doctor

Role: PRINCIPAL_INVESTIGATOR

Health Consortium Maresme

Locations

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Maresme health consortium

Mataró, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Sandra Lopez Gordo

Role: CONTACT

937 41 77 00 ext. 1141

Facility Contacts

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Sandra lopez gordo

Role: primary

References

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Giuliano AE, Ballman KV, McCall L, Beitsch PD, Brennan MB, Kelemen PR, Ollila DW, Hansen NM, Whitworth PW, Blumencranz PW, Leitch AM, Saha S, Hunt KK, Morrow M. Effect of Axillary Dissection vs No Axillary Dissection on 10-Year Overall Survival Among Women With Invasive Breast Cancer and Sentinel Node Metastasis: The ACOSOG Z0011 (Alliance) Randomized Clinical Trial. JAMA. 2017 Sep 12;318(10):918-926. doi: 10.1001/jama.2017.11470.

Reference Type BACKGROUND
PMID: 28898379 (View on PubMed)

van Bemmel AJ, van de Velde CJ, Schmitz RF, Liefers GJ. Prevention of seroma formation after axillary dissection in breast cancer: a systematic review. Eur J Surg Oncol. 2011 Oct;37(10):829-35. doi: 10.1016/j.ejso.2011.04.012. Epub 2011 Aug 17.

Reference Type BACKGROUND
PMID: 21849243 (View on PubMed)

Srivastava V, Basu S, Shukla VK. Seroma formation after breast cancer surgery: what we have learned in the last two decades. J Breast Cancer. 2012 Dec;15(4):373-80. doi: 10.4048/jbc.2012.15.4.373. Epub 2012 Dec 31.

Reference Type BACKGROUND
PMID: 23346164 (View on PubMed)

Thomson DR, Sadideen H, Furniss D. Wound drainage after axillary dissection for carcinoma of the breast. Cochrane Database Syst Rev. 2013 Oct 20;2013(10):CD006823. doi: 10.1002/14651858.CD006823.pub2.

Reference Type BACKGROUND
PMID: 24158902 (View on PubMed)

Chang YT, Shih SL, Loh EW, Tam KW. Effects of Fibrin Sealant on Seroma Reduction for Patients with Breast Cancer Undergoing Axillary Dissection: Meta-Analysis of Randomized Controlled Trials. Ann Surg Oncol. 2020 Dec;27(13):5286-5295. doi: 10.1245/s10434-020-08747-5. Epub 2020 Jun 20.

Reference Type BACKGROUND
PMID: 32564232 (View on PubMed)

Gunn J, Gibson T, Li Z, Diehl N, Bagaria S, McLaughlin S. Symptomatic Axillary Seroma after Sentinel Lymph Node Biopsy: Incidence and Treatment. Ann Surg Oncol. 2016 Oct;23(10):3347-53. doi: 10.1245/s10434-016-5398-6. Epub 2016 Jul 8.

Reference Type BACKGROUND
PMID: 27393569 (View on PubMed)

Jain PK, Sowdi R, Anderson AD, MacFie J. Randomized clinical trial investigating the use of drains and fibrin sealant following surgery for breast cancer. Br J Surg. 2004 Jan;91(1):54-60. doi: 10.1002/bjs.4435.

Reference Type BACKGROUND
PMID: 14716794 (View on PubMed)

Vasileiadou K, Kosmidis C, Anthimidis G, Miliaras S, Kostopoulos I, Fahantidis E. Cyanoacrylate Adhesive Reduces Seroma Production After Modified Radical Mastectomy or Quadrantectomy With Lymph Node Dissection-A Prospective Randomized Clinical Trial. Clin Breast Cancer. 2017 Dec;17(8):595-600. doi: 10.1016/j.clbc.2017.04.004. Epub 2017 Apr 13.

Reference Type BACKGROUND
PMID: 28673765 (View on PubMed)

Thorpe KE, Zwarenstein M, Oxman AD, Treweek S, Furberg CD, Altman DG, Tunis S, Bergel E, Harvey I, Magid DJ, Chalkidou K. A pragmatic-explanatory continuum indicator summary (PRECIS): a tool to help trial designers. J Clin Epidemiol. 2009 May;62(5):464-75. doi: 10.1016/j.jclinepi.2008.12.011.

Reference Type BACKGROUND
PMID: 19348971 (View on PubMed)

Lopez Gordo S, Ruiz-Edo N, Fernandez-Planas MT, Viscaya-Martin S, Serra-Serra C; Breast Cancer Research Group. Seroma control in axillary lymphadenectomy with Glubran 2(R) without drain. Multicenter, prospective, randomized, clinical trial. GALA-ND study (Glubran, Axillary Lymphadenectomy, Ambulatory, No Drain). Trials. 2024 Feb 22;25(1):142. doi: 10.1186/s13063-023-07840-w.

Reference Type DERIVED
PMID: 38388444 (View on PubMed)

Other Identifiers

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Health consortium maresme

Identifier Type: -

Identifier Source: org_study_id

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