Biological Matrices Versus Synthetic Meshes

NCT ID: NCT05449691

Last Updated: 2025-09-10

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-02

Study Completion Date

2026-04-30

Brief Summary

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In this feasibility study, 60 women undergoing reconstruction will be randomly allocated to receive biological or synthetic mesh and followed for 6 months. The findings will tell us if patients and surgeons are comfortable with not being able to choose which mesh is used for the operation. In the larger surgical study, the investigators plan to measure patients' satisfaction with the reconstruction, patients' quality of life, complications from the operation and costs over 5 years.

Detailed Description

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Immediate breast reconstruction in women undergoing removal of the whole breast for cancer or risk reduction is most commonly done using breast implants. Surgeons often use a sheet of mesh to cover the implant as standard treatment. It acts like an internal bra and supports the implant and re-creates a natural looking breast.

Natural(biological) or man-made (synthetic) meshes are used routinely in the NHS. Biological ones are made from animal tissue (pig, cow) that have been made safe to use in people and are costly. Synthetic meshes are made from net-like fabric and cost less. The choice about which mesh to use depends on surgeons' personal experience and how much money the hospital has for these operations. The two meshes may have different acceptability issues for patients because of their personal values, religious beliefs, ethnic background or views on animal welfare.

A large UK review of breast reconstruction with implants gathered information up to 3 months after surgery on the use and outcomes of the two meshes. This suggests that both may be equally safe in the short-term. However, this information can be improved by comparing the meshes side-by-side and looking at how safe they are long-term. This is important as some side-effects only appear later after surgery. Clinicians do not know how outcomes impact on patients' health and well-being.

The best proof would come from a randomised surgical study, where a computer allocates patients to receive either the biological or synthetic mesh. Investigators will measure how patients feel, how their health is, and record if they have any side-effects from the reconstructive surgery. This type of study would tell us how good each mesh is and if they are safe long-term.

Before starting such a study, investigators will run a smaller one that will help us understand if patients and surgeons would be comfortable taking part.

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

SINGLE

Participants
Single blind masking

Study Groups

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Biological Matrix

Participants will undergo immediate breast reconstruction using biological matrix and implant

Group Type ACTIVE_COMPARATOR

One-stage immediate breast reconstruction

Intervention Type PROCEDURE

One-stage mesh assisted implant breast reconstruction

Synthetic Mesh

Participants will undergo immediate breast reconstruction using synthetic mesh and implant

Group Type EXPERIMENTAL

One-stage immediate breast reconstruction

Intervention Type PROCEDURE

One-stage mesh assisted implant breast reconstruction

Interventions

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One-stage immediate breast reconstruction

One-stage mesh assisted implant breast reconstruction

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

Female age ≥ 18 Women undergoing mastectomy and immediate one-stage mesh assisted implant breast reconstruction as standard treatment

Exclusion Criteria

Revision reconstruction surgery Delayed reconstruction surgery
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University Hospitals of Derby and Burton NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Dr Amit Goyal

Chief Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Amit Goyal, MS, MD, FRCS

Role: STUDY_CHAIR

University Hospitals of Derby and Burton NHS Foundation Trust

Locations

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University Hospitals of Derby and Burton NHS Foundation Trust

Derby, , United Kingdom

Site Status RECRUITING

Wycombe Hospital

High Wycombe, , United Kingdom

Site Status RECRUITING

Castle Hill Hospital

Hull, , United Kingdom

Site Status RECRUITING

University Hospitals of Leicester NHS Trust

Leicester, , United Kingdom

Site Status RECRUITING

Nottingham City Hospital

Nottingham, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Amit Goyal, MS, MD, FRCS

Role: CONTACT

01332786958

Facility Contacts

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Emanuele Garreffa

Role: primary

Role: backup

Fiona Tsang-Wright

Role: primary

Kartikae Grover

Role: primary

Monika Kaushik

Role: primary

Role: backup

Hazem Khout

Role: primary

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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315581

Identifier Type: -

Identifier Source: org_study_id

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