Seroma of the Mammary Gland

NCT ID: NCT05899387

Last Updated: 2025-02-28

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

2000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-01

Study Completion Date

2027-07-01

Brief Summary

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The study is designed as international, prospective, minimal interventional study in cooperation with EUBREAST e.V. (European Breast Cancer Research Association of Surgical Trialists). Furthermore, it is planned to initiate a registry for postoperative breast seromas.

Detailed Description

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Postoperative seroma formations are one of the most common and serious complications after breast surgery, above all after mastectomy. Especially in patients who have opted for breast reconstruction using implants, seromas lead to infections and wound dehiscence which can result in implant and finally breast loss. To date, the cause of seroma development has not yet been clarified. First data of a pilot study of our research group identified an association with immunological-inflammatory processes as a possible cause for seroma development (Seroma after Simple Mastectomy in Breast Cancer-The Role of CD4+ T Helper Cells and the Evidence as a Possible Specific Immune Process; Pochert et al. 2022).

The main objective of the SerMa (Seroma of the Mammary gland) study presented here is to identify patient groups who have an increased risk of developing seromas based on immunological/inflammatory processes. Based on the findings clinical consequences should be developed in the future, such as more precise risk-adapted patient education and individualized advising regarding the selection of the reconstruction procedure, with the goal of minimizing complication rates. In addition, analyses of the tumor and the microenvironment will be performed to differentiate possible carcinoma-specific immunological processes.

Conditions

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Seroma Breast Cancer Mastectomy Breast Implant; Complications

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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BC, mastectomy and implant

Women with first diagnosis of breast cancer or DCIS and planned skin-sparing mastectomy and implant placement

Group Type EXPERIMENTAL

Swap collection

Intervention Type PROCEDURE

Performing the surgery (Mastectomy with or without implant reconstruction; Insertion of Breast implants for control group 3) according to valid standards.

In addition, taking swabs intraoperatively according to protocol from skin and surgical site.

Seroma punction

Intervention Type PROCEDURE

Puncturing of a seroma in case of occurence and clinical need

Blood sampling

Intervention Type PROCEDURE

Blood sampling at defined time points according to protocol

Sonographic correlation Seroma

Intervention Type DIAGNOSTIC_TEST

If a seroma occurs, a sonographic correlation is performed to determine the exact size of the seroma

BC and mastectomy

Women with first diagnosis of breast cancer or DCIS and planned simple mastectomy

Group Type ACTIVE_COMPARATOR

Swap collection

Intervention Type PROCEDURE

Performing the surgery (Mastectomy with or without implant reconstruction; Insertion of Breast implants for control group 3) according to valid standards.

In addition, taking swabs intraoperatively according to protocol from skin and surgical site.

Seroma punction

Intervention Type PROCEDURE

Puncturing of a seroma in case of occurence and clinical need

Blood sampling

Intervention Type PROCEDURE

Blood sampling at defined time points according to protocol

Sonographic correlation Seroma

Intervention Type DIAGNOSTIC_TEST

If a seroma occurs, a sonographic correlation is performed to determine the exact size of the seroma

High risk for BC

healthy women with high risk for breast cancer and planned bilateral risk-reducing mastectomy and implant reconstruction

Group Type ACTIVE_COMPARATOR

Swap collection

Intervention Type PROCEDURE

Performing the surgery (Mastectomy with or without implant reconstruction; Insertion of Breast implants for control group 3) according to valid standards.

In addition, taking swabs intraoperatively according to protocol from skin and surgical site.

Seroma punction

Intervention Type PROCEDURE

Puncturing of a seroma in case of occurence and clinical need

Blood sampling

Intervention Type PROCEDURE

Blood sampling at defined time points according to protocol

Sonographic correlation Seroma

Intervention Type DIAGNOSTIC_TEST

If a seroma occurs, a sonographic correlation is performed to determine the exact size of the seroma

Cosmetic breast surgery

healthy women planned for plastic breast implant surgery

Group Type ACTIVE_COMPARATOR

Swap collection

Intervention Type PROCEDURE

Performing the surgery (Mastectomy with or without implant reconstruction; Insertion of Breast implants for control group 3) according to valid standards.

In addition, taking swabs intraoperatively according to protocol from skin and surgical site.

Seroma punction

Intervention Type PROCEDURE

Puncturing of a seroma in case of occurence and clinical need

Blood sampling

Intervention Type PROCEDURE

Blood sampling at defined time points according to protocol

Sonographic correlation Seroma

Intervention Type DIAGNOSTIC_TEST

If a seroma occurs, a sonographic correlation is performed to determine the exact size of the seroma

Interventions

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Swap collection

Performing the surgery (Mastectomy with or without implant reconstruction; Insertion of Breast implants for control group 3) according to valid standards.

In addition, taking swabs intraoperatively according to protocol from skin and surgical site.

Intervention Type PROCEDURE

Seroma punction

Puncturing of a seroma in case of occurence and clinical need

Intervention Type PROCEDURE

Blood sampling

Blood sampling at defined time points according to protocol

Intervention Type PROCEDURE

Sonographic correlation Seroma

If a seroma occurs, a sonographic correlation is performed to determine the exact size of the seroma

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Written informed consent
* Age ≥ 18 years
* all stages of DCIS or primary breast cancer (T1-T4, N0 or N+, M0) including all histopathological subtypes (ER/PR positive, ER positive/PR negative, Her-2/neu positive and triple negative)
* Surgical procedure planned including ablatio or subcutaneous mastectomy with implant or expander insertion


* Written informed consent
* Age ≥ 18 years
* Surgical procedure planned with implant or expander insertion with or without subcutaneous mastectomy

Exclusion Criteria

* Age \<18 years
* Male sex
* Breast cancer patients planned for breast conserving therapy
* Recurrent breast cancer disease
* History of breast surgery
* Diagnosis of LCIS only
* Pregnancy at time of diagnosis
* Patients with a known immunodeficiency
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital Augsburg

OTHER

Sponsor Role lead

Responsible Party

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Nina Ditsch

Prof. Dr. med.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Thorsten Kühn, Prof.

Role: STUDY_CHAIR

Eubreast Network, Baumreute 37 D-73730 Esslingen, Germany

Nina Ditsch, Prof.

Role: PRINCIPAL_INVESTIGATOR

University Hospital Augsburg, Stenglinstr. 2, D-86156 Augsburg, Germany

Locations

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University Hospital Augsburg, Department of Gynecology and Obstetrics

Augsburg, Bavaria, Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Nina Ditsch, Prof.

Role: CONTACT

+49 (0)821 400 165809

Melitta Köpke, Dr. med.

Role: CONTACT

+49 (0)821 400 165862

Facility Contacts

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Nina Ditsch, Prof.

Role: primary

Melitta Köpke, Dr.

Role: backup

Other Identifiers

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1.0

Identifier Type: -

Identifier Source: org_study_id

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