Study of GalaFLEX LITE™ Scaffold in Treatment of Capsular Contracture After Breast Implant Augmentation

NCT ID: NCT05945329

Last Updated: 2026-02-06

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

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-12

Study Completion Date

2027-01-31

Brief Summary

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Prospective, randomized, controlled study to assess the safety and effectiveness of GalaFLEX LITE™ Scaffold in revision surgery for reduction of capsular contracture recurrence and/or malposition in implant-based breast augmentation patients versus patients undergoing conventional revision surgery with no supportive matrix or acellular dermal matrix (ADM). Subjects will be randomized 2:1 to receive either GalaFLEX LITE™ Scaffold or standard care (no ADM or matrix placement). This study is designed using an adaptive approach. The number of the treated breasts will range between 250 and 530.

Detailed Description

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Capsular contracture is the number one complication leading to revision surgery after breast augmentation(2-4) which has been commonly cited as impacting 10 to 20% of all breast augmentation patients.(5-10) A prospective, randomized controlled study of patients presenting with Baker grade III or IV capsular contracture will be undertaken to investigate the ability of P4HB (specifically GalaFLEX LITE™ Scaffold) to reduce the recurrence of clinically significant CC and/or malposition requiring surgical correction. The primary endpoint is a composite of capsular contracture recurrence and/or breast implant malposition recommended for surgery OR breast infections requiring oral or IV antibiotic treatment within 90 days of surgery and/or peri-implant fluid collection needing a drainage procedure within 10-90 days of surgery.

Conditions

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Capsular Contracture Associated With Breast Implant Capsular Contracture Grade III Capsular Contracture Grade IV

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Multi-center, prospective, randomized
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Participant will not be made aware of whether they receive standard-of-care surgery or surgery with the study device. They will be made aware at the end of the study.

Study Groups

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GalaFlex Light Scaffold

Surgery performed with GalaFlex Lite Scaffold.

Group Type EXPERIMENTAL

GalaFLEX LITE™ Scaffold

Intervention Type DEVICE

Bioabsorbable surgical mesh manufactured from poly-4-hydroxybutyrate (P4HB) and knitted into a surgical scaffold used to reinforce soft tissue

Standard Surgery

Surgery performed using standard surgical procedures with no scaffold.

Group Type ACTIVE_COMPARATOR

Standard surgery

Intervention Type OTHER

Surgery performed without the use of a scaffold

Interventions

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GalaFLEX LITE™ Scaffold

Bioabsorbable surgical mesh manufactured from poly-4-hydroxybutyrate (P4HB) and knitted into a surgical scaffold used to reinforce soft tissue

Intervention Type DEVICE

Standard surgery

Surgery performed without the use of a scaffold

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Genetically female ≥22 and ≤66 years of age;
2. Breast augmentation subject with capsular contracture (Baker grade III or IV);
3. Desired a new implant with no more than a 25% increase in implant size (not to exceed a volume increase greater than 150cc compared to the existing implant);
4. Planned revision approach via inframammary fold (IMF) incision;
5. Willing and able to comply with the study procedures including the 2-year follow-up visit;
6. Lives within 3 hours driving distance from the investigator site; and,
7. Provision of signed and dated informed consent form.

Exclusion Criteria

1. BMI \<18 or \>35
2. Existing and/or replacement implant size \> 800 cc
3. Had ≥2 capsular contracture revisions on the breast(s) intended for treatment
4. Has an extra-capsular rupture (breast implant silicone gel or saline has leaked outside of the capsule) in breast(s) intended for treatment
5. Has prior use of a matrix (synthetic or biologic) in the breast(s) intended for treatment.
6. Abnormal findings on diagnostic imaging within 1-year of study enrollment (mammogram for patients ≥35 years old; MRI for patients \<35 years old or breast ultrasound if MRI is contraindicated)
7. Has symptoms consistent with Breast Implant Illness (BII)Systemic Symptoms Associated with Breast Implants (SSBI)
8. Infection present in the breast (day of surgery exclusions are noted in Section 5.3)
9. Current or recent breast feeding (within 3-months or enrollment) or history of mastitis within the 6-months prior to enrollment
10. Prior or current diagnosis of breast cancer
11. Has a mass that was palpated and has not been determined benign via acceptable imaging (MRI) or biopsy results
12. Has undergone prior chest radiation treatment
13. Has received chemotherapy within the last 12 months
14. Current or recent (within 1-year of enrollment) alcohol/substance abuse
15. Current or recent (within 4-weeks of enrollment) nicotine user (includes cigarettes, vaping, patches, gum, etc.)
16. History of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) or Breast Implant Associated Squamous Cell Carcinoma (BIA-SCC)
17. Planned use of another type of matrix (such as ADM) in addition to GalaFLEX LITE™
18. Current or planned use of medical (e.g. Singulair), physical (e.g. massage), or device-assisted (e.g. mechanical/thermal ultrasound) tools to manage the breast capsule(s)
19. Any medical condition that, in the opinion of the investigator, may be associated with unduly high risk of intra- or post-operative complications (e.g., insulin-dependent diabetes, autoimmune disease, connective tissue disorder, chronic lung or severe cardiovascular disease)
20. Concurrent or planned (within the 2-year follow-up time period) elective cosmetic breast operation to the treated breast (e.g., autologous fat transfer, mastopexy, or implant size changes)
21. Currently enrolled or has plans to enroll in another clinical study that would interfere with this study, unless it is a retrospective or observational study
22. Is pregnant or plans to become pregnant during the study period
23. Known allergy to tetracycline hydrochloride and kanamycin sulfate
24. Any condition that, in the Investigator's opinion, would preclude the use of the study device, interfere with the evaluation of the device or breast related outcomes
25. Subject will not remain under the care of the investigator for all plastic surgery procedures while enrolled in the study
26. Actively using immunosuppressants such as oral steroids or biological therapies (inhalers or topical steroids are permitted)
27. Confirmed diagnosis of the following rheumatic diseases or syndromes: systemic lupus erythematosus, Sjorgren's syndrome, scleroderma, polymyositis, or any connective tissue disorder, rheumatoid arthritis, crystalline arthritis, infectious arthritis, spondyloarthropathies, any other inflammatory arthritis, fibromyalgia, or chronic fatigue syndrome
28. Has, in the investigator's opinion, a mental illness or disability that would preclude their participation in the study
29. Subject has an implant that was never commercially available in the United States (had their breast augmentation in another country)
30. Has been implanted with any silicone implant other than breast implants
31. Is taking any drugs that would interfere with blood clotting or might result in elevated risk of significant postoperative complications
32. Works for Sponsor or any of their subsidiaries, the study surgeon, or is helping to conduct the study or are directly related to anyone that works for BD or any of their subsidiaries or the study surgeons. -
Minimum Eligible Age

22 Years

Maximum Eligible Age

66 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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C. R. Bard

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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The Practice Plastic Surgery

Beverly Hills, California, United States

Site Status RECRUITING

Donald S Mowlds, MD A Professional Corporation

Newport Beach, California, United States

Site Status RECRUITING

Newport Plastic and Reconstructive Surgery Associates

Newport Beach, California, United States

Site Status RECRUITING

Tim Sayed MD

San Diego, California, United States

Site Status WITHDRAWN

Sanctuary Plastic Surgery

Boca Raton, Florida, United States

Site Status WITHDRAWN

Careaga Plastic Surgery

Miami, Florida, United States

Site Status RECRUITING

Billington Plastic Surgery

St. Petersburg, Florida, United States

Site Status RECRUITING

VIVIFY Plastic Surgery

Tampa, Florida, United States

Site Status RECRUITING

The Graivier Center

Alpharetta, Georgia, United States

Site Status RECRUITING

Meridian Plastic Surgery Center

Indianapolis, Indiana, United States

Site Status RECRUITING

Reno Tahoe Plastic Surgery

Reno, Nevada, United States

Site Status RECRUITING

Plastic Surgery Institute of New York

New York, New York, United States

Site Status RECRUITING

H/K/B Surgery

Huntersville, North Carolina, United States

Site Status RECRUITING

Essential Medical Research

Tulsa, Oklahoma, United States

Site Status RECRUITING

Pittsburgh Center for Plastic Surgery

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

The Plastic Surgery Center of Nashville With HKB

Nashville, Tennessee, United States

Site Status RECRUITING

Southwest Plastic Surgery

El Paso, Texas, United States

Site Status RECRUITING

Aesthetic Center for Plastic Surgery

Houston, Texas, United States

Site Status RECRUITING

The Plastics Clinic

Draper, Utah, United States

Site Status RECRUITING

Allen Gabriel MD

Vancouver, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Niccole Diaz

Role: CONTACT

407-694-0553

Jenna Baccari

Role: CONTACT

Facility Contacts

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Star Skillens

Role: primary

310-278-8200

Mallory Painter

Role: primary

949-759-5539

Loulya Alcharbaji

Role: primary

949-251-1502

Barbara Garcia

Role: primary

305-574-9262

Nicole Costa

Role: primary

727-341-0337

Marlie Marino

Role: primary

386-986-7010

Avery Miller

Role: primary

770-772-0695

Lisa Young

Role: primary

317-575-0330

Erika Jolley

Role: primary

775-284-2020

Matthew DelMauro

Role: primary

646-257-2677

Clinical Trial Manager

Role: primary

704-659-2529 ext. 145

Whitney Little

Role: primary

918-640-6140

Ebony Cunningham

Role: primary

412-802-6100

LaTasha Bolden

Role: primary

615-467-6777

Kayla Sturdivant

Role: backup

Michael Sanchez

Role: primary

Kirk Zihlman

Role: primary

KinCaid Fajardo

Role: primary

801-839-5557

Manroop Bhandal

Role: primary

Other Identifiers

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DVL-BR-001

Identifier Type: -

Identifier Source: org_study_id

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