Tissue Reinforcement for Breast Reconstruction (TRBR) Pivotal Clinical Study (REDEFINE)

NCT ID: NCT06556654

Last Updated: 2025-10-23

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

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-09

Study Completion Date

2030-07-31

Brief Summary

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The GORE Tissue Reinforcement for Breast Reconstruction (TRBR) research study will look at breast reconstruction during mastectomy procedures. There will be two arms in this study, a Treatment Arm, where data will be collected for a new medical device called the Tissue Reinforcement for Breast Reconstruction (TRBR) Device and a Control Arm where data will be collected from subjects who have previously had surgery and received no additional tissue reinforcement in their breast reconstruction surgery. This research study will look at the safety of the Study Device and the success of the participants breast reconstruction. The Study Device is investigational, which means it has not yet been used nor approved by the FDA for this treatment. The data collected in this study will be compared to the data collected in the Control Arm.

Detailed Description

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Conditions

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Breast Reconstruction Surgery

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

This study is a investigational, multi-center, single-arm pivotal study to review safety outcomes of prospectively treated subjects who underwent two-stage implant-based breast reconstruction with the TRBR Device (TRBR Device group) to control subjects who underwent two-stage implant-based breast reconstruction with no mesh/ADM (Control group). Effectiveness of TRBR will be evaluated by comparing change from baseline (pre-index procedure) at 1-year post-index procedure in BREAST-Q.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Prospective Arm

Prospectively treated subjects who undergo two-stage implant-based breast reconstruction with the TRBR Device (TRBR Device group)

Group Type EXPERIMENTAL

TRBR Device

Intervention Type DEVICE

The GORE® Tissue Reinforcement for Breast Reconstruction device is intended to reinforce the soft tissue surrounding the tissue expander in preparation for the breast implant in post-mastectomy breast reconstruction

Interventions

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TRBR Device

The GORE® Tissue Reinforcement for Breast Reconstruction device is intended to reinforce the soft tissue surrounding the tissue expander in preparation for the breast implant in post-mastectomy breast reconstruction

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Female subjects ≥ 22 years of age.
2. First-time breast reconstruction post-mastectomy for target breast(s).
3. Scheduled to undergo unilateral or bilateral mastectomy with immediate, two-stage, implant-based, subpectoral or prepectoral breast reconstruction after mastectomy.
4. Mastectomy performed to address breast cancer or for cancer prophylaxis.
5. An informed consent form is signed by Subject or Legally Authorized Representative (LAR).
6. Subject is capable of following protocol procedures and complying with follow-up visit requirements

Exclusion Criteria

1. Subject has had a revision(s) in the target breast(s) following complications of breast augmentation, mastopexy (breast lift), or breast reduction.
2. Subject has undergone previous radiation therapy to the reconstruction site or chest wall.
3. Subject has had chemotherapy within 3 weeks prior to the index procedure.
4. Subject has been treated for a systemic infection or local infection at the surgical site within 30 days prior to index procedure.
5. Subject has a current or previous diagnosis of Methicillin-resistant Staphylococcus aureus (MRSA).
6. Subject has a BMI \> 35.
7. Subject has a known diagnosis of diabetes with a HbA1c \> 7.0mmol/L within 30 days of the Index procedure (i.e., TE placement).
8. Subject was a current or former tobacco/nicotine user, within 90 days prior to Index Surgery (i.e., TE placement).
9. Subject is currently taking medication (e.g., systemic steroid), which in the investigator's opinion, may increase the risk of local complications of breast reconstruction.
10. Subject has other medical, social, or psychological conditions which could interfere with provision of informed consent, completion of tests, therapy, or follow-up.
11. Subject is currently participating in or planning to participate in another investigational drug, biologic or medical device study that may interfere with compliance of TBR 22-07 study requirements or may confound TBR 22-07 study data/outcomes.
12. Subject requires a surgical technique requiring flap (autologous tissue).
13. Subject is pregnant or lactating at the time of the index procedure (i.e., TE placement) or is planning to become pregnant prior to the Exchange procedure. Intraoperative Index Procedure Exclusion
14. Based on investigator's opinion, subject has unsuitable tissue integrity for immediate 2-stage breast reconstruction or is no longer a candidate to receive the TRBR Device (will be recorded as a screen failure).
15. Subject receives an Acellular Dermal Matrix (ADM) or mesh that is not the TRBR Device in the target breast(s)
Minimum Eligible Age

22 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Avania

INDUSTRY

Sponsor Role collaborator

W.L.Gore & Associates

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dennis Hammond, MD

Role: PRINCIPAL_INVESTIGATOR

Partners in Plastic Surgery of West Michigan

Locations

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Mayo Clinic Arizona

Scottsdale, Arizona, United States

Site Status RECRUITING

University of Arizona

Tucson, Arizona, United States

Site Status RECRUITING

The Regents of the University of California

Irvine, California, United States

Site Status NOT_YET_RECRUITING

Cedars-Sinai Plastic and Reconstruction Surgery

Los Angeles, California, United States

Site Status NOT_YET_RECRUITING

Riverside University Health System-Medical Center

Moreno Valley, California, United States

Site Status RECRUITING

Mayo Clinic Florida

Jacksonville, Florida, United States

Site Status RECRUITING

Endeavor Health (Northshore University HealthSystem Research Institute)

Evanston, Illinois, United States

Site Status RECRUITING

Northwestern University

Evanston, Illinois, United States

Site Status RECRUITING

BR Hope LLC

Wichita, Kansas, United States

Site Status RECRUITING

The Johns Hopkins University

Baltimore, Maryland, United States

Site Status RECRUITING

Corewell Health Research Institute

Grand Rapids, Michigan, United States

Site Status RECRUITING

University of Mississippi

Jackson, Mississippi, United States

Site Status RECRUITING

The Board of Regents of the University of Nebraska

Omaha, Nebraska, United States

Site Status RECRUITING

The Joan and Sanford I. Weill Medical College of Cornell University

New York, New York, United States

Site Status RECRUITING

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status NOT_YET_RECRUITING

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

The Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

The University of Washington Medical Center

Seattle, Washington, United States

Site Status RECRUITING

The Board of Regents of the University of Wisconsin System

Madison, Wisconsin, United States

Site Status RECRUITING

The Medical College of Wisconsin, Inc.

Milwaukee, Wisconsin, United States

Site Status NOT_YET_RECRUITING

Countries

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United States

Central Contacts

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Ariana O'Neill

Role: CONTACT

1 800-437-8181

Mary Wexler

Role: CONTACT

1 800-437-8181

Facility Contacts

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Debbie Ryan

Role: primary

480-342-1208

Fleur Maturo

Role: primary

520-621-8296

Anthony Warner

Role: primary

714-456-7890

Michael Fernandez

Role: primary

310-423-2129

Ana Lopez

Role: primary

951-486-7610

Franky LoCascio

Role: primary

904-953-4024

Riley Medenwald

Role: primary

847-570-3944

Anna Whitney

Role: primary

312-695-5674

Sherri Newlin

Role: primary

316-263-2013

Carisa Cooney

Role: primary

443-287-4629

Megan Kruizenga

Role: primary

616-502-5571

Eldrin Eldrin Bhanat

Role: primary

601-815-1568

Laxmi Laxmi Dhungel

Role: backup

(601) 984-5075

Jaicy Omega

Role: primary

402-559-0488

Ananya Sen

Role: primary

646-962-6445

Rothy Rim

Role: primary

216-444-7277

Robyn Broach

Role: primary

215-662-7300

Erin Stratton

Role: primary

215-728-4784

Alex Ruiz

Role: primary

206-221-3883

Nicole Byington

Role: primary

608-265-6858

Nura Said

Role: backup

Krissa Packard

Role: primary

414-955-1861

Other Identifiers

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TBR 22-07

Identifier Type: -

Identifier Source: org_study_id

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