Regenerative Collagen Scaffold for Breast Volume Restoration in Breast-Conserving Surgery

NCT ID: NCT07219316

Last Updated: 2025-10-21

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-15

Study Completion Date

2026-03-31

Brief Summary

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This clinical trial evaluates the safety and efficacy of High Purity Type I Collagen scaffold for breast volume restoration following breast-conserving surgery (BCS). The regenerative collagen matrix serves as a biocompatible scaffold promoting tissue ingrowth, neovascularization, and gradual remodeling, thereby improving cosmetic outcomes and patient quality of life after partial mastectomy.

Detailed Description

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Breast-conserving surgery (BCS) is the standard treatment for early-stage breast cancer, balancing oncological safety with aesthetic preservation. However, postoperative volume defects may cause breast asymmetry and psychological distress. Traditional options such as flaps or implants are limited by donor-site morbidity and complications.

This prospective, single-arm, bi-centre study investigates the clinical performance of a high-purity, cross-linked bovine Type I collagen scaffold for immediate breast volume restoration. The study will assess safety, volume maintenance, cosmetic appearance, and patient-reported outcomes through standardized 3D imaging, MRI analysis, and validated quality-of-life instruments.

The study will enroll 40 women undergoing BCS with expected volume defects ≥20%, with 2-month postoperative follow-up for primary endpoints.

Conditions

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Breast-Conserving Surgery

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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High Purity Type I Collagen Scaffold

Patients undergoing breast conservative surgery will receive immediate placement of high purity Type I collagen scaffold to fill tissue defect. The scaffold is a sterile, cross-linked bovine Type I collagen matrix with degradation time of 2 months, sterilized by ethylene oxide

Group Type EXPERIMENTAL

High Purity Type I Collagen Scaffold (Regenerative Matrix)

Intervention Type DEVICE

Standard breast-conserving surgery followed by immediate scaffold placement into the excision cavity. The scaffold is sutured using absorbable sutures and covered with standard wound closure. Postoperative care follows institutional protocols. Adjuvant radiotherapy and chemotherapy as indicated per oncological protocols; standard antibiotics and analgesics.

Interventions

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High Purity Type I Collagen Scaffold (Regenerative Matrix)

Standard breast-conserving surgery followed by immediate scaffold placement into the excision cavity. The scaffold is sutured using absorbable sutures and covered with standard wound closure. Postoperative care follows institutional protocols. Adjuvant radiotherapy and chemotherapy as indicated per oncological protocols; standard antibiotics and analgesics.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Female, 18-70 years
* Histologically confirmed breast carcinoma (Stage 0-II) or high-risk lesions requiring excision
* Expected postoperative defect ≥20% of total breast volume
* ECOG 0-1, adequate organ function
* Informed consent provided, compliant with follow-up schedule

Exclusion Criteria

* Prior breast surgery or radiotherapy to affected breast
* Locally advanced or inflammatory carcinoma
* Collagen hypersensitivity or autoimmune disease
* Active infection, pregnancy, lactation, or smoking within 6 weeks
* Concurrent participation in other clinical studies
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Adichunchanagiri Institute of Medical Sciences, B G Nagara

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Prema Dhanraj, MS, MCh

Role: STUDY_CHAIR

Rajarajeswari Medical College and Hospital

Locations

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Adichunchanagiri Institute of Medical Sciences

Mandya, Karnataka, India

Site Status RECRUITING

JSS Medical College Hospital

Mysore, Karnataka, India

Site Status RECRUITING

Countries

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India

Central Contacts

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Naveen Narayan, MS, MCh

Role: CONTACT

+919980023372

Facility Contacts

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Naveen Narayan, MS, MCh

Role: primary

+91-9980023372

Ravi Krishnappa, MS, MCh

Role: primary

+91-9844932321

References

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Narayan N, Shivannaiah C, Gowda S. Evaluating the Efficacy of High-Purity Type I Collagen-Based Skin Substitute Versus Dehydrated Human Amnion/Chorion Membrane in the Treatment of Venous Leg Ulcers: A Randomized Controlled Clinical Trial. Cureus. 2025 Jul 30;17(7):e89031. doi: 10.7759/cureus.89031. eCollection 2025 Jul.

Reference Type BACKGROUND
PMID: 40747200 (View on PubMed)

Narayan N, Gowda S, Shivannaiah C. A Randomized Controlled Clinical Trial Comparing the Use of High Purity Type-I Collagen-Based Skin Substitute vs. Dehydrated Human Amnion/Chorion Membrane in the Treatment of Diabetic Foot Ulcers. Cureus. 2024 Dec 5;16(12):e75182. doi: 10.7759/cureus.75182. eCollection 2024 Dec.

Reference Type BACKGROUND
PMID: 39649230 (View on PubMed)

van Loevezijn AA, Geluk CS, van den Berg MJ, van Werkhoven ED, Vrancken Peeters MTFD, van Duijnhoven FH, Hoornweg MJ. Immediate or delayed oncoplastic surgery after breast conserving surgery at the Netherlands Cancer Institute: a cohort study of 251 cases. Breast Cancer Res Treat. 2023 Apr;198(2):295-307. doi: 10.1007/s10549-022-06841-8. Epub 2023 Jan 24.

Reference Type BACKGROUND
PMID: 36690822 (View on PubMed)

Slavin SA, Halperin T. Reconstruction of the breast conservation deformity. Semin Plast Surg. 2004 May;18(2):89-96. doi: 10.1055/s-2004-829043.

Reference Type BACKGROUND
PMID: 20574487 (View on PubMed)

Narayan N, Ramegowda YH, Raghupathi DS, Chethan S, Gowda S. Biological Skin Substitutes in Pressure Ulcers: High-Purity Type I Collagen-Based Versus Amnion/Chorion Membrane. Cureus. 2025 Aug 25;17(8):e90956. doi: 10.7759/cureus.90956. eCollection 2025 Aug.

Reference Type BACKGROUND
PMID: 40862036 (View on PubMed)

Other Identifiers

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AIMS/IEC/240/2025

Identifier Type: -

Identifier Source: org_study_id

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