What is the Purpose of this Study?
The purpose of this study is to evaluate the safety and effectiveness of an experimental device called the GORE Tissue Reinforcement for Breast Reconstruction (TRBR) when used to reinforce soft tissue during breast reconstruction for mastectomy procedures. There will be 2 groups in this study. In the treatment group, data will be collected for the TRBR device. In the historical control group, data will be collected from people who have previously had surgery and received no additional tissue reinforcement during their breast reconstruction surgery. Researchers will evaluate the safety of the TRBR device and success of the patient’s breast reconstruction in the treatment group. This information will be compared to the data collected in the historical control group.
The TRBR is a synthetic absorbable material and is intended to reinforce soft tissue surrounding the tissue expander during phases of wound healing after breast reconstruction. This occurs by supporting the growth of new tissue that the body forms in the healing process. The device is bioabsorbable, meaning the material gradually absorbs over time and is replaced by natural tissue. For patients having a double mastectomy, one study device per breast will be implanted.
Eligibility
- 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.
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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)
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Where can I participate?
Beverly
More about this Clinical Trial
What is the full name of this clinical trial?
Evaluation of the Safety and Effectiveness of the GORE® Tissue Reinforcement for Breast Reconstruction Device When Used in the Reinforcement of Breast Reconstruction