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Clinical Trial to Demonstrate the Safety and Performance of REGENERA Breast Implant in 40-70 Years Old Women Affected by Malignant Breast Lesion Treated by Lumpectomy

Primary Purpose

Mastectomy, Segmental, Breast Neoplasm Malignant Female

Status
Not yet recruiting
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
REGENERA breast implant implantation
Sponsored by
Tensive SRL
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Mastectomy, Segmental

Eligibility Criteria

40 Years - 70 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: Female adult subject aged 40-70 years. Subject diagnosed with malignant breast lesion: monolateral nodular infiltrative carcinoma, without microcalcification, single or multifocal, included in an area with a maximum diameter of 4 cm, non-metastatic (M0). Subject with clinically negative axilla. Subject considered eligible for conservative breast surgery - BCS (Breast-Conserving Surgery, lumpectomy or quadrantectomy), leaving a volume deficit compatible with a REGENERA implant (available in two dried sizes) volume of 70 ml or 100 ml. Confirmation of malignant lesion (pT1, pT2, pN0, pN1) with no discordance between biopsy and radiological imaging. Adequate hematopoietic functions. Good general health and mentally sound. Subject able and willing to give written informed consent form. Exclusion Criteria: Subject with actual concomitant benign breast lesion (B2 and B3), unless present in the same mammary quadrant or in the contralateral breast. Subject with actual concomitant malignancies, lobular neoplasm, metastatic breast carcinoma, sarcoma, malignant phyllodes lesions, or Paget's disease. Axillary dissection planned as part of the breast lesion surgery. History of surgery, chemotherapy, neoadjuvant chemotherapy, or irradiation of the breast parenchyma object of the study. Skin retraction at the breast to be operated. Infection of the surgical site confirmed pre-operatively by clinical examination. Abnormal blood sugar and glycosylated hemoglobin. Hard smoker (more than 10 cigarettes a day). Acute or chronic severe renal insufficiency (creatinine values >180 μmol/l). History of severe asthma or allergies (including allergy to anesthetics or contrast media). Autoimmune disease. Subjects who are known to be carriers of BCRA mutation. Inability to undergo MRI or allergy to contrast media. Systemic infections in an active phase. Immunocompromised patients (HIV). Pregnant or breastfeeding woman or woman who has nursed a child within 3 months prior to enrolment in the study. Subject who has participated in another interventional study within the past 3 months. Subject who received immunosuppressant therapy in the last 3 months. History of substance abuse (drug or alcohol). Non-collaborative patients (severe physical disabilities or psychiatric disorders, as per specialist opinion).

Sites / Locations

  • IEO Istituto Europeo di Oncologia
  • A.O.U. Pisana - Ospedale Santa Chiara
  • Complejo Hospitalario Universitario A Coruña

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

REGENERA breast implant implantation

Arm Description

Outcomes

Primary Outcome Measures

Rate of adverse events (AEs) with a causal relationship to REGENERA at 3 months.
The rate of AEs with a causal relationship to REGENERA should be <5% at 3 months after implant.

Secondary Outcome Measures

Mean investigator's satisfaction on the implanting procedure at 1week.
At least 7 in a 0-10 Visual Analogue Scale, VAS.
Mean investigator's satisfaction on REGENERA usability during surgery at 1 week.
At least 40 in an "ad hoc" questionnaire (12-60 scale).
Mean investigator's satisfaction on overall surgical procedure and clinical outcome of the patient at 12 months.
At least 7 in a 0-10 Visual Analogue Scale, VAS.
Number of interference events of REGENERA with ultrasound imaging technique, through the completion of a questionnaire by the investigators.
An imaging evaluation questionnaire will be provided for investigators to fill out.
Number of interference events of REGENERA with mammography imaging technique, through the completion of a questionnaire by the investigators.
An imaging evaluation questionnaire will be provided for investigators to fill out.
Number of interference events of REGENERA with MRI (with and without contrast) imaging technique, through the completion of a questionnaire by the investigators.
An imaging evaluation questionnaire will be provided for investigators to fill out.
Rate of serious adverse events (SAEs) with a causal relationship to REGENERA after 3 months and up to 18 months.
The rate of REGENERA-related SAEs should be <5% at each follow-up after 3 months and up to 18 months.
Rate of SAEs with a causal relationship to REGENERA after 18 months and up to 5 years.
The rate of REGENERA-related SAEs should be <7% at each follow-up after 18 months and up to 5 years.

Full Information

First Posted
June 16, 2023
Last Updated
July 11, 2023
Sponsor
Tensive SRL
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1. Study Identification

Unique Protocol Identification Number
NCT05941299
Brief Title
Clinical Trial to Demonstrate the Safety and Performance of REGENERA Breast Implant in 40-70 Years Old Women Affected by Malignant Breast Lesion Treated by Lumpectomy
Official Title
A Pivotal Study of REGENERA Implant in Malignant Breast Lesion Treated by Lumpectomy
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
September 29, 2023 (Anticipated)
Primary Completion Date
July 31, 2024 (Anticipated)
Study Completion Date
March 30, 2029 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tensive SRL

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The goals of this clinical trial are: demonstrate the safety of REGENERA breast implant in patients undergoing lumpectomy of malignant breast lesions demonstrate the safety and performance of REGENERA in terms of investigator's satisfaction, potential interference with current standard-of-care imaging techniques and occurrence of device-related serious adverse events. Participants will perform 13 study visits, and at each visit, all necessary study procedures will be performed according to the clinical investigation plan: Screening Pre-surgery treatment Surgery and study device implant Post-surgery follow-up up to 5 years

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mastectomy, Segmental, Breast Neoplasm Malignant Female

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
92 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
REGENERA breast implant implantation
Arm Type
Experimental
Intervention Type
Device
Intervention Name(s)
REGENERA breast implant implantation
Intervention Description
Each patient will perform 13 study visits, and at each visit, all necessary study procedures will be performed according to the clinical investigation plan: Screening Pre-surgery treatment Surgery and study device implant Post-surgery follow-up
Primary Outcome Measure Information:
Title
Rate of adverse events (AEs) with a causal relationship to REGENERA at 3 months.
Description
The rate of AEs with a causal relationship to REGENERA should be <5% at 3 months after implant.
Time Frame
3 months
Secondary Outcome Measure Information:
Title
Mean investigator's satisfaction on the implanting procedure at 1week.
Description
At least 7 in a 0-10 Visual Analogue Scale, VAS.
Time Frame
1 week after implant
Title
Mean investigator's satisfaction on REGENERA usability during surgery at 1 week.
Description
At least 40 in an "ad hoc" questionnaire (12-60 scale).
Time Frame
1 week after implant
Title
Mean investigator's satisfaction on overall surgical procedure and clinical outcome of the patient at 12 months.
Description
At least 7 in a 0-10 Visual Analogue Scale, VAS.
Time Frame
12 months
Title
Number of interference events of REGENERA with ultrasound imaging technique, through the completion of a questionnaire by the investigators.
Description
An imaging evaluation questionnaire will be provided for investigators to fill out.
Time Frame
After 6 and 12 months
Title
Number of interference events of REGENERA with mammography imaging technique, through the completion of a questionnaire by the investigators.
Description
An imaging evaluation questionnaire will be provided for investigators to fill out.
Time Frame
After 12 months
Title
Number of interference events of REGENERA with MRI (with and without contrast) imaging technique, through the completion of a questionnaire by the investigators.
Description
An imaging evaluation questionnaire will be provided for investigators to fill out.
Time Frame
After 6 and 18 months
Title
Rate of serious adverse events (SAEs) with a causal relationship to REGENERA after 3 months and up to 18 months.
Description
The rate of REGENERA-related SAEs should be <5% at each follow-up after 3 months and up to 18 months.
Time Frame
After 3 months and up to 18 months
Title
Rate of SAEs with a causal relationship to REGENERA after 18 months and up to 5 years.
Description
The rate of REGENERA-related SAEs should be <7% at each follow-up after 18 months and up to 5 years.
Time Frame
After 18 months and up to 5 years

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female adult subject aged 40-70 years. Subject diagnosed with malignant breast lesion: monolateral nodular infiltrative carcinoma, without microcalcification, single or multifocal, included in an area with a maximum diameter of 4 cm, non-metastatic (M0). Subject with clinically negative axilla. Subject considered eligible for conservative breast surgery - BCS (Breast-Conserving Surgery, lumpectomy or quadrantectomy), leaving a volume deficit compatible with a REGENERA implant (available in two dried sizes) volume of 70 ml or 100 ml. Confirmation of malignant lesion (pT1, pT2, pN0, pN1) with no discordance between biopsy and radiological imaging. Adequate hematopoietic functions. Good general health and mentally sound. Subject able and willing to give written informed consent form. Exclusion Criteria: Subject with actual concomitant benign breast lesion (B2 and B3), unless present in the same mammary quadrant or in the contralateral breast. Subject with actual concomitant malignancies, lobular neoplasm, metastatic breast carcinoma, sarcoma, malignant phyllodes lesions, or Paget's disease. Axillary dissection planned as part of the breast lesion surgery. History of surgery, chemotherapy, neoadjuvant chemotherapy, or irradiation of the breast parenchyma object of the study. Skin retraction at the breast to be operated. Infection of the surgical site confirmed pre-operatively by clinical examination. Abnormal blood sugar and glycosylated hemoglobin. Hard smoker (more than 10 cigarettes a day). Acute or chronic severe renal insufficiency (creatinine values >180 μmol/l). History of severe asthma or allergies (including allergy to anesthetics or contrast media). Autoimmune disease. Subjects who are known to be carriers of BCRA mutation. Inability to undergo MRI or allergy to contrast media. Systemic infections in an active phase. Immunocompromised patients (HIV). Pregnant or breastfeeding woman or woman who has nursed a child within 3 months prior to enrolment in the study. Subject who has participated in another interventional study within the past 3 months. Subject who received immunosuppressant therapy in the last 3 months. History of substance abuse (drug or alcohol). Non-collaborative patients (severe physical disabilities or psychiatric disorders, as per specialist opinion).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Margherita Tamplenizza
Phone
+39 0256660185
Email
margherita.tamplenizza@tensivemed.com
Facility Information:
Facility Name
IEO Istituto Europeo di Oncologia
City
Milan
ZIP/Postal Code
20141
Country
Italy
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Mario Rietjens
Facility Name
A.O.U. Pisana - Ospedale Santa Chiara
City
Pisa
ZIP/Postal Code
56126
Country
Italy
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Manuela Roncella
Facility Name
Complejo Hospitalario Universitario A Coruña
City
A Coruña
ZIP/Postal Code
15001
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Clinical Trial to Demonstrate the Safety and Performance of REGENERA Breast Implant in 40-70 Years Old Women Affected by Malignant Breast Lesion Treated by Lumpectomy

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