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The general objective of the study is to confirm the medium/long-term safety and clinical performance of the CELLIS Breast membranes used in breast reconstruction and to identify emerging risks in comparison to clinical data related to other treatment modalities.
The present study will be a prospective, multicentric, non-randomized and non-controlled trial involving 112 patients followed for 24 months. The study will be conducted in France in 7 investigational centres.
The study will be prospective, multicentric, single-arm observational (non-interventional) to evaluate the safety and performance of the CELLIS Breast membranes used in breast reconstruction following mastectomy.
All evaluations will be performed and products used according to the usual practice, without additional or unusual diagnostic, treatment and monitoring procedure.
The study will be conducted in France in 7 investigational centres including 112 patients scheduled for a breast reconstruction following mastectomy.
Each patient will participate in one assessment period including a preoperative visit, followed by the day of surgical procedure and a hospitalization period.
Patients will return for ambulatory visits on day 10 (+/- 5 days) and/or on day 30 (+/- 7 days), on month 3 (+/- 2 weeks), on month 12 (+/- 2 weeks) and on month 24 (+/-2 weeks) post-surgery.
CELLIS Breast is available in one thickness, in a variety of size and forms addressing multiple surgical techniques.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CELLIS Breast (Porcine Acellular Dermal Matrix, PADM) | Implant-based breast reconstruction following mastectomy using the CELLIS Breast matrix |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CELLIS Breast (Porcine Acellular Dermal Matrix, PADM) | Device | Biological membrane used in breast reconstruction |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of adverse events. Main complications of interest: infection, cellulitis, seroma, hematoma, skin flap-nipple necrosis, delayed wound healing, wound dehiscence, red breast syndrome, capsular contracture, implant related | Percentage | From the surgical procedure throughout the entire 24-month follow-up period |
| Measure | Description | Time Frame |
|---|---|---|
| Patient aesthetic evaluation evaluated by Visual Analog Scale (VAS). The suppleness of the reconstruction will be evaluated (natural-hard): VAS score from 1 to 10 (1=very bad suppleness, breast hard; 10=excellent suppleness-natural breast). | Described at each visit | At the 3, 12 and 24-month follow-up visits |
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Inclusion Criteria:
Exclusion Criteria:
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Constitution and follow-up of a consecutive cohort of patients operated with the CELLIS Breast membranes based on the usual practices, the indication and the inclusion-exclusion criteria.
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| Name | Affiliation | Role |
|---|---|---|
| Michael ATLAN, MD | Hôpital Tenon, Paris, France | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institut Bergonié | Bordeaux | 33076 | France | |||
| Hôpital Ambroise Paré |
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| Surgeon aesthetic evaluation: satisfaction related to the quality of the reconstruction (very good, good, fair, bad), suppleness (Visual Analog Scale score from 1 to 10 with 10=excellent suppleness) and symmetry (very good, good, fair, bad). |
Percentage of each modality and VAS score described at each visit |
| At the 3, 12 and 24-month follow-up visits |
| Patient-reported pain using a visual analogue scale (VAS) scored from 0 to 10 (0=no pain; 10=worse pain). | Described at each visit | At the 10-day, 30-day, 3-month, 12-month and 24-month follow-up visits |
| Patient analgesics consumption | Percentage of analgesics consumption with a Cochrane-Armitage trend test. | At the 10-day, 30-day, 3-month, 12-month and 24-month follow-up visits |
| Quality of life (QoL) by the use of the SF-36 questionnaire. | Change from screening of each domain score and total score at 24-month. The SF-36 has eight scaled scores; the scores are weighted sums of the questions in each section. Scores range from 0 - 100 with lower scores = more disability, and higher scores = less disability | At baseline and at 24 month |
| Description of device deficiency: inadequacy of a medical device with respects to its identity, quality, durability, reliability, safety or performance. Device deficiencies include malfunctions, use errors, and inadequate labelling. | Summarized and listed | During the surgical procedure |
| Boulogne-Billancourt |
| 92100 |
| France |
| Hôpitaux civils de Colmar | Colmar | 68024 | France |
| Centre Oscar Lambret | Lille | 59000 | France |
| Centre Léon Bérard | Lyon | 69373 | France |
| Hôpital Européen Georges Pompidou | Paris | 75015 | France |
| Hôpital Tenon | Paris | 75020 | France |
| Institut de Cancérologie de l'Ouest - Site René Gauducheau | Saint-Herblain | 44 805 | France |
| IUCT Oncopole | Toulouse | 31059 | France |
| lnstitut Gustave Roussy | Villejuif | 94800 | France |