RecruitingNot ApplicableNCT05945329

Study of GalaFLEX LITE™ Scaffold in Treatment of Capsular Contracture After Breast Implant Augmentation

A Prospective, Randomized, Controlled, Multi-Center Study of GalaFLEX LITE™ Scaffold in Treatment of Capsular Contracture After Breast Implant Augmentation


Sponsor

C. R. Bard

Enrollment

250 participants

Start Date

Dec 12, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Prospective, randomized, controlled study to assess the safety and effectiveness of GalaFLEX LITE™ Scaffold in revision surgery for reduction of capsular contracture recurrence and/or malposition in implant-based breast augmentation patients versus patients undergoing conventional revision surgery with no supportive matrix or acellular dermal matrix (ADM). Subjects will be randomized 2:1 to receive either GalaFLEX LITE™ Scaffold or standard care (no ADM or matrix placement). This study is designed using an adaptive approach. The number of the treated breasts will range between 250 and 530.


Eligibility

Sex: FEMALEMin Age: 22 YearsMax Age: 66 Years

Inclusion Criteria7

  • Genetically female ≥22 and ≤66 years of age;
  • Breast augmentation subject with capsular contracture (Baker grade III or IV);
  • Desired a new implant with no more than a 25% increase in implant size (not to exceed a volume increase greater than 150cc compared to the existing implant);
  • Planned revision approach via inframammary fold (IMF) incision;
  • Willing and able to comply with the study procedures including the 2-year follow-up visit;
  • Lives within 3 hours driving distance from the investigator site; and,
  • Provision of signed and dated informed consent form.

Exclusion Criteria32

  • BMI <18 or >35
  • Existing and/or replacement implant size > 800 cc
  • Had ≥2 capsular contracture revisions on the breast(s) intended for treatment
  • Has an extra-capsular rupture (breast implant silicone gel or saline has leaked outside of the capsule) in breast(s) intended for treatment
  • Has prior use of a matrix (synthetic or biologic) in the breast(s) intended for treatment.
  • Abnormal findings on diagnostic imaging within 1-year of study enrollment (mammogram for patients ≥35 years old; MRI for patients <35 years old or breast ultrasound if MRI is contraindicated)
  • Has symptoms consistent with Breast Implant Illness (BII)Systemic Symptoms Associated with Breast Implants (SSBI)
  • Infection present in the breast (day of surgery exclusions are noted in Section 5.3)
  • Current or recent breast feeding (within 3-months or enrollment) or history of mastitis within the 6-months prior to enrollment
  • Prior or current diagnosis of breast cancer
  • Has a mass that was palpated and has not been determined benign via acceptable imaging (MRI) or biopsy results
  • Has undergone prior chest radiation treatment
  • Has received chemotherapy within the last 12 months
  • Current or recent (within 1-year of enrollment) alcohol/substance abuse
  • Current or recent (within 4-weeks of enrollment) nicotine user (includes cigarettes, vaping, patches, gum, etc.)
  • History of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) or Breast Implant Associated Squamous Cell Carcinoma (BIA-SCC)
  • Planned use of another type of matrix (such as ADM) in addition to GalaFLEX LITE™
  • Current or planned use of medical (e.g. Singulair), physical (e.g. massage), or device-assisted (e.g. mechanical/thermal ultrasound) tools to manage the breast capsule(s)
  • Any medical condition that, in the opinion of the investigator, may be associated with unduly high risk of intra- or post-operative complications (e.g., insulin-dependent diabetes, autoimmune disease, connective tissue disorder, chronic lung or severe cardiovascular disease)
  • Concurrent or planned (within the 2-year follow-up time period) elective cosmetic breast operation to the treated breast (e.g., autologous fat transfer, mastopexy, or implant size changes)
  • Currently enrolled or has plans to enroll in another clinical study that would interfere with this study, unless it is a retrospective or observational study
  • Is pregnant or plans to become pregnant during the study period
  • Known allergy to tetracycline hydrochloride and kanamycin sulfate
  • Any condition that, in the Investigator's opinion, would preclude the use of the study device, interfere with the evaluation of the device or breast related outcomes
  • Subject will not remain under the care of the investigator for all plastic surgery procedures while enrolled in the study
  • Actively using immunosuppressants such as oral steroids or biological therapies (inhalers or topical steroids are permitted)
  • Confirmed diagnosis of the following rheumatic diseases or syndromes: systemic lupus erythematosus, Sjorgren's syndrome, scleroderma, polymyositis, or any connective tissue disorder, rheumatoid arthritis, crystalline arthritis, infectious arthritis, spondyloarthropathies, any other inflammatory arthritis, fibromyalgia, or chronic fatigue syndrome
  • Has, in the investigator's opinion, a mental illness or disability that would preclude their participation in the study
  • Subject has an implant that was never commercially available in the United States (had their breast augmentation in another country)
  • Has been implanted with any silicone implant other than breast implants
  • Is taking any drugs that would interfere with blood clotting or might result in elevated risk of significant postoperative complications
  • Works for Sponsor or any of their subsidiaries, the study surgeon, or is helping to conduct the study or are directly related to anyone that works for BD or any of their subsidiaries or the study surgeons. -

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Interventions

DEVICEGalaFLEX LITE™ Scaffold

Bioabsorbable surgical mesh manufactured from poly-4-hydroxybutyrate (P4HB) and knitted into a surgical scaffold used to reinforce soft tissue

OTHERStandard surgery

Surgery performed without the use of a scaffold


Locations(32)

Defyne MD

Scottsdale, Arizona, United States

The Practice Plastic Surgery

Beverly Hills, California, United States

California Aesthetic Center

Huntington Beach, California, United States

Donald S Mowlds, MD A Professional Corporation

Newport Beach, California, United States

Newport Plastic and Reconstructive Surgery Associates

Newport Beach, California, United States

Stewart Wang MD Inc.

Pasadena, California, United States

Charlie Chen MD., Corp

San Diego, California, United States

Tim Sayed MD

San Diego, California, United States

Beauty by Buford

Lone Tree, Colorado, United States

Sanctuary Plastic Surgery

Boca Raton, Florida, United States

Careaga Plastic Surgery

Miami, Florida, United States

Aesthetic Enhancements Plastic Surgery

Orlando, Florida, United States

Billington Plastic Surgery

St. Petersburg, Florida, United States

VIVIFY Plastic Surgery

Tampa, Florida, United States

The Graivier Center

Alpharetta, Georgia, United States

Monarch Plastic Surgery and Skin Renewal Center

Atlanta, Georgia, United States

Meridian Plastic Surgery Center

Indianapolis, Indiana, United States

Reno Tahoe Plastic Surgery

Reno, Nevada, United States

VIP Plastic Surgery

West Long Branch, New Jersey, United States

Plastic Surgery Institute of New York

New York, New York, United States

H/K/B Surgery

Huntersville, North Carolina, United States

Essential Medical Research

Tulsa, Oklahoma, United States

Pittsburgh Center for Plastic Surgery

Pittsburgh, Pennsylvania, United States

The Plastic Surgery Center of Nashville With HKB

Nashville, Tennessee, United States

Farah Naz Khan

Dallas, Texas, United States

Southwest Plastic Surgery

El Paso, Texas, United States

Aesthetic Center for Plastic Surgery

Houston, Texas, United States

Hill Country Plastic Surgery

San Antonio, Texas, United States

Next Stage Clinical Research

San Antonio, Texas, United States

The Plastics Clinic

Draper, Utah, United States

Athenix Advanced Plastic Surgery & Aesthetic Center

Seattle, Washington, United States

Allen Gabriel MD

Vancouver, Washington, United States

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