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A Study of Antibiotic Delivery to Prevent Infection After Breast Tissue Expander Placement

Memorial Sloan Kettering Cancer Center (MSK) logo

Memorial Sloan Kettering Cancer Center (MSK)

Status and phase

Enrolling
Phase 4

Conditions

Breast Cancer

Treatments

Device: Stimulan Rapid Cure
Procedure: Tissue Expander (TE)
Drug: Vancomycin and Gentamicin

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

The researchers are doing this study to find out whether Stimulan Rapid Cure works to reduce the risk of infections in people getting tissue expanders placed during mastectomy. The researchers will also study whether Stimulan Rapid Cure affects the risk of seroma, a possible complication of surgery that involves fluid buildup under the skin.

Enrollment

392 estimated patients

Sex

Female

Ages

18 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

  • Female sex
  • Aged 18 years or older
  • Planned to undergo mastectomy for breast cancer, genetic predisposition to and/or strong family history of breast cancer, or other prophylactic indication
  • Planned to undergo unilateral or bilateral immediate breast reconstruction (i.e., reconstruction at the time of mastectomy) with prepectoral TE placement at MSK
  • BMI less than 40 kg/m2
  • Not actively smoking or using other nicotine products within 6 weeks of surgery
  • No contraindications to Stimulan antibiotic bead placement: hypercalcemia, severe vascular or neurological disease, uncontrolled diabetes, pregnancy, and severe degenerative bone disease
  • No known allergy to calcium sulfate, vancomycin, or gentamicin
  • No impaired decision-making capacity

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

392 participants in 2 patient groups

Patients randomized to Tissue Expander (TE) + antibiotic beads
Experimental group
Treatment:
Drug: Vancomycin and Gentamicin
Procedure: Tissue Expander (TE)
Device: Stimulan Rapid Cure
Patients randomized to Tissue Expander (TE) only
Active Comparator group
Treatment:
Procedure: Tissue Expander (TE)

Trial contacts and locations

7

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Central trial contact

Danielle Rochlin, MD; Babak Mehrara, MD

Data sourced from clinicaltrials.gov

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