CClinicalTrials.gg
CompletedNCT00639106Updated Oct 3, 2018

Tissue Expander/Implant Reconstruction: A Single-Blinded, Randomized, Controlled Trial

A Phase 3 interventional study of Alloderm, Questionnaires and Without ALLODERM, Questionnaires in Breast Cancer, sponsored by Memorial Sloan Kettering Cancer Center. Completed at 3 sites in United States. Open to female participants aged 21 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-10-03.

Sponsored by Memorial Sloan Kettering Cancer Center · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
21 Years to 75 Years
Sex
Female
01

Study summary

Following mastectomy (removal of your breast), reconstruction of your breast(s) can be performed using tissue expanders and implants. At the same operation as your mastectomy, a tissue expander is put under the skin and muscles of your chest.

Following your surgery, the tissue expander is gradually filled with salt water over a period of months. Once the expander is filled to the size of your new breast, a second operation is performed. At this time, the tissue expander is removed and a permanent breast implant is placed. This is a standard procedure. We are interested in learning about the use of AlloDerm in breast reconstruction. AlloDerm can be used instead of some of your own chest muscles, in order to cover and protect a tissue expander. We want to know if the use of AlloDerm can decrease your pain or discomfort after surgery and after the filling of your tissue expander.

AlloDerm is made from human tissue. When AlloDerm is made all the cells that could cause your body to reject it are removed. When it is placed in your chest, your own cells will then grow into the AlloDerm, causing it to act like the muscle it is replacing. In this study, you will either have reconstruction with AlloDerm or without AlloDerm.

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Conditions studied

  • Breast Cancer

Keywords

  • Breast expander
  • Breast reconstruction
  • implants
  • 08-024
03

In context

Lead sponsor

Memorial Sloan Kettering Cancer Center is the lead sponsor of 1,930 studies on the registry; 325 are open to participants now.

Of its 129 completed or terminated interventional studies of FDA-regulated products, 66 (51%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 75 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Patients who undergo immediate, postmastectomy, tissue expander/implant reconstruction
  • Patients ≥ 21 and ≤ 75 years of age

Exclusion criteria

Exclusion Criteria:

  • Patient refusal
  • Patients who will undergo any of the following:
  • Single-stage implant reconstruction
  • Combined autogenous tissue expander/implant reconstruction
  • Patients with a history of prior irradiation
  • Patients with a history of prior surgery with breast implants
  • Patients with a history of prior axillary lymph node dissection
  • Patients who are pregnant

The following eligibility will be confirmed at the time of surgery.

  • Patients who are deemed intraoperatively by the attending surgeon to have significant mastectomy flap ischemia.
  • Patients who have an axillary lymph node dissection at the time of mastectomy (Patients undergoing sentinel lymph biopsy are eligible)
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
70 participants (actual)

Study arms

  • Experimental
    A

    Expander Placement WITH Alloderm

    Procedure: Alloderm, Questionnaires

  • Active comparator
    B

    Expander Placement WITHOUT Alloderm

    Procedure: Without ALLODERM, Questionnaires

Interventions

  • ProcedureAlloderm, Questionnaires

    All patients will undergo placement of a temporary tissue expander immediately following mastectomy.Patients will undergo the surgical creation of an expander pocket using implantable Alloderm.

    Also known as: Questionnaires administered prior to mastectomy, on Post-op Day #1, prior to the first, second, and third injection and following completion of expansion will take approximately 20 minutes, to complete., It is expected that the panel of questionnaires administered at baseline (prior to mastectomy), and at 6 and 12 months following the exchange procedure will take approximately 45 minutes

  • ProcedureWithout ALLODERM, Questionnaires

    A standard, sub-muscular pocket dissection will be performed in the patients assigned to the control group. No Alloderm will be used.

    Also known as: Questionnaires administered prior to mastectomy, on Post-op Day #1, prior to the first, second, and third injection and following completion of expansion will take approximately 20 minutes, to complete., It is expected that the panel of questionnaires administered at baseline (prior to mastectomy), and at 6 and 12 months following the exchange procedure will take approximately 45 minutes

06

What researchers measure

Primary outcomes

  1. whether using Alloderm to create the inferior-medial portion of the expander pocket will decrease patient-reported pain in both the immediate, post-operative period and during the expansion phase.

    Time frame: conclusion of the study

Secondary outcomes

  1. To examine if the use of Alloderm will decrease patient-reported sensory morbidity in both the immediate, post-operative period and during the expansion phase.

    Time frame: conclusion of the study

  2. To evaluate whether the use of Alloderm in tissue expander/implant reconstruction affects the rate of postoperative expansion and in-hospital narcotic use.

    Time frame: conclusion of the study

  3. To examine if the use of Alloderm will impact both chronic breast pain and sensory morbidity.

    Time frame: conclusion of the study

  4. To evaluate patient satisfaction following postmastectomy, tissue expander-implant reconstruction with and without the use of Alloderm.

    Time frame: conclusion of the study

  5. To examine the effect of Alloderm on the overall aesthetic outcome, including the formation of capsular contracture, following tissue expander/implant reconstruction.

    Time frame: conclusion of the study

07

Study locations

3 sites
  • University of Michigan Health System
    Ann Arbor, Michigan 48109, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • University of North Carolina School of Medicine
    Chapel Hill, North Carolina 27514, United States
08

References and documents

Publications

  • McCarthy CM, Lee CN, Halvorson EG, Riedel E, Pusic AL, Mehrara BJ, Disa JJ. The use of acellular dermal matrices in two-stage expander/implant reconstruction: a multicenter, blinded, randomized controlled trial. Plast Reconstr Surg. 2012 Nov;130(5 Suppl 2):57S-66S. doi: 10.1097/PRS.0b013e31825f05b4. PubMed 23096987 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 3, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00639106
Lead sponsor
Memorial Sloan Kettering Cancer Center
Collaborators
University of Michigan, University of North Carolina, Chapel Hill
Responsible party
Sponsor
First posted
Mar 19, 2008
Start date
Mar 2008
Primary completion
Oct 2018
Completion
Oct 2018
Last update
Oct 3, 2018

Study contacts

Joseph Disa, MD
principal investigator · Memorial Sloan Kettering Cancer Center
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2018. You cannot join it, but the record below documents what was studied.

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