CClinicalTrials.gg
CompletedNCT00689871Updated Oct 13, 2014Results posted

Safety and Effectiveness of Natrelle(TM) Cohesive Round Silicone-Filled Breast Implants

An interventional study of Natrelle(TM) Silicone-Filled Breast Implants in Breast Augmentation, Breast Reconstruction and Revision of Augmentation or Reconstruction, sponsored by Allergan Medical. Completed at 1 site in United States. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-10-13.

Sponsored by Allergan Medical · Not applicable and Interventional

Phase
Not applicable
Study type
Interventional
Enrollment
715
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
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Study summary

Safety and effectiveness of Natrelle™ Cohesive Round Silicone-Filled Breast Implants in women undergoing primary augmentation, primary reconstruction, or revision of existing breast implants.

02

Conditions studied

  • Breast Augmentation
  • Breast Reconstruction
  • Revision of Augmentation or Reconstruction
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In context

Lead sponsor

Allergan Medical is the lead sponsor of 11 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Female, age 18 years or older
  • Seeking primary breast augmentation (i.e., no previous breast implant surgery) indicated for the following: patient dissatisfaction with size or shape of breast (e.g., mammary hypoplasia, asymmetry, ptosis, or aplasia
  • Seeking primary breast reconstruction
  • Seeking breast revision-augmentation
  • Seeking breast revision-reconstruction
  • Adequate tissue available to cover implants
  • Patients at MRI designated sites must be willing to undergo MRI at their 1,3, 5, 7 and 9-year follow-up visits (serial MRI). The patient must be eligible for MRI (for example, no implanted metal or metal devices and no history of severe claustrophobia that may make her ineligible for MRI).

Exclusion criteria

Exclusion Criteria:

  • Advanced fibrocystic disease considered to be premalignant without accompanying subcutaneous mastectomy
  • Existing carcinoma of the breast, without mastectomy
  • Abscess or infection in the body at the time of enrollment
  • Pregnant or nursing
  • Have any disease, including uncontrolled diabetes (e.g., HbAIc > 8%), that is clinically known to impact wound healing ability
  • Show tissue characteristics that are clinically incompatible with mammaplasty, such as tissue damage resulting from radiation, inadequate tissue, compromised vascularity or ulceration
  • Have, or under treatment for, any condition that may constitute an unwarranted surgical risk (e.g., unstable cardiac or pulmonary problems)
  • Show psychological characteristics that may be incompatible with the surgical procedure and the prosthesis, such as inappropriate attitude or motivation (e.g., body dysmorphic disorder)
  • Are not willing to undergo further surgery for revision, if medically required
05

Study design

Phase
Not applicable
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
715 participants (actual)

Study arms

  • Experimental
    1

    Primary augmentation

    Device: Natrelle(TM) Silicone-Filled Breast Implants

  • Experimental
    2

    Primary reconstruction

    Device: Natrelle(TM) Silicone-Filled Breast Implants

  • Experimental
    3

    Revision-augmentation

    Device: Natrelle(TM) Silicone-Filled Breast Implants

  • Experimental
    4

    Revision-reconstruction

    Device: Natrelle(TM) Silicone-Filled Breast Implants

Interventions

  • DeviceNatrelle(TM) Silicone-Filled Breast Implants

    Breast implant surgery

06

What researchers measure

Primary outcomes

  1. Local Complications

    By patient risk of complications occuring in at least 5% of patients in 1 or more cohorts

    Time frame: 10 years

Secondary outcomes

  1. Satisfaction With Breast Implants as Determined by Patients and Physicians on a 5-point Scale

    Satisfaction score on a 5-point scale, where 1 is definitely dissatisfied and 5 is definitely satisfied

    Time frame: 10 years

07

Results

Posted Jan 23, 2012
Limitations and caveats
The Revision-reconstruction arm only had 15 patients enrolled, which makes the data for that arm difficult to interpret.

Participant flow

Enrollment: January 6, 1999-June 30, 2000 at multiple US sites

Participant flow — Overall Study
MilestonePrimary AugmentationPrimary ReconstructionRevision-augmentationRevision-reconstruction
Started4559814715
Completed28046748
Not completed17552737
Withdrew: Lost to follow-up12313371
Withdrew: Explanted of all study devices3625293
Withdrew: Withdrawal by subject13341
Withdrew: Death11022
Withdrew: Physician decision2110

Outcome measures

PrimaryLocal Complications

By patient risk of complications occuring in at least 5% of patients in 1 or more cohorts

Time frame:
10 years
Reported as:
Number · percentage by patient
Local Complications
percentage by patientPrimary AugmentationPrimary ReconstructionRevision-augmentationRevision-reconstruction
Capsular Contracture18.9 (15.4 to 23.1)24.6 (16.2 to 36.2)28.7 (21.3 to 37.9)6.7 (0.2 to 31.9)
Breast Pain11.5 (8.7 to 15.0)6.8 (2.8 to 16.1)11.7 (7.1 to 18.8)0 (0 to 0)
Swelling9.2 (6.8 to 12.4)7.1 (3.5 to 14.4)8.2 (4.6 to 14.5)0 (0 to 0)
Implant Malposition6.9 (4.8 to 9.7)2.3 (0.6 to 8.9)6.0 (3.1 to 11.7)13.3 (1.7 to 40.5)
Nipple Complications6.3 (4.3 to 9.1)3.3 (1.1 to 9.8)1.4 (0.3 to 5.4)0 (0 to 0)
Hypertrophic/Other Abnormal Scarring4.2 (2.6 to 6.5)5.5 (2.3 to 12.7)6.6 (3.5 to 12.3)0 (0 to 0)
Asymmetry3.3 (2.0 to 5.6)23.2 (15.4 to 33.9)6.5 (3.2 to 12.8)6.7 (0.2 to 31.9)
Wrinkling1.8 (0.8 to 3.7)10.2 (5.2 to 19.6)5.4 (2.6 to 11.0)0 (0 to 0)
Implant Palpability/Visibility1.6 (0.8 to 3.4)6.4 (2.3 to 12.7)6.0 (3.0 to 11.6)6.7 (0.2 to 31.9)
Seroma/Fluid Accumulation1.8 (0.9 to 3.4)2.3 (0.3 to 15.4)6.0 (3.0 to 11.6)6.7 (0.2 to 31.9)
Bruising0.4 (0.1 to 1.8)1.0 (0.1 to 7.1)3.0 (1.1 to 7.8)6.7 (0.2 to 31.9)
Skin Rash0.9 (0.3 to 2.3)2.0 (0.5 to 7.9)0.7 (0.1 to 4.9)6.7 (0.2 to 31.9)
SecondarySatisfaction With Breast Implants as Determined by Patients and Physicians on a 5-point Scale

Satisfaction score on a 5-point scale, where 1 is definitely dissatisfied and 5 is definitely satisfied

Time frame:
10 years
Reported as:
Mean · units on a scale
Satisfaction With Breast Implants as Determined by Patients and Physicians on a 5-point Scale
units on a scalePrimary AugmentationPrimary ReconstructionRevision-augmentationRevision-reconstruction
Physician satisfaction4.8 ± 0.74.7 ± 0.64.4 ± 1.14.6 ± 1.1
Patient satisfaction4.8 ± 0.74.6 ± 0.74.4 ± 1.24.5 ± 1.4

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Primary Augmentation—0/455 (0%)0/455 (0%)
Primary Reconstruction—0/98 (0%)0/98 (0%)
Revision-augmentation—0/147 (0%)0/147 (0%)
Revision-reconstruction—0/15 (0%)0/15 (0%)

Baseline characteristics

Age, Customized
Age, Customized(participants)Primary AugmentationPrimary ReconstructionRevision-augmentationRevision-reconstructionTotal
<=40 years31910610390
Between 40 and 60 years13673849302
>=60 years0152623
Sex: Female, Male
Sex: Female, Male(Participants)Primary AugmentationPrimary ReconstructionRevision-augmentationRevision-reconstructionTotal
Female4559814715715
Male00000
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Study locations

1 site
  • Washington, District of Columbia, United States
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References and documents

Publications

  • Spear SL, Murphy DK, Slicton A, Walker PS; Inamed Silicone Breast Implant U.S. Study Group. Inamed silicone breast implant core study results at 6 years. Plast Reconstr Surg. 2007 Dec;120(7 Suppl 1):8S-16S. doi: 10.1097/01.prs.0000286580.93214.df. PubMed 18090808 ↗
  • Gladfelter J, Murphy D. Breast augmentation motivations and satisfaction: a prospective study of more than 3,000 silicone implantations. Plast Surg Nurs. 2008 Oct-Dec;28(4):170-4; quiz 175-6. doi: 10.1097/PSN.0b013e31818ea7e0. PubMed 19092580 ↗
  • Murphy DK, Beckstrand M, Sarwer DB. A prospective, multi-center study of psychosocial outcomes after augmentation with natrelle silicone-filled breast implants. Ann Plast Surg. 2009 Feb;62(2):118-21. doi: 10.1097/SAP.0b013e31817f01f8. PubMed 19158517 ↗
  • Largent JA, Reisman NR, Kaplan HM, Oefelein MG, Jewell ML. Clinical trial outcomes of high- and extra high-profile breast implants. Aesthet Surg J. 2013 May;33(4):529-39. doi: 10.1177/1090820X13484035. Epub 2013 Apr 4. PubMed 23559355 ↗
  • Namnoum JD, Largent J, Kaplan HM, Oefelein MG, Brown MH. Primary breast augmentation clinical trial outcomes stratified by surgical incision, anatomical placement and implant device type. J Plast Reconstr Aesthet Surg. 2013 Sep;66(9):1165-72. doi: 10.1016/j.bjps.2013.04.046. Epub 2013 May 9. PubMed 23664574 ↗
  • Spear SL, Murphy DK; Allergan Silicone Breast Implant U.S. Core Clinical Study Group. Natrelle round silicone breast implants: Core Study results at 10 years. Plast Reconstr Surg. 2014 Jun;133(6):1354-1361. doi: 10.1097/PRS.0000000000000021. PubMed 24867717 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 13, 2014, 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
NCT00689871
Lead sponsor
Allergan Medical
Responsible party
Sponsor
First posted
Jun 4, 2008
Start date
Jan 1999
Primary completion
Dec 2010
Completion
Aug 2011
Results posted
Jan 23, 2012
Last update
Oct 13, 2014
View the source record on ClinicalTrials.gov ↗

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