CClinicalTrials.gg
TerminatedNCT01870869Updated Jun 22, 2020Results posted

NATRELLE® 410 X-Style and L-Style Breast Implants Continued Access Study

An interventional study of Anatomically shaped, silicone-filled breast implants with low height/projection or extra-full projection in Breast Augmentation, Breast Reconstruction and Breast Implant Revision, sponsored by Allergan. Terminated at 58 sites in United States. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-06-22.

Sponsored by Allergan · Not applicable, Interventional, and Treatment

Why this study was terminated
There was no indication that long-term follow-up would differ between any of the studies that have evaluated devices within the 410 Style Matrix.
Phase
Not applicable
Study type
Interventional
Enrollment
1,951
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This study is a prospective, multicenter, nonrandomized study to provide access to and evaluate the safety and effectiveness of NATRELLE® 410 Highly Cohesive Anatomically Shaped Silicone-Filled X-Style and L-Style Breast Implants for breast augmentation, reconstruction, or revision.

02

Conditions studied

  • Breast Augmentation
  • Breast Reconstruction
  • Breast Implant Revision
03

In context

Lead sponsor

Allergan is the lead sponsor of 499 studies on the registry; none are open to participants now.

Of its 91 completed or terminated interventional studies of FDA-regulated products, 89 (98%) have results posted.

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

04

Who can participate

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

Inclusion criteria

For entry in this study, participants must have either been enrolled in the 410 CA Clinical Study or 410 CARE Clinical Study under the inclusion criteria below and received NATRELLE® 410 Highly Cohesive Anatomically Shaped Silicone-Filled X- or L-Style Breast Implants in 1 or both breasts; or be planning to be implanted with NATRELLE® 410 Highly Cohesive Anatomically Shaped Silicone-Filled X- or L-Style Breast Implants in 1 or both breasts and meet the inclusion criteria listed below:

  • Female, age 18 or older (age 22 or older for breast augmentation participants who are implanted under Protocol 410CAXL-001)
  • Present with 1 or more of the following conditions:

    • Primary breast augmentation (i.e., no previous breast implant surgery) indicated for participant dissatisfaction with size or shape of breast (e.g., mammary hypoplasia), asymmetry, ptosis, or aplasia
    • Primary breast reconstruction (i.e., no previous breast implant surgery other than implantation of tissue expanders or contralateral augmentation for asymmetry) indicated, in the affected breast, for mastectomy for cancer, prophylactic mastectomy, or breast trauma, (resulting in mastectomy) and for the unaffected breast, contralateral asymmetry (may be performed on the date of the mastectomy or the date when permanent implants are placed in the reconstructed breast)
    • Breast implant revision surgery (i.e., removal and replacement of breast implants) indicated for previous augmentation or reconstruction with silicone-filled or saline-filled breast implants
  • Has adequate tissue available to cover implants

Exclusion criteria

Exclusion Criteria:

For entry in this study, participants must have either been enrolled in the 410 CA Clinical Study or 410 CARE Clinical Study and did not meet the exclusion criteria listed below or plan to undergo implantation with NATRELLE® 410 Highly Cohesive Anatomically Shaped Silicone-Filled X- or L-Style Breast Implants in 1 or both breasts and does not meet the exclusion criteria listed below:

  • Has an advanced fibrocystic disease considered to be premalignant without accompanying subcutaneous mastectomy
  • Has an existing carcinoma of the breast, without mastectomy
  • Has an abscess or infection in the body at the time of enrollment
  • Is pregnant or nursing
  • Has any disease, including uncontrolled diabetes (e.g., hemoglobin A1c (HbA1c) > 8%), that is clinically known to impact wound healing ability
  • Shows tissue characteristics that are clinically incompatible with mammaplasty, such as tissue damage resulting from radiation, inadequate tissue, compromised vascularity, or ulceration
  • Has or is under treatment for any condition that may constitute an unwarranted surgical risk (e.g., unstable cardiac or pulmonary problems)
  • Shows psychological characteristics that may be incompatible with the surgical procedure and the prosthesis, such as inappropriate attitude or motivation (e.g., body dysmorphic disorder)
  • Is not willing to undergo further surgery for revision, if medically required
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,951 participants (actual)

Study arms

  • Experimental
    Augmentation

    Women who had breast augmentation with NATRELLE® 410 implants.

    Device: Anatomically shaped, silicone-filled breast implants with low height/projection or extra-full projection

  • Experimental
    Reconstruction

    Women who had breast reconstruction with NATRELLE® 410 implants.

    Device: Anatomically shaped, silicone-filled breast implants with low height/projection or extra-full projection

  • Experimental
    Revision-Augmentation

    Women who had revision of previous breast augmentation with NATRELLE® 410 implants.

    Device: Anatomically shaped, silicone-filled breast implants with low height/projection or extra-full projection

  • Experimental
    Revision-Reconstruction

    Women who had revision of previous breast reconstruction with NATRELLE® 410 implants.

    Device: Anatomically shaped, silicone-filled breast implants with low height/projection or extra-full projection

Interventions

  • DeviceAnatomically shaped, silicone-filled breast implants with low height/projection or extra-full projection

    Surgical implant

    Also known as: NATRELLE® 410 Highly Cohesive Anatomically Shaped Silicone-Filled Breast Implants (Styles FX, MX, LX, FL, ML, LL, LM, and LF)

06

What researchers measure

Primary outcomes

  1. Percentage of Participants According to Investigator Satisfaction With Implants

    The investigator rated their satisfaction with the participant's breast implant for each breast on a 5-point scale (1=Definitely dissatisfied, 2=Somewhat dissatisfied, 3=Neither satisfied or dissatisfied, 4=Somewhat satisfied, 5=Definitely satisfied). If there was a different response for the left and right breasts the worst response was used. The percentage of participants where the investigator responded: "Definitely satisfied" or "Somewhat satisfied" is reported.

    Time frame: 5 years (followup after implantation that occurred between 06 May 2008 and 08 January 2015)

  2. Percentage of Participants According to Participant Satisfaction With Implants

    The participant rated their satisfaction with the breast implant for each breast on a 5-point scale (1=Definitely dissatisfied, 2=Somewhat dissatisfied, 3=Neither satisfied or dissatisfied, 4=Somewhat satisfied, 5=Definitely satisfied). If there was a different response for the left and right breasts the worst response was used. The percentage of participants who responded: "Definitely satisfied" or "Somewhat satisfied" is reported.

    Time frame: 5 years (followup after implantation that occurred between 06 May 2008 and 08 January 2015)

Secondary outcomes

  1. Percentage of Participants With Local Complications

    Kaplan-Meier risk rates (estimation of the percentage of participants) of developing local complications is presented. Local complications collected in the study were: Asymmetry, Breast pain, Capsular contracture, Delayed wound healing, Fluid accumulation/seroma, Hematoma, Hypertrophic scarring/other abnormal scarring, Implant extrusion, Implant malposition, Implant palpability/visibility, Implant rupture, Infection, Redness, Skin rash, Swelling, Tissue/skin necrosis, Upper pole fullness, Wrinkling/rippling and Other complications .

    Time frame: 5 years (followup after implantation that occurred between 06 May 2008 and 08 January 2015)

  2. Percentage of Participants With Reoperations

    Kaplan-Meier risk rates (estimation of the percentage of participants) of reoperation is reported.

    Time frame: 5 years (followup after implantation that occurred between 06 May 2008 and 08 January 2015)

  3. Percentage of Participants With Implant Removal With or Without Replacement

    Kaplan-Meier risk rates (estimation of the percentage of participants) of implant removal with or without replacement is reported.

    Time frame: 5 years (followup after implantation that occurred between 06 May 2008 and 08 January 2015)

07

Results

Posted Jun 22, 2020

Participant flow

Participant flow — Overall Study
MilestoneAugmentationRevision-AugmentationReconstructionRevision-Reconstruction
Started2882061222235
Completed2601921092205
Not completed281413030
Withdrew: Implanted with nonstudy device13144
Withdrew: Death0071
Withdrew: Subject choice62228
Withdrew: Lost to follow-up102253
Withdrew: Reason not specified12204
Withdrew: Not evaluable1054210

Outcome measures

PrimaryPercentage of Participants According to Investigator Satisfaction With Implants

The investigator rated their satisfaction with the participant's breast implant for each breast on a 5-point scale (1=Definitely dissatisfied, 2=Somewhat dissatisfied, 3=Neither satisfied or dissatisfied, 4=Somewhat satisfied, 5=Definitely satisfied). If there was a different response for the left and right breasts the worst response was used. The percentage of participants where the investigator responded: "Definitely satisfied" or "Somewhat satisfied" is reported.

Time frame:
5 years (followup after implantation that occurred between 06 May 2008 and 08 January 2015)
Reported as:
Number · percentage of participants
Percentage of Participants According to Investigator Satisfaction With Implants
percentage of participantsAugmentationRevision-AugmentationReconstructionRevision-Reconstruction
Definitely satisfied94.885.374.173.1
Somewhat satisfied3.98.821.523.1
PrimaryPercentage of Participants According to Participant Satisfaction With Implants

The participant rated their satisfaction with the breast implant for each breast on a 5-point scale (1=Definitely dissatisfied, 2=Somewhat dissatisfied, 3=Neither satisfied or dissatisfied, 4=Somewhat satisfied, 5=Definitely satisfied). If there was a different response for the left and right breasts the worst response was used. The percentage of participants who responded: "Definitely satisfied" or "Somewhat satisfied" is reported.

Time frame:
5 years (followup after implantation that occurred between 06 May 2008 and 08 January 2015)
Reported as:
Number · percentage of participants
Percentage of Participants According to Participant Satisfaction With Implants
percentage of participantsAugmentationRevision-AugmentationReconstructionRevision-Reconstruction
Definitely satisfied88.376.568.065.4
Somewhat satisfied5.217.624.725.0
SecondaryPercentage of Participants With Local Complications

Kaplan-Meier risk rates (estimation of the percentage of participants) of developing local complications is presented. Local complications collected in the study were: Asymmetry, Breast pain, Capsular contracture, Delayed wound healing, Fluid accumulation/seroma, Hematoma, Hypertrophic scarring/other abnormal scarring, Implant extrusion, Implant malposition, Implant palpability/visibility, Implant rupture, Infection, Redness, Skin rash, Swelling, Tissue/skin necrosis, Upper pole fullness, Wrinkling/rippling and Other complications .

Time frame:
5 years (followup after implantation that occurred between 06 May 2008 and 08 January 2015)
Reported as:
Number · percentage of participants
Percentage of Participants With Local Complications
percentage of participantsAugmentationRevision-AugmentationReconstructionRevision-Reconstruction
Any complication6.62 (3.78 to 11.45)9.09 (5.65 to 14.46)14.50 (11.78 to 17.78)10.19 (6.81 to 15.11)
Asymmetry1.11 (0.26 to 4.73)1.99 (0.75 to 5.21)2.34 (1.59 to 3.44)2.67 (1.21 to 5.84)
Breast pain1.93 (0.51 to 7.15)1.08 (0.15 to 7.39)0.51 (0.23 to 1.13)1.07 (0.26 to 4.30)
Capsular contracture1.85 (0.68 to 4.98)7.90 (3.57 to 17.01)20.14 (8.90 to 41.85)27.03 (9.04 to 64.93)
Delayed wound healing0.00 (0.00 to 0.00)0.50 (0.07 to 3.48)0.34 (0.13 to 0.90)1.78 (0.67 to 4.67)
Fluid accumulation/seroma0.37 (0.05 to 2.57)0.50 (0.07 to 3.48)0.57 (0.26 to 1.28)1.78 (0.67 to 4.67)
Hematoma0.00 (0.00 to 0.43)0.00 (0.00 to 0.00)0.43 (0.18 to 1.04)0.44 (0.06 to 3.11)
Hypertrophic scarring/other abnormal scarring0.72 (0.18 to 2.85)1.29 (0.32 to 5.12)0.75 (0.24 to 2.30)0.44 (0.06 to 3.11)
Implant extrusion0.00 (0.00 to 0.00)0.00 (0.00 to 0.00)0.98 (0.40 to 2.38)0.60 (0.08 to 4.17)
Implant malposition2.21 (0.80 to 6.07)1.00 (0.25 to 3.92)1.22 (0.52 to 2.84)1.33 (0.43 to 4.08)
Implant palpability/visibility0.48 (0.07 to 3.33)0.00 (0.00 to 0.00)0.25 (0.08 to 0.79)0.44 (0.06 to 3.11)
Implant rupture2.14 (0.67 to 6.75)6.15 (1.77 to 20.22)2.03 (0.91 to 4.50)3.84 (1.39 to 10.38)
Infection0.36 (0.05 to 2.53)1.49 (0.48 to 4.56)1.21 (0.72 to 2.04)3.18 (1.53 to 6.56)
Redness0.00 (0.00 to 0.00)0.50 (0.07 to 3.48)0.83 (0.29 to 2.38)3.31 (1.01 to 10.59)
Skin rash0.36 (0.05 to 2.53)0.00 (0.00 to 0.00)0.08 (0.01 to 0.60)0.00 (0.00 to 0.00)
Swelling0.72 (0.18 to 2.85)0.00 (0.00 to 0.00)0.17 (0.04 to 0.68)0.44 (0.06 to 3.11)
Tissue/skin necrosis0.00 (0.00 to 0.00)0.00 (0.00 to 0.00)0.17 (0.04 to 0.68)0.50 (0.07 to 3.51)
Upper pole fullness0.00 (0.00 to 0.00)0.00 (0.00 to 0.00)0.00 (0.00 to 0.00)0.44 (0.06 to 3.11)
Wrinkling/rippling0.00 (0.00 to 0.00)0.50 (0.07 to 3.48)1.61 (0.78 to 3.33)0.00 (0.00 to 0.00)
Other complications1.46 (0.45 to 4.70)2.99 (1.35 to 6.52)4.37 (2.94 to 6.46)1.43 (0.46 to 4.38)
SecondaryPercentage of Participants With Reoperations

Kaplan-Meier risk rates (estimation of the percentage of participants) of reoperation is reported.

Time frame:
5 years (followup after implantation that occurred between 06 May 2008 and 08 January 2015)
Reported as:
Number · percentage of participants
Percentage of Participants With Reoperations
percentage of participantsAugmentationRevision-AugmentationReconstructionRevision-Reconstruction
Percentage of Participants With Reoperations13.02 (8.42 to 19.84)25.08 (16.99 to 36.09)39.70 (35.35 to 44.38)35.75 (27.42 to 45.72)
SecondaryPercentage of Participants With Implant Removal With or Without Replacement

Kaplan-Meier risk rates (estimation of the percentage of participants) of implant removal with or without replacement is reported.

Time frame:
5 years (followup after implantation that occurred between 06 May 2008 and 08 January 2015)
Reported as:
Number · percentage of participants
Percentage of Participants With Implant Removal With or Without Replacement
percentage of participantsAugmentationRevision-AugmentationReconstructionRevision-Reconstruction
Percentage of Participants With Implant Removal With or Without Replacement7.17 (3.80 to 13.31)19.09 (11.12 to 31.66)19.54 (15.79 to 24.03)20.59 (13.59 to 30.50)

Adverse events

Collected over 5 years (followup after implantation that occurred between 06 May 2008 and 08 January 2015). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Augmentation—0/278 (0%)—
Revision-Augmentation—0/201 (0%)—
Reconstruction—7/1,180 (0.6%)—
Revision-Reconstruction—1/225 (0.4%)—
Most frequent serious events
Most frequent serious events
EventAugmentationRevision-AugmentationReconstructionRevision-Reconstruction
Liver cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/2780/2010/11801/225
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/2780/2012/11800/225
Metastatic breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/2780/2012/11800/225
Pulmonary hypertensionRespiratory, thoracic and mediastinal disorders0/2780/2011/11800/225
Metastatic carcinoma to liverNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/2780/2011/11800/225
Recurrence of breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/2780/2011/11800/225

Baseline characteristics

Evaluable population was defined as all participants enrolled under this study protocol who received a NATRELLE® 410 X- or L-style device.

Age, Continuous
Age, Continuous(years)AugmentationRevision-AugmentationReconstructionRevision-ReconstructionTotal
Mean34.5 (18.0 to 63.0)47.3 (20.0 to 79.0)50.3 (21.0 to 79.0)54.4 (31.0 to 80.0)48.1 (18.0 to 80.0)
Sex: Female, Male
Sex: Female, Male(Participants)AugmentationRevision-AugmentationReconstructionRevision-ReconstructionTotal
Female27820111802251884
Male00000
08

Study locations

58 sites
  • Anthony Griffin
    Beverly Hills, California 90211, United States
  • Laurence Berkowitz
    Campbell, California 95008, United States
  • Mary Powers
    Long Beach, California 90806, United States
  • Roy Hong
    Palo Alto, California 94301, United States
  • Eric Bachelor
    Pleasanton, California 94566, United States
  • Douglas Reavie
    San Diego, California 92128, United States
  • Steven Teitelbaum
    Santa Monica, California 90404, United States
  • Tad Heinz
    Colorado Springs, Colorado 80909, United States
  • Gary Snider
    Denver, Colorado 80218, United States
  • Terrence Murphy
    Englewood, Colorado 80113, United States
  • Orlando De Lucia
    Farmington, Connecticut 06032, United States
  • Lewis Berger
    Tampa, Florida 33607, United States
  • Gerard Mosiello
    Tampa, Florida 33647, United States
  • James Namnoum
    Atlanta, Georgia 30342, United States
  • Peter Johnson
    Des Plaines, Illinois 60016, United States
  • Stephen Madry
    Elk Grove Village, Illinois 60007, United States
  • Janet Turkle
    Carmel, Indiana 46290, United States
  • Bruce Van Natta
    Indianapolis, Indiana 46290, United States
  • Christine Kelley-Patteson
    Indianapolis, Indiana 46290, United States
  • Brad Storm
    Olathe, Kansas 66061, United States
  • Julene Samuels
    Louisville, Kentucky 40241, United States
  • Timothy Mickel
    Monroe, Louisiana 71201, United States
  • Paul Davis
    Shreveport, Louisiana 71105, United States
  • Bradley Bengtson
    Grand Rapids, Michigan 49503, United States
  • John Renucci
    Grand Rapids, Michigan 49503, United States
  • Steven Morris
    Midland, Michigan 48640, United States
  • Charles Nathan
    Chesterfield, Missouri 63005, United States
  • Herluf Lund Jr.
    Chesterfield, Missouri 63005, United States
  • Patricia McGuire
    Creve Coeur, Missouri 63141, United States
  • Schuyler Meltis
    Hannibal, Missouri 63401, United States
  • Perry Johnson
    Omaha, Nebraska 68102, United States
  • Perry Johnson
    Omaha, Nebraska 68118, United States
  • Peter Hyans
    Berkeley Heights, New Jersey 07922, United States
  • Isaac Starker
    Florham Park, New Jersey 07932, United States
  • Peter Hetzler
    Little Silver, New Jersey 07739, United States
  • Marc Alan Drimmer
    Princeton, New Jersey 08540, United States
  • Caroline Glicksman
    Sea Girt, New Jersey 08750, United States
  • Lloyd Gayle
    New York, New York 10021, United States
  • John Sherman
    New York, New York 10028, United States
  • Tracy Pfeifer
    New York, New York 10028, United States
  • Robert Jacobs
    Port Jefferson Station, New York 11776, United States
  • John Decorato
    Staten Island, New York 10306, United States
  • Raymond Isakov
    Cleveland, Ohio 44195, United States
  • Craig Colville
    Toledo, Ohio 43615, United States
  • Frank Barone
    Toledo, Ohio 43623, United States
  • Derek Shadid
    Oklahoma City, Oklahoma 73134, United States
  • Robert Hein
    Oklahoma City, Oklahoma 73134, United States
  • Mark Jewell
    Eugene, Oregon 97401, United States
  • John Lettieri
    Spartanburg, South Carolina 29303, United States
  • Kristina D. O'Shaughnessy
    Nashville, Tennessee 37203, United States
  • Patrick Maxwell
    Nashville, Tennessee 37212, United States
  • William Carpenter
    Dallas, Texas 75246, United States
  • Jeffrey Friedman
    Houston, Texas 77030, United States
  • Natan Yaker
    Plano, Texas 75093, United States
  • William Adams
    University Park, Texas 75205, United States
  • Gloria Duda
    McLean, Virginia 22101, United States
  • Gavin Dry
    Bellevue, Washington 98005, United States
  • Allen Gabriel
    Vancouver, Washington 98664, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 22, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01870869
Lead sponsor
Allergan
Responsible party
Sponsor
First posted
Jun 6, 2013
Start date
May 29, 2013
Primary completion
Nov 30, 2015
Completion
Nov 30, 2015
Results posted
Jun 22, 2020
Last update
Jun 22, 2020

Study contacts

Andrew Schumacher
study chair · Allergan

Oversight

Data monitoring committee
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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