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Active, not recruitingNCT06785610Updated Jan 5, 2026

Prevention of Capsular Contracture in Postmastectomy Patients Undergoing Implant-based Reconstructions

An interventional study of Capsulase® in Capsular Contracture Associated With Implant, sponsored by European Institute of Oncology. Active, not recruiting at 1 site in Italy. Open to female participants. Per ClinicalTrials.gov, last updated 2026-01-05.

Sponsored by European Institute of Oncology · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Not applicable
Sex
Female
01

Study summary

The study plans to evaluate capsular contracture at 1-year follow-up in postmastectomy patients receiving immediate implant-based reconstruction and Capsulase® supplementation in the postoperative period. These data are compared with historical data of capsular contracture in patients not receiving any food supplementation postoperatively.

Aim of the study is to collect preliminary data to support Capsulase® supplementation in the postoperative period to prevent capsular contracture.

Read the detailed description

Capsular contracture is one of the most common complications of breast implant use, in both reconstructive and aesthetic setting. Research on capsular contracture has focused on reducing bacterial contamination of implant surfaces through antibiotic and antiseptic solutions and, more recently, on the pharmacological control of the inflammation process around the implant. The foreign body reaction is responsible for capsular contracture.

Several experimental studies have demonstrated that it is possible to pharmacologically control the inflammation process around implants reducing the profibrotic substances included in the inflammation pathway.

Among diet supplements there are several substances that have been studied for their anti-inflammatory properties, in particular omega-3 fatty acids and boswellic acids.

Capsulase® is a diet supplement and consists of Boswellia serrata phospholipid INDENA®, palmitoylethanolamide (PEA), quercetin phytosome INDENA®, bromelain 2500 Gelatin Dissolving Units/gram (GDU/g) and vitamin E acetate. Its efficacy and safety in women with contracted breast implants have been evaluated both in the reconstructive and aesthetic setting. Although preliminary results are satisfactory, however the series include a small sample of women.

Aim of this study is to collect preliminary data to support Capsulase® supplementation in the postoperative period to prevent capsular contracture, comparing capsular contracture in postmastectomy patients receiving immediate implant-based reconstruction and Capsulase® supplementation in the postoperative period with historical data of capsular contracture in patients not receiving any food supplementation postoperatively.

02

Conditions studied

  • Capsular Contracture Associated With Implant

Keywords

  • Capsular Contracture
  • Mastectomy reconstruction
  • Definitive silicone implant
03

In context

Lead sponsor

European Institute of Oncology is the lead sponsor of 178 studies on the registry; 113 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Immediate post mastectomy reconstruction with definitive silicone implant (microtextured prosthesis) (both therapeutic and risk reducing mastectomies)
  • Informed consent
  • Unilateral and bilateral mastectomies

Exclusion criteria

Exclusion Criteria:

  • Hypersensitivity to Capsulase®
  • Pregnant women
  • Impossibility of immediate reconstruction with definitive implants due to inadequacy of mastectomy flaps (inadequate in quantity and/or quality)
  • Patients with previous breast implants
  • Revisional surgery for capsular contracture
  • Use of micro polyurethane foam-coated implants
  • Mesh and matrix-assisted reconstructions
  • Reconstruction of previous irradiated breasts
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Capsulase® supplementation

    Capsulase® supplementation in the postoperative period

    Dietary Supplement: Capsulase®

Interventions

  • Dietary supplementCapsulase®

    Capsulase® supplement daily administration after surgery

06

What researchers measure

Primary outcomes

  1. Capsular contracture rate

    Number of capsular contracture at 1-year follow-up

    Time frame: 1 year

Secondary outcomes

  1. Capsular contracture rate compared to historical data

    Capsular contracture rate at 1-year in patients receiving Capsulase® supplementation compared with capsular contracture rate in the historical control arm of patients not receiving any supplementation

    Time frame: 1 year

  2. Patient satisfaction

    Completion of BREAST-Q questionnaire (higher answers to each item reflect a better outcome)

    Time frame: 1 year

07

Study locations

1 site
  • European Institute of Oncology
    Milan, 20141, Italy
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06785610
Lead sponsor
European Institute of Oncology
Responsible party
Sponsor
First posted
Jan 21, 2025
Start date
Apr 8, 2025
Primary completion
Aug 2026 (estimated)
Completion
Aug 2026 (estimated)
Last update
Jan 5, 2026

Study contacts

Francesca De Lorenzi, MD
principal investigator · European Istitute of Oncology

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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