ClinicalTrials.gg
Not yet recruitingNCT07340632Updated Mar 19, 2026

B4P Trial - BLOOM43 for Preconditioning

An interventional study of BLOOM43 in Skin Necrosis, Breast Reconstruction and Breast Surgery, sponsored by Plexaa Ltd. Not yet recruiting. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-19.

Sponsored by Plexaa Ltd · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
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Study summary

The goal of this clinical trial is to evaluate the use of the Plexaa preconditioning device (BLOOM43) in patients undergoing reconstructive breast surgery for breast cancer. This study aims to understand a participant's experience of the device, including its usability and acceptability.

Participants will use the device to precondition their breast the evening before undergoing surgery (mastectomy with immediate autologous and/or implant-based reconstruction).

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Conditions studied

  • Skin Necrosis
  • Breast Reconstruction
  • Breast Surgery

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Keywords

  • Mastectomy skin flap necrosis
  • Breast reconstruction
  • Breast surgery
  • Preconditioning
  • Skin necrosis
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In context

Necrosis

90 studies on the registry are indexed under Necrosis; 23 are open to participants now.

This study's planned enrollment of 60 is above the median of 50 across 53 interventional studies indexed under Necrosis.

Browse Necrosis studies →

Lead sponsor

Plexaa Ltd is the lead sponsor of 2 studies on the registry; 2 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
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All females over the age of 18 years (no maximum age limit)
  • Patients undergoing skin-sparing mastectomy or nipple-sparing mastectomy and immediate breast reconstruction (autologous and/or implant)

Exclusion criteria

Exclusion Criteria:

  • Delayed (two-stage) breast reconstruction patients
  • Patients undergoing simple mastectomy or wide local excision of a breast tumour
  • Inflammatory breast cancer patients
  • Patients with ulcerated breast tumours
  • Patents with T4 breast cancer
  • Presence of open breast skin wounds, or infected or inflamed breast skin
  • Presence of a cardiac pacemaker, defibrillator or any other implantable electronic device
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Study design

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

Study arms

  • Experimental
    All participants (single arm)

    Each patient will be given the device, BLOOM43, for use at home. It will be worn in a patient's existing bra over their ipsilateral breast (the breast to be operated on) and the preconditioning protocol will be undertaken 12 hours before surgery - i.e. the evening before. Patients will then attend hospital for their breast surgery the next day as planned. For the patients undergoing bilateral skin/nipple-sparing mastectomy with immediate reconstruction, they will be asked to precondition only the right breast.

    Device: BLOOM43

Interventions

  • DeviceBLOOM43

    BLOOM43 works by delivering heat preconditioning to the breast skin before surgery.

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What researchers measure

Primary outcomes

  1. Safety of the device

    Monitoring AEs, ARs, SAEs, SARs, UARs and USARs

    Time frame: 90 days

  2. Participant experience

    Participants' experience of the device will be evaluated with the use of a questionnaire. Most of the questions will consist of multiple-choice components with a five-point scale and there will also be a section for further comments from participants.

    Time frame: 30 days

Secondary outcomes

  1. Mastectomy skin flap necrosis

    Proportion of participants experiencing mastectomy skin flap necrosis and the rates of hospital re-admission and surgical re-intervention due to this

    Time frame: 90 days

  2. Compliance

    Proportion of participants who are compliant with the preconditioning protocol

    Time frame: 1 day

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Jeevan R, Cromwell DA, Browne JP, Caddy CM, Pereira J, Sheppard C, Greenaway K, van der Meulen JH. Findings of a national comparative audit of mastectomy and breast reconstruction surgery in England. J Plast Reconstr Aesthet Surg. 2014 Oct;67(10):1333-44. doi: 10.1016/j.bjps.2014.04.022. Epub 2014 May 14. PubMed 24908545 ↗
  • Robertson SA, Jeevaratnam JA, Agrawal A, Cutress RI. Mastectomy skin flap necrosis: challenges and solutions. Breast Cancer (Dove Med Press). 2017 Mar 13;9:141-152. doi: 10.2147/BCTT.S81712. eCollection 2017. PubMed 28331365 ↗
  • Mehta S, Rolph R, Cornelius V, Harder Y, Farhadi J. Local heat preconditioning in skin sparing mastectomy: a pilot study. J Plast Reconstr Aesthet Surg. 2013 Dec;66(12):1676-82. doi: 10.1016/j.bjps.2013.07.034. Epub 2013 Sep 4. PubMed 24011908 ↗
  • Kankam HKN, Mehta S, Jain A. Thermal Preconditioning for Surgery: A Systematic Review. J Plast Reconstr Aesthet Surg. 2020 Sep;73(9):1645-1664. doi: 10.1016/j.bjps.2020.05.025. Epub 2020 May 21. PubMed 32505626 ↗
  • Mehta S, Cro SC, Coomber B, Rolph R, Cornelius V, Farhadi J. A randomised controlled feasibility trial to evaluate local heat preconditioning on wound healing after reconstructive breast surgery: the preHEAT trial. Pilot Feasibility Stud. 2019 Jan 11;5:5. doi: 10.1186/s40814-019-0392-y. eCollection 2019. PubMed 30656059 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 19, 2026, 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
NCT07340632
Lead sponsor
Plexaa Ltd
Collaborators
Royal Marsden NHS Foundation Trust, Portsmouth Hospitals NHS Trust
Responsible party
Sponsor
First posted
Jan 14, 2026
Start date
Apr 16, 2026 (estimated)
Primary completion
Sep 16, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Mar 19, 2026

Study contacts

Saahil Mehta
Contact
saahil@plexaa.com
447711183551
Hadyn Kankam
Contact
hadyn@plexaa.com

Oversight

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

Not currently enrolling

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

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