ClinicalTrials.gg
Not yet recruitingNCT07819357Updated Sep 25, 2026

Does Nerve Grafting Improve Sensation After Nipple-Sparing Mastectomy With Implant Reconstruction?

A Phase 4 interventional study of Allogeneic Nerve Grafting in Breast Reconstruction Following Mastectomy, sponsored by Endeavor Health. Not yet recruiting at 3 sites in United States. Open to female participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Endeavor Health · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
45
Allocation
Randomized
Ages
22 Years and older
Sex
Female
01

Study summary

The goal of this clinical trial is to learn if adding an allogeneic (donor) nerve graft during breast reconstruction can improve recovery of breast and nipple sensation in women undergoing bilateral nipple-sparing mastectomy with implant-based breast reconstruction. The main questions it aims to answer are:

  • Does nerve grafting improve objective breast sensation compared with reconstruction without nerve grafting?
  • Does nerve grafting improve patient-reported breast sensation?

Researchers will compare the breast that receives the nerve graft with the breast that does not receive a nerve graft to determine whether nerve grafting improves sensory recovery.

Participants will:

  • Undergo bilateral nipple-sparing mastectomy with immediate implant-based breast reconstruction as planned standard care.
  • Receive an allogeneic nerve graft (Avance Nerve Scaffold) on one breast, with the side receiving the graft determined randomly.
  • Have breast sensation measured using a light-touch test before surgery and at approximately 6, 12, and 24 months after surgery.
  • Complete questionnaires about breast sensation at the same time points.
02

Conditions studied

  • Breast Reconstruction Following Mastectomy
03

In context

Lead sponsor

Endeavor Health is the lead sponsor of 111 studies on the registry; 34 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 9 (75%) have results posted.

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

04

Who can participate

Ages eligible
22 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

  • Female subjects greater or equal to 22 years of age.
  • Subject is considered a candidate for nipple sparing mastectomy by the breast and plastic surgeon
  • First-time breast reconstruction post-mastectomy for target breasts.
  • Subject is planning to undergo bilateral nipple-sparing mastectomy with immediate, implant-based, subpectoral or prepectoral breast reconstruction.
  • Mastectomy performed to address ductal carcinoma-in-situ (DCIS) or for cancer prophylaxis.
  • An form is signed by subject
  • Subject is capable of following protocol procedures and complying with follow-up visit requirements.

Exclusion criteria

Exclusion Criteria:

  • Subject has undergone prior radiation therapy to the reconstruction site or chest wall.
  • Subject has a > 35.
  • Subject has a known diagnosis of diabetes with a > 7.0mmol/L within 30 days of the mastectomy
  • Subject is a tobacco/nicotine user within 30 days prior to Index Surgery.
  • Subject is currently taking medication (e.g., systemic ), which in the investigator's opinion, may increase the risk of local complications of breast reconstruction.
  • Subject has other medical, social, or psychological conditions which could interfere with provision of , completion of tests, therapy, or follow-up.
  • Subject is currently participating or planning to participate in another drug, biologic, or medical device study that may interfere with compliance of this study requirements or may confound this study data/outcomes.
  • Subject is pregnant or lactating at the time of the mastectomy.
  • If the patient has a diagnosis of DCIS, there no radiographic evidence of DCIS within 1 cm of the skin or nipple or foci suspicious for microinvasion.
  • Patients with a diagnosis of grade III DCIS.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

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Investigational drug or device

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It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
Double (Participant, Outcomes assessor)
Enrollment
45 participants (estimated)

Study arms

  • Experimental
    Allogeneic Nerve Grafting

    Participants will undergo bilateral nipple-sparing mastectomy with immediate implant-based breast reconstruction. The side receiving nerve grafting will be randomly assigned for each participant. The contralateral breast will undergo standard reconstruction without nerve grafting and will serve as the within-subject control. Participants and study personnel performing sensory assessments will be blinded to treatment allocation.

    Biological: Allogeneic Nerve Grafting

  • No intervention
    No Nerve Grafting

    Participants will undergo bilateral nipple-sparing mastectomy with immediate implant-based breast reconstruction. The side receiving nerve grafting will be randomly assigned for each participant. The contralateral breast will undergo standard reconstruction without nerve grafting and will serve as the within-subject control. Participants and study personnel performing sensory assessments will be blinded to treatment allocation.

Interventions

  • BiologicalAllogeneic Nerve Grafting

    A processed allogeneic nerve graft (Avance Nerve Scaffold) will be used to reconstruct the sensory nerve pathway during bilateral nipple-sparing mastectomy with immediate implant-based breast reconstruction. The breast receiving the nerve graft will be randomly assigned for each participant. The graft will be connected proximally to an identified intercostal nerve and, when an appropriate distal nerve target is identified, connected to the nerve supplying the nipple-areolar complex. When no distal nerve target is identified, the distal graft will be secured to the dermis beneath the nipple. The contralateral breast will undergo the planned implant-based reconstruction without nerve grafting and will serve as the within-subject control.

06

What researchers measure

Primary outcomes

  1. Breast Sensation Measured by Semmes-Weinstein Monofilament Testing

    Breast sensation will be objectively assessed using Semmes-Weinstein monofilament testing on the breast receiving the nerve graft and the contralateral non-grafted breast. Sensory measurements will be compared between the grafted and non-grafted breasts to evaluate the effect of allogeneic nerve grafting on sensory recovery.

    Time frame: Baseline, 6 months, 12 months, and 24 months after surgery

Secondary outcomes

  1. Patient-Reported Breast Sensation

    Patient-reported breast sensation will be assessed using a study-specific questionnaire incorporating questions from the BREAST-Q Reconstruction Module. Each sensation item is scored on a 5-point Likert-type scale ranging from 1 (no feeling) to 5 (complete feeling), with higher scores indicating better breast sensation. Scores will be compared between the grafted and non-grafted breasts to evaluate whether allogeneic nerve grafting improves patients' perception of breast sensation.

    Time frame: Baseline, 6 months, 12 months, and 24 months after surgery

Other outcomes

  1. Neurotization-Related Complications

    The occurrence of complications plausibly related to the nerve grafting procedure will be assessed, including neuropathic pain and neuroma formation.

    Time frame: From surgery through 24 months after surgery

07

Study locations

3 sites
  • Evanston Hospital
    Evanston, Illinois 60201, United States
    • Endeavor Health · Contactmark.sisco@endeavorhealth.org · 847-504-2300
    • Mark Sisco, MD, FACS · Principal investigator
    • Akhil Seth, MD · Sub investigator
    • Elizabeth Burke, MD · Sub investigator
    • Catherine Pesce, MD · Sub investigator
    • Katherine Kopkash, MD · Sub investigator
    • Elizabeth Poli, MD · Sub investigator
    • Katharine Yao, MD · Sub investigator
  • Highland Park Hospital
    Highland Park, Illinois 60035, United States
    • Endeavor Health · Contactmark.sisco@endeavorhealth.org · 847-504-2300
    • Mark Sisco, MD, FACS · Principal investigator
    • Akhil Seth, MD · Sub investigator
    • Elizabeth Burke, MD · Sub investigator
    • Catherine Pesce, MD · Sub investigator
    • Katherine Kopkash, MD · Sub investigator
    • Elizabeth Poli, MD · Sub investigator
    • Katharine Yao, MD · Sub investigator
  • 501 Skokie Blvd Ste 250
    Northbrook, Illinois 60062, United States
    • Endeavor Health, Medical Group · Contactmark.sisco@endeavorhealth.org · 847-504-2300
    • Mark Sisco, MD, FACS · Principal investigator
    • Akhil Seth, MD · Sub investigator
    • Elizabeth Burke, MD · Sub investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Dec 2026; primary completion for Dec 2030, 48 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 8, 2026
First posted
Sep 14, 2026
StartEst.
Dec 2026
Primary completionEst.
Dec 2030
CompletionEst.
Dec 2030
Last update
Sep 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Secondary outcomes
1 description edited
What changed in the outcomes
  • DescriptionPatient-Reported Breast Sensation: how it is measured was reworded
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    Secondary outcomes 1 description edited
    What changed in the outcomes
    • DescriptionPatient-Reported Breast Sensation: how it is measured was reworded

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07819357
Lead sponsor
Endeavor Health
Responsible party
Mark Sisco (Principal Investigator, Endeavor Health) — Principal investigator
First posted
Sep 14, 2026
Start date
Dec 2026 (estimated)
Primary completion
Dec 2030 (estimated)
Completion
Dec 2030 (estimated)
Last update
Sep 25, 2026

Study contacts

Grace K Jukovich, MPH
Contact
grace.jukovich@endeavorhealth.org
847-570-1184
Mark Sisco, MD, FACS
Contact
mark.sisco@endeavorhealth.org
847-504-2300
Mark Sisco, MD, FACS
principal investigator · Endeavor Health

Oversight

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

Not currently enrolling

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

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