Pre- Versus Sub-pectoral Implant-based Breast Reconstruction After Skin-sparing Mastectomy or Nipple-sparing Mastectomy OPBC-02PREPEC
Condition(s) studied
Investigational drug(s) / intervention(s)
pre-pectoral IBBR: The breast is reconstructed by positioning a breast implant above (pre-pectoral) the pectoralis major muscle.
sub-pectoral IBBR: The breast is reconstructed by positioning a breast implant below (sub-pectoral) the pectoralis major muscle.
Study summary
This trial is to investigate whether pre-pectoral Implant-Based Breast Reconstruction (IBBR) provides better Quality of Life (QoL) with respect to long-term (24 months) physical well-being (chest) compared to sub-pectoral IBBR for patients undergoing skin-sparing mastectomy or nipple-sparing mastectomy for prevention or treatment of breast cancer.
Eligibility
Primary outcome measure(s)
- Change in BREAST-Q scale — within 24 months after mastectomy (screening, day 10, and months 1, 6, 12 and 24)
compare the Quality of Life (QoL) with respect to long-term physical well-being (chest) after pre-pectoral or sub-pectoral IBBR. The BREAST-Q module specific to breast reconstruction version 2.0 consists of 13 independent scales covering health-related QoL domains and satisfaction domains. Each scale is scored to generate a numerical score on a scale from 0 (worst) to 100 (best). - Change in EQ-5D-5L questionnaire — within 24 months after mastectomy (screening, day 10, and months 1, 6, 12 and 24)
The 5-level version of the EQ-5D (EQ-5D-5L) consists of the EQ-5D descriptive system that comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/Depression (5 answer levels each: no problems, slight problems, moderate problems, severe problems and extreme problems), resulting in a 1-digit number that expresses the level for that dimension. The digits for each dimension are combined into a 5-digit number that describes the patient's health state and is subsequently converted into a preference-based quality of life weight (utility) using an algorithm derived from population-based studies. In addition, patients are asked to rate their health on a vertical visual analogue scale (EQ VAS), where the anchors are labelled with 'The best health you can imagine' and 'The worst health you can imagine'.
Trial sites (22)
| Facility | City | Region | Status |
|---|---|---|---|
| Brigham and Women's Hospital Harvard Medical School | Boston | Massachusetts | |
| Universitätsklinik für Frauenheilkunde und Geburtshilfe | Salzburg | Austria | |
| Medizinische Universität Wien | Vienna | Austria | |
| Evangelisches Krankenhaus BETHESDA zu Duisburg GmbH, Klinik für Frauenheilkunde, Geburtshilfe, Gynäkologische Onkologie & Senologie | Duisburg | Germany | |
| KEM | Evang. Kliniken Essen-Mitte | Essen | Germany | |
| Universitätsklinikum Heidelberg | Heidelberg | Germany | |
| Landesfrauenklinik, Senologie und Brustzentrum | Wuppertal | Germany | |
| National Institute of Oncology | Budapest | Hungary | |
| Universitario "Agostino Gemelli" di Roma, Unità Operativa di Chirurgia Senologica | Roma | Italy | |
| Ospedale Santa Chiara, Breast Surgical Oncology/Oncoplastic Surgery. Breast Center | Trento | Italy | |
| Capio S:t Görans Hospital | Stockholm | Sweden | |
| Södersjukhuset | Stockholm | Sweden | |
| Karolinska University Hospital | Stockholm | Sweden | |
| Klinik Hirslanden Brustzentrum Aarau | Aarau | Switzerland | |
| Kantonsspital Aarau AG | Aarau | Switzerland | |
| University Hospital Basel, Division of Breast Surgery | Basel | Switzerland | |
| Universitätsklinik für Plastische- und Handchirurgie, Inselspital | Bern | Switzerland | |
| Lindenhof Bern | Bern | Switzerland | |
| Kantonsspital Frauenfeld | Frauenfeld | Switzerland | |
| Gesundheitszentrum Fricktal | Rheinfelden | Switzerland | |
| Ospedale Regionale di Lugano | Viganello | Switzerland | |
| Brust-Zentrum Zürich | Zurich | Switzerland |
More University Hospital, Basel, Switzerland trials in Sweden
Other trials for the same condition
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT04293146 on ClinicalTrials.gov ↗ ← All trials in Sweden