GRATSEC: Adipose Tissue Transfer for Moderate Breast Cancer Conservative Treatment Sequella
Study Details
Study Description
Brief Summary
This is a phase III randomized multi-center study of equivalence comparing the radiological follow-up for patients benefiting from the correction of the esthetical relapse of the preservative treatment by fatty transfer compared with a simple supervision.
It is planned that 440 patients participate in this study which plans to compare 2 groups of patients: a group of patients which will benefit from the surgical treatment by transfer of fatty tissue and a group of patients under simple supervision.
follow-up consultations are planned in 10 in 45 days post-surgery then at 3 months, 6 months, 12 months and 5 years to look for the expected unwanted effects in relation with the surgery but also to estimate the impact of the fatty transfer on the rate of local and\or from a distance relapse.
During these consultations, the surgeon and the patient will also estimate the cosmetic result of the surgery thanks to a questionnaire of cosmetic evaluation and to standardized photos.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: surgery by fatty tissue transfer
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Procedure: fatty tissue transfer
It will be proceeded to aspiration of the fat at the level of the natural steatomeries (hip, stomach), then in a transfer of the fat prepared in the breast by following the standardized protocol.
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No Intervention: simple supervision
|
Outcome Measures
Primary Outcome Measures
- Verify that the disturbances of the radiological follow-up in 1 year will not be more frequent for the patient benefiting from fatty transfer with regard to a simple surveillance. [1 year]
Secondary Outcome Measures
- Estimate the technique on the cosmetic plan : On the quality and on the stability of the result. On the satisfaction of the patient. [1 year]
- Estimate the technique on the carcinological plan : Estimate the rate of local relapse and\or in distance. Estimate the rate of survival of the patients. [1 year]
Eligibility Criteria
Criteria
Inclusion Criteria:
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History of breast cancer treated by conservative surgery .
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Normal inclusion radiological assessment normal (ACR1 or ACR2)
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Moderate Deformations (Type I and II of the classification of Clough).
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Delay with regard to the end of the radiotherapy superior or equal to one-year-old.
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Moderated radio-dystrophies (< Grade 2 of the score LENT/SOMA).
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Signature of the informed consent
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Patient benefiting from social security
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Patient of more than 18 years old
Exclusion Criteria:
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Abnormal radiological assessment (ACR3, ACR4 or ACR5)
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Absence of fatty excess .
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radio surgical relapses with vast fibroses of the breast (> Grade 2 of the score LENT/SOMA).
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Patient under 18 years old.
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administrative difficulties: impossibility to provide enlightened information to the patient, the refusal to sign the consent .
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pregnant women or breast feeding women
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patient under legal guardianship
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bilateral breast cancer regardless histologic type.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | CHU de Besançon | Besançon | France | 25030 | |
2 | Clinique Saint Antoine | Bois-Guillaume | France | 76230 | |
3 | CHU Pellegrin | Bordeaux | France | 33076 | |
4 | Institut Bergonie | Bordeaux | France | 33076 | |
5 | Pole de Sante de Leonard de Vinci | Chambray-Les-Tours | France | 37145 | |
6 | Hopital Henri Mondor | Créteil | France | 94010 | |
7 | Centre Hospitalier La Croix Rousse | Lyon | France | 69004 | |
8 | Hopital Edouard Herriot | Lyon | France | 69437 | |
9 | CHR Marseille Conception | Marseille | France | 13005 | |
10 | Institut Paoli Calmettes | Marseille | France | 13273 | |
11 | Centre Val d'Aurelle | Montpellier | France | 34298 | |
12 | Clinique Brétéché | Nantes | France | 44000 | |
13 | INSTITUT CURIE - Site Paris | Paris | France | 75005 | |
14 | Hopital Saint Louis | Paris | France | 75010 | |
15 | Centre Eugene Marquis | Rennes | France | 35042 | |
16 | Centre Henri Becquerel | Rouen | France | 76038 | |
17 | INSTITUT CURIE - René Huguenin | Saint-Cloud | France | 92210 | |
18 | INSTITUT DE CANCEROLOGIE DE L'OUEST - Centre René Gauducheau | Saint-Herblain | France | 44805 | |
19 | Hôpitaux Universitaires de Strasbourg | Strasbourg | France | 67091 | |
20 | CHU Rangueil | Toulouse | France | 31000 | |
21 | Institut Claudius Regaud | Toulouse | France | 31059 | |
22 | Centre Alexis Vautrin | Vandoeuvre-lès-Nancy | France | 54511 | |
23 | Institut Gustave Roussy | Villejuif | France | 94805 |
Sponsors and Collaborators
- Institut Claudius Regaud
Investigators
- Principal Investigator: Ignacio GARRIDO, MD, Institut Claudius Regaud
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 08 SEIN 08