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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05451108
Registration number
NCT05451108
Ethics application status
Date submitted
30/06/2022
Date registered
11/07/2022
Titles & IDs
Public title
Pectus Excavatum Camouflage
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Scientific title
A Clinical Trial Evaluating Medical-Grade Polycaprolactone-PCL Pectus Scaffold Implantation With Autologous Fat Grafting for Pectus Excavatum Camouflage
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Secondary ID [1]
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2020-PEC-001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pectus Excavatum
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Condition category
Condition code
Musculoskeletal
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - PCL Pectus Scaffold implantation and autologous fat grafting
Experimental: Insertion of PCL Pectus scaffold - Insertion of a custom-made 3D printed medical-grade polycaprolactone (PCL) Pectus scaffold with autologous fat graft for pectus excavatum defect correction.
Treatment: Devices: PCL Pectus Scaffold implantation and autologous fat grafting
A small incision is made in the chest and pre-sternal pocked is defined. Following this, an empty scaffold is implanted at the site of the defect with skin closed directly over it. At the same stage, autologous fat transfer will be performed, harvesting fat from available donor sites such as the thighs and abdomen - depending on scaffold volume and patient morphology. The area will be infiltrated with local anaesthetic tumescent fluid, liposuction performed, and fat transferred to syringes for filtration prior to injection into the scaffold. Fat will not be processed beyond simple filtration to separate liquid from fat to be injected. The scaffold provides structural stability to the chest during the infiltration of the tissue inside the scaffold.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Assessment of occurrence and type of SADE and AEs related to the surgical procedure or the device (e.g. vital signs, physical exam findings and cardiorespiratory function from baseline to end of study visit) to ensure the safety of device and procedure.
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Assessment method [1]
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Clinical safety will be assessed by documenting all adverse events regardless of whether they are related to the trial in an adverse events report form - described in detail in the case report form (CRF). These will be carefully evaluated by the principal investigator.
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Timepoint [1]
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Assessed daily during inpatient stay and at 1-week, at 1-,3-,6-,12-, 24-months and any relevant unscheduled visits post-surgery with 2 years post-surgery being the primary time-point.
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Secondary outcome [1]
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Change in (fat) volume, soft tissue retention and tissue integration from the time of surgery to the end of study visit using radiological and clinical assessments
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Assessment method [1]
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Fat volume, soft tissue retention and tissue integration will be evaluated by a senior radiologist utilising serial MRI imaging with assessment of soft tissue volume using a standardised segmentation protocol. Imaging will be taken at regular intervals in conjunction with clinical visits as defined by the protocol.
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Timepoint [1]
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Assessed pre-surgery and at 1-,3-,6-,12- and 24-months post-surgery.
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Secondary outcome [2]
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Change in cardiorespiratory function from baseline to 1 month after surgery
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Assessment method [2]
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Pre-operative exercise tolerance testing to confirm their suitability for the trial. This will be repeated after complete recovery from the operation (usually after \>4 weeks).
Cardiorespiratory outcome will be assessed using baseline and post-operative cardiopulmonary exercise. Standard Cardio-Pulmonary Exercise Testing (CPET) protocol will be applied and validated by a physician.
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Timepoint [2]
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Assessed pre-surgery and at 1-month post-surgery.
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Secondary outcome [3]
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Change in pain assessments from baseline to the end of study visit
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Assessment method [3]
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Pain will be assessed with the numerical pain rating system from 0 (no pain at all) to 10 (worst imaginable pain). It will be tracked in the inpatient setting as well as at post-operative outpatient reviews.
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Timepoint [3]
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Assessed pre-surgery, during inpatient stay and at 1-week, at 1-,3-,6-,12- and 24-months and any relevant unscheduled visits post-surgery.
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Secondary outcome [4]
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Change in wound healing from the time of surgery to 1 month after surgery
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Assessment method [4]
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Wound status will be assessed with the Holger Classification for wounds.
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Timepoint [4]
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Assessed during inpatient stay and at 1-week and at 1-month post-surgery.
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Secondary outcome [5]
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Change in patient quality of life as assessed by Quality of Life (QoL) questionnaires from baseline to the end of study visit
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Assessment method [5]
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The Nuss questionnaire modified for adults (NQ-mA) and the 36-item Short Form Quality of Life (SF-36) questionnaire will be used to assess patient reported functional outcomes from the intervention. A combination of the NQ-mA and the SF-36 questionnaires provides a platform for comparison of the method proposed in this study against the current gold standard surgical management of pectus excavatum, as well as measuring the relative impact on health-related quality of live compared to interventions in other clinical scenarios.
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Timepoint [5]
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Assessed pre-surgery and at the 3-, 6-, 12- and 24-month clinical reviews.
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Eligibility
Key inclusion criteria
1. Pectus excavatum defect
2. Patient aged =18 and <55 years (patients 55 years and over may still be eligible pending assessment by investigating team and documentation of rationale)
3. Patient willing and able to comply with the study requirements.
4. Patient is eligible to undergo MRI (i.e., no implanted incompatible metal or metal devices, no history of severe claustrophobia).
5. Patient capable of providing valid informed consent.
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Minimum age
18
Years
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Maximum age
54
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Patient with a known history of immunodeficiency including HIV, concomitant systemic corticosteroid therapy, chemotherapy, synchronous haematological malignancy or other cause for secondary/primary immunodeficiency.
2. Patient with known severe concurrent or inter-current illness including cardiovascular, respiratory or immunological illness, psychiatric disorders, alcohol or chemical dependence, possible allergies that would, in the opinion of the Principal Investigator, compromise their safety or compliance or interfere with interpretation of study results.
3. Patient with unstable cardiac or respiratory function due to pectus excavatum or those requiring functional repair.
4. Patients with Body Mass Index (BMI) below 18.5 kg/m2 and above 30 kg/m2. NB: Patients with BMI up to 10% higher than the upper limit (up to 33 kg/m2) can be still enrolled if the treating surgeon confirms that BMI is not associated with any kind of pathology.
5. Patient with polycaprolactone (PCL) allergy
6. Women who are currently pregnant or breast feeding, or who are planning to become pregnant within two years after the pectus excavatum camouflage surgery.
7. Women of childbearing potential without an appropriate contraceptive method.
8. Patient with life expectancy < 36 months.
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Study design
Purpose of the study
Other
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
10/12/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/03/2025
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Actual
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Sample size
Target
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Accrual to date
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Final
7
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Princess Alexandra Hospital - Wooloongabba - Brisbane
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Recruitment postcode(s) [1]
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4102 - Brisbane
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
BellaSeno Pty Ltd
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The clinical study is testing a new treatment for pectus excavatum called "custom-made 3D printed scaffold-based soft tissue reconstruction". The new method uses a combination of the patients own adipocytes (fat cells) with a 3D printed scaffold (PCL Pectus Scaffold) to support soft tissue regeneration in the patient's chest using the body's natural healing processes. The implanted scaffold acts as a resorbable frame to support the growth of cells. The substance used for the scaffold is resorbable, it's similar to the substance used for sutures and stitches, and it's already Therapeutic Goods Administration (TGA) approved for bone reconstruction of the skull. The implanted scaffold degrades over time, leaving the tissue in its place.
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Trial website
https://clinicaltrials.gov/study/NCT05451108
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Michael Wagels, Dr
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Address
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Department of Plastic & Reconstructive Surgery Princess Alexandra Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Michael Wagels, Dr
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Address
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Country
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Phone
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+61406183619
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05451108