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Genetic PredispositionMRIMOPNCT03838549

Pre Pectoral Implant for Immediate Breast Reconstruction Using Single Port Endoscopy in Prophylactic Indication

A study testing Prophylactic mastectomy with immediate breast reconstruction in people with Genetic Predisposition and Breast Cancer, run by University Hospital, Montpellier at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Implant-based reconstruction is currently the most common choice for mastectomy reconstruction. Whatever the choice of mastectomy incision, a scar remains on or near the breast volume. Read more about this study

Who is it for?
Ages 20 years and older, women only
Conditions the study is for
Genetic Predisposition, Breast Cancer
What is being tested?
Prophylactic mastectomy with immediate breast reconstruction
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteFrance
Study dates
26 Apr 2019to 26 Sep 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient with an indication for prophylactic uni or bilateral mastectomy (Genetic risk factors for breast cancer)
  • Ask an immediate breast reconstruction during the surgery
  • World Heath Organization score <3
  • Glandular volume : french bra cup size A, B ou C
  • Glandular ptosis <=2 (Classification and Algorithm for Treatment of Breast Ptosis)
  • Contraception for woman of childbearing age and no pregnancy
  • Valid Social Security
  • Wrote consent

Who cannot join

  • History of breast cancer surgery
  • Breast cancer not operated on the side concerned by the prophylactic mastectomy
  • Patient having had irradiant treatment
  • Breast hypertrophy
  • Smoking > 10 cigarette/day
  • Body Mass Index > 30
Show all 15Show fewer
  • Large breast volume requiring prostheses > 500ml
  • Chronic pulmonary obstructive gold 4
  • ASA (Physical Status score of American Society of Anesthesiologists) > 3
  • Chronic shoulder pain on the side to operate, or both shoulders
  • History of abarticular pathology of the shoulder on the operating side
  • Patient involvment in another clinical research
  • Protected patient or unable to give consent
  • Pregnant or breastfeeding woman
  • Vulnerable person (Article L1121-6 of the Public Health Code)

Trial locations and contacts

1 site in 1 country.

France1 site
  • Montpellier University Hospital

    Montpellier, Hérault, 34295

Other trials in France

About this study

Implant-based reconstruction is currently the most common choice for mastectomy reconstruction. Whatever the choice of mastectomy incision, a scar remains on or near the breast volume. Current techniques involve partial or total coverage of the implant with the pectoralis major muscle, to prevent exposure or infection. The muscle dissection technique applied has functional and cosmetic consequences. In this study, an endoscopic approach will be evaluated. This new surgical technique, using a single-port endoscopic way, will put the scar is in the axillary area, away from the breast. The hypothesis is that this delocalized scar potentially reduces the risk of exposure and allows placement of the implant in the subcutaneous space, with no manipulation of the pectoralis major muscle.

Read the detailed description

It s a practicability study, evaluating endoscopic approach for prophylactic mastectomy, using an axillary single port. Classic open surgery conversion rate, operative time, infectious rate, esthetical outcomes, and functional outcomes will be evaluated.

Being tested
Prophylactic mastectomy with immediate breast reconstruction
Keywords
Prophylactic Surgical Procedure, Subcutaneous Mastectomy, Endoscopy, Breast Reconstruction, Breast Implants
Medical subject headings
Genetic Predisposition to Disease, Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Prophylactic mastectomy with immediate breast reconstructionProcedure or surgery

    It is an endoscopic approach for prophylactic mastectomy using an axillary single port

Study groups in NCT03838549
Study groupRoleWhat they receive
implant for breast reconstructionExperimental20 patients female with genetic risk for breast cancer and who ask for prophylactic mastectomy. They will have a prophylactic mastectomy with immediate breast reconstruction
Receives: Procedure: Prophylactic mastectomy with immediate breast reconstruction

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. success rate of total mastectomy

    The total mastectomy is done by a scar in the axillary area, away from the breast, using single port endoscopy, with Implant base reconstruction in pre pectoral position.

    Complete excision of the gland by means of an incision on the axillary line, Installation of a definitive smooth prosthesis, Absence of conversion to a conventional approach, No skin necrosis

    Measured: one day

Secondary outcomes (17)
  1. Operative time

    Duration of the prophylactic mastectomy with immediate breast reconstruction

    Measured: one day

  2. Open surgery conversion rate

    Open surgery conversion rate

    Measured: one day

  3. Number of participants with an infection

    Number of participants with early postoperative infection two months after the prophylactic mastectomy

    Measured: 1 and 3 months after the prophylactic mastectomy

  4. Blood loss

    Blood loss (milliliters) during the prophylactic mastectomy with immediate breast reconstruction

    Measured: one day

  5. Number of participants with a local haematoma

    Number of participants with a local haematoma caused by the prophylactic mastectomy with immediate breast reconstruction

    Measured: Between the day of the prophylactic mastectomy and a month later

  6. Disunity of the scar

    Number of patients with disunity of the scar after the prophylactic mastectomy

    Measured: 1, 3, 6 and 12 months after the prophylactic mastectomy

  7. Exposure of the prosthesis

    Number of patients with the prothesis exposed after the prophylactic mastectomy

    Measured: 1, 3, 6 and 12 months after the prophylactic mastectomy

  8. Post-operative seromas after the prophylactic mastectomy

    Number of patients with seromas after the prophylactic mastectomy

    Measured: 1, 3, 6 and 12 months after the prophylactic mastectomy

  9. Complication rate of subcutaneous insufflation

    Refractory induced hypercapnia: EtCO2 (expired fraction of CO2)> 45mmHg and refractory to ventilation ; second degree secondary burn

    Measured: 3 and 12 months after the prophylactic mastectomy

  10. Skin case necrosis

    The presence of skin case necrosis will be noted during all the visits after the surgery. It's severe if > 25%

    Measured: 1, 3, 6 and 12 months after the prophylactic mastectomy

  11. Necrosis of areolo-nipple plaque

    The presence of necrosis of areolo-nipple plaque will be noted during all the visits after the surgery.

    Measured: 1, 3, 6 and 12 months after the prophylactic mastectomy

  12. Analogue visual scale (EVA)

    The level of pain of the operated breasts will be self-assessed by the patient with EVA at 1, 3, 6, 12 months after the surgery. EVA is mesured between 0 and 10 (0: no pain ; 10: extremely intense pain)

    Measured: 1, 3, 6 and 12 months after the prophylactic mastectomy

  13. Hospital stay

    The duration of hospitalization will be noted upon discharge from hospitalization

    Measured: Through discharge from hospitalization, an average of 7 days

  14. Aesthetic result

    BREAST-Q© questionnaire Version 2.0 measure the quality of life and satisfaction among patients undergoing breast surgery. This questionnaire includes 6 modules: 1) Augmentation module, 2) Reduction/Mastectomy module, 3) Breast cancer: a) Mastectomy module, b) Reconstruction module, c) Breast reconstruction expectations module, d) Breast conserving therapy module.

    The conceptual framework of the modules is comprised of following two overarching themes (or domains): 1) Health-related quality of life and 2) Patient satisfaction. 1) Under each of these domains, there are six subthemes; Quality of life: 1) Psychosocial, 2) Physical and 3) Sexual well-being; and Patient satisfaction: 4) Satisfaction with Breasts, 5) Satisfaction with Outcome and 6) Satisfaction with care.

    Cf. https://qportfolio.org/wp-content/uploads/2020/BREAST-Q-USERS-GUIDE-V2.pdf for the response options.

    Measured: 3 and 12 months after the prophylactic mastectomy

  15. Need for cosmetic reoperation

    the need to use one or more lipomodelages

    Measured: 3 and 12 months after the prophylactic mastectomy

  16. Shoulder function

    Evaluation of the Constant score by a physiotherapist from the gynecology Department. The Constant score includes 5 items: Pain [0;5], Daily activity level [0;10], Level of work with the hand [0;10], Mobility [0;40] and Muscular force [0;25].

    The Constant score is mesured between 0 and 100. The higher the score, the fewer problems there are for the patient, 100 is the ideal score.

    Measured: 3 months after the prophylactic mastectomy

  17. Life quality

    Quality of life with an european quality of life scale (EQ-5D-3L). The EQ-5D-3L descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, and extreme problems. Rated level can be coded as a number 1, 2, or 3, which indicates having no problems for 1, having some problems for 2, and having extreme problems for 3. As a result, a person's health status can be defined by a 5-digit number, ranging from 11111 (having no problems in all dimensions) to 33333 (having extreme problems in all dimensions).

    Measured: 3 and 12 months after the prophylactic mastectomy

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Feb 2019
  2. Study start26 Apr 2019
  3. Primary completion26 Sep 2025
  4. Study completion26 Sep 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03838549
Sponsor's protocol ID
RECHMPL18_0244
Other IDs
UF 7672
Acronym
MRIMOP
Status last verified
Dec 2025
First submitted
8 Feb 2019
Last updated
24 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Jakub JW, Peled AW, Gray RJ, Greenup RA, Kiluk JV, Sacchini V, McLaughlin SA, Tchou JC, Vierkant RA, Degnim AC, Willey S. Oncologic Safety of Prophylactic Nipple-Sparing Mastectomy in a Population With BRCA Mutations: A Multi-institutional Study. JAMA Surg. 2018 Feb 1;153(2):123-129. doi: 10.1001/jamasurg.2017.3422.

    PubMed 28903167
  • Colwell AS, Christensen JM. Nipple-Sparing Mastectomy and Direct-to-Implant Breast Reconstruction. Plast Reconstr Surg. 2017 Nov;140(5S Advances in Breast Reconstruction):44S-50S. doi: 10.1097/PRS.0000000000003949.

    PubMed 29064921
  • Muller T, Baratte A, Bruant-Rodier C, Bodin F, Mathelin C. Oncological safety of nipple-sparing prophylactic mastectomy: A review of the literature on 3716 cases. Ann Chir Plast Esthet. 2018 Jun;63(3):e6-e13. doi: 10.1016/j.anplas.2017.09.005. Epub 2017 Oct 10.

    PubMed 29030030
  • Casella D, Di Taranto G, Marcasciano M, Sordi S, Kothari A, Kovacs T, Lo Torto F, Cigna E, Ribuffo D, Calabrese C. Nipple-sparing bilateral prophylactic mastectomy and immediate reconstruction with TiLoop(R) Bra mesh in BRCA1/2 mutation carriers: A prospective study of long-term and patient reported outcomes using the BREAST-Q. Breast. 2018 Jun;39:8-13. doi: 10.1016/j.breast.2018.02.001. Epub 2018 Feb 18.

    PubMed 29455110
  • Miyake R, Kinoshita S, Shimada N, Uchida K, Takeyama H, Morikawa T. Preservation of the nipple-areola complex in skin-sparing mastectomy for early breast cancer. Surg Today. 2018 Jun;48(6):591-597. doi: 10.1007/s00595-018-1633-z. Epub 2018 Feb 21.

    PubMed 29468434
  • Co M, Chiu R, Chiu TM, Chong YC, Lau S, Lee YH, To HM, Kwong A. Nipple-Sparing Mastectomy and Its Application on BRCA Gene Mutation Carrier. Clin Breast Cancer. 2017 Dec;17(8):581-584. doi: 10.1016/j.clbc.2017.02.001. Epub 2017 Feb 14.

    PubMed 28428099
  • Ter Louw RP, Nahabedian MY. Prepectoral Breast Reconstruction. Plast Reconstr Surg. 2017 Nov;140(5S Advances in Breast Reconstruction):51S-59S. doi: 10.1097/PRS.0000000000003942.

    PubMed 29064922
  • Mitchell MP, Wagner J, Butterworth J. Subcutaneous implant-based breast reconstruction, a modern challenge in postmastectomy radiation planning. Pract Radiat Oncol. 2018 May-Jun;8(3):153-156. doi: 10.1016/j.prro.2017.09.001. Epub 2017 Sep 8.

    PubMed 29233522
  • Sbitany H, Piper M, Lentz R. Prepectoral Breast Reconstruction: A Safe Alternative to Submuscular Prosthetic Reconstruction following Nipple-Sparing Mastectomy. Plast Reconstr Surg. 2017 Sep;140(3):432-443. doi: 10.1097/PRS.0000000000003627.

    PubMed 28574950
  • Highton L, Johnson R, Kirwan C, Murphy J. Prepectoral Implant-Based Breast Reconstruction. Plast Reconstr Surg Glob Open. 2017 Sep 19;5(9):e1488. doi: 10.1097/GOX.0000000000001488. eCollection 2017 Sep.

    PubMed 29062655
  • Heidemann LN, Gunnarsson GL, Salzberg CA, Sorensen JA, Thomsen JB. Complications following Nipple-Sparing Mastectomy and Immediate Acellular Dermal Matrix Implant-based Breast Reconstruction-A Systematic Review and Meta-analysis. Plast Reconstr Surg Glob Open. 2018 Jan 12;6(1):e1625. doi: 10.1097/GOX.0000000000001625. eCollection 2018 Jan.

    PubMed 29464161
  • Glasberg SB. The Economics of Prepectoral Breast Reconstruction. Plast Reconstr Surg. 2017 Dec;140(6S Prepectoral Breast Reconstruction):49S-52S. doi: 10.1097/PRS.0000000000004051.

    PubMed 29166348
  • Kompatscher P. Endoscopic capsulotomy of capsular contracture after breast augmentation: a very challenging therapeutic approach. Plast Reconstr Surg. 1992 Dec;90(6):1125-6. doi: 10.1097/00006534-199212000-00049. No abstract available.

    PubMed 1448521
  • Lai HW, Chen ST, Chen DR, Chen SL, Chang TW, Kuo SJ, Kuo YL, Hung CS. Current Trends in and Indications for Endoscopy-Assisted Breast Surgery for Breast Cancer: Results from a Six-Year Study Conducted by the Taiwan Endoscopic Breast Surgery Cooperative Group. PLoS One. 2016 Mar 7;11(3):e0150310. doi: 10.1371/journal.pone.0150310. eCollection 2016.

    PubMed 26950469
  • Lai HW, Lin HY, Chen SL, Chen ST, Chen DR, Kuo SJ. Endoscopy-assisted surgery for the management of benign breast tumors: technique, learning curve, and patient-reported outcome from preliminary 323 procedures. World J Surg Oncol. 2017 Jan 11;15(1):19. doi: 10.1186/s12957-016-1080-5.

    PubMed 28077134

Questions about this trial

What is this clinical trial studying?

A study testing Prophylactic mastectomy with immediate breast reconstruction in people with Genetic Predisposition and Breast Cancer, run by University Hospital, Montpellier at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

success rate of total mastectomy (time frame: one day). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03838549, which also lists 27 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Apr 2026.

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