Breast Reconstruction SurgeryNCT06556654
Tissue Reinforcement for Breast Reconstruction (TRBR) Pivotal Clinical Study (REDEFINE)
A study testing TRBR Device in people with Breast Reconstruction Surgery, run by W.L.Gore & Associates at 20 sites in United States.
Trial summary
The GORE Tissue Reinforcement for Breast Reconstruction (TRBR) research study will look at breast reconstruction during mastectomy procedures. There will be two arms in this study, a Treatment Arm, where data will be collected for a new medical device called the Tissue Reinforcement for Breast Reconstruction (TRBR)… Read more about this study
- Who is it for?
- Ages 22 years and older, women only
- Conditions the study is for
- Breast Reconstruction Surgery
- What is being tested?
- TRBR Device
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 180 participants
- Where
- 20 sitesUnited States
- Study dates
- 9 Apr 2025to Jul 2030
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 22 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Female subjects ≥ 22 years of age.
- First-time breast reconstruction post-mastectomy for target breast(s).
- Scheduled to undergo unilateral or bilateral mastectomy with immediate, two-stage, implant-based, subpectoral or prepectoral breast reconstruction after mastectomy.
- Mastectomy performed to address breast cancer or for cancer prophylaxis.
- An informed consent form is signed by Subject or Legally Authorized Representative (LAR).
- Subject is capable of following protocol procedures and complying with follow-up visit requirements
Who cannot join
- Baseline Exclusion Criteria
- Subject has had a revision(s) in the target breast(s) following complications of breast augmentation, mastopexy (breast lift), or breast reduction.
- Subject has undergone previous radiation therapy to the reconstruction site or chest wall.
- Subject has had chemotherapy within 3 weeks prior to the index procedure.
- Subject has been treated for a systemic infection or local infection at the surgical site within 30 days prior to index procedure.
- Subject has a current or previous diagnosis of Methicillin-resistant Staphylococcus aureus (MRSA).
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- Subject has a BMI > 35.
- Subject has a known diagnosis of diabetes with a HbA1c > 7.0mmol/L within 30 days of the Index procedure (i.e., TE placement).
- Subject was a current or former tobacco/nicotine user, within 90 days prior to Index Surgery (i.e., TE placement).
- Subject is currently taking medication (e.g., systemic steroid), 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 informed consent, completion of tests, therapy, or follow-up.
- Subject is currently participating in or planning to participate in another investigational drug, biologic or medical device study that may interfere with compliance of TBR 22-07 study requirements or may confound TBR 22-07 study data/outcomes.
- Subject requires a surgical technique requiring flap (autologous tissue).
- Subject is pregnant or lactating at the time of the index procedure (i.e., TE placement) or is planning to become pregnant prior to the Exchange procedure. Intraoperative Index Procedure Exclusion
- Based on investigator's opinion, subject has unsuitable tissue integrity for immediate 2-stage breast reconstruction or is no longer a candidate to receive the TRBR Device (will be recorded as a screen failure).
- Subject receives an Acellular Dermal Matrix (ADM) or mesh that is not the TRBR Device in the target breast(s)
Trial locations and contacts
20 sites in 1 country. Contact the study team or a site near you to ask about taking part.
20 sites in 1 country
United States20 sites, 20 recruiting
- Recruiting
The Johns Hopkins University
Baltimore, Maryland, 21205
Carisa Cooney, 443-287-4629, ccooney3@jhmi.edu
Damon Cooney, MD, PhD
- Not yet recruiting
The Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Rothy Rim, 216-444-7277, RIMR@ccf.org
Risal Djohan, MD
- Recruiting
Endeavor Health (Northshore University HealthSystem Research Institute)
Evanston, Illinois, 60201-3137
Riley Medenwald, 847-570-3944, rmedenwald@northshore.org
Mark Sisco, MD
- Recruiting
Northwestern University
Evanston, Illinois, 60208
Anna Whitney, 312-695-5674, anna.whitney@nm.org
Robert Galiano, MD
- Recruiting
Corewell Health Research Institute
Grand Rapids, Michigan, 49503
Megan Kruizenga, 616-502-5571, megan.kruizenga@corewellhealth.org
Ronald Ford, MD
- Not yet recruiting
The Regents of the University of California
Irvine, California, 92697-7600
Anthony Warner, 714-456-7890, acwarner@hs.uci.edu
Gordon Lee, MD
- Recruiting
University of Mississippi
Jackson, Mississippi, 39216
Eldrin Eldrin Bhanat, 601-815-1568, ebhanat@umc.edu
Laxmi Laxmi Dhungel, (601) 984-5075, ldhungel@umc.edu
- Recruiting
Mayo Clinic Florida
Jacksonville, Florida, 32224
Franky LoCascio, 904-953-4024, LoCascio.Frank@mayo.edu
Brian Rinker, MD
- Not yet recruiting
Cedars-Sinai Plastic and Reconstruction Surgery
Los Angeles, California, 90048
Michael Fernandez, 310-423-2129, michael.fernandez2@cshs.org
David Kulber, MD
- Recruiting
The Board of Regents of the University of Wisconsin System
Madison, Wisconsin, 53715
Nicole Byington, 608-265-6858, byington@surgery.wisc.edu
Nura Said, said@surgery.wisc.edu
- Not yet recruiting
The Medical College of Wisconsin, Inc.
Milwaukee, Wisconsin, 53226
Krissa Packard, 414-955-1861, kpackard@mcw.edu
John LoGiudice, MD
- Recruiting
Riverside University Health System-Medical Center
Moreno Valley, California, 92555
Ana Lopez, 951-486-7610, ana.lopez@ruhealth.org
Brian Eichenberg, MD, FACS
- Recruiting
The Joan and Sanford I. Weill Medical College of Cornell University
New York, New York, 10065
Ananya Sen, 646-962-6445, ase4003@med.cornell.edu
David Otterburn, MD
- Recruiting
The Board of Regents of the University of Nebraska
Omaha, Nebraska, 68198-5331
Jaicy Omega, 402-559-0488, jaicy.omega@unmc.edu
Heidi Hon, MD
- Recruiting
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Robyn Broach, 215-662-7300, Robyn.broach@pennmedicine.upenn.edu
Said Azoury, MD
- Recruiting
The Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
Erin Stratton, 215-728-4784, Erin.Stratton@fccc.edu
Sameer Patel, MD, FACS
- Recruiting
Mayo Clinic Arizona
Scottsdale, Arizona, 85259
Debbie Ryan, 480-342-1208, ryan.debra29@mayo.edu
William Casey III, MD
- Recruiting
The University of Washington Medical Center
Seattle, Washington, 98195
Alex Ruiz, 206-221-3883, aruiz06@uw.edu
Louie Otway, MD
- Recruiting
University of Arizona
Tucson, Arizona, 85724
Fleur Maturo, 520-621-8296, fleurmartinez@arizona.edu
Geoffrey Gurtner, MD, FACS
- Recruiting
BR Hope LLC
Wichita, Kansas, 67206
Sherri Newlin, 316-263-2013, sherrinewlin88@gmail.com
Therese Cusick, MD
About this study
Official title: Evaluation of the Safety and Effectiveness of the GORE® Tissue Reinforcement for Breast Reconstruction Device (TRBR Device) When Used in the Reinforcement of Breast Reconstruction
The GORE Tissue Reinforcement for Breast Reconstruction (TRBR) research study will look at breast reconstruction during mastectomy procedures. There will be two arms in this study, a Treatment Arm, where data will be collected for a new medical device called the Tissue Reinforcement for Breast Reconstruction (TRBR) Device and a Control Arm where data will be collected from subjects who have previously had surgery and received no additional tissue reinforcement in their breast reconstruction surgery. This research study will look at the safety of the Study Device and the success of the participants breast reconstruction. The Study Device is investigational, which means it has not yet been used nor approved by the FDA for this treatment. The data collected in this study will be compared to the data collected in the Control Arm.
- Conditions
- Breast Reconstruction Surgery
- Being tested
- TRBR Device
- Keywords
- breast reconstruction, post-mastectomy, tissue expander, implant based breast reconstruction, two-stage, immediate, subpectoral, prepectoral
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TRBR DeviceDevice
The GORE® Tissue Reinforcement for Breast Reconstruction device is intended to reinforce the soft tissue surrounding the tissue expander in preparation for the breast implant in post-mastectomy breast reconstruction
| Study group | Role | What they receive |
|---|---|---|
| Prospective Arm | Experimental | Prospectively treated subjects who undergo two-stage implant-based breast reconstruction with the TRBR Device (TRBR Device group) Receives: Device: TRBR Device |
What is being measured
The primary outcome is the main question the study is designed to answer.
Absence of device- or procedure-related major adverse events (MAEs)
Require rehospitalization or reoperation
Measured: 1 year post index procedure
Secondary outcomes (1)
BREAST-Q Physical Well Being
Chest Score change from baseline (pre-index procedure).
Measured: 1-year post-index procedure.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Aug 2024
- Study start9 Apr 2025
- Primary completionJul 2027 (estimated)
- Study completionJul 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Breast Reconstruction SurgeryStudies of the same condition, open and under way.
- More trials run by W.L.Gore & AssociatesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Model description
- This study is a investigational, multi-center, single-arm pivotal study to review safety outcomes of prospectively treated subjects who underwent two-stage implant-based breast reconstruction with the TRBR Device (TRBR Device group) to control subjects who underwent two-stage implant-based breast reconstruction with no mesh/ADM (Control group). Effectiveness of TRBR will be evaluated by comparing change from baseline (pre-index procedure) at 1-year post-index procedure in BREAST-Q.
- Masking
- None (open label)
- Enrolment
- 180 participants (estimated)
Sponsor and investigators
- Lead sponsor
- W.L.Gore & Associates
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Avania
- Responsible party
- Sponsor
- Investigators
- Dennis Hammond, MD, Principal investigator, Partners in Plastic Surgery of West Michigan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06556654
- Sponsor's protocol ID
- TBR 22-07
- Status last verified
- Oct 2025
- First submitted
- 16 Jul 2024
- Last updated
- 23 Oct 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Oct 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of the Safety and Effectiveness of the GORE® Tissue Reinforcement for Breast Reconstruction Device (TRBR Device) When Used in the Reinforcement of Breast Reconstruction
- ClinicalTrials.gov ID
- NCT06556654
- Acronym / sponsor ID
- TBR 22-07
- Conditions
- Breast Reconstruction Surgery
- Keywords
- breast reconstruction, post-mastectomy, tissue expander, implant based breast reconstruction, two-stage, immediate, subpectoral, prepectoral
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 180 participants (estimated)
- Lead sponsor
- W.L.Gore & AssociatesIndustry (pharma, biotech, devices)
- Collaborators
- Avania
- Study start
- 9 Apr 2025 (actual)
- Primary completion
- Jul 2027 (estimated)
- Study completion
- Jul 2030 (estimated)
- First posted
- 16 Aug 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The GORE Tissue Reinforcement for Breast Reconstruction (TRBR) research study will look at breast reconstruction during mastectomy procedures. There will be two arms in this study, a Treatment Arm, where data will be collected for a new medical device called the Tissue Reinforcement for Breast Reconstruction (TRBR) Device and a Control Arm where data will be collected from subjects who have previously had surgery and received no additional tissue reinforcement in their breast reconstruction surgery. This research study will look at the safety of the Study Device and the success of the participants breast reconstruction. The Study Device is investigational, which means it has not yet been used nor approved by the FDA for this treatment. The data collected in this study will be compared to the data collected in the Control Arm.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- This study is a investigational, multi-center, single-arm pivotal study to review safety outcomes of prospectively treated subjects who underwent two-stage implant-based breast reconstruction with the TRBR Device (TRBR Device group) to control subjects who underwent two-stage implant-based breast reconstruction with no mesh/ADM (Control group). Effectiveness of TRBR will be evaluated by comparing change from baseline (pre-index procedure) at 1-year post-index procedure in BREAST-Q.
| Arm | Type | Receives |
|---|---|---|
| Prospective Arm | Experimental | Device: TRBR DeviceProspectively treated subjects who undergo two-stage implant-based breast reconstruction with the TRBR Device (TRBR Device group) |
Who may qualify
- Ages
- 22 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Female subjects ≥ 22 years of age.
- First-time breast reconstruction post-mastectomy for target breast(s).
- Scheduled to undergo unilateral or bilateral mastectomy with immediate, two-stage, implant-based, subpectoral or prepectoral breast reconstruction after mastectomy.
- Mastectomy performed to address breast cancer or for cancer prophylaxis.
- An informed consent form is signed by Subject or Legally Authorized Representative (LAR).
Key exclusion criteria (16 listed)
- Baseline Exclusion Criteria
- Subject has had a revision(s) in the target breast(s) following complications of breast augmentation, mastopexy (breast lift), or breast reduction.
- Subject has undergone previous radiation therapy to the reconstruction site or chest wall.
- Subject has had chemotherapy within 3 weeks prior to the index procedure.
- Subject has been treated for a systemic infection or local infection at the surgical site within 30 days prior to index procedure.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TRBR DeviceThe GORE® Tissue Reinforcement for Breast Reconstruction device is intended to reinforce the soft tissue surrounding the tissue expander in preparation for the breast implant in post-mastectomy breast reconstruction | Device | Prospective Arm |
Primary outcome
Absence of device- or procedure-related major adverse events (MAEs)
Time frame: 1 year post index procedure
Require rehospitalization or reoperation
1 secondary outcome
BREAST-Q Physical Well Being
Time frame: 1-year post-index procedure.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Oct 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Dennis Hammond, MD principal investigator
Partners in Plastic Surgery of West Michigan
20 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing TRBR Device in people with Breast Reconstruction Surgery, run by W.L.Gore & Associates at 20 sites in United States.
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 6 inclusion and 16 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: looking for participants now, as of the sponsor's last update on 23 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 20 sites in United States. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Ariana O'Neill (1 800-437-8181, TBR22-07@wlgore.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Absence of device- or procedure-related major adverse events (MAEs) (time frame: 1 year post index procedure). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 23 Oct 2025.