Autologous Fat Grafting for Total Breast Reconstruction in Irradiated Breast Cancer Patients
NCT07641985 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 280
Last updated 2026-08-21
Summary
The goal of this clinical trial is to learn whether autologous fat transfer (AFT) is as effective and safe as Deep Inferior Epigastric Perforator (DIEP) flap breast reconstruction in irradiated breast cancer patients following mastectomy. It will also evaluate patient satisfaction, quality of life, complication rates, and cost-effectiveness of both reconstruction techniques. The main questions it aims to answer are:
Does AFT result in non-inferior patient satisfaction with the reconstructed breast compared to DIEP flap reconstruction 12 months after the final operation? Does AFT result in fewer major complications and improved cost-effectiveness compared to DIEP flap reconstruction? Are quality of life outcomes and oncologic safety comparable between AFT and DIEP flap reconstruction in irradiated patients?
Researchers will compare AFT to DIEP flap reconstruction to see if AFT can provide similar reconstructive outcomes with lower morbidity and fewer complications in irradiated breast cancer patients.
Participants will:
Undergo breast reconstruction using either AFT or DIEP flap reconstruction Attend follow-up visits for clinical examinations, imaging, and assessment of complications Complete questionnaires about breast satisfaction, quality of life, and recovery during follow-up Be monitored for oncologic safety and reconstructive outcomes for 12 months after the final operation
Conditions
- Breast Cancer
- Breast Reconstruction
- Breast Reconstruction After Mastectomy
- Breast Cancer Radiation
- Lipofilling
Interventions
- PROCEDURE
-
Autologous fat transfer
Autologous fat transfer as total breast reconstruction
- PROCEDURE
-
Deep inferior epigastric perforator flap
Deep inferior epigastric perforator flap as breast reconstruction
Sponsors & Collaborators
-
Academisch Ziekenhuis Maastricht
collaborator OTHER -
Maastricht University Medical Center
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-01
- Primary Completion
- 2032-07-01
- Completion
- 2032-07-01
Countries
- Netherlands
Study Locations
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