UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062117
Receipt number R000070971
Scientific Title A Prospective Observational Study to Evaluate the Safety of Implant-Based Breast Reconstruction with Prepectoral Placement in Breast Surgery
Date of disclosure of the study information 2026/07/02
Last modified on 2026/07/02 11:34:59

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Basic information

Public title

A Prospective Observational Study to Evaluate the Safety of Implant-Based Breast Reconstruction with Prepectoral Placement in Breast Surgery

Acronym

Ganken Prepectoral Reconstruction Study

Scientific Title

A Prospective Observational Study to Evaluate the Safety of Implant-Based Breast Reconstruction with Prepectoral Placement in Breast Surgery

Scientific Title:Acronym

Ganken Prepectoral Reconstruction Study

Region

Japan


Condition

Condition

Breast Cancer: Hereditary Breast and Ovarian Cancer Syndrome

Classification by specialty

Breast surgery Plastic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

This study aims to clarify the safety of placing tissue expanders or gel-filled breast implants in front of the pectoralis major muscle in patients undergoing nipple-sparing mastectomy.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Incidence of major complications, infection, reoperation, and implant removal or loss) within 90 days following prepectoral expander or implant placement

Key secondary outcomes

Surgical Outcomes: Operating time, time required for reconstruction, intraoperative blood loss, length of hospital stay, and number of days until drain removal
Aesthetic Evaluation: Postoperative breast aesthetics are evaluated using the Harvard Scale (assessed by the attending physician and two other physicians) for subjective evaluation, and BCCT.core for objective evaluation.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Patients aged 18 to 75 years at the time of study enrollment;
2) Patients receiving outpatient treatment at this hospital;
3) Patients with clinical stage cTis, 1-2, N0 breast cancer or patients with hereditary breast and ovarian cancer syndrome (HBOC) who are scheduled for risk-reducing mastectomy (RRM)
4) Patients who wish to undergo minimally invasive breast surgery (endoscopic or robot-assisted nipple-sparing mastectomy) followed by postoperative breast reconstruction using implants
5) Patients with no extension or invasion into the nipple-areola complex (NAC) or the skin;
6) Patients who have obtained a skin flap thickness of 1 cm or more, or patients who have secured a breast skin flap thickness of 5 mm or more and are deemed to have no issues with skin blood flow as assessed by methods such as ICG fluorescence angiography;
7) patients who can tolerate general anesthesia

Key exclusion criteria

1) Smokers (at the time consent is obtained)
2) Obese individuals (BMI of 30 or higher at the time consent is obtained)
3) Any other individuals deemed unsuitable by the physician

Target sample size

130


Research contact person

Name of lead principal investigator

1st name Takayuki
Middle name
Last name Ueno

Organization

Cancer Institute Hospital of JFCR

Division name

Breast Surgical Oncology, Breast Center

Zip code

1358550

Address

Ariake 3-8-31, Koto-ku, Tokyo, Japan

TEL

0335200111

Email

takehiko.sakai@jfcr.or.jp


Public contact

Name of contact person

1st name Takehiko
Middle name
Last name Sakai

Organization

Cancer Institute Hospital of JFCR

Division name

Breast Surgical Oncology, Breast Center

Zip code

1358550

Address

3-8-31, Ariake, Koto,

TEL

0335200111

Homepage URL


Email

takehiko.sakai@jfcr.or.jp


Sponsor or person

Institute

Cancer Institute Hospital of JFCR

Institute

Department

Personal name

Takehiko Sakai


Funding Source

Organization

Cancer Institute Hospital of JFCR

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical Research Review and Management Office

Address

Ariake3-8-31, Koto-ku

Tel

0335200111

Email

med.shinsa@jfcr.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 07 Month 02 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2026 Year 06 Month 23 Day

Date of IRB

2026 Year 07 Month 01 Day

Anticipated trial start date

2026 Year 07 Month 02 Day

Last follow-up date

2031 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

For eligible cases in which patient consent has been obtained, the following clinical and pathological information will be extracted:
1. Clinical findings (age, height, weight, medical history, family history, smoking history)
2. Clinicopathological findings (clinical stage, preoperative and postoperative information on breast cancer)
3. Surgical details (mastectomy, axillary lymph node dissection, breast reconstruction)
4. Hospital course and presence or absence of perioperative complications
5. Treatment (details of perioperative treatment)


Management information

Registered date

2026 Year 07 Month 02 Day

Last modified on

2026 Year 07 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070971