Clinical Trial on the Efficacy and Safety of Biodegradable 3D-Printed Implants in Chest Wall Reconstruction Surgery

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorTang-Du Hospital

About this trial

This project focuses on patients with chest wall tumors who are expected to have a maximum intraoperative anterolateral chest wall defect diameter of 5-10 cm and require chest wall reconstruction with rib implants. It aims to evaluate the efficacy and safety of biodegradable 3D-printed implants in chest wall reconstruction surgery, providing a superior reconstruction strategy for patients with tumor-induced chest wall defects.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged 18-70 years;

No gender restriction;

ECOG Performance Status 0-1;

Chest CT-confirmed chest wall-originating tumor;

Disqualifiers

Patients with posterior chest wall defects;

Uncontrolled underlying medical conditions or contraindications to general anesthesia;

Pregnant or lactating women;

Concurrent severe comorbidities that may interfere with study evaluations, including: Severe hepatic, cardiac, or renal diseases; Active malignancies (other than the indicated chest wall tumor); Alcohol use disorder

Trial design

Design model

Single group

Treatments tested in this trial

  • Chest wall reconstruction

    Device

    Extended resection of chest wall tumors with subsequent biodegradable polycaprolactone (PCL) 3D-printed rib prosthetic reconstruction

Treatment groups

20 Participants
are divided into 1 treatment group
Group A: Chest wall reconstructionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Abnormal breathing

Observe the integrity of the chest wall shape and the presence of abnormal breathing

Time frame
Postoperative 1 month, 3 months, 6 months, and 12 months
2

Implant Degradation Performance Monitoring

Thin-section chest CT + 3D imaging (DICOM format data) * Implant volume changes: Precise measurement of volumetric changes through 3D reconstruction; * Implant density changes: Quantification of density changes using Hounsfield Units (HU values), including adjacent bone tissue changes; ③ Bone resorption/formation: Observation of potential bone loss or new bone formation; ④ Implant structural integrity: Assessment for cracks, voids, or other structural compromises.

Time frame
Postoperative 1 month, 3 months, 6 months, and 12 months
3

Peri-implant Soft Tissue Evaluation

Chest MRI to evaluate thickening of the pleural fibrous layer surrounding the implant

Time frame
Postoperative 1 month, 3 months, 6 months, and 12 months

Secondary outcomes

1

Changes in respiratory function--Pulmonary Function Test

The assessment of changes in respiratory function through pulmonary function tests includes indicators such as Forced Vital Capacity (FVC), Forced Expiratory Volume in the First Second (FEV₁), Total Lung Capacity (TLC), Residual Volume (RV), and Maximum Voluntary Ventilation (MVV).

Time frame
Postoperative 1 month, 3 months, 6 months, and 12 months
2

Adverse events

Time frame
form date of enrollment until the end of the study, assessed up to 12 months

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: