Viewing Study NCT07062458


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Study NCT ID: NCT07062458
Status: RECRUITING
Last Update Posted: 2025-07-14
First Post: 2025-06-18
Is NOT Gene Therapy: False
Has Adverse Events: False

Brief Title: A Comparative Study of Nipple Sensation Preservation After Nipple-Sparing Mastectomy With Conventional, Endoscopic, Robotic Techniques
Sponsor:
Organization:

Raw JSON

{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D012678', 'term': 'Sensation Disorders'}], 'ancestors': [{'id': 'D009461', 'term': 'Neurologic Manifestations'}, {'id': 'D009422', 'term': 'Nervous System Diseases'}, {'id': 'D012816', 'term': 'Signs and Symptoms'}, {'id': 'D013568', 'term': 'Pathological Conditions, Signs and Symptoms'}]}}, 'protocolSection': {'designModule': {'studyType': 'OBSERVATIONAL', 'designInfo': {'timePerspective': 'PROSPECTIVE', 'observationalModel': 'COHORT'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 90}, 'patientRegistry': False}, 'statusModule': {'overallStatus': 'RECRUITING', 'startDateStruct': {'date': '2025-06-01', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-07', 'completionDateStruct': {'date': '2027-12-01', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-07-10', 'studyFirstSubmitDate': '2025-06-18', 'studyFirstSubmitQcDate': '2025-07-10', 'lastUpdatePostDateStruct': {'date': '2025-07-14', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2025-07-14', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2027-12-01', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'measurement of nipple sensation preservation', 'timeFrame': 'This assessment will be conducted at four different times: • Before surgery, to assess baseline sensation. • 1 month after surgery. • 3 months after surgery. • 6 months after surgery.', 'description': 'The primary objective, the measurement of nipple sensation preservation, will be conducted using the Semmes-Weinstein esthesiometer. The clinician will use the device to touch the nipple and the surrounding quadrants of the skin, applying filaments of increasing calibers (0.07gr, 0.4gr, 2.0gr, 4.0gr, 300gr), and the lightest caliber perceived by the patient will be recorded.'}], 'secondaryOutcomes': [{'measure': 'surgical outcomes', 'timeFrame': 'from enrollment to 3 months', 'description': 'nipple-areola complex necrosis, skin flaps necrosis, infection, bleeding, seroma, wound dehiscence,'}, {'measure': 'anatomopathological findings', 'timeFrame': '30-60 days post-surgery', 'description': 'the presence or absence of sensory cutaneous receptors in the subcutaneous layer of the specimen and their possible correlation to the degree of cutaneous sensation'}, {'measure': 'PROMs', 'timeFrame': 'From enrollment to 6 monts postoperatively', 'description': 'Questionnaires will be administered to the patients to assess patient-reported outcomes: Hopwood Body Image Scale (score 0 to 30, higher scores meaning a worst outcome), and EORTC - European Organisation for Research and Treatment of Cancer, BR-23 questionnaire (no total score, each question compared individually between groups)'}]}, 'oversightModule': {'oversightHasDmc': False, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['Nipple sensation', 'Sensory outcomes', 'Quality of life', 'Endoscopic breast surgery', 'Robotic breast surgery', 'Breast cancer surgery', 'Nipple-sparing mastectomy', 'Breast reconstruction', 'R-NSM', 'E-NSM', 'conventional mastectomy'], 'conditions': ['Sensation Disorder']}, 'referencesModule': {'references': [{'pmid': '36351153', 'type': 'BACKGROUND', 'citation': 'Moortgat P, Anthonissen M, Van Daele U, Meirte J, Vanhullebusch T, Maertens K. Objective Assessment Techniques: Physiological Parameters in Scar Assessment. 2020 Dec 8. In: Teot L, Mustoe TA, Middelkoop E, Gauglitz GG, editors. Textbook on Scar Management: State of the Art Management and Emerging Technologies [Internet]. Cham (CH): Springer; 2020. Chapter 18. Available from http://www.ncbi.nlm.nih.gov/books/NBK586121/'}, {'pmid': '30688881', 'type': 'BACKGROUND', 'citation': 'Kostidou E, Schmelz M, Hasemaki N, Kokotis P. Objective Methods for Breast Sensibility Testing. Plast Reconstr Surg. 2019 Feb;143(2):398-404. doi: 10.1097/PRS.0000000000005200.'}, {'pmid': '33341386', 'type': 'BACKGROUND', 'citation': 'Tevlin R, Brazio P, Tran N, Nguyen D. Immediate targeted nipple-areolar complex re-innervation: Improving outcomes in immediate autologous breast reconstruction. J Plast Reconstr Aesthet Surg. 2021 Jul;74(7):1503-1507. doi: 10.1016/j.bjps.2020.11.021. Epub 2020 Dec 3.'}, {'pmid': '18443851', 'type': 'BACKGROUND', 'citation': 'Prado A, Andrades P, Benitez S, Parada F. Areola-nipple perception threshold to faradic electricity: a new measure of sensibility of the breasts. Aesthetic Plast Surg. 2008 Sep;32(5):748-52. doi: 10.1007/s00266-008-9148-4. Epub 2008 Apr 29.'}, {'pmid': '8343870', 'type': 'BACKGROUND', 'citation': 'Weinstein S. Fifty years of somatosensory research: from the Semmes-Weinstein monofilaments to the Weinstein Enhanced Sensory Test. J Hand Ther. 1993 Jan-Mar;6(1):11-22; discussion 50.'}, {'pmid': '17440341', 'type': 'BACKGROUND', 'citation': 'Santanelli F, Paolini G, Bittarelli D, Nofroni I. Computer-assisted evaluation of nipple-areola complex sensibility in macromastia and following superolateral pedicle reduction mammaplasty: a statistical analysis. Plast Reconstr Surg. 2007 May;119(6):1679-1683. doi: 10.1097/01.prs.0000258828.84107.59.'}, {'pmid': '26076217', 'type': 'BACKGROUND', 'citation': 'van Verschuer VM, Mureau MA, Gopie JP, Vos EL, Verhoef C, Menke-Pluijmers MB, Koppert LB. Patient Satisfaction and Nipple-Areola Sensitivity After Bilateral Prophylactic Mastectomy and Immediate Implant Breast Reconstruction in a High Breast Cancer Risk Population: Nipple-Sparing Mastectomy Versus Skin-Sparing Mastectomy. Ann Plast Surg. 2016 Aug;77(2):145-52. doi: 10.1097/SAP.0000000000000366.'}, {'pmid': '34829492', 'type': 'BACKGROUND', 'citation': 'Kasielska-Trojan A, Szulia A, Zawadzki T, Antoszewski B. The Assessment of Nipple Areola Complex Sensation with Semmes-Weinstein Monofilaments-Normative Values and Its Covariates. Diagnostics (Basel). 2021 Nov 19;11(11):2145. doi: 10.3390/diagnostics11112145.'}, {'pmid': '15862365', 'type': 'BACKGROUND', 'citation': 'Jerosch-Herold C. Assessment of sensibility after nerve injury and repair: a systematic review of evidence for validity, reliability and responsiveness of tests. J Hand Surg Br. 2005 Jun;30(3):252-64. doi: 10.1016/j.jhsb.2004.12.006.'}, {'pmid': '10724249', 'type': 'BACKGROUND', 'citation': 'Schlenz I, Kuzbari R, Gruber H, Holle J. The sensitivity of the nipple-areola complex: an anatomic study. Plast Reconstr Surg. 2000 Mar;105(3):905-9. doi: 10.1097/00006534-200003000-00012.'}, {'pmid': '31837172', 'type': 'BACKGROUND', 'citation': 'Bijkerk E, Cornelissen AJM, Sommer M, Van Der Hulst RRWJ, Lataster A, Tuinder SMH. Intercostal nerve block of the anterior cutaneous branches and the sensibility of the female breast. Clin Anat. 2020 Oct;33(7):1025-1032. doi: 10.1002/ca.23532. Epub 2019 Dec 23.'}, {'pmid': '26171100', 'type': 'BACKGROUND', 'citation': 'Riccio CA, Zeiderman MR, Chowdhry S, Brooks RM, Kelishadi SS, Tutela JP, Choo J, Yonick DV, Wilhelmi BJ. Plastic Surgery of the Breast: Keeping the Nipple Sensitive. Eplasty. 2015 Jul 2;15:e28. eCollection 2015.'}, {'pmid': '9213048', 'type': 'BACKGROUND', 'citation': 'Sarhadi NS, Shaw-Dunn J, Soutar DS. Nerve supply of the breast with special reference to the nipple and areola: Sir Astley Cooper revisited. Clin Anat. 1997;10(4):283-8. doi: 10.1002/(SICI)1098-2353(1997)10:43.0.CO;2-G.'}, {'pmid': '20195965', 'type': 'BACKGROUND', 'citation': 'Shridharani SM, Magarakis M, Stapleton SM, Basdag B, Seal SM, Rosson GD. Breast sensation after breast reconstruction: a systematic review. J Reconstr Microsurg. 2010 Jul;26(5):303-10. doi: 10.1055/s-0030-1249313. Epub 2010 Mar 1.'}, {'pmid': '27759590', 'type': 'BACKGROUND', 'citation': 'Rodriguez-Unda NA, Bello RJ, Clarke-Pearson EM, Sanyal A, Cooney CM, Manahan MA, Rosson GD. Nipple-Sparing Mastectomy Improves Long-Term Nipple But Not Skin Sensation After Breast Reconstruction: Quantification of Long-Term Sensation in Nipple Sparing Versus Non-nipple Sparing Mastectomy. Ann Plast Surg. 2017 Jun;78(6):697-703. doi: 10.1097/SAP.0000000000000900.'}, {'pmid': '30921114', 'type': 'BACKGROUND', 'citation': 'Peled AW, Amara D, Piper ML, Klassen AF, Tsangaris E, Pusic AL. Development and Validation of a Nipple-Specific Scale for the BREAST-Q to Assess Patient-Reported Outcomes following Nipple-Sparing Mastectomy. Plast Reconstr Surg. 2019 Apr;143(4):1010-1017. doi: 10.1097/PRS.0000000000005426.'}, {'pmid': '27393183', 'type': 'BACKGROUND', 'citation': 'Howard MA, Sisco M, Yao K, Winchester DJ, Barrera E, Warner J, Jaffe J, Hulick P, Kuchta K, Pusic AL, Sener SF. Patient satisfaction with nipple-sparing mastectomy: A prospective study of patient reported outcomes using the BREAST-Q. J Surg Oncol. 2016 Sep;114(4):416-22. doi: 10.1002/jso.24364. Epub 2016 Jul 8.'}, {'pmid': '9326148', 'type': 'BACKGROUND', 'citation': 'Benediktsson KP, Perbeck L, Geigant E, Solders G. Touch sensibility in the breast after subcutaneous mastectomy and immediate reconstruction with a prosthesis. Br J Plast Surg. 1997 Sep;50(6):443-9. doi: 10.1016/s0007-1226(97)90332-5.'}, {'pmid': '35915018', 'type': 'BACKGROUND', 'citation': 'Hammond JB, Kandi LA, Armstrong VL, Kosiorek HE, Rebecca AM, Casey WJ 3rd, Kruger EA, Cronin PA, Pockaj BA, Teven CM. Long-term breast and nipple sensation after nipple-sparing mastectomy with implant reconstruction: Relevance to physical, psychosocial, and sexual well-being. J Plast Reconstr Aesthet Surg. 2022 Sep;75(9):2914-2919. doi: 10.1016/j.bjps.2022.06.034. Epub 2022 Jun 20.'}, {'pmid': '27087574', 'type': 'BACKGROUND', 'citation': 'Dossett LA, Lowe J, Sun W, Lee MC, Smith PD, Jacobsen PB, Laronga C. Prospective evaluation of skin and nipple-areola sensation and patient satisfaction after nipple-sparing mastectomy. J Surg Oncol. 2016 Jul;114(1):11-6. doi: 10.1002/jso.24264. Epub 2016 Apr 18.'}, {'pmid': '31001911', 'type': 'BACKGROUND', 'citation': 'Shaffer K, Danko M, DeLaere A, Chant E, Pople B, Grisby S, Dekhne N. Patient satisfaction following nipple-sparing mastectomy and assessment of nipple-areolar sensation. Breast J. 2019 May;25(3):542-544. doi: 10.1111/tbj.13274. Epub 2019 Apr 18. No abstract available.'}, {'pmid': '23953096', 'type': 'BACKGROUND', 'citation': 'Gahm J, Hansson P, Brandberg Y, Wickman M. Breast sensibility after bilateral risk-reducing mastectomy and immediate breast reconstruction: a prospective study. J Plast Reconstr Aesthet Surg. 2013 Nov;66(11):1521-7. doi: 10.1016/j.bjps.2013.06.054. Epub 2013 Aug 13.'}, {'pmid': '32088917', 'type': 'BACKGROUND', 'citation': 'Akdeniz Dogan Z, Farhadi J. Evaluation of Sensation on Mastectomy Skin Flaps following Immediate Breast Reconstruction. J Reconstr Microsurg. 2020 Jul;36(6):420-425. doi: 10.1055/s-0040-1702157. Epub 2020 Feb 23.'}, {'pmid': '27113424', 'type': 'BACKGROUND', 'citation': 'Khan A, Zhang J, Sollazzo V, Mohammed K, Gui G. Sensory change of the reconstructed breast envelope after skin-sparing mastectomy. Eur J Surg Oncol. 2016 Jul;42(7):973-9. doi: 10.1016/j.ejso.2016.03.018. Epub 2016 Apr 9.'}, {'pmid': '25799052', 'type': 'BACKGROUND', 'citation': 'Laverdet B, Danigo A, Girard D, Magy L, Demiot C, Desmouliere A. Skin innervation: important roles during normal and pathological cutaneous repair. Histol Histopathol. 2015 Aug;30(8):875-92. doi: 10.14670/HH-11-610. Epub 2015 Mar 23.'}, {'pmid': '37491239', 'type': 'BACKGROUND', 'citation': 'Lai HW, Chang YL, Chandrachamnong K, See MH, Huang HI, Lin SL, Fang DY, Chen ST, Chen DR, Mok CW, Cheng FT. Factors associated with alteration of nipple or skin sensation and impact of duration of time following nipple-sparing mastectomy (NSM): an analysis of 460 cases with comparison of conventional versus endoscopic- or robotic-assisted NSM. World J Surg Oncol. 2023 Jul 26;21(1):222. doi: 10.1186/s12957-023-03107-5.'}, {'pmid': '30304311', 'type': 'BACKGROUND', 'citation': 'Bueno JN, Haddad CAS, Rizzi SKLA, Giron PS, Facina G, Nazario ACP. Evaluation of body image, quality of life, tactile sensitivity and pain in women with breast cancer submitted to surgical intervention. Rev Assoc Med Bras (1992). 2018 Jun;64(6):530-536. doi: 10.1590/1806-9282.64.06.530.'}, {'pmid': '10369824', 'type': 'BACKGROUND', 'citation': "Barber R, Scheltens P, Gholkar A, Ballard C, McKeith I, Ince P, Perry R, O'Brien J. White matter lesions on magnetic resonance imaging in dementia with Lewy bodies, Alzheimer's disease, vascular dementia, and normal aging. J Neurol Neurosurg Psychiatry. 1999 Jul;67(1):66-72. doi: 10.1136/jnnp.67.1.66."}, {'pmid': '22560793', 'type': 'BACKGROUND', 'citation': 'Lavery LA, Lavery DE, Lavery DC, Lafontaine J, Bharara M, Najafi B. Accuracy and durability of Semmes-Weinstein monofilaments: what is the useful service life? Diabetes Res Clin Pract. 2012 Sep;97(3):399-404. doi: 10.1016/j.diabres.2012.04.006. Epub 2012 May 3.'}, {'pmid': '25231086', 'type': 'BACKGROUND', 'citation': 'Longo B, Campanale A, Santanelli di Pompeo F. Nipple-areola complex cutaneous sensitivity: a systematic approach to classification and breast volume. J Plast Reconstr Aesthet Surg. 2014 Dec;67(12):1630-6. doi: 10.1016/j.bjps.2014.08.043. Epub 2014 Aug 27.'}, {'pmid': '1939358', 'type': 'BACKGROUND', 'citation': 'Bell-Krotoski J. Advances in sensibility evaluation. Hand Clin. 1991 Aug;7(3):527-46.'}, {'pmid': '9215081', 'type': 'BACKGROUND', 'citation': 'Jaspars JJ, Posma AN, van Immerseel AA, Gittenberger-de Groot AC. The cutaneous innervation of the female breast and nipple-areola complex: implications for surgery. Br J Plast Surg. 1997 Jun;50(4):249-59. doi: 10.1016/s0007-1226(97)91155-3.'}, {'pmid': '9727434', 'type': 'BACKGROUND', 'citation': 'Tairych GV, Kuzbari R, Rigel S, Todoroff BP, Schneider B, Deutinger M. Normal cutaneous sensibility of the breast. Plast Reconstr Surg. 1998 Sep;102(3):701-4. doi: 10.1097/00006534-199809030-00013.'}], 'seeAlsoLinks': [{'url': 'https://www.irccs.com/en', 'label': 'Institution Official Website'}]}, 'descriptionModule': {'briefSummary': 'The goal of this comparative study is to learn how different surgical methods affect nipple and skin sensation after nipple-sparing mastectomy (NSM). The study will compare three types of NSM: conventional, endoscopic, and robotic.\n\nThe main question it aims to answer is:\n\nHow much nipple sensation do participants keep after each type of surgery?\n\nResearchers will also look at surgery-related complications, patient-reported outcomes like body image and quality of life, and tissue analysis to see if there is a link between nerve structures and sensation.\n\nParticipants will:\n\nHave NSM using one of the three surgical approaches\n\nReceive breast reconstruction with an implant during the same surgery\n\nComplete nipple sensation tests before and at 1, 3, and 6 months after surgery\n\nAnswer surveys about their quality of life and body image\n\nProvide surgical tissue for analysis (as part of the planned procedure)', 'detailedDescription': 'The NIPSENSE study is a prospective, single-center study comparing how well nipple sensation is preserved after three types of nipple-sparing mastectomy (NSM): Conventional NSM (C-NSM), Endoscopic NSM (E-NSM), and Robotic NSM (R-NSM). The goal is to better understand the sensory and quality-of-life outcomes associated with each technique.\n\nA total of 90 female participants (30 in each group) will be recruited. All will undergo NSM with direct-to-implant reconstruction. Participants will be assessed for nipple and skin sensation before surgery, and again at 1, 3, and 6 months after surgery, using a standard medical tool called the Semmes-Weinstein esthesiometer.\n\nThe study will also evaluate:\n\nSurgical complications (e.g., infection, bleeding, skin necrosis)\n\nPatient-reported outcomes using validated tools like the Hopwood Body Image Scale and EORTC questionnaires\n\nTissue analysis to explore whether preserved nerve structures are related to the level of sensation after surgery\n\nThis study will provide important data about how surgical methods impact physical and emotional outcomes for people undergoing mastectomy. The findings may help improve patient care and inform future decisions about surgical approaches to breast cancer treatment.'}, 'eligibilityModule': {'sex': 'FEMALE', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'samplingMethod': 'NON_PROBABILITY_SAMPLE', 'studyPopulation': 'The study population will consist of female patients aged 18 years or older, eligible for mastectomy for early-stage breast cancer or high-risk conditions, who meet the study eligibility criteria. A total of 90 patients will be recruited at Candiolo Cancer Institute in Torino (Italy).', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n* Female patients aged ≥18 years.\n* Diagnosed with early-stage breast cancer or deemed at high risk for breast cancer (eg. BRCA1-2 mutations).\n* Candidates for Nipple-Sparing Mastectomy (NSM).\n* Able to provide informed consent.\n* No contraindications for surgery based on physical examination and preoperative assessment.\n* Signed the consent forms and willing to participate in all scheduled follow-up assessments.\n\nExclusion Criteria:\n\n* Previous breast surgery.\n* History of radiation therapy to the chest/breast area.\n* Active or non-controlled diabetes mellitus.\n* Neuropathies causing potentially altered skin sensation.\n* Nipple involvement by cancer, clinical or reported intra-operatively via frozen section analysis (the procedure will be converted to SSM).'}, 'identificationModule': {'nctId': 'NCT07062458', 'acronym': 'NIPSENSE', 'briefTitle': 'A Comparative Study of Nipple Sensation Preservation After Nipple-Sparing Mastectomy With Conventional, Endoscopic, Robotic Techniques', 'organization': {'class': 'OTHER', 'fullName': 'Candiolo Cancer Institute - IRCCS'}, 'officialTitle': 'NIPSENSE - A Comparative Study of Nipple and Skin Sensation Preservation After Nipple-Sparing Mastectomy With Conventional, Endoscopic, and Robotic Techniques', 'orgStudyIdInfo': {'id': 'NIPSENSE'}, 'secondaryIdInfos': [{'id': '00043/2025', 'type': 'REGISTRY', 'domain': 'Comitato Etico Città della Salute e della Scienza di Torino'}]}, 'armsInterventionsModule': {'armGroups': [{'label': 'Conventional Nipple-Sparing Mastectomy (C-NSM)', 'description': 'Participants in this group will undergo a standard open nipple-sparing mastectomy using traditional surgical instruments. The procedure is performed through a visible incision on the breast, while preserving the nipple and surrounding skin. An implant is placed for immediate reconstruction.', 'interventionNames': ['Diagnostic Test: Nipple Sensation Assessment']}, {'label': 'Endoscopic Nipple-Sparing Mastectomy (E-NSM)', 'description': 'This group will receive a minimally invasive nipple-sparing mastectomy using an endoscopic technique. The breast tissue is removed through a small incision in the armpit using a camera and specialized instruments. An implant is placed during the same surgery', 'interventionNames': ['Diagnostic Test: Nipple Sensation Assessment']}, {'label': 'Robotic Nipple-Sparing Mastectomy (R-NSM)', 'description': 'Participants in this group will undergo a robotic-assisted nipple-sparing mastectomy. The surgery is performed using a robotic surgical system through a small armpit incision, offering enhanced precision and visualization. Immediate implant reconstruction is also performed.', 'interventionNames': ['Diagnostic Test: Nipple Sensation Assessment']}], 'interventions': [{'name': 'Nipple Sensation Assessment', 'type': 'DIAGNOSTIC_TEST', 'description': 'the measurement of nipple sensation preservation, will be conducted using the Semmes-Weinstein esthesiometer. The clinician will use the device to touch the nipple and the surrounding quadrants of the skin, applying filaments of increasing calibers (0.07gr, 0.4gr, 2.0gr, 4.0gr, 300gr), and the lightest caliber perceived by the patient will be recorded. This assessment will be conducted at four different times:\n\n* Before surgery, to assess baseline sensation.\n* 1 month after surgery.\n* 3 months after surgery.\n* 6 months after surgery.', 'armGroupLabels': ['Conventional Nipple-Sparing Mastectomy (C-NSM)', 'Endoscopic Nipple-Sparing Mastectomy (E-NSM)', 'Robotic Nipple-Sparing Mastectomy (R-NSM)']}]}, 'contactsLocationsModule': {'locations': [{'zip': '10060', 'city': 'Torino', 'status': 'RECRUITING', 'country': 'Italy', 'contacts': [{'name': 'Candiolo Cancer Institute FPO-IRCCS', 'role': 'CONTACT', 'email': 'social@ircc.it', 'phone': '+39 0119933111'}], 'facility': 'Candiolo Cancer Institute FPO-IRCCS', 'geoPoint': {'lat': 44.88856, 'lon': 11.99138}}], 'centralContacts': [{'name': 'Giada Pozzi, MD', 'role': 'CONTACT', 'email': 'giada.pozzi@ircc.it', 'phone': '+39 011 9933017'}], 'overallOfficials': [{'name': 'Giada Pozzi, MD', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Candiolo Cancer Institute FPO-IRCCS'}]}, 'ipdSharingStatementModule': {'infoTypes': ['CSR'], 'timeFrame': 'IPD Sharing Time Frame: from 6 months to 24 months after end of recruitment', 'ipdSharing': 'YES', 'description': 'De-identified individual participant data (IPD) will be made available to qualified researchers upon reasonable request, following publication of the primary results. Shared data may include demographic details, surgical outcomes, complications, and patient-reported outcomes. Requests will be reviewed by the study team to ensure appropriate use and compliance with ethical standards. Data sharing will be subject to a data use agreement.', 'accessCriteria': 'Institutions involved in breast cancer research will be able to request access by directly contacting the PI and coordinating center of the study'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Candiolo Cancer Institute - IRCCS', 'class': 'OTHER'}, 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'MD', 'investigatorFullName': 'Giada Pozzi', 'investigatorAffiliation': 'Candiolo Cancer Institute - IRCCS'}}}}