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NCT Number: NCT06977022

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

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.

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Key information

Conditions

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Tangdu Hospitial

Xi'an, Shaanxi, China

Location contact

Lei Wang

PRINCIPAL_INVESTIGATOR

Xiaolong Yan

PRINCIPAL_INVESTIGATOR

Xing Li

CONTACT

[email protected]

+86 02984777551

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients who meet all of the following criteria are eligible to participate in the study:
  • Aged 18-70 years;
  • No gender restriction;
  • ECOG Performance Status 0-1;
  • Chest CT-confirmed chest wall-originating tumor;
  • Histologically/cytologically confirmed primary or metastatic chest wall tumor;
  • Anticipated intraoperative anterolateral chest wall defect diameter 5-10 cm (maximum) or costal arch reconstruction required (investigator-assessed);
  • Scheduled for prosthetic chest wall reconstruction;
  • No prior chest wall reconstruction surgery;
  • Willing to provide written informed consent and comply with follow-up visits and protocol requirements.

Exclusion criteria

  • Patients who meet any of the following criteria are ineligible for this study:
  • 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
  • lnability to provide reliable symptom reporting due to:P sychiatric disorders, Severe neurosis, Non-compliance with trial requirements
  • Women of childbearing potential* and their partners unwilling to use effective contraception;
  • Prior history of chest wall reconstruction surgery;
  • Active uncontrolled bacterial, fungal, or viral infections;
  • Participation in other clinical trials within 3 months prior to enrollment;
  • Any other conditions deemedunsuitable by the investigator

Treatment and study plan

Chest wall reconstruction

Device

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

Primary outcomes

  1. Abnormal breathing

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

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

  2. Implant Degradation Performance Monitoring

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

    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.
  3. Peri-implant Soft Tissue Evaluation

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

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

Secondary outcomes

  1. Changes in respiratory function--Pulmonary Function Test

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

    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).

  2. Adverse events

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

Study contacts

Contact information is provided by the study sponsor or research team.

Sponsors and collaborators

Lead sponsor

Tang-Du Hospital

Other

Registry information

Official study title

Clinical Trial on the Efficacy and Safety of Biodegradable 3D-Printed Implants in Chest Wall Reconstruction Surgery: A Prospective, Single-Arm Phase Il Study

Important dates

Study start
2025
Primary completion
2027
Study completion
2028
First posted
May 16, 2025
Registry last updated
May 16, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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