Gel shield could spare prostate cancer patients from radiation damage
NCT ID NCT06451614
First seen Jun 27, 2026 · Last updated Sep 15, 2026 · Updated 8 times
Summary
This study tests a gel called SpaceIT that is placed between the prostate and rectum before radiation therapy for prostate cancer. The gel acts as a spacer to reduce radiation reaching the rectum, potentially lowering side effects. About 230 adults with low- to intermediate-risk prostate cancer will receive the gel and then undergo standard external beam radiation. The goal is to see if the gel safely reduces rectal radiation exposure.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 230 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2024
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Male participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Subjects must meet the following criteria to be eligible for participation in the study: 1. Age ≥18 years old 2. Subjects must have had pathologically confirmed (by routine hematoxylin and eosin \[H\&E\] staining) invasive adenocarcinoma of the prostate and planning to undergo EBRT 3. Subjects must meet ALL of the following: 1. Clinical stage T1-T2c (AJCC Ver. 8) tumor AND 2. Gleason Score 7 or less as determined from a biopsy taken within 12 months of the Baseline visit AND 3. Demonstrated blood prostate specific antigen (PSA) levels ≤20 ng/ml as measured within 6 months of the Baseline visit and prior to commencing androgen deprivation therapy (ADT) 4. Subject is able to provide written informed consent, approved by the appropriate Institutional Review Board/Ethics Committee/Research Ethics Board (IRB/EC/REB) of the respective clinical site Exclusion Criteria: 1. Prostate \> 80 cc 2. Subjects who are planning to undergo brachytherapy or focal boost 3. Subjects who have magnetic resonance imaging (MRI) evidence of gross posterior extracapsular extension (ECE) of the prostate cancer Note: MRI must be taken within 6 months prior to the Baseline visit 4. Subjects who have metastatic disease, other ongoing cancers which are being treated during the study or subjects for whom pelvic lymph node radiotherapy is planned 5. Subjects with any prior invasive solid tumor malignancy or hematologic malignancy (except non-melanomatous skin cancer) unless the subject has been disease free and treatment free for a minimum of 3 years 6. History of radical prostatectomy, other ablative anti-prostate cancer therapy (e.g., cryotherapy, high intensity focused ultrasound, irreversible electroporation) or previous pelvic irradiation (including prior prostate brachytherapy) at any time prior to screening 7. History of transurethral prostate surgery (e.g., Transurethral Needle Ablation (TUNA), Transurethral Microwave Therapy (TUMT), Transurethral Resection of the Prostate (TURP)) if performed within 1 year prior to screening 8. History of prior pelvic surgery requiring low anterior or abdominoperineal resections or rectal surgery 9. History of or current perirectal disease that may interfere with interpretation of study outcomes, including anal or perianal diseases such as fistula 10. Bleeding hemorrhoids requiring medical intervention within the prior three months 11. Diagnosed active bleeding disorder or a clinically significant coagulopathy, defined as PTT \> 70s or aPTT\>35s or INR \> 1.4, or platelet count \< 100,000 per mm3 Note: Subjects on anticoagulants may be included if the anticoagulant medication can be held for index procedure 12. Active inflammatory or infectious process involving the perineum, GI or urinary tract based on positive diagnosis or suspected diagnosis in the presence of fever \>38⁰ C, WBC \> 12,000/uL 13. Inability to undergo pelvic MRI or presence of implants causing severe artifact (e.g. bilateral arthroplasty) that interferes with imaging interpretation for this study at Investigator discretion 14. If a subject was enrolled in another investigational drug or device trial that had not completed the primary endpoint or that clinically interfered with this study 15. Unable to comply with the study requirements or follow-up schedule 16. Any condition the Investigator believed would interfere with the intent of the study or would make participation not in the best interest of the patient 17. Known PEG (polyethylene glycol) sensitivity or allergy 18. Known iodine sensitivity or allergy 19. ADT, if applicable, cannot or was not started 15-60 days prior to the pre-index procedure RT planning imaging and is planned to continue for a total planned duration greater than 6 months
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Associated Urological Specialists
Chicago Ridge, Illinois, 60415, United States
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Baptist Hospital of Miami
Miami, Florida, 33176, United States
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Emory University Hospital
Atlanta, Georgia, 30308, United States
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Evergreen Hospital Medical Center
Kirkland, Washington, 98034, United States
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Gibbs Cancer Center and Research Institute
Greer, South Carolina, 29650, United States
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Houston Metro Urology
Houston, Texas, 77027, United States
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Integrated Medical Professionals
New York, New York, 10016, United States
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Memorial Sloan Kettering
New York, New York, 10065, United States
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Mercy Cancer Center Bon Secours Mercy Healt
Elyria, Ohio, 44035, United States
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MidLantic Urology
Bala-Cynwyd, Pennsylvania, 19004, United States
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Midtown Urology Associates
Austin, Texas, 78705, United States
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Orange County Urology Associates
Laguna Hills, California, 92653, United States
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Orlando Health Cancer Institute
Orlando, Florida, 32806, United States
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Perelman Center for Advanced Medicine
Philadelphia, Pennsylvania, 19104, United States
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Perlmutter Cancer Center - NYU Langone
New York, New York, 10016, United States
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Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9, Canada
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Rio Grande Urology
El Paso, Texas, 79912, United States
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Ronald Reagan UCLA Medical Center
Los Angeles, California, 90095, United States
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Springfield Clinic, LLC
Springfield, Illinois, 62701, United States
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Sunnybrook Health Sciences Centre-Hospital
Toronto, Ontario, M4N 3M5, Canada
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The Ottawa Hospital - General Campus
Ottawa, Ontario, K1H 8L6, Canada
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University Hospitals of Cleveland-Hospital
Cleveland, Ohio, 44106, United States
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University of Kansas Hospital
Kansas City, Kansas, 66160, United States
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University of Texas, Southwestern Medical Center
Dallas, Texas, 75390, United States
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University of Washington Medical Center-Hospital
Seattle, Washington, 98195, United States
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UroPartners
Glenview, Illinois, 60026, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A scanner in the operating room could show surgeons exactly where prostate cancer remains
- New PET tracer aims to light up hidden cancer targets
- Can daily adaptive radiotherapy spare healthy tissue in prostate cancer?
- Can a radioactive tracer and MRI reveal prostate Cancer's true extent?
- Five-Fraction radiation plus hormone therapy tested against High-Risk prostate cancer
- Can a 10-Hour eating window fight cancer fatigue?