New gel shields bowel during prostate radiation – could cut side effects
NCT ID NCT04905069
First seen Jun 26, 2026 · Last updated Sep 15, 2026 · Updated 7 times
Summary
This trial tests a biodegradable gel called SpaceOAR Vue that is injected between the prostate and rectum before radiation therapy. The gel temporarily pushes the rectum away to reduce radiation damage. About 500 men with intermediate-risk prostate cancer will be randomly assigned to get the gel or not. The main goal is to see if the gel lowers bowel side effects like diarrhea or bleeding in the two years after treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- SpaceOAR Vue System (a biodegradable gel injected to create space between the prostate and rectum)
- What this could lead to
- If it works, this gel could reduce bowel problems after prostate radiation, making treatment easier to tolerate.
- What could go wrong
- This is a mid-stage study with 500 people, so results may not apply to everyone. The gel itself carries risks like infection or discomfort, and it only addresses side effects, not the cancer itself.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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500 people
The number who actually took part.
- Started
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Dec 2021
- Expected to finish
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Dec 2030
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: * Age ≥ 18 years old. * Subjects must have pathologically confirmed (by routine hematoxylin and eosin (H\&E) staining) invasive adenocarcinoma of the prostate and been planning to undergo SBRT. * Subjects must have intermediate risk prostate cancer as defined by the presence of one or more of the following: * Clinical Stage T2b - T2c (AJCC 6th edition) tumor * Gleason Score 7 as determined from a biopsy taken within 9 months preceding Enrollment (randomization) * Demonstrated blood PSA levels 10-20 ng/ml as measured within 6 months preceding Enrollment (randomization) and prior to commencing androgen deprivation therapy (ADT) * Subject or authorized representative was informed of the nature of the study and provided written informed consent, approved by the appropriate Institutional Review Board (IRB)/Ethics Committee (EC) of the respective clinical site. Exclusion Criteria: * Prostate \>80 cc documented within 9 months preceding Enrollment (randomization) * Clinical stage T3 or T4 (AJCC 6th edition) tumor * Blood PSA level \>20 ng/ml as measured within 6 months preceding Enrollment (randomization) and prior to commencing androgen deprivation therapy (ADT) * Gleason Score ≥ 8 as determined from a biopsy taken within 9 months preceding Enrollment (randomization) * Subjects who had MRI evidence of gross posterior extracapsular extension (ECE) of the prostate cancer. (Note: MRI should be from within 9 months preceding Enrollment (randomization). If MRI is contraindicated, a digital rectal exam may be performed to confirm the absence of gross posterior ECE) * Subjects who had metastatic disease, other ongoing cancers which were treated during the study or subjects for whom pelvic lymph node radiotherapy was planned. * Subjects with any prior invasive malignancy (except non-melanomatous skin cancer) unless the subject had been disease free for a minimum of 3 years. * History of prostatectomy, transurethral prostate surgery (e.g. TUNA, TUMT, TURP) if performed within 1 year prior to screening, other local prostate cancer therapy (e.g., cryotherapy or brachytherapy) or previous pelvic irradiation at any time prior to screening. * History of prior pelvic surgery requiring low anterior or abdominoperineal resections or rectal surgery. * History of or active inflammatory bowel disease (IBD) such as Crohn's disease or ulcerative colitis. * History of or current perirectal disease that may interfere with interpretation of study outcomes including anal or perianal diseases such as fistula. * Bleeding hemorrhoids requiring medical intervention within the prior three months. * Diagnosed active bleeding disorder or a clinically significant coagulopathy. Note: Patients on anticoagulants may be included if the anticoagulant medication can be discontinued for index procedure. * Active inflammatory or infectious process involving the perineum, gastrointestinal (GI) or urinary tract based on positive diagnosis or suspected diagnosis in the presence of fever \>38⁰ C, WBC \> 12,000/uL. * Compromised immune system or prior diagnoses for human immunodeficiency virus (HIV) (with a detectable viral load within the last 6 months)/acquired immunodeficiency syndrome (AIDS) or autoimmune disease. * 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. * Unable to comply with the study requirements or follow-up schedule. * 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. * Known iodine sensitivity or allergy * Known polyethylene glycol (PEG) sensitivity or allergy
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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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Azienda Ospedaliero Universitaria di Parma
Parma, 43126, Italy
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Belfast City Hospital
Belfast, BT9 7AB, United Kingdom
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Bon Secours Radiotherapy Cork
Cork, T12 DV56, Ireland
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Bristol Haematology and Oncology Centre
Bristol, BS2 8ED, United Kingdom
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Calvary Mater Newcastle
Waratah, New South Wales, 2298, Australia
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Derriford General Hospital
Plymouth, PL6 8DH, United Kingdom
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Dr. John Sylvester
Myrtle Beach, South Carolina, 29572, United States
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Florida Urology Partners, LLC
Tampa, Florida, 33609, United States
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GenesisCare USA
Fort Myers, Florida, 33908, United States
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GenesisCare USA
Troy, Michigan, 48098, United States
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GenesisCare, Hospital San Francisco de Asis
Madrid, 28002, Spain
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Hospital Universitario Cruces
Barakaldo, 48903, Spain
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Hospital Universitario Ramón y Cajal
Madrid, Spain
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IRCCS Ospedale Sacro Cuore Don Calabria
Verona, 37024, Italy
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Inselspital - University Hospital Bern
Bern, 3010, Switzerland
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Institut Gustave Roussy
Villejuif, Cedex, 94805, France
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Institut de Radiothérapie & Radiochirurgie HARTMANN
Levallois-Perret, 92300, France
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Kansas University Medical Center
Kansas City, Kansas, 66160, United States
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Klinikum Nurnberg Nord
Nuremberg, 90419, Germany
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MEDICLIN Robert Janker Klinik
Bonn, D-53129, Germany
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New Jersey Urology, a Summit Health Company
Bloomfield, New Jersey, 07003, United States
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Norfolk and Norwich University Hospital NHS Trust
Norwich, NR4 7UY, United Kingdom
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Policlinico Universitario Agostino Gemelli
Rome, Italy
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Princess Alexandra Hospital - ROPAIR
Woolloongabba, Queensland, 4102, Australia
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Royal Marsden Hospital
London, SW3 6JJ, United Kingdom
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Royal Surrey County Hospital NHS Foundation Trust
Guildford, Surrey, GU27XX, United Kingdom
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Sir Charles Gairdner Hospital
Nedlands, Western Australia, 6009, Australia
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University Hospital Basel
Basel, CH-4031, Switzerland
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University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15232, United States
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Velindre Cancer Centre
Cardiff, Wales, CF14 2TL, United Kingdom
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?