About this trial
Barrigel is intended to temporarily position the anterior rectal wall away from the prostate or prostate bed during radiotherapy treatment for prostate cancer and, in creating this space, it is the intent of Barrigel to reduce the radiation dose delivered to the anterior rectum.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Prostatectomy surgeon notes specifying successful bilateral nerve Sparing procedure
Documentation of an intra or interfascial radical prostatectomy
Disqualifiers
Known allergy to hyaluronic acid
Pathologic T4 disease
Prior local prostate cancer therapy including cryotherapy or brachytherapy.
Prior post-prostatectomy or pelvic radiation therapy
Trial design
Parallel
Treatments tested in this trial
Barrigel
DeviceBarrigel is an absorbable gel based on Non-Animal Stabilized Hyaluronic Acid (NASHA™) that is injected into the peri-rectal space
Transrectal Ultrasound
DeviceAll subjects will have a transrectal ultrasound (TRUS) conducted. In the control subjects this will act as a sham procedure. For the investigational subjects, the TRUS will be used to visualize the placement of the needle
Treatment groups
Trial outcomes
Primary outcomes
Reduction in volume of rectum receiving radiation dose
Investigational subjects only: Achievement of a ≥ 25% change in reduction in the volume of rectum receiving 90% of the prescription dose in 70% of the subjects.
Secondary outcomes
Grade 2 Toxicities
Test whether the use of the Barrigel spacer does not increase the incidence of acute grade 2+ GI toxicity within the first 3 months, which will be assessed using the proportion of subjects who have one or more incidences of acute grade 2+ GI toxicity within the first 3 months.
Expanded Prostate Cancer Index Composite (EPIC) bowel QOL
Evaluate the change in Expanded Prostate Cancer Index Composite (EPIC) Bowel Assessment composite score (from baseline within 3 months after completion of radiation therapy. The EPIC is graded on a 12 point scale, with a higher score indicating a higher outcome.
Expanded Prostate Cancer Index Composite (EPIC) Urinary QOL
Evaluate the change in Expanded Prostate Cancer Index Composite (EPIC) Urinary Assessment composite score from baseline within 3 months after completion of radiation therapy. The EPIC is graded on a 12 point scale, with a higher score indicating a higher outcome.
Other outcomes
Adverse Events
All adverse events
Sponsors and contacts
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Palette Life Sciences, Inc.
Lead sponsor
Teleflex
Collaborator