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Prostate CancerHYDROSPACENCT06451614

SpaceIT Hydrogel System for Perirectal Spacing

A study testing SpaceIT Hydrogel System and Commercially available Boston Scientific Spacer in people with Prostate Cancer, run by Boston Scientific Corporation at 26 sites in 2 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

To evaluate the safety and effectiveness of the SpaceIT™ Hydrogel System in patients undergoing External Beam Radiotherapy (EBRT) for the treatment of prostate cancer. Read more about this study

Who is it for?
Ages 18 years and older, men only
Conditions the study is for
Prostate Cancer
What is being tested?
SpaceIT Hydrogel System and Commercially available Boston Scientific Spacer
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
230 participants
Where
26 sitesin 2 countries
Study dates
30 Oct 2024to 31 Mar 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects must meet the following criteria to be eligible for participation in the study:
  • Age ≥18 years old
  • Subjects must have had pathologically confirmed (by routine hematoxylin and eosin [H\&E] staining) invasive adenocarcinoma of the prostate and planning to undergo EBRT
  • Subjects must meet ALL of the following:
  • Clinical stage T1-T2c (AJCC Ver. 8) tumor AND
  • Gleason Score 7 or less as determined from a biopsy taken within 12 months of the Baseline visit AND
  • 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)
  • 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

Who cannot join

  • Prostate > 80 cc
  • Subjects who are planning to undergo brachytherapy or focal boost
  • 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
  • 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
  • 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
  • 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
Show all 19Show fewer
  • 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
  • History of prior pelvic surgery requiring low anterior or abdominoperineal resections or rectal surgery
  • 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, 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
  • 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
  • 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
  • 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 PEG (polyethylene glycol) sensitivity or allergy
  • Known iodine sensitivity or allergy
  • 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

Trial locations and contacts

26 sites in 2 countries.

26 sites in 2 countries

United States23 sites
  • Emory University Hospital

    Atlanta, Georgia, 30308

  • Midtown Urology Associates

    Austin, Texas, 78705

  • MidLantic Urology

    Bala-Cynwyd, Pennsylvania, 19004

  • Associated Urological Specialists

    Chicago Ridge, Illinois, 60415

  • University Hospitals of Cleveland-Hospital

    Cleveland, Ohio, 44106

  • University of Texas, Southwestern Medical Center

    Dallas, Texas, 75390

  • Rio Grande Urology

    El Paso, Texas, 79912

  • Mercy Cancer Center Bon Secours Mercy Healt

    Elyria, Ohio, 44035

  • UroPartners

    Glenview, Illinois, 60026

  • Gibbs Cancer Center and Research Institute

    Greer, South Carolina, 29650

  • Houston Metro Urology

    Houston, Texas, 77027

  • University of Kansas Hospital

    Kansas City, Kansas, 66160

  • Evergreen Hospital Medical Center

    Kirkland, Washington, 98034

  • Orange County Urology Associates

    Laguna Hills, California, 92653

  • Ronald Reagan UCLA Medical Center

    Los Angeles, California, 90095

  • Baptist Hospital of Miami

    Miami, Florida, 33176

  • Integrated Medical Professionals

    New York, New York, 10016

  • Perlmutter Cancer Center - NYU Langone

    New York, New York, 10016

  • Memorial Sloan Kettering

    New York, New York, 10065

  • Orlando Health Cancer Institute

    Orlando, Florida, 32806

  • Perelman Center for Advanced Medicine

    Philadelphia, Pennsylvania, 19104

  • University of Washington Medical Center-Hospital

    Seattle, Washington, 98195

  • Springfield Clinic, LLC

    Springfield, Illinois, 62701

Other trials in United States

Canada3 sites
  • The Ottawa Hospital - General Campus

    Ottawa, Ontario, K1H 8L6

  • Sunnybrook Health Sciences Centre-Hospital

    Toronto, Ontario, M4N 3M5

  • Princess Margaret Cancer Centre

    Toronto, Ontario, M5G 2M9

Other trials in Canada

About this study

Official title: SpaceIT Hydrogel System for Perirectal Spacing in Subjects With Low to Intermediate Risk Prostate Cancer Undergoing External Beam Radiotherapy (EBRT)

To evaluate the safety and effectiveness of the SpaceIT™ Hydrogel System in patients undergoing External Beam Radiotherapy (EBRT) for the treatment of prostate cancer.

Read the detailed description

HYDROSPACE study is a prospective, randomized, multicenter study to evaluate the safety and effectiveness of SpaceIT in patients undergoing External Beam Radiotherapy (EBRT) for the treatment of prostate cancer.

Subjects randomized to the investigational arm will receive SpaceIT Hydrogel System

Subjects randomized to the control arm will receive a commercially marketed Boston Scientific perirectal hydrogel spacer, SpaceOAR System or SpaceOAR Vue Hydrogel

Conditions
Prostate Cancer
Being tested
SpaceIT Hydrogel System, Commercially available Boston Scientific Spacer
Medical subject headings
Prostatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SpaceIT Hydrogel SystemDevice

    SpaceIT Hydrogel System is intended to temporarily position the anterior rectal wall away from the prostate during radiotherapy for prostate cancer and in creating this space it is the intent of SpaceIT Hydrogel System to reduce the radiation dose delivered to the anterior rectum. The SpaceIT Hydrogel System is composed of a radiopaque, biodegradable material designed to maintain space for approximately 12 weeks and be absorbed in about 6 months, sufficient time to support the intended use.

    SpaceIT has an iodinated PEG powder making it radiopaque.

  • Commercially available Boston Scientific SpacerDevice

    Boston Scientific's commercially available SpaceOAR Hydrogel System or SpaceOAR Vue Hydrogel System is intended to temporarily position the anterior rectal wall away from the prostate during radiotherapy for prostate cancer and in creating this space it is the intent of SpaceOAR Hydrogel System or SpaceOAR Vue Hydrogel System to reduce the radiation dose delivered to the anterior rectum. SpaceOAR and SpaceOAR Vue are both perirectal spacers. SpaceOAR Vue specifically has an iodinated PEG powder making it radiopaque. SpaceOAR does not contain iodinated PEG powder and is not radiopaque. The SpaceOAR Hydrogel System or SpaceOAR Vue Hydrogel System maintains space during prostate radiotherapy treatment and is completely absorbed by the patient's body over time.

Study groups in NCT06451614
Study groupRoleWhat they receive
SpaceIT Hydrogel SystemExperimentalSubjects randomized to the investigational arm will undergo a hydrogel procedure with the SpaceIT investigational device.
Receives: Device: SpaceIT Hydrogel System
Commercially available Boston Scientific SpacerActive comparatorSubjects randomized to the control arm will undergo a hydrogel procedure with the Boston Scientific commercially available SpaceOAR or SpaceOAR VUE device.
Receives: Device: Commercially available Boston Scientific Spacer

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Primary Safety Endpoint - Acute Grade 3 or greater adverse events.

    Acute Grade 3 or greater adverse events, inclusive of all adverse events listed on the existing SpaceOAR product labels, that arise within 90 days of index procedure.

    Measured: 90 Days from hydrogel placement procedure

  2. Primary Effectiveness Endpoint - 25% reduction in the volume of the rectum receiving 90% of the prescribed radiation dose

    Clinically relevant dose reduction defined as a 25% reduction in the volume of the rectum receiving 90% of the prescribed radiation dose in subjects receiving hydrogel.

    Measured: 10 days post procedure

Secondary outcomes (13)
  1. Additional Safety Endpoint - Adverse Device Effects (ADEs) requiring additional procedures and/or medications

    Adverse Device Effects (ADEs) requiring additional procedures and/or medications

    Measured: Up to 24 months

  2. Additional Safety Endpoint - Incidence of acute Grade 2 or greater gastrointestinal (GI) and genitourinary (GU) adverse events (AEs)

    Incidence of acute Grade 2 or greater gastrointestinal (GI) and genitourinary (GU) adverse events (AEs) from index procedure up to 3 months

    Measured: Up to 90 days

  3. Additional Safety Endpoint - Incidence of late Grade 2 or greater GI and GU adverse events (AEs)

    Incidence of late Grade 2 or greater GI and GU adverse events (AEs) from 3 months up to the end of study follow-up

    Measured: 91 days up to 24 Months

  4. Additional Effectiveness Endpoint - Visualization of hydrogel

    Technical Success: visualization of hydrogel between the posterior prostatic capsule and the anterior rectal wall will be assessed as Yes/No using the MRI performed post hydrogel placement procedure

    Measured: 10 days post procedure

  5. Additional Effectiveness Endpoint - Space Creation

    Space Creation: Distance between the posterior prostatic capsule and anterior rectal wall will be measured mid gland in millimeters using MRI performed post hydrogel placement procedure

    Measured: 10 days post procedure

  6. Additional Effectiveness Endpoint - Absorption

    Absorption: Absence of hydrogel in the perirectal space assessed on MRI at 12 months post-hydrogel placement.

    Measured: 12 Month post hydrogel placement

  7. Additional Effectiveness Endpoint - Change in radiation dose distributions to the organs at risk

    Dose Distribution: Change in radiation dose distributions to the organs at risk (OARs) quantified by computing rectal Dose-Volume Histograms (DVHs) for the dose plans created pre-and post-hydrogel placement.

    Measured: 10 days post procedure

  8. Additional Effectiveness Endpoint - Mean and Maximum Rectal Radiation doses

    Mean and Maximum Rectal Radiation Doses (in Gy)

    Measured: 10 days post procedure

  9. Additional Effectiveness Endpoint - Quality of Life Questionnaire: EQ-5D-5L

    Changes from Baseline in EQ-5D-5L

    The EQ-5D-5L is a generic questionnaire that assesses a subject's self-reported health status in terms of five dimensions of health: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. Each dimension has five response levels: no problems, slight problems, moderate problems, severe problems, unable to/extreme problems. Subject's overall current health on a vertical visual analogue scale of "0-100" is recorded, where the endpoints are labelled 'The best health you can imagine' at "100" and 'The worst health you can imagine' at "0".

    Measured: Baseline up to 24 months

  10. Additional Effectiveness Endpoint - Ease of hydrogel administration

    Ease of hydrogel administration. Scored on a Likert scale from 1 to 5 where 1 is Very Difficult and 5 is Very Easy

    Measured: 10 days post procedure

  11. Additional Effectiveness Endpoint - Space Maintenance

    Space Maintenance: Distance between the posterior prostatic capsule and anterior rectal wall will be measured

    Measured: 3 Months post hydrogel placement procedure

  12. Additional Effectiveness Endpoint - Quality of Life Questionnaire: Expanded Prostate Cancer Index Composite (EPIC-26)

    Changes from Baseline in Expanded Prostate Cancer Index Composite (EPIC-26)

    EPIC-26 is a questionnaire designed to measure health related quality of life (HRQOL) in people with prostate cancer. Response options for each EPIC item form a Likert scale, and multi-item scale scores are transformed linearly to a 0-100 scale, with higher scores representing better HRQOL.

    Measured: Baseline up to 24 months

  13. Additional Effectiveness Endpoint - Quality of Life Questionnaire, Work Productivity and Activity Impairment Questionnaire: General Health (WPAI:GH)

    Changes from Baseline in Work Productivity and Activity Impairment Questionnaire: General Health (WPAI:GH)

    The Work Productivity and Activity Impairment Questionnaire: General Health (WPAI:GH) outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity.

    Measured: Baseline up to 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Jun 2024
  2. Study start30 Oct 2024
  3. Primary completion30 Sep 2026
  4. Study completion31 Mar 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
230 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06451614
Sponsor's protocol ID
U0755
Acronym
HYDROSPACE
Status last verified
Oct 2026
First submitted
7 May 2024
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing SpaceIT Hydrogel System and Commercially available Boston Scientific Spacer in people with Prostate Cancer, run by Boston Scientific Corporation at 26 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Primary Safety Endpoint - Acute Grade 3 or greater adverse events. (time frame: 90 Days from hydrogel placement procedure). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Oct 2026.

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