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The BioProtect Balloon Implantâ„¢ 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 the balloon to reduce the radiation dose delivered to the anterior rectum. The balloon composed of a biodegradable material that maintains that space for the entire course of prostate radiotherapy treatment and is completely absorbed by the patient's body over time.
This study will be a prospective, multi-center, randomized, double-arm, single blind, concurrently controlled study to assess the safety and efficacy of the balloon in prostate cancer subjects undergoing radiotherapy by means of intensity modulation radiation therapy (IMRT).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| balloon group | Experimental | Marking + balloon implantation + IMRT |
|
| Control group | Sham Comparator | Marking + IMRT |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| balloon | Device | balloon implantation |
| |
| Control |
| Measure | Description | Time Frame |
|---|---|---|
| Safety Endpoint: Number of Subjects in the Balloon and Control Groups With Rectal, Device or Procedure-related Grade > 1 AEs Within 6 Months of Procedure | Non-inferiority in occurrence of rectal, device or procedure-related Grade > 1 AEs within 6 months of implantation for balloon as compared to control group | Within 6 months from balloon implantation |
| Efficacy Endpoint: Number of Subjects in the Balloon Group With Reduction of >25% in Rectal Volume Receiving 70 Gy (rV70) | Observed reduction of at least >25% in rectal volume receiving 70 Gy (rV70) in patients after spacer implantation, with efficacy of the study confirmed if >75% of balloon recipients achieved this degree of dose reduction. | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Western Radiation Oncology | Apple Valley | California | 95008 | United States | ||
| KSK Medical Center |
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| Label | URL |
|---|---|
| Company website | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | ProSpace Group | Marking + ProSpace implantation + IMRT ProSpace: ProSpace balloon implantation |
| FG001 | Control Group | Marking + IMRT Control: Control - Marking & IMRT are standard of care for prostate cancer - there is no study-specific intervention |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 7, 2021 | Sep 24, 2024 |
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Subjects will be randomized in a 2:1 ratio (balloon implantation:control)
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Study subjects are blinded to group assignment.
| Other |
Control - Marking & IMRT are standard of care for prostate cancer - there is no study-specific intervention |
|
| Irvine |
| California |
| 92618 |
| United States |
| Advanced Urology Institute | Daytona Beach | Florida | 32114 | United States |
| Rush University Cancer Center | Chicago | Illinois | 60612 | United States |
| Johns Hopkins Sidney Kimmel Comprehensive Cancer Center | Baltimore | Maryland | 21287 | United States |
| Chesapeake Urology Research Associates | Owings Mills | Maryland | 21117 | United States |
| Urology Nevada | Reno | Nevada | 89521 | United States |
| Advanced Radiation Center of New York | Lake Success | New York | 11042 | United States |
| New York University Langone Health | New York | New York | 10016 | United States |
| Medical University of South Carolina (MUSC) | Charleston | South Carolina | 29425 | United States |
| Assuta Ashdod | Ashdod | Israel |
| Rabin Medical Center | Petah Tikva | Israel |
| Maastro | Maastricht | Netherlands |
| Institute of Maria Skłodowska-Oncology Centre | Warsaw | Poland |
| CUF Porto Instituto | Porto | Portugal |
| Beatson West of Scotland Cancer Centre | Glasgow | United Kingdom |
| COMPLETED |
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| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Balloon Group | Marking + Balloon implantation + IMRT Balloon implantation |
| BG001 | Control Group | Marking + IMRT Control: Control - Marking & IMRT are standard of care for prostate cancer - there is no study-specific intervention |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
| ||||||||||||||||
| Localized prostate cancer | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Safety Endpoint: Number of Subjects in the Balloon and Control Groups With Rectal, Device or Procedure-related Grade > 1 AEs Within 6 Months of Procedure | Non-inferiority in occurrence of rectal, device or procedure-related Grade > 1 AEs within 6 months of implantation for balloon as compared to control group | Posted | Count of Participants | Participants | Within 6 months from balloon implantation |
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| ||||||||||||||||||||||||||||||
| Primary | Efficacy Endpoint: Number of Subjects in the Balloon Group With Reduction of >25% in Rectal Volume Receiving 70 Gy (rV70) | Observed reduction of at least >25% in rectal volume receiving 70 Gy (rV70) in patients after spacer implantation, with efficacy of the study confirmed if >75% of balloon recipients achieved this degree of dose reduction. | The balloon spacer implantation was attempted in 143 subjects. The procedure could not be completed for one subject, resulting in an efficacy endpoint population of 142 balloon subjects. | Posted | Count of Participants | Participants | 3 months |
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Events within 6 months from implantation
CTCAE 4.0
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Balloon Group | Marking + Balloon implantation + IMRT Balloon implantation | 1 | 143 | 12 | 143 | 108 | 143 |
| EG001 | Control Group | Marking + IMRT Control: Control - Marking & IMRT are standard of care for prostate cancer - there is no study-specific intervention | 0 | 79 | 10 | 79 | 60 | 79 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acute urinary retention | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Cerebral vascular retention | Vascular disorders | Non-systematic Assessment |
| ||
| Pneumonia | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Rectal bleeding | Product Issues | Non-systematic Assessment |
| ||
| Rectal wall puncture | Product Issues | Non-systematic Assessment |
| ||
| Other | Investigations | Non-systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Burning with urination | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Diarrhea | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Dysuria | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Erectile dysfunction | General disorders | Non-systematic Assessment |
| ||
| Fatigue | General disorders | Non-systematic Assessment |
| ||
| Hot flashes | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Nocturia | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Urgent, frequent urination | Renal and urinary disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dafna Carmi Yinon | BioProtect | +972 (9) 7731-929 | dafna@bioprotect.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 5, 2021 | Sep 24, 2024 | SAP_001.pdf |
| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |
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| Male |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| United States |
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| Poland |
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| Ireland |
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| Israel |
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| Portugal |
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| United Kingdom |
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