Neil F Mariados, Peter F Orio, Zvi Schiffman, Thanh John Van, Alexander Engelman, Rizwan Nurani, Steven M Kurtzman, Escarlata Lopez, Michael Chao, Thomas P Boike, Alvaro A Martinez, Glen Gejerman, John Lederer, John E Sylvester, Gregory Bell, Douglas Rivera, Neal Shore, Katie Miller, Boris Sinayuk, Michael L Steinberg, Daniel A Low, Amar U Kishan, Martin T King
IMPORTANCE: Hypofractionated radiation therapy (RT) for prostate cancer has been associated with greater acute grade 2 gastrointestinal (GI) toxic effects compared with conventionally fractionated RT. OBJECTIVE: To evaluate whether a hyaluronic acid rectal spacer could (1) improve rectal dosimetry and (2) affect acute grade 2 or higher GI toxic effects for hypofractionated RT. DESIGN, SETTING, AND PARTICIPANTS: This randomized clinical trial was conducted from March 2020 to June 2021 among 12 centers within the US, Australia, and Spain, with a 6-month follow-up...
February 9, 2023: JAMA Oncology