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Radioactive Agent

Radium-223 dichloride (Xofigo, BAY88-8223) for Prostate Cancer

Phase 1 & 2
Waitlist Available
Research Sponsored by Bayer
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 2.5 years
Awards & highlights
Approved for 5 Other Conditions
All Individual Drugs Already Approved
No Placebo-Only Group

Summary

Eligible subjects must have completed 6 doses of treatment of radium-223 dichloride and experienced no radium-223 dichloride-related SAEs (serious adverse events) or CTCAE (Common Terminology Criteria for Adverse Events) Grade 3 or 4 adverse event during or after the initial course of radium-223 dichloride that led to the discontinuation of treatment. 40 Subjects will be enrolled and will receive up to 6 doses of radium-223 dichloride 50 kBq/kg IV every 4 weeks. The subject will be evaluated for AEs (adverse events) and laboratory tests at each visit every 4 weeks, prior to receiving radium-223 dichloride. After the end of treatment visit the subjects will enter the active follow up period. Related AEs and SAEs and Lab tests will be evaluated at each visit every 4 weeks for the first 12 weeks, then every 12 weeks for up to 2 years after the last dose of radium-223 dichloride. After the 2 years of active follow-up, subjects will enter the long-term follow-up period and will be followed via telephone follow-up at 6-month intervals for late toxicities and survival up to 7 years after the last dose of radium-223 dichloride or until death. Joint safety reviews will regularly take place to oversee safety of the subjects conducted at regular intervals. An interim analysis of the safety data will be conducted during the study.

Eligible Conditions
  • Prostate Cancer

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 2.5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 2.5 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Number of Participants Who Discontinued Radium-223 Dichloride Treatment Due to Treatment Emergent AEs or Death
Number of Participants With Radium-223 Dichloride-related AEs in the Active Follow-up Period
Number of Participants With Radium-223 Dichloride-related SAEs in the Active Follow-up Period
+2 more
Other study objectives
Overall Survival
Percentage of Participants With Pain Improvement
Percentage of Participants With Prostate Specific Antigen (PSA) Response
+8 more

Side effects data

From 2024 Phase 3 trial • 806 Patients • NCT02043678
39%
Back pain
26%
Fatigue
23%
Arthralgia
19%
Nausea
18%
Bone pain
18%
Constipation
18%
Diarrhoea
18%
Alanine aminotransferase increased
17%
Anaemia
17%
Decreased appetite
16%
Hypertension
16%
Aspartate aminotransferase increased
15%
Oedema peripheral
15%
Fall
13%
Pain in extremity
12%
Musculoskeletal pain
12%
Pathological fracture
11%
Dizziness
11%
Traumatic fracture
11%
Hypokalaemia
10%
Urinary tract infection
10%
Vomiting
9%
Asthenia
9%
Cough
8%
Nasopharyngitis
8%
Spinal pain
8%
Headache
8%
Insomnia
8%
Haematuria
7%
Upper respiratory tract infection
7%
Contusion
7%
Muscle spasms
7%
Osteoporosis
7%
Osteoporotic fracture
7%
Pyrexia
7%
Musculoskeletal chest pain
6%
Influenza
6%
Abdominal pain
6%
Muscular weakness
6%
Myalgia
6%
Hot flush
5%
Dyspepsia
5%
Weight decreased
5%
Dyspnoea
4%
Neck pain
3%
Pneumonia
3%
Hyperglycaemia
3%
Pelvic pain
3%
General physical health deterioration
3%
Influenza like illness
2%
Squamous cell carcinoma of skin
2%
Spinal cord compression
2%
Pulmonary embolism
1%
Ischaemic stroke
1%
Neutropenic sepsis
1%
Urinary retention
1%
Respiratory failure
1%
Colon cancer
1%
Chronic obstructive pulmonary disease
1%
Thrombocytopenia
1%
Pulmonary sepsis
1%
Dehydration
1%
Osteonecrosis of jaw
1%
Basal cell carcinoma
1%
Lung adenocarcinoma
1%
Colorectal cancer
1%
Syncope
1%
Delirium
1%
Hypotension
1%
Peripheral ischaemia
1%
Acute myocardial infarction
1%
Acute kidney injury
1%
Sepsis
1%
Non-cardiac chest pain
1%
Sciatica
1%
Transient ischaemic attack
1%
Nephrolithiasis
1%
Atrial fibrillation
1%
Dysphagia
1%
Febrile neutropenia
1%
Neutropenia
1%
Atrioventricular block complete
1%
Myocardial infarction
1%
Acute coronary syndrome
1%
Multiple organ dysfunction syndrome
1%
Lower respiratory tract infection
1%
Cellulitis
1%
Gastroenteritis
100%
80%
60%
40%
20%
0%
Study treatment Arm
Placebo + Abi/Pred
Radium-223 Dichloride + Abi/Pred

Awards & Highlights

Approved for 5 Other Conditions
This treatment demonstrated efficacy for 5 other conditions.
All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Radium-223 dichloride (Xofigo, BAY88-8223)Experimental Treatment1 Intervention
Participants received intravenous (IV) injection of radium-223 dichloride 50 kBq/kg body weight every 4 weeks up to 6 injections.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Radium Ra 223 dichloride
FDA approved

Find a Location

Who is running the clinical trial?

BayerLead Sponsor
2,275 Previous Clinical Trials
25,539,354 Total Patients Enrolled
45 Trials studying Prostate Cancer
26,975 Patients Enrolled for Prostate Cancer
Bayer Study DirectorStudy DirectorBayer
1,180 Previous Clinical Trials
4,261,821 Total Patients Enrolled
6 Trials studying Prostate Cancer
1,927 Patients Enrolled for Prostate Cancer
~4 spots leftby Dec 2025