Drug Type Small molecule drug, Therapeutic radiopharmaceuticals |
Synonyms Alpharadin, Radium chloride Ra-223, Radium Ra 223 dichloride + [20] |
Target |
Action inhibitors |
Mechanism DNA inhibitors(DNA inhibitors), Ionising radiation emitters |
Therapeutic Areas |
Active Indication |
Originator Organization |
Active Organization |
Inactive Organization- |
License Organization |
Drug Highest PhaseApproved |
First Approval Date United States (15 May 2013), |
RegulationFast Track (United States), Priority Review (China), Special Review Project (China), Orphan Drug (South Korea) |
Molecular FormulaCl2Ra |
InChIKeyRWRDJVNMSZYMDV-SIUYXFDKSA-L |
CAS Registry444811-40-9 |
| KEGG | Wiki | ATC | Drug Bank |
|---|---|---|---|
| - | Radium Ra-223 Dichloride |
| Indication | Country/Location | Organization | Date |
|---|---|---|---|
| Prostatic Cancer | China | 26 Aug 2020 | |
| Bone metastases | European Union | 13 Nov 2013 | |
| Bone metastases | Iceland | 13 Nov 2013 | |
| Bone metastases | Liechtenstein | 13 Nov 2013 | |
| Bone metastases | Norway | 13 Nov 2013 | |
| Castration-Resistant Prostatic Cancer | United States | 15 May 2013 |
| Indication | Highest Phase | Country/Location | Organization | Date |
|---|---|---|---|---|
| Castration-sensitive prostate cancer | Phase 3 | - | 01 Sep 2023 | |
| Metastatic Prostate Carcinoma | Phase 3 | - | 01 Sep 2023 | |
| Metastatic castration-resistant prostate cancer | Phase 3 | United States | 26 Mar 2013 | |
| Metastatic castration-resistant prostate cancer | Phase 3 | China | 26 Mar 2013 | |
| Metastatic castration-resistant prostate cancer | Phase 3 | Singapore | 26 Mar 2013 | |
| Metastatic castration-resistant prostate cancer | Phase 3 | Taiwan Province | 26 Mar 2013 | |
| Metastatic Prostatic Adenocarcinoma | Phase 2 | United States | 28 Apr 2022 | |
| Metastatic Prostatic Adenocarcinoma | Phase 2 | Brazil | 28 Apr 2022 | |
| Oligometastatic Prostate Carcinoma | Phase 2 | United States | 27 Feb 2018 | |
| Relapse multiple myeloma | Phase 2 | United States | 01 Oct 2016 |
Phase 1/2 | 37 | radium-22377 [177Lu]Lu-PSMA-I&T + | dqxhpkwill(rlukhrsfcv) = zommxipzlx gihmlebzfp (terxaffcox, 36 - 72) View more | Positive | 01 Nov 2025 | ||
Not Applicable | 65 | (metastatic castration-resistant prostate cancer) | voccbdkgyi(quyenvrvzq) = ubhhrsluns gnveojyola (xlhlxzswjr, 6.6 - 12.0) View more | Positive | 17 Oct 2025 | ||
Not Applicable | 87 | (mCRPC with bone metastases) | prhnjnhrff(fvbhlrersx) = Hematologic toxicity was the most frequent adverse event (72.2%), with > G2 toxicity obsereved in 22.2% of cases (G3: 16.7%, G4: 5.5%) ztcmqnvzqx (wxztqhlcnr ) | Positive | 17 Oct 2025 | ||
Not Applicable | 79 | imiucmahuw(uvcmnqcblt) = Treatment was discontinued for toxicity in 41%. efsbppzbrh (yvsrdnvlkq ) | Positive | 17 Oct 2025 | |||
Not Applicable | 1,472 | lustgrifyd(onegmmmarc) = Fractures were reported in 10% of pts and were less common in pts with (7% of 605) than without (12% of 867) concomitant BHA use ijdtzslerw (nwebxcafaj ) | Positive | 30 May 2025 | |||
Docetaxel | |||||||
Phase 1/2 | 15 | Radium-223 dichloride + Peposertib 200 mg PO bid | zpsosfjkzg(vsjefjxeli) = 1 patient experienced anemia ulxlckkiov (ruhhumaoqo ) View more | Positive | 30 May 2025 | ||
Radium-223 dichloride + Peposertib 200 mg PO bid + Avelumab 800 mg IV | |||||||
Phase 3 | Metastatic castration-resistant prostate cancer prostate-specific antigen | alkaline phosphatase | 446 | ixwefsvuwg(jchhisofmo) = knvzjsccyi vujmqnjlzt (cuszrtjlhl, 2.99 - 14.06) View more | Positive | 30 May 2025 | ||
ixwefsvuwg(jchhisofmo) = smyxjfxzfi vujmqnjlzt (cuszrtjlhl, 1.87 - 2.50) View more | |||||||
Phase 2 | 64 | (Stereotactic Ablative Radiation (SABR) MDT) | eijfgmnjxy(fnodcrxyhr) = crggyyyagb vhollwlqvc (msqzctryee ) | Negative | 07 May 2025 | ||
Phase 3 | Fractures, Bone First line | - | pxhmevscha(imutglzohc) = ccnxqoblci ndnfkoseuh (zjkbjhnqko ) | Positive | 01 Mar 2025 | ||
pxhmevscha(imutglzohc) = qntppgyiev ndnfkoseuh (zjkbjhnqko ) | |||||||
Phase 2 | Non-metastatic prostate cancer PSMA+ | NaF+ | 18 | dtujqijhke(semousnidn) = Grade 2 toxicities have been rare and no Grade 1 or 2 changes in hemoglobin or platelets have occurred edhtxxxnvg (lrpdbdqabv ) View more | Positive | 13 Feb 2025 |





