MedPath

Radium Ra 223 dichloride

Generic Name
Radium Ra 223 dichloride
Brand Names
Xofigo
Drug Type
Small Molecule
Chemical Formula
Cl2Ra
CAS Number
444811-40-9
Unique Ingredient Identifier
RJ00KV3VTG

Overview

Radium Ra 223 Dichloride is a radiopharmaceutical containing the radioisotope radium-223 that emits short range but high linear energy alpha particles. As a cation, radium mimics calicum and binds to hydroxyapatite, which is a bone mineral found in areas of high bone turnover as seen in bone metastases. It was first approved by the FDA in May 2013 and is currently marketed under the brand name Xofigo, which was formerly called Alpharadin. Xofigo is indicated in patients who have metastatic bone cancer that is symptomatic with no visceral metastases and patients who have prostate cancer that is castration resistant. The FDA label includes a warning that Radium Ra 223 Dichloride should not be used in women who are pregnant or may become pregnant due to the high risk of fetal harm.

Background

Radium Ra 223 Dichloride is a radiopharmaceutical containing the radioisotope radium-223 that emits short range but high linear energy alpha particles. As a cation, radium mimics calicum and binds to hydroxyapatite, which is a bone mineral found in areas of high bone turnover as seen in bone metastases. It was first approved by the FDA in May 2013 and is currently marketed under the brand name Xofigo, which was formerly called Alpharadin. Xofigo is indicated in patients who have metastatic bone cancer that is symptomatic with no visceral metastases and patients who have prostate cancer that is castration resistant. The FDA label includes a warning that Radium Ra 223 Dichloride should not be used in women who are pregnant or may become pregnant due to the high risk of fetal harm.

Indication

Used in patients who have metastatic bone cancer that is symptomatic with no visceral metastases and patients who have prostate cancer that is castration resistant.

Associated Conditions

  • Metastatic Castration-Resistant Prostate Cancer (mCRPC)

Clinical Trials

Title
Posted
Study ID
Phase
Status
Sponsor
2020/07/28
N/A
Recruiting
2019/04/04
Phase 3
Recruiting
2018/03/08
Phase 3
UNKNOWN
Amsterdam UMC, location VUmc
2018/02/05
N/A
Completed
2017/12/11
N/A
Completed
2017/10/09
Phase 2
Completed
2017/07/21
N/A
Completed
2017/02/23
Phase 2
Completed
Sir Mortimer B. Davis - Jewish General Hospital
2016/09/16
Phase 2
Completed
2016/09/14
N/A
Completed

FDA Drug Approvals

Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
Bayer HealthCare Pharmaceuticals Inc.
50419-208
INTRAVENOUS
30 uCi in 1 mL
5/24/2017

EMA Drug Approvals

Approved Product
Authorization Holder
Status
Issued Date
Authorised
11/13/2013

HSA Drug Approvals

Approved Product
Manufacturer
Approval Number
Dosage Form
Strength
Approval Date
XOFIGO SOLUTION FOR INJECTION 1100kBq/ML
SIN14478P
INJECTION, SOLUTION (RADIOPHARMACEUTICAL)
1100 kBq/ml
1/9/2014

NMPA Drug Approvals

Approved Product
Company
Approval Number
Drug Type
Dosage Form
Approval Date
No NMPA approvals found for this drug.

PPB Drug Approvals

Approved Product
Registration No.
Company
Licence No.
Strength
Registration Date
No PPB approvals found for this drug.

TGA Drug Approvals

Approved Product
ARTG ID
Sponsor
Registration Type
Status
Registration Date
XOFIGO radium (223Ra) dichloride 6.6 MBq per 6 mL solution for injection vial
208905
Medicine
A
5/20/2014
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