Drug intelligence / Profile preview

radium-223 dichloride + hormonal therapy

Development stage
Unknown
Lead developer
Bayer
Modality
Small Molecules, Antibody-Radionuclide Conjugates → Antibody Conjugates → Antibody-Based Therapeutics
Administration
Intravenous, Oral (for Hormonal Agents)
01

Overview

This is a combination therapy comprising **radium-223 dichloride**, a radiopharmaceutical that selectively targets bone metastases by mimicking calcium and binding to areas of increased bone turnover, and **hormonal therapy** agents, mainly androgen deprivation therapies (ADT), anti-androgens, or androgen synthesis inhibitors. Radium-223 dichloride emits high-energy alpha particles that cause double-strand DNA breaks in adjacent cancer cells, primarily used for **castration-resistant prostate cancer** (CRPC) with symptomatic bone metastases and no visceral metastases. Hormonal therapy in this combination aims to suppress androgen signaling, which is the main driver of prostate cancer growth. The combination may also be considered in other hormone-sensitive cancers with bone metastases, although evidence and approval status are clearest in the prostate cancer setting. Combination therapy may pose additional safety considerations; for instance, increased risk of fractures and mortality has been observed when radium-223 dichloride is combined specifically with abiraterone plus prednisone/prednisolone[4].

Other names
radium-223 chlorideradium223 chlorideradium 223 chlorideradium chloride Ra-223radium Ra-223 dichlorideradium-223 dichlorideradium223 dichlorideradium 223 dichloride
02

Targets

AR (Adrenergic receptors)

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