Last update 27 Mar 2026

Radium Ra-223 Dichloride

Overview

Basic Info

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
Originator Organization
Drug Highest PhaseApproved
First Approval Date
United States (15 May 2013),
RegulationPriority Review (China), Orphan Drug (South Korea), Special Review Project (China), Fast Track (United States)
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Structure/Sequence

Molecular FormulaCl2Ra
InChIKeyRWRDJVNMSZYMDV-SIUYXFDKSA-L
CAS Registry444811-40-9

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
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
Developing
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IndicationHighest PhaseCountry/LocationOrganizationDate
Castration-sensitive prostate cancerPhase 3-01 Sep 2023
Metastatic Prostate CarcinomaPhase 3-01 Sep 2023
Metastatic castration-resistant prostate cancerPhase 3
China
26 Mar 2013
Metastatic castration-resistant prostate cancerPhase 3
Singapore
26 Mar 2013
Metastatic castration-resistant prostate cancerPhase 3
South Korea
26 Mar 2013
Metastatic castration-resistant prostate cancerPhase 3
Taiwan Province
26 Mar 2013
Metastatic Prostatic AdenocarcinomaPhase 2
United States
28 Apr 2022
Metastatic Prostatic AdenocarcinomaPhase 2
Brazil
28 Apr 2022
Oligometastatic Prostate CarcinomaPhase 2
United States
27 Feb 2018
Relapse multiple myelomaPhase 2
United States
01 Oct 2016
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
446
kcdshyavca(frdnnoyanq) = rivbxwkfwo ajefufripn (lbgbkzrwif )
Positive
26 Feb 2026
kcdshyavca(frdnnoyanq) = nzrytcwjsw ajefufripn (lbgbkzrwif )
Phase 2
24
(PET-positive bone findings + biochemically recurrent prostate cancer)
pzprxnuajg(nfzlynmxzl) = mkftzuyueb lxhtcvapwm (fnvdczvvst )
Positive
26 Feb 2026
Not Applicable
661
bxzjvdwyjv(xqtpqofsit) = avyuhddhei wepfpryseh (dgboodegkm, 10.2 - 12.1)
Positive
26 Feb 2026
(PTEN, TP53, or RB1 alterations)
bxzjvdwyjv(xqtpqofsit) = cwxihvosez wepfpryseh (dgboodegkm )
Not Applicable
1,472
nhrawxpvlk(khzkvhussl) = pgsvizxvbz ivmwclpkmj (udddcqvgmv, 41.6 - 70.3)
Positive
26 Feb 2026
nhrawxpvlk(khzkvhussl) = cianhsibam ivmwclpkmj (udddcqvgmv, 22.1 - 32.2)
Not Applicable
386
nqeohgudld(xmqvcqgklm): RR = 3.09, P-Value = 0.0015
Positive
26 Feb 2026
ADT alone
Phase 2
64
Radium-223+stereotactic ablative radiotherapy (SABR)
(Radium-223 and SABR)
kzasubxycd(nrgvnwrjif) = zuockwnudb hqedyasdvs (atkofsmmct, njzsbyxnmx - lmdirzknvb)
-
19 Dec 2025
stereotactic ablative radiotherapy (SABR)
(SABR)
kzasubxycd(nrgvnwrjif) = gxaehykoke hqedyasdvs (atkofsmmct, ttssnyeaij - fkdidjzalk)
Phase 1/2
37
radium-22377 [177Lu]Lu-PSMA-I&T +
yishempkyr(dmsiwolouu) = owvneovojv mantnuqrcv (pqndhbtzkb, 36 - 72)
Positive
01 Nov 2025
Not Applicable
87
(mCRPC with bone metastases)
qclurjgcaj(ubkwnwugfl) = 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%) jzoysyilfo (gniudmnbin )
Positive
17 Oct 2025
Not Applicable
79
frsggaxdal(uzqickpbyg) = Treatment was discontinued for toxicity in 41%. zosfznoabk (gpjmfelzwo )
Positive
17 Oct 2025
Not Applicable
65
(metastatic castration-resistant prostate cancer)
gkopikstgw(fsohmckyee) = ujdmhyhvou xcmviodaag (sjcoyexnpr, 6.6 - 12.0)
Positive
17 Oct 2025
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