Observational Study for the Evaluation of Long-term Safety of Radium-223 Used for the Treatment of Metastatic Castration Resistant Prostate Cancer

NCT ID: NCT02141438

Last Updated: 2025-10-16

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1472 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-08-20

Study Completion Date

2024-10-24

Brief Summary

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Observational study in the routine clinical practice setting to evaluate the short and long term safety profile of Radium-223 in metastatic castration resistant prostate cancer patients and to evaluate the risk of developing second primary cancers.

Detailed Description

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Conditions

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Metastatic Castration-resistant Prostate Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Radium-223 dichloride (Xofigo, BAY88-8223)

Single-arm cohort observational study with CRPC patients with bone metastasis treated with Radium-223.

Radium-223 dichloride (Xofigo, BAY88-8223)

Intervention Type DRUG

This is a non-interventional study, the drug is used in its authorized indication from commercial supply. The decision to treat with Radium-223 will be agreed upon between the physician and the patient independently and prior to providing the patient study information. Treatment with Radium-223 should follow the approved local product information.

Interventions

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Radium-223 dichloride (Xofigo, BAY88-8223)

This is a non-interventional study, the drug is used in its authorized indication from commercial supply. The decision to treat with Radium-223 will be agreed upon between the physician and the patient independently and prior to providing the patient study information. Treatment with Radium-223 should follow the approved local product information.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Treatment decision to Radium-223 needs to be made independent from and before patient enrollment in the study
* Histologically or cytologically confirmed castration resistant adenocarcinoma of the prostate with bone metastases
* Signed informed consent

Exclusion Criteria

* Previously treated with Radium-223 for any reason
* Currently treated in clinical trials including other Radium-223 studies
* Planned for the systemic concomitant use of other radiopharmaceuticals for treatment of prostate cancer or for other use
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Anchorage, Alaska, United States

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Scottsdale, Arizona, United States

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Daly City, California, United States

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Long Beach, California, United States

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Sacramento, California, United States

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San Diego, California, United States

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Colorado Springs, Colorado, United States

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Boca Raton, Florida, United States

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Fort Myers, Florida, United States

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Jacksonville, Florida, United States

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Lakewood Rch, Florida, United States

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Plantation, Florida, United States

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Atlanta, Georgia, United States

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Decatur, Georgia, United States

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Honolulu, Hawaii, United States

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Evanston, Illinois, United States

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Warrenville, Illinois, United States

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Wichita, Kansas, United States

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Ashland, Kentucky, United States

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New Orleans, Louisiana, United States

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Baltimore, Maryland, United States

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Rockville, Maryland, United States

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Towson, Maryland, United States

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Boston, Massachusetts, United States

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Troy, Michigan, United States

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St Louis, Missouri, United States

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Billings, Montana, United States

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Omaha, Nebraska, United States

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Lebanon, New Hampshire, United States

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Neptune City, New Jersey, United States

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Township, New Jersey, United States

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Buffalo, New York, United States

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East Setauket, New York, United States

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Lake Success, New York, United States

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Winston-Salem, North Carolina, United States

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Middleburg Heights, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Springfield, Oregon, United States

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Abington, Pennsylvania, United States

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Charleston, South Carolina, United States

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Myrtle Beach, South Carolina, United States

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Nashville, Tennessee, United States

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Houston, Texas, United States

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Lubbock, Texas, United States

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San Antonio, Texas, United States

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Temple, Texas, United States

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Charlottesville, Virginia, United States

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Virginia Beach, Virginia, United States

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Seattle, Washington, United States

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Multiple Locations, , Argentina

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Multiple Locations, , Austria

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Multiple Locations, , Belgium

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Multiple Locations, , Canada

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Multiple Locations, , Colombia

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Multiple Locations, , Czechia

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Multiple Locations, , Denmark

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Multiple Locations, , France

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Multiple Locations, , Germany

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Multiple Locations, , Greece

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Multiple Locations, , Israel

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Multiple Locations, , Italy

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Multiple Locations, , Luxembourg

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Multiple Locations, , Mexico

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Multiple Locations, , Netherlands

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Multiple Locations, , Portugal

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Multiple Locations, , Spain

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Multiple Locations, , Sweden

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Multiple Locations, , United Kingdom

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Countries

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United States Argentina Austria Belgium Canada Colombia Czechia Denmark France Germany Greece Israel Italy Luxembourg Mexico Netherlands Portugal Spain Sweden United Kingdom

References

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O'Sullivan JM, Heinrich D, Castro E, George S, Dizdarevic S, Baldari S, Essler M, Jong IJ, Lastoria S, Hammerer PG, Tombal B, James ND, Meltzer J, Sandstrom P, Sartor O. Alkaline phosphatase decline and pain response as predictors of overall survival benefit in patients treated with radium-223: a post hoc analysis of the REASSURE study. Br J Cancer. 2025 Mar;132(4):354-360. doi: 10.1038/s41416-024-02927-w. Epub 2025 Jan 9.

Reference Type DERIVED
PMID: 39789153 (View on PubMed)

Higano CS, Dizdarevic S, Logue J, Richardson T, George S, de Jong I, Tomaszewski JJ, Saad F, Miller K, Meltzer J, Sandstrom P, Verholen F, Tombal B, Sartor O. Safety and effectiveness of the radium-223-taxane treatment sequence in patients with metastatic castration-resistant prostate cancer in a global observational study (REASSURE). Cancer. 2024 Jun 1;130(11):1930-1939. doi: 10.1002/cncr.35221. Epub 2024 Feb 10.

Reference Type DERIVED
PMID: 38340349 (View on PubMed)

Sartor O, Fougere C, Essler M, Ezziddin S, Kramer G, Ellinger J, Nordquist L, Sylvester J, Paganelli G, Peer A, Bogemann M, Meltzer J, Sandstrom P, Verholen F, Song DY. 177Lu-Prostate-Specific Membrane Antigen Ligand After 223Ra Treatment in Men with Bone-Metastatic Castration-Resistant Prostate Cancer: Real-World Clinical Experience. J Nucl Med. 2022 Mar;63(3):410-414. doi: 10.2967/jnumed.121.262240. Epub 2021 Jun 24.

Reference Type DERIVED
PMID: 34168015 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://clinicaltrials.bayer.com/

Click here for access to information about Bayer's transparency standards and Bayer studies.

Other Identifiers

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16913

Identifier Type: -

Identifier Source: org_study_id

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