Skip to content

A Phase III Study of Radium-223 Dichloride in Patients With Symptomatic Hormone Refractory Prostate Cancer With Skeletal Metastases

A Double-blind, Randomised, Multiple Dose, Phase III, Multicentre Study of Alpharadin in the Treatment of Patients With Symptomatic Hormone Refractory Prostate Cancer With Skeletal Metastases

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00699751
Acronym
ALSYMPCA
Enrollment
921
Registered
2008-06-18
Start date
2008-06-12
Completion date
2014-02-13
Last updated
2026-02-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Bone Metastases, Hormone Refractory Prostate Cancer

Keywords

Hormone Refractory Prostate Cancer, Bone Metastases, Radium-223

Brief summary

ALSYMPCA (ALpharadin in SYMPtomatic Prostate CAncer) is an international Phase III clinical study to evaluate the efficacy and safety of Radium-223 dichloride in patients with hormone refractory prostate cancer and skeletal metastases.

Detailed description

The aim of the study was to compare, in patients with symptomatic hormone refractory prostate cancer (HRPC) and skeletal metastases, the efficacy of best standard of care plus Radium-223 dichloride versus best standard of care plus placebo, with the primary efficacy endpoint being overall survival (OS). Patients were randomised in a 2:1 allocation ratio (Radium-223 dichloride:Placebo). The study treatment consisted of 6 intravenous administrations of Radium-223 dichloride or placebo (saline) each separated by an interval of 4 weeks. The patient were followed until 3 years after first study drug administration. Within the U.S., the trial was conducted under an IND sponsored by Bayer HealthCare Pharmaceuticals. All patients received BSoC (Best Standard of Care). This study has the original PCD as 14 October 2010, when a total of 316 deaths had been observed; this resulted in the Independent Data Monitoring Committee's (IDMC's) recommendation to stop the study as the primary efficacy analysis of overall survival had crossed the pre-specified boundary for efficacy. Later an updated analysis of primary endpoint in the first addendum was done with cut-off of 15 July 2011.

Interventions

DRUGRadium-223 dichloride (Xofigo, BAY88-8223)

Radium-223 dichloride 50 kBq/kg b.w., 6 IV administrations separated by 4 weeks intervals.

DRUGPlacebo

Isotonic saline 6 IV administrations separated by 4 weeks intervals.

DRUGBest standard of care (BSoC)

Best standard of care is regarded as the routine standard of care at each center, for example local EBRT (External Beam Radiation Therapy), corticosteroids, antiandrogens, estrogens (e.g., stilboestrol), estramustine or ketoconazole.

Sponsors

Bayer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Histologically or cytologically confirmed adenocarcinoma of the prostate * Known hormone refractory disease * Multiple skeletal metastases (≥ 2 hot spots) on bone scintigraphy * No intention to use cytotoxic chemotherapy within the next 6 months * Either regular (not occasional) analgesic medication use for cancer related bone pain or treatment with EBRT (External Beam Radiation Therapy) for bone pain

Exclusion criteria

* Treatment with an investigational drug within previous 4 weeks, or planned during the treatment period * Eligible for first course of docetaxel, i.e. patients who are fit enough, willing and where docetaxel is available * Treatment with cytotoxic chemotherapy within previous 4 weeks, or planned during the treatment period, or failure to recover from adverse events due to cytotoxic chemotherapy administered more than 4 weeks ago * Systemic radiotherapy with strontium-89, samarium-153, rhenium-186 or rhenium-188 for the treatment of bony metastases within previous 24 weeks * Other malignancy treated within the last 5 years (except non-melanoma skin cancer or low-grade superficial bladder cancer) * History of visceral metastasis, or visceral metastases as assessed by abdominal/pelvic CT or chest x-ray within previous 8 weeks

Design outcomes

Primary

MeasureTime frameDescription
Overall SurvivalFrom randomization to death due to any cause until approximately 3 years after start of enrollment, the data was collected up to the second data analysis date (15 JUL 2011)Overall survival was defined as the time from date of randomization to the date of death.

Secondary

MeasureTime frameDescription
Time to Total Alkaline Phosphatase (ALP) ProgressionFrom randomization to first ALP progression until approximately 3 years after start of enrollmentThe time from the first study drug administration to when ALP progression was observed, defined as: 1) In subjects with no ALP decline from baseline; a greater than or equal to 25% increase from baseline value and an increase in absolute value of greater than or equal to 2 ng/mL, at least 12 weeks from baseline; 2) In subjects with initial ALP decline from baseline; the time from start of treatment to first ALP increase that is greater than or equal to 25% increase and at least 2 ng/mL above the nadir value, which was confirmed by a second value obtained 3 or more weeks later
Percentage of Participants With Total ALP Response at Week 12At Baseline and Week 12ALP levels were measured in participants' blood at Week 12 and compared to baseline values. A confirmed total ALP response (either \>/= 30% or 50% reduction from baseline) was confirmed by a second total ALP value approximately 4 weeks later.
Percentage of Participants With Total ALP Response at End of Treatment (EOT; Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)At Baseline and End of Treatment (Week 24 or at the time the patient dies or discontinues treatment phase)ALP levels were measured in participants' blood at EOT (Week 24) and compared to baseline values. A confirmed total ALP response (\>/=50% reduction from baseline) was confirmed by a second total ALP value approximately 4 weeks later.
Percentage of Participants With Total ALP Normalization at Week 12At Baseline and Week 12The return of total ALP value to within normal range at 12 weeks in 2 consecutive measurements (at least 2 weeks apart) after start of treatment in subjects who had ALP above the upper limit of normal (ULN) at baseline.
Percentage Change From Baseline in Total ALP at Week 12At Baseline and Week 12ALP level was measured in subject's blood at Week 12 and the percent change from the baseline value was calculated (ALP level at week 12 minus ALP level at baseline)/(ALP level at baseline)\*100
Maximum Percentage Decrease From Baseline in Total ALP up to Week 12From baseline to Week 12ALP level was measured in participant's blood up to week 12 and the maximum percent decrease from the baseline up to Week 12 value was calculated as the minimum value of \[(ALP level up to week 12 minus ALP level at baseline)/(ALP level at baseline)\*100\] by participant, and set to zero if no decrease from baseline.
Percentage Change From Baseline in Total ALP at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)At Baseline and End of Treatment (Week 24 or at the time the patient dies or discontinues treatment phase)ALP level was measured in subject's blood at EOT (Week 24) and the percent change from the baseline value was calculated (ALP level at EOT minus ALP level at baseline)/(ALP level at baseline)\*100
Maximum Percentage Decrease From Baseline in Total ALP During the 24 Week TreatmentFrom baseline During the 24 Week TreatmentALP level was measured in participant's blood during the 24 week treatment (up to EOT) and the maximum percent decrease from baseline during the 24 week treatment value was calculated as the minimum value of \[(ALP level up to week 24 minus ALP level at baseline)/(ALP level at baseline)\*100\] by participant, and set to zero if no decrease from baseline.
Time to Prostate Specific Antigen (PSA) ProgressionFrom randomization to first PSA progression until approximately 3 years after start of enrollmentThe time from the first study drug administration to when PSA progression was observed, defined as: 1) In subjects with no PSA decline from baseline; a greater than or equal to 25% increase from baseline value and an increase in absolute value of greater than or equal to 2 ng/mL, at least 12 weeks from baseline; 2) In subjects with initial PSA decline from baseline; the time from start of treatment to first PSA increase that is greater than or equal to 25% increase and at least 2 ng/mL above the nadir value, which was confirmed by a second value obtained 3 or more weeks later
Percentage of Participants With PSA Response at Week 12At Baseline and Week 12PSA levels were measured in participants' blood at Week 12 and compared to baseline values. A confirmed PSA response (\>/=50% reduction from baseline) was confirmed by a second PSA value approximately 4 weeks later.
Percentage of Participants With PSA Response at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)At Baseline and End of Treatment (Week 24 or at the time the patient dies or discontinues treatment phase)PSA levels were measured in participants' blood at EOT (Week 24) and compared to baseline values. A confirmed PSA response (\>/=50% reduction from baseline) was confirmed by a second PSA value approximately 4 weeks later.
Percentage Change From Baseline in PSA at Week 12At Baseline and Week 12PSA level was measured in subject's blood at Week 12 and the percent change from the baseline value was calculated (PSA level at week 12 minus PSA level at baseline)/(PSA level at baseline)\*100
Maximum Percentage Decrease From Baseline in PSA up to Week 12From baseline up to Week 12PSA level was measured in participant's blood up to Week 12 and the maximum percent decrease from the baseline up to week 12 value was calculated as the minimum value of \[(PSA level up to week 12 minus PSA level at baseline)/(PSA level at baseline)\*100\] by participant, and set to zero if no decrease from baseline.
Percentage Change From Baseline in PSA at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)At Baseline and End of Treatment (Week 24 or at the time the patient dies or discontinues treatment phase)PSA level was measured in subject's blood at EOT (Week 24) and the percent change from the baseline value was calculated (PSA level at EOT minus PSA level at baseline)/(PSA level at baseline)\*100
Maximum Percentage Decrease From Baseline in PSA Response During the 24 Week Treatment PeriodFrom baseline to End of Treatment (Week 24; 4 weeks post last injection)PSA level was measured in participant's blood during the 24 week treatment (up to EOT) and the maximum percent decrease from baseline during the 24 Week treatment value was calculated as the minimum value of \[(PSA level up to week 24 minus PSA level at baseline)/(PSA level at baseline)\*100\] by participant, and set to zero if no decrease from baseline.
Time to First Skeletal Related Event (SRE)From randomization to first first SRE until approximately 3 years after start of enrollmentA skeletal related event is the use of external beam radiotherapy to relieve skeletal symptoms or the occurrence of new symptomatic pathological bone fractures (vertebral or non-vertebral) or the occurrence of spinal cord compression or a tumour related orthopaedic surgical intervention. For all other events, the start date of the event/medication/therapy was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.
Time to Occurrence of First Use of External Beam Radiation Therapy (EBRT) to Relieve Skeletal SymptomsFrom randomization to first EBRT until approximately 3 years after start of enrollmentThe start date of therapy was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.
Time to Occurrence of First Use of Radioisotopes to Relieve Skeletal SymptomsFrom randomization to first use of radioisotopes until approximately 3 years after start of enrollmentThe start date of the radioisotopes was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.
Time to Occurrence of First New Symptomatic Pathological Bone Fractures, Vertebral and Non-vertebralFrom randomization to occurrence of first new symptomatic pathological bone fractures until approximately 3 years after start of enrollmentThe start date of the event was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.
Time to Occurrence of First Tumor Related Orthopedic Surgical InterventionFrom randomization to occurrence of first tumor related orthopedic surgical intervention until approximately 3 years after start of enrollmentThe start date of the intervention was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.
Time to Occurrence of First Spinal Cord CompressionFrom randomization to first spinal cord compression until approximately 3 years after start of enrollmentThe start date of the compression was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.
Time to Occurrence of First Start of Any Other Anti-cancer TreatmentFrom randomization to first start of any other anti-cancer treatment until approximately 3 years after start of enrollmentThe start date of the treatment was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.
Time to Occurrence of First Deterioration of Eastern Cooperative Oncology Group Performance Status (ECOG PS) by at Least 2 Points From BaselineFrom randomization to first deterioration of Eastern Cooperative Oncology Group Performance Status (ECOG PS) until approximately 3 years after start of enrollmentECOG scores were: 0 = fully active; 1 = restricted in physically strenuous activity; 2 = ambulatory and capable of all self-care but unable to work; 3 = capable of only limited self-care; 4 = completely disabled; 5 = death. The visit at which a 2-point or more deterioration in PS was observed was the time of the event. ECOG was assessed at every visit. If a marked deterioration in PS has not occurred at the time of the analysis or the participant was lost to follow-up, the time-to-event variables were censored at the last assessment date.

Countries

Australia, Belgium, Brazil, Canada, Czechia, France, Germany, Hong Kong, Israel, Italy, Netherlands, Norway, Poland, Singapore, Slovakia, Spain, Sweden, United Kingdom, United States

Contacts

STUDY_CHAIRChristopher Parker, MD

The Royal Marsden Hospital, UK

Participant flow

Recruitment details

Subjects with progressive symptomatic hormone refractory prostate cancer (HRPC), with at least 2 skeletal metastases on bone scan and no known visceral metastases, could participate in the study.

Pre-assignment details

Subjects were to be randomized in a 2:1, a total of 921 subjects were enrolled in the study and were randomized to receive either Alpharadin \[Radium-223 dichloride (Xofigo, BAY88-8223)\] or placebo study treatment, which resulted in 614 subjects enrolled in the Alpharadin group and 307 enrolled in the placebo group.

Participants by arm

ArmCount
Radium-223 Dichloride (Xofigo, BAY88-8223)
Radium-223 50 kilo Becquerel (kBq)/kg body weight (b.w.) for 6 intravenous (IV) administrations separated by 4 weeks intervals plus BSoC.
614
Placebo
Isotonic saline for 6 IV administrations separated by 4 weeks intervals plus BSoC.
307
Total921

Baseline characteristics

CharacteristicRadium-223 Dichloride (Xofigo, BAY88-8223)PlaceboTotal
Age, Continuous70.2 Years
STANDARD_DEVIATION 8.1
70.8 Years
STANDARD_DEVIATION 7.87
70.4 Years
STANDARD_DEVIATION 8.03
Any prior use of docetaxel
No
262 Participants133 Participants395 Participants
Any prior use of docetaxel
Yes
352 Participants174 Participants526 Participants
Current use of bisphosphonates
No
364 Participants183 Participants547 Participants
Current use of bisphosphonates
Yes
250 Participants124 Participants374 Participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
614 Participants307 Participants921 Participants
Total Alkaline Phosphatase (ALP)
< 220 U/L
348 Participants169 Participants517 Participants
Total Alkaline Phosphatase (ALP)
≥ 220 U/L
266 Participants138 Participants404 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
other
Total, other adverse events
524 / —254 / —23 / —
serious
Total, serious adverse events
286 / —185 / —17 / —

Outcome results

Primary

Overall Survival

Overall survival was defined as the time from date of randomization to the date of death.

Time frame: From randomization to death due to any cause until approximately 3 years after start of enrollment, the data was collected up to the second data analysis date (15 JUL 2011)

Population: The intent-to-treat (ITT) population was defined as all randomized subjects.

ArmMeasureValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Overall Survival14.9 Months
PlaceboOverall Survival11.3 Months
Comparison: The null hypothesis for the comparison of overall survival, and also for the secondary endpoints, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: 0.0000595% CI: [0.578, 0.827]Log Rank
Secondary

Maximum Percentage Decrease From Baseline in PSA Response During the 24 Week Treatment Period

PSA level was measured in participant's blood during the 24 week treatment (up to EOT) and the maximum percent decrease from baseline during the 24 Week treatment value was calculated as the minimum value of \[(PSA level up to week 24 minus PSA level at baseline)/(PSA level at baseline)\*100\] by participant, and set to zero if no decrease from baseline.

Time frame: From baseline to End of Treatment (Week 24; 4 weeks post last injection)

Population: Participants in The ITT population and had no missing values for this outcome measure

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Radium-223 Dichloride (Xofigo, BAY88-8223)Maximum Percentage Decrease From Baseline in PSA Response During the 24 Week Treatment Period-16.4 Percentage changeStandard Error 1.01
PlaceboMaximum Percentage Decrease From Baseline in PSA Response During the 24 Week Treatment Period-9.3 Percentage changeStandard Error 1.45
Comparison: The null hypothesis for the comparison of Maximum Percentage Decrease from Baseline in PSA response During the 24 Week Treatment Period, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001ANCOVA
Secondary

Maximum Percentage Decrease From Baseline in PSA up to Week 12

PSA level was measured in participant's blood up to Week 12 and the maximum percent decrease from the baseline up to week 12 value was calculated as the minimum value of \[(PSA level up to week 12 minus PSA level at baseline)/(PSA level at baseline)\*100\] by participant, and set to zero if no decrease from baseline.

Time frame: From baseline up to Week 12

Population: Participants in The ITT population and had no missing values for this outcome measure

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Radium-223 Dichloride (Xofigo, BAY88-8223)Maximum Percentage Decrease From Baseline in PSA up to Week 12-13.0 Percentage changeStandard Error 0.9
PlaceboMaximum Percentage Decrease From Baseline in PSA up to Week 12-7.8 Percentage changeStandard Error 1.28
Comparison: The null hypothesis for the comparison of Maximum Percentage Decrease from Baseline up to Week 12, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: 0.004ANCOVA
Secondary

Maximum Percentage Decrease From Baseline in Total ALP During the 24 Week Treatment

ALP level was measured in participant's blood during the 24 week treatment (up to EOT) and the maximum percent decrease from baseline during the 24 week treatment value was calculated as the minimum value of \[(ALP level up to week 24 minus ALP level at baseline)/(ALP level at baseline)\*100\] by participant, and set to zero if no decrease from baseline.

Time frame: From baseline During the 24 Week Treatment

Population: Participants in The ITT population and had no missing values for this outcome measure

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Radium-223 Dichloride (Xofigo, BAY88-8223)Maximum Percentage Decrease From Baseline in Total ALP During the 24 Week Treatment-44.4 Percentage changeStandard Error 0.8
PlaceboMaximum Percentage Decrease From Baseline in Total ALP During the 24 Week Treatment-7.5 Percentage changeStandard Error 1.14
Comparison: The null hypothesis for the comparison of Maximum Percentage decrease from baseline during the 24 week treatment, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001ANCOVA
Secondary

Maximum Percentage Decrease From Baseline in Total ALP up to Week 12

ALP level was measured in participant's blood up to week 12 and the maximum percent decrease from the baseline up to Week 12 value was calculated as the minimum value of \[(ALP level up to week 12 minus ALP level at baseline)/(ALP level at baseline)\*100\] by participant, and set to zero if no decrease from baseline.

Time frame: From baseline to Week 12

Population: Participants in The ITT population and had no missing values for this outcome measure

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Radium-223 Dichloride (Xofigo, BAY88-8223)Maximum Percentage Decrease From Baseline in Total ALP up to Week 12-38.9 Percentage changeStandard Error 0.76
PlaceboMaximum Percentage Decrease From Baseline in Total ALP up to Week 12-5.9 Percentage changeStandard Error 1.09
Comparison: The null hypothesis for the comparison of Maximum Percentage decrease from baseline to week 12, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001ANCOVA
Secondary

Percentage Change From Baseline in PSA at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)

PSA level was measured in subject's blood at EOT (Week 24) and the percent change from the baseline value was calculated (PSA level at EOT minus PSA level at baseline)/(PSA level at baseline)\*100

Time frame: At Baseline and End of Treatment (Week 24 or at the time the patient dies or discontinues treatment phase)

Population: Participants in The ITT population and had no missing values for this outcome measure

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage Change From Baseline in PSA at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)144.3 Percentage changeStandard Error 15.38
PlaceboPercentage Change From Baseline in PSA at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)191.1 Percentage changeStandard Error 22.1
Comparison: The null hypothesis for the comparison of Percentage change from baseline in PSA at EOT, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: 0.009ANCOVA
Secondary

Percentage Change From Baseline in PSA at Week 12

PSA level was measured in subject's blood at Week 12 and the percent change from the baseline value was calculated (PSA level at week 12 minus PSA level at baseline)/(PSA level at baseline)\*100

Time frame: At Baseline and Week 12

Population: Participants in The ITT population and had no missing values for this outcome measure

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage Change From Baseline in PSA at Week 1283.3 Percent changeStandard Error 152.48
PlaceboPercentage Change From Baseline in PSA at Week 12543.8 Percent changeStandard Error 233.69
Comparison: The null hypothesis for the comparison of Percentage change from baseline in PSA at Week 12, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: 0.16ANCOVA
Secondary

Percentage Change From Baseline in Total ALP at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)

ALP level was measured in subject's blood at EOT (Week 24) and the percent change from the baseline value was calculated (ALP level at EOT minus ALP level at baseline)/(ALP level at baseline)\*100

Time frame: At Baseline and End of Treatment (Week 24 or at the time the patient dies or discontinues treatment phase)

Population: Participants in The ITT population and had no missing values for this outcome measure

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage Change From Baseline in Total ALP at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)-29.9 Percent changeStandard Error 3.13
PlaceboPercentage Change From Baseline in Total ALP at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)62.1 Percent changeStandard Error 4.48
Comparison: The null hypothesis for the comparison of Percentage change from baseline, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001ANCOVA
Secondary

Percentage Change From Baseline in Total ALP at Week 12

ALP level was measured in subject's blood at Week 12 and the percent change from the baseline value was calculated (ALP level at week 12 minus ALP level at baseline)/(ALP level at baseline)\*100

Time frame: At Baseline and Week 12

Population: Participants in The ITT population and had no missing values for this outcome measure

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage Change From Baseline in Total ALP at Week 12-32.2 Percentage changeStandard Error 1.8
PlaceboPercentage Change From Baseline in Total ALP at Week 1237.2 Percentage changeStandard Error 2.77
Comparison: The null hypothesis for the comparison of Percentage change from baseline, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001ANCOVA
Secondary

Percentage of Participants With PSA Response at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)

PSA levels were measured in participants' blood at EOT (Week 24) and compared to baseline values. A confirmed PSA response (\>/=50% reduction from baseline) was confirmed by a second PSA value approximately 4 weeks later.

Time frame: At Baseline and End of Treatment (Week 24 or at the time the patient dies or discontinues treatment phase)

Population: Participants in The ITT population and had no missing values for this outcome measure

ArmMeasureGroupValue (NUMBER)
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With PSA Response at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)>=30% reduction in blood level14.2 Percentage of participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With PSA Response at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)>=50% reduction in blood level9 Percentage of participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With PSA Response at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)Confirmed PSA Response (>=50%)6.1 Percentage of participants
PlaceboPercentage of Participants With PSA Response at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)>=30% reduction in blood level4.5 Percentage of participants
PlaceboPercentage of Participants With PSA Response at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)>=50% reduction in blood level3.1 Percentage of participants
PlaceboPercentage of Participants With PSA Response at EOT (Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)Confirmed PSA Response (>=50%)1.7 Percentage of participants
Comparison: The null hypothesis for the comparison of \>=30% reduction in blood level, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001Cochran-Mantel-Haenszel
Comparison: The null hypothesis for the comparison of \>=50% reduction in blood level, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: 0.002Cochran-Mantel-Haenszel
Comparison: The null hypothesis for the comparison of Confirmed PSA Response(\>=50%), is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: 0.005Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With PSA Response at Week 12

PSA levels were measured in participants' blood at Week 12 and compared to baseline values. A confirmed PSA response (\>/=50% reduction from baseline) was confirmed by a second PSA value approximately 4 weeks later.

Time frame: At Baseline and Week 12

Population: Participants in The ITT population and had no missing values for this outcome measure

ArmMeasureGroupValue (NUMBER)
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With PSA Response at Week 12>=30% reduction of PSA in blood level16.4 Percentage of participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With PSA Response at Week 12>=50% reduction of PSA in blood level7.7 Percentage of participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With PSA Response at Week 12Confirmed PSA Response (>=50%)5.7 Percentage of participants
PlaceboPercentage of Participants With PSA Response at Week 12>=30% reduction of PSA in blood level6.2 Percentage of participants
PlaceboPercentage of Participants With PSA Response at Week 12>=50% reduction of PSA in blood level4.3 Percentage of participants
PlaceboPercentage of Participants With PSA Response at Week 12Confirmed PSA Response (>=50%)1.9 Percentage of participants
Comparison: The null hypothesis for the comparison of \>=30% reduction in blood level, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001Cochran-Mantel-Haenszel
Comparison: The null hypothesis for the comparison of \>=50% reduction in blood level, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: 0.106Cochran-Mantel-Haenszel
Comparison: The null hypothesis for the comparison of Confirmed PSA Response(\>=50%), is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: 0.032Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Total ALP Normalization at Week 12

The return of total ALP value to within normal range at 12 weeks in 2 consecutive measurements (at least 2 weeks apart) after start of treatment in subjects who had ALP above the upper limit of normal (ULN) at baseline.

Time frame: At Baseline and Week 12

Population: Participants in The ITT population and had no missing values for this outcome measure

ArmMeasureValue (NUMBER)
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With Total ALP Normalization at Week 1234 Percentage of participants
PlaceboPercentage of Participants With Total ALP Normalization at Week 121.4 Percentage of participants
Comparison: The null hypothesis for the comparison of Total ALP normalization, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Total ALP Response at End of Treatment (EOT; Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)

ALP levels were measured in participants' blood at EOT (Week 24) and compared to baseline values. A confirmed total ALP response (\>/=50% reduction from baseline) was confirmed by a second total ALP value approximately 4 weeks later.

Time frame: At Baseline and End of Treatment (Week 24 or at the time the patient dies or discontinues treatment phase)

Population: Participants in The ITT population and had no missing values for this outcome measure

ArmMeasureGroupValue (NUMBER)
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With Total ALP Response at End of Treatment (EOT; Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)>=50% reduction of ALP in blood level34.6 Percentage of participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With Total ALP Response at End of Treatment (EOT; Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)Confirmed Total ALP Response (>=50%)13.9 Percentage of participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With Total ALP Response at End of Treatment (EOT; Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)>=30% reduction of ALP in blood level59.9 Percentage of participants
PlaceboPercentage of Participants With Total ALP Response at End of Treatment (EOT; Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)>=50% reduction of ALP in blood level1.7 Percentage of participants
PlaceboPercentage of Participants With Total ALP Response at End of Treatment (EOT; Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)>=30% reduction of ALP in blood level4.5 Percentage of participants
PlaceboPercentage of Participants With Total ALP Response at End of Treatment (EOT; Week 24 or at the Time the Patient Dies or Discontinues Treatment Phase)Confirmed Total ALP Response (>=50%)1 Percentage of participants
Comparison: The null hypothesis for the comparison of \>=30% reduction in blood level, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001Cochran-Mantel-Haenszel
Comparison: The null hypothesis for the comparison of \>=50% reduction in blood level, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001Cochran-Mantel-Haenszel
Comparison: The null hypothesis for the comparison of Confirmed Total ALP Response (\>=50%), is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Total ALP Response at Week 12

ALP levels were measured in participants' blood at Week 12 and compared to baseline values. A confirmed total ALP response (either \>/= 30% or 50% reduction from baseline) was confirmed by a second total ALP value approximately 4 weeks later.

Time frame: At Baseline and Week 12

Population: Participants in The ITT population and had no missing values for this outcome measure

ArmMeasureGroupValue (NUMBER)
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With Total ALP Response at Week 12>=30% reduction of ALP in blood level59.4 Percentage of participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With Total ALP Response at Week 12>=50% reduction of ALP in blood level32.6 Percentage of participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With Total ALP Response at Week 12Confirmed Total ALP Response (>=30%)47.1 Percentage of participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Percentage of Participants With Total ALP Response at Week 12Confirmed Total ALP Response (>=50%)27.4 Percentage of participants
PlaceboPercentage of Participants With Total ALP Response at Week 12Confirmed Total ALP Response (>=50%)0.9 Percentage of participants
PlaceboPercentage of Participants With Total ALP Response at Week 12>=30% reduction of ALP in blood level6.2 Percentage of participants
PlaceboPercentage of Participants With Total ALP Response at Week 12Confirmed Total ALP Response (>=30%)3.3 Percentage of participants
PlaceboPercentage of Participants With Total ALP Response at Week 12>=50% reduction of ALP in blood level1.4 Percentage of participants
Comparison: The null hypothesis for the comparison of \>=30% reduction in blood level, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001Cochran-Mantel-Haenszel
Comparison: The null hypothesis for the comparison of \>=50% reduction in blood level, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001Cochran-Mantel-Haenszel
Comparison: The null hypothesis for the comparison of Confirmed Total ALP Response (\>=30%), is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001Cochran-Mantel-Haenszel
Comparison: The null hypothesis for the comparison of Confirmed Total ALP Response (\>=50%), is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.001Cochran-Mantel-Haenszel
Secondary

Time to First Skeletal Related Event (SRE)

A skeletal related event is the use of external beam radiotherapy to relieve skeletal symptoms or the occurrence of new symptomatic pathological bone fractures (vertebral or non-vertebral) or the occurrence of spinal cord compression or a tumour related orthopaedic surgical intervention. For all other events, the start date of the event/medication/therapy was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.

Time frame: From randomization to first first SRE until approximately 3 years after start of enrollment

Population: The ITT population was all randomized subjects

ArmMeasureValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Time to First Skeletal Related Event (SRE)16.4 Months
PlaceboTime to First Skeletal Related Event (SRE)8.1 Months
Comparison: The null hypothesis for the comparison of time to first SRE, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference existsp-value: 0.0001295% CI: [0.529, 0.814]Log Rank
Secondary

Time to Occurrence of First Deterioration of Eastern Cooperative Oncology Group Performance Status (ECOG PS) by at Least 2 Points From Baseline

ECOG scores were: 0 = fully active; 1 = restricted in physically strenuous activity; 2 = ambulatory and capable of all self-care but unable to work; 3 = capable of only limited self-care; 4 = completely disabled; 5 = death. The visit at which a 2-point or more deterioration in PS was observed was the time of the event. ECOG was assessed at every visit. If a marked deterioration in PS has not occurred at the time of the analysis or the participant was lost to follow-up, the time-to-event variables were censored at the last assessment date.

Time frame: From randomization to first deterioration of Eastern Cooperative Oncology Group Performance Status (ECOG PS) until approximately 3 years after start of enrollment

Population: The ITT population was all randomized subjects

ArmMeasureValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Time to Occurrence of First Deterioration of Eastern Cooperative Oncology Group Performance Status (ECOG PS) by at Least 2 Points From Baseline23.4 Months
PlaceboTime to Occurrence of First Deterioration of Eastern Cooperative Oncology Group Performance Status (ECOG PS) by at Least 2 Points From Baseline18.4 Months
Comparison: The null hypothesis for the comparison of Time to Marked Deterioration of ECOG PS, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: 0.0018795% CI: [0.546, 0.873]Log Rank
Secondary

Time to Occurrence of First New Symptomatic Pathological Bone Fractures, Vertebral and Non-vertebral

The start date of the event was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.

Time frame: From randomization to occurrence of first new symptomatic pathological bone fractures until approximately 3 years after start of enrollment

Population: The ITT population was all randomized subjects

ArmMeasureValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Time to Occurrence of First New Symptomatic Pathological Bone Fractures, Vertebral and Non-vertebralNA Months
PlaceboTime to Occurrence of First New Symptomatic Pathological Bone Fractures, Vertebral and Non-vertebralNA Months
Comparison: The null hypothesis for the comparison of Time to Pathological Bone Fracture, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference existsp-value: 0.5327795% CI: [0.504, 1.426]Log Rank
Secondary

Time to Occurrence of First Spinal Cord Compression

The start date of the compression was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.

Time frame: From randomization to first spinal cord compression until approximately 3 years after start of enrollment

Population: The ITT population was all randomized subjects

ArmMeasureValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Time to Occurrence of First Spinal Cord CompressionNA Months
PlaceboTime to Occurrence of First Spinal Cord CompressionNA Months
Comparison: The null hypothesis for the comparison of Time to Spinal Cord Compression, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: 0.1448695% CI: [0.404, 1.145]Log Rank
Secondary

Time to Occurrence of First Start of Any Other Anti-cancer Treatment

The start date of the treatment was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.

Time frame: From randomization to first start of any other anti-cancer treatment until approximately 3 years after start of enrollment

Population: The ITT population was all randomized subjects

ArmMeasureValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Time to Occurrence of First Start of Any Other Anti-cancer Treatment15.4 Months
PlaceboTime to Occurrence of First Start of Any Other Anti-cancer Treatment12.7 Months
Comparison: The null hypothesis for the comparison of Time to Other Cancer Treatment, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: 0.0093295% CI: [0.571, 0.925]Log Rank
Secondary

Time to Occurrence of First Tumor Related Orthopedic Surgical Intervention

The start date of the intervention was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.

Time frame: From randomization to occurrence of first tumor related orthopedic surgical intervention until approximately 3 years after start of enrollment

Population: The ITT population was all randomized subjects

ArmMeasureValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Time to Occurrence of First Tumor Related Orthopedic Surgical InterventionNA Months
PlaceboTime to Occurrence of First Tumor Related Orthopedic Surgical InterventionNA Months
Comparison: The null hypothesis for the comparison of Time to Surgical Intervention, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference existsp-value: 0.8956795% CI: [0.435, 2.07]Log Rank
Secondary

Time to Occurrence of First Use of External Beam Radiation Therapy (EBRT) to Relieve Skeletal Symptoms

The start date of therapy was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.

Time frame: From randomization to first EBRT until approximately 3 years after start of enrollment

Population: The ITT population was all randomized subjects

ArmMeasureValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Time to Occurrence of First Use of External Beam Radiation Therapy (EBRT) to Relieve Skeletal Symptoms18 Months
PlaceboTime to Occurrence of First Use of External Beam Radiation Therapy (EBRT) to Relieve Skeletal Symptoms10.7 Months
Comparison: The null hypothesis for the comparison of time to EBRT, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference existsp-value: 0.0000895% CI: [0.511, 0.8]Log Rank
Secondary

Time to Occurrence of First Use of Radioisotopes to Relieve Skeletal Symptoms

The start date of the radioisotopes was used as the time of the event. If an event has not occurred at the time of the analysis or the patient has been lost to follow-up, the time-to-event variables will be censored at the last disease assessment date.

Time frame: From randomization to first use of radioisotopes until approximately 3 years after start of enrollment

Population: The ITT population was all randomized subjects

ArmMeasureValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Time to Occurrence of First Use of Radioisotopes to Relieve Skeletal SymptomsNA Months
PlaceboTime to Occurrence of First Use of Radioisotopes to Relieve Skeletal SymptomsNA Months
Comparison: The null hypothesis for the comparison of Time to Receiving Radio-isotope, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference existsp-value: 0.0019195% CI: [0.17, 0.695]Log Rank
Secondary

Time to Prostate Specific Antigen (PSA) Progression

The time from the first study drug administration to when PSA progression was observed, defined as: 1) In subjects with no PSA decline from baseline; a greater than or equal to 25% increase from baseline value and an increase in absolute value of greater than or equal to 2 ng/mL, at least 12 weeks from baseline; 2) In subjects with initial PSA decline from baseline; the time from start of treatment to first PSA increase that is greater than or equal to 25% increase and at least 2 ng/mL above the nadir value, which was confirmed by a second value obtained 3 or more weeks later

Time frame: From randomization to first PSA progression until approximately 3 years after start of enrollment

Population: The ITT population was all randomized subjects

ArmMeasureValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Time to Prostate Specific Antigen (PSA) Progression3.6 Months
PlaceboTime to Prostate Specific Antigen (PSA) Progression3.4 Months
Comparison: The null hypothesis for the comparison of Time to PSA progression, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.0000195% CI: [0.539, 0.768]Log Rank
Secondary

Time to Total Alkaline Phosphatase (ALP) Progression

The time from the first study drug administration to when ALP progression was observed, defined as: 1) In subjects with no ALP decline from baseline; a greater than or equal to 25% increase from baseline value and an increase in absolute value of greater than or equal to 2 ng/mL, at least 12 weeks from baseline; 2) In subjects with initial ALP decline from baseline; the time from start of treatment to first ALP increase that is greater than or equal to 25% increase and at least 2 ng/mL above the nadir value, which was confirmed by a second value obtained 3 or more weeks later

Time frame: From randomization to first ALP progression until approximately 3 years after start of enrollment

Population: The ITT population was all randomized subjects.

ArmMeasureValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Time to Total Alkaline Phosphatase (ALP) Progression7.4 Months
PlaceboTime to Total Alkaline Phosphatase (ALP) Progression3.8 Months
Comparison: The null hypothesis for the comparison of time to total ALP progression, is that there is no difference between Alpharadin and placebo for that endpoint; the alternative hypothesis is that a difference exists.p-value: <0.0000195% CI: [0.131, 0.22]Log Rank
Other Pre-specified

Absolute Scores for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)

The FACT-P was 27 questions relating to 4 domains: physical, social/family, emotional, and functional well-being. It was supplemented by 12 questions relating to prostate cancer. The absolute score of the FACT-P total score (physical, social/family, emotional, and functional well-being and prostate specific score) was calculated at Week 16, Week 24, and Follow-up Visit 2.FACT-P Total Score: Physical Well-being (PWB) + Social/Family Well-being (SWB) + Emotional Well-being (EWB) + Functional Well-being (FWB) + Prostate Cancer (PCS). Score ranges from 0 (worst) to 156 (best).

Time frame: At Week 16, Week 24, and Follow-up Visit 2 (Week 42)

Population: The ITT population was all randomized subjects

ArmMeasureGroupValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 16100.68 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 2498.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Follow-up Visit 2 (Week 42)97.83 Scores on a scale
PlaceboAbsolute Scores for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 1699.90 Scores on a scale
PlaceboAbsolute Scores for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 2497.5 Scores on a scale
PlaceboAbsolute Scores for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Follow-up Visit 2 (Week 42)97.38 Scores on a scale
Other Pre-specified

Absolute Scores for Functional Assessment of Cancer Therapy - General (FACT-G) Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)

The FACT-G instrument consisted of 27 questions relating to 4 domains: physical, social/family, emotional, and functional well-being. The FACT-G absolute total score (physical, social/family, emotional, and functional well-being) was calculated at Week 16, Week 24, and Follow-up Visit 2. FACT-G Total Score: Physical Well-being (PWB) + Social/Family Well-being (SWB) + Emotional Well-being (EWB) + Functional Well-being (FWB). Score ranges from 0 (worst) to 108 (best).

Time frame: At Week 16, Week 24, and Follow-up Visit 2 (Week 42)

Population: The ITT population was all randomized subjects

ArmMeasureGroupValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Functional Assessment of Cancer Therapy - General (FACT-G) Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 1673.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Functional Assessment of Cancer Therapy - General (FACT-G) Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 2471.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Functional Assessment of Cancer Therapy - General (FACT-G) Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Follow-up Visit 2 (Week 42)70.00 Scores on a scale
PlaceboAbsolute Scores for Functional Assessment of Cancer Therapy - General (FACT-G) Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 1672.00 Scores on a scale
PlaceboAbsolute Scores for Functional Assessment of Cancer Therapy - General (FACT-G) Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 2469.00 Scores on a scale
PlaceboAbsolute Scores for Functional Assessment of Cancer Therapy - General (FACT-G) Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Follow-up Visit 2 (Week 42)70.25 Scores on a scale
Other Pre-specified

Absolute Scores for Functional Assessment of Cancer Therapy - Prostate (FACT-P) Trial Outcome Index (TOI)

The FACT-P was 27 questions relating to 4 domains: physical, social/family, emotional, and functional well-being. It was supplemented by 12 questions relating to prostate cancer. The absolute score for the FACT-P TOI domain (physical and social well-being and prostate specific score) was calculated for each visit. Prostate Cancer Trial Outcome Index (TOI): Physical Well-being (PWB) + Functional Well-being (FWB) + Prostate Cancer (PCS). Score ranges from 0 (worst) to 104 (best).

Time frame: Baseline, Week 16, Week 24, and Follow-up Visit 2 (Week 42)

Population: The ITT population was all randomized subjects

ArmMeasureGroupValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Functional Assessment of Cancer Therapy - Prostate (FACT-P) Trial Outcome Index (TOI)Week 1665.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Functional Assessment of Cancer Therapy - Prostate (FACT-P) Trial Outcome Index (TOI)Week 0 (Baseline)65.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Functional Assessment of Cancer Therapy - Prostate (FACT-P) Trial Outcome Index (TOI)Week 2461.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Functional Assessment of Cancer Therapy - Prostate (FACT-P) Trial Outcome Index (TOI)Follow-up Visit 2 (Week 42)61.00 Scores on a scale
PlaceboAbsolute Scores for Functional Assessment of Cancer Therapy - Prostate (FACT-P) Trial Outcome Index (TOI)Follow-up Visit 2 (Week 42)60.5 Scores on a scale
PlaceboAbsolute Scores for Functional Assessment of Cancer Therapy - Prostate (FACT-P) Trial Outcome Index (TOI)Week 2460.00 Scores on a scale
PlaceboAbsolute Scores for Functional Assessment of Cancer Therapy - Prostate (FACT-P) Trial Outcome Index (TOI)Week 0 (Baseline)64.00 Scores on a scale
PlaceboAbsolute Scores for Functional Assessment of Cancer Therapy - Prostate (FACT-P) Trial Outcome Index (TOI)Week 1661.31 Scores on a scale
Other Pre-specified

Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Follow-up Visit 2 (Week 42)

The FACT-P was 27 questions relating to 4 domains: physical, social/family, emotional, and functional well-being and was supplemented by 12 questions relating to prostate cancer. Possible scores for each subscale were 0 to 28; 0 to 28; 0 to 24; 0 to 28; and 0 to 48, respectively. All FACT-P items are scored on a scale of 0-4 representing the extent to which the item reflects the experience of the individual completing the instrument (0 - Not at all; 4 - Very much). Higher scores indicate better quality of life. The absolute score of the FACT-P total score was calculated at Follow-up Visit 2.

Time frame: At Follow-up Visit 2 (Week 42)

Population: The ITT population was all randomized subjects

ArmMeasureGroupValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Follow-up Visit 2 (Week 42)social/family well being22.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Follow-up Visit 2 (Week 42)functional well being14.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Follow-up Visit 2 (Week 42)emotional well being17.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Follow-up Visit 2 (Week 42)the prostate cancer subscale28.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Follow-up Visit 2 (Week 42)physical well being19.00 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Follow-up Visit 2 (Week 42)the prostate cancer subscale29.00 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Follow-up Visit 2 (Week 42)physical well being18.00 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Follow-up Visit 2 (Week 42)social/family well being22.00 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Follow-up Visit 2 (Week 42)emotional well being16.00 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Follow-up Visit 2 (Week 42)functional well being14.00 Scores on a scale
Other Pre-specified

Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 16

The FACT-P was 27 questions relating to 4 domains: physical, social/family, emotional, and functional well-being and was supplemented by 12 questions relating to prostate cancer. Possible scores for each subscale were 0 to 28; 0 to 28; 0 to 24; 0 to 28; and 0 to 48, respectively. All FACT-P items are scored on a scale of 0-4 representing the extent to which the item reflects the experience of the individual completing the instrument (0 - Not at all; 4 - Very much). Higher scores indicate better quality of life. The absolute score of the FACT-P total score was calculated at Week 16.

Time frame: At Week 16

Population: The ITT population was all randomized subjects

ArmMeasureGroupValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 16physical well being20.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 16functional well being16.0 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 16emotional well being18.0 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 16the prostate cancer subscale29.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 16social/family well being22.00 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 16the prostate cancer subscale27.60 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 16physical well being19.83 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 16social/family well being21.50 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 16emotional well being16.80 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 16functional well being15.0 Scores on a scale
Other Pre-specified

Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 24

The FACT-P was 27 questions relating to 4 domains: physical, social/family, emotional, and functional well-being and was supplemented by 12 questions relating to prostate cancer. Possible scores for each subscale were 0 to 28; 0 to 28; 0 to 24; 0 to 28; and 0 to 48, respectively. All FACT-P items are scored on a scale of 0-4 representing the extent to which the item reflects the experience of the individual completing the instrument (0 - Not at all; 4 - Very much). Higher scores indicate better quality of life. The absolute score of the FACT-P total score was calculated at Week 24.

Time frame: At Week 24

Population: The ITT population was all randomized subjects

ArmMeasureGroupValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 24social/family well being21.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 24functional well being15.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 24emotional well being17.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 24the prostate cancer subscale28.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Absolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 24physical well being19.00 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 24the prostate cancer subscale27.64 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 24physical well being18.67 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 24social/family well being21.00 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 24emotional well being16.00 Scores on a scale
PlaceboAbsolute Scores for Physical Well Being, Social/Family Well Being, Emotional Well Being, Functional Well Being, and the Prostate Cancer Subscale at Week 24functional well being14.00 Scores on a scale
Other Pre-specified

Change From Baseline for FACT-G Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)

The FACT-G instrument consisted of 27 questions relating to 4 domains: physical, social/family, emotional, and functional well-being. Total possible score was 108; a higher score indicates a better quality of life. The changes from baseline in the FACT-G total score (physical, social/family, emotional, and functional well-being) were calculated at Week 16, Week 24, and Follow-up Visit 2. Possible range was -108 to 108.

Time frame: Baseline, Week 16, Week 24, and Follow-up Visit 2 (Week 42)

Population: The ITT population was all randomized subjects

ArmMeasureGroupValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Change From Baseline for FACT-G Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 16-1.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Change From Baseline for FACT-G Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 24-4.08 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Change From Baseline for FACT-G Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Follow-up Visit 2 (Week 42)-3.67 Scores on a scale
PlaceboChange From Baseline for FACT-G Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 16-4.00 Scores on a scale
PlaceboChange From Baseline for FACT-G Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 24-7.00 Scores on a scale
PlaceboChange From Baseline for FACT-G Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Follow-up Visit 2 (Week 42)-6.00 Scores on a scale
Other Pre-specified

Change From Baseline for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)

The FACT-P was 27 questions relating to 4 domains: physical, social/family, emotional, and functional well-being. It was supplemented by 12 questions relating to prostate cancer. Total possible score was 156; a higher score indicates a better quality of life. The changes from baseline in the FACT-P total score (physical, social/family, emotional, and functional well-being and prostate specific score) were calculated at Week 16, Week 24, and Follow-up Visit 2. Possible range was -156 to 156.

Time frame: Baseline, Week 16, Week 24, and Follow-up Visit 2 (week 42)

Population: The ITT population was all randomized subjects

ArmMeasureGroupValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Change From Baseline for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Follow-up Visit 2 (Week 42)-6.17 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Change From Baseline for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 16-2.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Change From Baseline for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 24-5.00 Scores on a scale
PlaceboChange From Baseline for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Follow-up Visit 2 (Week 42)-7.00 Scores on a scale
PlaceboChange From Baseline for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 16-5.67 Scores on a scale
PlaceboChange From Baseline for FACT-P Total Score at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 24-9.40 Scores on a scale
Other Pre-specified

Changes From Baseline for FACT-P Trial Outcome Index (TOI) at Week 16, Week 24, and Follow-up Visit 2 (Week 42)

The FACT-P was 27 questions relating to 4 domains: physical, social/family, emotional, and functional well-being. It was supplemented by 12 questions relating to prostate cancer. The absolute score for the FACT-P TOI domain (physical and social well-being and prostate specific score) was calculated for each visit. Possible scores were 0 to 104; the higher the score, the better the quality of life. The changes from baseline (range -104 to 104) in the domain FACT-P TOI were summarized using descriptive statistics at Week 16, Week 24, and Follow-up Visit 2.

Time frame: Baseline, Week 16, Week 24, and Follow-up Visit 2 (Week 42)

Population: The ITT population was all randomized subjects

ArmMeasureGroupValue (MEDIAN)
Radium-223 Dichloride (Xofigo, BAY88-8223)Changes From Baseline for FACT-P Trial Outcome Index (TOI) at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Follow-up Visit 2 (Week 42)-5.00 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Changes From Baseline for FACT-P Trial Outcome Index (TOI) at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 16-1.55 Scores on a scale
Radium-223 Dichloride (Xofigo, BAY88-8223)Changes From Baseline for FACT-P Trial Outcome Index (TOI) at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 24-4.00 Scores on a scale
PlaceboChanges From Baseline for FACT-P Trial Outcome Index (TOI) at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 16-4.15 Scores on a scale
PlaceboChanges From Baseline for FACT-P Trial Outcome Index (TOI) at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Week 24-5.67 Scores on a scale
PlaceboChanges From Baseline for FACT-P Trial Outcome Index (TOI) at Week 16, Week 24, and Follow-up Visit 2 (Week 42)At Follow-up Visit 2 (Week 42)-5.5 Scores on a scale
Other Pre-specified

Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)

The EQ-5D questionnaire was given to the subject at each visit. The EQ-5D questionnaire consisted of 5 ordinal categorical responses (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). Number of participants with EQ-5D at follow-up visit 8, as measured by this questionnaire, was counted. The scores for the EQ-5D dimensions are assigned according to the level of problems reported (1 'no problems'; 2 'some problems'; 3 'extreme problems').

Time frame: Follow-up Visit 8 (Week 139)

Population: The ITT population was all randomized subjects with with EQ-5D analyzed.

ArmMeasureGroupValue (NUMBER)
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)usual activities - Missing1 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)mobility - Missing1 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)self-care - Grade 212 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)pain/discomfort - Grade 232 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)self-care - Grade 32 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)self-care - MIssing1 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)usual activities - Grade 219 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)usual activities - Grade 113 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)pain/discomfort - Grade 33 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)anxiety/depression - Grade 124 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)pain/discomfort - Grade 15 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)anxiety/depression - Grade 215 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)anxiety/depression - Missing1 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)pain/discomfort - Missing1 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)self-care - Grade 126 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)mobility - Grade 230 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)usual activities - Grade 38 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)anxiety/depression - Grade 31 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)mobility - Grade 31 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)mobility - Grade 19 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)anxiety/depression - Missing0 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)self-care - Grade 23 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)self-care - Grade 33 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)usual activities - Grade 27 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)usual activities - Missing0 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)pain/discomfort - Grade 211 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)mobility - Grade 12 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)mobility - Grade 210 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)mobility - Grade 31 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)mobility - Missing0 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)self-care - Grade 17 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)self-care - MIssing0 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)usual activities - Grade 12 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)usual activities - Grade 34 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)pain/discomfort - Grade 11 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)pain/discomfort - Grade 31 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)pain/discomfort - Missing0 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)anxiety/depression - Grade 16 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)anxiety/depression - Grade 27 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Follow-up Visit 8 (Week 139)anxiety/depression - Grade 30 Participants
Other Pre-specified

Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16

The EQ-5D questionnaire was given to the subject at each visit. The EQ-5D questionnaire consisted of 5 ordinal categorical responses (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). Number of participants with EQ-5D at Week 16, as measured by this questionnaire, was counted. The scores for the EQ-5D dimensions are assigned according to the level of problems reported (1 'no problems'; 2 'some problems'; 3 'extreme problems').

Time frame: Week 16

Population: The ITT population was all randomized subjects with with EQ-5D analyzed.

ArmMeasureGroupValue (NUMBER)
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16usual activities - Grade 2233 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16anxiety/depression - Missing6 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16mobility - Grade 1191 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16mobility - Grade 2278 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16mobility - Grade 37 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16mobility - Missing1 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16self-care - Grade 1346 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16self-care - Grade 2123 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16self-care - Grade 37 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16self-care - Missing1 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16usual activities - Grade 1199 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16usual activities - Grade 344 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16usual activities - Missing1 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16pain/discomfort - Grade 179 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16pain/discomfort - Grade 2351 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16pain/discomfort - Grade 346 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16pain/discomfort - Missing1 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16anxiety/depression - Grade 1285 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16anxiety/depression - Grade 2171 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16anxiety/depression - Grade 315 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16anxiety/depression - Grade 1104 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16usual activities - Grade 2105 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16anxiety/depression - Grade 34 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16usual activities - Grade 167 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16pain/discomfort - Grade 322 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16mobility - Grade 164 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16usual activities - Grade 332 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16mobility - Grade 2129 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16anxiety/depression - Missing2 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16mobility - Grade 310 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16usual activities - Missing1 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16mobility - Missing2 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16pain/discomfort - Missing1 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16self-care - Grade 1140 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16pain/discomfort - Grade 123 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16self-care - Grade 254 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16anxiety/depression - Grade 295 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16self-care - Grade 310 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16pain/discomfort - Grade 2159 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 16self-care - Missing1 Participants
Other Pre-specified

Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24

The EQ-5D questionnaire was given to the subject at each visit. The EQ-5D questionnaire consisted of 5 ordinal categorical responses (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). Number of participants with EQ-5D at Week 24, as measured by this questionnaire, was counted. The scores for the EQ-5D dimensions are assigned according to the level of problems reported (1 'no problems'; 2 'some problems'; 3 'extreme problems').

Time frame: Week 24

Population: The ITT population was all randomized subjects with with EQ-5D analyzed.

ArmMeasureGroupValue (NUMBER)
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24mobility - Grade 2225 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24usual activities - Grade 2187 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24self-care - Grade 1256 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24usual activities - Grade 337 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24mobility - Grade 1129 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24usual activities - Missing4 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24self-care - Grade 2102 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24pain/discomfort - Grade 156 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24mobility - Grade 311 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24pain/discomfort - Grade 2270 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24self-care - Grade 36 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24pain/discomfort - Grade 339 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24anxiety/depression - Missing4 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24pain/discomfort - Missing3 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24self-care - Missing4 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24anxiety/depression - Grade 1195 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24mobility - Missing3 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24usual activities - Grade 1140 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24anxiety/depression - Grade 310 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24anxiety/depression - Grade 2159 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24anxiety/depression - Missing3 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24anxiety/depression - Grade 32 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24mobility - Grade 139 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24mobility - Grade 293 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24mobility - Grade 35 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24mobility - Missing3 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24self-care - Grade 189 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24self-care - Grade 246 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24self-care - Grade 33 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24self-care - Missing2 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24usual activities - Grade 138 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24usual activities - Grade 279 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24usual activities - Grade 320 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24usual activities - Missing3 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24pain/discomfort - Grade 121 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24pain/discomfort - Grade 295 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24pain/discomfort - Grade 321 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24pain/discomfort - Missing3 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24anxiety/depression - Grade 164 Participants
PlaceboNumber of Participants in the Euro Quality of Life (EQ-5D) Components for Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at Week 24anxiety/depression - Grade 271 Participants
Other Pre-specified

Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.

ECOG PS was defined as: 0 = Fully active, able to carry on all pre-disease performance without restriction; 1 = Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature (eg, light house work, office work); 2 = Ambulatory and capable of all self-care but unable to carry out work activities. Up and about \> 50% of waking hours; 3 = Capable of only limited self-care, confined to bed or chair \> 50% of waking hours; 4 = Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair; or 5 = Dead.

Time frame: Week 0

Population: Participants in The ITT population and with ECOG analyzed

ArmMeasureGroupValue (NUMBER)
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.ECOG Grade 282 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.ECOG Grade 40 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.ECOG Grade 1376 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.ECOG Grade 50 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.ECOG Grade 36 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.Missing0 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.ECOG Grade 0136 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.Missing1 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.ECOG Grade 072 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.ECOG Grade 1191 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.ECOG Grade 240 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.ECOG Grade 31 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.ECOG Grade 40 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 0.ECOG Grade 50 Participants
Other Pre-specified

Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.

ECOG PS was defined as: 0 = Fully active, able to carry on all pre-disease performance without restriction; 1 = Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature (eg, light house work, office work); 2 = Ambulatory and capable of all self-care but unable to carry out work activities. Up and about \> 50% of waking hours; 3 = Capable of only limited self-care, confined to bed or chair \> 50% of waking hours; 4 = Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair; or 5 = Dead.

Time frame: Week 16

Population: Participants in The ITT population and with ECOG analyzed

ArmMeasureGroupValue (NUMBER)
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.ECOG Grade 285 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.ECOG Grade 44 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.ECOG Grade 1257 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.ECOG Grade 50 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.ECOG Grade 319 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.Missing5 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.ECOG Grade 0101 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.Missing1 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.ECOG Grade 029 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.ECOG Grade 1113 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.ECOG Grade 242 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.ECOG Grade 311 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.ECOG Grade 40 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 16.ECOG Grade 50 Participants
Other Pre-specified

Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.

ECOG PS was defined as: 0 = Fully active, able to carry on all pre-disease performance without restriction; 1 = Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature (eg, light house work, office work); 2 = Ambulatory and capable of all self-care but unable to carry out work activities. Up and about \> 50% of waking hours; 3 = Capable of only limited self-care, confined to bed or chair \> 50% of waking hours; 4 = Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair; or 5 = Dead.

Time frame: Week 24

Population: Participants in The ITT population and with ECOG analyzed

ArmMeasureGroupValue (NUMBER)
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.ECOG Grade 285 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.ECOG Grade 45 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.ECOG Grade 1181 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.ECOG Grade 50 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.ECOG Grade 317 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.Missing1 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.ECOG Grade 074 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.Missing0 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.ECOG Grade 022 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.ECOG Grade 166 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.ECOG Grade 236 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.ECOG Grade 310 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.ECOG Grade 44 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 24.ECOG Grade 50 Participants
Other Pre-specified

Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.

ECOG PS was defined as: 0 = Fully active, able to carry on all pre-disease performance without restriction; 1 = Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature (eg, light house work, office work); 2 = Ambulatory and capable of all self-care but unable to carry out work activities. Up and about \> 50% of waking hours; 3 = Capable of only limited self-care, confined to bed or chair \> 50% of waking hours; 4 = Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair; or 5 = Dead.

Time frame: Week 8

Population: Participants in The ITT population and with ECOG analyzed

ArmMeasureGroupValue (NUMBER)
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.ECOG Grade 2103 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.ECOG Grade 40 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.ECOG Grade 1315 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.ECOG Grade 51 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.ECOG Grade 313 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.Missing4 Participants
Radium-223 Dichloride (Xofigo, BAY88-8223)Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.ECOG Grade 0133 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.Missing4 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.ECOG Grade 049 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.ECOG Grade 1142 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.ECOG Grade 253 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.ECOG Grade 315 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.ECOG Grade 43 Participants
PlaceboNumber of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Week 8.ECOG Grade 51 Participants

Source: ClinicalTrials.gov · Data processed: Mar 20, 2026