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Radium-223 Dichloride Long-term Follow-up Program

A Phase 4 Long-term Follow-up Study to Define the Safety Profile of Radium-223 Dichloride

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02312960
Enrollment
255
Registered
2014-12-09
Start date
2014-12-18
Completion date
2024-01-31
Last updated
2025-03-25

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

Conditions

Neoplasm Metastasis / Bone and Bones

Brief summary

Patients will be followed up in this study after prior treatment with BAY88-8223 / Radium-223 dichloride / Xofigo.

Detailed description

This long-term follow up study will enroll subjects who will be transferred from selected interventional, company sponsored trials with radium-223 dichloride (feeder trials). The primary objectives are to define the long term safety profile of radium-223 dichloride (for up to 7 years after the last dose of radium-223 dichloride); to assess the incidence of leukemia, myelodysplastic syndrome, aplastic anemia, and primary bone cancer or any other new primary malignancy; to assess the incidence of bone fractures and bone associated events (e.g., osteoporosis); and, in subjects who receive cytotoxic chemotherapy, to assess the incidence of febrile neutropenia and hemorrhage during their chemotherapy treatment and for up to 6 months thereafter at a frequency based on local clinical practice.

Interventions

OTHERData Collection

No study treatment will be provided in this long term follow up study.

Sponsors

Bayer
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Eligibility

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

Inclusion criteria

* Subject was previously enrolled in a selected company sponsored feeder trial, and has received at least 1 dose of radium 223 dichloride or placebo in the feeder trial

Exclusion criteria

* Not applicable to this follow up study

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Up to 7 yearsAdverse events considered related to radium-223 dichloride or placebo (received in the feeder studies), first arising or worsening on or after the date the participant signed the 16996 informed consent.
Number of Participants With Aplastic AnemiaUp to 7 years
Number of Participants With Primary Bone CancerUp to 7 years
Severity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Up to 7 yearsSeverity will be measured as per guidelines by Common Terminology Criteria for Adverse Events; Version 4.03 (CTCAE)
Number of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse EventsUp to 7 yearsSerious adverse events considered related to radium-223 dichloride or placebo (received in the feeder studies), first arising or worsening on or after the date the participant signed the 16996 informed consent.
Number of Participants With LeukemiaUp to 7 years
Number of Participants With Myelodysplastic SyndromeUp to 7 years
Number of Participants With Any Other New Primary MalignancyUp to 7 years
Number of Participants With Bone FracturesUp to 7 years
Number of Participants With Bone-associated EventsUp to 7 years
Number of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic ChemotherapyUp to 7 years
Number of Participants With Hemorrhage in Subjects Who Receive Cytotoxic ChemotherapyUp to 7 years

Countries

Australia, Belgium, Brazil, Canada, Czechia, Finland, France, Germany, Hong Kong, Israel, Italy, Japan, Norway, Poland, Russia, Singapore, South Korea, Spain, Sweden, Taiwan, United Kingdom, United States

Participant flow

Recruitment details

The study was conducted at multiple centers in 22 countries between 18-Dec-2014 (first participant first visit) and 31-Jan-2024 (last participant last visit).

Pre-assignment details

A total of 257 participants were screened from the selected feeder studies into the 16996 study for long-term follow-up. Of these, 255 participants entered the study and 2 participants did not complete screening.

Participants by arm

ArmCount
From Study 15396 Radium-223 Dichloride+Abi/Pred Group
Safety follow up from feeder study 15396. Participants received radium-223 dichloride 50 kBg/kg (55 kBq/kg after implementation of National Institute of Standards and Technology \[NIST\] update) at intervals of every 4 weeks, along with abiraterone acetate plus prednisone/prednisolone (abi/pred) for up to 6 cycles.
39
From Study 15396 Placebo+Abi/Pred Group
Safety follow up from feeder study 15396. Participants received placebo matched to radium-223 dichloride at intervals of every 4 weeks, along with abiraterone acetate plus prednisone/prednisolone (abi/pred) for up to 6 cycles.
49
From Study 16216 Radium-223 Dichloride Group
Safety follow up from feeder study 16216. Participants received radium-223 dichloride 50 kBg/kg at intervals of every 4 weeks for up to 6 cycles.
31
From Study 16298 Radium-223 Dichloride+Hormonal Therapy Group
Safety follow up from feeder study 16298. Participants received radium-223 dichloride 50 kBg/kg (55 kBq/kg after implementation of NIST update) at intervals of every 4 weeks, along with single hormonal agent, for up to 6 cycles.
14
From Study 16298 Placebo + Hormonal Therapy Group
Safety follow up from feeder study 16298. Participants received placebo matched to radium-223 dichloride at intervals of every 4 weeks, along with single hormonal agent for up to 6 cycles.
9
From Study 16506 Radium-223 Dichloride Group
Safety follow up from feeder study 16506. Participants received radium-223 dichloride 50 kBg/kg at intervals of every 4 weeks for up to 6 cycles.
5
From Study 16507 Radium-223 Dichloride Treatment A Group
Safety follow up from feeder study 16507. Participants received radium-223 dichloride 55 kBg/kg at intervals of every 4 weeks for up to 6 cycles.
11
From Study 16507 Radium-223 Dichloride Treatment B Group
Safety follow up from feeder study 16507. Participants received radium-223 dichloride 88 kBg/kg at intervals of every 4 weeks for up to 6 cycles.
9
From Study 16507 Radium-223 Dichloride Treatment C Group
Safety follow up from feeder study 16507. Participants received radium-223 dichloride 55 kBg/kg at intervals of every 4 weeks for up to 12 cycles.
11
From Study 16544 Radium-223 Dichloride+Abi/Pred Group
Safety follow up from feeder study 16544. Participants received radium-223 dichloride 50 kBg/kg (55 kBq/kg after implementation of NIST update) at intervals of every 4 weeks, along with Abi/Pred for up to 6 cycles.
9
From Study 16544 Radium-223 Dichloride+Enzalutamide Group
Safety follow up from feeder study 16544. Participants received radium-223 dichloride 50 kBg/kg (55 kBq/kg after implementation of NIST update) at intervals of every 4 weeks, along with enzalutamide for up to 6 cycles.
4
From Study 16544 Radium-223 Dichloride Group
Safety follow up from feeder study 16544. Participants received radium-223 dichloride 50 kBg/kg (55 kBq/kg after implementation of NIST update) at intervals of every 4 weeks for up to 6 cycles.
3
From Study 17096 Radium-223 Dichloride + EXE/EVE Group
Safety follow up from feeder study 17096. Participants received radium-223 dichloride 50 kBg/kg (55 kBq/kg after implementation of NIST update) along with exemestane (EXE) + everolimus (EVE) once daily.
33
From Study 17096 Placebo + EXE/EVEgroup
Safety follow up from feeder study 17096. Participants received placebo matched to radium-223 dichloride along with exemestane (EXE) + everolimus (EVE) once daily.
28
Total255

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011FG012FG013
Overall StudyDeath24322511558573312519
Overall StudyLost to Follow-up00100011010010
Overall StudyMissing00200000000000
Overall StudyWithdrawal by Subject12001012230020

Baseline characteristics

CharacteristicTotalFrom Study 15396 Placebo+Abi/Pred GroupFrom Study 16216 Radium-223 Dichloride GroupFrom Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupFrom Study 15396 Radium-223 Dichloride+Abi/Pred GroupFrom Study 16298 Placebo + Hormonal Therapy GroupFrom Study 16506 Radium-223 Dichloride GroupFrom Study 16507 Radium-223 Dichloride Treatment A GroupFrom Study 16507 Radium-223 Dichloride Treatment B GroupFrom Study 16507 Radium-223 Dichloride Treatment C GroupFrom Study 16544 Radium-223 Dichloride+Abi/Pred GroupFrom Study 16544 Radium-223 Dichloride+Enzalutamide GroupFrom Study 16544 Radium-223 Dichloride GroupFrom Study 17096 Radium-223 Dichloride + EXE/EVE GroupFrom Study 17096 Placebo + EXE/EVEgroup
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
174 Participants46 Participants28 Participants5 Participants33 Participants4 Participants3 Participants10 Participants7 Participants6 Participants8 Participants3 Participants2 Participants7 Participants12 Participants
Age, Categorical
Between 18 and 65 years
81 Participants3 Participants3 Participants9 Participants6 Participants5 Participants2 Participants1 Participants2 Participants5 Participants1 Participants1 Participants1 Participants26 Participants16 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
13 Participants4 Participants0 Participants0 Participants4 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants1 Participants0 Participants1 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
232 Participants41 Participants31 Participants13 Participants32 Participants9 Participants5 Participants11 Participants9 Participants10 Participants8 Participants3 Participants3 Participants30 Participants27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
10 Participants4 Participants0 Participants1 Participants3 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
53 Participants13 Participants0 Participants4 Participants6 Participants2 Participants0 Participants4 Participants5 Participants2 Participants0 Participants0 Participants0 Participants10 Participants7 Participants
Race (NIH/OMB)
Black or African American
4 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants2 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
15 Participants6 Participants0 Participants1 Participants3 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants1 Participants0 Participants2 Participants1 Participants
Race (NIH/OMB)
White
183 Participants30 Participants31 Participants9 Participants29 Participants7 Participants5 Participants7 Participants4 Participants7 Participants7 Participants3 Participants3 Participants21 Participants20 Participants
Sex: Female, Male
Female
84 Participants0 Participants0 Participants14 Participants0 Participants9 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants33 Participants28 Participants
Sex: Female, Male
Male
171 Participants49 Participants31 Participants0 Participants39 Participants0 Participants5 Participants11 Participants9 Participants11 Participants9 Participants4 Participants3 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
EG013
affected / at risk
deaths
Total, all-cause mortality
24 / 3932 / 4925 / 3111 / 145 / 95 / 58 / 115 / 97 / 113 / 93 / 41 / 325 / 3319 / 28
other
Total, other adverse events
2 / 396 / 490 / 313 / 143 / 90 / 51 / 111 / 93 / 113 / 91 / 41 / 38 / 333 / 28
serious
Total, serious adverse events
3 / 394 / 494 / 311 / 141 / 90 / 52 / 113 / 93 / 110 / 91 / 40 / 34 / 336 / 28

Outcome results

Primary

Number of Participants With Any Other New Primary Malignancy

Time frame: Up to 7 years

ArmMeasureValue (NUMBER)
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Any Other New Primary Malignancy1 Participants
From Study 15396 Placebo+Abi/Pred GroupNumber of Participants With Any Other New Primary Malignancy1 Participants
From Study 16216 Radium-223 Dichloride GroupNumber of Participants With Any Other New Primary Malignancy1 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupNumber of Participants With Any Other New Primary Malignancy0 Participants
From Study 16298 Placebo + Hormonal Therapy GroupNumber of Participants With Any Other New Primary Malignancy0 Participants
From Study 16506 Radium-223 Dichloride GroupNumber of Participants With Any Other New Primary Malignancy0 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupNumber of Participants With Any Other New Primary Malignancy0 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupNumber of Participants With Any Other New Primary Malignancy1 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupNumber of Participants With Any Other New Primary Malignancy0 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Any Other New Primary Malignancy0 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupNumber of Participants With Any Other New Primary Malignancy0 Participants
From Study 16544 Radium-223 Dichloride GroupNumber of Participants With Any Other New Primary Malignancy0 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupNumber of Participants With Any Other New Primary Malignancy0 Participants
From Study 17096 Placebo + EXE/EVEgroupNumber of Participants With Any Other New Primary Malignancy0 Participants
Primary

Number of Participants With Aplastic Anemia

Time frame: Up to 7 years

ArmMeasureValue (NUMBER)
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Aplastic Anemia0 Participants
From Study 15396 Placebo+Abi/Pred GroupNumber of Participants With Aplastic Anemia0 Participants
From Study 16216 Radium-223 Dichloride GroupNumber of Participants With Aplastic Anemia0 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupNumber of Participants With Aplastic Anemia0 Participants
From Study 16298 Placebo + Hormonal Therapy GroupNumber of Participants With Aplastic Anemia0 Participants
From Study 16506 Radium-223 Dichloride GroupNumber of Participants With Aplastic Anemia0 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupNumber of Participants With Aplastic Anemia0 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupNumber of Participants With Aplastic Anemia0 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupNumber of Participants With Aplastic Anemia0 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Aplastic Anemia0 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupNumber of Participants With Aplastic Anemia0 Participants
From Study 16544 Radium-223 Dichloride GroupNumber of Participants With Aplastic Anemia0 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupNumber of Participants With Aplastic Anemia1 Participants
From Study 17096 Placebo + EXE/EVEgroupNumber of Participants With Aplastic Anemia0 Participants
Primary

Number of Participants With Bone-associated Events

Time frame: Up to 7 years

ArmMeasureValue (NUMBER)
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Bone-associated Events1 Participants
From Study 15396 Placebo+Abi/Pred GroupNumber of Participants With Bone-associated Events2 Participants
From Study 16216 Radium-223 Dichloride GroupNumber of Participants With Bone-associated Events1 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupNumber of Participants With Bone-associated Events2 Participants
From Study 16298 Placebo + Hormonal Therapy GroupNumber of Participants With Bone-associated Events0 Participants
From Study 16506 Radium-223 Dichloride GroupNumber of Participants With Bone-associated Events0 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupNumber of Participants With Bone-associated Events0 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupNumber of Participants With Bone-associated Events1 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupNumber of Participants With Bone-associated Events4 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Bone-associated Events2 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupNumber of Participants With Bone-associated Events0 Participants
From Study 16544 Radium-223 Dichloride GroupNumber of Participants With Bone-associated Events1 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupNumber of Participants With Bone-associated Events3 Participants
From Study 17096 Placebo + EXE/EVEgroupNumber of Participants With Bone-associated Events0 Participants
Primary

Number of Participants With Bone Fractures

Time frame: Up to 7 years

ArmMeasureValue (NUMBER)
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Bone Fractures3 Participants
From Study 15396 Placebo+Abi/Pred GroupNumber of Participants With Bone Fractures6 Participants
From Study 16216 Radium-223 Dichloride GroupNumber of Participants With Bone Fractures1 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupNumber of Participants With Bone Fractures1 Participants
From Study 16298 Placebo + Hormonal Therapy GroupNumber of Participants With Bone Fractures3 Participants
From Study 16506 Radium-223 Dichloride GroupNumber of Participants With Bone Fractures0 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupNumber of Participants With Bone Fractures1 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupNumber of Participants With Bone Fractures2 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupNumber of Participants With Bone Fractures3 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Bone Fractures1 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupNumber of Participants With Bone Fractures2 Participants
From Study 16544 Radium-223 Dichloride GroupNumber of Participants With Bone Fractures0 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupNumber of Participants With Bone Fractures6 Participants
From Study 17096 Placebo + EXE/EVEgroupNumber of Participants With Bone Fractures7 Participants
Primary

Number of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy

Time frame: Up to 7 years

ArmMeasureValue (NUMBER)
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 15396 Placebo+Abi/Pred GroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16216 Radium-223 Dichloride GroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy1 Participants
From Study 16298 Placebo + Hormonal Therapy GroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16506 Radium-223 Dichloride GroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy1 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy1 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16544 Radium-223 Dichloride GroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy1 Participants
From Study 17096 Placebo + EXE/EVEgroupNumber of Participants With Febrile Neutropenia in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
Primary

Number of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy

Time frame: Up to 7 years

ArmMeasureValue (NUMBER)
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 15396 Placebo+Abi/Pred GroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16216 Radium-223 Dichloride GroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16298 Placebo + Hormonal Therapy GroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16506 Radium-223 Dichloride GroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 16544 Radium-223 Dichloride GroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy0 Participants
From Study 17096 Placebo + EXE/EVEgroupNumber of Participants With Hemorrhage in Subjects Who Receive Cytotoxic Chemotherapy2 Participants
Primary

Number of Participants With Leukemia

Time frame: Up to 7 years

ArmMeasureValue (NUMBER)
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Leukemia0 Participants
From Study 15396 Placebo+Abi/Pred GroupNumber of Participants With Leukemia0 Participants
From Study 16216 Radium-223 Dichloride GroupNumber of Participants With Leukemia1 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupNumber of Participants With Leukemia0 Participants
From Study 16298 Placebo + Hormonal Therapy GroupNumber of Participants With Leukemia0 Participants
From Study 16506 Radium-223 Dichloride GroupNumber of Participants With Leukemia0 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupNumber of Participants With Leukemia1 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupNumber of Participants With Leukemia0 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupNumber of Participants With Leukemia0 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Leukemia0 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupNumber of Participants With Leukemia0 Participants
From Study 16544 Radium-223 Dichloride GroupNumber of Participants With Leukemia0 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupNumber of Participants With Leukemia0 Participants
From Study 17096 Placebo + EXE/EVEgroupNumber of Participants With Leukemia0 Participants
Primary

Number of Participants With Myelodysplastic Syndrome

Time frame: Up to 7 years

ArmMeasureValue (NUMBER)
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Myelodysplastic Syndrome0 Participants
From Study 15396 Placebo+Abi/Pred GroupNumber of Participants With Myelodysplastic Syndrome0 Participants
From Study 16216 Radium-223 Dichloride GroupNumber of Participants With Myelodysplastic Syndrome0 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupNumber of Participants With Myelodysplastic Syndrome0 Participants
From Study 16298 Placebo + Hormonal Therapy GroupNumber of Participants With Myelodysplastic Syndrome0 Participants
From Study 16506 Radium-223 Dichloride GroupNumber of Participants With Myelodysplastic Syndrome0 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupNumber of Participants With Myelodysplastic Syndrome0 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupNumber of Participants With Myelodysplastic Syndrome0 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupNumber of Participants With Myelodysplastic Syndrome0 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Myelodysplastic Syndrome0 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupNumber of Participants With Myelodysplastic Syndrome0 Participants
From Study 16544 Radium-223 Dichloride GroupNumber of Participants With Myelodysplastic Syndrome0 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupNumber of Participants With Myelodysplastic Syndrome0 Participants
From Study 17096 Placebo + EXE/EVEgroupNumber of Participants With Myelodysplastic Syndrome0 Participants
Primary

Number of Participants With Primary Bone Cancer

Time frame: Up to 7 years

ArmMeasureValue (NUMBER)
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Primary Bone Cancer0 Participants
From Study 15396 Placebo+Abi/Pred GroupNumber of Participants With Primary Bone Cancer0 Participants
From Study 16216 Radium-223 Dichloride GroupNumber of Participants With Primary Bone Cancer0 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupNumber of Participants With Primary Bone Cancer0 Participants
From Study 16298 Placebo + Hormonal Therapy GroupNumber of Participants With Primary Bone Cancer0 Participants
From Study 16506 Radium-223 Dichloride GroupNumber of Participants With Primary Bone Cancer0 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupNumber of Participants With Primary Bone Cancer0 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupNumber of Participants With Primary Bone Cancer0 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupNumber of Participants With Primary Bone Cancer0 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Primary Bone Cancer0 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupNumber of Participants With Primary Bone Cancer0 Participants
From Study 16544 Radium-223 Dichloride GroupNumber of Participants With Primary Bone Cancer0 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupNumber of Participants With Primary Bone Cancer0 Participants
From Study 17096 Placebo + EXE/EVEgroupNumber of Participants With Primary Bone Cancer0 Participants
Primary

Number of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)

Adverse events considered related to radium-223 dichloride or placebo (received in the feeder studies), first arising or worsening on or after the date the participant signed the 16996 informed consent.

Time frame: Up to 7 years

Population: SAF-LTF

ArmMeasureValue (NUMBER)
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)0 Participants
From Study 15396 Placebo+Abi/Pred GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)1 Participants
From Study 16216 Radium-223 Dichloride GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)1 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)0 Participants
From Study 16298 Placebo + Hormonal Therapy GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)0 Participants
From Study 16506 Radium-223 Dichloride GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)0 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)1 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)0 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)3 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)0 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)0 Participants
From Study 16544 Radium-223 Dichloride GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)1 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)3 Participants
From Study 17096 Placebo + EXE/EVEgroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)0 Participants
Primary

Number of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events

Serious adverse events considered related to radium-223 dichloride or placebo (received in the feeder studies), first arising or worsening on or after the date the participant signed the 16996 informed consent.

Time frame: Up to 7 years

ArmMeasureValue (NUMBER)
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events0 Participants
From Study 15396 Placebo+Abi/Pred GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events0 Participants
From Study 16216 Radium-223 Dichloride GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events1 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events0 Participants
From Study 16298 Placebo + Hormonal Therapy GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events0 Participants
From Study 16506 Radium-223 Dichloride GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events0 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events1 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events0 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events2 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events0 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events0 Participants
From Study 16544 Radium-223 Dichloride GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events0 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events1 Participants
From Study 17096 Placebo + EXE/EVEgroupNumber of Participants With Radium-223 Dichloride-/Placebo-related Serious Adverse Events0 Participants
Primary

Severity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)

Severity will be measured as per guidelines by Common Terminology Criteria for Adverse Events; Version 4.03 (CTCAE)

Time frame: Up to 7 years

ArmMeasureGroupValue (NUMBER)
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 10 Participants
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 30 Participants
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 20 Participants
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)0 Participants
From Study 15396 Radium-223 Dichloride+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 40 Participants
From Study 15396 Placebo+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 11 Participants
From Study 15396 Placebo+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 40 Participants
From Study 15396 Placebo+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 30 Participants
From Study 15396 Placebo+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 20 Participants
From Study 15396 Placebo+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)0 Participants
From Study 16216 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 10 Participants
From Study 16216 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 30 Participants
From Study 16216 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)0 Participants
From Study 16216 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 20 Participants
From Study 16216 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 41 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 20 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 10 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)0 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 40 Participants
From Study 16298 Radium-223 Dichloride+Hormonal Therapy GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 30 Participants
From Study 16298 Placebo + Hormonal Therapy GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 10 Participants
From Study 16298 Placebo + Hormonal Therapy GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 30 Participants
From Study 16298 Placebo + Hormonal Therapy GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 20 Participants
From Study 16298 Placebo + Hormonal Therapy GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 40 Participants
From Study 16298 Placebo + Hormonal Therapy GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)0 Participants
From Study 16506 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 10 Participants
From Study 16506 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 40 Participants
From Study 16506 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 30 Participants
From Study 16506 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)0 Participants
From Study 16506 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 20 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)1 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 40 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 20 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 10 Participants
From Study 16507 Radium-223 Dichloride Treatment A GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 30 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 30 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 10 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 20 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 40 Participants
From Study 16507 Radium-223 Dichloride Treatment B GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)0 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 40 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 10 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)0 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 22 Participants
From Study 16507 Radium-223 Dichloride Treatment C GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 31 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 20 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 40 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 30 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)0 Participants
From Study 16544 Radium-223 Dichloride+Abi/Pred GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 10 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 10 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 20 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 40 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)0 Participants
From Study 16544 Radium-223 Dichloride+Enzalutamide GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 30 Participants
From Study 16544 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)0 Participants
From Study 16544 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 31 Participants
From Study 16544 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 10 Participants
From Study 16544 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 40 Participants
From Study 16544 Radium-223 Dichloride GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 20 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 32 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 21 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)0 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 40 Participants
From Study 17096 Radium-223 Dichloride + EXE/EVE GroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 10 Participants
From Study 17096 Placebo + EXE/EVEgroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 5 (death)0 Participants
From Study 17096 Placebo + EXE/EVEgroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 10 Participants
From Study 17096 Placebo + EXE/EVEgroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 40 Participants
From Study 17096 Placebo + EXE/EVEgroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 20 Participants
From Study 17096 Placebo + EXE/EVEgroupSeverity of Radium-223 Dichloride-/Placebo-related Adverse Events (AEs)Grade 30 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026