radium Ra 223 dichloride 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | PK/Tox | Related Drugs | BioActivity |

Stem definitionDrug idCAS RN
4800 444811-40-9

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • Ra 223 dichloride
  • radium chloride RA-223
  • radium Ra 223 dichloride
  • xofigo
  • alpharadin
  • BAY 88-8223
  • radium (223Ra) dichloride
  • radium RA-223 dichloride
  • Radium-223 dichloride
  • Molecular weight: 293.92
  • Formula: Cl2Ra
  • CLOGP: -1.32
  • LIPINSKI: None
  • HAC: 0
  • HDO: 0
  • TPSA:
  • ALOGS: -0.60
  • ROTB: 0

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

None

ADMET properties:

None

Predicted pharmacokinetic/toxicological properties (PK-AZ):

PropertyDescriptionValueUnitConfidenceSimilarity
kinase-safety-class ACVR2A,ACVR2B,ACVRL1,AKT3,ALK,AURKA,AXL,BRAF,BTK,CAMK2B,CAMK2D,CDK1,CDK4,CDK5,CDK9,DDR1,DYRK1B,EGFR,EIF2AK3,EPHB4,ERBB2,FLT3,GRK2,GSK3B,IKBKB,ITK,JAK1,JAK2,JAK3,KDR,MAP2K6,MAP3K14,MAP3K21,MAP3K7,MAP4K1,MAPK10,MAPK12,MAPK7,MAPK9,MAPKAPK2,MARK4,MET,MTOR,NTRK2,PDK1,PDK2,PDK4,PDPK1,PIK3CA,PIK3CB,PIK3CD,PIK3CG,PIM1,PIM2,PLK1,PRKCD,PRKDC,SIK2,SIK3,STK33,SYK,TEK,TGFBR1,TTK,ULK1,ULK2,ZAP70 67
pfas-class PFAS structural alert (1 = True, 0 = False) 0

Approvals:

DateAgencyCompanyOrphan
May 15, 2013 FDA BAYER HLTHCARE

FDA Adverse Event Reporting System (Female)

None

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Prostatic specific antigen increased 1334.37 32.11 355 7555 16570 42596855
Metastases to bone 767.62 32.11 224 7686 14585 42598840
Metastases to liver 431.89 32.11 148 7762 16178 42597247
Bone pain 255.29 32.11 112 7798 23680 42589745
Prostate cancer metastatic 247.26 32.11 78 7832 6551 42606874
General physical health deterioration 238.73 32.11 208 7702 151038 42462387
Anaemia 228.05 32.11 269 7641 280009 42333416
Prostate cancer 201.82 32.11 117 7793 44526 42568899
Metastases to lymph nodes 192.62 32.11 63 7847 5935 42607490
Spinal cord compression 188.31 32.11 57 7853 4167 42609258
Osteonecrosis of jaw 170.32 32.11 79 7831 18970 42594455
Haemoglobin decreased 161.67 32.11 158 7752 132313 42481112
Metastasis 161.56 32.11 52 7858 4653 42608772
Death 139.27 32.11 283 7627 470902 42142523
Prostate cancer stage IV 129.37 32.11 38 7872 2502 42610923
Disease progression 117.99 32.11 139 7771 143517 42469908
Metastases to spine 117.99 32.11 37 7873 3040 42610385
Platelet count decreased 111.99 32.11 133 7777 138448 42474977
Laboratory test abnormal 111.13 32.11 63 7847 22915 42590510
Metastases to lung 110.29 32.11 50 7860 11374 42602051
Pathological fracture 98.33 32.11 37 7873 5256 42608169
Full blood count abnormal 81.54 32.11 57 7853 29819 42583606
Malignant neoplasm progression 80.88 32.11 100 7810 108300 42505125
Pancytopenia 80.53 32.11 104 7806 117639 42495786
Bone marrow failure 78.54 32.11 58 7852 33035 42580390
Pain 77.70 32.11 152 7758 244696 42368729
Thrombocytopenia 71.40 32.11 127 7783 190152 42423273
Malaise 70.06 32.11 134 7776 212022 42401403
Blood test abnormal 66.76 32.11 37 7873 12869 42600556
Metastases to soft tissue 62.66 32.11 15 7895 444 42612981
Hospitalisation 60.98 32.11 72 7838 74258 42539167
Metastases to central nervous system 59.98 32.11 32 7878 10323 42603102
Metastases to bone marrow 59.91 32.11 15 7895 537 42612888
Decreased appetite 58.87 32.11 118 7792 193019 42420406
Blood alkaline phosphatase increased 56.31 32.11 48 7862 33549 42579876
Hormone-refractory prostate cancer 55.45 32.11 16 7894 988 42612437
Prostate cancer recurrent 54.25 32.11 16 7894 1067 42612358
Cancer pain 52.29 32.11 21 7889 3546 42609879
Traumatic fracture 49.17 32.11 12 7898 386 42613039
Bone marrow infiltration 43.90 32.11 10 7900 237 42613188
Femur fracture 42.34 32.11 25 7885 9787 42603638
Asthenia 41.34 32.11 130 7780 280663 42332762
Haematotoxicity 39.74 32.11 25 7885 10960 42602465
Blood alkaline phosphatase decreased 37.53 32.11 12 7898 1049 42612376
Spinal compression fracture 37.45 32.11 21 7889 7462 42605963
Fracture 35.90 32.11 21 7889 8082 42605343
Bladder tamponade 34.49 32.11 10 7900 628 42612797
Myelosuppression 34.49 32.11 40 7870 40421 42573004
Pelvic pain 33.80 32.11 15 7895 3239 42610186

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Prostatic specific antigen increased 1116.80 36.87 227 5290 12284 110571498
Metastases to bone 496.96 36.87 141 5376 31231 110552551
Metastases to liver 286.19 36.87 95 5422 35291 110548491
Anaemia 261.41 36.87 216 5301 546870 110036912
Prostate cancer metastatic 221.41 36.87 51 5466 4892 110578890
Prostate cancer 189.23 36.87 71 5446 37570 110546212
Bone pain 167.31 36.87 76 5441 65057 110518725
Osteonecrosis of jaw 149.00 36.87 64 5453 47953 110535829
Platelet count decreased 148.54 36.87 109 5408 230334 110353448
Haemoglobin decreased 145.52 36.87 111 5406 248616 110335166
Metastases to lymph nodes 140.18 36.87 45 5472 14987 110568795
Death 132.67 36.87 168 5349 698701 109885081
General physical health deterioration 117.10 36.87 124 5393 425171 110158611
Laboratory test abnormal 99.30 36.87 47 5470 44032 110539750
Metastases to spine 98.02 36.87 27 5490 5316 110578466
Thrombocytopenia 96.42 36.87 102 5415 348783 110234999
Pancytopenia 93.68 36.87 80 5437 209533 110374249
Metastases to lung 92.68 36.87 37 5480 23026 110560756
Spinal cord compression 88.79 36.87 27 5490 7525 110576257
Pathological fracture 88.03 36.87 30 5487 12002 110571780
Prostate cancer stage IV 86.92 36.87 21 5496 2467 110581315
Metastasis 82.21 36.87 26 5491 8241 110575541
Hospitalisation 81.85 36.87 63 5454 142430 110441352
Metastases to soft tissue 75.60 36.87 15 5502 704 110583078
Full blood count abnormal 66.69 36.87 39 5478 56013 110527769
Bone marrow failure 65.55 36.87 39 5478 57809 110525973
Decreased appetite 63.77 36.87 97 5420 475749 110108033
Blood test abnormal 62.92 36.87 30 5487 28524 110555258
Prostate cancer recurrent 59.89 36.87 13 5504 949 110582833
Cancer pain 57.93 36.87 19 5498 6753 110577029
Blood alkaline phosphatase increased 48.83 36.87 35 5482 70900 110512882
Hormone-refractory prostate cancer 44.00 36.87 10 5507 900 110582882
Metastases to central nervous system 41.39 36.87 21 5496 22796 110560986
Malignant neoplasm progression 39.39 36.87 46 5471 174521 110409261
Malaise 37.84 36.87 95 5422 671724 109912058
Asthenia 37.32 36.87 96 5421 688903 109894879
Hyphaema 36.91 36.87 9 5508 1098 110582684

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC V10XX03 VARIOUS
THERAPEUTIC RADIOPHARMACEUTICALS
OTHER THERAPEUTIC RADIOPHARMACEUTICALS
Various therapeutic radiopharmaceuticals
MeSH PA D000970 Antineoplastic Agents
CHEBI has role CHEBI:35232 radiopharmaceuticals
CHEBI has role CHEBI:35610 antineoplastic agents

Related Drugs by ATC class:

V10XX Various therapeutic radiopharmaceuticals 4 drugs

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Malignant tumor of prostate indication 399068003 DOID:10283




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

None

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

None

External reference:

IDSource
4037730 VANDF
CHEMBL2107816 ChEMBL_ID
C581106 MESH_SUPPLEMENTAL_RECORD_UI
DB08913 DRUGBANK_ID
RJ00KV3VTG UNII
1424174 RXNORM
203076 MMSL
29462 MMSL
d08101 MMSL
015032 NDDF
C3541342 UMLSCUI
CHEBI:74895 CHEBI

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Xofigo HUMAN PRESCRIPTION DRUG LABEL 1 50419-208 INJECTION 30 uCi INTRAVENOUS NDA 27 sections