Tracers / [223Ra]Ra-RaCl2

[223Ra]Ra-RaCl2

Also written as [Ra-223]RaCl2
Radionuclide
Ra-223 t½ 16459 min
Modality
Therapy
Production route
Stage
approved
Syntheses indexed
14

What it is

Compound class
bone-seeking radiopharmaceutical (radium dichloride, calcium-mimetic alpha emitter)
Target / mechanism
Calcium-mimetic alpha-emitter that localizes to bone metastases (bone-seeker) PMID 34163647
Clinical application
Treatment of bone metastases in metastatic castration-resistant prostate cancer PMID 36687439
Theranostic pair

Regulatory status

FDA
EMA (centralised)
Other approvals
Brand names

Clinical use

Typical injected activity
Uptake time

Reported in the literature. Not a dosing recommendation.

Published syntheses

ModuleCassettePurificationYield %RCP %Precursor / supplierSource
42149170
2026 Radiat Environ Biophys
41746558
2026 EJNMMI Radiopharm Chem
36687439
2022 Front Med (Lausanne)
Manual synthesisnone95 ± 1.05%>95%macropa34163647
2021 Chem Sci
The reaction was carried out at room temperature by mixing a solution of macropa with 3.7 kBq (0.1 μCi) of [223Ra]Ra2+ — Within 5 min at room temperature, [223Ra][Ra(macropa)] was formed with a radiolabeling efficiency (RL% ± SD) of 95 ± 1.05% (n = 5) (Fig. 2a)
26573043
2015 Glob J Health Sci
>94%UiO-66-NH2 MOF (mMOF)41452472
2026 ACS Appl Mater Interfaces
>94%UiO-66-NH2 MOF (nMOF)41452472
2026 ACS Appl Mater Interfaces
35717046
2022 Pract Radiat Oncol
31096849
2019 Tumori
28427834
2018 Appl Radiat Isot
28216330
2017 Phys Med
25301826
2014 Ann Pharmacother
24604017
2014 Urologe A
Ra-223 has been approved under the product name Xofigo\u00ae by the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA).
24190979
2014 Clin Cancer Res

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Notes

Added at stage 21 from therapy-discovered.xlsx (bulk PubMed search by isotope/therapy-type/known-agent, not individually researched yet) -- 6 articles found. Target/mechanism, clinical application, indications, approval and precursor fields still need per-agent research and are intentionally left empty. Stage set/updated at stage 23 from PMID 42149170: 'The radiopharmaceutical 223Ra-dichloride (Xofigo®) has been approved for palliative treatment of metastatic castration-resistant prostate cancer.'.