Primary objective: To investigate the biodistribution, radiation dosimetry, and pharmacokinetics of two separate intravenous (IV) injections of Xofigo (100 kBq/kg body weight \[b.w.\] \[=110 kBq/kg based on the 2015 National Institute of Standards and Technology standardization\], 6 weeks apart). Secondary objectives: To determine the safety of IV injections of Xofigo after two separate injections (6 weeks apart), to evaluate treatment response (antitumour effect in osteoblastic bone metastases) of Xofigo treatment consisting of two injections of activity 100 kBq/kg b.w. (=110 kBq/kg based on the 2015 National Institute of Standards and Technology standardization), 6 weeks apart and to evaluate long term radiation toxicity and to collect survival data at 6 and 12 months after the first injection
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
6
Sterile, clear and colourless aqueous solution of radium-223 chloride free of endotoxins, for intravenous administration
Unnamed facility
Sutton, Surrey, United Kingdom
Estimation of whole-body retention of radioactivity at each imaging time post-injection
Time frame: 1 week
Estimation of the individual organ uptake/retention of radioactivity at each time-point post injection
Time frame: 1 week
Estimate retention of administered radioactivity in blood
Time frame: Up to 1 week
Estimation of elimination of radioactivity in urine and faeces
Time frame: 2 days
Calculation of estimated absorbed radiation dose to target organs
Time frame: 1 week
Pharmacokinetics
Time frame: 1 week
Comparison of the biodistribution and dosimetry after the first and second injection
Time frame: 7 weeks
Prostate specific antigen (PSA) response
PSA decline, defined as the number of patients with a confirmed ≥50% reduction in PSA level after treatment with respect to the pre-injection PSA level and the time to PSA progression after PSA response
Time frame: At baseline, before injections, and at 2 month intervals during the 12 month follow up period
Survival
Time frame: 6 and 12 months after the first injection
Adverse events
Time frame: 1 year
Laboratory variables; serum biochemistry and haematology
Time frame: 1 year
Vital signs
Systolic/diastolic blood pressure, respiratory rate, heart rate and body temperature
Time frame: 12 weeks
ECG (12 leads)
Electrocardiogram (12 leads)
Time frame: 12 weeks
Physical examination
Time frame: 1 year
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