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Russell Szmulewitz, MD, assistant professor of Medicine, University of Chicago Medicine, discusses the optimal use of radium-223 dichloride (Xofigo) in patients with metastatic castration-resistant prostate cancer.
Russell Szmulewitz, MD, assistant professor of Medicine, University of Chicago Medicine, discusses the optimal use of radium-223 dichloride (Xofigo) in patients with metastatic castration-resistant prostate cancer.
The optimal use of this agent is unclear, Szmulewitz explains. Though prior data show that patients with mCRPC have a benefit, he says that these patients already have comorbidities. It may be useful to use it in earlier settings in patients with high-volume bone metastases.
Currently in clinical practice, many physicians are using the agent prior to chemotherapy and in patients with bone-metastatic disease. Future studies will likely help demonstrate radium-223's benefit in earier settings, Szmulewitz adds.