<![CDATA[Alpha-Emitting Therapies in Metastatic Castration-Resistant Prostate Cancer]]>

Advertisement Opinion|Videos|May 13, 2026 Alpha-Emitting Therapies in Metastatic Castration-Resistant Prostate Cancer Author(s)Pedro C. Barata, MD, MSc, FACP , Johann de Bono, MD, PhD Dr. Johann De Bono and Dr. Pedro Barata discuss the evolving role of alpha-emitting radiopharmaceutical therapies in metastatic castration-resistant prostate cancer (mCRPC), with a focus on radium Ra 223 dichloride and recent data from the PEACE III trial. Advertisement Episodes in this seriesEP. 1 Radiopharmaceutical Strategies in Metastatic Castration-Resistant Prostate CancerEP. 2 Combination Radiopharmaceutical Approaches in Metastatic Castration-Resistant Prostate CancerNow PlayingEP. 3 Alpha-Emitting Therapies in Metastatic Castration-Resistant Prostate CancerEP. 4 Patient Selection for Radiopharmaceuticals in Metastatic Castration-Resistant Prostate CancerEP. 5 Treatment Sequencing in Metastatic Castration-Resistant Prostate CancerEP. 6 Combination and Sequencing Strategies in Metastatic Castration-Resistant Prostate CancerEP. 7 Safety and Toxicity Management in Metastatic Castration-Resistant Prostate CancerEP. 8 Future Radiopharmaceutical Strategies in Metastatic Castration-Resistant Prostate CancerEP. 9 Personalized Treatment Decision-Making in Metastatic Castration-Resistant Prostate CancerEP. 10 Future Directions in Metastatic Castration-Resistant Prostate Cancer Dr. Johann De Bono and Dr. Pedro Barata discuss the evolving role of alpha-emitting radiopharmaceutical therapies in metastatic castration-resistant prostate cancer (mCRPC), with a focus on radium Ra 223 dichloride and recent data from the PEACE III trial. Dr. Barata reviews the historical development of radium Ra 223 dichloride, highlighting its demonstrated overall survival benefit, favorable tolerability profile, and the importance of earlier use in the disease course. The discussion also explores how contemporary treatment paradigms and newer radioligand therapies are reshaping the positioning of radiopharmaceuticals in mCRPC. Dr. Barata emphasizes the clinical significance of the PEACE III data evaluating radium Ra 223 dichloride in combination with enzalutamide, including improvements in radiographic progression-free survival and overall survival outcomes. In addition, the faculty discuss the critical role of bone-modifying agents in reducing skeletal-related events and fracture risk, while considering how established alpha-emitting therapies may continue to fit within the future treatment landscape of mCRPC. NewsletterStay up to date on the most recent and practice-changing oncology dataSubscribe Now! Advertisement Related ContentAdvertisementFuture Directions in Metastatic Castration-Resistant Prostate CancerByPedro C. Barata, MD, MSc, FACP ,Johann de Bono, MD, PhDMay 13th 2026Personalized Treatment Decision-Making in Metastatic Castration-Resistant Prostate CancerByPedro C. Barata, MD, MSc, FACP ,Johann de Bono, MD, PhDMay 13th 2026Future Radiopharmaceutical Strategies in Metastatic Castration-Resistant Prostate CancerByPedro C. Barata, MD, MSc, FACP ,Johann de Bono, MD, PhDMay 13th 2026Safety and Toxicity Management in Metastatic Castration-Resistant Prostate CancerByPedro C. Barata, MD, MSc, FACP ,Johann de Bono, MD, PhDMay 13th 2026Combination and Sequencing Strategies in Metastatic Castration-Resistant Prostate CancerByPedro C. Barata, MD, MSc, FACP ,Johann de Bono, MD, PhDMay 13th 2026 Latest CMEMultimediaCommunity Practice Connections™: Empowering Interventional Radiologists in the Emerging Era of Oncolytic Immunotherapies for MelanomaYana G. Najjar, MD; Douglas B. 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