RT Journal Article SR Electronic T1 Ra-223 and Ethinylestradiol Combination Therapy in Castration-resistant Prostate Cancer JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 1065 OP 1071 DO 10.21873/anticanres.15568 VO 42 IS 2 A1 TAKAFUMI SHIMADA A1 KOUJI IZUMI A1 HIROSHI KANO A1 SUGURU KADOMOTO A1 TOMOYUKI MAKINO A1 RENATO NAITO A1 HIROAKI IWAMOTO A1 HIROSHI YAEGASHI A1 YOSHIFUMI KADONO A1 ATSUSHI MIZOKAMI YR 2022 UL http://ar.iiarjournals.org/content/42/2/1065.abstract AB Background/Aim: Ra-223 is a therapeutic agent for bone metastatic castration-resistant prostate cancer (mCRPC). We examined the efficacy of a treatment method using Ra-223 together with ethinylestradiol (EE). Patients and Methods: Patients who received Ra-223 three or more times were included and two groups (with or without EE) were compared retrospectively. Results: Eighteen patients were treated with Ra-223 and EE concomitantly (EstRadium therapy) and 13 patients were treated with Ra-223 alone or Ra-223 and agents other than EE (non-EstRadium therapy). The number of patients with decreased serum prostate-specific antigen level was significantly higher in the EstRadium therapy group than in the non-EstRadium therapy group (p=0.029). Conclusion: The combination of Ra-223 and EE, compared to Ra-223 alone, is an effective treatment option for bone mCRPC patients, in terms of PSA response.