Drug General Information (ID: DDIUCKNO8A)
Drug Name			Radium Ra 223 dichloride		Drug Info		Tisagenlecleucel		Drug Info
Drug Type		Small molecule				Autologous cell transplant
Therapeutic Class		Diagnostic Radiopharmaceuticals				Antineoplastics

Mechanism of Radium Ra 223 dichloride-Tisagenlecleucel Interaction (Severity Level: Moderate)
Additive immunosuppressive effects Click to Show/Hide Mechanism Graph
Drug Name		Radium Ra 223 dichloride				Tisagenlecleucel
Mechanism		Myelosuppressive effects				Myelosuppressive effects
Key Mechanism Factor 1
		Factor Name		Immunosuppressive effects
		Factor Description		Immunosuppression is when your immune system is not functioning as it should. The immune system is made up of cells, tissues and organs that help the body fight off infections. If the immune system is suppressed, an infection that your body was able to control may become serious or even fatal.
Mechanism Description		Additive immunosuppressive effects by the combination of Radium Ra 223 dichloride and Tisagenlecleucel

Recommended Action
Management		Patients should be monitored for excessive bone marrow suppression during treatment with radium Ra 223 dichloride. Dose reductions of the other bone marrow depressants may be necessary. Patients should be advised to contact their physician if they develop signs and symptoms of myelosuppression such as pallor, dizziness, fatigue, lethargy, fainting, easy bruising or bleeding, or signs of infection such as fever, chills, sore throat, body aches, and other influenza-like symptoms. The safety and efficacy of concomitant use of chemotherapy have not been established.

References
1	Product Information. Xofigo (radium Ra 223 dichloride). Bayer Pharmaceutical Inc, West Haven, CT.