Hi-Risk/Recurrent/Advanced PCa Video Chat, March 25, 2025

by | Mar 28, 2025 | Cancer Resources, High Risk/Recurrent/Advanced, High Risk/Recurrent/Advanced Prostate Cancer, mCRPC, mHSPC, nmCRPC, Prostate Cancer, Recorded Groups

Intermediate Risk Prostate Cancer Graphic

Hi-Risk/Recurrent/Advanced PCa Video Chat, March 25, 2025

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Janssen, Myriad Genetics, Novartis, Telix & Blue Earth Diagnostic.
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Editor’s pick: A visit from Dr. Paul Schellhammer, first diagnosed with PCa in 2000. (bn)

Topics Discussed

Since 2000, he’s had every treatment on offer, including estradiol since 2008, but not docetaxel — and VA now is letting him skip it and get Pluvicto; experts say PSMA whole-body SUV is an important predictor — but where is it in the reports?; he’s opted for brachy and surgery and orgovyx and hoping PSA falls soon; doublet vacation quickly brings less fatigue and more enthusiasm; Pluvicto seemed a dud, but then PSA started plummeting around the fourth treatment – though blood marrow took a hit, and some lingering dry mouth 9 months later; don’t stay on zoledronic acid too long — get off and go back on; be careful with darolutamide and certain statins; American Cancer Society can help with lodging if you travel to treatment; despite high-risk cancer, he’s getting only Lupron — and wants to know why; drug holiday began Sept 2023 and he’s still celebrating; chemo “much tougher than I even thought it was” — but PSA went from 325 to 0.82; darolutamide monotherapy works, but timing is everything; how do you get darolutamide monotherapy when it’s not in the guidelines?; bloody urine can appear 18 months or more after radiation treatment.

Chat Log

AnCan – rick · 6:12 PM
dr.john@ancan.org

Larry (Alaska) · 6:44 PM
Patches, gel are OK; but don’t forget injections which I find to be more convenient

AnCan – rick · 7:49 PM
https://www.cityofhope.org/alan-bryce