Hi-Risk/Recurrent/Advanced PCa Virtual Support – Men & Caregivers Recording, Jan 12, 2021

Editor’s Choice  BiTE discussion …… and hear from a man with metastatic disease that is now in remission with no hormne therapy required. (rd)

Topics Discussed

Advanced disease & ‘bispecific’ alternatives; lupus hits one of our men post ADT; handling depression; starting chemotherapy with lung nodules; viability of spot RT vs systemic Tx; dealing with long-term and intermittent ADT mentally; MX disease stabilizes with no further HT; managing your own GU med onc

Chat Log

John Ivory (to Everyone): 4:18 PM: fantastic simple explanataion, Herb. Thanks.

AnCan Barniskis Room (to Everyone): 4:20 PM: Apologies for being late everyone

Bryce Olson (to Everyone): 4:23 PM: what is the pros/cons of BITE vs. Lu177. Why BITE over that. BITE just feels less direct, and you’ve got to get the CD3 cells into the tumor and tumor microenvironment could stop that from happening in BITE without some TKI that focuses on myeloid cells

Bryce Olson (to Everyone): 4:23 PM: I wanted to ask directly but my mic isn’t working

Herb Geller (to Everyone): 4:31 PM: The radiodirective therapies are more advanced with more data to support them. All the BiTEs are Phase 1, and have many more side effects. You are coorect that BiTEs are less direct, as they depend upon activating T cells and all the current ones are dealing with issues of T cell depletion.

AnCan Barniskis Room (to Everyone): 4:33 PM: Bispecific trials on clinicaltrials.gov https://clinicaltrials.gov/ct2/resultspg=1&load=cart&id=NCT03577028+OR+NCT04424641+OR+NCT03406858+OR+NCT03792841+OR+NCT04221542+OR+NCT03517488+OR+NCT03849469

John Ivory (to Everyone): 4:39 PM: Right, Peter. It’s unfortunate that seeing a psychiatrist is seen as controversial. I’ve been to a number of them.

Bryce Olson (to Everyone): 4:47 PM: Really sorry Rusty. I’ve been there before and I know how shitty the depression can be.

Rusty (to Everyone): 4:57 PM: I hurt and tired. I need to go bed.

AnCan Barniskis Room (to Rusty): 4:58 PM: From David Muslin to Rusty- feel better

Herb Geller (to Everyone): 5:42 PM: He seems fine, but the real issue is the approach he takes — why 10 sessions? Is this SBRT? But I think you may need more systemic approaches.

AnCan Barniskis Room (to Organizer(s) Only): 5:46 PM: Is he still on ADT?

George Southiere MD (to Everyone): 6:02 PM: Thanks to everyone for being here !

Pat Martin (to Everyone): 6:03 PM: Dxed with Gl 10 all 12 cores + with up to 80% cancer. In 2014. Pat Martin (to Everyone): 6:06 PM: Rp, ADT for 18 mos, Vacay, Rad with ADT, Lupron Zytiga for another 21/2 years, Vacay, PSA has come back from less than 0.03 to 0.59 in 6 months. last 3 months show a PSADT of 2.1 mo. Washington state. Am at Fred Hutchinson