Hi-Risk/Recurrent/Advanced PCa Video Chat, June 19, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, June 19, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, June 19, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant, Telix & Blue Earth Diagnostics

AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.

WEBINAR next week … PARP-Inhibitors and their role treating Prostate Cancer. Who saw the FDA approval for Talapro + Xtandi this week? Hear one of the investigators talk about this combo on Thu June 29. Register at   https://tinyurl.com/ancanparpwebinar

All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/  Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Join our other free and drop in groups: Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern https://ancan.org/men-speaking-freely/         Veterans Healthcare… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s Pick: Hot flashes flare up! (rd)

Topics Discussed

Switching to darolutamide; is ARV7 still relevant?; cabazitaxel (Jevtana) vs docetaxel (Taxotere); mega fatigue may warrant a drug holiday; starting Pluvicto on top of chemo; Ambrx ARX517 trial; troublesome hot flashes are a flashpoint; picking the right GU med onc; starting immunotherapy while tapering on steroids; pectin supplements

Chat Log

Len Sierra sent · 5:28 PM Darolutamide inhibited the transcriptional activity of AR mutants identified in the plasma of CRPC patients progressing on traditional therapies. In particular, darolutamide significantly inhibited the transcriptional activity of the F877L, H875Y/T878A, F877L/T878A, and the previously unreported T878G AR mutants, that transform enzalutamide into a partial agonist.

John A sent · 5:33 PM Liu et al. Selective degradation of AR-V7 to overcome castration resistance of prostate cancer. Cell Death Dis. 2021

AnCan – rick sent · 5:38 PM Oliver Sartor now at Mayo

AnCan – rick sent · 5:49 PM Depo-Provera

George Southiere sent · 5:56 PM ACTH(adrenocorticotrphic) stimulation test = patient given ACTH and adrenal gland function is assessed- usually done by Endocrinologist

John A sent · 5:57 PM thanks

George Pat Martin sent · 6:00 PM I’m worn out. Gonna log off . be back next week

AnCan – rick sent · 6:04 PM Venlafaxine

Len Sierra sent · 6:05 PM https://embrlabs.com/products/embr-wave-2

AnCan – rick sent · 6:07 PM Embr watch.. d/c

Ancan50 sent · 6:07 PM Depo provera

George Southiere sent · 6:08 PM Gabapentin has helped me due to my severe neuropathy and has helped the hot flashes for me

sent · 6:09 PM I take 600mg gabapentin 3 times a day now. It never helped with my hot flashes.

Len Sierra sent · 6:37 PM modified citrus pectin (MCP) increases the prostate-specific antigen doubling time in men with prostate cancer: a phase II pilot study

Len Sierra sent · 6:39 PM 1. Modified citrus pectin (MCP) increases the prostate-specific antigen doubling time in men with prostate cancer: a phase II pilot study

Len Sierra sent · 6:40 PM https://pubmed.ncbi.nlm.nih.gov/14663471/

Salvador sent · 6:43 PM Thank You for your feedback.

Chip & Jane sent · 6:48 PM G’nite All.. thanks for the fine discussion.

George Rovder, Arlington VA sent · 6:52 PM Thank you all. Good Night.

Salvador sent · 6:53 PM Thank You everyone, I learned a lot tonight

Terrill SF sent · 6:53 PM Thank you all. Good Night.

Hi-Risk/Recurrent/Advanced PCa Video Chat, June 19, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, June 13, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, June 13, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant & Telix

AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.

All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/
Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Join our other free and drop in groups:
Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern
https://ancan.org/men-speaking-freely/
Veterans Healthcare… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s pick: Prostatectomy after 70. Also: Pluvicto wiped out 99% of his cancer — time for a jig! (bn)

Topics Discussed

Metformin’s faded glory in PCa treatment; grateful for heads-up on Xgeva with radium-223; statins and PCa — still anybody’s guess; darolutamide monotherapy might cut fatigue; curious about new hot-flash drug for women; experience with Onco360 pharmacy; when will white blood cells rebound from radiation; bike seats and PCa; seeing metastasis in lymph nodes that radiation skipped; dry mouth and depression overshadow wild Pluvicto success; too old for prostatectomy?; Keytruda and more Keytruda.

Chat Log

Steve in MI · 6:09 PM
Suttons Bay is nice; my wife has a few properties she manages up there. We get to Interlochen at least 2 or 3 times during the summer for concerts. Styx is the next one.

Steve in MI · 6:13 PM
There is a few up around here in the summer: Charlevoix, Fish Town, Elk Rapids. Ours is in August I think.

Julian – Houston · 6:18 PM
stopped taking because it made my bones ache!

Gary P · 6:20 PM
While not actually diabetic, I was put on Metformin after my blood sugar levels went up significantly on Abiraterone.

Julian – Houston · 6:24 PM
Same here, Gary. Took for awhile and my A1C came down.

AnCan – rick · 6:27 PM
Steve in MI …. check out this link https://pubmed.ncbi.nlm.nih.gov/?term=prostate+cancer%2C+statins

David Muslin · 6:36 PM
New hot flash drug just approved Fezolinetant aka Veozah

AnCan – rick · 6:38 PM
It was FDA approved on May 16… this is the one I read about

AnCan – rick · 6:39 PM
https://www.fda.gov/news-events/press-announcements/fda-approves-novel-drug-treat-moderate-severe-hot-flashes-caused-menopause#:~:text=Today%2C%20the%20U.S.%20Food%20and,hot%20flashes%2C%20caused%20by%20menopause.

Julian – Houston · 7:09 PM
Totally agree with exercising!!! It is necessary!

? · 7:12 PM
Agree. Hot flashes less severe or non-existent on days I walk 5 miles, so I go every day. Big motivator.

? · 7:22 PM
Jaynewman@cox.net

Dennis Correia · 7:26 PM
Try Biotene mouth rinse for dry mouth.

AnCan – rick · 7:31 PM
Pluvicto FDA approval https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-pluvicto-metastatic-castration-resistant-prostate-cancer

AnCan – rick · 7:33 PM
“Patients received Pluvicto 7.4 GBq (200 mCi) every 6 weeks for up to a total of 6 doses plus BSoC or BSoC alone.”
BSoC = best standard of care

Tom Maloney · 7:34 PM
The recommended Pluvicto dose is 7.4 GBq (200 mCi) intravenously every 6 weeks for up to 6 doses, or until disease progression or unacceptable toxicity.

Tom Maloney · 7:34 PM
up to 6 doses, not requiring 6 doses.

AnCan – rick · 7:34 PM
The trials all gave 6 doses

Len Sierra · 7:36 PM
Tom, the dry mouth usually resolves by itself soon after your treatment is complete.

AnCan – rick · 7:38 PM
We do not know anyone who did less than 5 doses by choice. Doesn’t mean there aren’t any. However your doc is recommending you finish up.

AnCan – rick · 7:39 PM
We’ve seen less than 6 doses but only where blood counts or other markers have been compromised.

AnCan – rick · 7:45 PM
Xgeva = denosumab

Steve in MI · 7:52 PM
Keep coming back Spencer.

? · 7:52 PM
Thank you to everyone for excellent advise.

Joe (Dubois WY) · 7:59 PM
keytruda

Julian – Houston · 7:59 PM
Keytruda

Julian – Houston · 8:00 PM
Thanks guys. Another great session.

Joe (Dubois WY) · 8:04 PM
https://www.ouhealth.com/find-a-doctor/?Specialty=287086&Distance=5 Urologic Oncologists at OU in OKC

Joe (Dubois WY) · 8:05 PM
https://www.ouhealth.com/find-a-doctor/michael-s-cookson-md-mmhc/ this guy did a fleewship at MSK

Joe (Dubois WY) · 8:05 PM
fellowship

AnCan – rick · 8:05 PM
A urologic oncologist is a surgeon Joe. Not a med onc.

Joe (Dubois WY) · 8:05 PM
oh bummer

AnCan – rick · 8:06 PM
He needs a genitourinary medical oncologist

Joe (Dubois WY) · 8:06 PM
sure as hell standing in front a a Davinci

Hi-Risk/Recurrent/Advanced PCa Video Chat, June 19, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, June 5, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, June 5, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant & Telix

AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.

Apologies to all who attended live last night! GoTo issued a massive update over the weekend and did not advise their customers. Some folks couldn’t even open their rooms – in our case we lost video. Citrix support was less than honest, causing even more grief. As you saw we had to shut down the room and restart after they reset our settings. It put me in a very grumpy mood … :-(( – apologies if I offended anyone!

All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/     Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/  Join our other free and drop in groups: Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern https://ancan.org/men-speaking-freely/       Veterans Healthcare… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s Pick: I could go for the very end with ice cream and Capt Joe’s tips on koi – BUT how about somatic testing?! It’s so important, many docs don’t test, and when they do, forget to repeat!

Topics Discussed

Dx at a young 80, denovo Nx; time to switch from the VA?; Gents wants to add abi but doc reluctant; chemo fails – nothing sticks… what next but somatic testing!; multiple treatment modes at one time;…and another without answers who needs testing and a GU med onc; retention issues from RT damage – back to rad onc; our foamy gland guy holds steady; switching to Metformin for diabetes … and cutting out the ice cream!; all you ever wanted to know about keeping koi!

Chat Log

rd sent · 5:31 PM DELMARVA gents… organize a lunch!!!

rd sent · 5:48 PM somatic testing

Julian – Houston sent · 6:31 PM good evening everyone – see you next week! Thanks!!!

TonyFig sent · 6:53 PM https://www.urmc.rochester.edu/people/31825023-peter-van-veldhuizen

Peter sent · 7:09 PM Good night gents!

Steve Schuler sent · 7:22 PM Thanks folks, have to go

Mike Yancey – Oklahoma sent · 7:26 PM Great Meeting. Early morning of more treatments. Gotta drop

Chip & Jane sent · 7:29 PM G’Nite Gents. THANK YOU! Seems I found a ” home” here . Much appreciated.

Frank Fabish Columbus OH sent · 7:37 PM I’m off. Thanks guys.

Jack G. sent · 7:37 PM Good night and thanks. See you next week. Jack G.

Hi-Risk/Recurrent/Advanced PCa Video Chat, June 19, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, May 23, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, May 23, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Gentics, Myovant & Telix

AnCan Foundation deeply mourns our dear Board & Advisory Board Member, Moderator and Brains Trust Brother, Herb Geller. To read more click https://ancan.org/herbert-herb-miles-geller-phd-1945-2023/ 

All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/
Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Join our other free and drop in groups:
Men (Only) Speaking Freely …1st & 3rd Thursdays @ 8.00 pm Eastern
https://ancan.org/men-speaking-freely/
Veterans Healthcare … 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s Pick: Handcuffed by HMO, making the best of it. (bn)

Topics Discussed

Memory issues, but HMO won’t allow him darolutamide — try monotherapy abi?; tumors block TURP surgery, hoping ADT will ease surgeon’s job; AnCan pushes for better Orgovyx pricing; acupuncture and hot flashes; abi first, then enzalutamide — not the reverse; doing well on daro doublet after chemo; Orgovyx probably won’t thin the fog; mulling DEXA scan report; daro monotherapy addresses heart issue; filling the need for exercise with an e-bike; how much vitamin D?; grateful after switching to a GU oncologist; keep alert to side effects in Xgeva and Prolia; AnCan’s prostate cancer forum is back (https://ancan.org/forums); Embr Wave outdoors; landing an appointment with Oliver Sartor.

Chat Log

Harry Spila · 7:58 PM gotta go, take care everyone
AnCan – rick · 7:59 PM Happy riding!
Harry Spila · 8:00 PM 🚴
Mike Yancey – Oklahoma · 8:06 PM Gotta run
julian – houston · 8:06 PM great conversation, as always. Enjoy your Memorial Weekend!

ICE  Checklist … in case you go cold!

ICE Checklist … in case you go cold!

ICE Checklist … in case you go cold!

Last month’s Under 60 Stage 3 & 4 Prostate Cancer meeting was small, intimate and produced a true gem from Down Under to benefit all AnCan’rs …

For the life of me, I forget what raised the topic … maybe a Death with Dignity discussion – but Aussie AnCan’r, Steve Cavill told us about the ICE “In Case of Emergency” Checklist Document that he and his wife Leonie, who occasionally attends our Care Partners Group, have both completed. Steve and Leonie reside in the suburbs of Melbourne and are currently heading towards mid-Winter.

This ICE Checklist takes much, if not all, the difficulty out of placing your key information in one place. Like your vital passwords to your laptop, phone or bank accounts; names of key individuals in your life and more. You know .. all that information making it possible for someone to piece your life together if you’re suddenly no longer with us.

Frankly it’s information we should all compile no matter how old. With this checklist guide at hand to march us through it, there can be few excuses. Just remember, this version of the ICE checklist was created in Oz, so it may not be fully applicable Stateside.  If one of our US volunteers has time to ‘Americanize’ it, I feel sure it will be greatly appreciated – we have very few solicitors in the US and a few too many attorneys!

Here’s the checklist document in Word format ICE Document Template  Now do your part …. and a BIG THANK YOU, Steve Cavill!!