Hi-Risk/Recurrent/Advanced PCa Video Chat, Sep 4, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Sep 4, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Sep 4, 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 respectfully notes that it does not accept sponsored promotion. Any drugs, protocols or devices recommended in our discussions are based solely on anecdotal peer experience or clinical evidence.

AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team.

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 Navigation… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s pick: Five of our Regulars wrestle with recurrence this week; and one more is his own best advocate to get a scan(rd)

Topics Discussed

Eminent internist handles Gleason 4+5 diagnosis well; recurrence points to doublet therapy; abiraterone can result in cardio/BP issues; innovative GU med onc addresses lung spots with switching meds before trying RT; Gent finds his own NIH trial to his doc’s chagrin; T. flows back well post Orgovyx; PSMA scan shows oligoMx recurrence – AnCan reassures anxious Gent; with too many lesions, spot RT may yield to chemo; finally feeling better post prednisone; enzalutamide makes another man dizzy; doc agrees on FDG PET for concordance with PSMA but shies away for Payer reasons; neuroendocrine blood markers; Jimmy G remembers Jimmy B. – and Gent shares his Merkel Cell history.

Chat Log

  • AnCan – rick sent · 5:35 PM
    Embr Labs
  • AnCan – rick sent · 6:06 PM
  • Len Sierra sent · 6:19 PM
    Hi Jeff,
  • Gary P sent · 7:05 PM
  • Frank Fabish Columbus OH sent · 7:07 PM
    Thanks guys. Got to go. See you next Tuesday.
  • Geoff sent · 7:17 PM
    Thanks for those private messages to me about being afraid. I can’t seem to reply privately so thanks everyone!
  • Len Sierra sent · 7:18 PM
    According to Dr. Karim Fizazi, Darolutamide was not associated with a higher incidence of seizures, falls, fractures, cognitive disorder, or hypertension than placebo.
Hi-Risk/Recurrent/Advanced PCa Video Chat, Sep 4, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Aug 21, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Aug 21, 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.

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 Navigation… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s pick: Giving medical advice vs providing information (as AnCan does)… it’s a delicate balance that one Gent doesn’t want to hear. (rd)

Topics Discussed

docetaxel + Pluvicto trial; PALB2 actionable; spot RT to L4; need a GU med onc NOT uro at SF-VA; FDG scan largely confirms PSMA; coming off prednisone; ACTH test; KP Maui gent needs Dr. Harzstark for IHT discussion; soursop/graviola may help but talk to HCP; post Pluvicto, check concordance; using metformin; blood counts; healthy prostate tissue may muddy the waters; 7 years on abi carries risk of morphing – but Gent doesn’t want to her that; time for IHT??; PSA testing frequency Chat Log

Chat Log

Hi-Risk/Recurrent/Advanced PCa Video Chat, Sep 4, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Aug 7, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Aug 7, 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.

NOTE: August schedule change for Tuesday meetings only – next meeting Aug 15

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: Mayo offers great docs… provided you select them. Otherwise ‘caveat emptor!’! (rd)

Topics Discussed

Recurrent VA patient lucks out at VA-SF; singlet vs doublet therapy; Dr. E gears up for The General; when to go back on HT .. and what HT exactly; PSA spikes after 2 pembros… that can happen!; Mayo fails to get it right around Pluvicto – or maybe it’s just the wrong doc; what’s the difference between LHRH/ADT drugs?; what type of RT is needed?; prostate area lights up – lungs do not??; stay away from the local uro and get back to the GU med onc

Chat Log

  • John Asent · 5:28 PM
    Genitourinary (GU) Medical Oncologist
  • Steve Schulersent · 5:31 PM
    genomic vs. somatic?
  • sent · 5:31 PM
    https://www.prostatecancerpromise.org/?utm_campaign=ANCAN&utm_medium=link&utm_source=Webinar
  • Gary Psent · 5:31 PM
    genetic and genomic
  • Jim Marshall, Alexandria, VAsent · 5:31 PM
    Gerry: Since the VA does have.a GU Medical Oncologist, you can get a Voucher to go to UCSF through the VA’s IVC office. Jim Marshall, AF-Ret.
  • John Asent · 5:33 PM
    germline genetic test=inherited genes. somatic gene test = see if there is a tumor mutation
  • Julian – Houstonsent · 5:37 PM
    Tumors may also have germline mutations
  • Joe Gallosent · 5:37 PM
    Orgovyx
  • chipsent · 5:38 PM
    can someone ” bullet point” the difference/advantages of orgovyx over Eligard/Lupron.. thanks
  • John Asent · 5:38 PM
    (it’s other name is relugolix) the VA uses non-brand names
  • Julian – Houstonsent · 5:43 PM
    Orgovyx = Relugolixt
  • Joe Gallosent · 5:47 PM
    joeg@ancan.org
  • Joe Gallosent · 6:00 PM
    embr labs
  • Joe Gallosent · 6:01 PM
    embrlabs.com
  • Gerry Burrsent · 6:03 PM
    love embr device and it works for our hot flashes
  • George Rovder, Arlington VAsent · 7:24 PM
    Good Night Gentlemen. Thank you all.
  • Steve Schulersent · 7:26 PM
    Ever a smoker?
  • chipsent · 7:27 PM
    Night All,,, past my bedtime 🙂
  • Gary Psent · 7:31 PM
    Need to sign off, gentlemen. Hope you all have a good rest of the week.
  • Steve Schulersent · 7:33 PM
    Take care, and thanks.
  • John Asent · 7:35 PM
    goodnight guys
Hi-Risk/Recurrent/Advanced PCa Video Chat, Sep 4, 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, Sep 4, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, May 9, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, May 9, 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: Rural denovo metastatic man 6 years out thrives with high PSA … but needs a GU med onc all the more! (rd)

Topics Discussed

Denovo Mx man thrives for 6 years with high double digit PSA; post-ADT, the T’s coming back!; small PSA increase on Pluvicto doesn’t mean failure; single session palliative spot RT + Bx to check disease; T slowly rising on mono daro; starting Xofigo to combat PSMA +/- PCa; what does Dr. A have in store for our BRAF man?; Mayo man moves to Sartor; hard to come by PSMA scan deferred until PSA rises; TMB vs PSMA vs PSA; can you start HT on mono daro?; quick review of CancerABCs conference.

Chat Log

Len Sierra sent · 3:09 PM Does Medicare insurance cover EMBR?

Frank Fabish Columbus OH sent · 3:09 PM I’m not sure

Vic St. Louis, MO sent · 3:10 PM I think only if prescribed by MD as medically necessary

John A sent · 3:27 PM genito-urinary medical oncologist

AnCan- rick sent · 3:36 PM Neeraj Aggarwal @ Huntsman https://healthcare.utah.edu/fad/mddetail.php?physicianID=u0453755&name=neeraj-agarwal

Ben Nathanson sent · 4:26 PM Integrating radium-223 therapy into the management of metastatic prostate cancer care: a plain language summary https://www.futuremedicine.com/doi/full/10.2217/fon-2022-1296

AnCan- rick sent · 4:39 PM Dr. Oliver Sartor, Mayo