What is the recommended treatment after 6 Pluvicto doses?

Thanks so much once again, smc24. My husband also had some spot radiation and then an ablation to a spot on his spine before starting Pluvicto. As you say, it just kicked the can down the road. His next appointment with his medical oncologist at Simon is late October. I may try to contact him before that, depending on what the September 25 scan shows. I will definitely keep you posted.

Who is his oncologist at Simon?

No initial delay. Completed the usual 6 treatments, six weeks apart. Relative success: PSA 75 to 8. March 13 completed.
Agreed to be a test case for MORE Pluvicto and will likely begin in early August. Likely two or three applications.
Larke

The first of the repeat Pluvicto treatments (7 now) was administered last Tuesday. Same drugs as the original clinical trial, but the two are combined in one infusion resulting in half the time spent in the hospital.
Oddly, there were a couple of differences I somewhat question. One is, no ice chips or neck ice pack was considered to reduce injury to the saliva glands. I had them provide me a cup of ice chips. Another difference, no Pepsid, Benadryl and Zofran were administered prior to the infusion which were always given in the clinical trial. I had slight nausea, stomach ache and fatigue the two following days. I'll take my own meds next time.
I monitor myself with a geiger counter and can determine the uptake and declining radiation. I will compare these readings with my original clinical trial numbers. More bloodwork will be performed in 4 weeks.

Very helpful discussion, thank youth all. I am 3.9 years in/w APC (Advanced Prostate cancer), PSA is rising, but I've learned over time PSA is a good indicator that moves occasionally and carries lots of emotional baggage from my big one, 118, 3.11 years ago. I enter the Pluvicto orbit next week with first oncologist session/discussion about it. Oncology nurse called yesterday and explained/outlined the entire process.

So helpful.

The first of the repeat Pluvicto treatments (7 now) was administered last Tuesday. Same drugs as the original clinical trial, but the two are combined in one infusion resulting in half the time spent in the hospital.
Oddly, there were a couple of differences I somewhat question. One is, no ice chips or neck ice pack was considered to reduce injury to the saliva glands. I had them provide me a cup of ice chips. Another difference, no Pepsid, Benadryl and Zofran were administered prior to the infusion which were always given in the clinical trial. I had slight nausea, stomach ache and fatigue the two following days. I'll take my own meds next time.
I monitor myself with a geiger counter and can determine the uptake and declining radiation. I will compare these readings with my original clinical trial numbers. More bloodwork will be performed in 4 weeks.