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Erleada (apalutamide) + Eligard (leuprolide) not working anymore

Prostate Cancer | Last Active: Oct 9 10:44am | Replies (7)
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@proftom2

I am in the Same Boat. I am on Eligard/dexAmethasone 3.10 years in PSA start slow rise in February. Have been placed on STEP-UP trial wait list NCI-type place. Complications happened. PMSA Pet Scan showed some concerning spots. Enter radiation oncologist looks like I won't make STEP-UP trail cut for this round. Darn.

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Replies to "I am in the Same Boat. I am on Eligard/dexAmethasone 3.10 years in PSA start slow..."
jeffmarc | @jeffmarc | Oct 9 10:44am

If you are only on Eligard, then the next step is usually to start with Zytiga. If you are just working with the urologist, it’s time to move up to a real oncologist. A Genito Urinary Oncologist is a prostate cancer specialist. A medical oncologist works on all different types of cancer so they can’t specialize in prostate cancer and don’t know all the latest developments.

A GU oncologist Would work along with an RO to make sure the medicine you take matches what the standards of care call for. Once you get a metastasis, you should probably continue on Eligard along with another drug like Zytiga.

Going to a center of excellence like the Mayo clinic could get you a top-notch oncologist. Depending on where you live, there may be one near you if there is no Mayo.

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