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Prostate Cancer | Last Active: Aug 18 12:19pm | Replies (16)
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Yes, I finished 6th round three weeks ago. PSA from 220 to 3.6. My understanding is standard of care is to wait on Pluvicto until ADT stops working but I’m trying to understand why wait.
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There is a good reason to wait. If chemo has worked and has reduced the metastasis and PSA significantly, then Pluvicto doesn’t make sense, yet.
If later, the cancer comes back and multiple metastasis appear, that is the time that Pluvicto is recommended.
They don’t normally do Pluvicto when there aren’t multiple visible metastasis. If there are only a few, then they prefer to zap them with SBRT radiation.
It is now possible to get Pluvicto before chemo. If there are multiple metastasis visible, then there is a choice between chemo and Pluvicto. They don’t give pluvicto if no metastasis are found. The same is true for chemo.