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Prostate Cancer | Last Active: 1 day ago | Replies (28)
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Thank for answer.
No, my oncologist sad me than PARP too early to apply and I dont have any isotope therapies and immunotherapy/checkpoint inhibitor therapies
Now I have only ADT + Erleada after 8 courses Docetaxel. That it, only.
My doctors is not right or do they just not care about me?
Replies to "@brianjarvis Thank for answer. No, my oncologist sad me than PARP too early to apply and..."
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@denis76 Very broadly, to quality for isotope therapy (Pluvicto in this instance), requires:
> a positive PSMA PET scan to confirm cancer cells have the PSMA target.
> Metastatic prostate cancer (usually hormone resistant PCa, but more recently hormone sensitive PCa also).
> Failed Other Treatments (Generally refers to patients who still have cancer after trying surgery and/or radiation, ADT, ARPI, and chemotherapy.)
That’s it. You need to ask why Pluvicto (Lutetium-177) hasn’t been offered to you.
Xofigo (Radium-223) is another isotope therapy, but it’s only for bone metastasis.
225 PSMA Actinium is another isotope therapy, but I don’t know if it’s FDA-Approved yet.
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I don’t know when the right time is to use PARP therapy - like lynparza (olaparib) or talzenna (talazoparib). But, if it were me I would ask for an explicit and precise answer to “When?”
Similar question regarding immunotherapies/checkpoint inhibitor therapies - Are you a candidate for those therapies?
You have many questions to ask - and many answers to get - before you need to resort to radical treatments.