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glabelle avatar

Stopping Nubeqa and Orgovyx after 6 months

Prostate Cancer | Last Active: Apr 3 9:26am | Replies (31)

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@jeffmarc one more comment. In my case, you’ve previously advised against my stopping ADT after 6 months and you’ve supported longer duration ADT…12-18 months. I understand where you’re coming from and a longer duration might be justified for some. But given my experience, might it make sense for men to stop ADT after 6 months (I also had SBRT concurrently) to see if their PSA rise and then fall to an acceptable level for a sustained period? It doesn’t seem like there’s much to lose with this strategy but would like to hear your thoughts.

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Replies to "@jeffmarc one more comment. In my case, you’ve previously advised against my stopping ADT after 6..."

@glabelle
If somebody is a Gleason seven then Stopping ADT after six months is reasonable. If a Gleason eight even NCCN recommends 12 months of ADT.

Besides the Gleason score, you’ve also had metastasis in other spots. Were those spots zapped with SBRT when you had your radiation treatment, Or were they just controlled by ADT? That can make your cancer a lot more aggressive. What’s your doctor think about this? I’m pretty sure most genito urinary oncologists Would recommend 12 months of undetectable PSA before stopping. Has yours remained at < .04 since August?

If you want to get another opinion, come to the ancan.org Weekly advanced prostate cancer meeting next Week on Monday at 8 PM Eastern time. Go to the website and if you sign up, you’ll get a newsletter every week that has some really great stuff in it about the latest treatments in prostate cancer. The guys that run, the meeting have 15 years experience, helping people with their prostate cancer treatment. There’s almost always three or more doctors in the room. You need to install GoTo Meeting on your device, it works on any computer phone or tablet and it’s free. You don’t have to sign up to go to the meeting. You will get advice and information there that nobody else has given you.