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Stage 4 Metastatic - what to expect after 6 months

Prostate Cancer | Last Active: 8 hours ago | Replies (29)

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@jeffmarc - Hey Jeff...Can you point me in the right direction to the studies that concluded that treating the prostate in very aggressive cases has no benefit? I have an appointment coming up with my GUO and thoroughly enjoy discussing stuff like this with him. Most times he already knows but sometimes I catch him when he's behind on his reading and surprise him. Those are always fun moments. Last happened during our Pluvicto vs TP53 discussion last year. Love the look on his face when I catch him on something new. Just a bit of a game we play.

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Replies to "@jeffmarc - Hey Jeff...Can you point me in the right direction to the studies that concluded..."

@mjp0512 It was part of the huge multi-faceted STAMPEDE trial (the radiotherapy branch).

Overall, it was a negative result — the trial found that radiation to the prostate did not improve overall survival. However, a subgroup analysis did find a measurable benefit for patients with low metastatic load (≤4 metastases, none in vital organs):
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32486-3/fulltext