I have had 4 treatments with Pluvicto. The last 3 were paid for by insurance. The first was just as it was approved by FDA but not available in US. I went to London for it. My response has been excellent. PSA steady at 0.04! I had one tumor that was taken care of with radiation at Sloan-Kettering. Side-effects have been minimal for me. I know that about 1/3 of men do not respond and some have side-effects that stop treatment. I was very lucky.