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Can anyone share their experience with Nubeqa (darolutamide)?

Posted by markagottlieb @markagottlieb, Apr 23, 2024

my husband will start Ubeqa this week. I would like to know others experiences.

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papamark | @papamark | 1 day ago
In reply to @colleenyoung "@papamark, that's great news. Did you have any other treatment in addition to Nubeqa (darolutamide)?" + (show)
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@papamark, that's great news. Did you have any other treatment in addition to Nubeqa (darolutamide)?

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@colleenyoung trelstar injection every 6 months. Prolia every 6 months for bone integrity. I dont leave home without my Nubeqa.

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sillyoyster | @sillyoyster | 1 day ago
In reply to @lsk1000 "@sillyoyster Are you taking just Nubeqa, no ADT?" + (show)
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@sillyoyster Are you taking just Nubeqa, no ADT?

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@lsk1000 no adt. I am on Pluvicto now. One more treatment to go.

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troe425 | @troe425 | 18 hours ago
In reply to @tcopel "i am on Nubeqa and Orgovyx ( and proton radiation) at the moment. I have the..." + (show)
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i am on Nubeqa and Orgovyx ( and proton radiation) at the moment.
I have the nuisance hot flashes and some fatigue which i push through.
Over all, I’m doing ok with the meds.

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@tcopel my Dad is on both of the meds you are on. He is 86 and has Stage 4. His last PSA was 39 and what prompted this journey. His Urologist scheduled his next labs for mid Sept and this will let us know if Orgovyx and Nubeqa are working. My Dad seems to tolerate the meds well. His only symptom is having to go pee a lot more often than he is used to going.

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natem | @natem | 17 hours ago
In reply to @retireddoc "Just reading your post. I, also, had triple therapy with Taxotere/Darolutamide/Lupron for oligo metastatic disease last..." + (show)
Profile picture for retireddoc @retireddoc

Just reading your post. I, also, had triple therapy with Taxotere/Darolutamide/Lupron for oligo metastatic disease last quarter of 2022. PSA rapidly became undetectable and has remained so with last PSA 7/22/24 < 0.014.

My Johns Hopkins MO is highly experienced. He has written/co-authored over 350 peer reviewed articles on prostate cancer and is very involved in research and trials. He discontinued my Darolutamide after 3 months and I only had 4 chemo cycles as he said there is no scientific proof that additional chemo is more effective. My Lupron/ADT was discontinued after one year.

I am a retired physician and did a lot of research before deciding on Hopkins to get my treatment. I am curious if you have any actual clinical trial data that more chemo sessions are beneficial to overall survival?

I believe that my MO believes that once the PSA becomes undetectable (and remains there for some period of time) that taking the patient off all medication is beneficial. Of course, eliminating any SEs is helpful. But I wonder if not exposing any residual micro mets to the continued use of Darolutamide (or other agent) keeps the resistant, more aggressive clones from developing.

Of course, at this time nobody really knows. I have to put my faith in an expert and follow their advice. Do you have any additional thoughts?

Good luck and prayers with you.

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@retireddoc Who was your MO at JHH? I go there presently. Thank you, Nate

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asolidrock | @asolidrock | 1 hour ago

I've been on nubeqa for about 6 months. My hot flashes have improved but I do have episodes where I'll be extremely hot with sweating and just a few minutes later be extremely cold. At night my covers are on one minute then off the next; I use a fan at night

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