Treatment for Prostate Cancer Metastasized to Bones

Posted by cal77 @cal77, Aug 27, 2023

4 months ago diagnosed with Prostate Cancer that has Metasized into Bones. So far, just getting Hormone Treatment...Eligard and Erleada....Feeling so tired...Is this normal? Is there any other treatment available?

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Profile picture for robert570 @robert570

I get Jevtana and Carboplatin every 3 weeks until further notice as long as my blood work remains good and I can tolerate it. I had 13 rounds of Jevtana before they put me on Pluvicto ( lu 177) last year, which has been approved for use by FDA. It wasn't a clinical trial. It works for most people, unfortunately it didn't for me. I had 3 rounds with little side effects. The problem with Pluvicto is that my PSA was at 1.56 at the start and ended up at 20.83 after the 3rd infusion, doubling each time. I stopped it. Now, they might be using Pluvicto along with another new medicine for a clinical trial, which is a possibility. All I can tell you is what might have not worked for me, may work for you, everyone's DNA is different. Try it out, but remember that you are in charge and make the decisions. Best of luck to you and if you have any questions, I'm here always.

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Just before I was to do qualifying PTSMAPET scan the trial cloes due to demand
Now maybe back to local CVH for chemo.
Is Jevtana and Carboplatin better than doxetel cocktail

Age 79 bone mets in spine Where is yours pls

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Profile picture for melcanada @melcanada

How many days will you be on please? Is this a clinical trial or just recommended?
Did you stat this to replace Xtandi?
They want me on C trial for 177 or chemo with cross over if one does not work Would rather not drive 2 hours when I can get chemo in local hospital PSA 4.5 bot C creeping up T 7 8 9 10
Praying for better out comes with this stage 4 since 2020 when I had L1 radiated

Jump to this post

I get Jevtana and Carboplatin every 3 weeks until further notice as long as my blood work remains good and I can tolerate it. I had 13 rounds of Jevtana before they put me on Pluvicto ( lu 177) last year, which has been approved for use by FDA. It wasn't a clinical trial. It works for most people, unfortunately it didn't for me. I had 3 rounds with little side effects. The problem with Pluvicto is that my PSA was at 1.56 at the start and ended up at 20.83 after the 3rd infusion, doubling each time. I stopped it. Now, they might be using Pluvicto along with another new medicine for a clinical trial, which is a possibility. All I can tell you is what might have not worked for me, may work for you, everyone's DNA is different. Try it out, but remember that you are in charge and make the decisions. Best of luck to you and if you have any questions, I'm here always.

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Profile picture for baxterlee77 @baxterlee77

Hi so what was your next treatment? 😊

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Jevtana with Prednisone, 13 rounds and then they tried Pluvicto which failed and Made my PSA go from 1.56 to 20.83 after 3 infusions. I'm back on Jevtana and Carboplatin currently. Just had round 5 this past Wednesday. PSA still dancing and is now at 22, but Jevtana and Carboplatin have slowed the rising.

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Profile picture for robert570 @robert570

I was on Xtandi for 3 months. My PSA started rising and by the 3rd month I needed help to put my jacket on and sometimes needed help to get out of the chair. A few months later after stopping it I was back to normal and needed no help.

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Hi so what was your next treatment? 😊

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Profile picture for robert570 @robert570

I'm on Jevtana and Carboplatin chemotherapy. 2 chemo infusions the same day with no side effects. Jevtana targets prostate cancer cells only and I don't have have hair loss. Its more of a milder one. The Carboplatin is supposed to help with that. Im in such good shape, I can handle both together. The only problem now is I have to get the Nuelasta shot to raise my WBC the next day and it causes me body aches for a week.

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How many days will you be on please? Is this a clinical trial or just recommended?
Did you stat this to replace Xtandi?
They want me on C trial for 177 or chemo with cross over if one does not work Would rather not drive 2 hours when I can get chemo in local hospital PSA 4.5 bot C creeping up T 7 8 9 10
Praying for better out comes with this stage 4 since 2020 when I had L1 radiated

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I'm on Jevtana and Carboplatin chemotherapy. 2 chemo infusions the same day with no side effects. Jevtana targets prostate cancer cells only and I don't have have hair loss. Its more of a milder one. The Carboplatin is supposed to help with that. Im in such good shape, I can handle both together. The only problem now is I have to get the Nuelasta shot to raise my WBC the next day and it causes me body aches for a week.

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Profile picture for robert570 @robert570

I was on Xtandi for 3 months. My PSA started rising and by the 3rd month I needed help to put my jacket on and sometimes needed help to get out of the chair. A few months later after stopping it I was back to normal and needed no help.

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So what drug do u take now instead of XTANDI ? 😊

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Profile picture for robert570 @robert570

Keep a close eye on the Pluvicto. I had to stop after the 3rd round. My PSA started out at 1.56 and ended up at 20.83. I might be a rare case on that one, so chances are it will help you.

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I was undetectable when I started treatment and have remained that way. I was one of those with metastatic disease and very low to undetectable PSA. Was only 0.62 when scan showed metastatic disease and I got the chemo however even after that there were still some spots left so we proceeded with the Pluvicto. So many people think just because they have an undetectable PSA there is no cancer and most of the time that is the truth, but not always.

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Profile picture for round5 @round5

I actually had quad therapy since they added the Carboplatin. I am now a few months past that. My post scans still showed the spots but they were smaller. He was unsure whether it was still active cancer or just the so called scar tissue of dead cancer cells. We could have just stopped and waited for another scan in a few months to see or hit it with a 5th. medication. He recommended the latter and gave me the choice and I chose to continue with the Pluvicto. I have completed 2 of the 6 doses. They will do a scan immediately prior to the 4th.dose then based on that scan we’ll decide whether to proceed with 5 and 6. If the scans show the cancer is gone or if it shows the Pluvicto is not working then I’ll probably not receive the 5th and 6th doses.

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Keep a close eye on the Pluvicto. I had to stop after the 3rd round. My PSA started out at 1.56 and ended up at 20.83. I might be a rare case on that one, so chances are it will help you.

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Profile picture for baxterlee77 @baxterlee77

How are you doing today? Russ had to stop the abratone ! Said his Psa went up 😞 he is on XTANDI !very nasty drug

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I was on Xtandi for 3 months. My PSA started rising and by the 3rd month I needed help to put my jacket on and sometimes needed help to get out of the chair. A few months later after stopping it I was back to normal and needed no help.

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