Are you currently or scheduled to be ... - Advanced Prostate...

Advanced Prostate Cancer

21,056 members26,262 posts

Are you currently or scheduled to be treated with Pluvicto? (We know there are factory shortages and want to gauge impact)

Darryl profile imageDarrylPartner182 Voters
50
I am not currently treated with Pluvicto and have no interest in starting
39
I have started but not yet ended treatment with Pluvicto
35
I am considering treatment with Pluvicto
22
I don’t know what Pluvicto is
16
I am waiting to be eligible
11
I am scheduled to start treatment with Pluvicto
6
I have had and no longer am having Pluvicto treatments
3
I don’t want to answer this question
47 Replies
MiRob profile image
MiRob

l miss the “ I have had Pluvicto treatments” option

Darryl profile image
DarrylPartner in reply to MiRob

I will add in your question

GTOGuy profile image
GTOGuy

The treatment was put on hold this week as they told us the factory was shut down temporarily due to quality issues. Has anyone heard otherwise?

StePeteMN profile image
StePeteMN in reply to GTOGuy

Any word on who shut them down, and what type of quality issues? I hope to get going soon on the Pluvicto, otherwise I imagine I'm looking at chemo!

dustoff profile image
dustoff in reply to GTOGuy

Started treatment 2/7/23. Scheduled for next one on 3/28/23. Supply is limited and sometimes intermittent and date could change. I had to wait 2 1/2 months for first treatment.

db1966 profile image
db1966

I just completed your survey. Started 1st treatment feb1. Second treatment ( which is critical for me) is scheduled for March 15th 🤞🤞. Experiencing increased pain so need this 2nd one.

cfrees1 profile image
cfrees1 in reply to db1966

I started on Feb 1 as well. Have you had a PSA test yet? I just had one on Wed and my PSA dropped to 0.02, my lowest ever.

db1966 profile image
db1966 in reply to cfrees1

mine increased but not concerned ….yet. MO said it would most likely increase. Thinking long term… I have no choice.

Good luck with the treatment my friend.

db1966 profile image
db1966 in reply to cfrees1

we’re on a very similar journey. I was diagnosed in dec 2015 with a 212 psa. We have both fought hard over the past 7 years. This past 4 months has been the hardest of the 7 years specifically pain being the main driver.

cfrees1 profile image
cfrees1 in reply to db1966

we are on similar paths. Have you had chemo yet? I am in the Pluvicto trial for the chemo naive. I was shocked that my PSA dropped so low in the first month. If you are interested it’s the ECLIPSE trial.

db1966 profile image
db1966 in reply to cfrees1

I did chemo in 2016 with 28 rds of IGRT in 2020. I finished 2nd round of chemo end of 2022 which failed so I automatically qualified for Pluvicto. Who knows how long Pluvicto will give me (assuming it works) so can we boy think short term these days.

DD50 profile image
DD50

Also missed the "waiting to be eligible for pluvicto treatment" option.

Darryl profile image
DarrylPartner in reply to DD50

I added your suggestion

gsun profile image
gsun

where is the “ I don’t need it yet” option.

Darryl profile image
DarrylPartner in reply to gsun

this one: I am not currently treated with Pluvicto and have no interest in starting

gsun profile image
gsun in reply to Darryl

that’s not the same.

gsun profile image
gsun in reply to gsun

”have no interest in starting “ is not the same

Darryl profile image
DarrylPartner in reply to gsun

then, if you are considering it (when you might need it) this would be your response : I am considering treatment with Pluvicto

gsun profile image
gsun in reply to Darryl

No it isn't. Never mind.

CAMPSOUPS profile image
CAMPSOUPS in reply to gsun

I thought the same thing as more than likely Pluvitco will be next.

I thought the following choice best fit the scenario of "not yet":

I am considering treatment with Pluvicto

Darryl profile image
DarrylPartner in reply to CAMPSOUPS

yes, indeed. If you are considering it

StePeteMN profile image
StePeteMN

Important topic for me (waiting for my six dates) and a close family member waiting for his 5th dose!

Yank66 profile image
Yank66

treatment was delayed two weeks due to quality issues

Steve77755 profile image
Steve77755

I had 6 sessions of Pluvicto (august 2021 - March 22) with exceptional results. PSA is now going up fast and I'm preparing for a second round of treatments.

bglendi53 profile image
bglendi53 in reply to Steve77755

Can you elaborate on "exceptional results". I just started two weeks ago with a PSA of around 300.

Steve77755 profile image
Steve77755 in reply to bglendi53

I started with PSA of 65. After sixth treatment it was just over 1. It continued to 0.64 a few months later. It going back up past 7 months so I’m going to do another round of pluvicto soon. Good luck!

Steve77755 profile image
Steve77755 in reply to Steve77755

also, my entire Lu-177 history is documented on healingwell.com. My name there is steve55777.

ehoneycutt29 profile image
ehoneycutt29 in reply to Steve77755

I have had two treatments so far and psa is dropping. I was told that you could only have 6 treatments. Is that not the case?

Steve77755 profile image
Steve77755 in reply to ehoneycutt29

Technically, they say six treatments. But I'm not sure txs in Australia or Europe would turn you away after having done six txs, say the year before. I'm trying to push that limit here in the US. Wish me luck!

cfrees1 profile image
cfrees1 in reply to Steve77755

I’m sorry to hear it only worked for 7 months for you, I was kind of hoping it would have longer term benefit.

SViking profile image
SViking

Pluvicto is a product from Novartis correct? What about Curium? Since that is a different company are they experiencing a shortage also?

StePeteMN profile image
StePeteMN

Here is some further info fiercepharma.com/manufactur...

wagscure259 profile image
wagscure259

Not interested in starting because PSMA scan indicated no avidity

tallguy2 profile image
tallguy2

I was supposed to get dose #1 last Monday. No word on how long the delay will last so I switched to the only alternative left for me: cabazitaxel/carboplatin. I start tomorrow.

Djangler profile image
Djangler

My MO had previously said that Lutetium-177-PSMA-617 was my best next step (sorry, I hate brand names). Yesterday, at our regular meeting, he said that they 're only servicing existing patients. They won't be adding new patients for six months to twelve months. That's reaching the outer limit of my projected OS. I'll need a different treatment (currently on PARPi for 5 months and may progress soon).

Right now, the plan is to try sequential BAT/Enzalutamide and hope for response. We'll fold in cabazitaxel/platinum chemo somewhere along the way. Hopefully that keeps me going until LU177 or AC255 become available.

Steve77755 profile image
Steve77755 in reply to Djangler

Hey, there are plenty of places where you can get Pluvicto. Check out: us.pluvicto.com/treatment-c...

Have your doc write up an order and send it to local providers.

Rondief profile image
Rondief

finished with all 6 treatments of Pluvicto back on 2/7/23

Steve77755 profile image
Steve77755 in reply to Rondief

How were results?

Rondief profile image
Rondief in reply to Steve77755

I’m taking xtandi along with the pluvicto. My PSA drop initially but we noticed at the time of my 5th treatment (Dec2022) my PSA was starting to rise. It was still climbing slightly at my 6th treatment. The cancer was figuring a way around the treatment. I have a PET-PSMA scan scheduled for mid-march. At that time we’ll figure out the next step. I’m sorry to say, but we’re running out of tools in the tool box.

Steve77755 profile image
Steve77755 in reply to Rondief

Hang in there. I think that while the PSA is climbing near the end of Pluvicto, the Pluvicto is still helping. It would likely be much worse had you not done the Pluvicto treatments. I think we have the same toolbox--keep as positive as you can--that, I also believe, is one of the tools... Steve

Rondief profile image
Rondief in reply to Steve77755

👍

jazj profile image
jazj

I'm curious what patients thought process is on deciding to take this drug. The VISION clinical trial shows that it adds on average 4 months to overall survival. Yes 4 months is 4 months, but, that doesn't come at no cost (both to the insurance company and/or patient) and the side effects that come with it.

6 IV treatments, one every six weeks with the chance of having to have a blood transfusion amongst other milder side effects. If you know it's not a cure and in the context of an entire lifetime is not going to add signficant time to your life (that's of course subjective), is a shortage really that big of a game changer?

Are PCa patients getting more benefit than 4 months out of this drug which is driving the demand?

Djangler profile image
Djangler in reply to jazj

4 months may not sound like a lot, but when you're looking at a 6 month projected OS it becomes much more attractive.

Biobro profile image
Biobro in reply to jazj

It's QOL as much as anything. Hubby has his life back for the first time since he was diagnosed. We don't even think about OS, we're just enjoying every day as it comes. It's given us a second honeymoon -- actually a first because he was diagnosed just before we were married and it felt as if we were behind the eight ball thereafter. Far as we're concerned it is a miracle.

jazj profile image
jazj in reply to Biobro

This makes sense. It sounds like basically it allows you to enjoy a temporary "vacation" so-to-speak from the physical burden of the disease in it's very late stage.

Steve77755 profile image
Steve77755 in reply to jazj

if I were to judge what it’s done for me, it’s given me a year and a half. PSA start 65. PSA 18 months later back to 65. And I’m getting another round of it soon.

bluesnjazz profile image
bluesnjazz

Am interested but it's still in trial stage here in Japan.