DaVinci RP in Nov 2012, Gleason 9 and PSA was 2.0 at 3 month check. Rad Onc advised salvage IMRT not likely to help as PSA was indicating systemic disease so we began continuous ADT which took PSA below .1 for the next 3 yrs. In Jan 2016 my PSA was again at 2.0 and we revisited the salvage RT option to the prostate bed in hopes there would be some benefit now that my disease had become castrate resistant but after 37 IMRT sessions my PSA had risen to 9 and so I sought out a clinical trial to get more aggressive. CT and bone scans required for the trial showed nothing, but snafus in the trial process caused delays and re-scanning twice more over the following 4 months which suddenly showed a couple of suspicious pelvic LNs. Trial clinic went silent and didn't return my calls for 3 months so I went with my scans in hand back to my original cancer center where a different Rad Onc advised we could target these nodes with IMRT ( stressing that there were no promises of course) and we proceeded with preparations for IMRT. Suddenly, out of the blue, the trial clinic calls me with excuses for the delay and I explained my situation to them. They are now saying Provenge and Xtandi are the way to go and that my IMRT plan is a waste of precious time ( PSADT is about 3 months). Since they were silent for the past 3 months and as they did all my scans they were well aware of the LNs I am questioning this sudden interest in the ticking calendar. My gut tells me to proceed with the IMRT and follow up with the trial clinic for the Provenge/Xtandi treatments. I suspect I may be oligometastatic but I recognize the danger of delaying effective tx of systemic disease. The trial clinic seems to feel I'm making a big mistake. Any ideas???