Rising PSA

[Dentilator]

I have been a reader for a few months and decided to join the conversation. I listed details in my profile so will give a short summary here. RP May 2019. Post ADT and IMRT PSA rise from undetectable last September to 2.1 last month. At my request, urologist and RO are referring me to UCLA for PSMA scan. I live in Virginia, so I would prefer to get a PYLARIFY scan closer to home, but it is not available yet anywhere that I can find. I called Johns Hopkins and they do not know when it will be offered. The questions are: Should I proceed to UCLA ASAP? Wait until PYLARIFY becomes available? Take any meds while waiting for PYLARIFY? Any comments or recommendations will be appreciated.

[Tall_Allen]

NIH has this trial of Pylarify:

clinicaltrials.gov/ct2/show...

Your PSADT is too rapid to wait. If you begin ADT now, your metastases will still show up on a PSMA scan for one or two months.

[Dentilator in reply to Tall_Allen]

Thanks so much Tall_Allen. I will contact NIH. What are best meds for ADT?

[Tall_Allen in reply to Dentilator]

Lupron (multi-month), Firmagon (monthly) or Orgovyx (daily pills) are all good choices.