Anyone added Xtandi while on Taxotere? - Advanced Prostate...

Advanced Prostate Cancer

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Anyone added Xtandi while on Taxotere?

Pleroma profile image
6 Replies

I am wondering if anyone has added Xtandi while undergoing chemo (taxotere)?

I am doing a re-challenge (3 rounds done) with PSA holding - not going up or down.

I understand Xtandi after chemo is a good option - but what about "during" to hit things hard.

Thanks.

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Pleroma
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6 Replies
tango65 profile image
tango65

You could, it delays PFS but it does not prolong OS.

onclive.com/view/enzalutami...

Tall_Allen profile image
Tall_Allen

Consider switching to Jevtana + Carboplatin for your remaining infusions.

prostatecancer.news/2019/12...

Pleroma profile image
Pleroma in reply to Tall_Allen

Yes, that is the route I would prefer. My MO is one of those doctors who likes to squeeze the last drop out of a treatment before moving on.

I might have to put my foot down. If you are doing chemo and all its horrors, why not use a drug that is more effective? (rhetorical question).

EdBar profile image
EdBar

I was using Xtandi back when I had chemo per CHAARTED about 7 years ago but it was not a rechallenge. Still using it.

Ed

Shooter1 profile image
Shooter1

Added Xtandi after #5 infusion and did total of 9. Ended up with sever PN in hands and feet. Xtandi continued at full dose after #9 until I was a complete invalid.. It pounded me into the ground, but my cancer went into remission for over 3 yrs before new mets showed up on Na-F18 scans. Radiation therapy on these 2 and PSA has been dropping since. .Still on Xtandi 1/2 dose.. Over 4 years now and doing well other than PN.

Pleroma profile image
Pleroma in reply to Shooter1

That is quite a testimony. Thanks for sharing.

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