Would any of you know why my Dad's PSA is rising during treatment. He is currently on a Peace 111 trial (Xofigo & Xtandi with monthly zometa) extensive bone mets, some lymph nodes, no organ involvment. He has 1 more xofigo out if 6 left, but his PSA has gone up to 99.1 from 30 (June), he has CT scan and bone scans every 6 weeks which show disease is stable with some areas of healing, no progression. But I'm so confused why the PSA is still climbing, shouldn't the xtandi be bringing it down? He also has 3 monthly decapeptyl injections. Today he is having 1 unit of blood transfusion as his hemoglobin is down to 8.3, iron and platelets down too.
Many thanks in advance for your comments.