Have decided to continue Jevtana/Carbo chemo despite continually rising PSA, as recent scans did not indicate evidence of disease progression. Treatment #9 coming Aug 25.
Switched from Prednisone to Dexamethasone.
Had Guardant liquid biopsy Aug 12. Expect report in 1 week.
Scheduled consult with Radiation Oncologist, Aug 16
Meeting Dr Beltran at Dana Farber Boston, Aug 24 to discuss future treatment options, including -
1. Pluvicto
2. trial at Johns Hopkins Baltimore ( NCT# 04503265) using a PARP. Had previous good result from Lynparza for close to 2 years, and hope this will work too.
3. NY Columbia (NCT#03972657) a BiTE trial using REGN5678 combined with Libtayo/Cemiplimab. Recommended by my MO.
Hoping for the best.