225Ac-PSMA-617/177Lu-PSMA-617 tandem therapy of metastatic castration-resistant prostate cancer

[MyDad76]

I read about Rusland experience with tandem theraphy.

Does anyone know if this type of tandem theraphy is available somewhere in Europe?

pubmed.ncbi.nlm.nih.gov/317...

[NickJoy]

Docrates - Finland

[MyDad76 in reply to NickJoy]

Thank you! Austria or Italy would be the closest to us, but Finland is also not that far (coming from Slovenia).

[tango65]

The authors of the article you posted are from Homburg, Germany.

Department of Nuclear Medicine, Saarland University, 66421, Homburg, Germany.

[MyDad76 in reply to tango65]

Thank you 🙈. It was 1. AM when I wrote this post so I will blame late hour that I did not notice this information.

[tango65]

Try to get in touch with Dr. Baum in Homburg

[e-mail]

curanosticum.de/en/team/doc...

[GP24]

As long as your dad has no bone metastases, I would not try to get a tandem therapy. A Lu177 therapy works well with lymph node metastases and avoids possible side effects from Ac225.

Tango mentioned Dr Hartenbach in Vienna for Lu177 therapy, email: [e-mail]

[MyDad76 in reply to GP24]

Thank you! We have scans planned for second part of January, as soon as we will get results, I will take action! I will also push for genetic testing's (his mom had ovarian cancer and his brother had thyroid, kidney and prostate cancer).

[GP24 in reply to MyDad76]

You can still ask the pathologist to send the biopsy probes from 2016 for a genetic test.

[MyDad76 in reply to GP24]

thank you!

[Hidden]

As far as I know the combo ac + lu is only being offered at Fortis Memorial in New Dehli and in a hospital in Baku, Azerbajdan, 6500 USD pr treatment.

[MyDad76 in reply to Hidden]

Getting my father on a plane would be very difficult. I will try in Europe, but I will still have Baku in mind. I know a couple of people in Baku through work so I would also have support there. I would of course travel with my dad, either in Europe or beyond.

[Hidden in reply to MyDad76]

I got this answer from UKS in Homburg, close to Frankfurt.

«The cost for one cycle Ac+LuPSMA (without treatment by chief physician) is around 12.000 €.»

[lewicki]

Try the university of Heidelberg. Went there four times . Both AC-225 and LU-177. Psa for 26 months is <0.1.

[MyDad76 in reply to lewicki]

Thank you! With whom did you contact by email? What was the cost per treatment?

[lewicki in reply to MyDad76]

I will advise that for you a little later. Looking for my file .

[lewicki]

E-mail: [e-mail] Tel. [phone] fax [phone]. Dr Kratochwil . I think he is Check not German. Assistant to Dr Haberkorn hed of radiation department. I suggest you write to the international office to begin. There is a service to arrange all this for you with a fee. I did not use them as i thought I was able to do hi myself for there fees are HIGH. I can help you with all necessary for your journey. My daughter went with me . She was wonderful in all arrangements. Air , lodging etc. Good luck.

[MyDad76 in reply to lewicki]

Thank you very much! I used to travel frequently for business before covid, so I should be able to arrange things like lodging, transport etc. I will contact you in case I will have any questions. Again, many thanks for your kindness and support. I hope your cancer stays dormant / under control for many years to come!

[lewicki in reply to MyDad76]

Treatment costs were around 10K Uos

[lewicki in reply to MyDad76]

I do not do any ADT. No Lupron etc. Dutasteride and Flomax only

[lewicki]

I do not do any ADT.

I do Dutasteride and flomax only.