Article regarding MCRPC and prognosis... - Advanced Prostate...

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Article regarding MCRPC and prognosis….Feedback?

Mw921000000 profile image
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Stumbled upon this article today as I am trying to research more about my dads cancer that has now become resistant to hormone therapy. It explicitly states that “MCRPC is associated with poorer outcomes, with most patients dying within two years of diagnosis (4).Apr 14, 2022”

I don’t know if there’s a part of this I don’t want to accept or if I’m being naive, but I don’t want to believe that your life expectancy becomes SIGNIFICANTLY shorter once castration resistance settles in, especially if you are metastatic. What are doctors doing currently for metastatic prostate cancer patients?

There’s lots of info circulating the forum of ways it might occur or how to prevent it, but what can be done when you’re metastatic AND castrate resistant?

Here is the article if any are interested:

frontiersin.org/articles/10...

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Tall_Allen profile image
Tall_Allen

Most therapies and hundreds of clinical trials are available for patients who are metastatic and castration-resistant. So far, these drugs have been approved:

Taxotere, Jevtana, Zytiga, Xtandi, Pluvicto, Xofigo, Provenge, Lynparza & Rubraca (for BRCA+), and Keytruda (for MSI-hi/dMMR) with all sorts of combinations and sequences possible.

Mw921000000 profile image
Mw921000000 in reply to Tall_Allen

oh wow thanks! I did not realize there were so many!

tango65 profile image
tango65

In this abiraterone study in mCRPC the OS was better than 2 years.

nejm.org/doi/pdf/10.1056/NE...

The median to initiate chemo was 25 months.

There are other therapies after chemo such as xofigo, combination of therapies, cabazitaxel, platinum compounds, Lu 177 PSMA, olaparib, rucaparib, keytruda, immunotherapies and protacs in clinical trials etc.

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