Update on PSA

[Yzinger]

Aug 4 - diagnosed PCa, gleason 9

Aug 5 - started casodex

Aug 17 - started lupron 3 mth

Had my first blood work done yesterday (Oct 5) and PSA is now at 0.56. Was over 9 in June.

So, I kind of feel good in knowing that as expected the meds are working and lowering PSA. Meaning I can move forward with the other 2 pieces of triplet therapy (darolutamide and docetaxel).

[MJCA]

That’s great news. Congratulations. From my experience, if your PSA is that low, additional therapies are not warranted at this time. If your body responds well to Lupron, you will more than likely remain on that treatment. Good luck!

[Yzinger in reply to MJCA]

hmm...you mean I should not do the triplet therapy? In your opinion?

[Maxone73]

Ah, another ARASENS trial fellow!

[Yzinger in reply to Maxone73]

what is ARASENS trial?

[Maxone73]

adt + docetaxel + darolutamide as first line for naive hormone sensitive metastatic prostate cancer

Check it online, you will find all the stats!

[Yzinger in reply to Maxone73]

ok i have always heard and referred to it simply as Triplet Therapy. Thanks for reply.

[Mike1971]

Congratulations Yzinger!

[MJCA]

My apologies. I should have read your profile more carefully. I saw your low PSA which is great. After reading about your high Gleason and Mets, of course, the triplet therapy would be in your best interest. Again, my apologies. I know BC has a great prostate cancer facility. I’m a dual citizen - but I can’t beat my native California weather! Best of luck.🇨🇦🇺🇸

[Yzinger]

lol - np. Maybe I can winter with you

[Kaliber]

good for you brother, you are doing something right. Keep it coming.

👏👏👏

[AlvinSD]

Great news!! Congratulations. I also had a Gleason 9, diagnosed at 52 with Mets to my right hip and lymph nodes. I was diagnosed and also started triplet therapy in Spring / Summer 2022. Radiation in winter 2022-2023

When do you start darolutamide? I was on the ADT for about 6 weeks before my first chemo session.

I’m about 15 months ahead of you and happy to answer any questions about my experience. Last 2 PSAs were undetectable.

[Yzinger in reply to AlvinSD]

Hi Alvin - I am working with the drug navigator now on the darolutamide. This resource just helps us Canadians navigate the insurance and co-pay world.

Can I ask why the radiation? I heard different things on that for those of us with mets.

[AlvinSD in reply to Yzinger]

We discussed wanting to be as aggressive as safely possible with my RO. Originally they only wanted to irradiate the prostate based on the STAMPEDE trial. But, we pushed for also doing my one bone met and my pelvic lymph nodes for maximum effect. He agreed that was the best approach for me.

[Yzinger in reply to AlvinSD]

Timely answer. I am meeting with an RO on Tuesday.