Thought I'd update...many of you are familiar with my clinical history (attached). In April, I met with my radiologist and oncologist, we agreed to come off Orgovyx after 12 months plus SBRT to a single PLN node identified in a March 2023 scan.
My oncologist favored six more months, well, pretty sure he wanted 12 more but was trying to get six and then at that point he would have once again said...
Radiation oncologist was supportive of coming off Orgovyx, knowing that I would have labs and consults every three months, have decision criteria on when to image and when to go back on treatment. She also said at their case review boards, oncologists were all over the map when it came to length of time on ADT, the risk-benefits and supporting data. My risk-benefit calculus was weighted towards castrate resistance.
So, labs 9 July, consult 13 July.
PSA .01
T 328
I figured the T would recover (I think it will recover some more...), that is an advantage to Orgovyx. I also figured the three months follow up would have an undetectable PSA.
Consult with oncologist went well given the lab results. I know that when my PCa returns (I'm looking for 2-3 years, my instinct says oncologist feels less than that) he's going to push for 24 months Orgovyx and Xtandi along with SBRT if possible, he confirmed. I said I was open to that, let's see what the clinical data says then and what's new in treatment.
Next prostate specific anxiety test, 9 October, until then, enjoy! WIfe and I have a trip to Glacier National Park, Waterton and Banff planned in September.
Kevin