Pluvicto questions: Hello all, Looking... - Advanced Prostate...

Advanced Prostate Cancer

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Pluvicto questions

MrWonderful4U profile image
6 Replies

Hello all,

Looking for input on the actual real-world results of Pluvicto. I’ve heard the horror stories about men whose cancer was seemingly under control after Pluvicto, only to explode back with a vengeance. Do any of you have a statistical analysis showing successes vs catastrophic failures?

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MrWonderful4U profile image
MrWonderful4U
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6 Replies
SViking profile image
SViking

from experience on the eclipse trial and reading up on others who did Pluvicto, most get some downward trend in their PSA. Unfortunately, it appears to be temporary.

Seasid profile image
Seasid in reply toSViking

Very true. I am not an expert but I believe that after wiping out the PSMA positive strains of the cancer the remaining PSMA negative strains take over. Therefore repopulation happen with either PSMA negative strains or maybe just strains who survived the radiation, lets say repopulation by to the radiation most resistant strains of the prostate cancer.

Again it is only my private opinion. Actually I don't really know.

Seasid profile image
Seasid

Pluvicto offers a valuable treatment option for mCRPC, especially after other therapies have failed. However, like all treatments for advanced cancer, it comes with the risk of disease progression, and in some cases, this progression can be rapid and aggressive. It's essential to discuss the potential benefits and risks of Pluvicto with a healthcare provider, considering individual factors and disease characteristics.

If you're considering or are on Pluvicto, it may be helpful to stay closely monitored and have a clear plan with your oncologist for managing any potential progression.

LongTimeRunning profile image
LongTimeRunning

I was in a clinical trial with Pluvicto and received 5/6 treatments, last one Nov 2023. Side effects were minimal, but my PSA was already undetectable by the second infusion. However, I think the heavy work in lowering the PSA was from hormone therapy which started before the first treatment (PSA went from pre-treatment 49 to 0.16 on the day of the first treatment).

Tinkudi profile image
Tinkudi in reply toLongTimeRunning

So you got pluvicto while you were still hormone sensitive ?

LongTimeRunning profile image
LongTimeRunning in reply toTinkudi

Yes. I think that was because I was part of a trial looking at applying pluvicto relatively early after metastatic diagnosis rather than later.

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