Zytiga or Erleda

[Mikes21]

When adding second line hormone treatment do MO’s add zytiga first and Erleda later or does it matter what order? Thanks and Happy Monday!

[Tall_Allen]

Zytiga first than Xtandi gives more total time of sensitivity. IDK if the same is true for Zytiga->Erleada.

[StayingOptimistic in reply to Tall_Allen]

My MO at MSK added Erleada first. He said this approach is better when I asked him.

[Tall_Allen in reply to StayingOptimistic]

Evidence?

[StayingOptimistic in reply to Tall_Allen]

They didn’t give me any evidence. When I said” can I try Abi. Instead?” They came back to me and said “ dr. Said Erleada is better”. As you know he is a very good MO at MSK and I followed his recommendation and started Erleada at that time.

[Mikes21 in reply to StayingOptimistic]

How’s your psa?

[StayingOptimistic in reply to Mikes21]

Undetectable now but who knows what will happen next month.