It has been five years since the trial was published. Basically it said for high risk patients the combo of ADT, Radiation and Brachy was the way to go. Brachy Boost is the term I think.
I look on the internet for updates but can't find any.
Anybody heard about any updates on this info or know anything more?
I don't expect updates. They ran it long enough, IMO.
got it, thanks
After conversing with a few other patients now who have also chosen brachytherapy boost along with ADT and EBRT, there seems to be some ambiguity regarding the best choice for ADT therapy. My RO informed me that I would go to completion (2 years) on Lupron alone, while Watertender is on Orgovyx single therapy. These are in agreement with the NCCN and AUA/ASTRO guidelines. However, the STAMPEDE protocol clearly states that Abiraterone should be added as well and should be considered SOC moving forward. I could use some help figuring this out.
I am not smart enough to help but my UCSD RO said 18 months of Lupron + the brachy boost was enough but everybody is different.
I did the same - EBRT, Brachy, 18 months Lupron - last shot a couple weeks ago. Also recommendation of Prostate Cancer Research Institute (Sholtz). youtube.com/watch?v=JSP4Utd...
Their take is - "Why extend ADT and it's side effects when 18 months has proven plenty enough?"
without looking at the SOC guidance you are reviewing, are you sure that the Abiraterone study group men had same characteristics as the characteristics that are mentioned for the men for which combo without Abiraterone is suggested? Maybe that trial was highlighting treatment for not just high risk, but for very high risk men? I believe such a trial is still ongoing? Sometimes a person must be VERY careful about understanding the exact nature of the study group?
Please understand these treatments are not one size fits all. Each of us is different, blood tests different, physical fitness different, mental state different, and attitude different.Also your doctor's interpretation of all these is different doc to doc.
Then add in your doctor's experience and you get different treatments.
Wishing you success in your chosen treatments.
That is my take. I'm local G9, My RO prescribed SBRT + 18months of Lupron. I discussed adding Brachy and he said I did not need it and it would add a lot of additional toxicity risk. We also discussed radiating the lymph nodes..etc and he gave me his logic/explanation to why we are only going to radiate the prostate. I told myself "He is the expert" and has a lot more experience/knowledge than little old me. I trust my doctor, so I let him prescribe what he thinks will give me the best chance for a curative solution. without making my QOL awfull.
Agree on your take. I will say that the HDR did not add to toxicity and I didn't have the spacearc because of the extent of the field of radiation. Also no rectal issues - 0.00%. Only difference is I was on Lupron 24 months.
A few years later back on Lupron and added Nubeqa.
Still all good and here to love life.
Best to you.
in my case. I had a PSMA Pet that was clear.
Decided to have RT. 
PSA #’s elevated from sex (After ADT and RT)
Hormone therapy after salvage rt
Inability to ejaculate...
