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Failed chemo - need some hope

User
Posted 26 Feb 2025 at 17:24

Hi everyone,
I’m looking for some positive news/rays of hope this evening. My Dad (a very young and fit 70yr old) was diagnosed Dec ’23 with T3a N0 M1, with mets to the bones. The Urologist advised it was Gleason score 10. 
Initial treatment was apalutamide, the oncologist was not supportive of triplet therapy at the time. This did reduce the PSA for a few months, but not ever below 4, and then it started to rise. Repeat bone scans showed disease progression of existing mets and few areas. He had x6 cycles of Docetaxel and again the PSA decreased, but very slowly and not significantly and it then rapidly started to rise from cycle 4. The oncologist has stopped chemo now as it’s obviously failed. 
I had to ask about Olaparib, which the oncologist agreed to test for, but didn’t think he’d have the BRCA gene due to how the cancer was behaving etc. I’ve since been doing my own research and wanted to know if anyone had had a good result from Cabazitaxel when Docetaxel has failed?
I’ve also been looking into the Enhertu trial and wanted to know if anyone has experience of this?
Trying to be positive, but the oncologist was very clear the cancer was aggressive and he wasn’t giving us much hope.

User
Posted 27 Feb 2025 at 07:26

Hi Becky,


Really sorry to hear about your dad’s treatment failing. I can’t really help you on this one as I don’t have the knowledge, but why not give the specialist nurses on here a call. They will take time to listen to your concerns and might be able to make some suggestions for you. Bumping your post might help get some answers on here too.


I wish your dad all the best and he is lucky to have you fighting his corner.


Derek

User
Posted 27 Feb 2025 at 14:20

I was informed by a leading PC specialist in the UK that Cabazitaxel was designed specifically for men where docetaxel had failed - definitely worth pursuing this treatment option.

User
Posted 28 Feb 2025 at 08:41

It would also be worth mentioning Radium 223 if the mets are all bone mets. I don't know the precise criteria for it being offered except you do have to have tried chemo beforehand. It's delivered similarly to chemo, but it's actually a form of very localised radiotherapy which homes in on bone mets.


I would suggest to ask about trials too. This may mean being referred to one of the main cancer centres, but with this diagnosis, that might be beneficial anyway.

 
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