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  1. 1 point
    For the first time, the Prostate Cancer Foundation of Australia (PCFA) is sending an official delegation to the Prostate Cancer Research Institute (PCRI) annual patient conference. The PCRI conference is the largest prostate cancer patient conference in the world. It is moderated by Dr Mark Moyad, and regularly features Dr Charles (Snuff) Myers, and other well known medical oncologists, urologists and radiation oncologists. Our members Jim Marshall, Nev Black and Steve Cavill are on their way today to the PCRI conference in this official PCFA delegation.
  2. 1 point
    Jim Marshall (not a doctor) said ... Dr Alicia Morgans, a medical oncologist, is AssistantProfessor of Medicine at the Vanderbilt University in Nashville, Tennessee, USA. Dr Morgans is an expert in the design and reporting of clinical trials. She travels the world talking to conferences of medical oncologists about this. When Dr Morgans was in Australia recently to address such a conference, I had the opportunity to interview her for a series of YouTube videos on "Bones and Advanced Prostate Cancer". If you missed those videos, there is a link at the bottom of this post. In the recent Phone-in Meeting we had with medical oncologist Dr Mark Moyad, Dr Moyad reported on the important research that has been published in 2017. Along with a host of useful information, Dr Moyad mentioned clinical trials LATITUDE,STAMPEDE and CHAARTED. These trials all showed that certain groups of men with metastatic prostate cancer got longer survival if they added either Docetaxel chemotherapy or Abiraterone to the standard treatment (hormone therapy, ADT). If you missed that meeting, there is a link at the bottom of this post. No research shows which is better to add to hormone therapy first - chemo or abiraterone. So which treatment do doctors offer first? Today Dr Morgans addressed her fellow medical oncologists and urologists in UroToday about what treatment she will offer men who have metastatic prostate cancer that is still hormone sensitive - men who are just starting hormone therapy and men whose hormone therapy is keeping their PSA low.(Doctor's shorthand for this men is mHSPC - metastatic hormone sensitive prostate cancer.) My translation of Dr Morgan's words: She offers chemo first to men who are fit enough (high performance status), followed by abiraterone. ... end Jim Dr Morgans said ... should we consider giving both treatments to all patients with a performance status suitable for chemotherapy, or should we avoid the side effects of chemotherapy in patients who will not benefit and simply give everyone abiraterone only? Since we cannot identify which patients fall into which category, this could be a complicated question to answer. From my perspective, the answer seems somewhat straightforward. Until we demonstrate that one group of patients benefits from one approach but not the other, I will offer all interested patients with an acceptable performance status treatment with docetaxel, followed by treatment with abiraterone. Part of this stems from my unwillingness to withhold a potentially beneficial treatment from anyone based on my assumptions that a patient would not be interested in chemotherapy ... Click this sentence to read the whole article by Dr Morgans. (This article is on UroToday. It is only available to members, so you will have to join up to see it. Joining is free.) Click this sentence to see a half hour video where Dr Morgans discusses this with Dr Charles Ryan for the benefit of fellow medical oncologists. (This video is on UroToday. It is only available to members, so you will have to join up to see it. Joining is free.) Click this sentence to see our series of YouTube videos with Dr Alicia Morgans on bones and advanced prostate cancer. Click this sentence to see our YouTube video of our recent phone-in meeting with Dr Mark Moyad: Prostate Cancer Research Report 2017.
  3. 1 point
    Thanks Maffy and Brian. Not sure if you dialled into the Dr. Moyad session last Friday, but if not, it's well worth a listen on youtube. I've renewed enthusiasm not to be a "passenger" on my PCa journey after listening to the session. The emphasis on being aggressive and using combination treatments really struck a chord with me considering my MedOnc was only interested in Zoladex for now with a review in late October. Exercise has never been an issue for me as I'm used to going to the gym daily, but diet changes are something I've found more difficult and are only now getting on top of (dramatic reduction in red meat intake was the hardest). Maffy, I hope this chemo round is easier for you. Cam