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PCa Commentary #210 – Metastases Directed Therapy (MDT) — An Update: Second Chance for Long-term Disease Control

by Dr. Ed Weber | Feb 19, 2026 | PCa Commentary

A world-wide meta-analysis of the efficacy and safety of MDT in treatment of oligometastatic prostate cancer (omPC) was presented at the 2025 ASCO Genitourinary Cancers Symposium by Chad Tang comparing MDT+ ADT + Androgen Receptor Pathway Inhibitors (ARPI; i.e.,...

PCa Commentary #209 – Pluvicto (177 Lutetium PSMA) — Advanced To “Up Front” in Multiple Combinations.

by Dr. Ed Weber | Jan 8, 2026 | PCa Commentary

The initial Vision Trial of Pluvicto enrolled men with advanced metastatic prostate cancer who had been heavily pretreated. About 50% of men benefited with a PSA reduction of >50%. Median overall survival for Pluvicto treated men was 15.3 months compared to 11.3...

PCa Commentary #208 – Adrogen Deprivation Therapy (ADT) – Cintinuous or Intermittent: That is the Question – or Possibly… no ADT Until Metastases.

by Dr. Ed Weber | Jan 8, 2026 | PCa Commentary

Trials and reviews comparing intermittent androgen deprivation (IAD) to continuous androgen deprivation (CAD) have been ongoing for more than twenty years, with the near consensus that the survival outcome of both treatments are equivalent. Many studies have compared...

PCa Commentary #207 – The Emergence of Genomic Classifiers in Risk Stratification for Management of Prostate Cancer 

by Dr. Ed Weber | Nov 18, 2025 | PCa Commentary

Increasingly there have been advances in refining stratifications to better guide treatment decisions. Analysis of a cancer’s gene expression provides insight into a tumor’s behavior and aggressiveness, matching a therapy’s appropriateness, and allowing avoidance of...

PCa Commentary #206 – The BRCA Family of Mutated DNA Damage Repair Genes Influence Therapy

by Dr. Ed Weber | Sep 30, 2025 | PCa Commentary

A rapid increase has occurred in discovery of biomarkers to guide therapeutic decisions. A mutated BRCA2 gene, for example, is a predictive biomarker that indicates greater cancer aggressiveness and a poor response to some therapies. But it also offers benefit when...
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Prostate Cancer Treatments

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