New FDA Approved: Pluvicto (Lutetium-177) for Advanced Prostate Cancer | Mark Scholz, MD | PCRI

0:08 What is Pluvicto (lutetium-177) and when will it be available to patients in the United States?

2:43 Is Pluvicto only available for patients who have hormone-resistant prostate cancer after chemotherapy?

3:34 Is dry mouth from Pluvicto a temporary or permanent side effect?

3:57 Would chemo be stopped to administer Pluvicto? What is its place in the sequence of treatments?

5:16 Do patients have to have lesions discovered by a PSMA PET scan to be eligible for Pluvicto?

6:17 Will insurance cover Pluvicto for oligometastatic disease (a small number of metastases) or will it only be covered for patients with extensive metastases?

8:00 Can any provider capable of providing a PSMA PET scan also able to administer Pluvicto?

Who we are:

The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website or call our free helpline at 1 [phone] with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.

The information on the Prostate Cancer Research Institute's YouTube channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.

#ProstateCancer #Prostate #MarkScholzMD

[andrewmacfarland]

I just had my 5th (out of six) infusion with Pluvicto. {age 77, stage 4, mets to ribs, hips, spine}
PSA is down, no new mets, nothing major with side effects. Some fatigue and dry mouth, goes away a week after treatment.
I’m told that I’m my case, not a cute, but hoping to just slow it down.
Pluvicto is so much better than chemo (docetaxel), no lie!
Pretty sure it’s working well. I feel better than in a long time.
If your doctor says you are eligible for Pluvicto, I urge you to go for it! But be sure your insurance covers treatment: cost around $40, 000 each treatment.(of six).
I wish all of us the very best.

[brentmassingale]

Well hallelujah praise God! He has given the doctors insight in order to put together another weapon against this horrible affliction. Will we ever see a day in which the insurance companies put people before profit? That remains to be seen..

[marvs]

What is a shame is that the availability of this new treatment in the eyes of physicians is based upon insurance companies acceptance and willingness to pay. When will physicians offer ALL treatment choices to patients and let the patients work with the insurance companies and their FSA, HSA, etc. to pay for treatment.

[stevenpeterson]

While the US Pharmaco-industrial complex plays around and jacks the price up; the rest of the world has moved on to other radioligands and radioligand combinations and has already started offering radioligand therapy earlier in the disease. Going overseas still remains the best option for modern therapy.

[thomashenderson]

I am grateful for this uploaded video. :)

[kmkeane]

Do not understand why this is only offered if you are metastatic castration resistant post chemo failure? Do you really have to wait until you are that desperate? Why would this not be reasonable to use on aggresive (4+3) caught early if you are PSMA positive on a scan, and therefore have a reasonable chance to stamp it out early instead of going through all that progression and agony?
The heck with insurance approval, maybe some people would be willing to travel to Germany for treatment to try and save their lives instead of sitting around being progressively swarmed by cancer while waiting for the nod of approval from the FDA/insurance masters of the cancer universe.

[salsamink]

How long does this treatment take to work? How long does it seem to keep the cancer away until the cancer returns?

[stevef]

Would be great to see trials for non metastatic patients. I can see that void filled soon, but will be out of pocket as all focal therapies were just a few years ago.

[jgueva]

In great!! They will know what the average cost of treatment will be?.

Thank you very much

[stevef]

Question for admin.: How does urologist/radiologist determine, after initial PSMA scan, if patient will be a responder to Lutetium/theranostics?
Thanks

[Dmunson]

I just completed the PSMA Test.March 18th. I was told Medicare has not assigned a billing code and I'm waiting for over a month. Now my Doctor is recommending I do Radium 223. But I have to wait till June 15th to start. What is the normal wait period?

[PanAmPatti]

Does anyone know what are the “other“ countries that have been doing this for a while? This would be helpful to know so that we could do a little more research on the success in those countries.
This sounds SO promising! Right?

[noads]

Why would this treatment not be offered as adjuvant therapy to all prostate cancer patients? Seems it would be much more effective to nip any unseen metastases in the bud rather than wait and wonder about recurrence and metastasis after RP or RT.

[salsamink]

Since met cancer is usually in the bone, what is the major side effects when the bone mets are destroyed? Wondering the use of those bones after the treatment or what is given for that bone repair after treatment?

[stevef]

To those focusing on ills of insurance companies, where there's a will there's a way. Don't expect quick changes adopting new treatments.

[ramakrishnaguptamudalagiri]

Can we take this treatment as first type of treatment instead of a radiotherapy

[ramakrishnaguptamudalagiri]

Can we try this treatment for prostate cancer instead of radiotherapy

[johnsuechandler]

We were told that if you're not having pain from the bone metastis (less than 5), then they won't do radiation. They said it's stage 4 and can't be cured. Treating with Lupron 6 month shot and Erleada.
Thank you for these videos.

[tomrayfield]

Have asked for PSMA scan to no avail; I hate being on pain meds. Seems that’s the only answer I get. Any suggestions????

[ransomcoates]

Does this technology of having a way to locate precisely where prostate cancer is exist for any other type of cancer?