Neoadjuvant chemotherapy prior to surgery in higher-risk patients

A combined Russian and German research team has provided some interesting preliminary information on the use of neoadjuvant, low-dose docetaxel-based chemotherapy in treatment of intermediate- and high-risk patients prior to radical prostatectomy. … READ MORE …

The prognostic value of PSA kinetics in untreated men with prostate cancer

The question of whether PSA kinetics (e.g., PSA doubling time and PSA velocity) can be used to accurately project risk for prostate cancer progression and mortality is still not definitively known (although it is much debated). … READ MORE …

Radiotherapy + “suicide gene” therapy in treatment of localized prostate cancer

A report in the Journal of Radiation Oncology is making big claims for the effectiveness of a combination of intensity-modulated radiation therapy (IMRT) along with “suicide gene” therapy as first-line treatment for localized prostate cancer … but there are some real questions that need real answers. … READ MORE …

The “best” form of first-line treatment for clinically significant, localized prostate cancer

From the perspective of the disinterested observer, one of the very least edifying aspects of issues related to the management of prostate cancer has been the nearly 50-year-long “discussion” between the urology community and the radiation oncology community about the most appropriate way(s) to treat localized disease. … READ MORE …

Is neutrophil count a marker for risk of prostate cancer mortality?

A recent article in the journal BMC Cancer has suggested a strong association between neutrophil count and risk for overall mortality among a cohort of Canadian men treated for prostate cancer with radiation therapy ± androgen deprivation therapy (ADT). … READ MORE …

Low-dose salvage brachytherapy after first-line EBRT

The potential to use some form of second-line radiation therapy after failure of first-line radiation therapy has long been intriguing, and is highly dependent on the dose and precise volume of the target of first-line radiation therapy. … READ MORE …

NX-1207 not effective in treatment of BPH

As regular readers will be aware, Nymox Pharmaceutical has been developing a drug called NX-1207 for the treatment of benign prostatic hypertrophy (BPH) and for the treatment of localized prostate cancer. … READ MORE …

The PrKT03 trial of radiation + immunotherapy for localized prostate cancer

Back in September 2011, a company called Advantagene initiated a randomized, placebo-controlled, Phase III clinical trial (the PrKT01 trial) of an immunotherapeutic agent known as AdV-tk, together with with standard external beam radiation therapy, in highly-defined patients with newly diagnosed, localized prostate cancer. … READ MORE …

Current options for treatment of radiorecurrent, localized prostate cancer

For men who choose to have radiotherapy (external photon beam, external proton beam, or brachytherapy of some type) as first-line therapy for localized prostate cancer, a major issue is, “What if the cancer recurs after treatment?” … READ MORE …

The potential of low-dose enzalutamide in intermediate-risk prostate cancer

A case study report in the journal Research and Reports in Urology (which is not exactly a widely read publication) addresses the treatment of an elderly man with low-risk prostate cancer with low-dose enzalutamide as a form of first-line therapy. … READ MORE …

The value of focal therapy in the treatment of localized prostate cancer

The appropriate use of focal therapy in the treatment of low-risk and perhaps intermediate-risk prostate cancer is a very controversial topic (despite the heavy promotion of this type of treatment by a relatively small number of clinicians). … READ MORE …

What’s being presented at ASCO this year: III

Another interesting presentation being made at the ASCO annual meeting this year will be the first report on a series of nearly 400 patients who did not conform to what would normally be considered a series of sound criteria for low risk disease. These patients all elected, as individuals, to go on actiuve surveillance despite their higher than average risk for progression. … READ MORE …

More data (sorta) from the Phase III trial of NX-1207 in early stage, low-risk prostate cancer

The Nymox Pharmaceutical Corp. seems to have decided to issue data from the Phase III clinical trial of NX-1207 in a series of media releases over time (which is a more than slightly odd way of going about such things). … READ MORE …

New Phase I/II trial of InSightec’s MRI-guided focal ultrasound therapy

According to a media release issued yesterday by the City of Hope medical center in Los Angeles, they have become the first center in the USA to treat a patient with focused, MRI-guided, ultrasound technology using the InSightec system. … READ MORE …

Focal therapy for organ-confined prostate cancer: an expert overview

For those who are interested in the current state of focal therapy in the management of localized, organ-confined prostate cancer, there is a nice audio overview by Dr. James Eastham of the Memorial Sloan-Kettering Cancer Center on the UroToday web site. … READ MORE …