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Now on Cabazitaxel suggest you search and read up on it as a new chemo therapy drug for PCa and is used likely in conjunction with a steriod. Jevtana is the name also on this.
Trial phase III- 750 men whom failed both hormone therapies and chemo with taxotere and divided into 2 groups: 1st Cabazitaxel with Prednisone (a symptoms relief thing I believe); 2nd group Mitoxantrone with Prednisone. Treatments every 3 weeks for 8 cycles studied for overall survival and seondly outcomes including psa changes. Results: overall suvival with Cabazitaxel improved by 2.4 months (from 12.4 to 15.1), however Caba. group tolerated 6 cycles and the Mitoxantrone(naovantrone group) tolerated 4 cycles.
Toxicity is different and worse for Caba. especially grade 3/4 neutropenia (81%) with increased febrile episodes is very relevant. (looks like a trade off in that area)
I have not looked into either of these much, just mentioning them for others, do your own searches and read up on them. Someone else can add links and discussion to any of this and probably should.
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Also the newer FDA approved LHRH drug is likely available easily now, Degarelix. Unlike Lupron, Zoladex, Precisis, Eligard, Trelstar and other common LHRH, this one has no PCa flare issues and castrate levels in 24 hrs., instead of days, and casodex is not a necessary pre-drug to use to avoid possible flare. I hope someone herein can elaborate on it and possible side effects for them, maybe cost if known too.
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