Xofigo
Started by ohioapplicant
In short, yes. Plenty of Rad Oncs do it.
Did my first case yesterday.
Yes many do although it's sometimes done by nuc med depending on geography and politics
Yes many do although it's sometimes done by nuc med depending on geography and politics
We are doing them all in our practice, hasn't even been a conversation about whether us or Nuc Med. There are good consults to see, as I've seen a few with large mets in the proximal femurs that I've run by Ortho and/or done a short course of EBRT while waiting for Xofigo to process/arrive. Same with spine mets, I often throw in 20/5 if bulky/threatening cord. Med Oncs and certainly Nuc Meds don't think about these local issues as we do.
That's a very good point and I completely agree.
It's pretty straight forward (I think). It's only approved for metastatic castrate-resistant prostate CA with symptomatic bone mets, without evidence of visceral mets (since Xofigo only has a predilection for targeting bone).
If someone presents to me with visceral metastatic disease, I'd send them for chemo (and if their PS isn't great, I believe there is some data now for Zytiga, and soon for Xtandi)
