{"id":173,"date":"2014-05-25T00:04:18","date_gmt":"2014-05-25T00:04:18","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/?page_id=173"},"modified":"2018-08-13T02:07:27","modified_gmt":"2018-08-13T02:07:27","slug":"provenge-sipuleucel","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/provenge-sipuleucel\/","title":{"rendered":"Provenge (sipuleucel-T) in Treatment of Prostate Cancer"},"content":{"rendered":"<h1>Provenge (sipuleucel-T) in Treatment of Prostate Cancer<\/h1>\n<p>by<strong> <a href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/about\/urologists\/dr-alex-shteynshlyuger\/\">Alex Shteynshlyuger MD<\/a><\/strong><\/p>\n<hr>\n<p><strong>If you have any questions, to&nbsp;<a href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/appointments\/\">schedule a consultation<\/a>&nbsp;or if you need a <a href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/second-opinion\/\">second opinion<\/a>, please<a href=\"\/?page_id=876\">&nbsp;<\/a><a href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/contactus\/\">contact us<\/a>&nbsp;or call: <a onclick=\"goog_report_conversion ('tel: 6466635515')\" href=\"tel:6466635515\">646-663-5515<\/a><\/strong><\/p>\n<p><a href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/about\/urologists\/dr-alex-shteynshlyuger\/\">Dr. Alex Shteynshlyuger<\/a>&nbsp;is a board-certified urologist in NYC who&nbsp;<b>specializes in treating&nbsp;men for&nbsp;prostate cancer.<\/b><\/p>\n<hr>\n<h2>Provenge: Harnessing the Natural Immunity to Fight Prostate Cancer.<\/h2>\n<p>Provenge is the first treatment for prostate cancer that harnesses the patient&#8217;s&nbsp;immune system to fight off prostate cancer. &nbsp;While Provenge is not the first immunotherapy it is perhaps one of the few cancer specific immunotherapies that have been developed. &nbsp;It is the first immunotherapy for prostate cancer that has shown a clinical benefit.<\/p>\n<p>Studies have shown that the benefit of Provenge takes time as would be&nbsp;expected with any immune&nbsp;modulator. The maximum benefit appears to be in men who live at least 3 years. &nbsp;This naturally provides an opportunity to use Provenge in the early stages of prostate cancer perhaps to cure patients with localized disease. &nbsp;This is one of the few treatments for prostate cancer that has been shown to lead&nbsp;to an overall survival benefit.<\/p>\n<p>The future use of Provenge, as well as other immune system modulators, is in combination with other treatments such as <a title=\"Robotic Surgery (DaVinci) for Prostate Cancer: Fellowship Trained Urologist \u2013 Brooklyn and Manhattan\" href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/robotic-surgery\/\">radical prostatectomy<\/a>, radiation therapy, <a title=\"Xtandi (enzalutamide) for Treatment of Prostate Cancer\" href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/xtandi-enzalutamide\/\">Xtandi, <\/a>and <a title=\"Zytiga (Abiraterone J&amp;J) for Treatment of Prostate Cancer (mCRPC)\" href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/zytiga-abiraterone\/\">Zytiga <\/a>to induce a greater response and improved overall survival.<\/p>\n<h3><b>Provenge (sipuleucel-T Dandreon) Treatment Protocol<\/b><\/h3>\n<p>&#8211;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; IV treatments but &nbsp;23% required a central line for infusion.<\/p>\n<p>&#8211;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Draw blood 3 days prior then Administer weeks 1, 3 and 5. Three infusions in total.<\/p>\n<p>&#8211;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Eligible patients were hormone refractory and had metastatic <b>disease in the soft tissue and\/or bone with evidence of progression<\/b>; 18% had received prior chemotherapy (including docetaxel).<\/p>\n<p>&#8211;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; PROVENGE is administered&nbsp;in three 1-hour infusions, each preceded by a standard leukapheresis procedure<\/p>\n<p>&#8211;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Requires radiological evidence of metastatic disease.<\/p>\n<p>&#8211;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; No significant side effects; all patients complete treatment. Good safety profile<\/p>\n<p>&#8211;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Maximum benefit at 3 years:<\/b> Selection of <b>patients most likely to respond \u2013 ie earlier in the disease.<\/b><\/p>\n<h2>Current Studies of Provenge:<\/h2>\n<p><b>ClinicalTrials.org:<\/b> sipuleucel-T: plus RT for solitary mets hRPC. vs ADT in non-metastatic disease timing before or together; plus abiraterone timing before vs concurrent; for PSA recurrence; booster dosing;<\/p>\n<p>&#8211;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Plus RT for multiple radiation sites:&nbsp;to provide antigen presentation and immune stimulation<\/p>\n<hr>\n<p><strong> you have any questions, to&nbsp;<a href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/appointments\/\">schedule a consultation<\/a>&nbsp;or if you need a <a href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/second-opinion\/\">second opinion<\/a>, please<a href=\"\/?page_id=876\">&nbsp;<\/a><a href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/contactus\/\">contact us<\/a>&nbsp;or call: <a onclick=\"goog_report_conversion ('tel: 6466635515')\" href=\"tel:6466635515\">646-663-5515<\/a><\/strong><\/p>\n<p><strong>We see patients from all parts of New York City (Manhattan, Brooklyn, Queens, Bronx, Staten Island), Long Island, Westchester and New Jersey as well as other parts of&nbsp;the USA. We also see <a title=\"International and out-of-the-area patients\" href=\"\/?page_id=1490\" target=\"_blank\" rel=\"noopener\">international patients <\/a>from&nbsp;Canada, Japan, South America, Russia, Asia, Europe, Middle East, Africa, the Caribbean and other parts of the world.<\/strong><\/p>\n<hr>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Provenge (sipuleucel-T) in Treatment of Prostate Cancer by Alex Shteynshlyuger MD If you have any questions, to&nbsp;schedule a consultation&nbsp;or if you need a second opinion, please&nbsp;contact us&nbsp;or call: 646-663-5515 Dr. Alex Shteynshlyuger&nbsp;is a board-certified urologist in NYC who&nbsp;specializes in treating&nbsp;men for&nbsp;prostate cancer. Provenge: Harnessing the Natural Immunity to Fight Prostate Cancer. Provenge is the first [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-173","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Provenge (sipuleucel-T) in Treatment of Prostate Cancer - Prostate Cancer Specialists in NYC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/provenge-sipuleucel\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/provenge-sipuleucel\/\",\"url\":\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/provenge-sipuleucel\/\",\"name\":\"Provenge (sipuleucel-T) in Treatment of Prostate Cancer - Prostate Cancer Specialists in NYC\",\"isPartOf\":{\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/#website\"},\"datePublished\":\"2014-05-25T00:04:18+00:00\",\"dateModified\":\"2018-08-13T02:07:27+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/provenge-sipuleucel\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/provenge-sipuleucel\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/provenge-sipuleucel\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Provenge (sipuleucel-T) in Treatment of Prostate Cancer\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/#website\",\"url\":\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/\",\"name\":\"Prostate Cancer Specialists in NYC\",\"description\":\"Better Science. 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