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My Latest PCR results


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#1 Susan61

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Posted 28 July 2013 - 05:22 PM

Hi:  I just had my 6 month check-up, and I am still PCRU which makes it 11 years this year.  I hope everyone who is trying to achieve a PCRU can make it this year, but if not just be Thankful for where you are with your TKI.  When I saw my Oncologist this past week, she said that she has never seen so many people who do not have to undergo a BMT because of what the TKI drugs have done for so many patients.

     I just pray that something even better than a TKI comes along soon.  These TKI drugs do have side effects no matter which one we take.

I am on Gleevec now for 13 years, and I still have issues after all this time. but I Thank God for each day that I have remained at PCRU.



#2 pammartin

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Posted 28 July 2013 - 05:54 PM

Congrats Susan!!  Happy Dance.jpg



#3 GerryL

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Posted 28 July 2013 - 07:17 PM

Hi Susan,

Congratulations on another PCRU.



#4 Pin

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Posted 28 July 2013 - 07:51 PM

Fantastic news Susan! I hope you are feeling well otherwise?


Diagnosed 9 June 2011, Glivec 400mg June 2011-July 2017, Tasigna 600mg July 2017-present (switched due to intolerable side effects, and desire for future cessation attempt).

Commenced monthly testing when MR4.0 lost during 2012.

 

2017: <0.01, <0.01, 0.005 (200mg Glivec, Adelaide) <0.01, 0.001 (new test sensitivity)

2016: <0.01, <0.01, PCRU, 0.002 (Adelaide)

2015: <0.01, <0.01, <0.01, 0.013

2014: PCRU, <0.01, <0.01, <0.01, <0.01

2013: 0.01, 0.014, 0.016, 0.026, 0.041, <0.01, <0.01 

2012: <0.01, <0.01, 0.013, 0.032, 0.021

2011: 38.00, 12.00, 0.14


#5 mariebow

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Posted 28 July 2013 - 07:53 PM

Congrats Susan61



#6 SUE

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Posted 28 July 2013 - 08:32 PM

Congratulations, Susan.  That's wonderful news.

Sue


Dx  April 2013, FISH 62,  BMB not enough for PCR test; put on Gleevec 400;

 August 2013, FISH 8.7;

Oct 2013, FISH 5.6

Stopped Gleevec Nov 2013 for 6 weeks due to terrible side effects; Jan 2014 started Sprycel 50mg;

Feb, 2014 PCR  6.8

May,2014  PCR   .149

Aug, 2014 PCR    .015

Nov. 2014 PCRU

March, 2016  went down to 40mg Sprycel

Oct. 2016   stopped Sprycel for a couple weeks due to concern about shortness of breath.  Echo showed mild PAH.

Nov 1 2016  resumed Sprycel 20 mg daily 

Dec 2016  PCRU

March 2017  PCR 0.020

May 2017     PCRU

Sept  2017   PCRU

Dec    2017  PCRU

 


#7 Ray99

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Posted 28 July 2013 - 08:54 PM

Susan,

  Congratulation!!  Very happy for you.



#8 cleocans

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Posted 29 July 2013 - 08:29 AM

Congratulations Susan!  Such great news!

Kim



#9 Tedsey

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Posted 29 July 2013 - 10:11 PM

Long life to you Susan!

Hugs,

Tedsey



#10 TeddyB

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Posted 30 July 2013 - 05:19 AM

Great news

Teddy



#11 scuba

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Posted 30 July 2013 - 06:25 AM

Susan -  You no longer have CML. It's been gone from your body a long time.

After 13 years using both Interferon followed by Gleevec and the fact that your CML counts dropped quickly in the beginning those so many years ago to below detection without a single uptick is pretty convincing. There is growing evidence that the population of CML stem cells bun out given enough time. You have been taking Gleevec for 13 years.

You should consider lowering your dose in order to lower your side affects if not discontinue Gleevec altogether. But I suspect the "mental" aspect of this disease is too strong. There is a comfort in taking the pill every day for many of us. It's an insurance policy.

I envy your position. I am working to get to PCRU so I can stop taking this toxic drug. I may even stop without achieving PCRU in the test that low level MMR is durable.

Regardless - congratulations on your continued zero. You truly are at zero - not just below detection.


Diagnosed 11 May 2011 (100% FiSH, 155% PCR)

with b2a2 BCR-ABL fusion transcript coding for the 210kDa BCR-ABL protein

 

Sprycel: 20 mg per day - taken at lights out with Quercetin and/or Magnesium Taurate

6-8 grams Curcumin C3 complex.

 

2015 PCR: < 0.01% (M.D. Anderson scale)

2016 PCR: < 0.01% (M.D. Anderson scale) 

March        2017 PCR:     0.01% (M.D. Anderson scale)

June          2017 PCR:     "undetected"

September 2017 PCR:     "undetected"


#12 Susan61

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Posted 30 July 2013 - 04:57 PM

Hi:  You always make me feel good about my CML, and yet as you mentioned the mental aspect of it I do worry about losing my response.  I had read the one post where someone lost their PCRU response after 10 years.  I just do not trust this cancer.  I make myself crazy with all of this, and yet I would love to cut the dose.  I asked my Oncologist again, and I also asked her about my kidneys because that is the only abnormal on my blood work besides my RBC.  She is blaming my kidney functions on my long term use of BP medication.  The pamphlet with the Gleevec clearly states that it can cause Renal Impairment.  So I am still doing my 400mg a day. Thanks Again for your Positive Attitude toward me being cured.  Hope your doing well.

Susan



#13 mdszj

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Posted 30 July 2013 - 05:25 PM

hi Susan - congratulations and good for you.  God bless you, I am sure you have had your share of battles with this.  It is good for the folks that have had cml a long time to post on here.  As a relative newcomer (< 1 yr) I like to read your posts because it shows me that, yes there are long time survivors out there.  Thx Mike


dx cml 7/2012; 100 mg sprycel; splenectomy 9/2012; reached prcu 10/2013; dx smoldering myeloma 1/2015; 80 mg sprycel 12/2015; 50 mg sprycel 7/13/16; discontinued sprycel 11/15/16


#14 janne

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Posted 30 July 2013 - 06:21 PM

Congratulations on your PCR test once again.  I am glad Michael makes you feel good about your CML..it makes me feel good about your CML too ....


Dx'd: 8/2008. Started Gleevec 400 mg 11/08. 

Drug break 2011.

Started Tasigna 4/11 450 mg.

Reduction to 300 mg Tasigna 1/2012.

PCRU 9/2012.

12/2012 Detectable.

PCRU 4/2013 through 3/2015. (Reduced to 150 mg 7/2014)

12/2015  ? slightly detectable at probably less than 0.01% per Mayo Clinic.

4/2016 PCRU. Still at 150 mg Tasigna.

 

CESSATION: stopped treatment 7/20/2017. 

9/6/2017:  barely detectable at 0.01%. 

12/11/2017: PCR at 0.09% (did not do the monthly PCR testing.) 

12/18/2017: Inevitable call from Onc. Started back on Tasigna at 150 mg. (Considering Sprycel low dose.) 


#15 GerryL

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Posted 30 July 2013 - 06:56 PM

Hi Susan,

Have you tried asking your doctor to get in touch with Dr Druker. Perhaps agreement from Dr Druker that you could lower your dosage to 300mg would be enough to convince her that it was okay.

I definitely felt the difference in side effects between 400mg and 300mg of Gleevec.



#16 scuba

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Posted 30 July 2013 - 07:41 PM

Susan - You are cured ... but let's talk about your blood pressure and Kidneys. Blood pressure is serious. Our arteries are not simple pipes. They can expand a factor of three when needed. But when they are "calcified", they can't and so blood pressure goes up in order to try and keep the blood volume flowing that is necessary for our metabolic demands.

So - look at vitamin K2 (yes....Trey, I know ... supplements) - and what it can do to help your arteries and renal function. I take (Trey is going to be all over me on this one) 90mcg of Vitamin K2 a day along with Natto. I also run a few miles, but vitamin K2 will help with your Kidneys. It's good for bones also.

Michael

p.s. Lower your Gleevec dose to the same as Trey.


Diagnosed 11 May 2011 (100% FiSH, 155% PCR)

with b2a2 BCR-ABL fusion transcript coding for the 210kDa BCR-ABL protein

 

Sprycel: 20 mg per day - taken at lights out with Quercetin and/or Magnesium Taurate

6-8 grams Curcumin C3 complex.

 

2015 PCR: < 0.01% (M.D. Anderson scale)

2016 PCR: < 0.01% (M.D. Anderson scale) 

March        2017 PCR:     0.01% (M.D. Anderson scale)

June          2017 PCR:     "undetected"

September 2017 PCR:     "undetected"


#17 Susan61

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Posted 30 July 2013 - 10:17 PM

Hi Mike:  1 year you said.  Plan on many more years ahead.  I was diagnosed in 1998, and even though I have gone through some rough times with the old treatments back in 1998 which were destroying my liver I still am glad I went on Gleevec.  I believe anything you take has side effects, but I have to keep looking ahead at the fact that its almost 15 years since diagnosis.  They originally were setting me up for a BMT, and I went for other opinions at that time.

I think I made the right choice.  The old doctor who did my clinical trial told me that I would never survive a BMT with all my other health problems.  He said Try the Gleevec, what do you have to lose.  If it does not work, then we have no choice but a BMT.  We do have choices now, that were not available 15 years ago.  I am sure there will be even more in the future now that they know how to treat CML.

I wish you the best with your treatment and some great responses. God Bless You Too.  Prayer is the best medicine of all.

Susan






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