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CML Advanced Phase


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#1 LPJohn

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Posted 03 January 2016 - 12:49 PM

What is the percentage of folks that move from the Chronic Phase into the Advanced stages and are there certain characteristic of why folks progress on?

 

Thanks,

 

LPJohn



#2 Trey

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Posted 03 January 2016 - 10:42 PM

Only a couple percent advance from Chronic to Accelerated Phase after starting TKI drugs.  Most advancement happens before starting TKI drugs, which is why early diagnosis is better.  Poor response to all TKI drugs is the main reason for disease progression.



#3 LPJohn

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Posted 03 January 2016 - 10:58 PM

Thanks, I have not read any conclusive data but figured folks like Trey would have an idea. One web site indicate 2/3 move from Chronic phase to advance. I am a very very slow responder almost four years in I now tolerate 60 mg of Sprycel and at 4.00 PCR. A true snail but Dr. Talpaz calls it a success story. Just glad to be alive.

 

Thanks Again,

 

LPJohn



#4 CallMeLucky

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Posted 03 January 2016 - 11:14 PM

If 2/3 of cml patients progressed to advanced stage one would have to question the overall survival rate and progression free statistics for cml in general which are well over 80% and closer to 90% range.

2/3 of cml patients do not progress to advanced phase

Slow and steady can be successful
Good luck
Date  -  Lab  -  Scale  -  Drug  -  Dosage MG  - PCR
2010/Jul -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 1.2%
2010/Oct -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.25%
2010/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.367%
2011/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.0081%
2011/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2011/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.00084%
2011/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.004%
2012/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Dec -  MSKCC  -  Non-IS  -  Sprycel  - 100 - 0%
2013/Jan -  Quest  -  IS  -  Sprycel  -  50-60-70  - 0%
2013/Mar -  Quest  -  IS  -  Sprycel  -  60-70  - 0%
2013/Apr -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.036%
2013/May -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.046%
2013/Jun -  Genoptix  -  IS  -  Sprycel  - 50 - 0.0239%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0192%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0034%
2013/Oct -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0054%
2014/Jan -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0093%
2014/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.013%
2014/Apr -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0048%
2014/Jul -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2014/Nov -  Genoptix  -  IS  -  Sprycel  - 100 - 0.047%
2014/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0228%
2016/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Dec - Genoptix  -  IS  -  Sprycel  -  100 - 0%
 

 


#5 scuba

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Posted 04 January 2016 - 12:03 AM

Only a couple percent advance from Chronic to Accelerated Phase after starting TKI drugs.  Most advancement happens before starting TKI drugs, which is why early diagnosis is better.  Poor response to all TKI drugs is the main reason for disease progression.

 

... and lack of compliance (side effect related or other).


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"


#6 Antilogical

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Posted 04 January 2016 - 02:32 PM

Thanks, I have not read any conclusive data but figured folks like Trey would have an idea. One web site indicate 2/3 move from Chronic phase to advance. I am a very very slow responder almost four years in I now tolerate 60 mg of Sprycel and at 4.00 PCR. A true snail but Dr. Talpaz calls it a success story. Just glad to be alive.

 

Thanks Again,

 

LPJohn

 

The web is a tangled mess where information lurks forever - even old, outdated stuff.  Medical treatments for many diseases - CML included - have improved dramatically over the last decade or so, so check the dates on the web pages you're reading.  The stats you read are ancient history....


Dx: Sudden severe anemia detected 07/2011, followed by WBC spike. CML Dx 02/2012.

Rx: 03/2012-Gleevec400.  Reduced 02/2013 to Gleevec300 due to side effects (low blood counts).

Response: PCR-Und within 7 mo. on G400. Maintained MMR4-MMR4.5 on G300. PCR-Und since 02/2016.





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