8 replies to this topic

[jlegakis]

Any studies and/or data regarding TKI resistance? I developed a resistance to Gleevec after 18 mos. losing my CCyr and also was resistant to Sprycel after 6 mos. So, now I am awaiting results of a mutation test.What are reasons for being resistant to TKI`S? Is it drinking too much alcohol? Is it homeopathic approaches such as taking flaxseed, turmeric, etc. or is it one`s diet? I`m in good health running 3-4 times a week and my Wbc`s are at 7;Hgb at 14 and Platelets are about 100!Any definitive research on WHY some of of us are resistant?I am soooo frustrated, but I am going to a CML specialist soon and hope I finally meet a TKI that works.Any help would be greatly appreciated, but PLEASE don`t cut my thread-OK?

[jlegakis]

Oh, I also wanted to add:Do the metabolic rates differ insofar as absorbing any and all TKI`S? would a blood test show the concentration ? Wouldn`t that be clear evidence as to the efficacy of the drug if little is being assimilated in the first place?/

[Trey]

I have promised to write a separate post on this some day.  It is not an easy subject.  I will try to do it in the near future.

[xxgirl]

Jlegakis I just wanted to let you know that I so feel your pain. I've had a similar issue - responded well to Gleevec for 9 Mo then PCR shot up, same with sprycel. I'm 2.5 years post diagnosis and just achieved my lowest PCR 4.0% IS. It's so frustrating when you're doing everything you can - taking meds religiously - and still aren't meeting milestones. No significant mutations, no apparent reason, just bad luck?
I just wanted to let you know that you're not alone and wish you the best of luck. Hopefully one of the other TKIs will work well for you.

[survenant]

Some interesting links:

 

New Molecule Could Treat TKI-Resistant CML   2014

Major discovery on the mechanism of drug resistance in leukemia and other cancers 2014

Monitoring response and resistance to treatment in chronic myeloid leukemia 2011

[survenant]

============  So, now I am awaiting results of a mutation test  =========

 

In the world, there are new mutation tests. For example:

 

In Belgium -    The Next Generation Sequencing (NGS)  --- the test cost 350 euros

Dr. Delphine Pranger and Dr. Pascal Vannuffel,

Deux chercheurs belges découvrent un moyen de détecter plus tôt les mutations de la leucémie chronique

Next-generation sequencing identifies major DNA methylation changes during progression of Ph+ chronic myeloid leukemia

[survenant]

Another link:

 

93 percent of advanced leukemia patients in remission after immunotherapy    -2016

 

[r06ue1]

If no mutation is found, maybe a switch to Bosulif and if that doesn't work, try to get into the ABL001 trial.

[CML2012]

Trey I am in this same boat so please write your post! And please message me when you do! I am really interested in your thoughts on this topic of TKI resistance!