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7 months later and still no tki


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#1 tlb3868

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Posted 06 June 2017 - 04:32 PM

It's me again! Well he made it to our son's graduation. But according to his last CBC his white count has jumped drastically since November when it was 46 thousand. It's now 286 thousand. His pcp just told him his spleen is extremely enlarged. He prescribed amoxicillin and Augmentin for his spleen. Nothing seems to phase him at all. I'm no expert but I'm pretty sure he doesn't have much longer now. On the plus side my son just enlisted in the Army! I'm one proud momma!Attached File  1496784259495.jpg   99.32KB   37 downloads

#2 gerry

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Posted 06 June 2017 - 05:00 PM

People make their own choices in life be they good or bad, hopefully you have a good support network around you. Congratulations on your son's achievements.

#3 jjg

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Posted 06 June 2017 - 05:38 PM

Thanks for keeping us posted. I'm sure you don't need us to tell you he's an idiot. I'm sorry this is happening to you and your family. The vast majority of people who post on here are complaint with their medication and relatively knowledgeable about their disease (some very much so), but you don't have to spend long on some of the facebook sites to realize that there are a percentage of CML people skipping meds and making poor choices. There are many that read these posts without commenting and hopefully some are learning from your story, I just wish that this included your husband.


Dx Dec 2010 @37

2x IVF egg collection

Glivec 600 & 800mg

PCRU March 2012

Unsuccessful pregnancy attempt - relapsed, 3 months interferon (intron A), bad side effects from interferon

Nilotinib 600mg Oct 2012

PCRU April 2013, 2 years MR4.5 mostly PCRU with a few blips

April 2015 stopped again for pregnancy attempt (donor egg), pregnant first transfer, 0.110 at 10wks, 2.1 at 14wks, 4.2 at 16wks, started interferon, slow dose increase to 25MIU per wk, at full dose PCR< 1 for remainder of pregnancy

Healthy baby girl Jan 2016, breastfed one month

Nilotinib 600mg Feb 2016

MMR May 2016

PCRU Feb 2017


#4 thatguy

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Posted 06 June 2017 - 06:55 PM

My Dad went through Chemo for non-small cell lung cancer last year, and the side effects brutalized him. Although he made good progress against the tumors, he was a broken man, lost his taste, strength, hair, and lost his desire to try further. To each his own. I think mentally cancer some times gets to be a bit much. I just hope you guys are mentally and financially set up for the outcome. Very sorry to hear, but understanding. Truthfully if my kids were young adults, I don't know that I'd care much either, nor stress to milk out a few extra years.
3/25/2015- Dx'ed by FISH : 85% of cells dual-fusion signals, 7% with tri-fusion signals, WBC 212,000. Started Gleevec 400mg.... Calculated .93 SOKAL

08/17/2015- 14.793 % I.S P210 (quest)
10/15/2015- 3.313 % I.S (quest)
12/23/2015- 1.891 % I.S (quest)
1/07/2016- Tasigna 300mg 2x daily
1/14/2016- 4.414 % I.S P210- City Of Hope lab, mutation negative.
1/26/2016- 1.589 % I.S (quest)
2/22/2016- 1.719 % I.S (quest)
2/29/2016- 1.133 % I.S (quest)
3/03/2016- Tasigna 400mg 2x daily.
3/29/2016- 0.663 % I.S (quest)
4/27/2016- 0.781 % I.S (quest)
5/04/2016- 0.652 % I.S.(quest)
5/24/2016- 0.501 % I.S (quest)
6/28/2016-0.534 % I.S (quest)
7/15/2016-0.881 % I.S (quest)
7/22/2016- Bosulif 500mg
7/28/2016- t315i test- Negative
8/22/2016-0.432 % I.S (quest )
11/15/2016-0.325 % I.S (quest)
2/1/2017- .0445% i.s (genoptix)
5/6/2017- .0968% i.s (genoptix)
5/12/2017- .12 % i.s (quest).
6/4/2017- .083% i.s (quest)
6/11/2017- .0295% i.s (genoptix)
8/5/2017- .0501% i.s (genoptix)
11/6/2017- .0270% i.s (genoptix)

#5 Melanie

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Posted 06 June 2017 - 07:09 PM

You seem to have come to some kind of peace with his choice and that's good for you all.  I'm sorry he's putting you all through this, which you know will only get much worse. A big congrats to your family though for your son's graduation. Enjoy all the good things in life to the fullest, you all deserve it.

 

Praying for peace and a world of support for you and your family in the months ahead!


Dx - 05/2011; PCR: 15.04; Fish: 87% Slow responder due to pancytopenia. Current - Bosulif - Nov: 2012, Mar 2016 lowered to 300 mg. 07/16 back to 400 mg. Clinical trial drug, Promacta, Feb 2013, for low Platelets.
CyCR - Aug 2014, Positive for 1 chromosome Sep 2015. PCR: 12.77 in Oct, 2012 to 0.04 (MDA) in Mar, 2016. 4/2016 - 0.126 (Local lab (IS); 05/2016 - 0.195 (local); 6/2016 - 0.07 (MDA); 7/2016 - 0.03 (local) 9/13/2016 - 0.16 (MDA); 9/26/2016 - 0.31 (MDA); 11/2016 - 0.012 (local); 01/2017 - 0.24 (MDA); 04/2017 - 0.09 (MDA); Cytogenetics show der(1:7)(q10;p10)7 chromosome mutation. Repeat of Sep 2015. PCR - 6/2017- 0.035 (local); 10/2017- 0.02 (MDA)

#6 tlb3868

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Posted 06 June 2017 - 07:31 PM

Thanks everyone, I've come to terms with it. I dedicate my time to the kids now. They grow up too fast! I finally realized you can't help someone who don't want to be helped. He's a grown man I can't change his mind.

#7 Trey

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Posted 07 June 2017 - 07:59 AM

......I'm pretty sure he doesn't have much longer now.

 

The longevity at this point is less predicable than the pain, which will continue to intensify.  It could still be quite a while before he succumbs.  This is not a disease one should use for suicide.  It is very painful to take that route.  At this point how does his doc reconcile his advice that the TKI would be more harmful to him than the CML? 

 

We salute your son, and you also.



#8 r06ue1

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Posted 07 June 2017 - 08:03 AM

Agree with Trey, there are much quicker and less painful methods of suicide than CML.  

 

Also, is doctor's first name Witch?  


08/2015 Initial PCR: 66.392%

12/2015 PCR: 1.573%

03/2016 PCR: 0.153%

06/2016 PCR: 0.070%

09/2016 PCR: 0.052%

12/2016 PCR: 0.036%

03/2017 PCR: 0.029%

06/2017 PCR: 0.028%

09/2017 PCR: 0.025%

12/2017 PCR: 0.018%

 

 

Taking Imatinib 400 mg


#9 Dom

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Posted 07 June 2017 - 08:42 PM

"At this point how does his doc reconcile his advice that the TKI would be more harmful to him than the CML?"

Did the oncologist actually say that? I thought the problem was he didn't like the side effects of iclusig.

Diagnosed in February 2014. Started Imatinib 400 in April.
2014:     3.18     0.91
2015:     0.22     0.16     0.04     0.55
2016:     0.71     0.66

(Started Imatinib 600 in April 2016)
2016:     0.42     0.13     0.45
2017:     0.17     0.06     0.10     0.06     0.34


#10 tlb3868

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Posted 07 June 2017 - 09:18 PM

Well amazingly he had me call Karmanos cancer center to schedule him an appointment. Maybe there's hope after all. If he cancels it I swear he'll die alone!

#11 tlb3868

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Posted 07 June 2017 - 09:25 PM

His pcp told him awhile ago that iclusig will kill him before the Cml. He hasn't seen a oncologist in over a year or so now. Lost track. His pcp is a real quack in our small town. My husband never really gave his meds a shot. He took it a few times and said he didn't like it.

#12 thatguy

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Posted 07 June 2017 - 11:01 PM

Uuuuh, in that case, you need to sue the crap out of the "dr", and get him to a specialist asap! I thought he quit the drug by stubbornness.
3/25/2015- Dx'ed by FISH : 85% of cells dual-fusion signals, 7% with tri-fusion signals, WBC 212,000. Started Gleevec 400mg.... Calculated .93 SOKAL

08/17/2015- 14.793 % I.S P210 (quest)
10/15/2015- 3.313 % I.S (quest)
12/23/2015- 1.891 % I.S (quest)
1/07/2016- Tasigna 300mg 2x daily
1/14/2016- 4.414 % I.S P210- City Of Hope lab, mutation negative.
1/26/2016- 1.589 % I.S (quest)
2/22/2016- 1.719 % I.S (quest)
2/29/2016- 1.133 % I.S (quest)
3/03/2016- Tasigna 400mg 2x daily.
3/29/2016- 0.663 % I.S (quest)
4/27/2016- 0.781 % I.S (quest)
5/04/2016- 0.652 % I.S.(quest)
5/24/2016- 0.501 % I.S (quest)
6/28/2016-0.534 % I.S (quest)
7/15/2016-0.881 % I.S (quest)
7/22/2016- Bosulif 500mg
7/28/2016- t315i test- Negative
8/22/2016-0.432 % I.S (quest )
11/15/2016-0.325 % I.S (quest)
2/1/2017- .0445% i.s (genoptix)
5/6/2017- .0968% i.s (genoptix)
5/12/2017- .12 % i.s (quest).
6/4/2017- .083% i.s (quest)
6/11/2017- .0295% i.s (genoptix)
8/5/2017- .0501% i.s (genoptix)
11/6/2017- .0270% i.s (genoptix)

#13 gerry

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Posted 08 June 2017 - 12:19 AM

Well amazingly he had me call Karmanos cancer center to schedule him an appointment. Maybe there's hope after all. If he cancels it I swear he'll die alone!

Perhaps he has finally seen the light, we all hope he has.

#14 scuba

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Posted 08 June 2017 - 07:53 AM

The irony is that as he has nothing to lose - he could just start on a very low dose of Sprycel (20 mg) and chances are it will reverse the disease and put him into full remission. It could even give him major molecular remission or even PCRU. Low dose Sprycel has practically no side effects that anyone feels. I have no side effects I feel.

 

His doctor could simply prescribe him low dose 20mg Sprycel and see what happens. Since he is going to die doing what he is doing now anyway, he has nothing to lose.


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"


#15 r06ue1

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Posted 08 June 2017 - 08:32 AM

He might qualify for a trial, ABL001 would be a good one if he has a mutation.


08/2015 Initial PCR: 66.392%

12/2015 PCR: 1.573%

03/2016 PCR: 0.153%

06/2016 PCR: 0.070%

09/2016 PCR: 0.052%

12/2016 PCR: 0.036%

03/2017 PCR: 0.029%

06/2017 PCR: 0.028%

09/2017 PCR: 0.025%

12/2017 PCR: 0.018%

 

 

Taking Imatinib 400 mg


#16 thatguy

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Posted 08 June 2017 - 11:23 AM

He's t315i.
3/25/2015- Dx'ed by FISH : 85% of cells dual-fusion signals, 7% with tri-fusion signals, WBC 212,000. Started Gleevec 400mg.... Calculated .93 SOKAL

08/17/2015- 14.793 % I.S P210 (quest)
10/15/2015- 3.313 % I.S (quest)
12/23/2015- 1.891 % I.S (quest)
1/07/2016- Tasigna 300mg 2x daily
1/14/2016- 4.414 % I.S P210- City Of Hope lab, mutation negative.
1/26/2016- 1.589 % I.S (quest)
2/22/2016- 1.719 % I.S (quest)
2/29/2016- 1.133 % I.S (quest)
3/03/2016- Tasigna 400mg 2x daily.
3/29/2016- 0.663 % I.S (quest)
4/27/2016- 0.781 % I.S (quest)
5/04/2016- 0.652 % I.S.(quest)
5/24/2016- 0.501 % I.S (quest)
6/28/2016-0.534 % I.S (quest)
7/15/2016-0.881 % I.S (quest)
7/22/2016- Bosulif 500mg
7/28/2016- t315i test- Negative
8/22/2016-0.432 % I.S (quest )
11/15/2016-0.325 % I.S (quest)
2/1/2017- .0445% i.s (genoptix)
5/6/2017- .0968% i.s (genoptix)
5/12/2017- .12 % i.s (quest).
6/4/2017- .083% i.s (quest)
6/11/2017- .0295% i.s (genoptix)
8/5/2017- .0501% i.s (genoptix)
11/6/2017- .0270% i.s (genoptix)

#17 Kali

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Posted 08 June 2017 - 12:12 PM

I know when I got diagnosed, I felt like a burden because of the high costs of these drugs and fears of personal costs due to insurance and eventually Medicare restrictions. I felt like a liability.
I don't know if your spouse has those concerns that have influenced his decisions. If so, maybe the idea of starting small would at least be a beginning step like Scuba suggested providing his doctor thinks that is ok.

Diagnosed June 2014. WBC 34.6 and Platelets 710 at diagnosis. Bone Marrow Biopsy pre-op diagnosis: Leukocytosis. Post-op diagnosis: the same, Leukocytosis. No increase in blasts <1%. Quantitative BCR/ABL testing and formal chromosome analyses confirmed CML diagnosis.<p>Supplemental Report: Abnormal BCR/ABL1 FISH result t(9;22). Molecular test for BCR/ABL1 fusion transcript by RT-PCR positive for BCR/ABL1 transcripts, b3a2 at 133.561% and b2a2 at 0.001% and ela2 at 0.001%. Followup monitoring showed negative for ela2. BCRABL1 was 148.007 at diagnosis. Started Sprycel 100 mgm and blood work was normal at 3 weeks. MMR at 3 months: 10/4/14 was 0.106. Stayed in that range with one dip to 0.04 once and back to 0.1 range. Oct. 2015, BCRABL1 was not detected, following with 0.0126, 0.0092, <0.0069, 0.0000, <0.0069, 0.0000. Now on 70 mgm of Sprycel. Continuation of PCR test results: 07/07/2017, 0.0000%, now on 50 mgm of Sprycel, PCR 9/12/17 0.0074%, PCR 11/3/17 0.0000%, PCR 1/17/2018 0.0000%


#18 tlb3868

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Posted 09 June 2017 - 07:32 AM

He has T315i so he was told by his last oncologist that iclusig is the only drug he can take now. Which he has at home and don't take. Maybe a new doctor can get him to take them. I don't know. I'll post what happens after his appointment.

#19 r06ue1

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Posted 09 June 2017 - 10:03 AM

He has T315i so he was told by his last oncologist that iclusig is the only drug he can take now. Which he has at home and don't take. Maybe a new doctor can get him to take them. I don't know. I'll post what happens after his appointment.

 

ABL001 is in clinical trials and should also work with less side effects.  


08/2015 Initial PCR: 66.392%

12/2015 PCR: 1.573%

03/2016 PCR: 0.153%

06/2016 PCR: 0.070%

09/2016 PCR: 0.052%

12/2016 PCR: 0.036%

03/2017 PCR: 0.029%

06/2017 PCR: 0.028%

09/2017 PCR: 0.025%

12/2017 PCR: 0.018%

 

 

Taking Imatinib 400 mg


#20 Gail's

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Posted 09 June 2017 - 04:21 PM

Anybody know if it's true that iclusig is the only drug that works with that mutation? I agree with scuba, low dose with slow increase. The big dose bazooka will knock his counts way down quickly with unpleasant side effects but the matter of compliance is more important in this man.
Diagnosed 1/15/15
FISH 92%
BMB 9:22 translocation
1/19/15 began 400 mg gleevec
1/22/15 bcr 37.2 IS
2/6/15 bcr 12.5 IS
3/26/15 bcr 10.3 IS
6/29/15 bcr 7.5 IS
9/24/15 bcr 0.8 IS
1/4/16 bcr 0.3 IS
Started 100 mg dasatinib, mutation analysis negative
4/20/16 bcr 0.03 IS
8/8/16 bcr 0.007 IS
12/6/16 bcr 0.002 IS
Lowered dasatinib to 70 mg
4/10/17 bcr 0.001 IS
Lowered dasatinib to 50 mg
7/5/17 bcr 0.004 IS
8/10/17 bcr 0.001. Stopped TKI in prep for September surgery.
9/10/17 bcr 0.006
10/10/17 bcr 0.088




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