Clinical Trial E5103

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  • BerkeleyKim
    BerkeleyKim Member Posts: 390
    edited February 2009

    Hi Brena:

    Glad your daughter's ultrasound was clear. I didn't want to worry my  mom until over a month after my dx in Sept.--until I got results from my second biopsy after the MRI that showed +node and 2 other tumors that didn't show on June mammo! But she's 84 (and NEvER had a mammo--unfair). I'd hope that my own daughters would say something!

    Have 3 kids--boy (21) and daughters (19 and 14).

    Got a handout on Taxol SEs today--hope my wbc improves enough to have 1st tx on Thurs. They upped the dosage on my 4th Neupogen shot today. Shots really worked before--I guess I'm just crashing from AC.

    Tahnks for all the advise!

  • BerkeleyKim
    BerkeleyKim Member Posts: 390
    edited February 2009

    Brenda--My trial coordinator says my unblind date is April 30 (but might be May 1 since I'm switching to Fri treatments). Boy, that seems a long way away!! I had the first Taxol yesterday, and slept all day from Benadryl and couldn't sleep at night (from the nap or the steroids??). Met my radiation onc.,who is very nice, and I guess I start that a couple weeks after the last Taxol. Maybe I'll be done by Fourth of July!

    Last Neupogen shot got my WBC to 10--highest ever (I was just 4.5 or so before any chemo).

    Have a great wkend, and thanks for organizing this thread. Do you know who many women are in this trial so far?

    kim

  • brena
    brena Member Posts: 458
    edited February 2009

    Debk55,

    Your unblind date is just around the corner, are you excited or nervous about the unblinding? How are the body aches? Taxol is pretty wicked for some and could take several months to rid all the drug and SE's and some don't get many SE's. Still working part time?

    hope your keeping germ free,

  • brena
    brena Member Posts: 458
    edited February 2009

    Kim,

    Glad to see your WBC is above normal, definitely important. May does seem a long time away but it will pass quickly as you mile mark your treatments. Unblind, then end of taxol, onto radiation etc. You definitely have alot of activity this year, I looked back and said shhhhh what a year and hope to never ever repeat it! Wishing the same for  you, keep moving forward physically and emotions will come later.

    take care,

  • brena
    brena Member Posts: 458
    edited February 2009

    Ladies,

    I have a physical therapist appointment on Monday morning, she has a certification in Lymphedema. I was able to locate her near my work which will be more convenient for my visits. My left breast has been and hurts so bad much like a throbbing toothache! even the nipple hurts which it has never done before. I hope she can help because I have not made much difference and have tried ignoring it and taking tylenol with no success. I have no swelling in the left arm that I can tell so am hoping just a mild case and getting it back to normal very quickly.

    I had an Onc appointment next week but did not feel like giving blood or going so I moved it out another week.

  • brena
    brena Member Posts: 458
    edited February 2009

    Ladies,

    I have had a hearing test at my employer every year for 15 years and my hearing has never changed. I had my hearing tested this week and I have significant "high pitch loss" in my right ear. I came very close to throwing out the report after being handed to me because my hearing results had never changed so I never gave it a second thought. When I looked at the report I was so surprised and sat and thought what the heck is going on and what could of caused the loss. I then remembered, and have written down, the problem I had with my right ear when I was in the hospital and thereafter with humming in my right ear for several weeks. The humming noise sounded like a refrigerator running. I do realize that hearing loss can never ever be repaired or restored so I am now a little concerned with any additional damage. I don't have the humming noise anymore so I would like to assume the damage will not progress. I am 46 and have never skipped a beat with my hearing up until now, and I moaned about taking this test. Everyone at work must take a yearly hearing test otherwise I would of never gave it a thought.

    Now it begs the question........what caused the humming which caused the hearing loss?

    What do you guys think and what would you do if anything? appreciate your thoughts.

    waiting for spring,

  • brena
    brena Member Posts: 458
    edited February 2009

    Ladies,

    Teresa, Carolyn and myself are booked on the Carnival Breast Cancersurvivor cruise. Anyone else interesed in booking the cruise? Would be great to see more of you ladies in person. I did finish my office floor and I must say it looks great, am looking forward to doing the kitchen and living room floor.

    Have a great weekend 

  • brendafromflorida
    brendafromflorida Member Posts: 90
    edited February 2009

    I haven't posted in quite some time.   I have had a really tough go.   I had my last A/C treatment last week and my hemoglobin was 8.5.  They told me I would need a transfusion if it dropped to 8.  I went Thursday to have it checked and it was 7.3.  WBC was only 2.  UGH!!!!!   They immediately set up the transfusion and I received 2 units of blood.   What a process.  I got to the hospital at 11 AM and didn't leave until 8 PM.

    I was so weak for the last month I have not been able to do much of anything.  Everytime I would get up to move around, my heart would pound and I would get pounding in my head.  I would be so winded I would have to get right back down.  

    Kim, it looks like our unblinding date should be very close.   Looks like I am about a week behind you.   I will  ask my trial coordinator next Thursday when I go in.   Hopefully, she will have some idea.  

    I am feeling much better after the transfusion so hopefully, it will  last for a while.  

  • BerkeleyKim
    BerkeleyKim Member Posts: 390
    edited February 2009

    Brenda--sorry to hear you've been knocked down. I hope the transfusion gets you through the Taxol txs. But you've finished the AC--Hooray!! My WBC went down to 1--they put me on antibiotics til it went back up. They increased my last neupogen dosage, and it went to 10, and I'm hoping it won't drop so low.

     A cruise sounds so great. Maybe next year!!! Maybe then I'll feel more like a survivor.

    Brena--I'm interested in hearing what's causing your ringing. I have it in my right ear too. I've been referred to a hearing test, and I guess I should do it. It drives me nuts sometimes. Had ear wax flushed out in early Dec., which seemed to help a little bit for a little while.

  • Bettylou
    Bettylou Member Posts: 11
    edited March 2009

    Hi Carolyn et al!  Thank you again for your concern about me.  I am doing quite well and really don't have many complaints other than the presence of the rash which after the 2nd treatment flared up again and in new places this time.  Now that I am into the 3rd week since the 2nd treatment, the rash had disapated a bit and have not had to take over-the-counter benedryl for about a week.  I seem to be operating at about a "normal" level not feeling tired and doing most of my normal activities.  My husband and I even managed to get away for a few days to Florida to visit with a friend from Geneva, Switzerland (we lived there for 8 years).  Kept up a fairly full schedule of activity and did not feel tired so am glad for that.  This Thursday will be my 3rd treatment and looking forward to getting on with this and seeing "light at the end of the tunnel"!  One question:  if one finds out that she is in Arm C of the study, is there a choice to either go on to Arm D or opt out?  As we have two weddings coming up in August and September plus my concern with getting the second phase of my reconstructive surgery done, wondering what I need to think about.  Thanks for answering my question!!  Hope you are doing well!  Have you gone on the cruise yet?  If so, hope you had a great time!!  Bettylou

  • rzxcd
    rzxcd Member Posts: 35
    edited March 2009

    I have been unblinded and I did get the Avastin and found out I'm group C I have to keep  going every third week till July. Long time can't have reconstruction till I'm done, its gonna be a long year with the expanders ugh! I do have a runny nose that sometimes had a little blood, my gums bleed and I get runny eyes also had slight horce voice.

  • brendafromflorida
    brendafromflorida Member Posts: 90
    edited March 2009

    Bettylou, I was told I could opt out of the study at any time.   I am sure you can opt out if you find you are in ARM C.   I am a bit concerned about that as well.   My insurance year runs from July to July and I am concerned about how much additional I will have to pay out of pocket if I find myself in that Arm as well.   I have already met my out of pocket for this policy year, but the continuation would definitely put me in a new policy year.   I will have to ask about the cost before I make my decision.  

  • carolynf
    carolynf Member Posts: 262
    edited March 2009

    Bettylou,

    I am glad to hear you are doing well.  Sounds like you are keeping busy.  I haven't gone on the cruise yet.  Scheduled to head out on April 15th to the 21st.  Thank goodness it wasn't today since we got all this snow!  My husband is in San Diego til this Friday so I was stuck w/plowing.  The kids did help w/shoveling though.  My hubby has to go to a conference in Hawaii at the end of the month and all the other guys are bringing their wives. So he asked me to go and I just booked my flight.  So I will be heading to Oahu before I head on the cruise.  Hope to start a nice little tan going. 

    In regards to the avastin, you can opt out at anytime.  You can stop today if you felt like it.  That's the reason I did it.  I didn't think I would go thru the whole arm d but I did and time flew.    I think you are doing great w/being so active. I was not that active during my treatments.  Do you know when you will be unblinded?  April or May?

  • carolynf
    carolynf Member Posts: 262
    edited March 2009

    rzxcd,

    Congrats on being unblinded.  I too had the bleeding gums and some bloody noses.  My sinuis's are getting better (I think).  Are you going to continue?

  • carolynf
    carolynf Member Posts: 262
    edited March 2009

    Brena & Teresa,

     I am getting very excited for the trip.  I am waiting on my passport since it had expired!  I also got my kids thier passports so we can go visit my family in England sometime this or next year. I went to the spa the other day w/my sister in law and had a European facial and swedish massage. I think the facial helped my sinuis's due to the hot steam she shot at my face.  I guess I should just heat up a pot of water and put my face over it w/a towel and it would be the same.

    Things are busy at my house.  My son's soccer team won the championship on Saturday.  It was a very exciting game.  The coach decided to move the kids up to the next level due to them beating all the teams by tooo much.  It should be an interesting next session.  My daughter started AAU Basketball and I am waiting on the schedule for that.  So my weekends will be quite busy til May.  I head out to Hawaii on the 25th of this month til April 2nd.  I need to contact my cousin so I can stay at her place for a couple of days before my husband arrives.  My kids aren't too impressed w/us traveling w/out them.  I will start planning a vacation to Europe when I get back.  My uncle is not doing so well (he's 94).  I would like my kids to meet him due to him being a whipper snapper kind of guy.  Well, got to run.  My youngest wants to play on the computer.

  • MandaLynn
    MandaLynn Member Posts: 73
    edited March 2009

    Hi Everyone, I haven't posted in almost 3 months.  I finished my A/C and am on my 3rd Taxol (on the E5103 trial).  I got really knocked around by the AC and am finally feeling better and looking through people's postings.

     Here's what I'd like to know.  On the AC all my blood counts dropped so low (I was neutrapenic sp?) they didn't have to transfuse me, but on my 4th AC they reduced my dose (by about 30% because of low counts and too much weight lost). My onc said that I had a "non-response" to the neulasta shots and that she's only known a handful of patients like that.  Also, that she had to reduce my dose to keep me on schedule.  She said that my body had all the AC it could handle and that this dose reduction wouldn't effect my overall odds of beating the cancer.  I'm just worried because I had heard that the "success" of therapy was based on getting through treatment on schedule and at the recommended dosages.

     Am I being too anxious to still be cogitating this?  It's true, there's basically nothing I can do about it now, she made the decision and we've moved on.  Just wanting to hear about other people's responses.

    Also, I want to out myself on something that was the most painful part of the treatment for me -- I had a flare up of an anal fissure (essentially a crack in your ass).  I had it as a chronic problem in the distant past (after having kids).  I want to tell you it HURT LIKE HELL!!!  It was very debilitating every day- I couldn't sit, had to take pain killers.  I'm just putting it out there because it was a very isolating experience and if anyone else has problems "down there"  I want to let you know that I think  I cured it (or the switch in drugs helped).

    I think I'm just venting.  Also, I'm pretty sure I'm not getting the Avastin. 

    Amanda 

  • NancyJane
    NancyJane Member Posts: 2
    edited March 2009

    Hi there, all.  I am also part of this study.  I started chemo October 3, 2008 and my last round of Taxol will be March 12.  I was unblinded last Thursday and found out I was not receiving Avastin. I am attaching what I posted on the triple negative breast cancer foundation web site after my unblinding (my patient # is 51089).  I wish I was aware of this thread sooner.  Brena found me at the tnbcfoundation site and refered me here. I started with page one and read this whole thread.  I feel like I have been here from the begining!  Thank you, Brena for making me aware of this supportive group. 

    I found out yesterday that I am in the placebo arm of the ECOG 5103 (AC x4. Tx12 plus avastin or placebo) trial.  This will explain why I have not experienced any avastin side effects LOL.   I knew going in that I had an 80% chance of receiving avastin and a 20 % chance of placebo.  I am fine that I received the placebo.  What does bother me, however, is how poorly the U of Miami administrators explained some of the details of what it ment to be in the trial. 

     For example, I started the trial on Oct 3, 2008.  I knew that the Holidays would fall during my 6 month protocol.  I sat down with the PA assigned to my case and went over my treatment dates through the first of the year BEFORE I started.  One of my treament dates fell on Christmas.  I had plans to travel out of town for that week and did not want to have to travel back for treatment.  This could easily be arranged as this was during my AC phase or treatment once every 3 weeks ( I did not do dose dense).    My PA advised me, no problem.  Because your date falls on Christmas and the Chemo unit will be closed on Christmas,a Thursday, you can come in the following Monday when you return.  As Christmas approached and I confirmed this advice with the nurse in charge of the trial at U of Miami, she said OH NO!  You MUST have infusion with in two days of your scheduled day.  Which meant I had to have it either before Christmas or Friday, the day after as they are closed on Saturdays.  BOY WAS I MAD.  I had to pay to cancel plane tickets for me and my husband and fly back on CHRISTMAS DAY!!!!  All this for sugar water.

      In addition, I drove a much further distance to receive treatment at this facility (an additional hour, two hours total) than I would have needed just to receive ACx4, Tx12, one of the most common chemo regimines around for BC.  Again, the drive inconvenience decision I made knowing my chances of placebo.  

     So, just thought I would let those of you who may be considering doing a blind clinical trial know that this is the potential down side of participating.     I am fine that I did not receive avastin.  Avastin is not without side effects. It is also a controversial drug regarding early stage breast cancers, hence the clinical trial.  Many people are not convinced of its true benefits in the metestatic setting.  It bairly passed FDA approval for that poplulation.  With all that being said, it did prolong life by weeks.  That is significant when it is your life. 

      We are all looking for any little thing that may make that difference in our personal journeys.  I have no regrets that I participated in the trial.  I just wish I received the drug given the sacrifices I made to be in the trial.  But, I am OK that I did not.

  • debk55
    debk55 Member Posts: 108
    edited March 2009

    Hi Ladies,

    I get unblinded tomorrow!!!! I will let you all know. I am getting anxious about if I am on it or not. I think I am.I do have the bloody nose and clots in the AM. And major sinus issues and a hoarse voice a few days to a week after the avastin/placebo infusion.  But we will find out tomorrow. I am off the bake my DH a birthday cake and figure out his birthday dinner that won't be too much work as I am very tired today.

    Have any of you been more tired toward the end of taxol???  This past week I have felt more tired. I don't know if I have been trying to do too much. But, I did not go to work thrus as wed night I felt like I hit a wall for being tired almost like on the AC. I went to bed at 10 and did not wake up til 8:30. I usually don't go to bed til 11 and am up at 7. 

    Well bye for now and to SE days. I will check in tomorrow after tx.   Deb:)

  • brena
    brena Member Posts: 458
    edited March 2009

    debk55,

    Good luck tomorrow, hope you get some sleep but probably not. Ask your trial nurse your trial sequence number. I do realize you gave me a number earlier but usually the number is given at the time of being unblinded. If you are in arm C do you think you will continue on to arm D? I hope your hubbies celebration went well, chocolate cake?

    sleep well,

  • brena
    brena Member Posts: 458
    edited March 2009

    Rzxcd,

    Glad your in arm C and have decided to go to arm D. Hope your symptoms get better the further you get from the Taxol. Did you get your sequence number of the trial?

     take care and stay warm,

  • debk55
    debk55 Member Posts: 108
    edited March 2009

    Hi Ladies,

    I got unblinded today and am in arm C and will go on to arm D.I am kinda torn about it I think I just want to be done with the txs but, I know this is very important to the future of breast ca research and me so I will continue. 

    I am just tired of not feeling well!!!!!  My onc said in 4-6 wks after the taxol stopped I will feel alot better so I will keep that in my mind, I am really very tired of the sinus stuff too!!!!! But, I amsure that will contiune with the avastin. The Dr said it might ease up when the taxol stops also,

    Brena I did not see this email til this evening I will ask next week for the seq #  sorry. 

    I hope you are all well and I am off to the lazyboy as it was a long day. Left the house at 8:45 and got home at 6:15 with the dr appt, blood work,  taxol and avastin tx and 2hours drive each way.

    have a great SE evening & week every one,  Deb :)

  • carolynf
    carolynf Member Posts: 262
    edited March 2009

    Congrats Deb!  At least you know what Arm you were in.  No more mysteries.  I can say for myself that once I got done the taxol I did feel better but a month later I was doing the rads and I think the combination caught up to me and I was tired from the 2nd week on.  All I wanted was to go to bed!  It does get better.  I still get tired but think it has more to do w/the weather...The other day it was 57 and today it snowed and was cold!  Doesn't help to flip flop like that.  Ten more days and its spring...I hope.  Remember to rest when you need it.  Don't push yourself.

  • NancyJane
    NancyJane Member Posts: 2
    edited March 2009

    Brena:

    Not sure if you saw my patient #51089.  Have you learned anything from the patient #'s reported so far? 

    This Thursday is my last round of chemo.  I am so excited and ready to be done with Taxol.  My toes hurt so bad!!!

  • Janet0527
    Janet0527 Member Posts: 141
    edited March 2009

    Hi ladies - I met with my oncologist today, honestly expecting him to recommend TC, and he thinks I'm a good candidate for this trial.  Though I'm node-negative and ER+, my grade 3 is from a Nottingham score of 9, and my Ki-67 is in the >20% range.  I've been going back and forth between TC and AC-T in my head, prior to talking to an oncologist, based on everything I've read.  I spoke with one oncologist by phone who had reviewed my records and recommended TC, calling AC-T overkill for my case.  The guy I saw today really wants me to do AC-T, saying that even though I'm node negative, I'm high risk and should be treated aggressively.  I like this trial because all three arms get what I would be doing otherwise (the AC-T), and the Bevacizumab, if I got it, would just be a bonus (assuming it does good, which of course we don't really know).  I'm concerned about the heart risk of Adriamycin, which is compounded by Bevacizumab.  Ugh.  I need to make a decision of the weekend.  Anyhow, I was happy to find this thread and need to read though it some more.

  • Keryl
    Keryl Member Posts: 230
    edited March 2009

    Hi everyone. Keryl here. Just reporting in to say my my sinus stuff is better, but right side is still irritable - my membranes inside nose & sinus burn on that side periodically, but much less of the icky stuff to blow.  My headaches are pretty much gone. Hair is sprouting, my nails still look like heck (taxol)  My last avastin was 1/22 - anyone report when the sinus thing moves on? 

    I rec'd my post treatment echo cardio and all is normal.  3 weeks of radiation left. Skin doing fine, but I get so exhausted and today I fell asleep so soundly -- that today I barked at one of my son's friends who called  - I said do you know what time it is ? They said, yeah 6:00 - I said, well its way to early to call here. Then I realized that it was 6 pm and I had thought it was 6 a.m. !! Thats how out of it I was.

  • Bettylou
    Bettylou Member Posts: 11
    edited March 2009

    Hi Carolyn,  Sorry for only now answering your reply to my query.  I realize I can opt out anytime from the study but thought there might possibly be "guidelines" or something for helping decide whether one goes on with Arm D should that decision present itself.  Guess I'll cross that bridge when it comes.  As far as my time for unblinding, I imagine it will be around the end of May, early June.  My third treatment was delayed one week due to my WBC count being too low.  Luckily it was up yesterday and I had my 3rd treatment.  Today I go in for my first injection of Neulasta and then will get another one after my 4th treatment on 1 April.  Then the fun and games of Taxol which I must say I am not looking forward to.  Did you have any bad side effects from it?  I have felt good for the most part during my chemo with just the rash and now finishing up with a cold.  Hope you are doing well and anticipating your cruise!  Bettylou

  • Janet0527
    Janet0527 Member Posts: 141
    edited March 2009

    Is anyone doing this trial on the dose dense schedule? 

  • debk55
    debk55 Member Posts: 108
    edited March 2009

    Hi Janet,

    I am on the dose dense schedule. I will try to check here more this weekend if you have any more ??? Just let me know.  

    Debk:)

  • carolynf
    carolynf Member Posts: 262
    edited March 2009

    hi Bettylou,

    I think the Taxol was easier on the stomache than A/C.  I didn't much care for the Neulasta shots.  The first time I had some joint pain.  Before I got the next shot I would take Ibuprofen which helped.  I think w/the Taxol it was more fingernail/toenail pains.  I never lost any but my nailbeds were tender here and there.  After I was done Taxol, about 3 months later i got an ugly toenail.  Nothing major but it looked ugly.  That is all gone now.  The nails can actually raise up off the nailbed.  I would recommend not doing dishes by hand or keeping your hands in water for prolong periods.  My husband and kids did the dishes so I didnt have to worry about that.  On the other hand Brena lost some of her nails while going thru Taxol.  We are all different.  I guess the one thing I would say is just be good to your hands and feet!  Buy some saline solution for your sinuis's incase you start getting that problem.  Keep them moist.  I still dont know if it was all taxol or combination of taxol/avastin that wreaked havoc on my nose.  It gets better all the time.  I am looking forward to the cruise but am leaving in a week in a half for Hawaii.  Want to start the warmth of the sun earlier since my hubby has to go out there for work.  I decided to join him.  Well, I have more house work to do.

    C

  • carolynf
    carolynf Member Posts: 262
    edited March 2009

    Janet,

    I have completed the treatments but was on the DD txs which were fine.  Just keep up w/the fluid intake and you may want to get some senokot if you are taking avitan and dexometh.  I was not told this upfront and was constipated (which I never had experienced in my life) after the 2nd treatment.  Not fun. 

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