Clinical Trial E5103

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  • cjw
    cjw Member Posts: 42
    edited April 2009

    Hey all,

     I haven't posted in a while and just got caught up. Those of you going on the trip-enjoy! And those of you that are in the midst of treatment, keep the faith, you do get over it. I have only 2 more of the "extended arm" avastin treatments to go and therefore am almost 6 months past the Taxol, and it really isn't bad at all. No side effects, hair has grown back, energy levels back to normal (even went skiing over spring break).  I know how it seemed endless back during the taxol, but it really has gone fast.Its actually rolled up on a year since I had surgery.  So hang in there it does get easier on the avastin only part of it.

     Now, if the weather would only warm up--so tired of being cold

    Carol

  • Janet0527
    Janet0527 Member Posts: 141
    edited April 2009
    Gramof3 - My oncologist mentioned another patient of his in the trial, and they were pretty certain she was *not* getting Avastin, based on having none of the classic side effects from it at all.  When she was unblinded, they learned she *was* getting it.  I've only had 2 treatments so far, but also haven't experienced anything to make me think I'm on the Avastin.  Then again, I'm also tolerating the AC extremely well, so maybe I'm just lucky in the side effect department.
  • brendafromflorida
    brendafromflorida Member Posts: 90
    edited April 2009

    Gramof3 - Thanks for the mouthwash tip.  I will try it.   

    Hope everyone else is doing well.   

  • kfinnigan
    kfinnigan Member Posts: 1,729
    edited April 2009

    Carol!  Good to hear that you have only 2 more and are feeling good!!  I have blood work today for my Avastin #5 tomorrow on Arm C...another one almost down!

    I was told to swish with 2 parts salt to 1 part baking soda...hmmm  oh well, I'm sure it works either way! 

  • Gramof3
    Gramof3 Member Posts: 301
    edited April 2009

    Janet0527-You made a good point about SEs--I'm tolerating the AC very well, too, so you may be right on target as to Avastin side effects.  Thanks for the post!

    kfinnigan--another oncologist in the same practice as my onc recommends just salt water.  I think you are right--probably works more ways than one (and would taste better than the Biotene!).

    Take care.  Helen

  • kfinnigan
    kfinnigan Member Posts: 1,729
    edited April 2009

    Had Cycle 13 today.  2nd solo for me!  The nurses were so great about my new short "do" since ditching the week last weekend.  All went well, so nice for them to get the IV first try!!  Back at work now and eating lunch.  My clinical trials nurse sat with me the whole time, she's so great and I'm so lucky to have her on my team.  I asked about the Bisphosphonates study and she said she will ask both that trial director and the Avastin director if I qualify, since I'm already in a study and 3 mos. post "chemo"... 

  • foobs
    foobs Member Posts: 110
    edited April 2009

    kfinnigan and all of you brave women.

    Finally I found E5103 participants!!  And since I'm rarer ILC, I'm so very glad to find you, kfinnigan, with a similar dx as mine.

     I had lumpectomy last week with 8/12 nodes--I was shocked.   3 days ago Onc suggested this trial to me, so I've spent all weekend trying to find E5103 discussions and to decide if I wanted to do this trial.  You have all convinced me to do it, so I'll call him Mon and tell him.

     YOU ALL SOUND SO BRAVE AND SO HUMAN!

     kfinnigan do you mind sharing if you had surgery and when you'll do radiation?  You look so young.  I'm older than you at 56 but I do want a bi Mastx with diep reconstruction at the end of all this.  I don't know when the Rads will happen for me.

  • foobs
    foobs Member Posts: 110
    edited April 2009

    bump!  Am I doing this right?

  • debk55
    debk55 Member Posts: 108
    edited April 2009

    Welcome Foobs,

    Yes you are doing this right. This thread is quiet on some days I am sure kfinnigan & the others will be here soon.

    A friend of mine was Dx with ILC just 3 months before me and we have stayed in pretty close touch thru all of our treatments so I feel a kinship to you both also. She had tx at U of M in Ann Arbor and they were not offering this trial so she did AC x 4 and T x 4 and then rad. 

    How are you feeling? I hope you are doing well.

  • foobs
    foobs Member Posts: 110
    edited April 2009

    Hi Deb

     It's so good to hear from you.  I'm finally feeling better today 9 days after my LN and lumpectomy surgery OUCH.  Onc just called me and I do have a in situ positive margin so don't qualify for the Avastin trial.  I'm ok with that I think.  I'm grade 1 so I hope I'll still be ok but still concerned about the postive nodes, of course.  I'm eager to talk with you more and also Kfinnigan. 

     I'm off for a bone scan so I'll check in later this afternoon.  I can't tell you how much I appreciate hearing from you this morning!  I hope you're doing well and I hope you friend with ILC is doing well.  I would love to talk with her also as she did what I'm facing. 

    Have a good day and I hope to talk with you later. 

  • kfinnigan
    kfinnigan Member Posts: 1,729
    edited April 2009

    Hi girls, just checking in for the day.  Didn't check in over the weekend...we're having a heat wave and was out enjoying the sunshine for awhile!  Now its too hot!  never satisfied...heehee

    Foobs, welcome!  I'm 46 and had a left total radical masectomy w/axillary lymph node dissection 7/25/08.  Did dose dense AC x 4 and 12 weekly Taxol.  I had 25 bouts of radiation and finished that 3/23/09.  Just 5 more Avastins to go!!  I want to try for reconstruction when I get the go ahead, and hope that they can do it.  I never asked for my path report, freaked me out too much.  I just know my stage (my onc doesn't want that to define me)...she did tell me when I asked her what stage am I early on that they had redefined the criteria for staging and I used to be considered stage 2 - I like that so much better!  LOL  I am here if you want to talk or ask anything, like the other gals!  Check in and let us know the scan results.

    Make it a wonderful day ladies! 

  • foobs
    foobs Member Posts: 110
    edited April 2009

    Hi kfinnigan

    Nice to hear you're enjoying sunshine.  Same here in NM today.  I'm planting tomatoes tomorrow!  Cool

     I found out today that I don't qualify for the Avastin study.  I'll start chemo mid May--dose dense AC and then Taxol, then radiation. Same as you had-- just no Avastin.  Congratulations on finishing the AC, Taxol part!  I can't wait to be finished.

    I seem to be one who needs to have all information I can get.  How did you do on the AC and Taxol?  And was the radiation tolerable?  I'm doing a bilateral Mastx with hopefully DIEP recon after.  Have they told you approximately how long after radiation you'll need to heal before your recon? 

    I'm just full of questions.Tongue out   Thanks

  • kfinnigan
    kfinnigan Member Posts: 1,729
    edited April 2009

    Hi Foobs!

    Are you planting your tomatoes today?  Hotter today, a heat wave!!  Well, the AC was the worst part, the first one not so bad, but it was cumulative and by #4 I was so ready to be done with it!  Everyone reacts differently so I hope you have a mild time with it.  The Taxol was considerably easier than the AC on me.  I did end up with a fever at one point midway thru the taxol that postponed an infusion by one week.  But your hair will start to grow back while on the Taxol toward the end.  I finished #12 on 1/15/09 and my hair started to grow back in Dec.  Radiation was easier than chemo, the hardest part for me was laying still so long when they first do your simulation and my left arm (surgery side) was just aching.  I got red and itchy at the end, but it was sooo much better than chemo!  I haven't met with a PS yet since I'm still on the Avastin but I've heard from other gals than you have to wait one year after rads.  I will wait til end of summer then look into a PS.  I will answer whatever questions you have, just let me know!!

    Have a wonderful day! 

  • foobs
    foobs Member Posts: 110
    edited April 2009

    kfinnigan, that info is helpful.  thanks so much

    Didn't get tomatoes in today.  I'm still so tired and sore from my lymph node removal/lumpectomy.  grrrr! 

     Did you have to have a mastx, then radiation?  And then wait about a year until recon?  I'm really hoping I can have my recon the same day as the mastx but I don't know if they'll let a stage III do it that way. 

    So the longest part of the radiation is at the first one?  Did you get tired on radiation?  How long to get your energy back? 

     I found out this morning that I DO qualify for the Avastin study so I'm happy about that!!  So far this week I've had a bone scan and I'll have a Muga and CT scan later this week and maybe that's it for awhile.  I cannot believe how many tests we have to have for all this.

  • Keryl
    Keryl Member Posts: 230
    edited April 2009

    Hi foobs. I am one of the gals on this site that is post avastin (arm B)  and post chemo, now post rads also.   As far as surgery , if you have avastin, they wait at least 30 days to 6 weeks before any surgery -- but if you also have radiation, most p. surgeons want to wait 6mos. to one year. I also had lumpectomy that led to a full mast. with immediate reconstruction - put expander in -then had my chemo and avastin, but ended up also having rads and just ffinished recently.  So,  I will wait one year for my final surgery/exchange for what I think will be a silicone implant, but not decided on all that yet.

    My experience with radiation was ok. Pretty non eventful, but an every day obligation and I had to drive a distance.   I did get really tired, especially at the end. The swelling or sensitivtiy was fine and not that bad for the entire time until my last treatment. KABOOM....all of a sudden I was so red and swollen - it took at least 10 days to settle down. That was over a month ago and I am much better now. 

    I know the waiting is hard. Right now I feel ready to launch into next phase of corrective surgery,  but I have to be patient for awhile. I also think my family needs a break from my "issues" --  I also have my first tests in May since finishing treatment, which will be one year since dx.  

    As far as avastin, go for it. I think the upside is worth it !

  • moborn63
    moborn63 Member Posts: 70
    edited April 2009
    Quick Question. Had anyone who is on this trial had any problems with the bottoms of their feet. I find that the bottom of my feet especially around the heel area is very tender. And when I take a shower or bath they seem to turn a gray purplish color. My hands change color too when wet since I have begun Chemo but I don't have tenderness in my hands except for the tips of my fingers which sometimes makes it hard to type. Just wondered if anyone else has experienced this.
  • debk55
    debk55 Member Posts: 108
    edited April 2009

    Moborn63,

    I did have heel pain during my AC part to the trial. THe chemo nurse thought it was some sort of nueropathy but the onc said no. But it did go away after I stopped the AC. Now I just still have tingling in my finger tips and toes from the taxol.  hope this helps to let you know you are not alone. 

  • kfinnigan
    kfinnigan Member Posts: 1,729
    edited April 2009

    Moborn63, my right palm and bottoms of my feet completely peeled at the end of the AC and first few Taxols....wore a glove to work, they called me Michael Jackson, ha!  Still have a little numbness and left fingers and certain toes/ball of feet after walking.  My fingernail areas were very tender on Taxol, they would hurt at times.  

    foobs - I had mast, then chemo, then radiation.  My surgeon didn't want to have a PS do anything at the same time as mast. because he said there is a risk of infection that would have delayed chemo, and that rads would alter the area and may present complications and also said that it takes a year to heal from surgery, etc. and that area can change the implant shape, size, etc.  He wanted me to wait a year to heal then see a PS.  I trusted his judgment.  Rads are an everyday commitment.  First visit you meet the rad onc, then he schedules you for a set up simulation, then you have a dry run (also long appt) and then you start your everyday field trip to the tanning bed LOL!  Those with lumpectomies usually get more cause they have boosts at the end, but mast. patients don't get boosts.  Before you know it, you'll be done!  Fatigue is cumulative with rads and I did notice I got tired but I walked everyday pretty much and kept going.  Couldn't do that on chemo.  You will get a MUGA every so often during the Avastin trial along with EKGs and you will see your onc more often while on the trial, which is nice.  My onc said this trial is a risk benefit to me, and I truly believe it!  Life is good!

    Keryl, congrats on being done and getting ready for the next phase - ta tas!  Can't wait to be there too. 

  • foobs
    foobs Member Posts: 110
    edited April 2009

    Keryl  and Kfinnigan

      I'm so happy for you that you're this far along with your treatment. I can't believe how brave you all are.  I hope I can do as well and stay as positive as you.  How did you handle the chemo, Keryl?  Did either of you lose weight on chemo?  I can't afford to lose any more.

    I'm just afraid the dose dense will be ugly.  I am trying not to worry but its hard. And I know I have to do it. My Onc also thinks Avastin is promising and I'm grateful that I do qualify for the study.

    Keryl and Kfinnigan thanks to you both for your detailed input on what to expect for the timing of tx and then surgery.  I'm going to Houston for a consult with PC before I start chemo.  Its looking like they'll tell me I have to have a mastx after rads and then wait a year before my DIEP recon.  I had hoped for mastx with an immediate DIEP.  bummer!!  If nothing else this has already taught me that I have to be flexible! ha

  • Keryl
    Keryl Member Posts: 230
    edited April 2009

    I tolerated the dose well - nothing radical occurred. I would feel spacey and worn out - I had no nasuea - I did have trouble sleeping and sometimes achey. Sometimes I could not communicate very well and just wanted to be alone. I felt more acute sides during taxol than A/C which is usually not the case. Yep, I actually gained weight on chemo - about 10 lbs. but it was from October through mid February - the worst months of the year for diet and excercise with the holidays. I dont really think I ate that much, and I did try to xercise, but I still gained and also felt puffy and lethargic.  The side effect I attribute to avastin was the sinus stuff, but it is not that bad. Now, I have lost 8 lbs since February - so some may be water - I am taking tamoxifen and some say they lose on it. My doc said gaining 10 lbs on chemo is not unusual. 

    I know the need to be patient and flexible but not a day goes by that I dont scope out my calendar with all of the variables....my one year dx will be 5/13 and my hair is just sprouting... 

  • BerkeleyKim
    BerkeleyKim Member Posts: 390
    edited April 2009

    Moborn--I'm on the trial, and have done 8/12 Taxols. I didn't have heel issues during ac but did notice the purple color after the first 3 or 4 Taxols. I've been using a foot cream with peppermint and tea tree oil. It has seemed to really help. For the neuropathy with Taxol I'm taking L. Glutamine 10 mg 3 times/day and alpha lupoic (sp??) acid, 600 mg/day.  Good luck

    Foobs--glad you qualify for the study!  Re weight. I lost a few pounds on AC but have gained it all back plus a couple pounds on Taxol. I really get the munchies and completely lose control.

    I had a 3rd echo because my trial director said my ef went down. It's now normal, thank goodness. I get unblinded next Weds. I'm also trying to decide if I want to do the bisphosphonates trial.My onc prefers me to do that rather than prescribing Zometa, which I've heard good things about. Can't believe I have only 4 more Taxols--next on Friday. What a trip it's been (and I guess will be as I start rads end of may early june and some kind of AL too).

     Kfinnigan: It was hot enough here for tomatoes this week, but cooling off. Maybe I should stick with lettuce! Had my first salad in months from lettuce I grew. The med professionals had me so nervous about eating salads out or from the store.

    kim

  • kfinnigan
    kfinnigan Member Posts: 1,729
    edited April 2009

    I'm thinking of you ladies today and wish everyone a great day, whether it be with healing, testing, treatments whatever!! 

    It is chilly out there today after 95 degrees last night!  

  • PinkVelvet
    PinkVelvet Member Posts: 64
    edited April 2009

     Carol,

    I'm glad to hear you are doing well and that things are getting back to a more normal level.

    Almost a year since surgery - - that's amazing.  

    I have a question for you - - - - have you had a follow-up mammogram yet?  I have one tomorrow.  I am a tiny bit nervous, just because it's going to the doctor again and having tests done...yuck.  But, I wonder how useful a mammogram is?  The doctors knew there was a tumor in my breast but my breast tissue is so dense that it wasn't visible on mammogram.  I wondered if you ran into this same problem (I think there's a connection between dense breasts and breast cancer) and if your doctors were doing anything else, like ultrasound or MRI?

    Jen 

  • Latrisha
    Latrisha Member Posts: 3
    edited April 2009

    Per the article below from today, do the poor results from this Avastin early stage trial on colon cancer necessarily mean anything as far as effectiveness with breast cancer?  Or are the two totally different?  I will be asking oncologist at next visit and I hope she has some insight. 

    Article (excerpt):

    "Roche stock falls as Avastin fails in colon cancer trial
    23 April 2009
    Roche has suffered a major setback on the news that its oncology blockbuster Avastin has failed in a study looking at the treatment's effectiveness in early-stage colon cancer.

    The Swiss major said that the results of the first Phase III trial, NSABP C-08, evaluating the use of Avastin (bevacizumab) plus chemotherapy (Folfox) for the treatment of colon cancer immediately following surgery compared to chemotherapy alone, did not meet its primary endpoint of lowering the risk of the cancer returning. This is the first trial of Avastin in early-stage cancer and results do not affect approved indications in advanced disease, Roche added."

     Link to full article: 

    http://www.pharmatimes.com/WorldNews/article.aspx?id=15737

  • Keryl
    Keryl Member Posts: 230
    edited April 2009

    PinkVelvet -  I will have my first mammo on my "good side" on 5/7 - almost one year from my dx on my left.  Had mast on left w/chemo and rads.   I have been through a lot , but feeling strong. I would like to think the right side is fine, but ready to pull the cord on the right, as well, so each mammo is key.  

    Latrishja - as far as Avastin. I am not sure what to think when considering all angles; I dont know enough to compare colon cancer w/ avastin  to  breast cancer w/ avastin?  However, if they showed promise in breast cancer, and  I have that opportunity now,  I think I need to take advantage of what options are out there - I realize that there are no promises. Anyway- I am am happy to be a part of the research - whatever way it falls. I don't think it hurt me, other than itchy sinus!!!

  • PinkVelvet
    PinkVelvet Member Posts: 64
    edited April 2009

    Had mammo today and it was just fine.  Don't know what that means as they probably couldn't see anything if there were anything to see.  I was more emotional than I thought I would be.  I hope it gets easier with time.

    Latrisha, thanks for the link to the study.  I will check it out.

  • moborn63
    moborn63 Member Posts: 70
    edited April 2009

    Well Ladies I have completed my 4 bi-weekly cycles of the major part of my chemo which included the Doxorubicin and Cyclophosphamide. I now begin a weekly cycle of the Taxel. So far the doctors are happy with my condition. I have had nearly no side affect as yet except for mild sininse problems and the tenderness of the hands and feet and the hair loss. No nausia and rare joint pain.  I will keep you updated on the next rotation. I am still blinded until cycle 8.

    Oh and my twin sister ( the small pic on the left of me in profile) is scheduled for her double mas next tues so prayers will be grateful.

  • Janet0527
    Janet0527 Member Posts: 141
    edited April 2009

    Hi ladies, just checking in and catching up on this thread.  I had AC #3 this past Wednesday and am still hanging in there.  The fatigue seems a bit more pronounced as time goes on with all of this, but overall I still feel reasonably good and am able to keep up with working, dancing, etc. 

    Berkeley Kim - I'm not looking forward to the hand and foot problems described with Taxol.  Are you experiencing anything that restricts what kind of shoes you can wear or gives you alot of pain in your feet?  I dance, so I'm a bit apprehensive about what might happen here.  

  • ango74
    ango74 Member Posts: 255
    edited April 2009

    Hi Ladies,

    I have a question.  I am not on your trail but on the Beth trail which adds Avastin to TCH. I am about to start my Rads and my Rads onco said he doesn't like doing rads with anyone Avastin.  I know this is do to the healing problems it can cause.  Have any of you gone through Rads while on Avastin?  Had any bad SE"s?

    Thanks a bunch!

    Angie

  • kfinnigan
    kfinnigan Member Posts: 1,729
    edited April 2009

    Hi Angie, yes I had rads while on Avastin.  My rad onc was unsure at first and said he had to call my clinical trials nurse and talk with her.  She looked into it and it was fine.  I had no problems.  Have your rad onc talk to your clinical trial person.  I didn't have any se's other than a little tired after a few weeks and itchy skin from rads at the end.  Good luck!!

    Robin, congrats on completing one part of chemo and on to the next phase!!  Feels so good with each milestone under our belt!  Will pray for your sister too!

    Janet, good job on the AC and keeping up with your routine, that's awesome!

    Have a wonderful day!

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