Clinical Trial E5103

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  • TexasRose
    TexasRose Member Posts: 740
    edited October 2009

    jenn3- I am cracking up at your description of the butt issues...only because I can totally relate!  Those were some very unpleasant days, that is for sure.

    Tomorrow I will be 1 week PFC and still have the bloody nose issues. I haven't had any Avastin since mid July though. The Taxol can definitely cause that as well. My clinical trial nurse told me to use K-Y jelly on a q-tip in my nose to keep it moisturized. It does help and I also use a saline spray. I'm thinking I should drag out my humidifier. It's around here somewhere. I think.

    littletower- I agree with Kari. The third one was the worst as I recall.

    I will also add my hugs and support to anyone who is still on AC...or Taxol....or Avastin. It is so nice to be done and y'all will be here with us soon! Hang in there!!!

    Mary

  • unklezwifeonty
    unklezwifeonty Member Posts: 1,710
    edited October 2009

    Dear Crystal,

    Good to hear of your experience. I don't have any Avastin side effects after 2 cycles and I'm wondering if I went outside Sloan unnecessarily. But after hearing of your experience I'm hopeful.....

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

    Onty, oh I was indeed the exception during chemo, the nurse had me using the suppositories and the pills for nausea!  

    Mary, yeah, find the humidifier as I've found it really helps.  My last Avastin was Aug. 6th and my septum still kills me and the nose hasn't bled in a very long time but I still get those little gross clotty thingies, gross!!  But its when the air is dry when it really hurts.

    Another day down ladies!  We are headed for the hump! 

  • jenn3
    jenn3 Member Posts: 3,316
    edited October 2009

    K - Wow still having nasty nose this far out from stopping Avastin - ugh!!!.

    Unk - How are you feeling today?  Why do you think you went to Sloan unnecessarily?

    I find my nose/septum really hurts when the air blows directly on me - thus causing it to dry out more.  Another thing I've noticed is that that it almost feels like the septum surgery I had years ago is being reversed or like it's caving in more on one side.  Probably my imagination.  I'd love to visit the ENT, but I'm afraid of being in the waiting room with all of the sick people.  I had Phenergan pills to take if I caught it early, if not I had Zofran that dissolved on the tongue - no suppositories, thank goodness.

  • unklezwifeonty
    unklezwifeonty Member Posts: 1,710
    edited October 2009

    I went outside Sloan for chemo because they had finished their quota for E 5103. If in spite of going to a community hospital I find out I got the arm that doesn't get Avastin, that would make me feel like short changed thats all. Feeling ok today except fatigue and GI issues.

  • michellehb
    michellehb Member Posts: 35
    edited October 2009

    MUGA results just came back, and now I'm scared. I started low at 53, then 49, now it's 45. Last study treatment before I get unblinded is week from Friday. Appt with my cardiologist on Tuesday. Pretty sure I'm going to pull out. Feel kind of stupid that I wasn't more forceful when I questioned getting Adriamycin, let alone recommended for Avastin study by 2 different oncs, because I had chest radiation when I was 13. I wanted to be as aggressive as I could, but how do you know when you've gone too far?

  • unklezwifeonty
    unklezwifeonty Member Posts: 1,710
    edited October 2009

    Dear Michelle,

    Smart of you to check with the cardiologist also before deciding to continue with the trial and potentially get another dose of Avastin. At 45% LVEF I'd be concerned but also know that sometimes a new technician or a new machine can skew the result.

    You are ER/PR+ and have other bullets also. Avastin and Adriamycin are definitely cardio-toxic, Avastin much more so. I'd pull out of the study unless your onco gives you a really STRONG reason to continue.

    Please let us know what you learn and decide. Hopefully others who have been in similar spots will offer some guidance.

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

    Michelle, ditto what Onty said!!  big hugs girlie, keep us posted!

  • unklezwifeonty
    unklezwifeonty Member Posts: 1,710
    edited October 2009

    Dear Kari,

    I just noticed your nodes 16/16. My goodness that must have scared you big time no? How are you finding things now?

  • Keryl
    Keryl Member Posts: 230
    edited October 2009

    hey kfinn- I go to Tahoe frequently ; would love to stop in Lincoln for coffee or bite to eat - would that work for you?; my hubby may be with me; will contact you under PM; thanks.

  • sftfemme65
    sftfemme65 Member Posts: 790
    edited October 2009

    Michelle,

    Usually when treatment stops the ejection fraction goes back up.  I wish you well

    Teresa

  • unklezwifeonty
    unklezwifeonty Member Posts: 1,710
    edited October 2009

    Dear Teresa,

    You are probably right about the LVEF going up after stopping Avastin. Curious if there are studies indicating how LVEF changes during and after Avastin. Time to google this..... LOL

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

    Hi girls!  We're past the hump !! YAY!

    Onty, OMG!!!!  My story is one of many, I'm the one who went to my GYN 3 mos after a clean mammogram...she said the hardened area I felt in my breast was just dense tissue and I was looking for a small pea size lump, so I thought OK, wow in my 40's I guess my breasts really change??  Well 2 years later and the area was getting larger and my breast was changing...went to a new GYN and she was like this isn't normal...Ultrasound, biopsies of 2 different areas of my small boob and hey you have ILC cancer!  terrific...my surgeon wasn't impressed by the mammogram either, he thought it was Stage 1, when I woke up from surgery my DH and DD were crying and the surgeon came by and said he was sorry, and that he took out the 'whole enchilada' and got it all he thought and that one of my nodes was about an inch big.  That's all I was ever told.  I never got my path report.  I asked my onc later and she told me Stage 3, but please don't define myself by a stage.  She said that they had changed the stages and in the old days mine would have been Stage 2, I said I like the sound of Stage 2 more!!  Anyway, she told me there is a 25% chance of this crap coming back....that's what made me do the Avastin, I almost chickened out because of the heart risk.  BUT, I am GLAD I did it, cause girl, I really believe it worked on me!  I HAVE to believe that!  

    As I was going thru chemo, near the end, my clinical trials nurse who I just adore, said "Dr. Hersch (my onc) has a new patient we enrolled into the trial that has 26 nodes positive, more than you!  That made me feel weird.  Thank god my scans of the bones/organs were clear!!!!!!!!

    Keryl, would love to meet you whenever you are passing through!  I work in Roseville M-F 7:30 to 4:30 and we love to hang out at the Fountains in Roseville, its a beautiful shopping center.  We can meet anywhere in the area.  Just let me know when you in town or PM me and I will give you contact info!!  Thanks for suggesting it!  Where do you live??

    I received a letter in the mail from My Oncology Clinical Trials Dept.  It thanks me for my continued participated in the E5103 clinical trial.  Congrats for completing chemo and I'm now in the follow up phase of the study.  It goes on to list blood tests I need 3 mos after treatment end date and onc visits and MUGA, which I already did.  But they follow us every 6 mos from study entry for years 2-5 (history and physical exam) and annually from years 5-15 (history and physical exam) and mammograms are required every year from years 1-15.

  • cd1234
    cd1234 Member Posts: 169
    edited October 2009

    Kari - I second you on the Avastin decision. I was scared to death to take it, but I am so glad I did. I also have to believe that it killed all those nasty little cells.

  • jenn3
    jenn3 Member Posts: 3,316
    edited October 2009

    I'm with you - as scared as I am about the Avastin, I'm glad to be in the study.  I'll find out if I am receiving it at the end of chemo in 9/10 more weeks.

  • unklezwifeonty
    unklezwifeonty Member Posts: 1,710
    edited October 2009

    Curious how everyone's LVEF is changing thru' the study and afterwards? I'll post mine right here.

    Base-line LVEF 59%

  • jenn3
    jenn3 Member Posts: 3,316
    edited October 2009

    Base line 65% and on the last scan run three weeks ago.  Although I have to admit I don't know what the numbers all mean, but realize after reading this thread I should look into it more.

  • unklezwifeonty
    unklezwifeonty Member Posts: 1,710
    edited October 2009

    Dear Jenn,

    The normal range for LVEF is 50-75. It is the efficiency of your heart's left ventricle -  main pump - in pushing blood out to the body. Lower efficiency means the heart has to work harder....

  • TexasRose
    TexasRose Member Posts: 740
    edited October 2009

    My baseline was 57%. I had another one done after AC. I don't have a copy of that one, but as I recall, it didn't change at all. I am having another one on 10/20 now that chemo is done.

    I also agree- even with the side effects that I had including the high blood pressure- if I had it to do over again, I would definitely do this study again. Even being taken off the drug after five doses because of the BP, I am glad that I was getting the Avastin. I don't get all hung up on the triple negative thing, but I'm glad I had this weapon.

    Mary

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

    Ladies, its Friday!  and for those of you in chemo today, its the end of another one!!  

    Ejection fractions are all above normal for all!  so YAY to that!!!

    You ARE doing it girls and saying SCREW YOU to cancer!!

    Have a wonderful day!! 

  • jenn3
    jenn3 Member Posts: 3,316
    edited October 2009

    I'm just getting back from Chemo - a little tired, but otherwise doing okay.  I was talking to the clinical trial nurse today and we are both curious to see how I do next week when I get the Avastin again.  With the Taxol I get the Avastin every 4th treatment.  I had Avastin with all of the AC and the first Taxol and my SE's were a little more intense - last week was Taxol only and I really did much better which is why we're curious to see how I do next week with Tx 4.

    Unk - thanks for the info!

     HAVE A WONDERFUL FRIDAY!

  • unklezwifeonty
    unklezwifeonty Member Posts: 1,710
    edited October 2009

    Dear Jenn, you are welcome...everyone says Taxol is more tolerable except for neuropathy......

    Dear Kari, atta girl. Screw my cancer too!

    Dear Crystal, Mary, I like the way you feel about Avastin.

     Dear Michelle, Teresa, and all my other fellow guinea pigs, Happy Friday!!

  • jenn3
    jenn3 Member Posts: 3,316
    edited October 2009

    Funny you mentioned neuropathy.  The soles of my feet have been very tender, like I over did it on a home pedicure and I've been getting some shooting pains.  The clinical trial nurse said it may be the early signs of neuropathy.  Ugh!!!  If I do end up with it, will it go away after chemo?

  • unklezwifeonty
    unklezwifeonty Member Posts: 1,710
    edited October 2009

    Dear Jenn,

    I'm told usually it goes away but sometimes can be permanent. Ask your doctor and he might reduce the dose for you to reduces the chances...

  • michellehb
    michellehb Member Posts: 35
    edited October 2009

    First, thanks Onty, Kari, and Teresa for calming words last week.

    I saw my cardiologist today about decline from 53 to 49 to 45 LVEF. While she wouldn't tell me what to do - said I was between a rock and a hard place - she told me to push oncs for more data on Avastin before deciding to continue if I'm in Arm C. Kind of feel like I'm being pushed back and forth, but realize that no one has answers.

    Onc and cardiologist both have said that Adriamycin is the known culprit, and likely the cause, but I'll never know for sure.  Anyway, I need to keep monitoring, and possibly meds down the line if it continues to drop. Still cardiologist said I can live a long healthy life, and even be running marathons, with a LVEF of 40. I'm still waivering, but I have a few days to decide about my last study treatment. Could be a moot point. if I'm in Arm B. And wouldn't it be ironic if I'm in the placebo group. At least I'm feeling less stressed about it.

    BTW, my numb toes and now fingers are starting to drive me crazy. Reduced my dosage by 10 pct last week. Sure hope it goes away!

    Michelle

  • unklezwifeonty
    unklezwifeonty Member Posts: 1,710
    edited October 2009

    Dear Michelle,

    Adriamycin causes CHF in <1% cases (my oncologist said <0.1% but she may have been exaggerating). Avastin causes CHF in 3-4% cases.

    Both these statistics are well established by several years of use in several thousands of patients that were given these drugs in different doses and for different cancers.

    So I'm very surprised to hear your oncologist blame Adriamycin. I'd give the Cardiologist the benefit of doubt because he/she may not know much about Avastin. But then they are doctors and I'm not! You are done with taking Adriamycin there is nothing you can do about that but there is something you can decide about Avastin.

    If I were in similar situation, I'd ask the onco to un-blind me due to cardiac concerns. If I was on arm B or C, I'd drop off the study and finish Taxol. Whether to get that 1 last dose of Avastin or not is a highly personal decision and we'd love you no matter what you decide.

    Did they start you off on any heart meds and/or supplements like Co-Q10?

    Hope your neuropathy gets better. Have you tried Glutamine and/or Vitamin B Complex? I've heard they might help.

  • unklezwifeonty
    unklezwifeonty Member Posts: 1,710
    edited October 2009

    Feeling a bit "pissy" today. Wondering whether I could change my oncologist and go some other place? Since I am enrolled in the trial I am guessing I have 3 options. I could start to see another oncologist:

    1. In the same practice as my current oncologist.

    2. In another practice who participated in this trial.

    3. In another practice who does not participate in this trial.

    Anyone know from experience the issues with option 2?

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

    Its another hump day ladies!  Another week closer in finishing treatments.

    Michelle, do you have a really good Clinical Trials Nurse?  Mine, Kristine, was my LIFELINE during chemo & Avastin.  I would go in to see her a couple times a week when my heart was pumping like crazy for a couple of months and she would listen to my chest, take my pulse, check for fever.  I work a couple minutes from my med facility.  I talked to her all the time.  We were on first name basis, she had my med, record # memorized, knew my kids, hubby, etc.  She or he could be quite helpful about the Avastin questions.  My onc kept telling me how great Avastin is with lung/colon cancer, doing great things...but when anything is in a trial, she couldn't make any professional statements as "that's why we are doing this trial, to see what will happen, to see if it will work", etc.  Your onc can't unblind you early, that's in the hands of the trial people back in the midwest, its their study.

    So where are you in chemo?  How many A/C did you get and are you on Taxol?  I can't remember if you'd said prior.  Do you get unblinded this Friday?? 

    Onty, how come you want to switch oncs?? 

  • unklezwifeonty
    unklezwifeonty Member Posts: 1,710
    edited October 2009

    Dear Kari,

    I am just feeling pissy - from chemo? or lupron?

    I thought I saw in the consent form that your onco could ask for unblinding in the interest of your overall health. I'd say LVEF of 45 is a cause for concern. No?

  • kfinnigan
    kfinnigan Member Posts: 1,729
    edited October 2009
    Onty, hmmm, not sure, I don't remember the part about your onc being able to unblind you...So you are feeling pissy, I say you have every right to!! With all the stuff in our systems, who knows what is normal!  Hang in there  Wink  Hugs!

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