Clinical Trial E5103

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  • brena
    brena Member Posts: 458
    edited November 2009

    Jenna3,

    Taxol is a killer for muscles, tore me up one side and down the other. I exercised my _ss off to keep the muscle pain at bay and it did work. Taxol was the cause of my infected toes and fingernails, lost many after each got infected and oozed green liquid. Some woman have the nerve SE for years, ever or just a short-time after the last dosage. Know way to tell where you will fall, mine was bad (mild muscle ache) and only lasted 3-4 months after last shot. No SE at this time.

    cheers,

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

    Brena - I'm glad to hear exercising helped.  I was asked by friends just yesterday if I thought walking as much as I've been walking could be making it worse - I personally think it helps both mentally and physcially.  Even on the days when I feel like I just can't do it I walk for at least 20 - 30 minutes, an hour on the good days.  My toenails and fingernails aren't infected, but have an unhealthy look with horizontal lines and slight discoloration.  However, it really isn't noticable to other people unless I point it out.

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

    Dear Jenn,

    I think walking helps in many ways. I just wish I had more energy to do it :-)

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

    Unk - I'm sorry you don't have the energy.  We all have so many of the same reactions and so many different reactions to chemo and the medications that go with it, but if there is any way you can walk just a little it may help .............  With that said when my RBC and Hemoglobins were bottomed out it took every thing I had just to shower and walk for 10 minutes before I felt like I had hit a brick wall.  It was an awful feeling - an exhaustion I had never felt before and hard to explain.  When you tell people you're tired they shake their heads like they understand, but it's a different kind of tired..............I've seen controversy about the Procrit shot on these boards, but I was so bad I felt like I needed to try something and for me - it worked.   I'm just taking a shot in dark, but how are you blood counts?  Could that be part of the problem?

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

    Hi Jenn,



    My WBC counts should be ok except for the 1-2 day dip (I get Neulasta). Maybe this is due to lower RBC and HGB? I have seen a steady decline in those numbers since starting chemo. The chemo nurses said they do transfusions only if the reds drop to extremely low levels otherwise their only focus is to see that WBC is high enough to do the chemo.







  • Diane48
    Diane48 Member Posts: 50
    edited November 2009

    Well I was on the B arm so no more Avastin for me. I am kinda bummed, I had decided that if I was on C that I would continue on. Oh well.

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

    I won't know until the end of December and am hoping for arm C too. 

    I'm sorry you didn't get the "C" arm like you here hoping ((((HUGS)))) .

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

    I won't know until the end of January. Right now I am hoping for Arm B or Arm C. But I am uncertain how I will feel if I end up in Arm C about getting another 10 doses of Avastin. I guess I could cross that bridge when I get to it.

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

    Hi ladies!  Another week just about DONE!  You are all doing such a great job at getting through treatment and keep up the spirits and fighting the fight...YOU ARE DOING IT!!!!!!!!  

    Had blood work done and see my onc next week 11/12, first post-Avastin visit.  Blood work was within normal range except for AST (3 points above normal).  Alot of the numbers hovered around the low normal range, which I think explains why I fatigue so easily still.  Upped the vit. D I was taking per my onc and since doing so my count came down 1 point and is at 40.  

    Hang in there all!

    Diane, bummer about Arm B, but you did get Avastin and we will just hold out that did the trick!!

    Big hugs xoxoxo 

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

    Dear Kari,

    Long time! How are you doing? Good to hear your blood work almost all normal.

  • littletower
    littletower Member Posts: 333
    edited November 2009

    I was pulled out of the trial last week after my first big four with Avastin. ECHO showed an LVEF of 30, MUGA then showed everything normal, 2nd ECHO (done because of the discrepancy) showed an LVEF of 35. Cardiologist is putting me on ACE inhibitor (don't yet know which one) and they will watch me closely. BP is fine and no swelling of my ankles, but my breathing is labored and my energy is low. No one understands the differing test results, apparently I'm a medical mystery. Who knew.

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

    Littletower - sorry to hear you've been pulled, but I guess at this point it's better to be safe with the heart issues since they can't explain the discrepencies in the test.  Medical mystery - go figure.  (((Hugs)))

    Kari - (((Hugs)))) to you - thank you for the support.  Glad to hear your blood work is climbing back into normal range.  Hopefully the RBC and Hemoglobins will climb so that you can regain your energy levels............. fatigue is hard to deal with.

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

    Hi girls, I do read each day but sometimes find it hard to find time to post!!  I usually check in during my work day since I'm on a computer all day. 

    Littletower, that is so weird about the discrepancies, makes you wonder if we can trust the tests we get, you know?!  But glad you are being watched very closely and am praying for that LVEF to go UP UP UP!!!  Keep us posted please.

    Onty and Jenn BIG HUGS SISTAH's!!!!!!!!!

    Love all you girls, keep fighting like hell and smile inside even if you really don't want to, because we are fighting back and we are another day past our dx and are SURVIVORS!!!

  • zarpar
    zarpar Member Posts: 2
    edited November 2009

    I'm also in study, and almost certain I will stop participating.  Have seen that oncologists mostly recommend quitting.  Has anyone been advised to stay?  Has anyone received indication of receiving partial vs all AVASTIN?   Have not seen any response justifying staying given heart toxicity risks.  I've had 6 AVASTIN/Placebo infusions and am going for my 6th TAXOl tomorrow.  I'm also experiencing gastro-intestinal SE (bloating mostly), lack of taste or smell and bloody and dry nasal ducts.  But, I feel my hair is starting to grow back!  

    This is my first post. Just joined group.  Looking forward to hear comments!

    Carmen 

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

    Dear Carmen,



    My oncologist recommends staying in. Also, the cardiac toxicity is not anything new. They have known of this for a few years. Quit if your heart is not in it, but also please understand that there are several of us who are staying put.



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

    Carmen - Tough decision I know.................my onc left the decision up to me, but did tell me there wasn't any reason not to stay in the trial.  I too have the nasty bloody dry sinuses - ugh! I also have what someone earlier in the thread referred to as cactus butt :),  However, my gastrointestinal problems have gotten better - not sure if what I'm doing proactively helps, but I take stool softners the day of chemo and the day or two after and I take OTC probiotics to help keep my system regulated.  Although I get angry stomach and it gets painful from time to time it is much much better than it was before I started with the stool softners to counteract the chemo constipation and the probiotics to keep everything moving daily.  I'm also having issues with the SE's from Taxol........... but I decided to stay in the trial.  Not sure if it helps, but I've recently come across two articles on Avastin and they both sound really promising in that they really think it will help reduce the recurrance of breast cancer.

    Good luck - and this is where to come for questions or just to complain, which I find helps when you're feeling bad.

  • zarpar
    zarpar Member Posts: 2
    edited November 2009

    Thanks.  I've got the Colace stool softener but dont know what are probotycs? Is there a brand name I can find OTC?

    Chance of recurrence is an imp factor for me.  I'm overweight and have struggled all my life with my weight.  My onc feels that is a pretty big risk and recurrence is almost certain, as I;m also ER+  So, I'll definitively weigh that in when deciding. Good luck to you.  Off to my Taxol # 6 - half way!

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

    Dear Zarpar,

    Senacot-S is very similar in action to Colace. As generic, it is called Senna-S and sold by Walgreens, CVS etc.

    Probiotics are available in certain foods (eg, yogurt, buttermilk, some juices, soy beverages) and in the form of dietary supplements (capsules, tablets, powders). In both probiotic foods and dietary supplements, the bacteria may already be present or added during the preparation of the products. Easiest way to get them naturally is thru' Yoghurt. Activia is 1 brand.

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

    I use Cultrelle brand of probiotics - found in the stomach aids section of the pharmacy - There are many different brands of OTC probiotics and they are also now put into yogurt as well as chocolate bars (sold @ Whole Foods).  I use the pill form because I'm lactose intolerant.  I actually learned about them because my daughter has a strange illness that's really long to get into, but one of the SE's of her illness is slow moving bowels.  Her gastro dr explained how they work and they do work, but it takes a full two weeks to notice a difference.  Probiotics helps to regulate the "good" bacteria naturally found in your intensines.   In turn keeps everything moving - which in the long run helps to keep you feeling better.

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

    Just got back from chemo - this week is Avastin/Placebo week AGAIN........ I'll see how things go.  As of right now I'm still on the steroid high, which feels really good - I just finished planting my pansies and am trying to get as much as I can before the crash.

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

    Hi ladies!  Another WEEK almost down!!!  You are hanging in there like champs!!

    YOU ALL ROCK!!!  smooches and high fives all around!

  • TexasRose
    TexasRose Member Posts: 740
    edited November 2009

    Hey all!

    Just wanted to join Kari in cheering you ladies on!! I am 5-1/2 weeks from my last treatment and feeling better every day. Life is slowly getting back to normal. Hang in there!!! You will be done before you know it!!!

    High five to you too Kari!!!  

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

    Hi Jenn, Kari and Mary,

    Thanks for sharing your insights and cheering us newbies on. Surprisingly AC #4 + Avastin/Placebo has been the easiest for me. It may have been the several gallons of iced tea and water I drank all thru' starting 1 day before infusion for 5 days.

  • michellehb
    michellehb Member Posts: 35
    edited November 2009

    Hello ladies - had my last Taxol today (make-up from one I missed while in the hospital which is off-protocol...oops!). Yippie! Although I've only had 7 Avastin treatments, I didn't quit the trial. Actually, go the letter finally today. Even with declining LVEF, thought I should leave the door open, since I'm in ARM C. I will get kicked out in December if I don't resume the Avastin however. I have another MUGA next week, and will finalize my decision then. Now I'm onto next grey area decision about rads. First was told no since I had rads as an adolescent; now they are saying maybe just to the chest wall. Goes to the tumor board on Monday. Then we decide.

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

    Thanks for the support TexasRose and Kari - It really helps.

    Michelle - glad to hear you are FINISHED with Taxol.  Good luck with the MUGA scan and radiation decision.

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

    Dear Michelle,

    Did I understand you right that the onco let you make up all the "missed" Taxol and you still have the option of going back to take the "missed" avastin for another month? I guess previously I had understood that they won't let you make up the Taxol if you chose to stay on the study. The way I read your latest post it seems not too bad.

  • michellehb
    michellehb Member Posts: 35
    edited November 2009

    Dear Onty,

    Yes, that's correct. Onc made decision based on what's best for me. I don't think they would bump me from the study for the protocol infraction. Even if they did, I wouldn't lose sleep over it.

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

    I'm guessing they have to have a little wiggle room in the trial for these things. 

    I had the Avastin/Placebo Friday and as usual am not feeling good today, but Monday's are usually pretty bad, more so on Avastin/Placebo weeks.  I am soooo curious to find out if I'm in the trial or not just to see if the additional pains and SE's are in my head or from the medication.

  • Diane48
    Diane48 Member Posts: 50
    edited November 2009

    Well I have two more Taxol then I am finished. My hair has started growing back, but I was wondering if it is going to fall out again? oes anyone know?

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

    For those on E5103 and the zometa arm of S0307 (bisphosphonates), do you get your zometa infusions same day as chemo or another day?

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