Clinical Trial E5103
Comments
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Anyone stopping the clinical trial due to the latest news about Zometa?
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Hello,
I just started this trial in November and I go in for my third treatment on Monday. So far I have had the bloody nose mucus which is suppost to be a side effect, so I'm hoping I"m on it! Or my heat is just that dry. lol Fingers crossed.
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What's the latest news? I hadn't heard anything. I have an infusion on Tuesday.
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chinablue- I confused myself because I'm in both studies- long done with Avastin which is what this thread is about. There is news about Zometa? I am also in that trial.
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Hello All!
I've been reading and educating throughout this site since my mom was first diagnosed a year ago. I have been specifically interested in this particular discussion board over the past few weeks and am hoping I may find some answers for my mom. Mom has been dealing with the nose bleeds, hoarse and raspy voice, and constant raging sore throats since about June. Onco first thought d/t chemo, then thought allergies but no changes with antihistamines, then thought reflux but no change with pepcid or prilosec, ENT said no cancer just "irritated and red", then thought radiation was keeping it sore after chemo finished. Told mom I read many posts on this Board about sore throats with Avastin so she mentioned to her Onco/trial nurse and they seemed skeptical. They did hold her Avastin infusion a week ago and she will be due again on 1/14/11. Onco also ordered a head and neck CT "just to be sure" and was also thinking about a barium swallow study. Will be curious how much the throat improves before then. How long after finishing Avastin did any of you notice improvements in your side effects? What were any remedies that helped with the throat soreness? My mom, like many of you, has been riding this roller coaster for awhile now. First diagnosed in 11/2009, lumpectomy with sentinel node bx 12/2009 and found to have IDC in the breast but ILC in 5 of 8 nodes (stage 2), bilateral mastectomy 1/2010, port placed in upper arm 2/2010, port became infected and then exposed through skin so port removed and replaced in upper chest 3/2010, particated in trial E5103 finishing chemo October 2010 and was unblinded to be lucky recipient of 6 more months of Avastin infusions, finished 33 rads treatments the week prior to Christmas. On top of it all my dad passed away 4/20/2010 as a consequence to his cancer treatments. He was only 68 (dad was diagnosed 2/2009 with a large kidney tumor that was found to be urothelial cell cancer, had kidney removed, 4 rounds chemo and was NED until 1 wk after mom had her bilateral mastectomy...found to have 3 small mets to brain and underwent emergent surgery for removal of 2 mets d/t his symptoms, the following month he underwent high freguency radiation (a single dose similar to gamma knife) to the remaining met in brain and was kept on steroids for another 2 wks. Steroids killed his immune system and he came down with double pneumonia that he just couldn't recover from. One day he was strong, the next he was so tired and weak and stuggling to breath.Cancer truely does suck). Sorry for my ranting. These different discussion boards have helped so much along the way. I haven't gotten much involved other than reading but I have learned so much from all of your experiences. I often read at night once my husband and kids are in bed so that they don't hear me crying. I shed tears for many of you (both tears of joy and tears of pain) and also for my dad and mom. If anyone has ideas on helpful tips for the Avastin sore throats for my mom I would greatly appreciate it. I would also be interested in learning more about the side effects (especially voice changes and sore throats) with Avastin since mom's trial nurse seemed so skeptical. Thanks a million and God Bless each of you for sharing your lives.
A concerned daughter in Michigan,
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Hi Jenny, I had 8 treatments of Avistan. I did have the scratchy throat, the nosebleeds. I used Biotene mouthwash twice a day and got the spray they have to carry with me. Throught out the day I gave myself a shot when I felt like my throat was dry. As for the nosebleeds, they did ease off about three weeks to a month after my last treatment. I still see trace blood sometimes when I blow my nose but no nosebleeds. Check with your mom's onc to see if they think using a saline nasal spray will help.
I am so sorry your Mom is going through all this. We will keep her and you in our prayers. We certainly know how hard it is to watch your loved one go through this as well.
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Hi Jenny, I used Ocean Spray Saline Nasal spray all during Avastin, my onc told me to use it. I hated the Biotene, even the thought of it to this day makes my stomach turn. I couldn't stand the taste of it. My onc prescribed me Magic Mouthwash due to the soreness. I had hoarseness after my very first Avastin (while I was still blinded) and nosebleeds, and my onc and clinical trial nurse knew right away I was getting the hard stuff. Good luck!! (I'm at work and have to run now)
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Thanks Jackie and Kari for the quick responses! I will have mom check into the nasal sprays and possibly the Biotene. I know she has tried multiple things at the suggestion of her Onc....salt water gargles, magic mouth wash/miracle mouth rinse, cough drops, antihistamines, refluc meds, etc. Nothing helps much. Some times the throat pain is better and then a few days later it hurts her to swallow even liquids. This coming Friday it will be 5 weeks since her last Avastin. Scheduled to have testing this Thursday and f/u with her Onc on 1/14 with possible Avastin that day. Hoping her throat has improved much by then and her Onc will decided she is better off coming out of the trial. Should be due to finish up with Arm D of her trial early March anyhow so I told her if her Onc doesn't suggest she leave the trial then mom needs to decide for herself if the sore throat is worth it for several more months. It definately effects her daily quality of life as some days it is difficult to eat and many times she is so hoarse it is difficult to understand her. Thanks again ladies for the input! GREATLY appreciated
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Good Luck Jenny. Keep us posted and we will keep your Mom in our prayers.
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I didn't realize the hoarsness was avastin! My voice tries to go out the day I take chemo and a little the next day it is hard to speak above my kids, especially if they are haing a drama mama spell. I had my last A/C/ (A or placebo) yesterday. I start Taxol (A or placebo) in two weeks. Yea! I think?!
I did really well with A/C and now am concerened how the Taxol will go. Yes, I felt icky and tired with A/C. Yes, I have acid indigestion like crazy (now I'm reading this could be Avastin and won't end? lol) and Yes constipation is horrible, but I feel blessed compared to some of the poor women I've read that have such an awful time. Plus, I'm probably repeating myself, but I saw my mom go through chemo in the late 80's without the wonder drugs we have now and it wasn't pretty. I'm grateful I can drive my children to school without pulling over to throw up the entire way there.
I know the idea of placebo is to not know you have it, but I'm getting very hopeful! lol
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Polamom - don't know how they are doing your Taxol? They did mine in 12 tx. I had a treatment a week. Overall, I found it to be a breeze to the AC. I was like you and didnt have a lot of trouble with either one. With the Taxol they gave me benadryl and a steriod. I gained weight with the steriod and got sleepy with the benadryl but overall did ok. Get some tree tea oil for your finger nails and put it on them faithfully - it will help them.
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Thank you Jackie! She did mention nail problems the other day. Along with continued constipation, which is probably my worst complaint. I'll have the taxol weekly x12 too.
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Hi everyone,
Well I just had my first AC on Friday (two days ago). From what I hear, I think I'm getting the Avastin - I've been hoarse and have had heartburn, and the injection burned going in (though I was told it might burn even if it's just saline). I was pretty nauseous Friday evening, a little nauseous Saturday, and not so much today, but still the heartburn... I was under the impression I'd be hyper and feeling good because of the steroids but that has not been the case for me. In general, I feel as if I was poisoned. I can't believe I have to do this three more times, and then 12 more of the next contestant. Yikes.
Thanks for sharing your experiences, ladies. It helps.
More on mine (with photos) here.
Best wishes to you all.
Amy
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Hi Amy, I didn't get steroids with the AC. They didn't start those with me until the Taxol. So you may not be either. AC definitely makes you tired. I am hoping your Onc gave you something for nausea? If not, ask for it. If you have insurance and it will cover it Emend is a wonder drug for it. Otherwise ask for compazine or such. Hang in there!
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amyK, my drug of choice during the AC was Zofran. Yes, AC is a yucky experience and just when you think you can't take anymore, it ends. For me, and I think for many people, the Taxol was not near as bad (no nausea.) I was also receiving Avastin, and still (3 months later) have remnents of a nose bleed and higher blood pressure (though still within normal range.)
Hang in there honey.
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My onc ended up prescribing me Reglan also for nausea through A/C. I would throw up one week after each A/C. I hated it. I had to double up on the compazine suppository and pills at one point (per the chemo nurse). Best of luck to you. I checked out your blog, well done! Hugs to all!
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Amy - great blog!
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thanks for the good wishes, advice, and blog love!
Here's my drug info: I have Emend and Kytril to take for nausea, plus Compazine and Atavan in case of breakthrough nausea (and also the Atavan is for restlessness, I'm assuming they expect the restlessness as a result of the steroids - I only took these the first night, since then I've been a little queasy but not enough to warrant it I don't think.) Decadron is the steroid they've given me, for several days I'm supposed to take a tapering dose. My first chemo was Friday - tomorrow, tuesday, I will be down to just one pill, actually half a pill, of the Decadron.
Besides that I've been taking a Colase each day (stool softener) which I'm not convinced is enough, but I'm interested in natural alternatives if anyone has any to suggest...
The blog has been a good place for me to look in the mirror, so to speak, and assess this experience. And the feedback I'm getting is incredible. Thanks for taking a look.
Another area of concern for me is the port - I don't have one, my onc doesn't want me to have one unless absolutely necessary, because of concern of Avastin getting in the way of healing around the port's opening. Any thoughts on this?
Glad to have found this group!
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amyK, I was on Avastin, and I had a port. It was taken out about 3 months ago and healed just fine. The area still has a little redness, but it healed with no problem. My Onc. felt it was important to have a port because the veins can break down with repeated use (as I understand it.) I HATED the idea of the port, but was glad for it in the actuality because I think it was easier than getting IV's into the veins.
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I had a port put in about a week before my first chemo. I don't mind it. It lies fairly flat and isn't like my mom's old port. It is healed but the scar line is still more white or silvery than I'd expect it to be now. I'm glad you have the emend, from what I read on your blog, your insurance is better than mine. I have to pay $60 for my two pills. Besides Emend I took zofran plus dex for three days following. Zofran is a great drug. I never felt any real nausea between the two. And after I got the prescription for prilosec I've been even better. I ate pizza with the kids on my 'off' week. That said, when I think of going in for chemo my stomach turns. I don't know why, since I was never sick. lol It is all in my head. I don't remember where it is now, but there was a great thread, etc I read on getting through chemo via iv. Like starting low as possible on your arm, you can work up, not down. And keep your hands warm. Don't hold your water or anything cold in your chemo hand to keep your veins as open as possible.
My 4 a/c treatments went by fairly fast. I finally broke down and took milk of magnesia for constipation. Softeners didn't work for me.
The nose thing is getting to me. When I am up during the day I'm fine, at night my nose dries out like crazy and hurts. I've bought some little noses saline spray to help out. When I wake to pee for the 100th time I use it.
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I didn't have a port. I admit that towards the end of the 12 Taxol's my veins were getting worn down. I did make out ok. I drank a lot of water especially the 48 hours prior to chemo. I used a squeeze ball to pump my hand and veins. It also helped The onc nurses actually found a vein in my hand (along my thumb) that worked well and rarely bruised. I was blessed.
The constipation thing is the pits. You can also try prunes. As much as I hate to admit it they did help.
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I didn't have a port, my onc said my veins would recover. I had great anxiety as my chemo visits trudged on over the fact the nurses and lab were having a tough time with my veins. I also have a chemo chart of meds/info during A/C that I will be happy to email you. If you like, PM me. My clinical trials nurse sat with me and did up the chart and I typed it up.
That nose thing is very annoying. I kept Ocean Spray saline spray by my bed and used it religiously.
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The nose thing....not pretty. I'm 3 months post-chemo and still have "the nose thing" night and day. I do think its partly from the Avastin.
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Hi Sisters
Just thought I'd post an update about my experience so far, which is quite limited. I had my first AC a week and a half ago. Today and yesterday I've had good energy, not much in the way of side effects except some discomfort inside my nose and down my throat, some lingering digestion issues that I can't quite call constipation, but I have been dry and sore, a slight aversion to food and drink (especially healther foods and water - though a squeeze of lemon helps) and a lower stamina.
The first week was hard, I felt like I was underwater, sick to my stomach, constipated, inflamed and sore from the roof of my mouth and and inside my nose all the way down my digestive tract. Then in the last few days I had a heachache all day and got really tired at night. (But was active during the day). My white blood cell count was very low, platelets were also low...
I hate that I have to do this again... and again... and again... But you all know what I mean.
Amy
PS more about my experience here
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Hang in there Amy!
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The four a/c really did fly by for me. I hope it does for you too Amy.
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How often did you have avastin/placebo with Taxol? I had A&C with Avastin every two weeks. Now that I am on Taxol (weekly) I have Avastin every three. A little part of me is wondering if that is correct. I did change places, but the study is the same, just transferred.
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Breaking news: more evidence against use of Avastin with chemo - especially taxanes and drugs containing platinum. More info here
what do you think?
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Polamom - I had the A/C and Avistan every two weeks and then Taxol every week for 12. Every three weeks of that I had Avistan. So I was on the same schedule as you.
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Hello Everyone. Wow - it has been a long time. Seems I have not been on this board since July 30th. Truthfully, I did not even remember that I use to post on E5103 - must be chemo brain. I have been over on the Triple Negative board since. I see a few of you on this site are over there also. I am sorry I forgot about all of you. I will try to read and catch up on what has been going on with everyone.
I am fine. Had last radiation on Dec 16th. I am done with all treatments. I go for my 1 year mamo this month or next and a pap. I see the onc and the radiologist this month for follow ups.
I feel great. Still tired a lot of the times but only one SE hanging around - my feet. They hurt a lot but I also have a corn on my little toe. So, lasting SEs for me are tiredness and sore feet. My hair is grown back - ALL GREY! Yuck
It is still very thin and feels like petting a baby kitten. Once it thickens up a little I am going to color it. I debated that until one day I looked in the mirror and thought I saw my mother looking back at me. I loved her but I don't want to be her.
Anyway - thanks for letting me say hi after all this time, I truly forgot that I use to post here.
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