Neratinib Clinical Trials

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  • suemed8749
    suemed8749 Member Posts: 1,151
    edited December 2010

    That's a great question, weety. I had blood drawn to check liver enzymes last week - I have about a month left in the study, so probably have one more MUGA left, also. Although I never had many (if any) gastrointestinal symptoms, I do have ringing in my ears, cramps on the tops of my feet, and am also expeiencing some hot flashes. So who knows?

    It was interesting that a Herceptin/Tykerb combo is now being recommended for early stage Her2+. I hope Neratnib is some day a first line drug.

  • leisaparis
    leisaparis Member Posts: 587
    edited December 2010

    Hello gals, Had all my tests done and started 1st set of pills today. Here's hoping for no bad reactions. I did very well with the chemo, so hoping I do just as well on this. Have a good Christmas everyone and a happy new year.

  • leisaparis
    leisaparis Member Posts: 587
    edited December 2010

    Okay, have had the diarrhea, but I have a question. Has anyone had any problems with their tongue? Mine has become very, very sensitive. Like all the taste buds up front have swollen. And it has become redder in color than the rest of the tongue. Anything salty really irritates it. Anyone having this problem? Any feedback would be greatly appreciated. Thanks in advance.

  • annamari
    annamari Member Posts: 82
    edited December 2010

    I am almost done with the drug.and I found using Biotene toothpaste and mouthwash helpful.  I did not have much problems with a sore mouth only an occasional canker sore. and at that time my whole mouth would be sensitive.  I hope that helps you some with you problem.  I found that staying away from dairy products prevented a lot of diarrhea.  I did not find lomitil helpful and after a month or two of trying it I decided not to use it and there was no change in the severity of the diarrhea.  I wish you all the best in your treatment and that you will be able to handle it well.

  • leisaparis
    leisaparis Member Posts: 587
    edited January 2011

    Just an update.

     My tongue stopped hurting and isn't red anymore. However, where I was having the problem, I now have NO taste buds at all. My tongue doesn't hurt and I can eat normally again, minus the dairy products. But the spot I was having the problem with is now numb. hardly any feeling at all. I can feel it when I touch it, but don't taste food there anymore.

     I guess time will tell if they come back or not. So if anyone else has the same problem. Just know it will pass in a couple of days. The hurting that is. Diarrhea is getting better. Now only have it, first thing in the morning. Take pills and am good the rest of the day. As long as I stay away from dairy products.

     But every once in a while......Damn it, I need a glass of milk. Has anyone tried taking the diarrhea pills first, then eating or drinking dairy? If so, did it help? Been thinking about trying it to see. I hate giving up a lot of the foods I love because of the diarrhea. Some days I say to hell with it and just know I'll be in the bathroom. Anyway...rambling....sorry.                    Leisa

  • tarheelrivergirl
    tarheelrivergirl Member Posts: 14
    edited January 2011

    Yea! I finished my year. Very thankful that I found this forum just as I began the trial. The feedback and support meant a great deal. In the end, the only surprise was elevated liver. Numbers had been fairly normal, but in the end one of the factors had more than doubled SGPT/ALT (U/L) putting me in the high range. I guess the good news is unless something else is going on, then I must have gotten the real drug. My major challenge throughout the trial were bone & muscle pain/cramps and moderate D.  Glad to have had the chance to be in the trial, but thrilled it's behind me.  For those new to this thread...hang in there. Hopefully, the year will go by as fast as it seems to have for me.

  • leisaparis
    leisaparis Member Posts: 587
    edited January 2011

    So glad you are done. Hope mine goes by just as fast. The diarrhea is starting to subside a little bit. So I hope that's under control now. Good luck everyone.

  • RKR
    RKR Member Posts: 10
    edited January 2011

    I've just been told that I'm eligible for a neratinib trial after I complete herceptin this coming August.  It is so helpful reading everyone's comments as I make up my mind whether or not to participate.  The side effects sound annoying, but considering that survival is at stake, it must be worthwhile.  Here's hoping to be on the real deal, and not the placebo!

  • leisaparis
    leisaparis Member Posts: 587
    edited January 2011

    I believe I'm on the real deal. @ 1/2 hour after taking the first set of pills I started having the diarrhea. I think I have it under control. I only get it now when I eat stuff I really shouldn't. But like I told the doc. I'm not giving up everything I like to eat. I'll just make sure I eat it when I know I'll be home and by the stool. So far, working out pretty good. Hope it all goes as well for everyone else.

  • annamari
    annamari Member Posts: 82
    edited January 2011

    It's now a year of the clinical trial and done with the pills.  After a year I am happy to be done with this phase.  Now it's on to reconstruction next week and I look forward to being even instead of lobsided.  I hope everyone doing this trial will bennefit from it or someone in the future will.  all the best to those just starting with it.  you are all helping to find a cure and hopefully find a way to wipeout breast cancer and all other cancer.  Blessings to all!!!!!

  • leisaparis
    leisaparis Member Posts: 587
    edited January 2011
    annamari...congradulations on being done. I hope my year goes by quickly. I have found if I eat any dairy that causes at least a little D. So trying to stay away from it all, but every once in a while I just have to say screw it and face the consequences.
  • beebusted1
    beebusted1 Member Posts: 40
    edited January 2011

    Hi all, happy, healthy new year. Just checking in to say hi and hope everyone is getting thru the trial okay. Its been one month since I finished and I'm just starting to feel like my old self.It goes by fast so hang in there.

  • flutterbygrl
    flutterbygrl Member Posts: 2
    edited February 2011

    Hi there,

    I have only posted a few times, but I am start taking my "mystery pills" tomorrow, so I thought I would introduce myself.   I am cautiously optimistic about this, but getting nervous. My biggest question has to do with quality of life.  I finished chemo in January and herceptin in September.  I am just now getting energy back and have recently started working out pretty intensely at least four times a week.  I know it said fatigue was possibly a side effect.  Have you experienced this and at what level? I am so thrilled right now to have the energy to do the things I used to do and I don't want to feel like I am moving backwards.  I also am a wife and mom of a four year old, so I don't need any more fatigue than they give me : ).  Also, the dreaded other side effect.  How bad is it really? Do any of you out there feel like it is under control / do you have to take immodium every day or what? Thanks for letting me ramble, and I look forward to talking to you ladies!

  • leisaparis
    leisaparis Member Posts: 587
    edited February 2011

    Hi there flutter,

    For me I do seem to have a little more fatigue than usual. However it can be overcome. I just don't let it bother me. When I can sleep a little longer, I do. When I can't, I don't. I work a 10 hour day in a manufacturing plant, making windows. So they are kinda heavy. Makes me a little more tired, but I've felt this way since I started all this crap, not just this new trial drug.

    I believe I am taking the real deal. About a 1/2 hour after I took my first set of pills, I came down with diarrhea. Which is the biggest side effect. It is also manageable. For the first week or so, yes, I had to take Imodium everyday. But after that I learned what not to eat, DAIRY, corn, beans,Oranges (the juice by itself is fine, no pulp). For me, pulp comes right back out. Not that I can't eat them. I just know if I do. I will be having a bathroom day.

    So to be on the safe side I only eat those kinds of things when I know I'll be at home near a bathroom. I'm not willing to give up all the things I like. I just pay the consequences. Now when I do eat these things, I don't always take Imodium, I just let it run it's course. Once it runs through my system ( usually 1-2 times ) then it's done and over with, and I'm back to normal.

    Another thought, just for your information, do eat a little something before taking the pills. I did find if I didn't eat something then I had severe stomach cramping. Now I have a banana or a very small bowl of oatmeal ( 1pk. micro ), a muffin. Something along those lines. Just to get something in there. Didn't take much, but if I don't have time and take them without. I can tell, right away.

    If you want to know anything else, just ask. Hope this helps.            Smile Leisa

  • flutterbygrl
    flutterbygrl Member Posts: 2
    edited February 2011

    Thanks so much Leisa, this is so helpful.  It's just nice to know even if I do have all these symptoms it is still managable with work etc. 

     Well, I took my first dose today and I know it's too early to know for sure, but I do believe I have taken the real thing, let's just leave it at that, ha!  Felt fine until after lunch (and I had a pretty light lunch) so we'll see.

     Feeling a little lightheaded too (I noticed that pretty early in the day).  Don't know, maybe it's a fluke. 

  • leisaparis
    leisaparis Member Posts: 587
    edited February 2011

    I have a question for those of you who have been on the drug a while or are at the end of it. Did any of you get thrown back into menapause? I had chemopause when I was on chemo. I'm 46 (Dec.2010) Then I started my normal period again. Now after being on the drug for awhile I am not having a period again. I started on the drug December 23rd,2010. Had a period in November & December, haven't had one in January and so far not this month either. Was just wondering if I'm done again until I finish with the drug? Any feedback would be appreciated. Thanks in advance. Leisa

  • fightinhrd123
    fightinhrd123 Member Posts: 633
    edited February 2011

    Has anyone who finished been unblinded?  I just finished last week and the onc said he thought i would be unblinded soon.  I didnt think we got unblinded?

    Laura

  • leisaparis
    leisaparis Member Posts: 587
    edited February 2011

    From the way it was presented to me we don't, ever. Even when it's all over with. The only way they would break protocol, was if you came down with some very serious liver damage. Anyway, that's what I was told. Maybe it's different for you. Where are you? I'm in NW Missouri. Maybe it depends on where you are from but I wouldn't think so. Just my opinion.

    I have another question. Has anyone also had any kind of bloody stool? Has happened a couple of times, so was wondering if I needed to contact my onc or if it was normal. Would appreciate the help. Thanks,      Leisa

  • fightinhrd123
    fightinhrd123 Member Posts: 633
    edited February 2011

    I"m in orange county Ca.  I would think they are all the same too.  I think i was on the placebo anyway, no side effects at all, so cant help with your question;)

    Laura

  • leisaparis
    leisaparis Member Posts: 587
    edited February 2011
  • leisaparis
    leisaparis Member Posts: 587
    edited February 2011

    HAVE A HAPPY VALENTINES DAY EVERYONE.......

  • Boo307
    Boo307 Member Posts: 222
    edited February 2011

    What a wonderful Valentine!  Thanks.

    I have completed nine months of the trial and have just had the longest, lingering cold I have had in years.  I am wondering if it has anything to do with the trial drug.  I have had symptoms, so am convinced I am getting the real deal. 

    On the issue of unblinding, I was told the same thing that I would never be told unless I had a very compelling reason and only if I was still taking the pills. 

    Boo

  • beebusted1
    beebusted1 Member Posts: 40
    edited February 2011

    Leisaparis: Aaah yes. I had "temporary" chemopause while undergoing chemo and my period returned after a few months once treatment stopped. My period stopped again around October 10, I ended the trial in Dec.10 and it just returned this month. Strange.

    Fightinhrd1: No one gets unblinded unless they have to drop out due to a recurrence and then, only then, to reference the drug with ongoing treatment. You have to realize that they are only half way thru getting the 3800 participants worldwide that they need for the trial, then all those 3800 have to treat for one year, then all the data is collected and studied.... I figure at least 2-3 years before we hear if this is approved or not. Just my guess.

  • leighannmarie
    leighannmarie Member Posts: 100
    edited February 2011

    Leisaparis, YES exact same thing is happening to me.  I have been wondering if it is the drug.  I have not had "major" side effects.  Some D in beginning and now terrible heart burn and of course the "chemopause".  Soon after I finished Herceptin I stopped having hot flashes and had a menstrual cycle.  In the middle of that week I started the trial and had spotting for a month.  Nothing since then and the hot flashes have returned with a vengence!

  • leighannmarie
    leighannmarie Member Posts: 100
    edited February 2011

    Forgot to mention.  I have been on the trial since August 2010.

  • negirly
    negirly Member Posts: 318
    edited March 2011

    I'm sorry if it has been asked before.  How soon afer starting does the D start?

    KAryn

  • leisaparis
    leisaparis Member Posts: 587
    edited March 2011

    For me, I tookt he pills in the a.m. and by mid to late afternoon had diarrhea. So same day for me, but some haven't had it until a few day after or so.

  • cbm
    cbm Member Posts: 475
    edited March 2011

    I did not have diarrhea to the extent that others have described it.  I had symptoms other than diarrhea, and my oncology team concluded that I am on the drug.  I had mild neuropathy following taxol and it advanced noticeably almost immediately after starting the pills.  I had two years of Herceptin and my neuropathy had been stable for over a year.  

    I did not ever have diarrhea bad enough to take anything for it, and I had more like loose stool for only three months or so.   Then it stopped.  Now I'm occasionally constipated, but no more symptoms to speak of, other than the neuropathy, which seems to have stabilized again.  

    I was told that this is consistent with other patients who report that their symptoms abate after a few months; we adapt to the drug and take it without further incident.  

    I hope this helps!

    Cathy 

  • negirly
    negirly Member Posts: 318
    edited March 2011

    Thank you both for the prompt reply. I'm petrified that I'm going to have an accident and I've just started dating again. I took my first dose yesterday afternoon and so far no nausea or diarhea.



    I have immodium in my purse just in case.



    Karyn

  • kathleen1966
    kathleen1966 Member Posts: 793
    edited March 2011

    I can't find this trial in Pittsburgh, PA.

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