Xgeva vs Zometa?

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  • lwd
    lwd Member Posts: 1,084
    edited April 2011

    Hi Jen,

    I think you're fortunate, though, that the Aredia hasn't affected your kidneys.  I was starting to show signs that mine were affected a little, and it hadn't improved in 4 months.  I don't think he would have switched me otherwise.  A month before we changed, he was saying "no" to the idea. He thinks, as your onc does, that it's best not to change something if it's working.  But, It's nice that we have options if we need them.  

    Lane

  • lwd
    lwd Member Posts: 1,084
    edited May 2011

    I just received my monthly clinic statement, and it shows charges for XGeva to Humana.  They're charging a little less than twice the charges for Zometa.  $4500 for XGeva, $2600 for Zometa.  Less than I was expecting, so that's good.  Anyone else?

    Lane

  • Lowrider54
    Lowrider54 Member Posts: 2,721
    edited May 2011

    Just got my first shot on the 15th so I haven't seen the charges yet - should be interesting. 

  • justjudie
    justjudie Member Posts: 3,397
    edited May 2011

    My doctor seems of like mind with Jennifer's.  I did mention Vgeva to him awhile back.  He is not one to immediately switch his patients to new drugs just out on the market.  I already knew that about him.  He likes to wait awhile and see what might develop over time.   He didn't think it was a huge kidney difference, but did say he would look into it for me.  He has me on Aredia right now and I have been ok with no side effects.  I'll be having scans soon and if they aren't good, bonewise,  I might get more serious with him about the Xgeva since the Aredia might not be working so well anymore. 

    I do know that the company that makes Xgeva is called Amgen.  It is about 5 miles from where I live!  They were the company that first came out with Neupogen too, to make your body produce white blood cells so you don't have to miss chemo.

    Judie 

  • lwd
    lwd Member Posts: 1,084
    edited May 2011

    Judie,

    We can all just be so glad when something's working with minimal or zero SEs.    Hope it continues that way for you!  Interesting about Amgen being so close by.  Very convenient!

    Lane

  • lwd
    lwd Member Posts: 1,084
    edited May 2011

    I had my 2nd XGeva shot on Thurs.  This time I had a different nurse give the shot, and she suggested I have it in the tummy.  Wow!  What a difference.  I hardly felt the needle go in, and it didn't burn.  It's the way to go for me.  She said many women thinks it's easier there than in the arm.

    Lane 

  • Herlent79370
    Herlent79370 Member Posts: 3
    edited January 2013

    Hello !

    My name is Martine . I am French and I am going to start on xgeva next Wednesday !

    In France , this med is new and not accepted yet ...

    That is thé reason why I am asking you what you think about xgeva..

    I had zometa for 3 years but infortunately my met bones are growing up ... So My oncologist would like me to start on xgeva and navelbine( chemo)

    Have you ever experienced this medecine ?

    I look forward to hearing from you !

    Martine

    Ps: my Breast cancer was diagnosed in nov 2000! ( and met bones in 2009)

  • Chickadee
    Chickadee Member Posts: 4,467
    edited January 2013

    Martine, I was on Zometa initially and ended up with fractures vertebra. It was annoying to get the infusions which required so much time and staff to administer.



    I asked to switch to Xgeva when it first became approved here and I'm glad I did. I have been on it now for about 18 months and have had no further troubles with my back. Bone mets are stable. It is so much easier to have a shot and go on about my life.



  • Jill49
    Jill49 Member Posts: 494
    edited January 2013

    I was on aredia, followed by zometa, and now am on Xgeva.  My veins were shot and it was getting harder and harder to administer the first two.  I'm sure the nurses groaned when they saw me coming.  Here in Canada (and maybe in the US as well)  if a nurse fails twice to get the vein, another nurse has to step in to try.

    I had a lot of muscle aches on the first two, but so far no SEs with Xgeva. And the injection, while there's a bit of a sting, is so much easier than a trip to the hospital and a half hour infusion.

    All in all, I'm much happier on this drug.

  • SyrMom
    SyrMom Member Posts: 862
    edited January 2013

    I agree, it's much easier to get the injection than the IV.  However, has anyone noticed increased weakness after receiving the xgeva?  I think it's the xgeva.

  • Nanaskids
    Nanaskids Member Posts: 17
    edited January 2013

    Hi SyrMom, hard to say what causes anything for me. I feel tired all the time. My hips and legs feel weak. I continue to walk everyday but I feel it. I've been on Xgeva and Flasodex for 15 months now. Recent Bone Scan showed some increase yes in the hips. I was in remission for 15 years and it showed up 15 months ago lots of mets in the bones. Hopeing for a good outcome, but I'm feeling this may be the last battle for me.

  • SyrMom
    SyrMom Member Posts: 862
    edited January 2013

    Thank you for your experience.  FYI ... When I got a second opinion the oncologist made the remark he doesn't do bone scans anymore because it's too difficult to determine healing bones from progression.  Thought that was interesting.  However, my other scans also show progression as well as some healing - nuts! 

  • dbla
    dbla Member Posts: 706
    edited January 2013

    I had to stop the Xgeva (no side effects) because it caused dental necrosis in my lower jaw. Anyone on any bone strengthener, especially a monthly dose, please discuss this with your onc and your dentist. it is an increasingly common result of having too much of these drugs absorbed in your bones and it is miserable.

  • cmhartley
    cmhartley Member Posts: 1,091
    edited January 2013

    Meima, I've been on it since it came out (2yrs ago?).  Anyway, I had absolutely terrible reactions with Zometa and so far I have absolutely no problems (at least that I know of) with Xgeva.  I'd definitely recommend you ask your onc about it.  I think it is worth it...so much easier than Zometa...only a little sting with injection.

    Best wishes, 

    Katie

  • SyrMom
    SyrMom Member Posts: 862
    edited January 2013

    dbla - I worry about the necrosis side effect ... did you have any symptoms or did your dentist just happen to find it?  How long had you been on xgeva before that happened?

  • BethCon1
    BethCon1 Member Posts: 132
    edited January 2014

    I just started Xgeva a few months ago. I have been getting a tightness inmy chest and am now on an inhaler and take singulair at night, I'm on herceptin/perjeta/taxotere , but I've heard of people developing asthma on Xgeva. I also have liver mets and was told that Xgeva is highly metabolized through the liver and if you have liver mets the Zometa is better. Has anyone else heard of this? I see my onc tomorrow and I'm going to ask about it...

  • GoldenGirls
    GoldenGirls Member Posts: 608
    edited January 2014

    I know this thread is older but if those of you who had problems with zometa or Aredia could elaborate I would appreciate it. My mom has had a terrible time with both and the onc seems to have a hard time believing that the Aredia and zometa could be responsible for her pain. She also had a partially collapsed vertebrae show up suddenly even though no progression was noted on scans and no cancer was ever detected in that vertebra. Chickadee's mention of her vertebrae fractures from zometa makes me wonder if my mom's issues are indeed related to the zometa. Any insight would be much appreciated.

  • SyrMom
    SyrMom Member Posts: 862
    edited January 2014

    Bethcon ... pls let us know what your onc says about the liver and xgeva.  I also have liver mets.  I've been on both Zometa and Xgeva ... no problems with either that I'm aware of, but I worry because my bones mets are extensive, esp. in the spine.

  • Chickadee
    Chickadee Member Posts: 4,467
    edited January 2014

    I don't remember that Zometa caused fractures just that it didn't prevent anything. I should also qualify that this was my first year of treatment and its likely I was already in trouble with the mets in my spine. During that time I took apart a deck, restrained, and reinstalled it.  So I wasn't doing myself any favors. 

    However I wouldn't go back to Zometa if for nothing else the convenience of Xgeva, and the fact it seems to have kept my bones stable for these last 4 years. 

    Some patients seem to have great pain with bone mets, others not. I don't know why. Since my back I've had no significant pain and figure that's just me. 

  • SyrMom
    SyrMom Member Posts: 862
    edited January 2014

    chickadee ... did you have to have surgery on your back when you had the fracture?

  • Chickadee
    Chickadee Member Posts: 4,467
    edited January 2014

    Yes  they injected a stabilizing cement of some sort. My back sometimes let's me know I not as strong as I once was so I leave a lot of lifting to family.

  • Linda_Joyce
    Linda_Joyce Member Posts: 2
    edited August 2016

    Hello Chickadee,

    How long were you on Xgeva before the jaw necrosis? Did it happen after dental procedure? Were they able to treat/stop the necrosis?

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