Neratinib Clinical Trials

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  • negirly
    negirly Member Posts: 318
    edited August 2011

    Even if you get the placebo it good to be in the trial.  If the results are favorable i would imagine you'd be offered the drug.

  • leighannmarie
    leighannmarie Member Posts: 100
    edited August 2011

    Does anyone know if you have to do MUGAs when you are done with your year of pills?  I am down to 4 days, 24 pills to go!!  I had my routine, every three month MUGA today and hoping it will be my last!

  • Ca1Ripken
    Ca1Ripken Member Posts: 1,254
    edited August 2011

    I don't know, BUT my ASSUMption would be that they would do a final MUGA to make sure everything is still ok.  ;/ 

    I'm still plugging along.... I don't think I have any SE. 

  • KakaCathFreeSpirit
    KakaCathFreeSpirit Member Posts: 100
    edited August 2011

    Just looked up the Participants Info consent form and the answer is no, last MUGA is on month 9, but I would imagine if there where a heart capacity decline on the last reading, then maybe ! I hate them too. And yes drug or no drug, the trial has a good purpose and if not just for the close monitoring, including eligibility if needed later, hopefully not Smile

  • leisaparis
    leisaparis Member Posts: 587
    edited August 2011

    I've never had a MUGA. I get EKG's & ECHO's, but never a MUGA. Are they @ the same thing? I'm in until the end of the year.

    Leighann - congrats on almost being done.

  • negirly
    negirly Member Posts: 318
    edited August 2011

    regarding the muga - just depends but what ever you start with they will continue.  I had a muga because it was easier to schedule. I would have rather had the echo and no IV for the muga

  • KakaCathFreeSpirit
    KakaCathFreeSpirit Member Posts: 100
    edited August 2011

    On my last MUGA I was curious as to the amount of Radiation exposure, on top of having the nuclear injection was compared to other X Rays and so on ! He said it was slightly less than a CT scan ! Has anybody else asked the question before ? As I know CT has a very high radiation exposure and I am concerned about this part of the Trial. It seems like so much exposure over so little time, on top of having had 5 weeks of left side Radiotherapy only 10 months ago. 

  • leighannmarie
    leighannmarie Member Posts: 100
    edited August 2011

    Yeah, a lot of radiation exposure! I have horrible veins and have to have everything stuck in my hand. :( I got rid of my port last month so, I won't have that for the quarterly blood draws.  The tech told me my EF was steadily rising over the past year.  I have been getting more exercise.  I don't know why my study coordinator chooses the MUGA. Hmmm.  If the last MUGA was at 9mths, then I already got an extra one.  I have to get one a few days before every appointment.  This week makes 12mths and I had one on monday. 

  • leighannmarie
    leighannmarie Member Posts: 100
    edited August 2011

    Sooo..  I am done with the pills and done with the MUGAs.  :)  My usual onc was not there so I saw another doc and told him about the neuropathy and joint pain in my fingers and toes and he casually said, "yes, that is a big side effect of neratanib."  Hmmm no one else said anything about it.  Well, the study coordinator asked if I was dropping things or having trouble walking.  I guess just to find out the severity of the neuropathy.  I actually did have a few days where my feet were pretty sore and walking was not so great and I could not buy a pair of shoes that had a thick band across the top of my feet because they Hurt!  I was weird to go to bed last night without taking the pills.  I have a mammogram next week.  always a stressful thing..  Best of luck to you all.  feel free to PM me if you have any ???'s  I probably won't check back as often.

  • KakaCathFreeSpirit
    KakaCathFreeSpirit Member Posts: 100
    edited August 2011
    Yay, Pop that champagne leighannmarie, Congratulations you did it, and No more pill popping. Thanks for the insight re: neuropathy possible effects, its an important part of knowing this because of the complexity of the nerve endings. I have constant daily nerve pain from the axillary clearance 18 mths post surgery, so will keep a tab on that one. I feel like my blood has some sort of septic infection going on, at every point of my body has small bleeds, infected and not healing, It probably has no relation to Neratinib ! But feels awful, I will try to see my normal Doc tomorrow. hope you stay on the sight, take care 
  • nurseronda10
    nurseronda10 Member Posts: 209
    edited August 2011

    I will complete #18 Herceptin on Oct. 22 and am interested in the Neratinib trial.  I spoke to a man at Pfizer Friday and will talk to my onc about it Monday.  I am planning on reconstruction in November.  Does anyone know if reconstruction can be done while taking Neratinib?  Also, seems like a lot of radiation exposure especially if one gets the placebo and not the Neratinib.  The echo is done by ultrasound and shows the ejection fraction just like a MUGA.  Not sure why most oncs order MUGA's over echocardiograms.

  • fightinhrd123
    fightinhrd123 Member Posts: 633
    edited August 2011

    I had reconstruction (DIEP) while taking neratanib.  I also requested the echo after two Mugas.  They didnt seem to care that i was switiching.

    Laura

  • nurseronda10
    nurseronda10 Member Posts: 209
    edited August 2011
    fightinhrd123, thanks for the info.  I will request echo's too, only seems sensible to avoid any extra radiation. Smile
  • heathermcd
    heathermcd Member Posts: 142
    edited August 2011

    I am planning on starting this trial in October....has anyone heard any results coming out of this trial? Its a hard decision to make between this and vaccine trials - especially since I am only 28 - So i'm going to have to live with the lasting effects a long time and i'm banking on my clinical trial to keep me alive....any thoughts regarding chancing a clinical trial or going with my gut (no pun intended) and doing the Neratanib?

  • KakaCathFreeSpirit
    KakaCathFreeSpirit Member Posts: 100
    edited August 2011

    Hi heathermcd Im thinking you mean results out of this trial meaning, Is there any one known to of had brain mets while on the trial and taking the real deal ! Fair question I guess ! Im only 3 wks in so maybe one of the other gorgeous gals out there might know any early stats ! also not familiar with the vaccine trial ! I am sorry to hear you are only 28 and having to deal with this crap in your life, but theres heaps of support out there from us older chicky-babes, which I hope you have had already Smile

  • geewhiz
    geewhiz Member Posts: 1,439
    edited August 2011

    My trial onc had a patient who quit after a month and a half due to the side effects being too difficult for her. She developed brain mets 3 months later and died. He was visibly upset relating the story to me and made it clear he was available to help me however he could to get me through the trial.



    I am only in the very beginning, but I am sick of the D!! It's not as bad, but I have cheated a few times and dropped from 5 pills to 4 on days when I am worn out with it, or have something to do the next day where I can't be running off to a bathroom every 5 minutes!

  • Shellusea
    Shellusea Member Posts: 55
    edited August 2011

    Geewiz,

    I quit the trial in July for too much bad side effect.  Now  something like one month and a half, I'm still there.

    You can go down up to 3 pills and still have the benefits of the drug.  My onc agreed that 3 was the magic number for most of his patient.

    This is a trial, you may learn in a while that there is no benefit to it (like recently for another promising trial) and then regret all this time passed in the bathroom Wink.

    At the next San Antonio meeting in December we should have new statistics release. That will be intersting reading.

  • negirly
    negirly Member Posts: 318
    edited August 2011

    I almost quit early on but things have improved.  Still have D but it is much more manageble.  Lost 15 lbs - a good side effect (no appetite - same thing happened on herceptin for me).  Hang in there.

    KAryn

  • leisaparis
    leisaparis Member Posts: 587
    edited August 2011

    Hi to all the new gals & those thinking of becoming a new gal.

     I am 8 months in now. Was a struggle at first with the D, but kinda know what to avoid now to keep it at bay. Still there are days that I just say...screw it, I want some of that....and eat it anyway knowing it will cause D. Those are the only days I have to take something for it. I'm still on the 6 pills a day and have been from the beginning.

     I am starting to have the dropsy's every once in a while. Not that I feel numbness, in the hands or feet, I just don't know that I'm even letting go of something till it's on the floor. I should finish the trial in December. I started 2 days before Christmas last year so it will be my Christmas present to myself to be off it by this Christmas.

    Good luck to everyone & I hope what we are doing makes a difference. If not for us, then at least for all those in the future. I truly believe we are helping future generations one way or the other. If it weren't for the gals who did the Herceptin trial I wouldn't be here right now. So I want to do my part to hopefully give that chance to someone in the future.

    I have the up most respect for each & everyone of you. You Rock. Good Luck & God Bless !!!!!Leisa

  • KakaCathFreeSpirit
    KakaCathFreeSpirit Member Posts: 100
    edited August 2011
    What a lovely thing to say leisaparis, ditto from me to that, I feel the same about the early Herceptin girls pathing the way for us, and also to the Australian women that fought long and hard to get Herceptin approved by the Australian Government to be subsidised on the PBS (Pharmaceutical benefit Scheme ) Government funded, for stage two girls. There is no way I had the money nor means to obtain those sort of funds. what goes around come around, as the saying goes. Also thats interesting to know you are still on the 6 tabs at the 9 mths stage ,and as it seems that your on the real deal, with managing it quite ok, thats great, My study Doc said there are some that cope well with the 6 real deal tabs and there are some that dont, So I guess this is where they find the happy medium over the per volume of tolerated patients that cope with the highest of dose meds as most trial do, Thanks from this little black ducks whos 3 wks into the trial.  PS: I love your wall photo, its so cute. 
  • leisaparis
    leisaparis Member Posts: 587
    edited August 2011

    Thanks, That's a friendly little squirrel I have in my front yard. He just layed there and let me take as many pics as I wanted.

  • CaroHi
    CaroHi Member Posts: 9
    edited August 2011

    Anyone in the trial that is living outside the US?  I did all my treatment in Connecticut but moved back to Southamerica last month.  In my last visit to my doctor, she recommended I took part of this trail even if that meant flying to the US several times during the next year.  I will complete my herceptin by the end of October so I am thinking about pros and cons.  Thanks 

  • KakaCathFreeSpirit
    KakaCathFreeSpirit Member Posts: 100
    edited August 2011

    caroHi Go for it girl, Do the tracks, its worth it, and welcome, I am geographically very fare from the US but emotionally very very close to them...Smile XOX

  • cantthinkofagoodname
    cantthinkofagoodname Member Posts: 21
    edited September 2011

    I was curious if anyone is just now starting neratinib?  My mom will start a clinical trial on Sept. 15th, and her onc said that she was the 18th patient in this study.  There apparently are 3 other places besides Ruby Memorial in Morgantown,WV they are doing it.   She'll be given the 120mg dose, and they said that there were no placebos this trial.  Curious if this was beginning a new phase or what and if anyone else was in on it.   Also, has anyone had any scans come back with good results after being on this with thoughts that it was mostly the neratinib that did the work?   My mom just started taxol and herceptin with the neratinib to follow soon.   I wish everyone well!

  • Shellusea
    Shellusea Member Posts: 55
    edited September 2011

    Well, seems your mother will be in a brand new trial!  120mg is 3 pills, it is what is the best dose to cope with sides effects.

    I wish her luck with it!  She is lucky to have you on her side. :)

  • nurseronda10
    nurseronda10 Member Posts: 209
    edited September 2011

    I have an appointment at Vanderbilt-Ingram regarding the Neratinib trial the end of this month. I was told there is a 50% chance I will get a placebo.  Won't be able to start until I am 2 weeks post final Herceptin. 

  • kimber3006
    kimber3006 Member Posts: 586
    edited September 2011

    I was given the info for this trial this morning.  I'm going to read over everything this weekend, but my initial reaction was "heck yeah!".  Anything that might help......getting a little nervous with all of this talk of serious D....doesn't sound like fun.  Sitting in the onc's office this morning, I thought, "I'll bet there's a thread on bc.org I can read to help me decide."  So I'll be catching up with you all before I give the onc an answer Tuesday morning.

  • negirly
    negirly Member Posts: 318
    edited September 2011

    Kimber - the Big D gets better (in my opinion) after a few weeks.

  • leighannmarie
    leighannmarie Member Posts: 100
    edited September 2011

    Hi ladies.  A couple weeks out and I did not have major D during this trial but I definately notice a difference now ~ Major constipation!!  :(  Neuropathy MAY be improving.. still have a bit of joint pain in my feet when I first get up in the am.  Good luck all.  The new trial with 3 pills sounds good.  Wish I could have gotten on that one and Know for sure I was on the drug.

  • Ca1Ripken
    Ca1Ripken Member Posts: 1,254
    edited September 2011
    leghannmarie - Me too Yell...  no D here, ever... so 93% chance I am taking the placebo!  Ahhhh well!!  I'm still happy to participate!!

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