AE37 Vaccine Trial - for recently treated high-risk patients

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  • Shari0707
    Shari0707 Member Posts: 448
    edited February 2013

    Shift... Tectonicshift ...darn auto correct

  • SpecialK
    SpecialK Member Posts: 16,486
    edited February 2013

    shari - those of us who are Her2+++ enrolled in this trial within six months of finishing Herceptin (surgery, rads, chemo also complete), since the trial is now enrolling those who test Her2- (but may be +1, or +2) you would enroll when treatment is finished.  Just keep in mind that you would need to travel for this trial, it is every 3-4 weeks for 6 months and you have to stay for 3 days, then twice a year for 2 years - and there is a chance you will receive the placebo rather than the vaccine.  I am not trying to discourage you, just want you to understand the time commitment.  I just finished in December, will go for my first booster in June.

  • fredntan
    fredntan Member Posts: 1,821
    edited February 2013

    is there a place in NY? if not you can fly wiht corporate angels free to the location in DC. flights between dc and nyc should be pretty frequent between the two. would just need place to stay and car or metro//////////taxi.

    if the original bx didn't test ER,PR or her2 status-what did they test for.

  • Momine
    Momine Member Posts: 7,859
    edited February 2013

    Shari, how did they forget to test for receptors??? That sounds slightly crazy (and crazy-making).

    I know that the herceptin-status can sometimes change, but since they will do a second check after your surgery, it should be ok.

  • pupfoster1
    pupfoster1 Member Posts: 1,484
    edited February 2013

    Yikes, I'm late to see this post! Not sure if I'm too far out from tx or if I'd meet the requirements, but I live in the DC suburbs, so I just left a message for the Bethesda location. I'd be willing to go to DC or Baltimore (was treated at Johns Hopkins) so I hope it's still open. Thanks for the heads up!



    Sharon

  • Shari0707
    Shari0707 Member Posts: 448
    edited February 2013

    They just tested to see if it was cancer or not.. I went I a radiology place before I got doc and they send out biopsy sample to hospital who won't test for that unless told too.. I guess at that point they just wanted to c of it was cancer

  • Shari0707
    Shari0707 Member Posts: 448
    edited February 2013

    That's why I worry that biopsied lymph node may not b as accurate...it the n why would docs test there if they didn't think it was

  • Shari0707
    Shari0707 Member Posts: 448
    edited February 2013

    Also may b hard for me of no tarn g sites in New York areas

  • SpecialK
    SpecialK Member Posts: 16,486
    edited February 2013

    pupfoster - you need to be within 6 months from the end of treatment, chemo I am assuming since you are listed as Her2-.  Did you express Her2 at 1+, or 2+?  Also, the Bethesda location is for military only - you would need to go to Sibley in Washington, DC or to Baltimore if you do not have military identification.

    shari - have your slides been retested at your oncologists direction?  How will he/she know whether you need anti-hormonal drugs after chemo and surgery?

  • Shari0707
    Shari0707 Member Posts: 448
    edited February 2013

    The tested lymph node I'd what they r Uskng to base er/pr status and her 2

    It did show all that stuff and I will be on hormone medicine

  • MiniMacsMom
    MiniMacsMom Member Posts: 595
    edited February 2013

    So here's the clincher. You have to enroll before 6 months after active treatment... which could also mea. When ur rads ended. But you don't have to start before 6 no. I enrolled at my Mda apt in Jan and will go back in Feb for my first shot. I will fly down once a month feb-august. Its a total of 15 visits. Hope all goes well for everyone. My trial nurse said the biggest se was a localized reaction.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited February 2013

    mini - the enrollment info you posted is true for HEr2- only - if you are Her2+ it is after completion of Herceptin.  Chemo/Surgery/Rads would have been long done by time the year of Herceptin is done.  Just wanted to clarify.

  • Shari0707
    Shari0707 Member Posts: 448
    edited February 2013

    I guess I will wait for final path report....then c if I am truly her2- 0 or her 2- 1.

  • MiniMacsMom
    MiniMacsMom Member Posts: 595
    edited February 2013

    Well I was already to start next week but my insurance dug in its heels. Mda evenwent through an aappeal of an appeal... a conference call of their physician with Dr. A and still said no. Boo on uhc. How is Any drug supposed to get passed if we can't try it. Mda says. If its done without approval and I get caught taking it then they could refuse to cover any medical care ever :( I was looking forward to participating. Onwards I guess.

  • fredntan
    fredntan Member Posts: 1,821
    edited February 2013

    I'm really confused. this is a trial. your insurance company shouldn't even be in picture. the funding for this stuff comes from the walks etc.

  • Momof2inME
    Momof2inME Member Posts: 683
    edited February 2013

    I hope to be starting the AE37 vaccine trial in the next 6-8 weeks. Going to go to Medstar in Baltimore. The coordinator has my records and said the next step is to come for a 1 day consult of some type. What did that consist of?

    I know TectonicShift went to Medstar, anyone else?

    I have family nearby but I think if it's a one day trip I will just stay in a hotel by myself. Any suggestions?

    I've also been in contact with Angel Flights a few times. Has anyone used them for travelling to a clinical trial?

  • SpecialK
    SpecialK Member Posts: 16,486
    edited February 2013

    Momof2 - I did this trial in Washington, D.C. and my first day consult involved being physically checked by the doc heading up that branch of the study, being set up in the hospital system as an oncological research study patient, and reviewing the consent.  It is a long document and has to be witnessed to be signed.  My first visit   I think fredntan is familiar with Angel Flight.  I flew commercial, but had free places to stay when I got to D.C. as I lived there for 10 years and have family and friends there, and also used the subway system - hospital had a shuttle from the station.

  • fredntan
    fredntan Member Posts: 1,821
    edited February 2013

    Oh they have shuttle to metro? you mean I can go all over DC and not have to worry about the parking?

    I have flown with corporate angels before. there are no income restrictions, just have to be flying to designaed cancer treatment place. call them and they will tell you. it helps if your flying from one big city to another-like DC,NYC,Chicago. Tried to do flight to San Antonio but couldn't get one. not enough corporate flights go there.

    I am working on free flight to san antonio now. call american  can cer society to help with that.

  • Momof2inME
    Momof2inME Member Posts: 683
    edited February 2013

    Thank you fredntan.

    My route would be Portland, ME, Manchester, NH or Boston to Baltimore/Washington. I can drive to 3 major airports in about an hour ish. The 2 lovely women I have spoken with at Angel Flights say that is an easy route to find a seat for. Not a definite, but major cities are easier. Smile

  • SpecialK
    SpecialK Member Posts: 16,486
    edited February 2013

    fredntan - if you end up at the Tenleytown metro station Sibley has a free shuttle there that goes right to the hospital.  It comes about once an hour.  I have also taken the bus from Tenleytown station (I think it is the M3) and it goes to the front of the hospital.  You need cash or a Smartrip card to pay.  I had a rental car half the time, but when I stayed with friends who lived near a metro station it was nice not to have to deal with traffic.  If you need more details let me know!

  • Kay_G
    Kay_G Member Posts: 3,345
    edited February 2013

    I am also doing medstar in Baltimore. It's a very small hospital, but the people are really very nice. Had my third vaccination last week. I am traveling there from Philly by car (it's an hour and a half with no traffic) so don't know about any travel accommodations or anything like that. If we're ever there the same time, would love to meet you. Heather (the nurse there) introduced me and tectonic shift so I am sure she would again. Although it's such a small place we couldn't help but meet if we were there the same time.

  • Momof2inME
    Momof2inME Member Posts: 683
    edited February 2013

    Thank you Kay_G. I am now waiting for my 30 days post treatment to be up and then hopefull will start. I would love to meet. I will keep you updated when I start. I so wish more of us BC sisters could do this trial.

  • fredntan
    fredntan Member Posts: 1,821
    edited March 2013

    I just finished my six monthy injections, and got the last of the six month series today.



    This is te injection on the left thigh. The upper part had the vaccine stuff,and the ower part had saline. I dont have any rash at all. My nursesaid she expected te saline site to be unchanged since it was saline.



    I think this is good sign? I hope it is.

  • msShelly
    msShelly Member Posts: 55
    edited March 2013

    hello, just saw this and realize i don't qualify for this trial but i have been wondering because many of the clinical trials i have been seeing seem to differentiate between Her 2 (0,+1,+2,+3). Only +3 is positive, but are +1 and +2 somehow worse than being 0? Why are +1 and +2 allowed into the trial but not 0, are they more high risk??

    if someone could help me figure this out i would be so thanful.

  • msShelly
    msShelly Member Posts: 55
    edited March 2013

    Also, I have noticed some of the studies and this one have exclusion criteria that includes:

    • Total bilirubin > 1.8 g/dL
    • Creatinine > 2.0 g/dL
    • Hemoglobin < 10.0 g/dL
    • Platelet count < 50,000/mm³
    • WBC< 2,000/mm³

    why would these exclude someone? i ask because my hemoglobin/platelets have sometimes been off and i wonder why some studies will exclude someone because of this? do these things have to deal with breast cancer? or overall bad health? my doctors (primary and oncologist) haven't ever mentioned that it is too much of a problem, but if studies will exclude you because of it i am wondering why?

  • fredntan
    fredntan Member Posts: 1,821
    edited March 2013

    Idk shelly



    I am in gp2 peptide arm, or ihope I am.

    Just wondering how everyone that has completed the six months, wondering how there test site reacted? I usually have 2 itchy about size of fifty cent peace, maybe little larger. But yest I had the last of sixmonth series. This one is different from normal injections. I believe tney are testing to see

    how my body reacts. It hasnt given us any physical reaction. No itchy rash. She said i had this test inoculation on very first day. That one gave me 1 itchyrash localized to thigh.

  • TectonicShift
    TectonicShift Member Posts: 752
    edited October 2014

    I had some redness but no itchiness at all. Nothing. I am pretty sure I am on the placebo arm. Frown

  • SpecialK
    SpecialK Member Posts: 16,486
    edited March 2013

    fredntan - I was also GP2 peptide as I am A2 positive (I knew this prior to the trial because I have a good friend who worked in a tissue typing bank for transplants and she tested me) - my saline site stung like an SOB when it was injected but did nothing after that (to be expected, as it is just saline and the control) but my other injection did the same thing all my regular other ones did - made a red 50 cent sized semi-itchy lump that itched for 2-3 days.  I always had a pretty large area that swelled up and turned red, but was not as itchy as it looked like it would be!

  • fredntan
    fredntan Member Posts: 1,821
    edited March 2013

    I got no itchyness or redness like i got onall the others. Hmmmmm dont know what this means . I am on the gp2 arm

  • SpecialK
    SpecialK Member Posts: 16,486
    edited March 2013

    fredntan - don't know if it means anything - I also think that even if we are getting the vaccine our responses would be individualized to a certain extent.  I tend to be sensitive to a number of drugs, am allergic to some, and allergic to many other things like soap, eggs, pollen, etc.  I might get a big itchy welt, but you may not, even if we both got the vaccine. I also get Prolia to help with osteopenia.  I had the first two injections 6 months apart, never had any reaction at all to either.  Would never have even known I received a drug.  I got the third one and defenitely had flu-like symptoms and fatigue for several days, which is listed as typical SE for this.  Why did I not react to the first two, then react to the third - who knows? 

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