Anyone doing T-DM1 Clinical Trial in Adjuvant setting?

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cellomomof5
cellomomof5 Member Posts: 71

I've just signed on to join a small clinical trial on T-DM1, which is a combination of Herceptin and another chemo drug to replace the standard Herceptin/Taxol regimen.  It's been used with Stage IV metastatic breast cancers for a while (plenty of good response to it over on the Stage IV boards), but is just now being studied in candidates with earlier or locally advanced breast cancers as an adjuvant therapy.  It is a worldwide study: not many slots in the U.S., but I noticed New York and San Antonio, as well as Boston, on the list.  Just wondering if any one else has heard of it, or been given the opportunity to participate.

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  • anna4969
    anna4969 Member Posts: 86
    edited March 2011

    cellomom

    This is so interesting.  I know I even asked my onc about T-DM1 and he advised me that I didn't qualify because of my stage.  Which of course, is a nice thing to hear, but the results have been so good that I always thought it would be nice if it were offered to other stages.  Can you tell me where to find out more information about this small trial that involves ladies with stages other than 4?  As you can see, I am similar to you. 

    Thank you and be well.

  • cellomomof5
    cellomomof5 Member Posts: 71
    edited March 2011

    Hi Anna,

     The link you referenced is definitely the same study, though they are now recruiting and beginning it, so maybe there is a later reference.  The link I have is 

    http://www.cancer.gov/clinicaltrials/search/view?cdrid=685328&version=Patient&protocolsearchid=8882253

     And yes - they want early stage or locally advanced early stage HER+2 for this run.  There aren't many slots apparently, but they are recruiting.  You might check the link at Genentech for more info?  

     Best of luck and health,

    Karen 

  • Girlstrong
    Girlstrong Member Posts: 438
    edited March 2014


    Bump...is anyone doing this trial now.  It is the KATHERINE trial.  Ive included the link.  Just trying to find out info, may be a possibility for me.

     

    http://www.clinicaltrials.gov/ct2/show/NCT01772472?term=katherine&rank=2

  • Celesteva1
    Celesteva1 Member Posts: 1
    edited April 2014

    Yes, girlstrong.  I am supposed to start the Katherine trial at my next treatment on 4/30.  I am getting them in Lynchburg, VA at the Alan B. Pearson cancer center.  There are side effects that I'm nervous about getting, but you can always withdraw your consent if you get too sick.  Plus, who know if you'll even be getting the new drug, right?

     

    By the way, this is my first post.  Ive searched the world over for someone else doing this and you are the only post I can find. Happy

  • Girlstrong
    Girlstrong Member Posts: 438
    edited April 2014

    hi Celesteva, I think that we may be a rare group....I had heard that there are only 100 women worldwide in the study so far. Not sure if that's true??? I met with a new onc yesterday and if I am accepted into the trial I will need to transition my care to Karmanos cancer center in Detroit, Mi since they are an approved site for the trial. So I signed all the consents and had blood drawn just yesterday. Had a MUGA scan done earlier in the week etc. the only reason I may not be accepted into the trial is if I go past the 12 weeks post surgery cut off point. Right now I'm at week 10; the new onc says that I still have a good chance since "they" really want and need subjects for this study and so it's not uncommon for studies to make exceptions.  Lets definitely keep each other posted. Feel free to PM me. All the best and blessings to you :) 

  • Girlstrong
    Girlstrong Member Posts: 438
    edited April 2014

    Celesteva, it looks like we had the same treatment!! How many rounds of Taxotere/herceptin/perjeta did you get?? 

  • larod825
    larod825 Member Posts: 12
    edited May 2015

    Jut finished up TCHP (6 rounds) and have completed 2 rounds of herceptin. I am 3 wks post BMX. I am meeting trial coordinator tomorrow to sign up for KATHERINE. Won't know what arm I get into but MO wants me to get into the TDM1 side. Is anyone still in or has compledted the trial? Any advice on SEs or have they been minimal...Thanks.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited May 2015

    Hi larod825, I am in the KATHERINE trial and down to my last three treatments (of 14). I was randomized to Kadcyla. For me, infusions 2-4 were pretty rough, with flu-like symptoms, elevated liver numbers (and right-side pains) and a decreased EF. But I bounced back around cycle 5 and I've barely had side effects since. Fatigue is the only complaint and I've been in treatment since Jan. 2014 so that's to be expected!

    I'm glad I had the opportunity to do a trial. Even if the Kadcyla turns out to do nothing for my prognosis, I'm happy I was able to contribute to research and help other women.

  • larod825
    larod825 Member Posts: 12
    edited May 2015

    Thanks for replying, I met with trial coordinator and my name is in the hat. I'll let you know what arm I end up in.

  • AllYouNeedIsLove
    AllYouNeedIsLove Member Posts: 22
    edited May 2015

    I am going to talk to my onco tomorrow about this trial. I finished TCHP in February and tomorrow will be my 4th herceptin alone (10 if you include it during chemo) so I'm nervous about changing what I am doing now. The herceptin gives me hip and knee joint pain pretty bad but I am pretty active and being only 33, I bounce back pretty quickly when I feel bad. Does anyone know where I can get more information on tdm1

  • Anonymous
    Anonymous Member Posts: 1,376
    edited May 2015

    AYNIL, there's a Kadcyla thread in the Stage IV forum. I would also recommend http://www.her2support.org.

  • Stephmoen
    Stephmoen Member Posts: 563
    edited May 2015

    so this is something done after you finish chemo I have done 2 out of 6 tchp and then I will of course be on herceptin for 1 year this trial has herceptin and another drug with it? I wonder if by the time I finish chemo it will be too late to join the trial last one is scheduled in july

  • Tammyshubby
    Tammyshubby Member Posts: 4
    edited May 2015

    We were aware of the trial and my wife's medical oncologists at the James in Columbus recommended it. She called T-DM1 a "cancer bomb"! They are so optimistic about the trial that three out of four women in the trial will receive the T-DM1 treatment as opposed to the 1 of 4 who will receive the "standard of care" treatment of Taxol/Herceptin.

    Unfortunately my wife was disqualified when an initial IHC test post surgery showed her as negative for HER2. Follow up FISH testing still indicates HER2 positive because of copy number.

    Good luck!

  • revolution
    revolution Member Posts: 1
    edited May 2015

    I am in the KATHERINE trial. I have my 6th (out of 14) treatments tomorrow. I was randomized to Kadcyla. I was stage 2a and had a BMX after 6 cycles of TCHP

  • AllYouNeedIsLove
    AllYouNeedIsLove Member Posts: 22
    edited May 2015

    I just signed up for it, they are doing the trial at University of Pittsburgh Medical Center. I refuse to read anything online anymore, as it only created anxiety... but did read some nasty side effects of TDM1 and it scares me. I just had my 10th round of herceptin and do okay on that. It's tough making a decision like this! I may back out but not sure what to do.

  • swissrn2002
    swissrn2002 Member Posts: 27
    edited May 2015

    Iwill be starting a clinical trial on July 1st, after my 4 doses of AC. I will be getting Kadcyla and perjeta every three weeks for one year. I was selected into the trial and randomly selected for Kadcyla/Perjeta vs Taxol/Hercepton/Perjeta. This trial is in phase three.

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