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Old 12-14-2009, 02:53 PM   #1
Joe
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T-DM1 News - New Trials Planned

Adjuvant and Compassionate Use


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Old 12-14-2009, 05:30 PM   #2
alicem
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Re: T-DM1 News - New Trials Planned

Excellent news!!!
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9/15/08 (age 52) - Mammo: calcifications
9/22/08 - Biopsy: DCIS, grade 3. ER,PR status: Pos. in 75-90% of tumor cells.
10/01/08 - Ob/Gyn appt.: found complex, mostly cystic mass on right ovary - 11cmx12cmx 8cm
10/15/08 - Hysterectomy & Oophorectomy, Lumpectomy: Cyst on uterus, not ovary - all was benign. Breast - 5 of 6 bad margins. 2 Sentinel Lymph nodes removed, both negative. Stage 0, Tis, N0
12/11/08 - Mastectomy & DIEP reconstruction: Surprise! 2 cm Invasive DC, grade 2 found. One benign internal mammary lymph node. Stage 1, T1c, N0, all clean margins. ER+ (Proportion Score = 2/5, Intensity Score = 2/3) and PR+(Proportion Score = 3/5, Intensity Score = 2/3)
HER2 score = 3+
1/09/09 - Oncotype DX: Recurrence S/core of 60 !?!?! ER status is NEG!! PR staus is NEG! HER2 score = 12.2 (still positive, greater than 11.5 is positive).
1/20/09 - Started chemo: TCH
5/26/09 - FINISHED CHEMO!
1/05/10 - FINISHED HERCEPTIN!
1/22/10 - Port-a-catheter removed!
3/07/18 - Still NED
9/10/23 - Still NED
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Old 12-15-2009, 01:14 AM   #3
Chelee
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Re: T-DM1 News - New Trials Planned

That is the news I was hoping to hear! However the link you posted takes me to the wrong place? I tried the search button on the page and that did not bring up the news on TDM1 either? But I'll find it some where.

Thanks Joe!

Chelee
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DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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Old 12-15-2009, 07:36 AM   #4
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Re: T-DM1 News - New Trials Planned -Entire Article

Roche-ImmunoGen to Start T-DM1 Trials
WALTHAM, Mass. (TheStreet) -- ImmunoGen(IMGN Quote) is expected to announce Monday a commitment by its partner Roche to begin new late-stage clinical trials of the experimental breast cancer drug T-DM1.
The overall goal of this new clinical trial program will be to determine whether T-DM1, which is still not approved for use, can one day replace Roche's Herceptin as the leading treatment for women with certain breast cancers.
Herceptin global sales totaled $3.8 billion in the first nine months of 2009 and $4.7 billion in sales in 2008, according to Roche.
The Genentech unit of Roche will start a phase III study of T-DM1 in first-line breast cancer in May 2010. Additionally, a clinical trial designed to evaluate T-DM1 in the post-surgical, or adjuvant, setting is also in the planning stages, Immunogen will announce.
T-DM1 is a second-generation version of Roche's Herceptin. It consists of Herceptin (also known as trastuzumab) linked to a tumor-killing chemotherapy payload developed by ImmunoGen.
Roche's new commitment to advance T-DM1 comes as the drug maker plans to meet with the U.S. Food and Drug Administration to discuss seeking approval for T-DM1 as a third-line treatment for breast cancer patients.
On Saturday, researchers presented new clinical data from a phase II study showing that T-DM1 shrank tumors in 33% of critically ill breast cancer patients. The 110 patients in this study were essentially out of medical options because their breast cancer was no longer responding to treatment with Herceptin or GlaxoSmithKline's(GSK Quote) Tykerb
.
"These are breast cancer patients who do not have a lot options at this point. And what we see with T-DM1 is that it really offers benefit. I'm quite encouraged and I think this drug is significant for patients who really need help," said Dr. Ian Krop of the Boston's Dana Farber Cancer Institute Krop and the lead investigator of the T-DM1 study.
Based on these data, Krop said he'd like to see Roche seek regulatory approval soon.
"T-DM1 is a drug that I'd like to see made available to patients. I'm sure Genentech [Roche] is strongly considering using this data for the basis of an accelerated approval filing," he said.
Krop presented his findings from the T-DM1 study at the San Antonio Breast Cancer Symposium. ImmunoGen first disclosed partial results from the study on Wednesday.
T-DM1, like Herceptin, is designed to be most effective in patients with excess levels of a protein known as Her-2 that causes breast tumors to grow more aggressively. Almost 40% of patients with confirmed Her-2 positive status in the study saw their breast cancer tumors shrink.
If Roche does seek FDA approval for T-DM1, the drug would be the first treatment approved as a third-line treatment for breast cancer. T-DM1 would also be the first approved drug for ImmunoGen, which is set to receive mid single-digit royalties on T-DM1 sales by Roche.
The T-DM1 data presented Saturday "are quite the validating statement for our technology," said ImmunoGen CEO Dan Janius. "A year from now, we could have T-DM1 on the market for an indication where there is no approved therapy today."
Roche is conducting already conducting a separate phase III study testing T-DM1 head-to-head against Glaxo's Tykerb in second-line breast cancer patients. A phase II study of T-DM1 compared to Herceptin in first-line breast cancer will have data ready for presentation at an upcoming medical meeting
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