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Old 05-24-2012, 04:43 PM   #1
Nguyen
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Join Date: Nov 2005
Posts: 516
Everolimus (Affinitor) and white count

Hello,

For those of you who are on Everolimus, how does it affect your white count, especially if you have been on it for multiple months? Many thanks.

Nguyen
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Old 05-24-2012, 05:31 PM   #2
DeenaH
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Re: Everolimus (Affinitor) and white count

I just had my first labs since starting Afinitor yesterday, but haven't picked up the results yet. I haven't heard that it really effects the whites for most. I have heard about a huge drop in platelets though. that is what I am worried about. I have had a couple of nose bleeds.
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March 2010: Diagnosed with Stage IIIC IDC with axillary, mammary and suplaclavicular node involvement. ER/PR -, HER2+++. 7cm tumor in right breast.
April 2010: Started neoadjuvent chemo. 4 DD A/C every 2 weeks, 4 DD Taxotere every 3 weeks with Herceptin weekly.
August 2010: Finished chemo!
August 20, 2010: PET/CT showed no cancer in any nodes, and only a little uptake to the breast.
September 9, 2010: Bilateral mastectomy with immediate reconstruction with implants and Alloderm.
September 16, 2010: Pathology report showed 18/51 positive axillary nodes, 3.2cm tumor. Granual sized cancer found in the fatty tissue between levels 1 and 2.
October 19, 2010: CT showed several spots on lungs and 1 spot on liver. Liver spot is 2mm, lung spots range from 2mm to 4mm. We don't know if they are cancer or not.
12/15/10: Brain MRI clear
1/7/11: PET/CT
1/13/11: Recurrence in lungs. Start Tykerb
5/13/11: Progression in lungs
6/3/11: Lung surgery to get tumors for chemosensitivity testing.
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Old 05-24-2012, 11:48 PM   #3
Mandamoo
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Location: Melbourne, Australia
Posts: 432
Re: Everolimus (Affinitor) and white count

I was in it in addition to herceptin and vinorelbine for 7 months - I ended up neutropenia after about 4 weeks. After a dose reduction of both the everolimus and the vinorelbine I maintained neutrophil counts that were between 1 and 1.8. I was using acupuncture to help maintain my levels and gradually they rose from low 1s to high 1s - still pretty low by normal standards but high enough for treatment and immunity.
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40 year old Mum to three gorgeous kids - son 5 and daughters 8 and 11
Wife to my wonderfully supportive husband of 17 years!
22 February 2011 - Diagnosed Early Breast Cancer IDBC Stage2b (ER/PR -ve, Her2+ve +++) - 38 years old
(L) skin sparing mastectomy with tissue expander, axilla clearance (2/14 affected) clear margins.
Fec*3, Taxotere and herceptin*2 - stopped due to secondary diagnosis

June 24 2011 Stage IV - Skin met, axilla node, multiple lung lesions

Bolero3 trial - Navelbine, Hereptin weekly, daily Everolimus/Placebo
February 2012 - July 2012 Tykerb and Xeloda - skin mets resolved, Lungs initially dramatically reduced but growing again
August 2012 (turn 40!) tykerb and herceptin (denied compassionate use of TDM1) while holidaying in Italy!
September 2012 - January 2013 TDM1 as part of the Th3resa trial - lymph nodes resolved, lungs slowly progressing.
January 2013 - herceptin, carboplatin and Perjeta (compassionate access)
April 2013 - Some progression in lungs and lymph nodes - Abraxane, Herceptin and Perjeta
July 2013 - mixed response - dramatic reduction of most lung disease, progression of smaller lung nodules and cervical and hilar nodes - ? Add avastin.
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