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Old 10-08-2009, 03:53 PM   #1
Janet Taylor
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Join Date: Oct 2007
Posts: 17
Question Herceptin resistant

I have had 4 reoccurences of metastatic breast cancer in my lungs within the last 4 years despite being on Herceptin almost 4 years straight. I did about 8 months of Tykerb and Xeloda in the middle of the 4 years of Herceptin.

I am looking for a good next step. I am looking for a clinical trial in the Ohio area. I want a drug that will be effective and not interrupt my quality of life.

Does anyone have any advice? I have refused to have a 4th lung surgery.
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Old 10-09-2009, 06:49 AM   #2
Hopeful
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Re: Herceptin resistant

Janet,

Here is a link to an article that is posted in the Breast Cancer Newsfeed forum today: http://www.medicalnewstoday.com/articles/166809.php

I hope it helps. Best of luck to you with a new treatment plan.

Hopeful
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Old 10-09-2009, 06:54 AM   #3
julierene
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Posts: 327
Re: Herceptin resistant

I'm sorta in your shoes, if you see my signature. I have heard great things about Avastin and Ixempra. The trick is getting insurance to approve the two together since they like all 3 taxanes to be used first.
__________________
Jan04: Bilateral Mastectomy at age 28
Initial DX: Left Breast: IDC 2cm, Grade 3, HER2+3, 0 Nodes +, ER/PR-. Right Breast: Extensive DCIS ER-/PR+; Stage 1-2a
Feb04-Apr04: 4 AC, dose dense
Aug 04: 4 Taxotere
Dec 05: Bone and Liver METS; Stage 4. Carboplatin/Taxol/Herceptin. DX with Li-Fraumeni Syndrome
Apr 06: NED, maintenance Herceptin
Apr 07: CA1503=14; masses in liver; Xeloda/Tykerb
Nov 07: NED, Tykerb maintenance
Sept 08: Liver mets again, on Tykerb/Xeloda again, CA=19 and 27
Nov 08: Progression, Tykerb/Gemzar, CA=25
Dec 08: Progression, Herceptin/Navelbine, CA=40, 57, and 130
Jan 09: Progression in bone, recession in liver, Herceptin/Carbo/Abraxane CA=135
June 09: CA27/29=24, chemo break
Sept 09: Progression, CA=24, waiting on clinical trial (4 weeks no treatment)
Nov 09: now have brain mets, trial "on hold", getting 14 WBR treatments starting 11/2/09
Dec 09: possible start on p53 trial
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Old 10-09-2009, 07:12 AM   #4
julierene
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Location: Illinois
Posts: 327
Re: Herceptin resistant

http://www.clinicaltrials.gov/ct2/sh...r=Open&rank=32


http://www.clinicaltrials.gov/ct2/sh...ow_locs=Y#locn
(in Illinois?)

RAD001 = Everolimus - you can search those separately and also look for solid tumors (not just breast cancer)
__________________
Jan04: Bilateral Mastectomy at age 28
Initial DX: Left Breast: IDC 2cm, Grade 3, HER2+3, 0 Nodes +, ER/PR-. Right Breast: Extensive DCIS ER-/PR+; Stage 1-2a
Feb04-Apr04: 4 AC, dose dense
Aug 04: 4 Taxotere
Dec 05: Bone and Liver METS; Stage 4. Carboplatin/Taxol/Herceptin. DX with Li-Fraumeni Syndrome
Apr 06: NED, maintenance Herceptin
Apr 07: CA1503=14; masses in liver; Xeloda/Tykerb
Nov 07: NED, Tykerb maintenance
Sept 08: Liver mets again, on Tykerb/Xeloda again, CA=19 and 27
Nov 08: Progression, Tykerb/Gemzar, CA=25
Dec 08: Progression, Herceptin/Navelbine, CA=40, 57, and 130
Jan 09: Progression in bone, recession in liver, Herceptin/Carbo/Abraxane CA=135
June 09: CA27/29=24, chemo break
Sept 09: Progression, CA=24, waiting on clinical trial (4 weeks no treatment)
Nov 09: now have brain mets, trial "on hold", getting 14 WBR treatments starting 11/2/09
Dec 09: possible start on p53 trial
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Old 10-09-2009, 07:26 AM   #5
schoonder
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Re: Herceptin resistant

Focus of T-DM1 trials is to overcome poor response to or acquired resistance to herceptin in her2+ patients.
Here's link to couple of trial possibilities:

T-DM1 & Pertuzumab trial In Columbus, Ohio
http://www.clinicaltrials.gov/ct2/show/NCT00943670?term=t-dm1&rank=2

T-DM1 combo trial conducted in neighboring states.
http://www.clinicaltrials.gov/ct2/show/NCT00928330?term=t-dm1&rank=7

further away, but another promising combo trial
http://www.clinicaltrials.gov/ct2/show/NCT00951665?term=t-dm1&rank=6
one more in Indiana
http://www.clinicaltrials.gov/ct2/show/NCT00875979?term=t-dm1&rank=5
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