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Old 04-22-2007, 03:54 PM   #1
Joannie
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Tykerb - TEACH TRIAL

Good Evening All:
I'm one of the gals that never received Herceptin, due to it being approved after my chemo treatment was completed. I was diagnosed in 2003. I've been looking into the TEACH trial here in Ohio, which is Tykerb. Unfortunately, I have made many phone calls to the 1-888 number and no one ever returns my call. My onc. doesn't believe this if for me and didn't believe in Herceptin for me because I was too far past treatment.
I just can never seem to let this area rest. I just came up on my 4 year mark of being diagnosed and I'm currently NED, as far as I know. It pains me to read on this board all the women getting Herceptin as a preventative. I'm so happy the drug is available but can't help but feel I missed the boat. Can anyone provide information about whether I should pursue the Tykerb? I was stage 2, HER2 3+, 3.3 cm tumor, 1 node positive. I had a double mastectomy, no rads.
I would appreciate any information you could provide.
Thanks and I pray for everyone on this site so often. You are all an inspiration to myself and many others.
Thank you!
Joannie Willhite
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Old 04-22-2007, 04:45 PM   #2
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Hi Joanie,

I'm not sure where the 888 number you are using is from... but here are the Ohio sites and numbers:

United States, Ohio
GSK Clinical Trials Call Center, Canton, Ohio, 44718, United States; Terminated


GSK Clinical Trials Call Center, Columbus, Ohio, 43215, United States; Not yet recruiting
Philip Kuebler 877-379-3718


GSK Clinical Trials Call Center, Middletown, Ohio, 45042, United States; Recruiting
Nandagopal Vrindavanam 877-379-3718


GSK Clinical Trials Call Center, Cleveland, Ohio, 44106, United States; Not yet recruiting
Paula Silverman 877-379-3718


GSK Clinical Trials Call Center, Cleveland, Ohio, 44195, United States; Not yet recruiting
George Budd 877-379-3718



I think you would be one of the more important candidates for the trial.

This is the trial info:

http://www.clinicaltrials.gov/ct/show/NCT00374322

Please post if you have other questions.

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Old 04-22-2007, 04:45 PM   #3
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Hi Joannie -

I am currently participating in the TEACH trial. I'm am in the same position as you; I was diag. Stage 3 in July 2002 and finished chemo in Jan. 2003. My onc. also didn't believe herceptin would be beneficial as it was approved too long after my chemo ended. I believe I was told this trial was for those who ended treatment 8 years or less ago. Did your onc. say why he didn't think it was for you? Is he participating in the trial? If not maybe you could find another onc. who was.

Pat
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Old 04-23-2007, 06:37 AM   #4
Joannie
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Alaska Angel:

Those were the actual numbers that I called. I just pulled the number from the top of my head! I have called several times and got a return phone call once. They left a message to call back. As you know, you only get a recorded voice to leave a message. I was hoping that my onc. would hook me up, but she said the trial is only for mets.
I guess I'll try to call again.

Pat, how well are you tolerating the drug? How far out are you from chemo?
Thanks for the input.
Joannie
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Old 04-23-2007, 10:23 AM   #5
AlaskaAngel
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Keep Trying, Joanie

Joannie,

Your onc is not correct in regard to the TEACH trial. It is designed for those who have had Adriamycin, have no evidence of recurrence, and who have never had Herceptin. Even those who are just finished with chemo now are eligible. The only disadvantage they would have is that anyone in the trial can end up on placebo instead of the lapatinib.

I'm not sure why so many sites in your state are either not yet open or not going to be. Although some sites opened as early as December, the site where I inquired didn't open until March.

Try calling the Cancer Information Service at 1-800-4-CANCER (1-800-422-6237) and speak with an Information Specialist about it, and also give your onc a copy of the clinical trial announcement.

AlaskaAngel
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Old 04-23-2007, 10:45 AM   #6
bashmaz
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I'm in the trial, too

Hi all - I'm also in the trial for those out from chemo, no Herceptin, no recurrance. (Hi to PatS and AA!)

I had lumpectomy 4/2002, AC, Taxol, Rads. 1.8cm tumor, 1+v node, ER/PR-ve, Her2+++.

My Oncologist's group is the main place in my area (SW Washington State, across the river from Portland, OR) recruiting for this trial, so he actually brought it up to me. I've been on it since Feb, and I'm having my second Echo tomorrow.

I'm pretty sure I'm on the placebo - I've had absolutley NO side effects. When I see my onc. next week, I'm asking if they have anyone else on this and if they have had side effects. So far, those they know on it are also on xeloda, or another drug as well bacause they have mets.

I'm doing well - so if it's the real thing or not, I'm still happy to be participating.

Marianne
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Old 04-23-2007, 05:51 PM   #7
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Joannie,

Your onc must not be aware of this trial, maybe she's getting it mixed up with the fact that the FDA approval was for Tykerb plus Xeloda. At any rate, she's wrong about this trial as you can't participate in this particular trial if you have mets. Maybe you could print out the info from the link AlaskaAngel posted. It clearly states there that it is not for mets patients. Like Marianne, I am not experiencing any side effects I can attribute to the drug so I am probably getting the placebo also. I have been having problem since starting it with my nose, it's extremely dry and cracks inside, but that probably has more to do with the cold weather and dry air in the house. Good luck....keep trying.

Marianne,

Let us know how your echo goes and what your onc says.

Take care,
Pat
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Old 04-23-2007, 06:30 PM   #8
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Joannie,

We have forwarded your post to our contact at GSK. You should be hearing from them shortly.

Regards
Joe
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Old 04-24-2007, 03:23 PM   #9
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Joannie,

GSK has responded to my inquiry. I have emailed the info to you.

Regards
Joe
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Old 04-24-2007, 04:15 PM   #10
Joannie
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Thanks Joe for taking that extra step. Ironically, I left yet another message yesteday with the number that I've been calling for quite some time. I received a call from them first thing this a.m. I called the Middletown Ohio number directly and they set up an appt. to speak with the onc. and the Dr. running the trial. My appt. is next Wed. I'm very excited to at least learn about the trial and see if I might be eligible.

Thanks again for you you do. This web site offers so much value to everyone who uses it. Words can't express how greatful I am to have such a resource to help us all along this difficult journey.
Truly,
Joannie
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Old 04-24-2007, 07:43 PM   #11
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Joannie, I believe there is a trial going on right now for those who didn't get herceptin. Is anyone aware of this??
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Blessings and Peace,
Barbara

DX Oct 02 @ age 52 Stage 2B Grade 3 Mastectomy
"at least" 4.5 cm IDC 1+node ER+61% /PR-
Assiciated Intraductual component with Comedo Necrosis
Her2+ FISH8.6 IHC 2+
5 1/2 CEF Arimidex
Celebrex 400mg daily for 13 months
Prophylactic mastectomy
Estradiol #: 13
PTEN positive, "late" Herceptin (26 months after chemo)
Oct 05: Actonel for osteopenia from Arimidex.
May 08: Replaced Actonel with Zometa . Taking every 6
months.

Accepting the gift of life, I give thanks for it and live it in fullness.
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Old 04-25-2007, 11:53 AM   #12
Joannie
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Barbara:

I checked into a trial out in CA, specifically for ladies who never received Herceptin. I believe the criteria was you had to have been diagnosed in the year 2004 and later. I was diagnosed in 2003. I spoke to her in detail about the trial and she in fact mentioned the TEACH Trial. Are there any other Herceptin trials that you are aware of that I might be eligible for? How do we know which is better at this point, Herceptin or Tykerb. I guess that is the million $ question!
Thoughts?
Joannie
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Old 05-02-2007, 06:12 PM   #13
Joannie
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TEACH Trial

I had my appt. today with the clincial trial doctor for the TEACH Trial. He was very informative, but I have to say from all the reading I've done on this website, there wasn't much I didn't know about! At any rate, I signed the consent form and hopefully I will know if I qualify over the next couple of days. I'm pretty confident that I'm making the right decision. It seems that there are a lot of positives about Tykerb. I'll keep you posted.
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Old 05-02-2007, 08:15 PM   #14
PatS
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That's good news Joannie, I'm glad the appt. went well. Let us know how you're doing. I'll be interested to see if you have any side effects. Did the onc. mention anything about the side effects his other patients in the trial are experiencing?

Pat
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Old 05-02-2007, 10:15 PM   #15
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Joannie - it sounds like the answer to your million $ question might be in the mouse research at Baylor College of Medicine in Houston - where they are getting cures on mice with the combo of Herceptin/Iressa/pertuzumab...

We'll have to wait and see, but I hope they hurry!!
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NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 05-10-2007, 01:41 PM   #16
Joannie
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I spent the day going through all the testing to see if I qualify for the Tykerb TEACH Trial. I am keeping my fingers crossed! They took about 6-7 viles of blood, EKG and and echo. Also a urine sample. They said I should know something by the first part of next week and if approved, I will start the trial by the end of the week. They seem to want to get me going right away. I am praying to get the real drug and not the placebo since I've never received Herceptin. I'll keep you all posted!

Joannie
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Old 05-10-2007, 08:01 PM   #17
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Good news Joannie, I hope everything goes smoothly. Keep us posted.

Take care,
Joannie
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Old 05-10-2007, 08:24 PM   #18
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Joannie, keeping my fingers crossed for you!

<3 Lolly
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Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation.

Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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Old 05-16-2007, 09:26 AM   #19
Joannie
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Accepted into the Trial

I just received a call from the clinic who is doing the TEACH Trial. All my tests came back good and I'm going tomorrow to get the pills to begin the trial. God willing, it will be the "real" thing. Thanks for all of your help and insight on this matter. I may have not gotten Herceptin, but by entering this trial, I feel like I'm somehow contributing to getting rid of this awful disease.
I'll keep you posted. Those who are on Tykerb alone, do you definately have side affects? Will I know if I'm actually on Tykerb vs. the placebo? Just curious what to expect.
Joannie
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Old 05-17-2007, 11:33 AM   #20
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Does anyone have the details of the Teach Trial. By details I mean how much Tykerb per day the active arm gets and for how many days etc.
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