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Old 11-20-2012, 01:31 PM   #1
chrisy
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Join Date: Sep 2005
Location: Central Coast, CA
Posts: 3,207
Thumbs down Perjeta failed, changing horses again

Well, poop,

After all that drama about getting the Perjeta (which is still to unfold as I have not gotten anything from my insurance yet!), it didn't work that well, even after adding the taxotere/herceptin. My scan after 2 cycles including Taxotere shows that although the larger lesions in my liver are unchanged, which is good, there are several smaller new baddies showing up.

Also, which has me very concerned, for the first time they are seeing some (small amount) of ascites in the abdomen and also some "thickening of the pleura" in my rt lung, which may be inflammation and not cancer related (or not). Having liver-only disease while not good, is much better than spread to other places. But we do not know for sure what is going on there yet. Hopefully nothing.

So my new horse is named Navelbine (all horses have the middle name Herceptin). I know that has good activity against liver and lung, at least at earlier intervention. Hopefully it will deliver a good punch for me now that the taxanes seem to have pooped out.
Dr. Rugo's first suggestion was Gemzar/Carbo (and Herceptin) but I asked about Navelbine which she has mentioned before. She said it wouldn't hurt to try for a cycle and see.

Naturally I am supremely bummed, and feel as so many others have, that I am just crossing treatments off the list too fast. I'm not yet out of options but I really need to have something work and regain control over this stupid cancer. I still have a lot to do in this lifetime.

The good news, I guess, is that there are presumably not so many different side effects (and related drugs to control them!) so maybe I can avoid future kittyhead moments of messing up on all the peripheral drugs. All I have to do is remember to show up every week instead of 3, except for week 3 is off so its 2 weeks on one week off....piece of cake, eh?

But they're all on my iphone calendar

Any encouraging words appreciated!
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Chris in Scotts Valley
June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure

Last edited by chrisy; 11-20-2012 at 09:17 PM.. Reason: Oops, already blew the schedule!
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