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Old 07-27-2006, 08:08 AM   #1
John21
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Question Oral Herceptin

Does anyone know if Herceptin is in or will be in and oral form? It is such a pain for my wife to go in the city every 3 weeks for the injection.


Thanks
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Old 07-27-2006, 08:44 AM   #2
Kaye
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Injection? I thought it was given through IV only. What type of problem is your wife going in every 3 weeks--is it due to location of treatment center? If that is the problem, perhaps you can find a facility closer to home.
Technically, as it has been written, Herceptin has been approved for weekly injection only as of this time, so if it is as effective with this protocol, she is lucky to be able to get it this was.
I was fortunate to have been approved to received weekly Herceptin for a year out-of-protocol starting almost 5 years ago. I attribute my being here today because of that. Taking the time to do this was a minor inconvenience and 'small price' to pay for my survival. Perhaps your wife might feel differently is she were to get more of an understanding of what Her2+ breast cancer meant before Herceptin?
I had to drive 65 miles from work to get to our treatment facility. I did it on Friday afternoons, generally leaving about 2:30. I was fortunate that I was allowed to make the time up which really helped, too. If anything, I do wish that I could have had it for more than one year.
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Old 07-27-2006, 11:38 PM   #3
StephN
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Wink "Injection" means "infusion"

Kaye -
On my health coverage statements they call my Herceptin infusion a "drug injection."

This does not mean a "shot" with a syringe in the normal meaning.

With so many women getting Herceptin right on top of or with chemo and radiation, it IS harder as they have not had a recovery period from the other treatments.

I go every 3 weeks - and this is for LIFE. I have to do into downtown and I live in the burbs. Just have to schedule around the peak traffic hours as best I can.
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"When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau
Live in the moment.

MY STORY SO FAR ~~~~
Found suspicious lump 9/2000
Lumpectomy, then node dissection and port placement
Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR -
Adriamycin 12 weekly, taxotere 4 rounds
36 rads - very little burning
3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum
Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED!
2003 & 2004 no active disease - 3 weekly Herceptin + Zometa
Jan 2005 two mets to brain - Gamma Knife on Jan 18
All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET
Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying
Continue as NED while on Herceptin & quarterly Zometa
Fall-2006 - off Zometa - watching one small brain spot (scar?)
2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava
2008 - Brain and body still NED! Port removed and scans in Dec.
Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011
STILL NED everywhere in Feb 2014 - on wing & prayer
7/14 - Started twice yearly Zometa for my bones
Jan. 2015 checkup still shows NED
2015 Neuropathy in feet - otherwise all OK - still NED.
Same news for 2016 and all of 2017.
Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.
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Old 07-28-2006, 06:24 AM   #4
John21
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Injection/IV same thing to me.
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Old 07-28-2006, 11:08 AM   #5
Cathya
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John;

We all have our own biggest problem.....lol.....and I'm sure this is not your wifes really but I do sympathize. As much the trouble it's a constant reminder that we're tied to the drug (and need it and why!!) and our schedule is fixed because of it. It seems to me that when asked this same question I was told no...it would not be available in the future in pill form. However, let's be optimistic....lapatinib is in pill forms and who knows what the future holds. I wish your wife well and a life long enough to not need any treatments......instead a cure.

Cathy
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Diagnosed Oct. 2004 3 cm ductal, lumpectomy Nov. 2004
Diagnosed Jan. 2005 tumor in supraclavicular node
Stage 3c, Grade 3, ER/PR+, Her2++
4 AC, 4 Taxol, Radiation, Arimidex, Actonel
Herceptin for 9 months until Muga dropped and heart enlarged
Restarting herceptin weekly after 4 months off
Stopped herceptin after four weekly treatments....score dropped to 41
Finished 6 years Arimidex
May 2015 diagnosed with ovarian cancer
Stage 1C
started 6 treatments of carboplatin/taxol
Genetic testing show BRCA1 VUS
Nice! My hair came back really curly. Hope it lasts lol. Well it didn't but I liked it so I'm now a perm lady
29 March 2018 Lung biopsy following chest CT showing tumours in pleura of left lung, waiting for results to the question bc or ovarian
April 20, 2018 BC mets confirmed, ER/PR+ now Her2-
Questions about the possibility of ovarian spread and mets to bones so will be tested and monitored for these.
To begin new drug Palbociclib (Ibrance) along with Letrozole May, 2018.
Genetic testing of ovarian tumour and this new lung met will take months.
To see geneticist to be retested for BRCA this week....still BRCA VUS
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Old 07-28-2006, 08:04 PM   #6
Jean
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Interesting

Just the other day as I was having chemo/herceptin trt the onc nurse was discussing that in the near future the herceptin will be coming in pill form.
I am now sorry I did not question how long? I will do so next week and see what I can find out for us.


Jean
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Old 08-19-2006, 07:08 PM   #7
sadie
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I was told at the beginning of my chemo treatments that the only reason Herceptin was not given in pill form was because they were afraid too many people would forget to take their dose off and on.
I'm glad to hear that it will be in pill form (hopefully soon).
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Old 02-07-2011, 08:36 PM   #8
pbar
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Re: Oral Herceptin

Can someone tell me why some of us get herceptin for 1 year and others longer? I am about to finish my year-long treatment with this..My Dr. told me that's it's simply an emperical #, and that 1 yr. seems to be that #..I realize it has it's potential negative effects on the heart, but if the MUGA scans remain o.k., I wonder why they don't advise us to continue with this life-saving drug? Also, has anyone experienced a dry-eye problem with herceptin? It's hard to know if this problem is a latent problem from the taxatere and carbo or is the herceptin the culprit?..I have had visual accuity changes as well within the past 3-4 months...Eye Dr. prescribed lotemax and restasis, plus hot compresses to the eyelids before bed to help open up the tear glands in the lids...This is very bothersome..Sure hopes it gets better after the herceptin is done..Thanks for any and all advise and support.
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Old 02-07-2011, 09:21 PM   #9
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Re: Oral Herceptin

Hello, my wife has been on herceptin for at least 4 years now. She does get a regular mug a and all has been well. We rescently switched to the new Tdium herceptin version. Now this is a miracle drug. Kathy has had stage 4 for ever. She had mets to the bones and every scan lights up like a christmas tree with activity. Only 2 months on the tedium and some of the spots are disappearing. We thought they would be there forever! But hear they are getting smaller is a miracle. For the eyes, she always either complains of tearing or dryness. Hope this helps.
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Old 02-07-2011, 11:30 PM   #10
SoCalGal
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Re: Oral Herceptin

There are a lot of women here on Tdium with very good results.
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1996 cancer WTF?! 1.3 cm lumpectomy Er/Pr neg. Her2+ (20nodes NEGATIVE) did CMF + rads. NED.
2002 recurrence. Bilateral mastectomy w/TFL autologous recon. Then ACx2. Skin lymphatic rash. Taxotere w/Herceptin x4. Herceptin/Xeloda. Finally stops spreading.
2003 - Back to surgery, remove skin mets, and will have surgery one week later when pathology can confirm margins.
‘03 latisimus dorsi flap to remove skin mets. CLEAN MARGINS. Continue single agent Herceptin thru 4/04. NED.
‘04 '05 & 06 tiny recurrences - scar line. surgery to cut out. NED each time.
1/2006 Rads again, to scar line. NED.

3/07 Heartbreaking news - mets! lungs.sternum. Try Tykerb/Xeloda. Tykerb/Carbo/Gemzar. Switch Oncs.
12/07 Herceptin.Tykerb. Markers go stable.
2/8/08 gamma knife 13mm stupid brain met.
3/08 Herceptin/tykerb/avastin/zometa.
3/09 brain NED. Lungs STABLE.
4/09 attack sternum (10 daysPHOTONS.5 days ELECTRONS)
9/09 MARKERS normal!
3/10 PET/CT=manubrium intensely metabolically active but stable. NEDhead.
Wash out 5/10 for tdm1 but 6/10 CT STABLE, PET improving. Markers normal. Brain NED. Resume just Herceptin plus ZOMETA
Dec 2010 Brain NED, lungs/sternum stable. markers normal.
MAR 2011 stop Herceptin/allergy! Go back on Tykerb and switch to Xgeva.
May-Aug 2011 Tykerb Herceptin Xgeva.
Sept 2011 Tykerb, Herceptin, Zometa, Avastin.
April 2012 sketchy drug trial in NYC. 6 weeks later I’m NED!
OCT 2012 PET/CT shows a bunch of freakin’ progression. Back to LA and Herceptin.avastin.zometa.
12/20/12 add in PERJETA!
March 2013 – 5 YEARS POST continue HAPZ
APRIL 2013 - 6 yrs stage 4. "FAILED" PETscan on 4/2/13
May 2013: rePetted - improvement in lungs, left adrenal stable, right 6th rib inactive, (must be PERJETA avastin) sternum and L1 fruckin'worsen. Drop zometa. ADD Xgeva. Doc says get rads consultant for L1 and possible biopsy of L1. I say, no thanks, doc. Lets see what xgeva brings to the table first. It's summer.
June-August 2013HAPX Herceptin Avastin Perjeta xgeva.
Sept - now - on chemo hold for calming tummy we hope. Markers stable for 2 months.
Nov 2013 - Herceptin-Perjeta-Avastin-Xgeva (collageneous colitis, which explains tummy probs, added Entocort)
December '13 BRAIN MRI ned in da head.
Jan 2014: CONTINUING on HAPX…
FEB 2014 PetCT clinical “impression”: 1. newbie nodule - SUV 1.5 right apical nodule, mildly hypermetabolic “suggestive” of worsening neoplastic lesion. 2. moderate worsening of the sternum – SUV 5.6 from 3.8
3. increasing sclerosis & decreasing activity of L1 met “suggests” mild healing. (SUV 9.4 v 12.1 in May ‘13)
4. scattered lung nodules, up to 5mm in size = stable, no increased activity
5. other small scattered sclerotic lesions, one in right iliac and one in thoracic vertebral body similar in appearance to L1 without PET activity and not clearly pathologic
APRIL 2014 - 6 YRS POST GAMMA ZAP, 7 YRS MBC & 18 YEARS FROM ORIGINAL DX!
October 2014: hold avastin, continue HPX
Feb 2015 Cancer you lost. NEDHEAD 7 years post gamma zap miracle, 8 years ST4, +19 yrs original diagnosis.
Continue HPX. Adding back Avastin
Nov 2015 pet/ct is mixed result. L1 SUV is worse. Continue Herceptin/avastin/xgeva. Might revisit Perjeta for L1. Meantime going for rads consult for L1
December 2015 - brain stable. Continue Herceptin, Perjeta, Avastin and xgeva.
Jan 2016: 5 days, 20 grays, Rads to L1 and continue on HAPX. I’m trying to "save" TDM1 for next line. Hope the rads work to quiet L1. Sciatic pain extraordinaire :((
Markers drop post rads.
2/24/16 HAP plus X - markers are down
SCIATIC PAIN DEAL BREAKER.
3/23/16 Laminectomy w/coflex implant L4/5. NO MORE SCIATIC PAIN!!! Healing.
APRIL 2016 - 9 YRS MBC
July 2016 - continue HAP plus Xgeva.
DEC 2016 - PETCT: mets to sternum, lungs, L1 still about the same in size and PET activity. Markers not bad. Not making changes if I don't need to. Herceptin/Perjeta/Avastin/Xgeva
APRIL 2017 10 YEARS MBC
December 2017 - Progression - gonna switch it up
FEB 2018 - Kadcyla 3 cycles ---->progression :(
MAY30th - bronchoscopy, w/foundation1 - her2 enriched
Aug 27, 2018 - start clinical trial ZW25
JAN 2019 - ZW25 seems to be keeping me stable
APRIL 2019 - ONE DOZEN YEARS LIVING METASTATIC
MAY 2019 - progression back on herceptin add xeloda
JUNE 2019 - "6 mos average survival" LMD & CNS new single brain met - one zap during 5 days true beam SBRT to cord met
10/30/19 - stable brain and cord. progression lungs and bones. washing out. applying for ds8201a w nivolumab. hope they take me.
12/27/19 - begin ds8401a w nivolumab. after 2nd cycle nodes melt away. after 3rd cycle chest scan shows Improvement, brain MRI shows improvement, resolved areas & nothing new. switch to plain ENHERTU. after 4th cycle, PETscan shows mostly resolved or improved results. Markers near normal. I'm stunned but grateful.
10/26/20 - June 2021 Tucatinib/xeloda/herceptin - stable ish.
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Old 02-08-2011, 10:04 AM   #11
pbar
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Re: Oral Herceptin

Can you tell me if the tdium herceptin version is IV or by mouth? Thank you.
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Old 02-08-2011, 03:56 PM   #12
Mary L
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Re: Oral Herceptin

I had red, dry eyes the 4 years on was on Herceptin. When my treatments ended so did they red, dry eyes. I love Herceptin.
Mary L
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Mary L from PA Diag: Oct 2003 w/6mm mass, IDC grade III ductal carcinoma in-situ, IBC stage IIIB. tx A/C followed by Taxotere(only able to have 2 tx, allergic), mastectomy, 3 0ut of 7 positive nodes. 35 rads. Recurrence 9 months later, skin mets to mastectomy site. Tx Carboplatin/Herceptin. Stayed on Herceptin almost 5 years, had 3 more recurrences when I had to stop Herceptin due to my ejection fraction getting too low. Herceptin stopped and ned 3 years in Oct. 2010.
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Old 02-08-2011, 06:11 PM   #13
PatE
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Re: Oral Herceptin

Hi,
Just wanted to say that I get weekly Herceptin treatments and I am happy and grateful everytime I walk into the treatment room We are so blessed that we have this drug and it works so well. Anytime I start feeling sorry for myself, I just think of all the patients around me that don't have this option. We are certainly blessed. May they find a cure for all cancer really soon!!
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Old 08-29-2013, 02:31 PM   #14
Pam
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Re: Oral Herceptin

My mom has been on Herceptin infusions for one year and her oncologist initially told her that would be all she needed. He is now telling her that she must continue for the rest of her life and she is depressed. The main reason is that for 12 years she has lived winters in a warm climate and summers in a northern state and the insurance will not cover the Herceptin in the southern state. Oral Herceptin would be ideal in her situation. I am going to see if she will join this support group because all of your stories are amazing and uplifting. Have any of you experienced this insurance dilemma?
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Old 08-30-2013, 12:50 PM   #15
tricia keegan
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Re: Oral Herceptin

Pbar, you only get Herceptin for a year if diagnosed as early stage, if the cancer has spread to a distant organ or bones and a person is staged at stage iv they may be on and off Herceptin for life or as long as it helps them remain stable.
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Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 08-31-2013, 08:27 PM   #16
Lani
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Re: Oral Herceptin

There is a new subcutaneous form of herceptin (sort of like the shots oeioke with rheumatoid arthritis give themselves) It is about to be approved in the EU, but when I talked to a RocheGenentech representative at a conference he said they have NO PLANS anytime in the future to try to get it FDA approved as well\

The problem is keeping it reliably cold while transporting it---it is ruined if it gets too hot or too cold.

Perhaps once details on Obamacare come out, it will make provision for those who travel between states(particularly if your state is on the federal program and the state she visits is too)...otherwise, if your mom is Stage IV ie, on herceptin for as long as it or a combo of it and another med work, if I understand it correctly she can apply for social security disability, which allows one to apply for Medicare two years after the SSD is granted.(If I understand it corretly, onlu those on dialysis get "instant" medicare once disability approved.

Medicare covers in all 50 states.

Hope this helps
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