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Old 07-07-2008, 05:29 AM   #1
Janet Taylor
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The year I did Herceptin, the only thing I was taking was Herceptin.

Is Navelbine given through an IV or is it an oral chemo?
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Old 07-07-2008, 09:01 AM   #2
chrisy
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Navelbine is an IV chemo, and I also know of people who have done well with this + Herceptin for lung mets.

As for redoing Herceptin, that is very common to continue with Herceptin and just add a chemo because you can still get synergy by adding Herceptin.

Now that Tykerb is approved, I expect you could alternate herceptin and tykerb combinations as well as use them together (there are trials ongoing for this). The point is, continue to target the Her2 with something and boost it with chemo as needed.

Brenda's question is also important, if you have used a taxane, because these work well with Herceptin. But so does Navelbine.

Let us know what you decide.
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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
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Old 07-07-2008, 12:51 PM   #3
schoonder
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What drug combo will be next?

Janet, Genentech just about completed a 100+ patient Herceptin-DM1 trial, it was conducted at 40 some sites and recruited from MBC patients that had progressed on Herceptin. Company sounds very excited about results they seen so far. A new phase II is scheduled to start this month, an additional inclusion item is that candidates have been exposed to Tykerb and/or Xeloda.

Side effects from drug are minimal! Mention the trial to your oncologist.
Here's a link that will give you further information.

http://www.clinicaltrials.gov/ct2/sh...erm=dm1&rank=3
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