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Old 10-03-2007, 02:28 PM   #1
julierene
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Location: Illinois
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Months time to Progression

Study Results
Women taking lapatinib plus chemotherapy benefited more overall than women taking a placebo plus chemotherapy. Median progression-free survival, or the time women went without their cancer growing, was 7.9 months for the combination group, compared to 5.2 months for the group that took chemotherapy alone.
Women in the combination group responded to treatment for a median of 7.4 months, compared to 5.5 months for the placebo group. In the combination group, treatment lessened the presence of disease in 60 percent of women, compared to 36 percent in the placebo group.

http://www.lbbc.org/content/news/com...y&auid=3059530

Does this trouble anyone else? I am on this treatment for 2 months extra? It seems almost worthless in how it is presented - to even be on this treatment. Ugh! I'm taking Tykerb and Xeloda, but shesh.... Is this what I have to look forward to? 2 more extra months?

Then you see this:

In a study of 321 women, all with advanced breast cancer who tested positive for HER2, 160 who received Tykerb with Xeloda had no cancer growth for 36.9 weeks. The other 161 women who were on Xeloda alone experienced no cancer growth for just 19.7 weeks. The trial was stopped so that the women who were not taking Tykerb could do so if they wished.

http://www.medicalnewstoday.com/articles/44505.php

Which way is it?
__________________
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 10-03-2007, 05:16 PM   #2
Becky
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Dear Julierene

There have been more than one Tykerb/Xeloda study. A general study, a brain mets study and an IBC study. They just really haven't indicated which is which (which is the media for ya). In the next days, I will try to find the studies (I think they are on the ASCO and Sabcs sites when they were presented in 2006.
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Kind regards

Becky

Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia

NED 18 years!

Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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Old 10-03-2007, 05:44 PM   #3
chrisy
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Julierene,

I always look at these statistics as just indicators. So, tykerb + is "better" than chemo alone. Remember, these are median ttp's - and not results for any individual. Remember, too, that you are a "responder"! The test results include people who may not have responded well anyway.

Not very scientific, maybe, but that's how I look at it.
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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 10-03-2007, 05:54 PM   #4
Becky
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Location: Stockton, NJ
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http://www.asco.org/portal/site/ASCO...stractID=35372

http://www.asco.org/portal/site/ASCO...stractID=90002

http://www.asco.org/portal/site/ASCO...stractID=34006

http://www.asco.org/portal/site/ASCO...stractID=32820

I might have repeated a study. Not sure. I will continue to look for others.
__________________
Kind regards

Becky

Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia

NED 18 years!

Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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