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Old 10-24-2011, 02:18 PM   #1
kykeon22
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Median time to response

hi everyone,

i was trying to read some papers about drug trials, and there is a term that I don't understand very well, or at least I'm not sure of.

Median time to response?

What does it mean?

As I understand it I think that it's the time for a treatment to begin being effective, is it that right?

Thanks very much in anticipation for your help XD
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She has been dignosed in February 2008 BC state IV, left breast multiple nodes size 5 cm, mets lungs and liver. Er+ Pr+ Her neu +++.
3/2008 - 10/2010 Herceptin + Aramidex NED
10/2010 recurrence lung met, pleural effusion, toracentesis
11/2010- Tyverb + Navalbine NED
08/2011 CA-15-3 = 90 scan
08/2011 Scan revealed reccurrence lung met, tiny metastasis on the pleura and pleural effusion.
4 pills tyverb, mytoxantrone once ever three weeks, and Aromasin.
Tykerb and taxol, sever allergic reaction
Tykerb taxotere
Herceptin, perjeta, gemcitabina
C- diff, bad diarrea
Halevan and tamoxifen, tm down from 1200 to 130

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Old 10-24-2011, 04:39 PM   #2
chrisy
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Re: Median time to response

Yes, essentially that is a term to measure the time it takes for a treatment to generate a response - or to show evidence that it is effective.

"Median" is a statistical term that means half are below, half are above. So Median time to response should mean that of the people who responded to the treatment, half of them responded within that time frame.
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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 10-24-2011, 10:10 PM   #3
Jackie07
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Re: Median time to response

Can't help but to bring up this link that's been quoted by different member in various times:

http://cancerguide.org/median_not_msg.html
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Old 10-25-2011, 05:01 AM   #4
Becky
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Re: Median time to response

Not trying to be picky but the mean is the average value. Let's say that there is a response after these doses:

1
2
4
5
9
10
18

The median is 5 - the true middle number whereas the mean is 7 (the true average). Median works better if the numbers are not that different from each other but there are out liers that will ruin the average (such as small decimals and then the number 100 - that would ruin the average although allows investigators to know that after the 100th dose, a woman responded). But a median is used because in the medical field there can be huge outliers - those that have a huge response with one drop of medicine and those that need 100 doses but most have a response in (lets say in this example) 5 doses.
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Found lump via BSE
Diagnosed 8/04 at age 45
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2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
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Used Leukine instead of Neulasta
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Old 10-29-2011, 06:11 AM   #5
kykeon22
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Re: Median time to response

thanks very much for the very helpful answers,

from what i read, it seems that chemioterapy takes at least one or two months to be effective, while hormone therapy takes a little more to kick in and kick the cancer's butt.
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Son of Ha

She has been dignosed in February 2008 BC state IV, left breast multiple nodes size 5 cm, mets lungs and liver. Er+ Pr+ Her neu +++.
3/2008 - 10/2010 Herceptin + Aramidex NED
10/2010 recurrence lung met, pleural effusion, toracentesis
11/2010- Tyverb + Navalbine NED
08/2011 CA-15-3 = 90 scan
08/2011 Scan revealed reccurrence lung met, tiny metastasis on the pleura and pleural effusion.
4 pills tyverb, mytoxantrone once ever three weeks, and Aromasin.
Tykerb and taxol, sever allergic reaction
Tykerb taxotere
Herceptin, perjeta, gemcitabina
C- diff, bad diarrea
Halevan and tamoxifen, tm down from 1200 to 130

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