Hi Barry,
The FDA approved indication for Avastin is, as you probably know, for first line. However many people have been able to get it - Sheila has been on Taxol/Avastin (her BCBS denied the Abraxane!) but I think that was just prior to the FDA approval. At any rate, it was "off label" when she got it.
I'm curious as to why no Her2 targeting agent is included in your proposed therapy?
This was a poster presented at San Antonio showing efficacy/safety of Avastin/Tykerb in Her2+ patients. I was on this study and did OK (stable for 8 months), but I know others here were on the same study until it closed and it was a very successful therapy.
More research is ongoing I'm sure, and there may be other data out there in other scenarios, but for your purposes this may serve as a small rebuttal to the "no study data available for Avastin in Her2+" excuse.
http://www.posters2view.com/sabcs08/viewp.php?nu=3133
Good luck, keep up the fight!
__________________
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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