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Old 12-17-2010, 02:08 PM   #9
chrisy
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Join Date: Sep 2005
Location: Central Coast, CA
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Re: FRI DEC 17 - Genentech stakeholder call to discuss TDM1 decision

I just got off this call. It was regarding the FDA action to revoke approval for Avastin for breast cancer. There was no discussion on TDM1, however there was discussion that was somewhat helpful on how to impact and/or participate in the appeal hearing process as Genentech appeal the decision.

The appeal process is Gene has 15 days to submit a request for hearing, then 30 days to submit documentation. Then the FDA decides whether to allow a hearing. If a hearing is granted, it is a public meeting chaired by the FDA.

There is a process to get comments on the docket for this, login info for this is:
log into
www.regulations.gov
then enter in search
FDA-2010-N-0621.

This takes you to a page with the document sent by the FDA to Genentech and also has sections to add a comment.

This was good information, and the Genentech participants emphasized that interested parties should take this opportunity to comment, as this becomes part of the official public record and part of the proceedings.

They really need patients and advocates to be vocal - and this was a recurring theme I also heard at San Antonio. That clinicians and researchers and pharmceutical co's are limited in what they can say. But as patients we are not.

So, some good information, not on TDM1 topic at all...
__________________
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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