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Old 01-24-2007, 01:52 AM   #1
jojo
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Location: San Francisco Bay Area in California
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Question Anyone done Avastin? Status results?

My diease MAY be in progression; I will have about 2-1/2 weeks (scans & such) before meeting up with my onc to discuss together & then decicde to keep or change current treatment. I may sign up for a new trial: Avaatin & Tykerb. Yes, I would have to give up on Herceptin. It has been not 100% successful in my case, anyway, since I got my 1st recurrence, while on Herceptin & Femara. My onc nurse told me that, in her wild guesssing alone, the Herceptin has been probably about 75% in her own opinion.

Does anyone know of somebody with BC has been successsful? Also what(s) have their most prominent side effects?
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Blessings & Peace,
~jojo~

1st Dx: May '03 at age 35
Stage 3b
6cm IDC tumor
17/18 + nodes
Neoadjuvant: 4x A/C dose dense; 12x weekly Taxol & weekly Herceptin
Left Mastectomy: Nov '03
27x Rads
Stage 4 since June '04
Still on maintenance Herceptin since the very beginning
Currently on Abraxane (3 weeks / 1 week off)
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Old 01-24-2007, 06:30 AM   #2
Shell
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Jojo-

I don't have results yet, but am currently on navelbine/herceptin/avastin. I started this combo in december. in november i tried doxil with avastin, but my progression continued, so we switched to navelbine. i certainly feel better than i did on the doxil!

I hope to add tykerb to this mix once the approval for it comes out...

Does the trial give you a chemo with the 2? I got the side effects of the chemo I was on, and didn't notice anything different when I added tykerb to my chemo (xeloda). With the combo now, I get ache-y and tired, but that seems more consistent with the navelbine...

Good luck w/ things,
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Shell

init diag 3/17/03-stage IIIC
ER-/PR-/HER2+++
CET x4 neo-adjuvant
lump & SNB 8/03
CET x2
radiation and herceptin/navelbine 11-03-1/04
1st reoccur to lymph nodes 8/04
complete axillary dissection 12/04
herceptin/taxotere til progression (lungs) 3/05
xeloda w/out lapatinib trial 6/05
lapatinib/tykerb added 4/06
ended trial 8/06 due to progression
doxil / avastin 11/06-12/06 - wasn't working
navelbine/herceptin/avastin 12/06/3/07 - progression
gemzar/carboplatin/tykerb 4/07
mri shows extensive mets to bone in pelvic area 6/07
switched to abraxane (3 on/1 off) + tykerb 6/07
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Old 01-24-2007, 09:12 AM   #3
Joy
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shell and jojo

I know a small but successful study using avastin came out of San Antonio '06. And while that is hardly the information you requested, Jojo-sorry, but I had to post. I feel that herceptin has stopped working and will be at a crossroads very soon. I am excited to see that you both are 'mixing things up' with avastin, tykerb a little chemo etc. I very much hope that you will both continue to share the protocols and experiences, as will I, so we can all learn together.

Hoping others reply to your posts and thank you for yours!
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with love and gratitude,
joy

dx stage I 2/2000*er/pr+; her- per IHC*lumpectomy*4 rounds A/C*30 rads*tamoxifen*dx stage 4 5/2002*huge mets to liver*tiny mets to lungs*stopped tamoxifen*5/02 taxotere/xeloda*her 2 checked with FiSH-her2+++herceptin *2/03 stopped chemo femara w/herceptin*zolodex*04 switched to aromasin w/herceptin*05 high estrogen tx*11/05taxol/carbo*7/06 stopped chemo; megace/herceptin*9/06navelbine/herceptin*5/07tykerb/xeloda great response*4/08 progression in liver; ooph/ faslodex /herceptin
6/08 began Herceptin DM-1
9/08 progression
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Old 01-24-2007, 09:43 AM   #4
Lala
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Jojo

I hope that you are stable and doing well. My thoughts are with you. I can share my experience of Avastin with you. I was initially diagnosed with mets. After meeting with 3 different oncologists to discuss all the details of being ‘stage 4’ I chose a trial. My reasoning was simple, I learned the more options you have in ‘treating the cancer’ the better it is for you. I felt this trial offered an opportunity to have great care and a cutting edge drug.

My first line of treatment was a Monoclonal line with No chemo.

I was on the Herceptin Avastin Trial for 6 months. I did have very good partial response to this and a great quality of life while on the drugs. Avastin has a few side effects such as nose bleeds, fatigue, and headaches. The most serious side effect is high blood pressure, although lucky for me I did not have this. I did ultimately break stable after the 6 months then moved to a chemotherapy line of treatment.

In my opinion, you need to look at the whole picture. Ask how extensive is your tumor burden and where are the mets. What changes occurred from last scan meaning the rate of growth?

I would also ask questions about the trial. What phase is this trial? How many are currently enrolled and if any data has been released in interim. Being in a trial can offer great health care as your are watched over very carefully. It sounds like a very interesting trial.

Wishing you the best

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DX Fall05 Stage 4 er+ pr+ her2+ liver and bone mets
DX Fall06 Brain mets, Brain mets gone Spring 2007
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Old 01-25-2007, 12:18 PM   #5
StephN
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Thumbs up Change can be good!

Dear Jojo -
I know you have been on Abraxane for some time with Herceptin.

A friend of mine (an older lady in great shape) has been keeping her mets at bay for over five years to just stubborn nodes and a rib lesion. Herceptin and Femara were her mainstays with Navelbine added at first progression and then years later (2006) more progression.
She was put on Abraxane and seemed stable after some neck nodes were removed, then Avastin was added. Of course she was then off Herceptin. After about 6 weeks of this Abraxane/Avastin combo, her blood pressure shot up and became problematic. She was taken off all drugs so that they could get a handle on the BP.

Now she is on Femara only and the BP meds are lowered. She reported this week that her last scans did not pick up ANY active disease and her tumor markers are very normal for the first time in years!

Now she is dealing with the fatigue and feeling OK otherwise. The docs feel that the Avastin was the kicker she needed and she was able to get enough of it to do the job.

I hope this drug will do the same for you, my friend. PRAYING NO progression!
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"When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau
Live in the moment.

MY STORY SO FAR ~~~~
Found suspicious lump 9/2000
Lumpectomy, then node dissection and port placement
Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR -
Adriamycin 12 weekly, taxotere 4 rounds
36 rads - very little burning
3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum
Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED!
2003 & 2004 no active disease - 3 weekly Herceptin + Zometa
Jan 2005 two mets to brain - Gamma Knife on Jan 18
All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET
Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying
Continue as NED while on Herceptin & quarterly Zometa
Fall-2006 - off Zometa - watching one small brain spot (scar?)
2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava
2008 - Brain and body still NED! Port removed and scans in Dec.
Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011
STILL NED everywhere in Feb 2014 - on wing & prayer
7/14 - Started twice yearly Zometa for my bones
Jan. 2015 checkup still shows NED
2015 Neuropathy in feet - otherwise all OK - still NED.
Same news for 2016 and all of 2017.
Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.
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