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Old 10-21-2009, 10:10 PM   #1
CourtneyL
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Join Date: Aug 2008
Location: San Francisco
Posts: 260
FDA's New Rule For Compassionate Use

Since you ladies and gentlemen are the smartest, most well -informed group of people on the planet, I thought there might be some of you familiar with the FDA's process for obtaining access to investigational drugs outside of the clinical trial setting.

The background on this is that I have some progression of disease in my lungs now and I am not super excited about going on yet another chemo. I'd much rather try out a HER2+ targeted therapy such as Neratinib - made by Wyeth. As most of you know, it is in clinical trial phase right now and showing great promise. It also crosses the blood brain barrier which is huge news for me since I've had brain mets.

The problem is that the exclusion criteria for the clinical trials is too strict as it doesn't allow prior Tykerb/Xeloda usage.

So I am investigating the possibility of applying for emergency use via the FDA's new rule regarding such use. The new rule was just passed in August 2009 and take effect 60 days later - conveniently that is right now! Here is a link to some information on the rule if you are not familiar. It may come in handy for some of you down the road:

http://www.fda.gov/ForConsumers/Cons.../ucm176845.htm

My question is - has anyone here every applied to the FDA for such use? They call the form an IND for "Investigational New Drug". Any advice, insite, would be greatly appreciated.

Cheers!
__________________
4/17/08: Dx Stage IV at age 30 - extensive mets to liver, lungs, and bones. Er/Pr-, Her2+++
April 08-Aug 08:Taxotere, Cytoxan, Herceptin, Zometa - complete response!
Sept 08-Dec 08: Herceptin +Zometa for maintenance.

Jan 09-April 09: Brain mets. Add Tykerb. Watch and wait.
April 09: Gamma Knife 10 brain mets, add Xeloda.
Sept 09: Gamma Knife to 1 brain met.
Nov 09- April 10: Lung progression, add Gemzar to Herceptin, Zometa.
May 10- Sept 10: HER2 Vaccine Trial

Sept 10: Add Tykerb for more brain mets.
Oct 10: Gamma Knife to 7 brain mets.
Dec 10: Switch from Zometa to Denosumab.
Jan 11: Gamma Knife to 3 brain mets.
March 11: Gemzar/Herceptin for lung/bone progression.
April 11: More brain mets - Intrathecal Herceptin
June 11: Ixempra/Herceptin for lung, soft tissue progression.
Aug 11: Gamma Knife
Sep 11: Abraxane/Herceptin
Future: NED

Send me a PM if you'd like to follow my journey on Caringbridge.
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