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Old 07-30-2011, 07:09 PM   #1
Kmswilson
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Starting Navelbine Monday, have questions.

Hi all! My scans on Monday showed that I have progression in my liver, though I'm stable everywhere else. So, we're abandoning the Taxol, which has run its course for now, and the Carboplatin, which didn't really do much of anything the last eight weeks, and I'm starting Navelbine on Monday. I'll continue the Herceptin weekly and Zometa once a month. I guess my questions are...if any of you have had taxol and carbo, how does Navelbine compare to those as far as side effects? Or even if you haven't had the taxol or carbo, nut you've had Navelbine, what's your experience been? I'm looking forward to changing therapies, and hoping that the Navelbine kicks some cancer butt right outta my liver, but of course, I'm nervous about starting a new chemo! Any info you can give me is greatly appreciated! Thank you in advance! :-)
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12/27/10 - IDC, rt breast (approx. 15 cm), lymph nodes, age 36. 1/7/11 - stage 4 IDC, extensive liver mets, Bone mets (spine, sacrum, rib, sternum, upper arm), ER-/PR-, HER2+++; 1/12/11 - port, 1/17/11- startweekly Taxol/Herceptin, monthly Zometa
3/8/11- decrease in all tumors, bones healing. 3/11- 3 wks on/1 off Taxol/Herceptin, +Zometa
6/6/11 - decrease in all tumors, healing bones, 2-4 new liver lesions. 3 wks on/1 wk off Taxol/Carbo/Herceptin, +Zometa
7/29/11 - liver progression, others stable; 8/11-drop taxol/carbo, start Navelbine
12/11 - liver progression; begin AC, drop Herceptin;
1/12 - liver enzymes normal, 2/6 results show regression in liver, stable others, but 9 tiny brain mets (largest 7 mm). Begin 13 WBRs 2/6; 2/29-start Tykerb, 3/7, start Xeloda
5/2012- liver progression and regression, liver biopsy confirms HER2+++. drop Xeloda, start Herceptin, Tykerb, Zometa.
5/2012- brain MRI shows all lesions gone except 1, 2mm shrinking!
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Old 07-30-2011, 11:46 PM   #2
Jackie07
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Re: Starting Navelbine Monday, have questions.

Hi Krissi,

There've been some discussions about Navelbine in this thread:

http://her2support.org/vbulletin/sho...ight=Navelbine

Perhaps more will chime in.
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Last edited by Jackie07; 07-30-2011 at 11:49 PM..
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Old 07-31-2011, 04:01 AM   #3
Sheila
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Re: Starting Navelbine Monday, have questions.

Krissi
I went from Taxol to Navelbine....I found Navelbine to be quite easy. I no longer needed pre meds (yeah) and it seems the only issues I had were constipation, which is common, and a little fatigue...no nausea. I did take Nexium for indigestion while on it.

Hoping it is a easy drug for you...after Taxol/Carbo, it should be a welcome relief!
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Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 07-31-2011, 06:16 AM   #4
Kmswilson
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Re: Starting Navelbine Monday, have questions.

Thank you both! Great to hear that Navelbine was easier than taxol. Taxol seemed to be a breeze to me (after I added the Carboplatin to the taxol, anyway, and had something to compare the taxol to! Carbo is mean!) I did do a search and read the posts on the thread you posted, Jackie, before I posted the new thread, which was helpful, but I'm so glad to hear a comparison from someone who had one of the chemo drugs I was already on to have an idea of how Navelbine compares! Thanks again!
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Krissi
12/27/10 - IDC, rt breast (approx. 15 cm), lymph nodes, age 36. 1/7/11 - stage 4 IDC, extensive liver mets, Bone mets (spine, sacrum, rib, sternum, upper arm), ER-/PR-, HER2+++; 1/12/11 - port, 1/17/11- startweekly Taxol/Herceptin, monthly Zometa
3/8/11- decrease in all tumors, bones healing. 3/11- 3 wks on/1 off Taxol/Herceptin, +Zometa
6/6/11 - decrease in all tumors, healing bones, 2-4 new liver lesions. 3 wks on/1 wk off Taxol/Carbo/Herceptin, +Zometa
7/29/11 - liver progression, others stable; 8/11-drop taxol/carbo, start Navelbine
12/11 - liver progression; begin AC, drop Herceptin;
1/12 - liver enzymes normal, 2/6 results show regression in liver, stable others, but 9 tiny brain mets (largest 7 mm). Begin 13 WBRs 2/6; 2/29-start Tykerb, 3/7, start Xeloda
5/2012- liver progression and regression, liver biopsy confirms HER2+++. drop Xeloda, start Herceptin, Tykerb, Zometa.
5/2012- brain MRI shows all lesions gone except 1, 2mm shrinking!
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Old 07-31-2011, 08:18 AM   #5
Lori R
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Re: Starting Navelbine Monday, have questions.

Agreed that Navelbine was very manageable!!

I was prepared for constipation but did not have anything severe. I hardly knew I was receiving treatment. YEA!!!!

Navelbine did not appear to do much for me, but by that time my Onc. began to believe there was something happening around my tumor area in the liver that was precluding the chemo from getting where it needed to be. (hence the liver resection)

But...I digress....back to the original question. Be encouraged, this one is easy. I am confident that you will be able to proceed with a very active lifestyle.

Lori
__________________
2007
Oct - Diagnosed - Stage IV
5 c.m. IDC - Left Side er/pr- Her2+++
Node + 2/14 - Single Liver Met
Double Mastectomy
Nov - Begin T+H
2008
Feb-Complete 6 cycles- T&H- NED
March - Continue - Herceptin Only
April - Rads for 6 weeks
2009
Continue Herceptin - Continue NED
April - Recurrance- 3 cm. Liver Met
May - Cryosurgery
June - November - Abraxane + Herceptin
Aug - PET/CT - CTC = 0 Back to NED
2010
January - Continue NED
July - Recurrance - 3 cm Liver Met CTC=1
August - Cryosurgery #2
August - November Navelbine
November - Back to NED - End Navelbine
2011
Feb - Recur - 4 cm Liver Met - Same Left Lobe
March Surgery it is -Couldn't get a clean margin
July - Confirmed continued liver involvement
August - Begin Herceptin + Tykerb
October - Mixed results from H+T
Add Abraxane + H + T - Nov - April
2012
January PET Scan - It's working!!
April - Back to NED
July - Recurrance
August - Begin TDM-1 Trial (Taxol + TDM-1)
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Old 08-01-2011, 04:06 PM   #6
DeenaH
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Re: Starting Navelbine Monday, have questions.

I am on navelbine/herceptin/tykerb. I have had mild nausea, but usually 1 zofran a day takes care of it. I do have some fatigue, and it knocks my white cells down. I had to do neupegen shots after my third treatment. I start my second set of three weekly treatments on Wednesday and am hoping I don't have to do the shots again! Overall it is a cakewalk compared to the a/c taxotere I did last summer. Good luck!
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March 2010: Diagnosed with Stage IIIC IDC with axillary, mammary and suplaclavicular node involvement. ER/PR -, HER2+++. 7cm tumor in right breast.
April 2010: Started neoadjuvent chemo. 4 DD A/C every 2 weeks, 4 DD Taxotere every 3 weeks with Herceptin weekly.
August 2010: Finished chemo!
August 20, 2010: PET/CT showed no cancer in any nodes, and only a little uptake to the breast.
September 9, 2010: Bilateral mastectomy with immediate reconstruction with implants and Alloderm.
September 16, 2010: Pathology report showed 18/51 positive axillary nodes, 3.2cm tumor. Granual sized cancer found in the fatty tissue between levels 1 and 2.
October 19, 2010: CT showed several spots on lungs and 1 spot on liver. Liver spot is 2mm, lung spots range from 2mm to 4mm. We don't know if they are cancer or not.
12/15/10: Brain MRI clear
1/7/11: PET/CT
1/13/11: Recurrence in lungs. Start Tykerb
5/13/11: Progression in lungs
6/3/11: Lung surgery to get tumors for chemosensitivity testing.
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