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Old 04-03-2011, 09:40 AM   #1
Vic
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Question about Zometa protocol/regimen. Any changes?

I've been getting a Zometa infusion twice a year for the past two years on the recommendation of my oncologist, because she said it helps to prevent bone metastases and also strengthens the bones.

She wanted me to have a total of six shots over three years, so this year would have been my final two as I've had four so far. Has something changed about this regimen?

I ask, because when I set up my appointment to see her this month and schedule my fourth shot on the same day, she had someone call me to say that I should see her first before going for my Zometa infusion. It's almost like she wants to talk to me so I can decide if I want to have it. Any thoughts on this so I have some additional information from my wise women here when I see her? Thanks, Vicki
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Diagnosed 12/03 at age 53
1.5cm tumor, ER-PR-, Her2 3+(rt side)
Stage 1B, Three negative nodes from Sentinel Node Biopsy
Paget's of the nipple, Infiltrating Ductal Carcinoma and DCIS of the rt breast
Bloom-Richardson score 8/9, P53+ 60-70%, Ki-67+ 30-40%
Skin-sparing mastectomy with immediate lat-flap reconstruction and saline implants, 1/04
Chemo: FAC, five sessions every three weeks Feb.-May 04, then switched to HTC weekly for 12 weeks, June-Aug 04
Zometa every 6 months for osteopenia, started April 09
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Old 04-03-2011, 10:40 AM   #2
tricia keegan
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Re: Question about Zometa protocol/regimen. Any changes?

Hi Vicki,

I'm not certain but think I recall reading some newer reports that showed zometa is not as good as first thought in preventing mets.
I just had my first infusion last Thursday due to osteopenia and almost five years on arimidex but my onc is only proposing a once a year dose which took about fifteen minutes. Maybe someone else knows more about this.
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Tricia
Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 04-03-2011, 10:51 AM   #3
Vic
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Re: Question about Zometa protocol/regimen. Any changes?

Thanks, Tricia. I guess I'll find out next week. It's always good to stay informed. Hopefully, some of the other women on this same regimen will have some information. Always great seeing you on Facebook!
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Diagnosed 12/03 at age 53
1.5cm tumor, ER-PR-, Her2 3+(rt side)
Stage 1B, Three negative nodes from Sentinel Node Biopsy
Paget's of the nipple, Infiltrating Ductal Carcinoma and DCIS of the rt breast
Bloom-Richardson score 8/9, P53+ 60-70%, Ki-67+ 30-40%
Skin-sparing mastectomy with immediate lat-flap reconstruction and saline implants, 1/04
Chemo: FAC, five sessions every three weeks Feb.-May 04, then switched to HTC weekly for 12 weeks, June-Aug 04
Zometa every 6 months for osteopenia, started April 09
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Old 04-03-2011, 01:50 PM   #4
ahoff
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Re: Question about Zometa protocol/regimen. Any changes?

I'm interested in finding out why. I receive infusions every 6 weeks and will be for 2 years. Started in Dec 2010. Thanks. Ann
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Old 04-03-2011, 02:52 PM   #5
Chelee
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Re: Question about Zometa protocol/regimen. Any changes?

Hi Vic,
Maybe your onc wants to ask if you would like to switch over to Denosumab? The report that came out from the last ASCO conference in Dec. 2010 said Zometa was a flop. Here's a link to it.

http://www.bloomberg.com/news/2010-12-09/novartis-to-withdraw-expanded-zometa-approval-request-after-trial-failure.html

Many onc are now asking their patients if they would like to try Denosumab which studies have said it's superior to Zometa. It's also not given by IV infusion..but rather a monthly subcutaneous injection which is more convenient. This may have nothing to do with why your onc wants to talk to you before your next infusion of Zometa--I'm just taking a wild quess since I was offered it along with many others I know of. Let us know what you find out? (Link below is about Denosumab if interested?)

http://www.pharmiweb.com/pressreleas...#ixzz1IUxrs6bh

Chelee
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DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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Old 04-04-2011, 01:05 PM   #6
tricia keegan
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Re: Question about Zometa protocol/regimen. Any changes?

I read that too Chelee and although it appears to be available here I was told by one of the Jr Dr's I saw (in my onc's absence) my hospital dont offer it. I'm not sure why but will ask more questions when I see her next!
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Tricia
Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 04-04-2011, 04:47 PM   #7
Rich66
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Re: Question about Zometa protocol/regimen. Any changes?

I don't have the articles at hand, posted previously here..
But I seem to remember coming across some conflicting info on effectiveness of Zometa.
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