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39 Replies Last post: Dec 16, 2009 2:53 PM by Tex   1 2 3 Previous Next
sunnybrook64   13 posts since
Oct 16, 2009
Currently Being Moderated

Oct 21, 2009 1:42 PM

AML MLL  anyone achieving remission ?

My husband, 46 yrs old, was diagnosed with AML MLL in January 2009. His initial induction and consolidation failed and we then got ready for a BMT which he received on 7/10/09 which also failed. He is now on the decitibine and mylotarg  therapy which we hope will place him into remission. In the meantime we are looking at all alternatives, in the states and world-wide. AML-MLL is pretty resistant but we are hopeful !

 

He's never been ill in the 20 years I've know him, a runner, non-smoker, non-drinker, no coffee or soda either.....there has to be something to reverse the leukemia switch....

Cookie   3 posts since
Jul 26, 2009
Currently Being Moderated
1. Nov 10, 2009 9:15 AM in response to: sunnybrook64
Re: AML MLL  anyone achieving remission ?

Hi Sunny - I am a 47 year old mother of two diagnosed with AML 1 year ago.  But unlike your husband I am in remission on a maintenance trial.  It's been a really tough go but I've had a lot of support from family and friends.  My community pulled together for me in ways I never thought possible.  It is this support that has kept me going.  Don't give up hope.  When you give up hope you give up.  Please know that there are prayers coming your way.

pinkydo123   359 posts since
Oct 7, 2009
Currently Being Moderated
3. Nov 13, 2009 7:30 PM in response to: sunnybrook64
Re: AML MLL  anyone achieving remission ?

Great to hear you're hubby is doing good so far!!May I ask you what kind of bmt did he get MUD or sibling???Or cord blood??Are they conditioning him for a mini??

willowbayfarm   385 posts since
Apr 12, 2009
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4. Nov 14, 2009 11:19 AM in response to: sunnybrook64
Re: AML MLL  anyone achieving remission ?

Hi Sunnybrook,

There was a brief discussion about the MLL gene abnormality not long ago - if you type MLL into the search engine at the top of the page, it should guide you to that discussion.  Christina's husband has the MLL thing going on, and he just had his transplant.  She has an active thread about it right now and the title is something to the effect of they released him at 13 days and she was wondering if they let him go home too soon...

I do have the 11q23 MLL abnormality, but my understanding is that the effect of that is mediated somewhat by the fact that I also have a translocation of 9 & 11.  So I guess I'm lucky in my unluck...I am approaching one year of remission on the 24th, and was able to achieve remission with one induction.  I received 4 consolidation rounds of Hi-DAC following my induction treatment.

I was athletic too and had a healthy lifestyle, so everyone who knew me was very surprised I could end up with leukemia.  I was 49 at the time of my diagnosis.  What I believe about that is while it won't prevent you from getting the disease, it will wind up being helpful in the fight.  Your hubby should be stronger and have less co-morbidities because of his healthy lifestyle. 

I will be hoping for good results from the latest BMB and will keep you two in my thoughts.  Best wishes.

- WBF

Tex   3,803 posts since
Apr 3, 2009
Currently Being Moderated
5. Nov 14, 2009 2:17 PM in response to: sunnybrook64
Re: AML MLL  anyone achieving remission ?

This BBS software sometimes goofs up dates.  However, if you actually posted on Octtover 21, my apologies for None of us replying before now.  Apparently we've just seen it.

 

I assume WBF's statement that there was a recent discussion of MLL is correct, but I have no memory of it.  Are you saying that they've classified hi AML by gene issue?  Did they also give him a FAB clssification (m0 - m7)?  I've just never heard of AML MLL before.  I'm still learning and most of us still relate through FAB clsssifications.

 

I, too, am curious about what type of transplant he had but more along the lines if it was an allo or an auto.  I ask because if it was an auto, there's usually the allo to fall back on.  Even allos that don't take can be done over in some cases.

 

Another curiosity, if you don't mind asking questions.  Did they discover your husband had a history of MDS (or percolating leukemia)?  I'm wondering because dicitibine was originally developed for MDS and has recently become used with AML.  I'm still trying to tag whether it's being used for any AML or specifically for those with a MDS precursor.

 

If I've got the dates all figured out on these posts, ya'll should have the BMB results.  I hope they came out clear and you're celebrating today.

 

Please let us know.  Thanks for letting me ask some questions.

 

Blessings

pinkydo123   359 posts since
Oct 7, 2009
Currently Being Moderated
7. Nov 14, 2009 4:55 PM in response to: sunnybrook64
Re: AML MLL  anyone achieving remission ?

I'm a caregiver so I don't have as much in depth info as some on the board's.I was talking to the wife of a fellow patient on The Transplant unit where Todd is.Her husband is 62 years-old and has relasped post transplant 11 month's.He has treatment related AML.However, his transplant was an allo-sibling,(his sister) and now I think the treatment team is thinking he will have better sucess with a MUD.I think they have one lined up.I'm saying that to say, from the people I hav talked to the allo-sib's have less GVH/but a higher relapse rate.The Mud's have higher GVH/ but less relapse.So maybe they will go that route.Good Luck!!

pinkydo123   359 posts since
Oct 7, 2009
Currently Being Moderated
8. Nov 14, 2009 4:59 PM in response to: pinkydo123
Re: AML MLL  anyone achieving remission ?

Yes Tex.There was a recent discussion.Christina's Hubby is 15 days- post transplant as WBF was saying.He has the translocation 11q23 and he just got an allo-sibling transplant.These board's are goofy.Hard to find stuff at time's.They are in Texas at Baylor.

pinkydo123   359 posts since
Oct 7, 2009
Currently Being Moderated
10. Nov 14, 2009 6:01 PM in response to: sunnybrook64
Re: AML MLL  anyone achieving remission ?

Yes.Matched unrelated donor.I thinl she was telling me if the match is to close there is not enough GVL.Graft versus Luekemia.

willowbayfarm   385 posts since
Apr 12, 2009
Currently Being Moderated
11. Nov 14, 2009 8:28 PM in response to: pinkydo123
Re: AML MLL  anyone achieving remission ?

Hey Rebecca, is this you???  Pinkydo?  Did you change your handle?  Ya know, some of us around here have chemo brain and I think you're just messin' with us by changing your name up!

Hope Todd is doing well.

- WBF

pinkydo123   359 posts since
Oct 7, 2009
Currently Being Moderated
12. Nov 14, 2009 9:16 PM in response to: willowbayfarm
Re: AML MLL  anyone achieving remission ?

Yeah changed my handle.It's my screename.Todd's feeling better.His wbc's are finally coming up.his doctor was in today.He goes for a transplant consult Tuesday.So I'm hoping for a clean bmb this time.They are also doing his bmb on Tues so it will be a busy.The 17th is day 20 after the second induction so hopefully he will be home for thanksgiving,if all goes well.

Tex   3,803 posts since
Apr 3, 2009
Currently Being Moderated
13. Nov 15, 2009 12:06 PM in response to: pinkydo123
Re: AML MLL  anyone achieving remission ?

Thanks, pinky.  I know who Christina is, I just don't remember the conversation even a little bit.  As I've said a million times before, chemo brain sux.  (Well, I think i've said it...who can remember?)

Tex   3,803 posts since
Apr 3, 2009
Currently Being Moderated
14. Nov 15, 2009 12:22 PM in response to: sunnybrook64
Re: AML MLL  anyone achieving remission ?

I don't think there's any established research that sibling donations relapse more often.  If that was the case, I don't think siblings would still be the preferred donation.

 

One of the nurses at the Hutch told us that identical twins do tend to relapse more often but I think that was more observation than established science.  The idea there is that the twibs also have identical immune systems thus there is a chance that neither immune system will be able to fight back the disease.

 

It does seem to me (anecdotally) a lot of sibling transplants do have a relapse.  But so do a lot of M<UDs.  There appears (to me, anecdotally) to be a risk that there can be too many similarities in some sibling donations even when they aren't twins.

 

Again, I can't stress this enough.  This is observation, anecdotal "insight."  Unless and until there are actually studies that indicate such, we need to keep this in tight perspective.

 

Sunny, I had a very quick onset too.  I was called back for a blood donation to check and make sure the one I'd taken a couple of days before was not a mistake.  That night my doc called, told me to pack a bag and get to the hospital ASAP.  And they did discover I'd had MDS oon my way to AML.  Just never knew it.  This is really a timing game sometimes.

 

Blessings

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