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....
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. ![]()
Thankyou Cookie !
My husband seems to be stronger these days...he's gaining weight, walking more, sleeping better and eating more, so needless to say we are very hopeful.
We too have been blessed by our community with generous offerrings of meals, carpooling, yardcare, blood drives and fundraisers. It's a bittersweet journey. We do feel surrounded by a loving neighborhood and cared for. My husband has a great attitude and keeps working towards complete health and I'm extremely grateful for that inner part of him.
We receive biopsy results from the decitibine and Mylotarg therapy tomorrow. It's taking longer for his cell counts to come back from this protocol then the others. When they did the BMB they said he was "dry" but they could still get a biopsy. Our hearts go out to all travelling this path !
In grateful thanks,
Sunny
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??
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
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
Hi everyone !
His SCT donor was his brother. We were told it was the best match you could get ! The are saving half of the collected cells for the future. So he could have a mini-transplant later if needed.
My husband also had the DX of AML MLL translocation of 9 and 11. Does that make him AML M5 in the FAB classification ? I don't know.
Well we were very happy to have a clean BMB report this week ! that means he is in remission for now.
I read some research that the decitibine and Mylotarg therapy can put some folks into remission( even for years ). We were told this drug protocol was traditionally used on older AML patients that wouldn't tolerate a SCT and it kept the leukemia under control but it wouldn't "cure it". The oncologist believed the SCT was the "cure". However I think there are plenty of other things we can do.
My theory is.....and although I could be totally wrong, since they suppress the patients own immune system so heavily after the SCT to control GVHD how could his body even have a chance to overcome the leukemic cell growth. Now that they have reduced his immune-surpressent drugs and let his own immune system strengthen he is doing so much better. There is definitely a difference in his thinking, energy level, desire to eat and attitude.
He just finished two weeks of heavy antibiotics due to a pick line infection and we got to drop 3 medications so the pill box is starting to lighten up !
Anyway we feel relieved and are looking forward to the holidays.
and TEX I don't think he has any kind of "percolating" leukemia. It came on pretty fast ! They day he was diagnosed, he almost didn't keep his Dr's appt because the anti-biotics he got were starting to make him feel better. We were on the BMT unit within 2 hours of that afternoon appt ! That was a wild night, but all is well !
Thankyou so much for your reponses, it means alot to be able to share !
Best Wishes to All,
Sunny
Sunny
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!!
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.
Thankyou for the info....that is interesting about the relapse rate, being higher from a sibling and less from an MUD ( that's matched unrelated donor, right ?)
Thankyou !
Sunny
Yes.Matched unrelated donor.I thinl she was telling me if the match is to close there is not enough GVL.Graft versus Luekemia.
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
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.
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?)
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