The Leukemia & Lymphoma Society - Fighting Blood Cancers
172 Replies Last post: Jan 21, 2010 11:31 AM by sha_shelt   Go to original post 1 ... 8 9 10 11 12 Previous Next
peanut59   176 posts since
Apr 18, 2009
Currently Being Moderated
150. Nov 17, 2009 2:50 AM in response to: Bert
Re: Experience with Treanda?

I started cycle 2 today with day 1 of rituxan and bendamustine.  tomorrow i go in for the other half of the bendamustine.  having difficulty getting to sleep likely from the decadron. I figure in another 30 minutes or so i can go out and try to see the meteor showers.  It's a clear night here but we probably have too much city light to see much.

 

Oh and my 2 cents on the pretty name, Treanda.  They had to do something to give it a nice name since the other name, Bendamustine, gives it away that it contains mustard gas.  xxxlaurie

sha_shelt   637 posts since
Apr 3, 2009
Currently Being Moderated
151. Nov 17, 2009 11:02 AM in response to: Bert
Re: Experience with Treanda?

Laurie - hope this cycle goes at least as well as the first.  Actually I hope it goes 100%....no... 1000% better than the 1st with zero, zilch, nada, NO side effects whatsoever!  Everything I have at least 2 of I'm trying to cross for you and yes some areas cause considerable dicomfort doing that but you're worth it, sweetie!  lol

 

How many cycles are they talking?  I know you must have told me at some point but for the life of me I can't recall!  I'll know more after tomorrow on how many are in my future.  Have my local onc appt at 10 in the morning and hopefully my notes from Tucson are in the file.  Still planning on "holding out" til after the new year.  Need to get a couple more non-cancer things taken care of before we start the Benda-dance.

 

Hugs!!

Sharon

gdafoe   82 posts since
Apr 3, 2009
Currently Being Moderated
152. Nov 17, 2009 1:51 PM in response to: peanut59
Re: Experience with Treanda?

Laurie,

 

You are absolutely right. Bendamustine has been around a very long time and has a well established record in Europe.

 

I think everyone here who is getting Bendamustine (brand name is Treanda in the USA) will be very encouraged by the latest study results just published in the ASH abstracts I posted. Here it is.

 

Bendamustine Plus Rituximab Is Superior in Respect of Progression Free Survival and CR Rate When Compared to CHOP Plus Rituximab as First-Line Treatment of Patients with Advanced Follicular, Indolent, and Mantle Cell Lymphomas: Final Results of a Randomized Phase III Study of the StiL (Study Group Indolent Lymphomas, Germany)

 

Median progression free survival (PFS) for Bendamustine+Rituxan = 54.8 months

Median progression free survival (PFS) for CHOP+Rituxan = 30.8 months

 

It may just turn out that BR is the new standard of care.

 

Greg Dafoe

Webmaster: http://www.nhlcyberfamily.org

New 2009 ASH abstracts: http://www.nhlcyberfamily.org/downloads/ash2009.htm

jbowk   19 posts since
May 19, 2009
Currently Being Moderated
153. Nov 23, 2009 3:06 PM in response to: peanut59
Re: Experience with Treanda?

Hi All,

 

Just checking in with the latest Treanda news from my husband. He was meant to start stem cell harvest last month but ended up in the hospital with febrile neutropenia. Then he had to have his wisdom teeth out and during this time the tumors started to grow back. So they decided to give him round four of Treanda last week, even though his white blood cell count was low. I guess you could say that he is stuck in that hard to treat place. He had to have more chemo but the more chemo he gets the worse his white blood cell count  gets. Last week was his nineth treatment since January. So now they don't know about the autologous stem cell transplant. He is worried because why would you take stem cells that aren't working right just to put them back in. I know we still have the option of an allo transplant but the indecision and waiting are hard, as you all know. Anyway if anyone has any input about Treanda and neutropenia and transplants in general I would love to hear from you.

The Treanda seems to be wiping him out this time, but it could just be all that is going on. It is working on the tumors however.

Laurie I hope your second round went without a hitch.

Greg, thanks for all the hardwork and info. You provide a wonderful resource that I have come to rely on. I think I've read every word posted!

Take care everyone,

Jen

1erm2005@optonline.net   41 posts since
Jul 21, 2009
Currently Being Moderated
154. Nov 23, 2009 6:09 PM in response to: jbowk
Re: Experience with Treanda?

Hi Jen et al,

 

My update with Treanda etc.

 

Finished round four of the as planned Treanda cycle. Uneventful but some usual constipation and diarehea and some gas. In Aug began the preparatory steps for a mini allo BMT. I am treated at MSKCC, NYC. Had as required endocrinology exam, as I also have stage 2 diabetes which is under control, a cardio-stress test-two in fact, one was a nuclear and two consults with BMT Oncologist and Lead Oncologist. Cardio stress test revealed again a previously diagnosed some 5 years ago small bundle blockage in a non-main artery area. Had an Angiogram in Sept and further identified the bundle blockage.  Good enough for the cardio man, See you next year for annual cardio physical, BUT a concern for the Oncology folks. Meeting three weeks ago with BMT Oncologist now indicated they maywant to scrub the BMT-mini with an identified 9 out of 10 unrelated donor and consider a stem cell. We discussed the pro and cons. No decision either way at this point. About 3 weeks ago began to experience some fluid build up in lower abdomen.  Been there before.  Usual treatment in the past has been either a thoro-centesis or take some diuretic pills. Always worked in the past. At the suggestion of BMT Oncologist had a chest X-ray and verified some fluid build up. Two months ago we apparently had some pleural effusion-fluid build up as well and went to my Pulmonary guy-he gave me a diuretic and viola in two weeks I was much better.

On return from chest x-ray the fluid was increasing, no real pain, just discomfort, some belabored breathing and having to catch my breath. Decided to go to Pulmonary man and review the situation (Wed last) He prescribed a diuretic and now some 5 days later I feel much better and the bloating is going down in the lower abdomen.  Had yet another PET scan last Fri as follow consult with Lead Oncologist to be continued....

1erm2005@optonline.net   41 posts since
Jul 21, 2009
Currently Being Moderated
155. Nov 23, 2009 6:21 PM in response to: jbowk
Re: Experience with Treanda?

Continued- sometimes with too much info I lose it all. ???? Lead Oncologist also agree to a wait and see future on the BMT or SCT until after the fluid is finished, the heart sitaution is reviewed also need a MUGGA and the PET scan has results. They are very thorough at MSKCC. Generally feel ok except for the altered breathing at times. The diuretic is working fine. Once again both the Lead BMT and Head Oncologist stressed that either transplant for a 62 yrs old male is High Risk. Not totally sure that some more chemo might help but I may have passed the point of no return with the positive effects of chemo.  Let's keep in mind I have now in lare Oct begun my 11th year as a Victor Veteran. And who am I to complain. To date have stayed with MSKCCfolks 100% but and getting thoughts of perhaps a 2nd opinion and from another hospital although my gut says they are the best.

 

RE: the Auto and stem cell removal in his condition-I'd be very concerned about putting tainted cells back into my body unless they have been banked or extremelt filtered. Even with the allo option and with an unrelated third party donor with a 9 out of 10 marker basis and to a less extent a SCT-there is the great-grave chance of GVHD and all its complications. It's staeting to get VERY tricky and complicated. Get as much info as you can, check other resource boards, speak to your Patient Coordinator perhaps they can put you in touch with a similar successful patient- they will contact them and perhaps the patient will call you to discuss things in common. Perhaps a 2nd opinion may be warranted. All Oncologists are NOT alike.

 

Hope this HELPS!

 

All the best.  My thoughts and prayers are with you both.

 

Ed

1erm2005@optonline.net (914) 779-7453

peanut59   176 posts since
Apr 18, 2009
Currently Being Moderated
156. Nov 23, 2009 6:43 PM in response to: Bert
Re: Experience with Treanda?

I had cycle 2 last Monday and Tuesday and my neulasta shot on wednesday.  The nutritionist at my onco practice suggested that I take Claritin starting a day before the Neulasta injection and for 5 days after.  Apparently about half of the people who get Neulasta have their bone pain relieved through the use of Claritin.  I thought I'd try it to see if taking it could help with the Neulasta bone pain that I had after cycle 1.  I am happy to report that the Claritin worked and I didn't get any bone pain to speak of this time compared to spending a day in bed last month (stoned out on Vicodin) I was in so much pain.  I had my levels checked today and my white count is an off the chart 24,000!!  Last month after Neulasta it went to 17,500, can't believe it's even higher this time.  Everything else with my counts continues to be fine and no issues showing on my chemistry panel.

 

I will have cycle 3 on Dec 14/15 and then will scan at some point after that.  The oncologist is confident that everything is feeling smaller and I have to say that I think I agree.  I hesitate to say anything for fear I will jinx it but the load of acorns in my cheek that was making me look and feel like a squirrel have now shrunk away.

 

And my brother and sister and their partners flew in from New England last night and are going to spend the week in the beautiful 75 degree Santa Monica sunshine.  It will be wonderful to all have Tgiving together - we haven't all been together for the holiday since 2001 when we were at my folks and my dad was very ill.  Then on Friday, we're having a birthday party to celebrate my big 5-0.

 

So I'm in a great place at the moment and enjoying every moment that I can.   I can't offer much advice on the stem cell harvesting question, I just don't know enough to be able to help. But I wish you the best with all you are going through.

 

xxxlaurie

jbowk   19 posts since
May 19, 2009
Currently Being Moderated
157. Nov 24, 2009 10:59 AM in response to: 1erm2005@optonline.net
Re: Experience with Treanda?

Hi Ed,

 

Wow, with all that you are going through I really appreciate you taking the time to give me advice and kind words. I guess we have a lot of decisions to make. We have six kids ranging in age from 27-7. I assume that my husband will be willing to try any type of transplant in the hopes of a remission for their sakes as much as for his own. Even understanding the risks, his cancer is so aggressive it seems we are left with little choice. The head of the BMT team is the third oncologist to treat my husband. She was brought in as a "Super" Specialist in the field. I think the best we can do is become as informed as possibe as you suggested, in order to make the decisions as a team and not be steered blindly into anything.

 

Well, the saga continues!!! Happy Thanksgiving to you all.

Happy Birthday Laurie!! Thanks for the great tip about the Claritin!

 

Thanks again for the support Ed.

Take care,

Jen

1erm2005@optonline.net   41 posts since
Jul 21, 2009
Currently Being Moderated
158. Nov 24, 2009 11:57 AM in response to: peanut59
Re: Experience with Treanda?

GREAT NEWS peanut59, I wasn't aware of the positive effects of Claritin and am glad it worked for you. Glad too that your tumors are shrinking and the blood counts are up significantly. Appears you are having good success with Treanda. Continued success with the Dec cycle. You don't mention anything about your energy level and ability to do work, odd jobs etc. The TEAM might want to apprised of that kind of info.

 

And you are ONLY taking TREANDA and nothing else like Rituxin?? Yes??

 

Enjoy the T-day with family sounds like you (us all) have a lot to be thankful for.

Also, enjoy that 'warm Ca. sun' too! The Vitamin D and daily exposure may even help with an improved WBC count. And attitude adjustment too.

 

Let's all wish Bert a Happy Thanksgiving and that her situation is improving as well.

 

To all of us VICTORS, ANOTHER HAPPY and BLESSED THANKSGIVING. We all have a lot to be thankful for.

 

Ed

1erm2005@optonline.net   41 posts since
Jul 21, 2009
Currently Being Moderated
159. Nov 24, 2009 12:17 PM in response to: jbowk
Re: Experience with Treanda?

Jen,

 

If you don't mind may I have your personal email address. I would at times like to communicate outside the community, if you don't mind. BTW, what is your husbands name? I'd like to add him to my prayer list.

 

Third Oncologist eh!! Is she part of the local team or somebody special they have brought in for  cases like your? I'm now dealing with 2- the lead Oncologist and the BMT Team assigned Specialist.  Funny thing, most of my Oncologists even since day 1 in 10/2002 have been females. From a male perspective I have found that they are VERY knowledgeable, VERY direct, no nonsense and in my case a combination of wise sage, grandma and even a mother at times. Though i have NOT been scolded or repirimanded I was initially put on notice bthe BMT gal. Somewhat age contemporary. The guys on the other hand, though competant can be a bit stand offish and not as thorough as the gals. Like Avis, (vs Hertz) the gals over their long careers (in the mostly male dominated era of the 1970-1980's) have had to at least try to compete with the good ole boys club. I actually find it kind of refreshing. My gals are tops

 

No THANKS are ever needed. You stay strong and tough in this battle as care giver. But, remember, Jen, YOU need some occasional and perhaps even more so now, "JEN TIME" for yourself. You cannot be the BEST YOU, wife and mother IF you are NOT as whole as you can be. You need to allay your fears, even though they may be real, and find a good friend, confidant to either listen, hold your hands, pray together, scream out, yell, rant, rave, to releive the built up stress of this VERY REAL SITUATION, or even have some quiet time, DAILY.  And NO it's NOT being selfish- YOU need this girl friend. For YOU!

 

This is an oldie but a goodie:

 

"God grant me the serenity to ACCEPT thge things I cannot change;

The COURAGE to accept the things I can;

And the Widsom to KNOW the difference.

 

and one of my favorites-

 

"Be STILL and KNOW that I am there!"

 

Now go and take a few minutes for YOU!!

 

Ed

1erm2005@optonline.net (914) 779-7453

peanut59   176 posts since
Apr 18, 2009
Currently Being Moderated
160. Nov 25, 2009 10:51 PM in response to: Bert
Re: Experience with Treanda?

I am getting Rituxan plus Bendamustine.  My onco was showing me some studies with the combo that appear to get better results than the Benda alone so I figured i'd give the combo a try.

My energy level the week of treatment is pretty low but then I've recovered ok.  I take a nap every day but am doing some walking and biking so it's not horrible.  IMO, the R-Benda is nowhere near the way I felt on R-CHOP.  No mouthsores, hair loss, and my appetite has been fine.  A little nausea on the first 4 or 5 days after treatment but as long as I proactively take Compazine, I've been able to manage it.  And thank heaven that there is no Prednisone to tell with on R-B.


And yes, why didn't anyone tell me about Claritin before for Neulasta??  I'll continue to do that each cycle.

 

For the crew, I am on the 28 day cycle which is typically used for CLL.  My onco gave me the choice of 21 days or 28 and she couldn't show me much evidence that doing a 21 day cycle would improve results so i decided to go with the once per month deal which just gives me more time to recover.

 

Let me know if you have any other questions.  happy thanksgiving to all!  xxxlaurie

1erm2005@optonline.net   41 posts since
Jul 21, 2009
Currently Being Moderated
161. Nov 27, 2009 3:34 PM in response to: peanut59
Re: Experience with Treanda?

Way to go Peanut59,

I have as I mentioned in recent post 4 rounds of Benda- within the last month been filling up with fluid about 10 lbs weight gain-and it's NOT from over eating. My carbs daily allotment assures me of that as per my Endocrinologist.

FYI- for those who may have these sighns of perhaps post chemo occurrences, the Pulmonary guy has me on Aldactone 25 mg 2x daily (since 11/18) and the Oncologist has me on Prednisone 5x daily along with Allopurinol 300mg 1x daily (since 11/25); the last two days I've lost at least 7 lbs of fluid- was 243lbs before all this, went up to 256 lbs (fluid) and now this am 248 lbs. The bloating has subsided, I'm breathing much better, less caughing up 'Green' sputum, but some mild diahrrea.  Will see Pulmonary guy next week, also Endo-gal and also have a Mugga for some Oncologist concern for my heart. The last time I had a Mugga in 2001 was post the initial R-COP. So we'll see.

Basically, feel GREAT today with much improved energy level. Will also get blood results from last weeks blood tests and PET scan. Although the preliminary PET scan did indicate some new tumor volitility in chest, neck, abdomen and pelvis.  Where are in a watchful waiting period until this heart and fluid situation clears up.  The good news is as per MY plan I'm home with my honey for Thanksgiving and also plan to be there for Christmas and New Year's.  So I'll just LIVE my life, enjoy it and NOT think about all the what ifs!! AMEN

 

Hope yas all had a GREAT Thanksgiving- esp. Burt.

Until next time-- this is WKRP signing off.

Ed

1erm2005@optonline.net

jbowk   19 posts since
May 19, 2009
Currently Being Moderated
163. Nov 30, 2009 12:44 PM in response to: 1erm2005@optonline.net
Re: Experience with Treanda?

Hi Ed,

 

My husbands name is Andy. I don't mind if you e-mail me.

 

As far as a Treanda report goes---  treatment number four made Andy extremely neutropenic. His ANC dropped to .375. The strange thing is that he had his blood drawn six days after a Neulasta shot. Luckily, although it doesn't sound too lucky, the shot kicked in, he experienced some major bone pain, and his counts went up. We'll see what this week brings! Hopefully we'll figure out where all this is headed.

 

Take Care,

Jen

cindy   20 posts since
Apr 3, 2009
Currently Being Moderated
164. Jan 11, 2010 9:35 PM in response to: Bert
Re: Experience with Treanda?

Happy New year to all, Wow what a year it has been!  I hope everyone had good holidays. mine were cold but wonderful, I got the best present on dec 14th exacty 1 year less 1 day from diagnosis I got the new of remission. Can you believe that? thanks for the support from all of you, you may not all know me very well but, Bert and I started this talk of Treanda and I have "listened" to all your story's.  I pray that we all will continue in recovery with many good days ahead. Keep me in the loop and I'll continue to pray for a cure

Love Cindy

More Like This

  • Retrieving data ...