I will begin treatments with Treanda on December 4 and 5. These will be my first chemo treatments since being diagnosed with cll three years ago. Can anyone tell me what to expect? My oncologist said that I wouldn't lose my hair or become nauseated with this drug. Is that true? Are there any other side effects that may occur? Thanks for any information you can give me.
Hi Westie,
I'll be joining "Club Treanda" in January for my latest relapse of follicular NHL. There are a couple of threads on the NHL board about Treanda. Seems like with any chemo, the side effects will vary with the individual. Some suffered with very low blood counts, and other issues while some had minimal problems. I'm rather pleased with the lack of hair loss - already lost it partially or totally 5 times now and it's just beginning to grow back pretty well now from my last chemo. I'll be looking for your updates as this phase of your journey begins as I'll be a month or so behind you.
Peace and blessings
Sharon
Hi Sharon,
I hope my side effects are at a minimum. It sounds like you've already had a rough time with your experiences with chemo in the past.
I will be sure to keep you up on how my treatment progresses. Please do the same for me whenever you start your treatments in January.
Peace and blessings to you, as well,
Jane
Hi Jane,
Had an appt with my doc on Wednesday and another follow-up/plan setting in mid-January. Doc said looking at me, my bloodwork, and lack of typical symptoms that I'm one of the healthiest sick people he's seen. LOL That's par for the course as it's pretty much the way for me all the way thru since the beginning in 2001. I'm shooting for treanda start the last week of January.
I, too, hope your side effects are minimal but just pay attention to what your body tells you. My experiences with all the other various chemo forms so far has been quite tolerable. A little hitch here or there but nothing that couldn't be managed - didn't even have to take much time off from work except for treatments and all the other stuff that goes with it. But if you find yourself with side effects that are bothersome, contact your doc's office ASAP because for everything there is something to counter it. Rest when needed, lots of fluids for the first few days, eat well, some exercise as you can and remember that this too shall pass.....
Sharon
Hi Westie,
Just wondering why you are starting out on Trenda. If this is your first treatment for CLL I would think it is a rather harsh way to start.
I started in 2005 with Rituxin and Fluradare and then a follow up with Campath. Rituxin is a monocloid that targets the B-cells that are in trouble. I found the Rituxin to be very mild. Fluradare which kills all cells was not bad.
Follow up treatment was with Campath which put my Cll into remisson but really did a whack job on my immune system which I am paying for now.
In 2008 the CLL came back and I went on CHOP + R and I had a lot of problems with that as it is a very aggressive chemo. It did not do any thing for my CLL
and my immune system remained in bad condition.
Had four treatments with Rituxin in June of 2009 and it did not make a dent in my CLL.
Went to M.D. Anderson in July for a second opinon and one of the treatments they suggested was Trenda. Trenda has been available in Europe for sevral years and was approved for treatment in the U.S. this spring. After reading up on Trenda I am trying to hold off for a while before I have any further aggressive treatments.
The follow on to Rituxin is a monocloid called Azmutab (?) and has been approved for patients who are refractive to Fluradare and Rituxin.
Please keep us posted on your Trenda treatments and results.
Best wishes - Fred
Hi Fred,
I'm just following what my oncologist suggested. All of these treatments are very new to me. My platelets have dropped to 80,000 and my white count is 88,000. He suggested Treanda because he said that it had few, if any, side effects. I think he was also a little surprised that it has only been three years since I was diagnosed and was moving out of the "watch and wait" stage. He suggests treatment for his patients whenever the platelets drop below 100,000. He feels that Treanda will put me in complete remission (for awhile, anyway).
What was your platelet count when you had your first treatment? Is that how your oncologist determined it was time for chemo?
Thanks for answering my post. I really need some encouragement and advice from those with cll that have already had treatment.
Jane
Hi Sharon,
I asked my oncologist to postpone my treatments until after the holidays. I have four grandsons (8 months-3 years) and I wanted to enjoy them. Since I have never had any type of treatment for the cll, I didn't know how my body would react and wanted to feel well enough to enjoy Christmas.
I have a visit with my doctor on Wednesday, January 13, with Treanda treatments scheduled for January 14 and 15. It looks like I will still have a jump on you, so I will be sure to write you and let you know how I fare.
Have you learned anymore about Treanda? I've been searching on the web and haven't found anything too dreadful.
Take Care,
Jane
Hi Jane,
That's exactly why I wanted to put off starting treatment too - have 4 g'kids ages 4-10 and wanted to know I would enjoy the holidays. Not that there's anything that spectacular planned - no cruise to the Riviera or skiing in the Alps (LOL!) - but I do like to cook (and eat!) and have a few little traditions I'm starting with them and want to make sure I'll be up to the tasks.
Good luck and I'll keep you posted if you do the same for me.
MERRY CHRISTMAS AND HAPPY (HEALTHY!) NEW YEAR!
Sharon
Hi Westiemac,
My dx was based on my WBC count which was at 28,000 and platelets were over 100. After becoming a more informed consumer I now think that I would have preferred to wait longer. Once you start down the slippery slope there is no turning back.
My platelets were always good until I had chop + r treatment and since then are always under 100. My platelets are now at 48.
I just came out of the hospital from a short visit. Went in Monday for regular CBC and my HGB was below 8.0 which is the mark for red-blood transfusion. While there the oncologist looked at a cyst that I had on my back. She wanted me to have it checked out (go in to the hospital for infection check out and also have the x-fusion done three) as I have been on Levaquin to prevent infections. Had the surgery done but the blood x-fusion took longer as there were anti-bodies that they had to match and were not available in the hospital blood bank, requiring them to search other blood banks.
Reading the forums and additional information Rituxin seems to be a first choice for many first time dx. Also many continue on Rituxin for maintenance, I was not that lucky.
Having done a lot of reading on CLL I now wish I had a better understanding of what I was getting into and now ask the oncologist a lot of questions before treatment.
For information on Treanda I follow the forums on this board and an interesting article by CHAYA on her information forum.. I wish I had known about her articles earlier as she has demystified a lot of my questions on CLL. Please read her articles and educate your self.
One thing is for sure, no two CLL consumers have the same reactions to chemo. Wish I was one of those persons who have gotten along with Rituxin for years.
As I had written earlier I had told my oncologist that I was not ready for Treanda. I had shown her an article on ARZERRA (humax-cd20) and she did not think that was available yet. While in the hospital she informed me that she had called the drug rep and the rep was going to help her get the supplies. I will be talking to her about a possible treatment with Humax-CD20.
It is a very difficult decision on what treatment to use for CLL as there are so many available and the supposed gold standards are changing constantly. Also adding to the confusion is where you are being treated as there are many different approaches to what your treatment should be. My best advice to you is to educate your self and be comfortable with the choices you and your oncologist make.
I am also in the grand parent category (8). So we all have a lot to look forward to over the holidays. I will keep you updated on my next treatment and be sure to keep us posted on your results from Treanda.
Regards - Fred
Dear Sharon and Fred,
I spoke with the case manager assigned to me from my insurance company, as well as my oncologist's nurse today. Since my oncologist seems comfortable with Treanda, I am going to give it a try. I am from the upstate in South Carolina and realize that I will be one of the first in our area to use Treanda, but I have a good feeling about it.
I will be sure to use this forum to post information about my treatments so that we can compare notes. Thanks for sharing your own experiences. It makes me feel less alone. I hope both of you have a very Merry Christmas with your family and grands!
Jane
Hi Sharon,
Well, the time is finally here: I will begin my Treanda chemo beginning tomorrow morning. I will take it on Thursday and Friday, wait 28 days, and take it for two more days. My doctor assures me that it will make me feel much better. I will be sure to keep you up on how it goes with me.
I your treatment still scheduled for later this month?
Jane
Hi Jane
I just happen to see your post today, & wanted to tell you my experience, I was diagnosed Dec 2008 with NHFL with very small enlargement of the nodes, we did wait & watch, but I had a lot of stomach pain they couldn't find out why, so the last result was maybe the nodes were in some nerves. I did 3 rounds of Treanda as my 1st and only treatment, & am happy to say on Dec14th 2009, am in remission. The only real side effects I had were nausea & severe dizziness for the 1st 2 days after treatment, but we think that was caused by the steroid they were giving me to keep me from being nauseated. I also had extreme thirst the 1st week. My blood counts were great since I never had previous chemo. Well I hope this helps and good luck. there is another board Experience with Treanda? that has some other people that have gone through treatment.
Cindy
Greetings..
I was interested in reading some more information about Treanda.. I copied a link to the information.
it seem vary interesting. Also it suggest as a first line treatment . good luck
http://www.treanda.com/CLL_pat_home.aspx
Hi Fred,
I was afraid to wait any longer. My platelets had dropped to 88,000 and my white count was over 100,000. Large, swollen lymph nodes, night sweats, and fatigue were making me miserable. My doctor also told me that since I was having trouble this early after being diagnosed that I may have the more aggressive type. (My CD 38 markers were at 56%.)
I had two rounds of Treanda this week and had headaches, nausea, crazy nightmares, and fatigue afterwards, but I am feeling a little better as I write this. I am due for another round next month and he feels that I may not need anymore rounds for awhile after that and that my platelets and white count could go back in the normal range. That would be great!
I'm sorry to hear that you've had such a terrible experience. Treanda is my first and only experience with chemotherapy and from everything I've read (and been told), it is a very promising treatment for cll and lymphoma patients.
Jane
Hi Goodchat,
If you read what I wrote to Fred, you will see that I am quite hopeful that Treanda is going to put me into remission. The side effects were not too bad and I am feeling a little better today.
I will be sure to share my experiences with everyone in case anyone is interested in trying it.
Jane (Westiemac)