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Medical Forum / Diseases and Disorders / Arthritis / February 2006

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That new *O* RA Med?

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MNP - 03 Feb 2006 22:26 GMT
Today at the RD...he suggested a new RA infusion drug that will be available
within the next week or so.  I wanted to research it but for the life of me
I cannot remember the name of it!  Between the blow of needing that ulnar
drift surgery and bilateral TKR the name was just not going to stick with me
today.

Thanks!
Shandi
Thumper - 03 Feb 2006 23:32 GMT
>Today at the RD...he suggested a new RA infusion drug that will be available
>within the next week or so.  I wanted to research it but for the life of me
[quoted text clipped - 4 lines]
>Thanks!
>Shandi

Orencia
Thumper
Smokie Darling (Annie) - 04 Feb 2006 00:40 GMT
> >Today at the RD...he suggested a new RA infusion drug that will be available
> >within the next week or so.  I wanted to research it but for the life of me
[quoted text clipped - 7 lines]
> Orencia
> Thumper

And/or Abatacept (same stuff).  I couldn't remember the "O" name
either.  Thanks.  I may be looking at that in a few months, since the
doctor doesn't want me to stay on Cytoxan too long (preferably no more
than 6 months).

Smokie Darling (Annie)
Thumper - 04 Feb 2006 01:15 GMT
>> >Today at the RD...he suggested a new RA infusion drug that will be available
>> >within the next week or so.  I wanted to research it but for the life of me
[quoted text clipped - 14 lines]
>
>Smokie Darling (Annie)

Wow, it isn't even approved for RA.  I don't think I've run into
anyone that used it for RA before.  Have you tried the TNF inhibitors?
Thumper
Gaetan Michiels - 04 Feb 2006 14:32 GMT
Hello,
On  Dec. 27   2005, the FDA approved Orencia (abatacept / CTLA4-ig)  made by
Bristrol-Myers Squibb company.
Take a look at this homepage.

http://www.orencia.com/orencia/splash/home/index.jsp?BV_UseBVCookie=Yes

I was in the trial with Orencia and it was a very good time.

Wil
Belgium

>>> >Today at the RD...he suggested a new RA infusion drug that will be
>>> >available
[quoted text clipped - 22 lines]
> anyone that used it for RA before.  Have you tried the TNF inhibitors?
> Thumper
Thumper - 04 Feb 2006 14:55 GMT
>Hello,
>On  Dec. 27   2005, the FDA approved Orencia (abatacept / CTLA4-ig)  made by
[quoted text clipped - 7 lines]
>Wil
>Belgium

I was referring to  Cytoxan that the poster said he/she was on.  It is
NOT approved for RA
Thumper

>>>> >Today at the RD...he suggested a new RA infusion drug that will be
>>>> >available
[quoted text clipped - 22 lines]
>> anyone that used it for RA before.  Have you tried the TNF inhibitors?
>> Thumper
Smokie Darling (Annie) - 04 Feb 2006 16:02 GMT
> >Hello,
> >On  Dec. 27   2005, the FDA approved Orencia (abatacept / CTLA4-ig)  made by
[quoted text clipped - 11 lines]
> NOT approved for RA
> Thumper

Um, Medicare is paying part of it, so it has to be approved for RA.
They did not pay anything on the Rituxan/Rituximab, as it hasn't been
approved.

Smokie Darling (Annie)
Thumper - 04 Feb 2006 18:32 GMT
>> >Hello,
>> >On  Dec. 27   2005, the FDA approved Orencia (abatacept / CTLA4-ig)  made by
[quoted text clipped - 17 lines]
>
>Smokie Darling (Annie)

This from MedicineNet.com

PRESCRIBED FOR: Cyclophosphamide is used for the treatment of several
types of cancers and often in combination with other drugs to treat
breast cancer, leukemia and ovarian cancer. It also is approved for
treating nephrotic syndrome (a disease of the kidneys) in children.
Unapproved uses include the treatment of Wegener's granulomatosis,
severe rheumatoid arthritis, lupus erythematosus, advanced mycosis
fungoides, and a number of forms of vasculitis.

I don't know if this ifo is correct or not.  I searched other sites
but hey don't address what it is approved for.

Thumper
Smokie Darling (Annie) - 04 Feb 2006 15:23 GMT
> >> >Today at the RD...he suggested a new RA infusion drug that will be available
> >> >within the next week or so.  I wanted to research it but for the life of me
[quoted text clipped - 18 lines]
> anyone that used it for RA before.  Have you tried the TNF inhibitors?
> Thumper

Which the Cytoxan or the Orencia?  Doc said on Thurs that Orencia had
just been approved, but he doesn't want me to be his first patient on
it (since I had just *great* luck with Rituximab <snerk>).

Cytoxan has been approved for RA for years.  My very first RD (1999)
talked about using it on me if the smaller stuff didn't work.  Current
doc calls it the "big gun", but doesn't like it's listed side-effects
(and possible side-effects), but since nothing else was working.  It
seems to helping a great deal.

I've been on:  Remicade (great 'til I started reacting), Humira (never
worked, and I reacted instantly, but was never removed til I did it),
Enbrel (worked really well, but when I'd get sick and have to stop, it
stopped working), ummmm....  I think there's another one, but seem pull
it out of my head.

Smokie Darling (Annie)
Diane - 04 Feb 2006 17:42 GMT
i read the article on orencia. is it also a tnf inhibitor? wasn't there
something coming down the pipeline that DIDN'T increase our risk of
infection? i'm tired of having the antibacterial hand santizer strapped
to my belt.

diane, not meaning to sound so grumpy and ungrateful!!!
Gaetan Michiels - 04 Feb 2006 19:52 GMT
Diane,
Orencia is NOT  a TNF inhibitor. Orencia is a T-cell regulator. It is
slowing down the production off the T-Cells. Orencia is acting in an earlier
stage and prevent the production off TNF alpha. Therefore it is better then
the TNF inhibiters.
The infection risk is minor, that's the opinion off my RD.
Wil
Belgium

>i read the article on orencia. is it also a tnf inhibitor? wasn't there
> something coming down the pipeline that DIDN'T increase our risk of
> infection? i'm tired of having the antibacterial hand santizer strapped
> to my belt.
>
> diane, not meaning to sound so grumpy and ungrateful!!!
Newsgroup Spambuster - 04 Feb 2006 20:09 GMT
Hi Diane,

Orencia/abatacept is not a TNF inhibitor and according to the early
reports, there is supposed to be considerably less risk of infection
with orencia.  At least that is what my RD told me and he has been so
excited about this med being approved and hitting the market.   It is
now approved and is supposed to be available next this coming week.   My
RD said you start off with your first infusion, then a second infusion
one week later, the 3rd infusion 2 weeks after the second infusion, and
then it is just once a month after that!  My RD said of the patients he
had on it for the trials, it has worked very well, especially for those
who did not do well with enbrel and the other TNF's.   He really wants
me to try it, and I am thinking about it.   My biggest hesitation  is
that I have such poor veins and establishing IV access can be a big
problem.   The RD's really do seem excited about this drug!

Donna G
MNP - 04 Feb 2006 23:08 GMT
And from my reading the infusion only takes about 30 minutes!  I thought I
would die of boredom having that Remicade infused.

Shandi

> Hi Diane,
>
[quoted text clipped - 13 lines]
>
> Donna G
Gaetan Michiels - 04 Feb 2006 23:46 GMT
That's  right, the infusion is a piece off cake.
Wil
Belgium

> And from my reading the infusion only takes about 30 minutes!  I thought I
> would die of boredom having that Remicade infused.
[quoted text clipped - 18 lines]
>>
>> Donna G
Diane - 05 Feb 2006 04:07 GMT
this is all very exciting news. it said not to take at the same time as
a  a tnf inhibitor. does anyone know how long a washout period one
would need after taking remicade or enbrel?

diane
nikki - 06 Feb 2006 18:07 GMT
So this stuff works really well?
I have tried Remicade but had to stop the infusions because of severe
sideffects, i am now on and off Enbrel and on pred 5mg per day. Although
it's very good with the RA itself, Every 2 months I have to switch to a
higher dose Prednisolon, because of Enbrel side effects.
I can hardly wait to start on something which will not cause me so many
other health issues.
But then I wouldn't want infusions anymore, I'd prefer to jab the needle
myself, or even better; take it orally.
I am still waiting for dna-jp1 to be approved, because that has to be
taken orally.
So exiting to not have to think about having to book a holiday and
depending on a fridge for the injections!

Nikki

> That's  right, the infusion is a piece off cake.
> Wil
[quoted text clipped - 22 lines]
>>>
>>>Donna G
Thumper - 06 Feb 2006 19:45 GMT
>So this stuff works really well?
>I have tried Remicade but had to stop the infusions because of severe
>sideffects, i am now on and off Enbrel and on pred 5mg per day. Although
>it's very good with the RA itself, Every 2 months I have to switch to a
>higher dose Prednisolon, because of Enbrel side effects.
What side effects are you experiencing
thumper?

>I can hardly wait to start on something which will not cause me so many
>other health issues.
[quoted text clipped - 33 lines]
>>>>
>>>>Donna G
Newsgroup Spambuster - 04 Feb 2006 20:11 GMT
Thumper,

Approved or not approved for use, Cytoxan has been used for many, many
years to treat RA and Lupus.   It is not uncommon at all to use this med
for RA, at least not in my area.   It can be a very helpful/beneficial
med for some people!!!

Donna G
Thumper - 05 Feb 2006 08:00 GMT
>Thumper,
>
[quoted text clipped - 4 lines]
>
>Donna G

The reason I was surprised is because I thought I had taken just about
every RA med there is.  At least the ones in common use for the last 8
years.
Thumper
nikki - 07 Feb 2006 15:11 GMT
Hi,

I don't see how this new drug Orencia is so much better side-effect wise
than Enbrel.

I have heard of dna-jp1 which is taken orally and going into phase III
trails, which is a T-cell regulator without the risks Enbrel or Orencia
still seem to give.

I may be deadwrong here, perhaps you could take a look at:

http://www.medicalnewstoday.com/medicalnews.php?newsid=35382

Nikki

> Diane,
> Orencia is NOT  a TNF inhibitor. Orencia is a T-cell regulator. It is
[quoted text clipped - 11 lines]
>>
>>diane, not meaning to sound so grumpy and ungrateful!!!
Charrlygrl1 - 07 Feb 2006 18:03 GMT
There is another drug on the horizon for RA which is still being
tested-
Golimumab

If you do a google search on it, you will see all the studies going on.

Char
Thumper - 07 Feb 2006 20:02 GMT
>Hi,
>
>I don't see how this new drug Orencia is so much better side-effect wise
>than Enbrel.

I don't believe that's the point.  Enbrel no longer works for me.  I
am on Humira now but if that stops working then I'll go to Orencia.
I'm not changing because of side effects.
Thumper

>I have heard of dna-jp1 which is taken orally and going into phase III
>trails, which is a T-cell regulator without the risks Enbrel or Orencia
[quoted text clipped - 21 lines]
>>>
>>>diane, not meaning to sound so grumpy and ungrateful!!!
nikki - 07 Feb 2006 23:30 GMT
I understand what you're saying, it was just to reply to Wil's remark
from his doctor saying Orencia didn't cause (or hardly) any side-effects.
in my case, the Enbrel works fine for RA, but I have to come off it
every 8 weeks and start increasing Prednisolon for 3-5 weeks and live
with more pain and discomfort during these periods, because of side effects.

This is why I am so interested in the TNF regulator meds, especially
dna-jp1 which over here is claimed to (up till now) cause no side
effects at all.
The side effects are a pain (not literally) and undermine my overall health.

That being said, ofcourse I am very grateful to even be on Enbrel and
having insurance which over the costs, Enbrel has helped so much to
prevent any more damage to my left wrist.

I do hope you do not have to switch to anything else and the Humira will
work for you for a very long time!

Nikki

>>Hi,
>>
[quoted text clipped - 31 lines]
>>>>
>>>>diane, not meaning to sound so grumpy and ungrateful!!!
Thumper - 08 Feb 2006 16:25 GMT
>I understand what you're saying, it was just to reply to Wil's remark
>from his doctor saying Orencia didn't cause (or hardly) any side-effects.
[quoted text clipped - 15 lines]
>
>Nikki

I was off Humira for an infection for about a moth and it took one
hell of a long time to get me back to where I want to be and I had to
double up the Humira.
Thumper

>>>Hi,
>>>
[quoted text clipped - 31 lines]
>>>>>
>>>>>diane, not meaning to sound so grumpy and ungrateful!!!
MAILFRMPA@AOL.COM - 12 Feb 2006 03:55 GMT
Assuming my RD can get some, and depending on what my med ins says, I
am to have my first infusion of Orencia on the 24th of this month. I
have had Enbrel, Humira, and Remicade. The Remicade has my RA markers
down to normal according to blood work, but I have experienced no
relief after several infusions and an increase in the Remicade dosage.
I have my hopes high for this new med.

Martin
Thumper - 12 Feb 2006 18:31 GMT
>Assuming my RD can get some, and depending on what my med ins says, I
>am to have my first infusion of Orencia on the 24th of this month. I
[quoted text clipped - 4 lines]
>
>Martin

Good luck.  Please let us know he outcome.
Thumper
diclidophora@yahoo.co.uk - 12 Feb 2006 10:05 GMT
Nikki.

I just wonder what side effects of enbrel you experience.?
I get much more pain than I think I should.

Peter

> I understand what you're saying, it was just to reply to Wil's remark
> from his doctor saying Orencia didn't cause (or hardly) any side-effects.
[quoted text clipped - 51 lines]
> >>>>
> >>>>diane, not meaning to sound so grumpy and ungrateful!!!
Thumper - 12 Feb 2006 18:34 GMT
>Nikki.
>
>I just wonder what side effects of enbrel you experience.?
>I get much more pain than I think I should.
>
>Peter

I would be interested in the answer also.  I had no side effects but
it just stopped working for me after a few years.  Then again, maybe
the disease progressed so far it just couldn't keep up with the pain
level.  I have no discernible joint damage so far.

Thumper

>> I understand what you're saying, it was just to reply to Wil's remark
>> from his doctor saying Orencia didn't cause (or hardly) any side-effects.
[quoted text clipped - 51 lines]
>> >>>>
>> >>>>diane, not meaning to sound so grumpy and ungrateful!!!
Charrlygrl1 - 12 Feb 2006 19:31 GMT
Good luck, Martin! I hope it works for you.
Please let us know how you make out,
Char
bluehair@gmail.com - 27 Feb 2006 16:11 GMT
Hello everyone, I'd like to make a request, publicly, because I never
get a reply when trying to go to the source.

My name is Smokie Darling, and I would like to respectfully request
that "Annie" (barnabus----@yahoo.com - partially masked to protect her)
stop using my name to post to Google and Usenet groups.  I thank you
for the celebrity status, but these posts are starting to interfere
with my school and my work.  I can understand the need for a different
identity when posting to groups, but the addition of what I can only
assume is your real first name to your signature kind of undermines any
anonymity you might have by using my name.

As I said, I have emailed this person several times, and have received
no repsonse, so this is my only course of action.  Thank you for your
time, and I look forward to resolving this issue.

Sincerely,
Smokie Darling (Not Annie)
Smokie Darling (Annie) - 28 Feb 2006 15:16 GMT
> Hello everyone, I'd like to make a request, publicly, because I never
> get a reply when trying to go to the source.
[quoted text clipped - 11 lines]
> no repsonse, so this is my only course of action.  Thank you for your
> time, and I look forward to resolving this issue.

The only email I received from you was yesterday, and I replied within
10 minutes of getting it.  I do not appreciate being accused of
ignoring someone with a valid question (i.e., not a troll, as I do not
believe you are one).

I have used Smokie Darling (Annie) since approximately February of
2004.  The Annie, parenthetically, identifies me to my friends.  Smokie
Darling is my cat.

As I do not post in the group you appear to frequent, I do not see how
my name is a problem.  Also, since our email addresses are completely
different, I don't see how I am affecting either your school work or
your employment.

Smokie Darling (Annie)
Mary Z - 28 Feb 2006 20:14 GMT
> I can understand the need for a different
>identity when posting to groups, but the addition of what I can only
[quoted text clipped - 4 lines]
>no repsonse, so this is my only course of action.  Thank you for your
>time, and I look forward to resolving this issue.

A quick review in google shows our Annie posting since February of
2004 and you have only been posting since September of 2005.  So who
took on the name first????   You never post in this NG so what is the
big deal.  Take a deep breath and chill.  -- MZ

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