Hiya, all ;-)
Deborah graduated from chemo again two weeks ago and is now on
straight Herceptin + Arimidex + monthly Zoladex.
Today Dr. Smiley changed her Herceptin dosing from weekly to something
new - a three-week cycle with a triple dose during week 1 and then two
weeks off.
When she brought home the news I had many questions so she called Dr.
Smiley and he said they found the new regime was easier on patients,
was just as effective and no more toxic than weekly dosing.
This should be interesting - right now her CA27.29 is below 30, her
chest CT from last week looked good and now she can go back to using
her lymphedema pump and doing manual lymph drainage so she can get her
arm back under control after her bout with cellulitis two weeks ago.
Anyway, the new Herceptin dosing was interesting so I thought I'd
share.
hugs to all -
allan

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we don't see things as they are, we see them as we are.
-- Anais Nin
Eva - 20 Oct 2004 21:50 GMT
> Hiya, all ;-)
>
[quoted text clipped - 13 lines]
> her lymphedema pump and doing manual lymph drainage so she can get her
> arm back under control after her bout with cellulitis two weeks ago.
-----------
I am glad to hear she is doing better.
Allan, I just started Herceptin myself. Had my first treatment last week,
immediately after my Taxotere. So I ended up sitting there for 5 hours with
a needle in my arm, but I was glad the doctor thought I was well enough to
begin Herceptin treatment. I'm hoping it will kill, kill, kill (my cancer,
not me!). Anyhow my point is--the doctor says I'll be getting it every 3
weeks for a year.
So for me, it's "neoadjuvant" now, but will become "adjuvant" after I have
my surgery in December. At least that's the plan.
I didn't even know it was usually given every week. Boy, what a PITA that
would be! (Pain In The Arm, of course.)
Eva
Guess Who - 20 Oct 2004 22:27 GMT
I had read about that treatment regime but Deborah is the first one I have
heard of getting it. It does make sense.
I like Dr Smiley more and more. <g> How are your in-laws doing ? Tell
Deborah to keep up the good work.
Alex

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> Hiya, all ;-)
>
[quoted text clipped - 20 lines]
>
> allan
allan grossman - 21 Oct 2004 12:58 GMT
> I had read about that treatment regime but Deborah is the first one I have
> heard of getting it. It does make sense.
> I like Dr Smiley more and more. <g> How are your in-laws doing ? Tell
> Deborah to keep up the good work.
> Alex
Thanks, Alex - we kinda like him too ;-)
Deborah's dad isn't doing too well this time around. He really perked
up the week he was off Gemzar but fatigue and shortness of breath are
really getting to him now. Tomorrow will be his last treatment before
he gets another week off so we're expecting things to pick up a little
over the next couple weeks.
I don't think her dad's gonna make it to Christmas but I can
understand what someone a bit wiser than me said about cancer being a
rather gentle disease - at least on the family. Everyone's got a bit
of time to get their head around the idea that he won't be around much
longer. In that respect it's a lot better than if he were say, hit by
a bus.
Bryan Dawe - 21 Oct 2004 05:23 GMT
Hi Allan:
The Herceptin dose you talk about is the regular regimen here at our
Regional cancer centre in Toronto, Canada. My wife was diagnosed with Stage
IV Her2+ inflammatory breast cancer with lymph node involvement and liver
mets in August of this year. She was lucky enough to get into a clinical
trial with Herceptin. It is a "loading" study. She had weekly infusions at 3
times the normal dose for 4 weeks. We're on our first 3 week break before
beginning a regimen where she'll get that same triple dose but only once
every three weeks. The point of the study was to see if the levels of
Herceptin usually found after 4 or 5 months of either the weekly or once
every 3 weeks infusions could be arived at more quickly. The jury is still
out. The change to once every three weeks is accompanied by weekly visits to
the chemo clinic for blood tests to first measure the end level after the
multiple large loading doses and then to measure any fluctuation in the
levels. My wife is tolerating the treatments very well and the lumps in her
breast and lymph nodes have begun to shrink. It has been too early to check
the liver mets but you'd expect the same thing is happening there.
I've been lurking for a few weeks and have learned alot from this
interesting and informative group; this looked like a post where I could add
something.
Good luck to you and your wife
Bryan
> Hiya, all ;-)
>
[quoted text clipped - 25 lines]
> we don't see things as they are, we see them as we are.
> -- Anais Nin
allan grossman - 21 Oct 2004 13:00 GMT
> Hi Allan:
> The Herceptin dose you talk about is the regular regimen here at our
[quoted text clipped - 17 lines]
> something.
> Good luck to you and your wife
Thank you for the kind and informative post, Bryan - Deborah and I
have been doing this dance for a bit more than five years and so far
she's happy and reasonably healthy. Good luck to you and yours as
well - and welcome.
cheers -
allan
Kaye301 - 24 Oct 2004 19:06 GMT
<< Deborah graduated from chemo again two weeks ago and is now on
straight Herceptin + Arimidex + monthly Zoladex.
>><BR><BR>
What chemo had she most recently been on and for how long ?
Glad to hear that things are going so much better. {{{Hugs}}} to you both!
allan grossman - 25 Oct 2004 01:20 GMT
>What chemo had she most recently been on and for how long ?
>Glad to hear that things are going so much better. {{{Hugs}}} to you both!
She did six months of Navelbine with the Herceptin.
hugs -

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we don't see things as they are, we see them as we are.
-- Anais Nin
Kaye301 - 31 Oct 2004 05:49 GMT
Allan wrote << She did six months of Navelbine with the Herceptin.
hugs -
- >>
If I recall correctly, didn't she have Herceptin and Navelbine before? Was
that protocol readministered because it worked and when she was taken off it a
few years ago her b.c. had beens stable?
allan grossman - 01 Nov 2004 18:21 GMT
> If I recall correctly, didn't she have Herceptin and Navelbine before? Was
> that protocol readministered because it worked and when she was taken off it > a few years ago her b.c. had beens stable?
Yup.
Last time was in 2000-2001; she had six months of Naelbine with
Herceptin and another six months of Herceptin alone - she took
Tamoxifen at the same time. The combination put her in remission for
2 1/2 years. When the nasties started growing again she went back to
the same treatment - but this time with Arimidex and Zoladex instead
of Tamoxifen.