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Feedback on Ipi/GM-CSF trial?

Forums General Melanoma Community Feedback on Ipi/GM-CSF trial?

  • Post
    shellebrownies
    Participant

    Anyone on this trial? Just wondering about response rates and levels of side effects…

     

    Michelle, wife of Don, Stage IV

    Anyone on this trial? Just wondering about response rates and levels of side effects…

     

    Michelle, wife of Don, Stage IV

Viewing 5 reply threads
  • Replies
      lhaley
      Participant

      Michelle,

      This trial is fairly new – looks like Dec. 2010. To my knowledge Don is the only one on the board that has been offered this trial.  Did they discuss with you that this is a randomized trial?  He would get Ippi on either arm but not the gmcsf.

      Have they discussed trying IL2?  While this is a harsh treatment and doesn't have great success, for those that are responders it can be long term.  Also, results are known quickly vs ippi which would take longer to respond to.  I haven't done either just you haven't mentioned it being discussed.

      Linda

      lhaley
      Participant

      Michelle,

      This trial is fairly new – looks like Dec. 2010. To my knowledge Don is the only one on the board that has been offered this trial.  Did they discuss with you that this is a randomized trial?  He would get Ippi on either arm but not the gmcsf.

      Have they discussed trying IL2?  While this is a harsh treatment and doesn't have great success, for those that are responders it can be long term.  Also, results are known quickly vs ippi which would take longer to respond to.  I haven't done either just you haven't mentioned it being discussed.

      Linda

        shellebrownies
        Participant

        Linda,

        IL-2 was mentioned in passing (not offered at Dana Farber, but is at Mass General across town). All she said was that it was available there, but that it was a treatment that had life-threatening side effects and didn't have a high percentage of success.

        It's been difficult trying to get our ducks in a row now that they're bringing him in quicker to start him on treatment; his cancer seems to be pretty aggressive…I don't know if there are certain types of treatment that work better on aggressive strains than others?

        shellebrownies
        Participant

        Linda,

        IL-2 was mentioned in passing (not offered at Dana Farber, but is at Mass General across town). All she said was that it was available there, but that it was a treatment that had life-threatening side effects and didn't have a high percentage of success.

        It's been difficult trying to get our ducks in a row now that they're bringing him in quicker to start him on treatment; his cancer seems to be pretty aggressive…I don't know if there are certain types of treatment that work better on aggressive strains than others?

      Rocco
      Participant

      Hi Michelle,

      Did you get a trial number?  If so that might help others jump in with responses. 

      There seem to be a few new trials out there (cancer.gov) which are pairing ipi with other drugs..   I am wondering if that is the case with this trial they are offering your husband?  Did they mention whether or not he would received BOTH Ipi and GM-CSF?  Or was it one versus the other?

      I've done both IL-2 (in Boston) and IpI Compassionate Use.  Even with the Ipi side effect I experienced, for me Ipi was a walk in the park compared to IL-2. 

      Rocco, Stage IV

      Rocco
      Participant

      Hi Michelle,

      Did you get a trial number?  If so that might help others jump in with responses. 

      There seem to be a few new trials out there (cancer.gov) which are pairing ipi with other drugs..   I am wondering if that is the case with this trial they are offering your husband?  Did they mention whether or not he would received BOTH Ipi and GM-CSF?  Or was it one versus the other?

      I've done both IL-2 (in Boston) and IpI Compassionate Use.  Even with the Ipi side effect I experienced, for me Ipi was a walk in the park compared to IL-2. 

      Rocco, Stage IV

        shellebrownies
        Participant

        Rocco,

        Both the ipi trials had ipi alone as control and ipi with other drug as experimental arm, so either way, he would at least be getting the ipi. I was less thrilled with the ipi with bevacizumab trial as it's been open for a couple years and still in Phase I…

        shellebrownies
        Participant

        Rocco,

        Both the ipi trials had ipi alone as control and ipi with other drug as experimental arm, so either way, he would at least be getting the ipi. I was less thrilled with the ipi with bevacizumab trial as it's been open for a couple years and still in Phase I…

      Gene_S
      Participant

      Hello Michelle,

      I just finished my 4th round of ipi with GM-CSF my trial # is E1608.  My side effects at the beginning was a rash mostly over my chest and back and considerable itching.  As time went on the itching subsided alot.  I am very grateful to my wife for being my nurse as you have to inject the GM-CSF at home everyday for 2 weeks and then 1 week off for 4 sessions as well and from these I had very large red, raised, hot and itching areas around the injection site.  The best area I found for this shot was the back area of my thighs and with time the injection site problem subsided as well.  As far as the success rates go for ipi my oncologist said there is a 1 in 6 response rate.  In my case I know for sure that it worked for me between the second and third treatment because my visible tumor on the back of my scalp shrank dramatically.  My oncologist was ecstatic after seeing how much my tumor had shrunk.  Presently there is a small scab like material that should fall off in time.  At the end of the month I go for scans to see how the tumors in my liver and lung are doing as well as the one on my spine on the back of my head.

      It should be noted that I have spent considerable time researching cures for cancer and one common fact is that we are very Vitamin D deficient.  The only way to know for sure is to get tested.  The correct Vitamin D test is Vitamin D, 25-hydroxy. (Lab Corp or see http://www.lef.org ).   See the following link:

       http://articles.mercola.com/sites/articles/archive/2008/12/16/my-one-hour-vitamin-d-lecture-to-clear-up-all-your-confusion-on-this-vital-nutrient.aspx

      They usually recommend that cancer patients have a  Vitamin D rating between 80 and 100.  Mine was 90 with the supplement.  Besides the Vitamin D I credit my success to prayers from family and friends and a lot of red wine :-). 

      Best Wishes,

      Gene

        lhaley
        Participant

        Gene,

        A few clues for GMCSF. I also had welts, redness and intense itching, the following helped some:  Rotate the spot that you inject.  Get med to room temperature before injecting (about 30 min.)  Ice the area for a few minutes.  inject very very slowly.  If you do get any bone pain I found that drinking gateraide really helped because of dehydration.  That's great that you see the tumors shrinking!

        Linda

        lhaley
        Participant

        Gene,

        A few clues for GMCSF. I also had welts, redness and intense itching, the following helped some:  Rotate the spot that you inject.  Get med to room temperature before injecting (about 30 min.)  Ice the area for a few minutes.  inject very very slowly.  If you do get any bone pain I found that drinking gateraide really helped because of dehydration.  That's great that you see the tumors shrinking!

        Linda

      Gene_S
      Participant

      Hello Michelle,

      I just finished my 4th round of ipi with GM-CSF my trial # is E1608.  My side effects at the beginning was a rash mostly over my chest and back and considerable itching.  As time went on the itching subsided alot.  I am very grateful to my wife for being my nurse as you have to inject the GM-CSF at home everyday for 2 weeks and then 1 week off for 4 sessions as well and from these I had very large red, raised, hot and itching areas around the injection site.  The best area I found for this shot was the back area of my thighs and with time the injection site problem subsided as well.  As far as the success rates go for ipi my oncologist said there is a 1 in 6 response rate.  In my case I know for sure that it worked for me between the second and third treatment because my visible tumor on the back of my scalp shrank dramatically.  My oncologist was ecstatic after seeing how much my tumor had shrunk.  Presently there is a small scab like material that should fall off in time.  At the end of the month I go for scans to see how the tumors in my liver and lung are doing as well as the one on my spine on the back of my head.

      It should be noted that I have spent considerable time researching cures for cancer and one common fact is that we are very Vitamin D deficient.  The only way to know for sure is to get tested.  The correct Vitamin D test is Vitamin D, 25-hydroxy. (Lab Corp or see http://www.lef.org ).   See the following link:

       http://articles.mercola.com/sites/articles/archive/2008/12/16/my-one-hour-vitamin-d-lecture-to-clear-up-all-your-confusion-on-this-vital-nutrient.aspx

      They usually recommend that cancer patients have a  Vitamin D rating between 80 and 100.  Mine was 90 with the supplement.  Besides the Vitamin D I credit my success to prayers from family and friends and a lot of red wine :-). 

      Best Wishes,

      Gene

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