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Bio-Chemo out of favor

Forums General Melanoma Community Bio-Chemo out of favor

  • Post
    Julie678
    Participant

    Hi, I have noticed a few references to bio-chemo for Stage IIIC in particular.  Could be just one person here but the oncs we have talked with say that treatment was used more in the early 2000's and is now not really recommended.  One big reason is toxicity. 

    I would be interested to hear what others think about bio-chemo.

    Thanks!

    Julie

    husband stage IIIC

    Hi, I have noticed a few references to bio-chemo for Stage IIIC in particular.  Could be just one person here but the oncs we have talked with say that treatment was used more in the early 2000's and is now not really recommended.  One big reason is toxicity. 

    I would be interested to hear what others think about bio-chemo.

    Thanks!

    Julie

    husband stage IIIC

Viewing 26 reply threads
  • Replies
      Gene_S
      Participant

      Hi Julie,

      Here is an link to a incredible woman who has done bio-chemo,

      perhaps you may want to contact her for more info?

      Best wishes to you and your husband!

      Best Wishes,

      Gene

      see:  http://melanomamom.blogspot.com/

      Gene_S
      Participant

      Hi Julie,

      Here is an link to a incredible woman who has done bio-chemo,

      perhaps you may want to contact her for more info?

      Best wishes to you and your husband!

      Best Wishes,

      Gene

      see:  http://melanomamom.blogspot.com/

      Gene_S
      Participant

      Hi Julie,

      Here is an link to a incredible woman who has done bio-chemo,

      perhaps you may want to contact her for more info?

      Best wishes to you and your husband!

      Best Wishes,

      Gene

      see:  http://melanomamom.blogspot.com/

      Phil S
      Participant
      Biochemo is regularly done at MD Anderson, and I am in my husband’s hospital room right now as he finishes his last day of biochemo for this cycle. You need trained nurses and doctors who understand biochemo and all the side effects to administer it correctly. MD Anderson has a whole floor of patient rooms that are just for biochemo or high dose IL2. My husband’s side effects have been very well managed and so far so good. Will it help him, only time will tell, but since his tumors were growing fast, we decided against yervoy at this time, hoping biochemo can slow things down! Some people on this floor have had success with tumor reduction, but it’s like anything else with melanoma, no guarantees! My husband is Stage IV so we decided to take the risk! Valerie (Phil’s wife)
      Phil S
      Participant
      Biochemo is regularly done at MD Anderson, and I am in my husband’s hospital room right now as he finishes his last day of biochemo for this cycle. You need trained nurses and doctors who understand biochemo and all the side effects to administer it correctly. MD Anderson has a whole floor of patient rooms that are just for biochemo or high dose IL2. My husband’s side effects have been very well managed and so far so good. Will it help him, only time will tell, but since his tumors were growing fast, we decided against yervoy at this time, hoping biochemo can slow things down! Some people on this floor have had success with tumor reduction, but it’s like anything else with melanoma, no guarantees! My husband is Stage IV so we decided to take the risk! Valerie (Phil’s wife)
      Phil S
      Participant
      Biochemo is regularly done at MD Anderson, and I am in my husband’s hospital room right now as he finishes his last day of biochemo for this cycle. You need trained nurses and doctors who understand biochemo and all the side effects to administer it correctly. MD Anderson has a whole floor of patient rooms that are just for biochemo or high dose IL2. My husband’s side effects have been very well managed and so far so good. Will it help him, only time will tell, but since his tumors were growing fast, we decided against yervoy at this time, hoping biochemo can slow things down! Some people on this floor have had success with tumor reduction, but it’s like anything else with melanoma, no guarantees! My husband is Stage IV so we decided to take the risk! Valerie (Phil’s wife)
      KevinM
      Participant

      Hi Julie,

      I did bio-chemo over 5 years ago in a clinical trial at Beth Israel in Boston. The trial compared bio-chemo vs the standard 1 year interferon treatment for stage 3 patients as an adjuvant therapy. The trial closed a few years back (I'm not sure of actual close date).

      Bio-chemo is very toxic and expensive. From what I have gathered, there was no real difference statistically in survival. I have been NED for over 5 years now. I'm not sure if it was due to bio-chemo or if I would be NED without treatment…… Having said that, I am glad I did the treatment and would do it  again if I had to.

      please contact me if you'd like more info on my experiences

      Thanks,

      Kevin

      kevinmorrison001@comcast.net

      KevinM
      Participant

      Hi Julie,

      I did bio-chemo over 5 years ago in a clinical trial at Beth Israel in Boston. The trial compared bio-chemo vs the standard 1 year interferon treatment for stage 3 patients as an adjuvant therapy. The trial closed a few years back (I'm not sure of actual close date).

      Bio-chemo is very toxic and expensive. From what I have gathered, there was no real difference statistically in survival. I have been NED for over 5 years now. I'm not sure if it was due to bio-chemo or if I would be NED without treatment…… Having said that, I am glad I did the treatment and would do it  again if I had to.

      please contact me if you'd like more info on my experiences

      Thanks,

      Kevin

      kevinmorrison001@comcast.net

      KevinM
      Participant

      Hi Julie,

      I did bio-chemo over 5 years ago in a clinical trial at Beth Israel in Boston. The trial compared bio-chemo vs the standard 1 year interferon treatment for stage 3 patients as an adjuvant therapy. The trial closed a few years back (I'm not sure of actual close date).

      Bio-chemo is very toxic and expensive. From what I have gathered, there was no real difference statistically in survival. I have been NED for over 5 years now. I'm not sure if it was due to bio-chemo or if I would be NED without treatment…… Having said that, I am glad I did the treatment and would do it  again if I had to.

      please contact me if you'd like more info on my experiences

      Thanks,

      Kevin

      kevinmorrison001@comcast.net

      RMcLegal
      Participant

      Hi Julie, I did biochemo in 2003 at the University of Colorado Cancer Center after a Stage IIIc diagnosis (14 malignant nodes removed) and I'm healthy and NED.  Like M.D. Anderson, UCCC is still doing biochemo because the docs there are convinced they are seeing significantly better results than with interferon alone.  UCCC was part of a multi-center study of biochemo that resulted in a paper being published in '06 or '07.  (If you google "Karl Lewis M.D. and biochemotherapy", you'll find a link to the article.)  It's rough stuff, but I'd do it again.  I had a very experienced team of doctors and nurses who knew how to manage the side effects, and was pretty heavily sedated during the hospital stays– probably a rougher time on my wife than me.  And 8 years later, they're probably better at managing the toxicity of the treatment than they were in 2003.

      Best wishes to you.

      Rich

      http://www.hotelmelanoma.blogspot.com

      RMcLegal
      Participant

      Hi Julie, I did biochemo in 2003 at the University of Colorado Cancer Center after a Stage IIIc diagnosis (14 malignant nodes removed) and I'm healthy and NED.  Like M.D. Anderson, UCCC is still doing biochemo because the docs there are convinced they are seeing significantly better results than with interferon alone.  UCCC was part of a multi-center study of biochemo that resulted in a paper being published in '06 or '07.  (If you google "Karl Lewis M.D. and biochemotherapy", you'll find a link to the article.)  It's rough stuff, but I'd do it again.  I had a very experienced team of doctors and nurses who knew how to manage the side effects, and was pretty heavily sedated during the hospital stays– probably a rougher time on my wife than me.  And 8 years later, they're probably better at managing the toxicity of the treatment than they were in 2003.

      Best wishes to you.

      Rich

      http://www.hotelmelanoma.blogspot.com

      RMcLegal
      Participant

      Hi Julie, I did biochemo in 2003 at the University of Colorado Cancer Center after a Stage IIIc diagnosis (14 malignant nodes removed) and I'm healthy and NED.  Like M.D. Anderson, UCCC is still doing biochemo because the docs there are convinced they are seeing significantly better results than with interferon alone.  UCCC was part of a multi-center study of biochemo that resulted in a paper being published in '06 or '07.  (If you google "Karl Lewis M.D. and biochemotherapy", you'll find a link to the article.)  It's rough stuff, but I'd do it again.  I had a very experienced team of doctors and nurses who knew how to manage the side effects, and was pretty heavily sedated during the hospital stays– probably a rougher time on my wife than me.  And 8 years later, they're probably better at managing the toxicity of the treatment than they were in 2003.

      Best wishes to you.

      Rich

      http://www.hotelmelanoma.blogspot.com

      BrianP
      Participant

      Hey Julie,

      I don't have much to add other than to tell you that I have also recently joined the IIIc club and have received the same opinion about bio-chem from the oncologists I have spoken with.  Most say that they wouldn't go that route due to the toxicity.  I personally wouldn't care about the toxicity if I had proof that it could make a difference.  Thanks for starting this thread.  I've been wondering the same thing.

       

      Brian

      BrianP
      Participant

      Hey Julie,

      I don't have much to add other than to tell you that I have also recently joined the IIIc club and have received the same opinion about bio-chem from the oncologists I have spoken with.  Most say that they wouldn't go that route due to the toxicity.  I personally wouldn't care about the toxicity if I had proof that it could make a difference.  Thanks for starting this thread.  I've been wondering the same thing.

       

      Brian

      BrianP
      Participant

      Hey Julie,

      I don't have much to add other than to tell you that I have also recently joined the IIIc club and have received the same opinion about bio-chem from the oncologists I have spoken with.  Most say that they wouldn't go that route due to the toxicity.  I personally wouldn't care about the toxicity if I had proof that it could make a difference.  Thanks for starting this thread.  I've been wondering the same thing.

       

      Brian

      RMcLegal
      Participant

      Here's a link to an article on a study of biochemo for Stage III patients:

       

      http://jco.ascopubs.org/content/24/19/3157.full 

       

      Rich

       

      RMcLegal
      Participant

      Here's a link to an article on a study of biochemo for Stage III patients:

       

      http://jco.ascopubs.org/content/24/19/3157.full 

       

      Rich

       

        NYKaren
        Participant

        Hi Julie,

        I'm going back to Yale-New Haven on Tuesday to finish up my IL-2 treatment.  Being Stage IIIc, having done radiation and Ipi, and being braf negative, I made the decision in favor of IL-2 based on the fact that I wanted to do it while I was still healthy enough.

        I trust my docs (Jedd Wolchuck @ Sloan & Mario Sznol @ Yale) who work in conjuction on my care.

        I know I've had some response to it, so even it's only partial, I hope it will hold me until something better comes along. and who knows, I might be one of the lucky ones!

        The side effects are rough but maneagable.

        take care,

        karen

        NYKaren
        Participant

        Hi Julie,

        I'm going back to Yale-New Haven on Tuesday to finish up my IL-2 treatment.  Being Stage IIIc, having done radiation and Ipi, and being braf negative, I made the decision in favor of IL-2 based on the fact that I wanted to do it while I was still healthy enough.

        I trust my docs (Jedd Wolchuck @ Sloan & Mario Sznol @ Yale) who work in conjuction on my care.

        I know I've had some response to it, so even it's only partial, I hope it will hold me until something better comes along. and who knows, I might be one of the lucky ones!

        The side effects are rough but maneagable.

        take care,

        karen

        JerryfromFauq
        Participant

        Sounding good, Gal.

        JerryfromFauq
        Participant

        Sounding good, Gal.

        NYKaren
        Participant

        Thanks, Jerry.  Gearing up to go back Tuesday.  It's always nerve-wracking knowing what I'm in for.  Remember that '70's song (or was it the '80's) I will Survive by Gloria Gaynor.  Always thought hat song was annoying, but it's my theme song now!

        be well,

        karen

        NYKaren
        Participant

        Thanks, Jerry.  Gearing up to go back Tuesday.  It's always nerve-wracking knowing what I'm in for.  Remember that '70's song (or was it the '80's) I will Survive by Gloria Gaynor.  Always thought hat song was annoying, but it's my theme song now!

        be well,

        karen

        NYKaren
        Participant

        Thanks, Jerry.  Gearing up to go back Tuesday.  It's always nerve-wracking knowing what I'm in for.  Remember that '70's song (or was it the '80's) I will Survive by Gloria Gaynor.  Always thought hat song was annoying, but it's my theme song now!

        be well,

        karen

        JerryfromFauq
        Participant

        Sounding good, Gal.

        NYKaren
        Participant

        Hi Julie,

        I'm going back to Yale-New Haven on Tuesday to finish up my IL-2 treatment.  Being Stage IIIc, having done radiation and Ipi, and being braf negative, I made the decision in favor of IL-2 based on the fact that I wanted to do it while I was still healthy enough.

        I trust my docs (Jedd Wolchuck @ Sloan & Mario Sznol @ Yale) who work in conjuction on my care.

        I know I've had some response to it, so even it's only partial, I hope it will hold me until something better comes along. and who knows, I might be one of the lucky ones!

        The side effects are rough but maneagable.

        take care,

        karen

      RMcLegal
      Participant

      Here's a link to an article on a study of biochemo for Stage III patients:

       

      http://jco.ascopubs.org/content/24/19/3157.full 

       

      Rich

       

      SuzannefromCA
      Participant

      Hi Julie,

      I was not at stage III, but stage IV. I did 18 months of Biochemo and IL-2. That was the ONLY treatment option I was given. It saved my life! I was diagnosed back in November of 2006 and I was only given 6 to 9 months to live if I did not choose to do this. As you have read from the other posts, it's extremely toxic. I was 46 and in otherwise good health. I would do this again in a heartbeat! Please keep us posted.

      Suzanne

      SuzannefromCA
      Participant

      Hi Julie,

      I was not at stage III, but stage IV. I did 18 months of Biochemo and IL-2. That was the ONLY treatment option I was given. It saved my life! I was diagnosed back in November of 2006 and I was only given 6 to 9 months to live if I did not choose to do this. As you have read from the other posts, it's extremely toxic. I was 46 and in otherwise good health. I would do this again in a heartbeat! Please keep us posted.

      Suzanne

      SuzannefromCA
      Participant

      Hi Julie,

      I was not at stage III, but stage IV. I did 18 months of Biochemo and IL-2. That was the ONLY treatment option I was given. It saved my life! I was diagnosed back in November of 2006 and I was only given 6 to 9 months to live if I did not choose to do this. As you have read from the other posts, it's extremely toxic. I was 46 and in otherwise good health. I would do this again in a heartbeat! Please keep us posted.

      Suzanne

      SuzannefromCA
      Participant

      Hi Julie,

      I was not at stage III, but stage IV. I did 18 months of Biochemo and IL-2. That was the ONLY treatment option I was given. It saved my life! I was diagnosed back in November of 2006 and I was only given 6 to 9 months to live if I did not choose to do this. As you have read from the other posts, it's extremely toxic. I was 46 and in otherwise good health. I would do this again in a heartbeat! Please keep us posted.

      Suzanne

      SuzannefromCA
      Participant

      Hi Julie,

      I was not at stage III, but stage IV. I did 18 months of Biochemo and IL-2. That was the ONLY treatment option I was given. It saved my life! I was diagnosed back in November of 2006 and I was only given 6 to 9 months to live if I did not choose to do this. As you have read from the other posts, it's extremely toxic. I was 46 and in otherwise good health. I would do this again in a heartbeat! Please keep us posted.

      Suzanne

      SuzannefromCA
      Participant

      Hi Julie,

      I was not at stage III, but stage IV. I did 18 months of Biochemo and IL-2. That was the ONLY treatment option I was given. It saved my life! I was diagnosed back in November of 2006 and I was only given 6 to 9 months to live if I did not choose to do this. As you have read from the other posts, it's extremely toxic. I was 46 and in otherwise good health. I would do this again in a heartbeat! Please keep us posted.

      Suzanne

      jag
      Participant

      I don't even remember when I did biochemo, it was a while back.  If you look through my patnet, you will see it didn't eliminate melanoma 100% but it did stop it in it's tracks.  Sloan Kettering no longer does biochemo which doesn't mean it doesn't work.  I was on the bone marrow floor for a couple of months, the key thing is to research the protocol and find somebody who has done a lot of it.  The right place and protocol really will make every little bit count.  Aweful to go through, but if I had to do it all over again, I would not hesitate.   Surgery is always the best strategy for removable tumors.  Biochemo was my treatment of choice because things became systemic.  Should your husband progress, it is always good to have options on the table.  I took the same approach as KarenNY, to tough out the hard treatments early on(before my body became too weak to take on the other ones)

      In the meantime, I would look into a trial that includes melanoma vaccines rather than interferon.  They haven't been proven to benefit anybody, but I definitely believe my long term survival may be related to my immune system being primed by a melanoma vaccine, and then getting systemic immunotherapy.

      jag
      Participant

      I don't even remember when I did biochemo, it was a while back.  If you look through my patnet, you will see it didn't eliminate melanoma 100% but it did stop it in it's tracks.  Sloan Kettering no longer does biochemo which doesn't mean it doesn't work.  I was on the bone marrow floor for a couple of months, the key thing is to research the protocol and find somebody who has done a lot of it.  The right place and protocol really will make every little bit count.  Aweful to go through, but if I had to do it all over again, I would not hesitate.   Surgery is always the best strategy for removable tumors.  Biochemo was my treatment of choice because things became systemic.  Should your husband progress, it is always good to have options on the table.  I took the same approach as KarenNY, to tough out the hard treatments early on(before my body became too weak to take on the other ones)

      In the meantime, I would look into a trial that includes melanoma vaccines rather than interferon.  They haven't been proven to benefit anybody, but I definitely believe my long term survival may be related to my immune system being primed by a melanoma vaccine, and then getting systemic immunotherapy.

        NYKaren
        Participant

        Hi Jag,

        I see we share the same doctor!  Sloan no longer does biochemo, but refers its patients to Dr. Sznol and team at Yale/New Haven.  Apparently those guys collaborate on a lot–I know they're both doing the Curetech Anti PD-1 trial.  Interestingly, other hospitals closer to NYC do it, NY Presby for one, but the prefer the protocol/nursing at Yale.  Those nurses are really terrific!

        take care,

        karen

        NYKaren
        Participant

        Hi Jag,

        I see we share the same doctor!  Sloan no longer does biochemo, but refers its patients to Dr. Sznol and team at Yale/New Haven.  Apparently those guys collaborate on a lot–I know they're both doing the Curetech Anti PD-1 trial.  Interestingly, other hospitals closer to NYC do it, NY Presby for one, but the prefer the protocol/nursing at Yale.  Those nurses are really terrific!

        take care,

        karen

        NYKaren
        Participant

        Hi Jag,

        I see we share the same doctor!  Sloan no longer does biochemo, but refers its patients to Dr. Sznol and team at Yale/New Haven.  Apparently those guys collaborate on a lot–I know they're both doing the Curetech Anti PD-1 trial.  Interestingly, other hospitals closer to NYC do it, NY Presby for one, but the prefer the protocol/nursing at Yale.  Those nurses are really terrific!

        take care,

        karen

      jag
      Participant

      I don't even remember when I did biochemo, it was a while back.  If you look through my patnet, you will see it didn't eliminate melanoma 100% but it did stop it in it's tracks.  Sloan Kettering no longer does biochemo which doesn't mean it doesn't work.  I was on the bone marrow floor for a couple of months, the key thing is to research the protocol and find somebody who has done a lot of it.  The right place and protocol really will make every little bit count.  Aweful to go through, but if I had to do it all over again, I would not hesitate.   Surgery is always the best strategy for removable tumors.  Biochemo was my treatment of choice because things became systemic.  Should your husband progress, it is always good to have options on the table.  I took the same approach as KarenNY, to tough out the hard treatments early on(before my body became too weak to take on the other ones)

      In the meantime, I would look into a trial that includes melanoma vaccines rather than interferon.  They haven't been proven to benefit anybody, but I definitely believe my long term survival may be related to my immune system being primed by a melanoma vaccine, and then getting systemic immunotherapy.

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