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Yervoy, treatment and side effects?

Forums General Melanoma Community Yervoy, treatment and side effects?

  • Post
    Iowa98
    Participant

    Hello,

    Hello,

    New to the board and looking for some guidance.  My father was diagnosed with Stage IV Melanoma in January of this year.  He has been on 4 treatments of Paxil/Carboplatin, but recently his scans showed that the treatment was no longer working.  We are trying to get him into a PD-1 trial, but live in Iowa so the travel to the coasts to participate is difficult.  If we are unable to get inot a PD-1 Trial, we would like to consider Yervoy, but want to understand the risks.  His doctor also recommended Tamazolide, which I'm not thrilled about as it is not very effective.  Any stories/recommendations?  Wish there was a crystal ball…..

    Thanks,

    Jessica

Viewing 11 reply threads
  • Replies
      Swanee
      Participant

      Dear Jessica,  I am so glad you found this board as you will find so many answers here…..don't worry if no one responds immediately…….   just repost again!   So many of us are living  well  and extremely knowledged in melanoma, staying in touch but also living life to the fullest even though we are facing late stages of melanoma cancer.  My Auntie lives in Iowa and travels to the nearest Mayo Clinic for lung cancer……not sure how far that is, but I do believe you may be close as she is able to travel there without much diress. I do think it is important that you receive information from a melanoma specialist……it can make the difference of the outcome, nobody knows for sure…….but it will be your best bet to receive the latest information…….some of the treatments I read about are so outdated!!  Good luck to you and God Bless you as you help your Dad on this journey…….Swanee

        LynnLuc
        Participant

        I went to Mayo in Rochester MN. They gave me 6-9 months and put me on Temodar and radiation to give me a little more time. Temodar is not a cure by any means and while the radiation shrank it by 1/3 the Temodar kept it from growing and spreading for around 5 months and then it no longer works because melanoma finds a way around it. We had to move to do my trial…we lived in North Dakota and I enrolled in Anti PD 1 trial in Tampa Florida. I have now been in the trial for 90 weeks of 128 weeks. I am also NED for over 2 years ( no evidence of disease). For me the move was worth it. Mayo IS NOT a comprehensive melanoma center and typically has very few trials to benefit melanoma patients.

        Swanee
        Participant

        Hi Jessica……I made a comment about being treated in a major medical center and threw out the "Mayo Clinic"  as a place of possibility,  it was a suggestion…..  that it is important to get to a place that is familiar with melanoma.    Mayo Clinic may not be the right place for melanoma…..I don't know, but I do know they have treated members of my own family with rare disorders that the medical community I live in were unable to successfully help them with but  they found success there.   The most important point I was trying to make was get to a major medical center and go from there.  Maybe you will find answers and find the right medical treatment that feels right for you. maybe you will need to move on to other sources.  It is so scarry to be thrown into this melanoma abyss as there is so much information out there with a lot of negative info that scares the pants off of you (rightfully so) and gives you little hope.  I too was given the worst case scenario but continue to live well despite ongoing surgeries and treatments.  The best thing about this board is everyone has an opinion, experiences and lots of great info and feedback for those seeking  advice.  You have found a wonderful place and don't hesitate to clarify statements that you don't completely understand. I wish you all the best and please don't waste a day living in fear…….celebrate today, live it, take it all in …. today is all any of us have!   God Bless you and your Dad and your family as you find your way through this time……….Swanee

        Swanee
        Participant

        Hi Jessica……I made a comment about being treated in a major medical center and threw out the "Mayo Clinic"  as a place of possibility,  it was a suggestion…..  that it is important to get to a place that is familiar with melanoma.    Mayo Clinic may not be the right place for melanoma…..I don't know, but I do know they have treated members of my own family with rare disorders that the medical community I live in were unable to successfully help them with but  they found success there.   The most important point I was trying to make was get to a major medical center and go from there.  Maybe you will find answers and find the right medical treatment that feels right for you. maybe you will need to move on to other sources.  It is so scarry to be thrown into this melanoma abyss as there is so much information out there with a lot of negative info that scares the pants off of you (rightfully so) and gives you little hope.  I too was given the worst case scenario but continue to live well despite ongoing surgeries and treatments.  The best thing about this board is everyone has an opinion, experiences and lots of great info and feedback for those seeking  advice.  You have found a wonderful place and don't hesitate to clarify statements that you don't completely understand. I wish you all the best and please don't waste a day living in fear…….celebrate today, live it, take it all in …. today is all any of us have!   God Bless you and your Dad and your family as you find your way through this time……….Swanee

        Swanee
        Participant

        Hi Jessica……I made a comment about being treated in a major medical center and threw out the "Mayo Clinic"  as a place of possibility,  it was a suggestion…..  that it is important to get to a place that is familiar with melanoma.    Mayo Clinic may not be the right place for melanoma…..I don't know, but I do know they have treated members of my own family with rare disorders that the medical community I live in were unable to successfully help them with but  they found success there.   The most important point I was trying to make was get to a major medical center and go from there.  Maybe you will find answers and find the right medical treatment that feels right for you. maybe you will need to move on to other sources.  It is so scarry to be thrown into this melanoma abyss as there is so much information out there with a lot of negative info that scares the pants off of you (rightfully so) and gives you little hope.  I too was given the worst case scenario but continue to live well despite ongoing surgeries and treatments.  The best thing about this board is everyone has an opinion, experiences and lots of great info and feedback for those seeking  advice.  You have found a wonderful place and don't hesitate to clarify statements that you don't completely understand. I wish you all the best and please don't waste a day living in fear…….celebrate today, live it, take it all in …. today is all any of us have!   God Bless you and your Dad and your family as you find your way through this time……….Swanee

        LynnLuc
        Participant

        I went to Mayo in Rochester MN. They gave me 6-9 months and put me on Temodar and radiation to give me a little more time. Temodar is not a cure by any means and while the radiation shrank it by 1/3 the Temodar kept it from growing and spreading for around 5 months and then it no longer works because melanoma finds a way around it. We had to move to do my trial…we lived in North Dakota and I enrolled in Anti PD 1 trial in Tampa Florida. I have now been in the trial for 90 weeks of 128 weeks. I am also NED for over 2 years ( no evidence of disease). For me the move was worth it. Mayo IS NOT a comprehensive melanoma center and typically has very few trials to benefit melanoma patients.

        LynnLuc
        Participant

        I went to Mayo in Rochester MN. They gave me 6-9 months and put me on Temodar and radiation to give me a little more time. Temodar is not a cure by any means and while the radiation shrank it by 1/3 the Temodar kept it from growing and spreading for around 5 months and then it no longer works because melanoma finds a way around it. We had to move to do my trial…we lived in North Dakota and I enrolled in Anti PD 1 trial in Tampa Florida. I have now been in the trial for 90 weeks of 128 weeks. I am also NED for over 2 years ( no evidence of disease). For me the move was worth it. Mayo IS NOT a comprehensive melanoma center and typically has very few trials to benefit melanoma patients.

        LynnLuc
        Participant

        Midwest
        Multidisciplinary Melanoma Clinic
        Comprehensive Cancer Center, University of Michigan
        Ann Arbor, MI
        734-936-6360
        http://www.cancer.med.umich.edu/clinic/melclinic.htm

        Pigmented Lesion Clinic
        Henry Ford Hospital
        Detroit, MI
        313-916-4060

        Multidisciplinary Melanoma Clinic
        Karmanos Cancer Institute
        Wayne State University
        Detroit, MI
        313-745-9166
        1-800-Karmanos

        Multidisciplinary Melanoma and Pigmented Lesion Clinic
        University of Cincinnati Medical Center
        Cincinnati, OH
        513-584-8900

        MetroHealth Medical Center
        Cancer Care Center Melanoma Program
        2500 MetroHealth Drive
        Cleveland, Ohio 44109

        (216) 778-4795 (Surgical Oncology)
        (216) 778-5802 (Medical Oncology)
        The Melanoma Clinic at the Cleveland Clinic Taussig Cancer Center
        Cleveland, OH
        http://www.clevelandclinic.org/cancer

        The Melanoma Center At The James
        Ohio State University
        Columbus, OH
        614-293-7531 (medical)
        614-293-5644 (surgical)

        Wagner & Associates Plastic and Reconstructive Surgery Consultants of Indiana
        Indianapolis, IN
        317-621-2520
        317-621-2580

        Interdisciplinary Melanoma Clinic
        Indiana University Cancer Center, Indiana University Medical Center
        Indianapolis, IN
        317-278-7449

        Cardinal Bernardin Cancer Center
        Loyola University Chicago
        Chicago, IL
        708-327-2078
        http://www.luhs.org

        Pigmented Lesion Center
        Rush University
        Chicago, IL
        312-563-2321
        http://www.rush.edu/rumc/page-R12605.html

        Melanoma and Pigmented Lesion Center
        University of Minnesota
        Minneapolis, MN
        612-625-5199

        Multidisciplinary Melanoma Group
        St. Louis University Health Sciences Center/SLUCare
        St. Louis, MO
        314-268-5320

        LynnLuc
        Participant

        Midwest
        Multidisciplinary Melanoma Clinic
        Comprehensive Cancer Center, University of Michigan
        Ann Arbor, MI
        734-936-6360
        http://www.cancer.med.umich.edu/clinic/melclinic.htm

        Pigmented Lesion Clinic
        Henry Ford Hospital
        Detroit, MI
        313-916-4060

        Multidisciplinary Melanoma Clinic
        Karmanos Cancer Institute
        Wayne State University
        Detroit, MI
        313-745-9166
        1-800-Karmanos

        Multidisciplinary Melanoma and Pigmented Lesion Clinic
        University of Cincinnati Medical Center
        Cincinnati, OH
        513-584-8900

        MetroHealth Medical Center
        Cancer Care Center Melanoma Program
        2500 MetroHealth Drive
        Cleveland, Ohio 44109

        (216) 778-4795 (Surgical Oncology)
        (216) 778-5802 (Medical Oncology)
        The Melanoma Clinic at the Cleveland Clinic Taussig Cancer Center
        Cleveland, OH
        http://www.clevelandclinic.org/cancer

        The Melanoma Center At The James
        Ohio State University
        Columbus, OH
        614-293-7531 (medical)
        614-293-5644 (surgical)

        Wagner & Associates Plastic and Reconstructive Surgery Consultants of Indiana
        Indianapolis, IN
        317-621-2520
        317-621-2580

        Interdisciplinary Melanoma Clinic
        Indiana University Cancer Center, Indiana University Medical Center
        Indianapolis, IN
        317-278-7449

        Cardinal Bernardin Cancer Center
        Loyola University Chicago
        Chicago, IL
        708-327-2078
        http://www.luhs.org

        Pigmented Lesion Center
        Rush University
        Chicago, IL
        312-563-2321
        http://www.rush.edu/rumc/page-R12605.html

        Melanoma and Pigmented Lesion Center
        University of Minnesota
        Minneapolis, MN
        612-625-5199

        Multidisciplinary Melanoma Group
        St. Louis University Health Sciences Center/SLUCare
        St. Louis, MO
        314-268-5320

        LynnLuc
        Participant

        Midwest
        Multidisciplinary Melanoma Clinic
        Comprehensive Cancer Center, University of Michigan
        Ann Arbor, MI
        734-936-6360
        http://www.cancer.med.umich.edu/clinic/melclinic.htm

        Pigmented Lesion Clinic
        Henry Ford Hospital
        Detroit, MI
        313-916-4060

        Multidisciplinary Melanoma Clinic
        Karmanos Cancer Institute
        Wayne State University
        Detroit, MI
        313-745-9166
        1-800-Karmanos

        Multidisciplinary Melanoma and Pigmented Lesion Clinic
        University of Cincinnati Medical Center
        Cincinnati, OH
        513-584-8900

        MetroHealth Medical Center
        Cancer Care Center Melanoma Program
        2500 MetroHealth Drive
        Cleveland, Ohio 44109

        (216) 778-4795 (Surgical Oncology)
        (216) 778-5802 (Medical Oncology)
        The Melanoma Clinic at the Cleveland Clinic Taussig Cancer Center
        Cleveland, OH
        http://www.clevelandclinic.org/cancer

        The Melanoma Center At The James
        Ohio State University
        Columbus, OH
        614-293-7531 (medical)
        614-293-5644 (surgical)

        Wagner & Associates Plastic and Reconstructive Surgery Consultants of Indiana
        Indianapolis, IN
        317-621-2520
        317-621-2580

        Interdisciplinary Melanoma Clinic
        Indiana University Cancer Center, Indiana University Medical Center
        Indianapolis, IN
        317-278-7449

        Cardinal Bernardin Cancer Center
        Loyola University Chicago
        Chicago, IL
        708-327-2078
        http://www.luhs.org

        Pigmented Lesion Center
        Rush University
        Chicago, IL
        312-563-2321
        http://www.rush.edu/rumc/page-R12605.html

        Melanoma and Pigmented Lesion Center
        University of Minnesota
        Minneapolis, MN
        612-625-5199

        Multidisciplinary Melanoma Group
        St. Louis University Health Sciences Center/SLUCare
        St. Louis, MO
        314-268-5320

      Swanee
      Participant

      Dear Jessica,  I am so glad you found this board as you will find so many answers here…..don't worry if no one responds immediately…….   just repost again!   So many of us are living  well  and extremely knowledged in melanoma, staying in touch but also living life to the fullest even though we are facing late stages of melanoma cancer.  My Auntie lives in Iowa and travels to the nearest Mayo Clinic for lung cancer……not sure how far that is, but I do believe you may be close as she is able to travel there without much diress. I do think it is important that you receive information from a melanoma specialist……it can make the difference of the outcome, nobody knows for sure…….but it will be your best bet to receive the latest information…….some of the treatments I read about are so outdated!!  Good luck to you and God Bless you as you help your Dad on this journey…….Swanee

      Swanee
      Participant

      Dear Jessica,  I am so glad you found this board as you will find so many answers here…..don't worry if no one responds immediately…….   just repost again!   So many of us are living  well  and extremely knowledged in melanoma, staying in touch but also living life to the fullest even though we are facing late stages of melanoma cancer.  My Auntie lives in Iowa and travels to the nearest Mayo Clinic for lung cancer……not sure how far that is, but I do believe you may be close as she is able to travel there without much diress. I do think it is important that you receive information from a melanoma specialist……it can make the difference of the outcome, nobody knows for sure…….but it will be your best bet to receive the latest information…….some of the treatments I read about are so outdated!!  Good luck to you and God Bless you as you help your Dad on this journey…….Swanee

      hopefortomorrow
      Participant

      Actually, my mom had the longest response time with Temodar than with any other treatment she received.  Tumors shrunk and remained stable for 6 months and she only had very minor side effects.  Also the cheapest treatment for her.  She was also stage 4 with mets to lung and trachea at the time.  Never had a chance to try the Yervoy so can't help you there.  Traveling for a melanoma patient can be very tiring.  We had option to be treated at Johns Hopkins but after talking to Mom, she decided she didn't want to invest so much time and energy traveling back and forth and chose a local hospital with a melanoma specialist.  As everyone on this board can testify to, each patient is so different in their response to any treatment.  It is so frustrating trying to decide which way to go and then second guessing your decisions afterward.  The trials are great if you can get into them.  I wish you and your father the best and pray for all of the patients and their caregivers every day.

      hopefortomorrow
      Participant

      Actually, my mom had the longest response time with Temodar than with any other treatment she received.  Tumors shrunk and remained stable for 6 months and she only had very minor side effects.  Also the cheapest treatment for her.  She was also stage 4 with mets to lung and trachea at the time.  Never had a chance to try the Yervoy so can't help you there.  Traveling for a melanoma patient can be very tiring.  We had option to be treated at Johns Hopkins but after talking to Mom, she decided she didn't want to invest so much time and energy traveling back and forth and chose a local hospital with a melanoma specialist.  As everyone on this board can testify to, each patient is so different in their response to any treatment.  It is so frustrating trying to decide which way to go and then second guessing your decisions afterward.  The trials are great if you can get into them.  I wish you and your father the best and pray for all of the patients and their caregivers every day.

      hopefortomorrow
      Participant

      Actually, my mom had the longest response time with Temodar than with any other treatment she received.  Tumors shrunk and remained stable for 6 months and she only had very minor side effects.  Also the cheapest treatment for her.  She was also stage 4 with mets to lung and trachea at the time.  Never had a chance to try the Yervoy so can't help you there.  Traveling for a melanoma patient can be very tiring.  We had option to be treated at Johns Hopkins but after talking to Mom, she decided she didn't want to invest so much time and energy traveling back and forth and chose a local hospital with a melanoma specialist.  As everyone on this board can testify to, each patient is so different in their response to any treatment.  It is so frustrating trying to decide which way to go and then second guessing your decisions afterward.  The trials are great if you can get into them.  I wish you and your father the best and pray for all of the patients and their caregivers every day.

      Gene_S
      Participant
      Here may be another option, see:
       
      Holden Comprehensive Cancer Center
      The University of Iowa
      200 Hawkins Drive
      Iowa City, Iowa 52242
       (319) 353-8620
      Gene_S
      Participant
      Here may be another option, see:
       
      Holden Comprehensive Cancer Center
      The University of Iowa
      200 Hawkins Drive
      Iowa City, Iowa 52242
       (319) 353-8620
      Gene_S
      Participant
      Here may be another option, see:
       
      Holden Comprehensive Cancer Center
      The University of Iowa
      200 Hawkins Drive
      Iowa City, Iowa 52242
       (319) 353-8620
      Iowa98
      Participant

      Thank you to everyone for your kind comments and generous feedback.  My father will start his first treatment on Yervoy on Thursday.  I also want to talk with the Dr. about radiation therapy, as there has been some success with the combination of the two treatments.  Any feedback as to what to expect on the first Yervoy treatment?

      Iowa98
      Participant

      Thank you to everyone for your kind comments and generous feedback.  My father will start his first treatment on Yervoy on Thursday.  I also want to talk with the Dr. about radiation therapy, as there has been some success with the combination of the two treatments.  Any feedback as to what to expect on the first Yervoy treatment?

        LuckyMan51
        Participant
        Hi, I completed all 4 doses of the Yervoy and had nothing more than a little itching which I got some topical creme for. I also had a cyber knife procedure between the 3rd and 4th infusion to zap a lesion on the brain that popped up 6 mos after a lund met was surgically removed. My last Cat scan showed the tumor shrinking. Hoping the combination of the radiation and the Yervoy stimulated an anti immune reaction and abscopal effect kicks in. That cyber knife-radio static surgery is pretty incredible and away from a couple of screw marks on my temples I felt nothing. Was reading the NY Post while wearing the halo and waiting fr the procedure. See Dr Jed Wolchucks paper on the Memorial Sloan Kettering web site.. Watch for diarrhea carefully as Yervoy can cause that and the Dr will likely give your Dad a much stronger med than over the counter things like immodium. I had my last infusion a few days prior to starting a new job and no problem.. Not everybody gets a bad reaction to Yervoy so monitor carefully and cross your fingers. I go for body scan then brain scans in a few weeks and hopeful nothing new is reported. I wish your Dad the best of luck and am hopeful it’s smooth sailing for him. Whenever you start to worry make a mental list of things you are thankful for and the scary feeling will pass.
        LuckyMan51
        Participant
        Hi, I completed all 4 doses of the Yervoy and had nothing more than a little itching which I got some topical creme for. I also had a cyber knife procedure between the 3rd and 4th infusion to zap a lesion on the brain that popped up 6 mos after a lund met was surgically removed. My last Cat scan showed the tumor shrinking. Hoping the combination of the radiation and the Yervoy stimulated an anti immune reaction and abscopal effect kicks in. That cyber knife-radio static surgery is pretty incredible and away from a couple of screw marks on my temples I felt nothing. Was reading the NY Post while wearing the halo and waiting fr the procedure. See Dr Jed Wolchucks paper on the Memorial Sloan Kettering web site.. Watch for diarrhea carefully as Yervoy can cause that and the Dr will likely give your Dad a much stronger med than over the counter things like immodium. I had my last infusion a few days prior to starting a new job and no problem.. Not everybody gets a bad reaction to Yervoy so monitor carefully and cross your fingers. I go for body scan then brain scans in a few weeks and hopeful nothing new is reported. I wish your Dad the best of luck and am hopeful it’s smooth sailing for him. Whenever you start to worry make a mental list of things you are thankful for and the scary feeling will pass.
        LuckyMan51
        Participant
        Hi, I completed all 4 doses of the Yervoy and had nothing more than a little itching which I got some topical creme for. I also had a cyber knife procedure between the 3rd and 4th infusion to zap a lesion on the brain that popped up 6 mos after a lund met was surgically removed. My last Cat scan showed the tumor shrinking. Hoping the combination of the radiation and the Yervoy stimulated an anti immune reaction and abscopal effect kicks in. That cyber knife-radio static surgery is pretty incredible and away from a couple of screw marks on my temples I felt nothing. Was reading the NY Post while wearing the halo and waiting fr the procedure. See Dr Jed Wolchucks paper on the Memorial Sloan Kettering web site.. Watch for diarrhea carefully as Yervoy can cause that and the Dr will likely give your Dad a much stronger med than over the counter things like immodium. I had my last infusion a few days prior to starting a new job and no problem.. Not everybody gets a bad reaction to Yervoy so monitor carefully and cross your fingers. I go for body scan then brain scans in a few weeks and hopeful nothing new is reported. I wish your Dad the best of luck and am hopeful it’s smooth sailing for him. Whenever you start to worry make a mental list of things you are thankful for and the scary feeling will pass.
      Iowa98
      Participant

      Thank you to everyone for your kind comments and generous feedback.  My father will start his first treatment on Yervoy on Thursday.  I also want to talk with the Dr. about radiation therapy, as there has been some success with the combination of the two treatments.  Any feedback as to what to expect on the first Yervoy treatment?

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