› Forums › General Melanoma Community › Anti pd 1
- This topic has 36 replies, 5 voices, and was last updated 10 years, 8 months ago by Tina D.
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- August 21, 2013 at 7:15 am
Hi Everyone,
I visit often and luckily haven’t had to post much – but unfort I have some questions! My husband Craig has been on Zelboraf for 2.5 years (complete response) – but we found out today that one of the lymph nodes he had at the beginning of the z trial has started growing again. The onc discussed merck anti PD1 as his next option. I am just looking for some info about it – stories, side effects, results etc – would love to hear from anyone experiencing it π
Thanks so much
LisaHi Everyone,
I visit often and luckily haven’t had to post much – but unfort I have some questions! My husband Craig has been on Zelboraf for 2.5 years (complete response) – but we found out today that one of the lymph nodes he had at the beginning of the z trial has started growing again. The onc discussed merck anti PD1 as his next option. I am just looking for some info about it – stories, side effects, results etc – would love to hear from anyone experiencing it π
Thanks so much
Lisa
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- August 21, 2013 at 11:43 am
If you search this forum for the term "anti-PD1" you will find a lot of posts about it. Anti-PD1 is still in clinical trials in the US, are such clinical trials available in Australia? Is Yervoy (ipilumimab) available in Australia? There is a new webinar on the Melanoma International Foundation by Dr. Antoni Ribas about anti-PD1. You can view it here http://melanomainternational.org/events-webinar/#.UhSmxuDiowE
Good luck with your research!
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- August 21, 2013 at 11:43 am
If you search this forum for the term "anti-PD1" you will find a lot of posts about it. Anti-PD1 is still in clinical trials in the US, are such clinical trials available in Australia? Is Yervoy (ipilumimab) available in Australia? There is a new webinar on the Melanoma International Foundation by Dr. Antoni Ribas about anti-PD1. You can view it here http://melanomainternational.org/events-webinar/#.UhSmxuDiowE
Good luck with your research!
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- August 21, 2013 at 11:43 am
If you search this forum for the term "anti-PD1" you will find a lot of posts about it. Anti-PD1 is still in clinical trials in the US, are such clinical trials available in Australia? Is Yervoy (ipilumimab) available in Australia? There is a new webinar on the Melanoma International Foundation by Dr. Antoni Ribas about anti-PD1. You can view it here http://melanomainternational.org/events-webinar/#.UhSmxuDiowE
Good luck with your research!
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- August 21, 2013 at 11:53 am
Hi Lisa,
Sorry to hear about your husband. Have they done a fine needle aspiration on that lymph node to confirm their suspicions? Not all swollen nodes turn out to be melanoma, some are just reactive. But it's good that his oncologist is being aggressive and proactive since melanoma can figure out how to outsmart Zelboraf.
If you searched this site, you'll find that there are quite a number of positive stories about anti PD-1. Folks seem to do very well on it. Lynn Luckeroth has been on it for over 2 years, I believe, and is still NED. The side effects seem to be minimal. In my humble non-medical opinion, anti PD-1 sounds like a great option.
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- August 21, 2013 at 11:53 am
Hi Lisa,
Sorry to hear about your husband. Have they done a fine needle aspiration on that lymph node to confirm their suspicions? Not all swollen nodes turn out to be melanoma, some are just reactive. But it's good that his oncologist is being aggressive and proactive since melanoma can figure out how to outsmart Zelboraf.
If you searched this site, you'll find that there are quite a number of positive stories about anti PD-1. Folks seem to do very well on it. Lynn Luckeroth has been on it for over 2 years, I believe, and is still NED. The side effects seem to be minimal. In my humble non-medical opinion, anti PD-1 sounds like a great option.
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- August 21, 2013 at 11:53 am
Hi Lisa,
Sorry to hear about your husband. Have they done a fine needle aspiration on that lymph node to confirm their suspicions? Not all swollen nodes turn out to be melanoma, some are just reactive. But it's good that his oncologist is being aggressive and proactive since melanoma can figure out how to outsmart Zelboraf.
If you searched this site, you'll find that there are quite a number of positive stories about anti PD-1. Folks seem to do very well on it. Lynn Luckeroth has been on it for over 2 years, I believe, and is still NED. The side effects seem to be minimal. In my humble non-medical opinion, anti PD-1 sounds like a great option.
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- August 21, 2013 at 1:34 pm
Hi – thanks for your reply and those tips. Yep, it is an international trial, but available here in Aus. From what I understand he will be randomized to the anti pd 1 or to yervoy. And yes, yervoy is available here – just gone onto the PBS I think. So he has a few options available, and the low tumor burden is also a positive. He had such a great, durable response to z – we are just hoping he has the same response to the trial π ill check out that link
Thanks again -
- August 21, 2013 at 1:40 pm
Hi Linny
Thanks for your reply. Yep, they are doing a biopsy on Monday just to make sure. When keeping in touch on the board I have seen bits and pieces about the anti pd 1 and it seems promising – we are just trying to digest it all. We have great drs here who we trust and who are very up to date with all the latest and greatest π
I’ll have a look on the site for posts about it.
Cheers -
- August 22, 2013 at 1:03 am
Hey Lisa,
Sorry you and your husband are having to look for more options. I started the BMS anti-PD1 product (now named Nivolumab) in December of 2010, in an NED arm for Stage IV patients after SRS to a brain met and surgery to a lung met and a tonsilectomy that was also positive for melanoma. I was given anti-Pd1 every 2 weeks for 6 months (along with peptide vaccines…which have been found to provide nothing) and then every 3 months for two more years. I remain NED. My story and experiences as well as data re other melanoma treatments can be found on my blog. Just google: "Chaotically Precise" and it will come up, if you are interested. Wishing you both my best. Celeste
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- August 22, 2013 at 1:03 am
Hey Lisa,
Sorry you and your husband are having to look for more options. I started the BMS anti-PD1 product (now named Nivolumab) in December of 2010, in an NED arm for Stage IV patients after SRS to a brain met and surgery to a lung met and a tonsilectomy that was also positive for melanoma. I was given anti-Pd1 every 2 weeks for 6 months (along with peptide vaccines…which have been found to provide nothing) and then every 3 months for two more years. I remain NED. My story and experiences as well as data re other melanoma treatments can be found on my blog. Just google: "Chaotically Precise" and it will come up, if you are interested. Wishing you both my best. Celeste
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- August 22, 2013 at 1:03 am
Hey Lisa,
Sorry you and your husband are having to look for more options. I started the BMS anti-PD1 product (now named Nivolumab) in December of 2010, in an NED arm for Stage IV patients after SRS to a brain met and surgery to a lung met and a tonsilectomy that was also positive for melanoma. I was given anti-Pd1 every 2 weeks for 6 months (along with peptide vaccines…which have been found to provide nothing) and then every 3 months for two more years. I remain NED. My story and experiences as well as data re other melanoma treatments can be found on my blog. Just google: "Chaotically Precise" and it will come up, if you are interested. Wishing you both my best. Celeste
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- August 25, 2013 at 2:29 pm
My side effects have been manageable and probably less than what folks who do interferon have to deal with! I have had arthralgias off and on after infusions…they kind of come and go. I have also dealt with mucositis off and on that has caused lesions in my mouth….they have waxed and waned but seemed to become more persistent as I went through the trial. I also developed a lot of vitiligo….which is completely pain free of course….just an appearance thing. There have been pretty consistent rashes with itching….and a little tiredness. But, overall nothing compared to what many others have endured. I have missed only three days of work in the past 2 3/4 years and have been able to rebuild my stamina for running and other exercise after my infusions. I think a cross over clause is essential for trials comparing ipi or anti-PD1 to older chemo agents….but it seems that more and more trials are including them. I wish you the very best with the biopsy and decisions that follow. Keep us posted and let me know if there any other questions I might be able to answer. C -
- August 25, 2013 at 2:29 pm
My side effects have been manageable and probably less than what folks who do interferon have to deal with! I have had arthralgias off and on after infusions…they kind of come and go. I have also dealt with mucositis off and on that has caused lesions in my mouth….they have waxed and waned but seemed to become more persistent as I went through the trial. I also developed a lot of vitiligo….which is completely pain free of course….just an appearance thing. There have been pretty consistent rashes with itching….and a little tiredness. But, overall nothing compared to what many others have endured. I have missed only three days of work in the past 2 3/4 years and have been able to rebuild my stamina for running and other exercise after my infusions. I think a cross over clause is essential for trials comparing ipi or anti-PD1 to older chemo agents….but it seems that more and more trials are including them. I wish you the very best with the biopsy and decisions that follow. Keep us posted and let me know if there any other questions I might be able to answer. C -
- August 25, 2013 at 2:29 pm
My side effects have been manageable and probably less than what folks who do interferon have to deal with! I have had arthralgias off and on after infusions…they kind of come and go. I have also dealt with mucositis off and on that has caused lesions in my mouth….they have waxed and waned but seemed to become more persistent as I went through the trial. I also developed a lot of vitiligo….which is completely pain free of course….just an appearance thing. There have been pretty consistent rashes with itching….and a little tiredness. But, overall nothing compared to what many others have endured. I have missed only three days of work in the past 2 3/4 years and have been able to rebuild my stamina for running and other exercise after my infusions. I think a cross over clause is essential for trials comparing ipi or anti-PD1 to older chemo agents….but it seems that more and more trials are including them. I wish you the very best with the biopsy and decisions that follow. Keep us posted and let me know if there any other questions I might be able to answer. C -
- August 29, 2013 at 5:49 am
Thanks for all the info Celeste. Some of those side effects dont sound that nice – but certainly manageable and a small price to pay π He had the biopsy on mon and was confirmed to be Mel. It’s now apparently being sent off to the states for further testing for the trial (?). Hopefully we get some more info about it soon and will know the plan!
I had a proper read through your blog – wow – your positivity is inspiring! Just what I needed to read this week!
Thanks again x -
- August 29, 2013 at 5:49 am
Thanks for all the info Celeste. Some of those side effects dont sound that nice – but certainly manageable and a small price to pay π He had the biopsy on mon and was confirmed to be Mel. It’s now apparently being sent off to the states for further testing for the trial (?). Hopefully we get some more info about it soon and will know the plan!
I had a proper read through your blog – wow – your positivity is inspiring! Just what I needed to read this week!
Thanks again x -
- August 29, 2013 at 5:49 am
Thanks for all the info Celeste. Some of those side effects dont sound that nice – but certainly manageable and a small price to pay π He had the biopsy on mon and was confirmed to be Mel. It’s now apparently being sent off to the states for further testing for the trial (?). Hopefully we get some more info about it soon and will know the plan!
I had a proper read through your blog – wow – your positivity is inspiring! Just what I needed to read this week!
Thanks again x -
- August 30, 2013 at 1:48 pm
Hi Lisa,
I have only had 2 doses so far, but having VERY minimal side effects. NOTHING like while on Zelboraf. Have had some days of fatigue, and some mild itching. One day with some flu-like symptoms. The Dr told me the side effects do not seem to be cumulative in nature, so they do not necessarily get worse as time goes on. Dr also said it tends to be well-tolerated. Of those who repsond, a large percentage have DURABLE response to it.
Tina
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- August 30, 2013 at 1:48 pm
Hi Lisa,
I have only had 2 doses so far, but having VERY minimal side effects. NOTHING like while on Zelboraf. Have had some days of fatigue, and some mild itching. One day with some flu-like symptoms. The Dr told me the side effects do not seem to be cumulative in nature, so they do not necessarily get worse as time goes on. Dr also said it tends to be well-tolerated. Of those who repsond, a large percentage have DURABLE response to it.
Tina
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- August 30, 2013 at 1:48 pm
Hi Lisa,
I have only had 2 doses so far, but having VERY minimal side effects. NOTHING like while on Zelboraf. Have had some days of fatigue, and some mild itching. One day with some flu-like symptoms. The Dr told me the side effects do not seem to be cumulative in nature, so they do not necessarily get worse as time goes on. Dr also said it tends to be well-tolerated. Of those who repsond, a large percentage have DURABLE response to it.
Tina
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- August 31, 2013 at 9:03 pm
Lisa, I was on Z for just over 6 months. Initially, with tumors in pancreas,back muscle and many abdominal nodes, I had a complete response at the 8 week mark. It began to return, however, at abt the 6 month mark. I then took ipi and initially had some shrinkage, but 2nd set of scans showed growth once again.
Tina
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- August 21, 2013 at 1:34 pm
Hi – thanks for your reply and those tips. Yep, it is an international trial, but available here in Aus. From what I understand he will be randomized to the anti pd 1 or to yervoy. And yes, yervoy is available here – just gone onto the PBS I think. So he has a few options available, and the low tumor burden is also a positive. He had such a great, durable response to z – we are just hoping he has the same response to the trial π ill check out that link
Thanks again -
- August 21, 2013 at 1:34 pm
Hi – thanks for your reply and those tips. Yep, it is an international trial, but available here in Aus. From what I understand he will be randomized to the anti pd 1 or to yervoy. And yes, yervoy is available here – just gone onto the PBS I think. So he has a few options available, and the low tumor burden is also a positive. He had such a great, durable response to z – we are just hoping he has the same response to the trial π ill check out that link
Thanks again -
- August 21, 2013 at 1:40 pm
Hi Linny
Thanks for your reply. Yep, they are doing a biopsy on Monday just to make sure. When keeping in touch on the board I have seen bits and pieces about the anti pd 1 and it seems promising – we are just trying to digest it all. We have great drs here who we trust and who are very up to date with all the latest and greatest π
I’ll have a look on the site for posts about it.
Cheers -
- August 21, 2013 at 1:40 pm
Hi Linny
Thanks for your reply. Yep, they are doing a biopsy on Monday just to make sure. When keeping in touch on the board I have seen bits and pieces about the anti pd 1 and it seems promising – we are just trying to digest it all. We have great drs here who we trust and who are very up to date with all the latest and greatest π
I’ll have a look on the site for posts about it.
Cheers -
- August 25, 2013 at 10:46 am
Hi Celeste
Thanks for your reply. I had a look at your blog – your story is amazing. It’s so encouraging to hear stories like yours. Did you experience many side effects? Craig didn’t tolerate interferon very well but had minimal side effects with the braf inhibitor. I think the trial he will go on will randomize him to either ipi or the anti pd1 – and I also think he will cross over if he gets ipi first up (will need to clarify that). Anyway – he goes in for a biopsy tomorrow – so hopefully will know more about the plan over the coming week.
I will keep reading your blog π
Thanks again -
- August 25, 2013 at 10:46 am
Hi Celeste
Thanks for your reply. I had a look at your blog – your story is amazing. It’s so encouraging to hear stories like yours. Did you experience many side effects? Craig didn’t tolerate interferon very well but had minimal side effects with the braf inhibitor. I think the trial he will go on will randomize him to either ipi or the anti pd1 – and I also think he will cross over if he gets ipi first up (will need to clarify that). Anyway – he goes in for a biopsy tomorrow – so hopefully will know more about the plan over the coming week.
I will keep reading your blog π
Thanks again -
- August 25, 2013 at 10:46 am
Hi Celeste
Thanks for your reply. I had a look at your blog – your story is amazing. It’s so encouraging to hear stories like yours. Did you experience many side effects? Craig didn’t tolerate interferon very well but had minimal side effects with the braf inhibitor. I think the trial he will go on will randomize him to either ipi or the anti pd1 – and I also think he will cross over if he gets ipi first up (will need to clarify that). Anyway – he goes in for a biopsy tomorrow – so hopefully will know more about the plan over the coming week.
I will keep reading your blog π
Thanks again -
- August 31, 2013 at 11:47 am
Hi Tina,
Thanks for your reply – most peoples side effects seem to be similar – so its good to know what we might expect. That is great that they arent cumulative either. Fingers crossed for durable reponses for everyone! How long did you take Z for? And have you done ipi?
Thanks again and best of luck
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- August 31, 2013 at 11:47 am
Hi Tina,
Thanks for your reply – most peoples side effects seem to be similar – so its good to know what we might expect. That is great that they arent cumulative either. Fingers crossed for durable reponses for everyone! How long did you take Z for? And have you done ipi?
Thanks again and best of luck
-
- August 31, 2013 at 11:47 am
Hi Tina,
Thanks for your reply – most peoples side effects seem to be similar – so its good to know what we might expect. That is great that they arent cumulative either. Fingers crossed for durable reponses for everyone! How long did you take Z for? And have you done ipi?
Thanks again and best of luck
-
- August 31, 2013 at 9:03 pm
Lisa, I was on Z for just over 6 months. Initially, with tumors in pancreas,back muscle and many abdominal nodes, I had a complete response at the 8 week mark. It began to return, however, at abt the 6 month mark. I then took ipi and initially had some shrinkage, but 2nd set of scans showed growth once again.
Tina
-
- August 31, 2013 at 9:03 pm
Lisa, I was on Z for just over 6 months. Initially, with tumors in pancreas,back muscle and many abdominal nodes, I had a complete response at the 8 week mark. It began to return, however, at abt the 6 month mark. I then took ipi and initially had some shrinkage, but 2nd set of scans showed growth once again.
Tina
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