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Anti pd 1

Forums General Melanoma Community Anti pd 1

  • Post
    Lisa – Aust
    Participant
      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 πŸ™‚
      Thanks so much
      Lisa

      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 πŸ™‚
      Thanks so much
      Lisa

    Viewing 21 reply threads
    • Replies
        POW
        Participant

          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!

          POW
          Participant

            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!

            POW
            Participant

              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!

              Linny
              Participant

                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.

                Linny
                Participant

                  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.

                  Linny
                  Participant

                    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.

                    Lisa – Aust
                    Participant
                      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 πŸ™‚ ill check out that link
                      Thanks again
                      Lisa – Aust
                      Participant
                        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 πŸ™‚
                        I’ll have a look on the site for posts about it.
                        Cheers
                        Bubbles
                        Participant

                          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

                          Bubbles
                          Participant

                            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

                            Bubbles
                            Participant

                              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

                              Bubbles
                              Participant
                                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
                                Bubbles
                                Participant
                                  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
                                  Bubbles
                                  Participant
                                    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
                                    Lisa – Aust
                                    Participant
                                      Thanks for all the info Celeste. Some of those side effects dont sound that nice – but certainly manageable and a small price to pay πŸ™‚ 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
                                      Lisa – Aust
                                      Participant
                                        Thanks for all the info Celeste. Some of those side effects dont sound that nice – but certainly manageable and a small price to pay πŸ™‚ 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
                                        Lisa – Aust
                                        Participant
                                          Thanks for all the info Celeste. Some of those side effects dont sound that nice – but certainly manageable and a small price to pay πŸ™‚ 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
                                          Bubbles
                                          Participant

                                            Sorry for the biopsy results!  But….I am certain you will come up with a workable plan!!!  Hang in there.  Keep us all posted and let me know if there is anything I can possibly answer.  Yours, celeste

                                            Tina D
                                            Participant

                                              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

                                              Tina D
                                              Participant

                                                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

                                                Tina D
                                                Participant

                                                  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

                                                  Tina D
                                                  Participant

                                                    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

                                                    Lisa – Aust
                                                    Participant
                                                      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 πŸ™‚ ill check out that link
                                                      Thanks again
                                                      Lisa – Aust
                                                      Participant
                                                        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 πŸ™‚ ill check out that link
                                                        Thanks again
                                                        Lisa – Aust
                                                        Participant
                                                          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 πŸ™‚
                                                          I’ll have a look on the site for posts about it.
                                                          Cheers
                                                          Lisa – Aust
                                                          Participant
                                                            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 πŸ™‚
                                                            I’ll have a look on the site for posts about it.
                                                            Cheers
                                                            Lisa – Aust
                                                            Participant
                                                              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 πŸ™‚
                                                              Thanks again
                                                              Lisa – Aust
                                                              Participant
                                                                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 πŸ™‚
                                                                Thanks again
                                                                Lisa – Aust
                                                                Participant
                                                                  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 πŸ™‚
                                                                  Thanks again
                                                                  Bubbles
                                                                  Participant

                                                                    Sorry for the biopsy results!  But….I am certain you will come up with a workable plan!!!  Hang in there.  Keep us all posted and let me know if there is anything I can possibly answer.  Yours, celeste

                                                                    Bubbles
                                                                    Participant

                                                                      Sorry for the biopsy results!  But….I am certain you will come up with a workable plan!!!  Hang in there.  Keep us all posted and let me know if there is anything I can possibly answer.  Yours, celeste

                                                                      Lisa – Aust
                                                                      Participant

                                                                        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

                                                                        Lisa – Aust
                                                                        Participant

                                                                          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

                                                                          Lisa – Aust
                                                                          Participant

                                                                            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

                                                                            Tina D
                                                                            Participant

                                                                              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

                                                                              Tina D
                                                                              Participant

                                                                                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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