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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

                      [email protected]

                      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

                        [email protected]

                        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

                          [email protected]

                          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

                                         

                                          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

                                              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.

                                                    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

                                                          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

                                                               

                                                              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.

                                                                              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.

                                                                                    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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