› Forums › General Melanoma Community › GSK2141795 working but not manufactured by Novartis anymore
- This topic has 5 replies, 4 voices, and was last updated 7 years, 1 month ago by Raegen.
- Post
-
- March 26, 2017 at 2:40 am
I am a Phase I clinical trial participant with a BRAF V600K mutation at the University of Michigan involving a combination trial between Dabrafineb, Trametineb, and GSK2141795. I am one of four out of eleven patients whose metastatic melanoma has stabilized at U of M during this trial. GSK2141795 is owned by Novartis, but was manufactured by GlaxoSmithKline.
Novartis refuses to manufacture any more GSK2141795 and we run out of meds on April 30.
Does anyone have any extra GSK2141795? Or know any details regarding the sale of GSK's oncological division to Novartis in 2014?
Novartis included the information regarding GSK2141795's unavailability in the trial paperwork we all signed, but it came along with a verbal promise that another drug was under development and would be ready to take its place. It's not ready and they don't want to manufacture any more of it.
This is such an emotional rollercoaster; I run from being grateful for having a few extra months to live, to feeling really angry that a drug company knows how to solve this issue, but refuses to do it. I was hospitalized for 6 days with allergic reactions and risked blindness three times with dosage adjustments to prove out this drug. Now it's working and there isn't any more of it.
- Replies
-
-
- March 26, 2017 at 5:56 am
Unfortunately this can be a risk of joining an early stage trial. So sorry you are having to deal with this right now. Have you tried Dabrafineb/Trametineb alone? If not, then you could try those alone as they are already approved combo. I can't imagine the frustration you're going through right now.
-
- March 26, 2017 at 10:50 am
Dear Anon #2, the first Anon has a Braf mutation v600k which is different to the common Braf v600E, as I under stand things the approved Braf targeted drugs don't work for this very small subset of Braf patients. However Mek inhibitors do show response!!!! Best wishes!!! Ed
-
- March 27, 2017 at 12:42 am
Mmmhm…Actually, I had a great response to the Mekinist/Tafinlar combination as well – the two tumors on my jaw next to my ear just melted away. I couldn't tolerate those drugs for very long, however. The fever/chill cycle was horrific. My immune system tends to over-rev on many of these drugs due to, I believe, a sensitivity to dairy. I feel like I am dragging the immunology profession along behind me. It is a thought…I might be able to return to that combination as well. Just not one drop of milk and no butter anywhere in my life…
-
- March 26, 2017 at 1:23 pm
Sorry that you are dealing with this. Big Pharma is all about money. Perhaps they did not see the drug you found helpful as something that could be marketed to enough folks to be lucrative…who knows? However, I would talk to my doc about finding other AKT inhibitors that you could use if the study drug was helping you. ARQ 092 and ARQ 751 by ArQule might be an option. Miltefosine is actually FDA approved albeit for leishmaniosis. Another option for you may be PI3K inhibitors. PI3K is the step in the pathway just before AKT. Bparlisib and Alpelisib are in trials for breast cancer (and recently in mice for melanoma). Duvelisib for hematologic malignancies. TGR 1202 for follicular lymphoma. Perhaps you could gain access to one of these or a similar product. Here is a post I put together just this weekend with a cool diagram of the pathways and information you may find helpful:
Additionionally, Ed is right. Some folks in your position are doing well with MEKi administered as a single agent. Another possibility may be participation in this NCI match trial:
https://clinicaltrials.gov/ct2/show/NCT02465060?term=nci+match&rank=1
Hope you find a workable treatment soon. I wish you well. Celeste
-
- You must be logged in to reply to this topic.