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Sutent & Yervoy (response to Sarah Eliz.)

Forums General Melanoma Community Sutent & Yervoy (response to Sarah Eliz.)

  • Post
    edamaser
    Participant

      Sarah,

      I had both Yervoy and Sutent, and so can speak to the side effects I had, but, as you know, everyone reacts differently, and this nutty cancer seems to do whatever it wants whenever it wants with no reason or regularity to it.  Thus, my experience really will not be a guide for you, however I'm happy to share.

      Sarah,

      I had both Yervoy and Sutent, and so can speak to the side effects I had, but, as you know, everyone reacts differently, and this nutty cancer seems to do whatever it wants whenever it wants with no reason or regularity to it.  Thus, my experience really will not be a guide for you, however I'm happy to share.

      Sutent kept me stable for almost 2 1/2 years, but that far, far exceeded everyone else on the clinical trial.  Initially I could not tolerate the full dose (37 mg), which gave me a horrendous headache 24/7, so Dr. Sato reduced my dose to 25 mg.  The headache went away, but I had other side effects:  including fatigue, diarrhea, bleeding hemorrhoids, and sores on the soles of my feet (the last was really a problem).

      There is a new anti-angiogenic that I understand to be "stronger" than sutent, but has fewer side effects:  Axitinib.  It is not yet approved, but there are clinical trials with it (see clinicaltrials.gov).  That's all I know about it.

      I had both PD-1 and Yervoy (at different times).  The PD-1 kept me stable for a short time, but then I had new liver mets.  I had immuno-embos (Sato) for those, then went on to Yervoy.  This kept my body mets roughly stable (a few bigger, a few smaller), but then I developed two brain mets.  I had those radiated, and will be scanned again next week to see if the Yervoy is helping.  Side effects from Yervoy were not that bad for me, but I'm sure you have heard stories from others about bad side effects.  I had fatigue, taste problems, didn't feel like eating, sores and sensitivity in my mouth, rashes, cycling from constipation to almost diarrhea, and more.

      Let us know what you choose.

      Lots of luck,

      Esther

    Viewing 2 reply threads
    • Replies
        d1i2x3i4e5
        Participant

          My first time on this site so I hope this is coming across okay.  I have Stage IV melanoma in my bones a few mets in my head not my brain so far and some tumors under my skin.   I have had radiation two times on my head.  I took Yervoy last July 2011.  I had the bad side effect of colitis.  I was only able to take three out of the four treatments.  I had to be hospitalized for the colitis for eight days.  I recently had 10 treatments of radiation on my head but haven't had any other treatments since July 2011.  My doctor talked to me about the possibility of PD1 but now says since I had such a bad side effect with Yervoy that I am not probably going to be a candidate for PD1.  I do not have the braf mutation so I guess I am limited to most treatments that are effective.  Does anyone have a similar story?  The Yervoy I think worked because the tumors under my skin have mostly dissappeared but I still have it in my bones.  I am looking for another treatment that might work since I don't have the braf mutation. 

           

            Oakdene_Cottage
            Participant

              Thanks Exther! 

              Oakdene_Cottage
              Participant

                Thanks Exther! 

                Oakdene_Cottage
                Participant

                  Thanks Exther! 

                  lak
                  Participant

                    Hi

                    I had ipilimumab and progressed dramatically in liver which i had treated with SIRT. March 2011. Since my progression I have been recieving Zolendronate infusions to slow or keep bone mets at bay. So far none. I had loads of side effects with ipi- hospitalised when my heptatis started- high fever but always settled with steroids.

                    XL184- I think Gregg had it and it led to shrinkage of his bone tumours. It is a licensed drug cabozanitib( I think) for thryoid cancer. So you would just have to persuade them to use it off label.

                    May I ask at what stage did you start steroids. I started steroids when i started having bowels open in night and mucus never progressed to blood but did go on to get abdo discomfort and distension luckily nothing more. Didnt have a colonoscopy until i had finished ipi and was improving but saw blood looking stuff after a meal. Must have been animal blood as nothing in my guts.

                    I was started very early on steroids which I hated and thought maybe I would try and hold out longer if I get ipi again. So curious how bad you were when you went on steroids?

                     

                    Carpe diem

                     

                    Lesley

                    Oakdene_Cottage
                    Participant

                      Hi Lesley,

                      I haven't started a protocal yet.  It looks like I am not elibable for any of the active PD-1 trials right now.  So I am going to start Yervoy soon.  I am curious what dose people have had and how they tolerated it.  

                      Thanks for the response.  

                      Be Well, 
                      Se 

                      Oakdene_Cottage
                      Participant

                        Ooops.  It looks like we have two Sarah Elizabeths.  This is [Love X Infinity]2 Sarah Elizabeth. 

                        Oakdene_Cottage
                        Participant

                          Ooops.  It looks like we have two Sarah Elizabeths.  This is [Love X Infinity]2 Sarah Elizabeth. 

                          Oakdene_Cottage
                          Participant

                            Ooops.  It looks like we have two Sarah Elizabeths.  This is [Love X Infinity]2 Sarah Elizabeth. 

                            Oakdene_Cottage
                            Participant

                              Hi Lesley,

                              I haven't started a protocal yet.  It looks like I am not elibable for any of the active PD-1 trials right now.  So I am going to start Yervoy soon.  I am curious what dose people have had and how they tolerated it.  

                              Thanks for the response.  

                              Be Well, 
                              Se 

                              Oakdene_Cottage
                              Participant

                                Hi Lesley,

                                I haven't started a protocal yet.  It looks like I am not elibable for any of the active PD-1 trials right now.  So I am going to start Yervoy soon.  I am curious what dose people have had and how they tolerated it.  

                                Thanks for the response.  

                                Be Well, 
                                Se 

                                lak
                                Participant

                                  Hi

                                  I had ipilimumab and progressed dramatically in liver which i had treated with SIRT. March 2011. Since my progression I have been recieving Zolendronate infusions to slow or keep bone mets at bay. So far none. I had loads of side effects with ipi- hospitalised when my heptatis started- high fever but always settled with steroids.

                                  XL184- I think Gregg had it and it led to shrinkage of his bone tumours. It is a licensed drug cabozanitib( I think) for thryoid cancer. So you would just have to persuade them to use it off label.

                                  May I ask at what stage did you start steroids. I started steroids when i started having bowels open in night and mucus never progressed to blood but did go on to get abdo discomfort and distension luckily nothing more. Didnt have a colonoscopy until i had finished ipi and was improving but saw blood looking stuff after a meal. Must have been animal blood as nothing in my guts.

                                  I was started very early on steroids which I hated and thought maybe I would try and hold out longer if I get ipi again. So curious how bad you were when you went on steroids?

                                   

                                  Carpe diem

                                   

                                  Lesley

                                  lak
                                  Participant

                                    Hi

                                    I had ipilimumab and progressed dramatically in liver which i had treated with SIRT. March 2011. Since my progression I have been recieving Zolendronate infusions to slow or keep bone mets at bay. So far none. I had loads of side effects with ipi- hospitalised when my heptatis started- high fever but always settled with steroids.

                                    XL184- I think Gregg had it and it led to shrinkage of his bone tumours. It is a licensed drug cabozanitib( I think) for thryoid cancer. So you would just have to persuade them to use it off label.

                                    May I ask at what stage did you start steroids. I started steroids when i started having bowels open in night and mucus never progressed to blood but did go on to get abdo discomfort and distension luckily nothing more. Didnt have a colonoscopy until i had finished ipi and was improving but saw blood looking stuff after a meal. Must have been animal blood as nothing in my guts.

                                    I was started very early on steroids which I hated and thought maybe I would try and hold out longer if I get ipi again. So curious how bad you were when you went on steroids?

                                     

                                    Carpe diem

                                     

                                    Lesley

                                  d1i2x3i4e5
                                  Participant

                                    My first time on this site so I hope this is coming across okay.  I have Stage IV melanoma in my bones a few mets in my head not my brain so far and some tumors under my skin.   I have had radiation two times on my head.  I took Yervoy last July 2011.  I had the bad side effect of colitis.  I was only able to take three out of the four treatments.  I had to be hospitalized for the colitis for eight days.  I recently had 10 treatments of radiation on my head but haven't had any other treatments since July 2011.  My doctor talked to me about the possibility of PD1 but now says since I had such a bad side effect with Yervoy that I am not probably going to be a candidate for PD1.  I do not have the braf mutation so I guess I am limited to most treatments that are effective.  Does anyone have a similar story?  The Yervoy I think worked because the tumors under my skin have mostly dissappeared but I still have it in my bones.  I am looking for another treatment that might work since I don't have the braf mutation. 

                                     

                                    d1i2x3i4e5
                                    Participant

                                      My first time on this site so I hope this is coming across okay.  I have Stage IV melanoma in my bones a few mets in my head not my brain so far and some tumors under my skin.   I have had radiation two times on my head.  I took Yervoy last July 2011.  I had the bad side effect of colitis.  I was only able to take three out of the four treatments.  I had to be hospitalized for the colitis for eight days.  I recently had 10 treatments of radiation on my head but haven't had any other treatments since July 2011.  My doctor talked to me about the possibility of PD1 but now says since I had such a bad side effect with Yervoy that I am not probably going to be a candidate for PD1.  I do not have the braf mutation so I guess I am limited to most treatments that are effective.  Does anyone have a similar story?  The Yervoy I think worked because the tumors under my skin have mostly dissappeared but I still have it in my bones.  I am looking for another treatment that might work since I don't have the braf mutation. 

                                       

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