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All TopicsForum: Stage IV and Metastatic Breast Cancer ONLY → Topic: TDM1 Trials: Anyone? Anyone?

Topic: TDM1 Trials: Anyone? Anyone?

Forum: Stage IV and Metastatic Breast Cancer ONLY — A place for those managing the ups & downs of a Stage IV/metastatic breast cancer diagnosis. Please respect that this forum is for Stage IV members only or those posting on behalf of a Stage IV patient. There is a separate forum for Stage IV Caregivers/Family in "Support and Community Connections".

Posted on: Feb 3, 2009 03:28 PM

tooyoungtohavebc wrote:

Hi there

I have just been invited to participate in a phase of the trials for TDM1 or super herceptin as some are calling it. I have to take tests before I am officially selected, but is anyone else here in this trial or any of the past ones? Just wondering how it went.

Wish me luck! I hope I get approved and hope it works!


Dx 2005, IDC, 6cm+, Stage IV, Grade 3, 1/7 nodes, ER+/PR+, HER2+
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Sep 4, 2009 03:36 AM mthomp2020 wrote:

It's good to hear that it's still working for you. I hear ya about NED - it's what we all dream of! Stable isn't so bad, though. Beats the alternative!

I've got a question for you. Is neuropathy one of the possible side effects of TDM1? In the trial requirements, they won't accept anyone who has grade 3 neuropathy. I wasn't sure if that's because of possibly being assigned to Xeloda/Tykerb, or if it's the TDM1 that can cause it. I know Xeloda can. The neuropathy I got from Taxol was still there after 1 year - numbness in hands and feet - and I'm now on Navelbine, which is making the numbness worse. Obviously there's permanent nerve damage. I was hoping TDM1 would be a possibility for me in the future.


Dx 5/21/2007, IDC, Stage IV, Grade 3, mets, ER-/PR-, HER2+
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Sep 4, 2009 03:23 PM vhqh wrote:

After my last scans showed some progression, my onc mentioned the possibility of going on TDM1 on a compassionate use basis - not on a trial!

IDC, er+/pr +, her2 +++, stage IV
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Sep 4, 2009 03:27 PM LuAnnH wrote:

that is GREAT!  Sorry to hear about the fatigue and depression but I think I am sharing your sandbox with that one right now.  I'm on tamoxifen and I have never felt this depressed since I started with this flippin disease!

LuAnn -- www.luannsblog.typepad.com
Dx 7/2/2006, IDC, 2cm, Stage IV, 0/ nodes, mets, ER+/PR+, HER2+
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Sep 11, 2009 12:36 PM tooyoungtohavebc wrote:

So I went to eye doc again last week and she made me come back again this week. My eyes are so dry that now my corneas are being affected and my vision could be damaged permanently. I can no longer wear my contacts and my vision has gotten worse too. So not looking good. I notified my onc and he said he will get back to me with the plan....right when this stuff seemed to be shrinking the tumors a bit...blahhhhh!


Diagnosis: 2005, IDC, 6cm+, Stage IV, Grade 3, 1/7 nodes, ER+/PR+, HER2+
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Sep 11, 2009 02:51 PM LisaSDCA wrote:

tooyoung - has the eye doctor considered Restasis? It has changed people's lives who suffer with dry eyes. My experience is you need an ophthalmologist to prescribe it. Are you seeing one? Or only an optometrist? I can't imagine a dr. who allows you to get to the point of corneal damage without recommending a trial of Restasis drops!

Lisa

Stage IV mets to brain 11/2008
Diagnosis: 1/24/2007, IDC, 2cm, Stage IIa, Grade 3, 0/3 nodes, ER-/PR-, HER2-
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Sep 11, 2009 03:28 PM tooyoungtohavebc wrote:

Thanks Lisa! For right now my eye doc wants me to try artificial tears to see if they help enough and if I am allowed to continue the trial. Next step may be restasis and she also recommended I go see a doctor at kaiser since I now have a medical condition in my eyes. more doctors more doctors more doctors:(


Diagnosis: 2005, IDC, 6cm+, Stage IV, Grade 3, 1/7 nodes, ER+/PR+, HER2+
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Sep 21, 2009 09:32 AM Catgo wrote:

Hi all, I haven't posted in a long time but I am still doing incredible on this drug.  This week is #13. Liver lesions are gone & spots on lungs are still tiny spots on lungs.  I hate all the testing involved with a clinical trial but that will be over after #17.  I will continue to get the drug but without the hassle.  Still very few side effects just flu-like symptoms for a few days.  I said in the past that my problem has always been that no drug has worked for me for more than 6 month...well its now been 9 months & things are looking good.

I get this drug at Sloan Kettering in Manhattan  & they tell me this drug will be available to more & more people real soon.  I know my results from this drug will help make it happen!

Keep the faith, Cathy

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Sep 21, 2009 09:59 AM Bmarie wrote:

Wow, Cathy, I am so happy you are doing well on this!  Gives me hope and can't be soon enough that anyone can get it! Maybe this is the cure for HER2 positives! :)!


Diagnosis: 5/1/2007, IDC, 3cm, Stage IV, Grade 3, 6/7 nodes, ER+/PR-, HER2+
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Sep 29, 2009 07:27 AM tooyoungtohavebc wrote:

So I get to continue in the trial and they just lowered my dosage because of the eye issues. So far the lower dosage seems to be helping with the fatigue. I have much more energyLaughingshould have asked them to lower it a long time ago huh! Won't know if it is helping with the eye problem for a bit. Scans next week, but as of now still stable!

Diagnosis: 2005, IDC, 6cm+, Stage IV, Grade 3, 1/7 nodes, ER+/PR+, HER2+
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Oct 21, 2009 03:12 AM nmiller wrote:

This is my first post!  I just had my second treatment of TDM1 and Pertuzamab last Tuesday.  I had a good bit of nasua for the first couple of days after treatment, but have felt normal since.  I also had a strange itchy skin rash on my legs (has anyone else had this?).  I have scans next Friday - we are praying this is working!!  I would love to hear an update of how others are doing.  Tooyoungtohavebc - how are you? (I also feel "too young" sometimes - diagnosed at 26 - but hoping that these new drugs really will let us treat this as a chronic illness for MANY years to come!!). 


Diagnosis: 6/26/2007, 6cm+, Stage IV, 0/27 nodes, mets, ER-/PR-, HER2+
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Oct 22, 2009 02:13 PM tooyoungtohavebc wrote:

Hiya n! I did not get the rash but i do always have a sort of allergic reaction the first few days after infusion..lots of sneezing and coughing...but then it subsides.

I am excited about this trial. It has been keeping me stable. Just recently I have noticed some things growing, but scans still say stable so I will take it..although I just wanna be DONE with treatments, but don't we all. I had lots of side effects from this trial drug, especially at the beginning, but most were manageable. My worst one is by far the fatigue! I also had a lot of back pain at the beginning and I still get shooting pains in my feet at night right after the infusion...oh and I have major eye issues now so am getting a reduced dosage. However if I compare this to the lovely Ixempra that I did last year...this stuff is a breeze. From what they tell me it seems to be having good results so far. Hope you do well on this too! keep postin!


Diagnosis: 2005, IDC, 6cm+, Stage IV, Grade 3, 1/7 nodes, ER+/PR+, HER2+
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Oct 22, 2009 02:40 PM LuAnnH wrote:

this is awesome, glad to hear you are still in the trial tooyoung!  And nmiller, that is exciting hearing about the perzubatab.  I hope you keep us posted how that works.  I've heard some really good stuff about that drug and am glad to see people are showing up that are trying the drug!

LuAnn -- www.luannsblog.typepad.com
Diagnosis: 7/2/2006, IDC, 2cm, Stage IV, mets, ER+/PR+, HER2+
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Nov 6, 2009 12:52 AM nmiller wrote:

I had my first set of scans on this trial on Friday and got the results back on Tuesday, and we got good news.  The hilar node that they have been tracking shrunk down and the lungs look pretty much the same.  So overall, things look a little better, which I will certainly take!  It certainly makes it a little easier to handle these first few days post-treatment when I don't feel particularly well :)


Diagnosis: 6/26/2007, 6cm+, Stage IV, 0/27 nodes, mets, ER-/PR-, HER2+
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Dec 13, 2009 03:07 AM barleyparrish wrote:

Hi,

I am new to this site and just heard about the TDM1 Trials.  For those of you on it, how is it going?  Also, what about those ladies on Tykerb and Herceptin?  I hadn't heard of that combination before.

Thank you!

Barley Parrish
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Dec 16, 2009 02:54 AM leprechaun wrote:

Hi all,

I assume this TDM1 is for hormonal disease only, since it's based on Herceptin. Am I right?

Thanks.

"And on the eighth day the Man created God." (c)
Diagnosis: 6/16/2008, IDC, 6cm+, Stage IV, Grade 3, 1/24 nodes, mets, ER-/PR-, HER2-
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Dec 26, 2009 02:13 PM sdisilvestri wrote:

Hello, I am new to this site and have really enjoyed reading about those of you currently participating in T-DM1 trials.  I just began a Phase II trial for women who have not received any prior chemotherapy treatment and so far it seems to be going very well.  I had my first infusion of T-DM1 (alone, not in combination with anything) on 12/14 and my next will be on 1/4.  I won't be scanned until early Feb but can already note a huge difference in the primary breast tumor so I'm really excited.  Side effects haven't been awful...basically I slept the whole first week after the treatment and had a little nausea and flu like symptoms (chills, aches) but nothing too bad.  I feel pretty normal this week.  And, really, feeling run down for a week is a small price to pay for the kind of change I am feeling in my breast!

Good luck to all of you who are also participating in trials and I hope to post some positive scan results in a few weeks.


Diagnosis: 11/16/2009, ILC, 6cm+, Stage IV, mets, ER+/PR+, HER2+
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Dec 28, 2009 10:51 AM Catgo wrote:

Hi all, I have had my second CT scan now that shows NED.  I have completed the 17 week trial but it has been extended another 17 weeks.   I still have some minor flu-like symptoms for a few days following treatment but its minor.   I did have dry eyes for a little while several months back but its gone now.  My fingernails are very thin & sometimes I run a low grade fever.  Blood work is good, liver function is good & echocardiogram is good.  So I will continue on this drug in hopes that my great results make it available to all soon. 

Sorry, I haven't been on this site in a while.  I'll try to stop by more often, I know people are waiting to see how things are going.

Cathy

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Dec 28, 2009 11:27 AM vickib wrote:

That is great news!! Congrats!

Vicki B. Cincinnati, OH
Diagnosis: 3/3/2006, 4cm, Stage IV, Grade 3, 12/17 nodes, mets, ER+/PR+, HER2+
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Dec 28, 2009 11:48 AM mmm5 wrote:

catgo I am so so happy for you, please come back and update us often and let us know how it is going.

Can you tell us your original situation and what chemos you have had?

Here is a positive prayer for you continued success


Diagnosis: 4/4/2008, IDC, 1cm, Stage I, Grade 3, 0/4 nodes, ER+/PR+, HER2+
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Dec 29, 2009 08:30 AM nmiller wrote:

Catgo - amazing news!!  Congratulations!!!

I am currently on a T-DM1 and Pertuzamab trial.  I had my second set of scans (I have them every 6 weeks) a week before Christmas and everything looked a little better again.  I feel pretty tired and a little nauseous for 4 to 5 days after treatment, but then I feel completely normal the rest of the time.  So this treatment seems like a pretty good option (other than missing too much work - and I actually really love my job). The only other side effect I have had is a strange rash that I get on my legs and stomach.  Has anyone else gotten this?  It normally comes on at night and goes away after I take an antihistamine and put on some cortozone cream. 

I certainly love hearing everyone else's great success stories.  I hope TDM1 continues to work for me and for LOTS of other women. 

All my best!


Diagnosis: 6/26/2007, 6cm+, Stage IV, 0/27 nodes, mets, ER-/PR-, HER2+
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Jan 29, 2010 05:44 PM sdisilvestri wrote:

I have had three infusions of T-DM1 now and my primary breast tumor has shrunk approximately 70% (measured externally).  I have a PET/CT scan in mid-Feb to see how the liver and bones are responding, but I thought I'd share these amazing initital results.  I am very hopeful!


Diagnosis: 11/16/2009, ILC, 6cm+, Stage IV, mets, ER+/PR+, HER2+
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Jan 30, 2010 12:37 AM nmiller wrote:

Congratulations sdisilvestri!!  That is AMAZING news!!!  I am so glad that the T-DM1 is working so well for you!!!  Hopefully the PET/CT will just confirm what you are seeing in the primary tumor!  Hope you are taking some time to celebrate :)


Diagnosis: 6/26/2007, 6cm+, Stage IV, 0/27 nodes, mets, ER-/PR-, HER2+
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Feb 9, 2010 05:09 PM simba wrote:

Hi, I'm new to this site and have appreciated the info. on T-DM1 trials. Has anyone else experienced a reduction in Left Ventricular Ejection Fraction (LEVF) when they do your echocardiograms or muga scans for your heart while on Herceptin? My cancer pregressed after a year on herceptin, but at the same time, my LVEF went down from a norm of 60-65% to 50% so they stopped the Herceptin about a month ago but are now considering T-DM1. I'm concerned that this will continue the bad effects on my heart. Thanks.


Diagnosis: 3/5/2005, IDC, 3cm, Stage IV, Grade 3, 1/13 nodes, ER+/PR+, HER2+
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Sep 15, 2011 03:04 AM KLynn wrote:

Hi ladies...I mentioned I was looking into the TDM trial on another posting and said I would keep everyone updated...Well I signed the papers today, still have to go for the screening, the scans and stuff, but it looks very promising of getting into this trial...From what I understand this one just opened either yesterday or today....It's a phase III two arm open label trial....2/3 of the patients get the drug, and 1/3 get the drug of choice that your doc chooses if you aren't in the 2/3's....this way never leaving you without any drugs....they are taking about 795 women/men into the trial...I'm the first in my doctors office to be getting it...and his office is one of 6 sites listed...with this trial you had to have recieved at least two prior regimens of her-2 directed therapy...I will know and my doctor will know if I am getting the drug..I have to wait 21 days since my last Herceptin which I have, but I also have to be off of my tykerb at least 14 days, which I wasn't ..so I won't start until the scans are done and my body is clear of tykerb.....They also have to send out one of my slides from back in 2000, to Germany....part of the trial....Thank God they still have it at the hospital....In NY they have to hold it for 10 yrs. (I think)...but here in NJ it's only 7 yrs.. and my doc was thinking they may have to try and get another sample...which I hate to think of how that would even happen, since I have no breast tissue, and I guess they would have had to go into the lungs....with not having any tumors of any size, and only all of this tiny tiny spots, I don't know how that would even have happened...Glad to not be dealing with that....Sooooo..as of now, I'm enrolled, and in the screening process but it's looking very good....keeping my fingers crossed to be in the 2/3rds for sure...As I know anything more I will post....I have always felt the information I get here from all the wonderful ladies has been my biggest source of true information, and I find it so helpful in so many ways...I figure if I'm entering or trying something new, I love to pass on the info too...I've been on Herceptin for 5 1/2 years this time around, and it has become a life line for me, even with the progression I get, I still believe the Herceptin has kept my bc under control the best that anything ever could have...It does scare me a bit to let it go right now, and I have hated the Tykerb since I started it...not going to miss it one bit...If I do get put into the 1/3 of the trial, where my doctor selects the drugs, then I will be back on my Herceptin, the Tykerb, and he will add another agent, I think he said Havalan, sp..?? I haven't had that drug yet...I'm hoping to not have to go there yet...thinking of you ladies always, and trying find a break for us all somewhere in these fields of drugs....KLynn...

How lucky I was to have known someone, that was so hard to say goodbye to....
Diagnosis: Stage IV, 6/17 nodes, ER+/PR+, HER2+
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Sep 15, 2011 03:22 AM radiant wrote:

Hi KyLynn:

Can you post the name of the new trial? I may need to go on this next.

Many thanks,

  Kim

Kim, Stage IV, triple +. First dx 2005, stage 3C, mets 2010
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Sep 15, 2011 03:47 AM KLynn wrote:

hey Kim...I'm looking at the paper and the trial protocol no # is: TDM4997 g/BO25734..It was started in June of 2011, but just opened this week...hope this helps..if you need any other info just ask...hugs Klynn...

How lucky I was to have known someone, that was so hard to say goodbye to....
Diagnosis: Stage IV, 6/17 nodes, ER+/PR+, HER2+
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Sep 15, 2011 06:38 AM schoonder wrote:

Link to trial particulars and contact information.

www.clinicaltrials.gov/ct2/sho...

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Sep 27, 2011 05:20 AM twinsmom96 wrote:

I was put in the clinical trial unfortunately In my study one of the arms was standard care and that is the one I got so if you can get the TDM-1 hope you can get it good luck.


Diagnosis: 7/11/2011, 2cm, 0/12 nodes, mets, ER-/PR-, HER2+
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Sep 27, 2011 05:54 AM 3littlegirls wrote:

Love reading the excitement on here.  I hope you positive girls all get in and it works fantastic.  Will keep checking in to se how your doing.  Good luck! 

Michelle
Diagnosis: 4/19/2010, IDC, 6cm+, Stage IV, Grade 3, 5/18 nodes, mets, ER+/PR+, HER2-
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Sep 27, 2011 07:44 AM scuttlers wrote:

Interesting NEWS:

www.express.co.uk/posts/view/2...

www.cnbc.com/id/44654885

My favorite side effect of treatments is BEING ALIVE!
Diagnosis: 2/4/2009, IBC, 6cm+, Stage IV, Grade 3, 11/17 nodes, mets, ER-/PR-, HER2+

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