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Topic: Taking Herceptin for a full year?

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Joined: Feb 2008
Posts: 186
  • Posted on: May 9, 2008 08:38 am
kimbly wrote:

I am so curious as to why and how the medical professionals decided about keeping women with Her2+ cancer on herceptin for year??? How did they decide on this time frame? 


Dx 11/21/2007, IDC, 1cm, Stage I, 0/3 nodes, ER+/PR+, HER2+
Posts 1 - 14 (14 total)
henny
Joined: Mar 2008
Posts: 53
May 9, 2008 09:22 am henny wrote:

My onc said it was basically a random choice and that there is an upcoming study to compare 1 year to 2 years of Herceptin. He also said the effects seem to be long lasting tho it hasn't been around long enough to really measure it. I may be stopping after 9 months because my EF went down 30%-so I guess I'll take whatever I can get and believe it will have lasting effects

Henny


Dx 3/2007, IDC, 1cm, Stage IIa, Grade 3, 1/15 nodes, ER-/PR-, HER2+
bluewillow
Joined: Jul 2007
Posts: 499
May 9, 2008 11:50 am bluewillow wrote:

Hi Kimbly, glad you asked this question-- I have wondered that also.  I plan to ask my doctor next week, although I am half-way through my year of Herceptin.  Thanks Henny for your info.  When I was first dx'd HER2+, a nurse mentioned 2 yrs but when I asked later, they said definitely just one.  So far I'm tolerating the Herceptin very well, but I'd hate to have to wear this darn port any longer!  Hope we get some more feedback on this.

Take care, all!

Mary Jo

Mason's Granny
Dx 7/26/2007, IDC, <1cm, Stage I, Grade 3, 0/4 nodes, ER-/PR-, HER2+
Roxi
Joined: Apr 2008
Posts: 114
May 9, 2008 12:15 pm Roxi wrote:

Kimbly,
Good question. I awaiting results from my MUGA test which was yesterday. My port goes in Monday and Chemo starts Tuesday. The week of the 19th is tentatively the start of my year long Herceptin.

Henny and Mary Jo...I see your both ER-/PR- as I am. Was your chemo A/C followed by Taxol or just A/C.

Roxi


Dx 3/21/2008, IDC, 1cm, Stage IIb, Grade 3, 2/15 nodes, ER-/PR-, HER2+
Denny123
Joined: Jan 2004
Posts: 2386
May 9, 2008 02:04 pm Denny123 wrote:

My opinion is that it is a good thing.  I have been on Herceptin for over 4 years since was Stage 4 from the get-go.  Herceptin is responsible for keeping my very aggressive liver mets in remission for over 3 1/2 years.

I will be on Herceptin for life.

Denise

KLynn
Joined: Jan 2007
Posts: 979
May 9, 2008 03:13 pm KLynn wrote:

Hey Kimbly,

     I was in one of the original trials for herc. in 2000. Half of the women were put on herc. for 6 months while the other half were put  on it for 1 year. Random draw, nothing to do with dx (except for her2 status) of course after having chemo and radiation I was looking to get the 6 month draw. I didn't, and started the year, thinking that maybe I would withdraw after 6 months, because I was just so tired of more treatments. Once I got going with the weekly treatments they didn't seem too bad, and I managed to stick to it for the year, I really didn't want to screw with the trial study too much either.Well that was almost 8 yrs ago, and soon after that the protocal became women getting it for 1 yr. I guess the data show those of us with the yr didn't have any more s/e's and maybe our recur time was better. Not really sure, but I did have a pretty good run being NED, until 2006 when I had my recur to the lungs.I have been on herceptin now this time for over two years, along with chemo drugs for 2 years. I have been stable again now since Nov. and only get the herc. every 3 weeks instead of weekly.

    I too will be on herc for life like Denny. As long as the heart shows no signs of side effects, but so far so good. With the trip +++, the cancer is very aggressive, and the only way to treat it is aggressively. I believe the herc. has made a huge difference in my BC staying somewhat under control. Hope this helps you with some of your questions about herc..Talk to your oncologist about how long he will keep you on it. I'm happy to hear that Denny has been on for over 3 yrs. with little problems, and how good  it is working for her. This is why it is so important to talk and ask questions here.. I wish you the best  KLynn

bluewillow
Joined: Jul 2007
Posts: 499
May 9, 2008 03:32 pm bluewillow wrote:

Hi Roxi,

I had 4 DD A/C then 12 weeks of Taxol, and did well with all of it-- was never sick, worked right thru, but got fat during treatment! Cry  But now I feel great except for some fatigue.  Good luck with your MUGA and port and I hope you do very well with your chemo and Herceptin!

Mary Jo

Mason's Granny
Dx 7/26/2007, IDC, <1cm, Stage I, Grade 3, 0/4 nodes, ER-/PR-, HER2+
kimbly
Joined: Feb 2008
Posts: 186
May 10, 2008 01:14 pm kimbly wrote:

Thank you for all your replies ladies.  I saw so many doctors this week including my onc. and forgot to ask this question.  I have had it in the back of my mind for awhile now actually but it slips out frequently I guess LOL 

I started Herceptin in December with my chemo, chemo finished at the end of March.  I have the remainder of the year of herceptin.  My onc did stress to me when I asking about supplements etc that right now regardless of all the other things I can do to help keep the cancer at bay .. Herceptin is my key!!!  It is good to know that with those that have had mets that herceptin works!!!  I have had two muga's and so far so good, due for another in July.  I don't see my onc. now for 6 weeks so will right that question down for the next visit.  OR I do have a friend who works in a cancer center in northern Ontario perhaps I can ask her to ask one of her drs there.   


Dx 11/21/2007, IDC, 1cm, Stage I, 0/3 nodes, ER+/PR+, HER2+
MissShapen
Joined: Feb 2007
Posts: 3981
May 10, 2008 07:09 pm MissShapen wrote:

Hi Kimbly,

 My oncologist told me that most of the testing was done for 1 year, so they don't really know if less will work just as well. Of course, I had to stop Herceptin after only 3 months, so she may have been trying to make me feel better. My EF plummeted from 67% to 33%.

I'm just hoping I got enough to keep the cancer away, since I can't have any more cardiotoxic drugs now. I have passed my one year mark, so I feel blessed to have had some time. I hope to have many more years, but we all know how the big BC likes to sneak back into our lives!

Henny, I'd be surprised if your doc kept infusing you with Herceptin after a 30% drop in EF. That's a very significant and dangerous drop.

Best of luck to all you positive ladies. :)  (and the rest of you, too!!)

Miss S


Dx 11/9/2006, IDC, <1cm, Stage IIIa, Grade 3, 7/31 nodes, ER-/PR-, HER2+
henny
Joined: Mar 2008
Posts: 53
May 12, 2008 12:39 am henny wrote:

Hi Everyone,
Roxi I did have A/C every 2 weeks (x4) followed by taxol (x4) and herceptin.

Miss S-I guess I wasn't surprised about continuing the herceptin. My pre-chemo EF was 83%-being a swimmer and I have (had??) a really strong heart. I work at an imaging clinic and had a CT angiogram just before I got diagnosed with good heart motion and very clean vessels. My EF now is 54%. I do have days when I am short of breath and tired but it is odd that I only occasionally feel that way. I'm going to have another MUGA next week and if my EF is lower that's the end of herceptin for me.

I was freaked out about that at first because my onc said if it weren't for herceptin our conversations now would be about how to control mets. Am now getting more used to the idea that i have done all I can and whatever is in the future, I can't control. So I made a reservation to go to Italy to see my brother who lives there. Why not take a trip using plastic and worry about paying for it later? After 9/11 I kept saying "live life now" and this bc has spurred me to do that more

Henny


Dx 3/2007, IDC, 1cm, Stage IIa, Grade 3, 1/15 nodes, ER-/PR-, HER2+
EGAL
Joined: Apr 2007
Posts: 43
May 13, 2008 11:27 pm EGAL wrote:

I finished my Herceptin today! 36 infusions since last August.  My onco said 36 was the number recommended for Stage 3ers.  Stage IV is ongoing.  It has only been a few years now that they even give it to Stage 3ers.  I asked if it would be beneficial to go on a maintainence of maybe once a month or once every 6 weeks but he said no.  It is very toxic to heart.  So I will be "watched very carefully".  I have a MUGA scan in six weeks (last one in January was the same as when I began) and before that I will have  brain and abdomial CT's.  I am glad to be finished as I am really, really tired. More so that after 6 months of chemo (4 AC & 4 Taxotere) and 6 weeks of radiation.  I am just hoping for the best Undecided

EGAL
Dx 10/19/2006, IDC, 6cm+, Stage IIIc, Grade 3, 17/15 nodes, ER-/PR-, HER2+
henny
Joined: Mar 2008
Posts: 53
May 13, 2008 11:54 pm henny wrote:

Congratulations EGAL,
Here's to the old energy returning and goodbye to the nasty fatigue

Henny


Dx 3/2007, IDC, 1cm, Stage IIa, Grade 3, 1/15 nodes, ER-/PR-, HER2+
CindyB
Joined: Feb 2008
Posts: 40
May 14, 2008 06:25 pm CindyB wrote:

My oncologist said that there was a small, recent European study recently done that indicated three months of herceptin may be as effective as one year.  She also said that because it was small and European (American physicians apparently take these less seriously) it would need to be replicated.  Still, it seems like a heartening result.

Cindy


Dx 1/29/2008, IDC, <1cm, Stage I, Grade 1, 0/2 nodes, ER+/PR+, HER2+
debic
Joined: Feb 2007
Posts: 218
May 28, 2008 10:42 am debic wrote:

HI,

I guess we all have the same question,  for how long do we take herceptin.  I did 4DD A/C 12 weeks taxol/herceptin and then herceptin until today!! Today should be my herceptin day, but my year is up and the Dr. says I'm done.  I have to say it feels funny that it has been three weeks since my last herceptin and I don't have to go today.  When I got up this morning I felt good then I thought I'm not having blood drawn today I'm not getting herceptin today does that mean I get cancer back today???  I guess herceptin is my security blanket.  I am looking forward to getting more energy and not having the port but I must admit I am feeling a little scared.

Debi

mimi1030
Joined: Oct 2007
Posts: 419
May 28, 2008 01:55 pm mimi1030 wrote:

My mom is on it indefinitely as she is stage 4 and it is what is keeping her liver mets under control.  Only one more spot to go and NED.  Not sure how they break it down for early stage, it wasn't available to my mom in 2004 when she was stage 1 so not sure if it would have made the difference between going from 1 - 4 in those 3 years in between.  We will never know.

Mom has Stage IV mets to liver and bones, details of dx below
Dx 9/29/2007, IDC, <1cm, Stage IV, Grade 1, 0/1 nodes, ER-/PR-, HER2+

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