Is NED still possible?
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My SIL has for 24 years now!
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she’s been NED 24 years?? Holy cow
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My SIL has for 24 years now! She's not NED, but her cancer has not wildly progressed, and what has seems to be diminishing.
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That’s amazing! Long may it continue
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You are correct; nobody can predict the future. It’s also important to remember that bc is a very individual disease. Sometimes a treatment works well for some and not others. That makes it difficult to say how many lines of treatment there are for a given individual. I’m sorry that I can’t give you a more definitive answer. Could your sister achieve NED? One never knows. I’m sorry if that sounds like a non-answer but that’s the current state of things.
I have been NEAD (the evidence of an inactive bone met exists) and have never even had chemo. I have only been on AI’s since my initial dx and tx (rads to bone met). Ibrance had not yet been approved at the time of my dx. It’s been 10 1/2 years but this goes to show you how individual and unpredictable bc can be. There is no cure for stage IV and some of us respond well to treatments but far too many don’t. We just keep throwing various treatments at it and hope something works or new treatments are approved. I am sorry that your sister is going through this and I wish her all the best.
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I know someone with mTNBC who has got to NED after several lines on which she progressed, so yes, it is possible. But it isn't statistically likely from what I see in the literature. I've heard one of the reasons that later therapies are more likely to fail is that not only does the cancer burden get bigger over time, it also is often becoming more genetically diverse. So even if a treatment is effective against some of it, other parts will not respond to treatment & continue to grow.
The pain is an important issue to address. Can the nerve pain be tackled in other ways? Nerve blocks? Other medications that do not cause sedation or fatigue? Perhaps a palliative pain specialist consult would help?
From what you've written she has many more lines of treatment available which could buy a significant amount of time if her cancer responds. I hope she can feel physically well enough & optimistic enough to go ahead & try.
best wishes
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I'm on Piqray and it's been easy. I wouldn't mind staying on it forever. There's no need to fear it. Yes, some people have bad side effects but that's true of every drug. And even if you experience them, they are usually manageable.0 -
hi
I’m also on Piqray it’s been about two months and I’ve had an uptick in my glucose but metformin is controlling it and a rash that lasted about a week. Besides those row things I have felt great and would have no problem continuing on it if my scans are stable in May. Now Ibrance I could not tolerate at all-it’s funny how we all react differently to different meds. Best of luck to you and your sister.
Kristi
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