Topic: Are you currently (or have you been) in a Clinical Trial?

Forum: Stage IV/Metastatic Breast Cancer ONLY — Please respect that this forum is for members with stage IV/metastatic breast cancer ONLY. There is a separate forum for caregivers and friends: Caring for Someone with Stage IV or Mets.

Posted on: Nov 29, 2018 04:40AM

Posted on: Nov 29, 2018 04:40AM

Kattysmith wrote:

I am about to start a clinical trial and am wondering about the experiences of others. I'm feeling a little rocky and at sea, because I've been in the care of a wonderful oncologist for the past three years, and I knew without a doubt that his prime objective was the same as mine - to keep me stable and maintain a good quality of life. It was all about me.

Now, I'm embarking on this trial on a different campus and with a different doctor. I really like the doctor who heads it (he is a close colleague of my oncologist and has conferred with him), but I not-so-secretly worry that the prime focus will not be on my well-being, that it will be secondary to the study objectives. My initial meeting with the CO pretty much dispelled my fear that I would be a lab rat, but the closer I get to starting, the more leery I get. I'm normally not anxious about treatments.

I haven't had any treatment at all for several weeks, because the last treatment was ineffective and my onc wanted to get me into a trial, so the waiting hasn't helped. I'm normally pretty chill about everything, including starting new treatments, but entering a clinical trial is a different kettle of fish.

What has been your experience? Have you felt cared for?

First diagnosed borderline Stage 2 IDC, left breast in 2003. No problems until a surprise (!) Stage IV recurrence in 2015! In addition to treatments listed below, I started monthly injections of Xgeva for bone support in July 2016. Dx 10/23/2015, Left, Stage IV, metastasized to other, Grade 3, 0/3 nodes, ER+, HER2- Chemotherapy 11/3/2015 AC Hormonal Therapy 2/4/2016 Femara (letrozole) Targeted Therapy 2/4/2016 Ibrance (palbociclib) Immunotherapy 12/22/2018 Hormonal Therapy Faslodex (fulvestrant)
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Nov 29, 2018 09:45AM gg27 wrote:

I am on my fourth clinical trial (I was on 3 concurrently) and I have to say that you get more scans, more appts, more questions about symptoms & how long they last. I think much depends on the trial RN. My last one was a stickler for details, the one I have now is a bit more chill but both of them still great.

I had a very bad time on the new trial & found that they cared less about the outcome of the trial & were willing to read between the lines & make "work arounds" to make the trial work for me instead of me working for the trial.

Having said this, I am in Canada so there may be differences in how things work. I am luckily with my same MO, not the one who is running the trial, so that may make a difference too.

Good luck!

Dx 10/2008, IDC, Both breasts, 3cm, Stage IIB, Grade 2, 3/9 nodes, mets, ER+/PR+, HER2- Surgery 1/8/2009 Lymph node removal; Mastectomy; Mastectomy (Left); Mastectomy (Right) Chemotherapy 2/1/2009 Other Radiation Therapy 7/5/2009 Whole breast: Breast, Lymph nodes Dx 5/14/2014, IDC, Both breasts, Stage IV, metastasized to bone/liver/other, 9/20 nodes, mets, ER+/PR+, HER2- Chemotherapy Abraxane (albumin-bound or nab-paclitaxel)
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Nov 29, 2018 11:47AM Kattysmith wrote:

Thank you, GG27! My initial meetings with the team have been positive, but it's all a new thing with new people in a new place to me, so I'm getting more antsy. I was supposed to complete the screening tests tomorrow, but just got word that they have all been pushed up a week due to an issue with the sponsor, so more toe-tapping and waiting. I was dreading starting it, but now I'm pissed that it's been postponed!

I'm glad to hear that you have a good relationship with your nurse, especially when you were having serious problems. I love your phrase, making the trial work for you rather than you working for the trial; I may be using that in the future!

Have a good week and happy holidays!

First diagnosed borderline Stage 2 IDC, left breast in 2003. No problems until a surprise (!) Stage IV recurrence in 2015! In addition to treatments listed below, I started monthly injections of Xgeva for bone support in July 2016. Dx 10/23/2015, Left, Stage IV, metastasized to other, Grade 3, 0/3 nodes, ER+, HER2- Chemotherapy 11/3/2015 AC Hormonal Therapy 2/4/2016 Femara (letrozole) Targeted Therapy 2/4/2016 Ibrance (palbociclib) Immunotherapy 12/22/2018 Hormonal Therapy Faslodex (fulvestrant)
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Nov 29, 2018 10:00PM SierraPineapple wrote:

I’ve done 2 trials.

One (a phase 3) went very smooth and the coordinator scheduled all my appointments and made sure everything flowed nicely. She made sure that I was doing ok on treatment and recorded everything. I had great results cancer wise as well.

Second (phase 1) trial was a nightmare. The coordinator didn’t schedule well and always said we could just walk down there and push ourselves in to get a scan or bloodwork done because trial patients have more sway. I didn’t like that at all. She also didn’t seem to take note of my symptoms, although she was a very nice lady. I ended up being pulled from the trial by my MO. This kept me off of any treatment for a few months which is critical for how aggressive triple negative BC is. The coordinator told me people had been reporting skin irritation and a rash. What I ended up getting was what I refer to as the great Chicken Plague of 2018. I had red bumps (size of a chocolate chip) all over my back and shoulders with a few starting to appear on my neck, arms and legs. Although I’ve been off this trial for months these bumps have left scars. I also had mysterious brain edema develop during this trial that we still are trying to fix. The hard part is that the trial was working! Because of that I have been able to push my insurance to approve me just receiving the FDA approved medicine from the trial and that is working in some areas. I can’t say it was a complete bust.

With both trials all my treatments were covered by the trial instead of my insurance. So that is a nice perk.

Dx IDC, Right, 2cm, Stage IV, metastasized to brain/lungs/other, Grade 3, 1/1 nodes, ER-/PR-, HER2-, Targeted Therapy Lynparza Surgery Targeted Therapy Avastin (bevacizumab) Chemotherapy AC Surgery Lumpectomy: Right Radiation Therapy Whole breast: Breast, Lymph nodes Chemotherapy Carboplatin (Paraplatin), Taxol (paclitaxel)
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Nov 30, 2018 03:40AM Kattysmith wrote:

Thank you, Sierra, I really appreciate your input. I have been off treatment now since the end of September, which with aggressive liver mets is no bueno. Luckily, I have no pain, no swelling and my liver is chugging along, but I'm not happy with these delays in treatment. I won't know until 12/10 if I will be part of this immunotherapy trial. There is another trial that I might get into, but who knows how long that will take or if I would have to repeat all of the screening tests I will have had by then.

I have a TN friend who also got a horrendous rash all over her body from a clinical trial. They couldn't control it well and told her that she would have lasting scars and maybe blotches?

I hope that the coming months are filled with more plusses than minuses for you!

First diagnosed borderline Stage 2 IDC, left breast in 2003. No problems until a surprise (!) Stage IV recurrence in 2015! In addition to treatments listed below, I started monthly injections of Xgeva for bone support in July 2016. Dx 10/23/2015, Left, Stage IV, metastasized to other, Grade 3, 0/3 nodes, ER+, HER2- Chemotherapy 11/3/2015 AC Hormonal Therapy 2/4/2016 Femara (letrozole) Targeted Therapy 2/4/2016 Ibrance (palbociclib) Immunotherapy 12/22/2018 Hormonal Therapy Faslodex (fulvestrant)
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Nov 30, 2018 09:13AM SierraPineapple wrote:

The waiting period to get into a trial is scary! I’ve heard that for some you need to be off of your previous treatment for x amount of weeks before they start the vetting process. There is a vaccine trial my MO offered me, but it would take months for them to develop my ‘vaccine’ and we both agreed that’s not something I can afford to do right now. It’s like playing the lottery in a way. You hope you strike it rich, lol.

I hope your trial gets moving along soon enough. Waiting can make you go mad. At the end of the day they (trail coordinators or your MO) should be most concerned about you, your life and QOL. I don’t think you should ever feel like a lab rat or that the data is more important

Dx IDC, Right, 2cm, Stage IV, metastasized to brain/lungs/other, Grade 3, 1/1 nodes, ER-/PR-, HER2-, Targeted Therapy Lynparza Surgery Targeted Therapy Avastin (bevacizumab) Chemotherapy AC Surgery Lumpectomy: Right Radiation Therapy Whole breast: Breast, Lymph nodes Chemotherapy Carboplatin (Paraplatin), Taxol (paclitaxel)
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Jan 4, 2019 04:25AM Kattysmith wrote:

I've now been in this immunotherapy trial at for three weeks and will start my second cycle of treatment on 1/8. I get one infusion of Opdivo/Nivolumab on the first day of each cycle (only once per month) followed by 8 hours of hourly blood work and EKGs. That is one L-O-N-G day; the first day of the initial cycle I was at MDA from 8am until 12:30am the next day, due to some delays. I take two oral doses of the test drug daily with a 6 hour fast before the dose and two hour dose afterwards. So far, no SEs (a few minor patches of rash) and my blood work has been good. I am feeling great. Both immunotherapy drugs are hard on the kidneys, so I have to keep pushing myself to drink enough water to stay hydrated and flush my kidneys.

The rigorous schedule of visits and fasting regime around each day's oral meds has taken some adjusting to, but after the first week, I figured out what worked best for me and accepted the rest. Everyone I've come into contact with so far has been wonderful, and I am addicted to being covered with heated blankets on demand. Living the life! Assuming that all continues to go well this month, my next *pass or fail* scan will be in early February.

First diagnosed borderline Stage 2 IDC, left breast in 2003. No problems until a surprise (!) Stage IV recurrence in 2015! In addition to treatments listed below, I started monthly injections of Xgeva for bone support in July 2016. Dx 10/23/2015, Left, Stage IV, metastasized to other, Grade 3, 0/3 nodes, ER+, HER2- Chemotherapy 11/3/2015 AC Hormonal Therapy 2/4/2016 Femara (letrozole) Targeted Therapy 2/4/2016 Ibrance (palbociclib) Immunotherapy 12/22/2018 Hormonal Therapy Faslodex (fulvestrant)
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Jan 4, 2019 07:46AM illimae wrote:

Thanks for the update!

Diagnosed at 41 Stage IV De Novo Dx 11/16/2016, IDC, Left, 5cm, Stage IV, metastasized to bone, Grade 3, 3/13 nodes, ER+/PR-, HER2+ Targeted Therapy 1/1/2017 Perjeta (pertuzumab) Chemotherapy 1/2/2017 Abraxane (albumin-bound or nab-paclitaxel) Targeted Therapy 1/2/2017 Herceptin (trastuzumab) Surgery 6/26/2017 Lumpectomy; Lumpectomy (Left); Lymph node removal Radiation Therapy 8/10/2017 Breast, Lymph nodes Dx 10/5/2017, IDC, Left, 5cm, Stage IV, metastasized to brain, Grade 3, 3/13 nodes, ER+, HER2+ Radiation Therapy 10/19/2017 External Local Metastases 10/19/2017 Brain Radiation Therapy 4/18/2018 External Local Metastases 4/18/2018 Brain Radiation Therapy 5/23/2019 External Local Metastases 5/23/2019 Brain Surgery 1/22/2020 Radiation Therapy 2/16/2020 External Local Metastases 2/16/2020 Brain Radiation Therapy 7/20/2020 External Local Metastases 7/20/2020 Radiation therapy: Bone Radiation Therapy 12/4/2020 External Local Metastases 12/4/2020 Brain Targeted Therapy Tukysa (tucatinib) Chemotherapy Xeloda (capecitabine) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Jan 5, 2019 01:34PM Daniel86 wrote:

Bumped into this link. It's about new trials added to Metastatic Trial Search in January 2019

https://metastatictrialtalk.org/2019/01/02/new-trials-7/?fbclid=IwAR2ZRTIMmcycFF7L2pttI_vfBb3XTXa3dG5HXNrlgM6QnGTFLUjmIRvYtcw

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Jan 6, 2019 03:22AM Kattysmith wrote:

Thanks, Daniel!

Katty

First diagnosed borderline Stage 2 IDC, left breast in 2003. No problems until a surprise (!) Stage IV recurrence in 2015! In addition to treatments listed below, I started monthly injections of Xgeva for bone support in July 2016. Dx 10/23/2015, Left, Stage IV, metastasized to other, Grade 3, 0/3 nodes, ER+, HER2- Chemotherapy 11/3/2015 AC Hormonal Therapy 2/4/2016 Femara (letrozole) Targeted Therapy 2/4/2016 Ibrance (palbociclib) Immunotherapy 12/22/2018 Hormonal Therapy Faslodex (fulvestrant)
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Jan 10, 2019 09:24AM Kattysmith wrote:

I had a subcutaneous tumor on my lower left back that had been increasing in size per every scan since this summer. It was very easy to palpate. This is the tumor that was biopsied right before the start of the trial, and I am scheduled for a comparison biopsy on the same area next week. After one month on my clinical trial, it can no longer be felt! It's funny, I noticed the night before my appointment that I couldn't feel anything there, but didn't trust my own fingers or my husband's. I was SO happy that the doc couldn't feel anything, either!

I don't allow myself to get wildly optimistic about anything - I know better - but DAMN!!!

My doc says that's an indication that the immunotherapy treatment should be working to a degree in all other cancerous areas as well (C'MON LIVER!!!), but I won't know to what extent until my scan in February. He was practically dancing a jig!

Sign me,

Cautiously Optimistic Katty

First diagnosed borderline Stage 2 IDC, left breast in 2003. No problems until a surprise (!) Stage IV recurrence in 2015! In addition to treatments listed below, I started monthly injections of Xgeva for bone support in July 2016. Dx 10/23/2015, Left, Stage IV, metastasized to other, Grade 3, 0/3 nodes, ER+, HER2- Chemotherapy 11/3/2015 AC Hormonal Therapy 2/4/2016 Femara (letrozole) Targeted Therapy 2/4/2016 Ibrance (palbociclib) Immunotherapy 12/22/2018 Hormonal Therapy Faslodex (fulvestrant)

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