Leukapheresis completed : I got my... - Advanced Prostate...

Advanced Prostate Cancer

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Leukapheresis completed

Javelin18 profile image
26 Replies

I got my leukapheresis yesterday for the CAER-T trial at City of Hope. It should be about 4 weeks until they infuse the modified cells.

Next steps are bone and marrow biopsies to characterize the cancer prior to treatment, chemotherapy to deplete my T cells and macrophages then infusing the modified cells. None of that sounds like much fun, but I'm committed to the plan.

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Javelin18 profile image
Javelin18
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26 Replies
Ramp7 profile image
Ramp7

Fascinating stuff. I had reached out to Dana Farber late last year regarding this study, ended up with the Novartis LuPSMA. Looking forward to hearing positive results from you.

Javelin18 profile image
Javelin18 in reply to Ramp7

Definitely a new frontier. I'm hoping they figure out how to make this work during my trial. I think they have found something important with the depletion of T cells and macrophages prior to infusion. Time will tell.

Oldie68 profile image
Oldie68

Good luck with your trial! Many times fun comes after some pain. Stay the course and hopefully brighter days will come for you. I appreciate your sharing what you are going through.

Javelin18 profile image
Javelin18 in reply to Oldie68

Thanks, I'll keep posting as things proceed. Leukapheresis wasn't any trouble except for the iv needles. After dozens of pokes over the last year and a quarter, I've gotten used to those.

Javelin18 profile image
Javelin18

I'm planning to post a chart of my PSA and ALP after the treatment. I'm hoping it shows a vertical drop. So far it's shown ups and downs with a continuing upward trend.

slpdvmmd profile image
slpdvmmd

Thank you again for keeping us updated.

Bvilkid profile image
Bvilkid

We are all optimistic for your success with this treatment. Thanks for your commitment. Just read your bio. Did cancer also invade your bone marrow?

Javelin18 profile image
Javelin18 in reply to Bvilkid

I don't know if it is in the marrow. I'm not sure scans would show that, but the biopsy would. The marrow biopsy is a standard part of the trial protocol.

Tall_Allen profile image
Tall_Allen

Which IHC will they be doing?

Javelin18 profile image
Javelin18 in reply to Tall_Allen

I'm going to adk about that. The CAR-aT in this trial targets PSCA. 80% of my original biopsy expressed PSCA, and I would guess they would also stain the new biopsy samples for that, but I haven't asked Dr Dorff yet.

Tall_Allen profile image
Tall_Allen in reply to Javelin18

As I recall, they do. She told me that they find 95% PCSA expression. I was curious if they stain for other stuff too.

Javelin18 profile image
Javelin18 in reply to Tall_Allen

I'll ask. I recall that they are genetically sequencing the before and after biopsies.

CrocodileShoes profile image
CrocodileShoes

Wow, you truly are a pioneer. In years to come (not màny I hope) people will look back and say ' that was when we made the breakthrough'. So , we all have cause to be grateful. Please keep us posted.

longleaf profile image
longleaf

Thank you for sharing your story. I hope you have the best possible outcome.

Faith1111 profile image
Faith1111

This Car T trial is near and dear to my heart. My brother was three days from leukophorisis but didn’t make it. Although my brother has passed I will continue to follow your journey. I am so happy that you have completed this first part. You’ve got this Javelin18!!!

Javelin18 profile image
Javelin18 in reply to Faith1111

Thank you. His perseverance is part of my inspiration to continue. On days when I feel sorry for myself, think of how much others have gone through.

TonyS58 profile image
TonyS58

The PSCA CAR-T trial at City of Hope was on my radar screen when I was told about the PSMA CAR-T trial at Mass General. It looks like I'll have an Apheresis slot in early July. Good luck with the trial.

Javelin18 profile image
Javelin18 in reply to TonyS58

Thanks, hoping we both have good results.

hopeful1956 profile image
hopeful1956

I pray the outcome is positive for you. There is always hope.

keepinon profile image
keepinon

No Pain No Gain! We are all rooting for you! Best of luck!!

MateoBeach profile image
MateoBeach

Clearly they are doing everything in their power to give it the best possible chance for success. All systems “Go” for your moon shot. God speed, Javelin.

Bethpage profile image
Bethpage

I read miraculous personal stories of CAR-T used successfully with CLL patients every day. I'm praying you're one for PCa. Keeping you in prayers.

Blueslover profile image
Blueslover

Good luck

Spyder54 profile image
Spyder54

Best of Luck Jav. Both you and Mateo Paul are venturing into unchartered space. We are pulling for both of you. Both the Car-T and J-591 applications could/should be next level at extended remissions. Thanks for keeping us posted.

Mike

CAMPSOUPS profile image
CAMPSOUPS

3 weeks to start initial treatment it appears.Thanks again for keeping us up to date and getting into this promising trial.

I know PCa has been relentlessly pursuing you so at the very least I hope you get some breathing room although so many feel this treatment will offer much more.

Javelin18 profile image
Javelin18 in reply to CAMPSOUPS

Yes around 3 weeks to go. Still waiting to hear the schedule date. I'm hoping for very good results, but just slowing the pace of the battle would be good too.

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