Finished breaking and started fixing: MRD - in... - CLL Support

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Finished breaking and started fixing: MRD - in the blood after CAR-T therapy

bkoffman profile image
bkoffmanCLL CURE Hero
45 Replies

Hi,

It was been an intensely dark and painful journey (see cllsociety.org/car-t-blog/ for some of the details), but after two hospitalizations and 3 weeks since receiving my CAR-T cells at the Seattle Cancer Care Alliance (SCCA), I am out of the hospital, walking again and MRD- in the blood on DAY+14. When I entered the trial 45% of my WBCs were CLL. BMB and scans next week.

Now that I am back, rehabilitating and getting back to work from my hotel near SCCA.

More soon, but I am still weak, inflamed and anemic, so I am focusing on my recovery.

Thanks to all who sent prayers and support. I was “gone” for much of the last two weeks, so I apologize if I didn’t respond.

Sadly, as many know, my fellow CLL CAR-T trialist, Lisa Minkove, just 1 week behind me in the same trial, passed from complications of her CRS just down the hall from me in the hospital earlier this week.

A few lessons:

CAR-T is still largely unknown territory.

CAR-T can be very very tough on the body and the soul.

CAR-T can be even tougher on the CLL.

Stay strong.

We are all in this together.

Brian

cllsociety.org

Written by
bkoffman profile image
bkoffman
CLL CURE Hero
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45 Replies
Lola69 profile image
Lola69

Hello Doctor Koffman!! Thank -You for the update on your status performance! the sun will shine again for you!

Sushibruno profile image
Sushibruno

😢for Lisa, and happy that you're recovering Dr. Koffman.

Murzik profile image
Murzik

You are our hero!!! The worse is definitely behind, only bright future ahead of you!!!🎈

KL2018 profile image
KL2018

You have a lot of people (even strangers like me) rooting for you! I am a newly diagnosed CLL’er. Perhaps we’ll meet at the Irvine meeting one day? I hope every day you feel a little stronger.

bkoffman profile image
bkoffmanCLL CURE Hero in reply toKL2018

Once I am back in SoCal I'll be at most of the UCI meetings. If I am in town, I am there. Please say hello.

Wroxham profile image
Wroxham

Continue to improve Brian, its good to know that things are progressing for you.

Best wishes.

Sue

Robgump profile image
Robgump

Great to hear from you! Sorry about Lisa, we never get used to saying goodbye.. :(

What if anything do they give to reduce the impact of CRS? How long afterwards of the infusion did febrile symptoms appear?

We are all in this fight, stay strong!

maggiesgrandmom profile image
maggiesgrandmom

Will pray for you especially today Dr. Koffman. You are a brave pioneer to all of us!

Peggy4 profile image
Peggy4

Thank you for posting Brian. It must feel very bittersweet for you especially being so close in both time and location to Lisa.

Please don’t overdo it. Like many of our CLL volunteers, admin etc.... who are selflessly always here for us in times of need-now is the time to look after YOU for a while. Rest up and regain your strength.

Peggy

ap64 profile image
ap64

thanks for the communication. I have been thinking of you and wondering just how you were doing. I have also said prayers for you and I’m glad that you are on the mend. I do so hope all continues to go well. You do so much for this community You deserve nothing but the best. Please take the time to take care of yourself.

CLLIreland profile image
CLLIreland

Brian you know how much you mean to us in the CLL Ireland team and to the CLL community here in Ireland. You are a true pioneer and a friend to all. We wish you all the luck and love we can send to you Patty and your family.

pkguk2 profile image
pkguk2PartnerCLL Support Association

Brian, sending you the thoughts and very best wishes of the CLL Support Association in the UK for your continued recovery. You are an inspiration to all of us and deserve all the luck in the world. Take care.

Corkyrissa profile image
Corkyrissa

Happy you are on the mend God Bless

annmcgowan profile image
annmcgowan

So pleased to hear your good news. Onward and upward with your recovery now.

Take care

Ann

Indolent profile image
Indolent

Like many in the community, I have been following your journey with great interest and concern. And with each update, though sometimes harrowing, it was of great relief that you were still in the fight. And thankfully, it appears that you have made it through the worst phase. I wish you all the best and for a speedy recovery.

BeckyLUSA profile image
BeckyLUSA

Thanks for letting us know. Have been thinking about and praying for you. Hopefully the worst is over for you,

BeckyL USA

Justasheet1 profile image
Justasheet1

We all love you Doc. As you say, “Stay Strong “.

Jeff

I will continue to keep you in my prayers. What a roller coaster ride you have endured. Thanks for your brave outlook and for sharing your journey. Sally

Name-1 profile image
Name-1

I was with you.I am with you.I beleive you!

Good luck,Brian!

Ballyhoo77 profile image
Ballyhoo77

Hoping and Praying that you have success. Very sorry to about Lisa.Wishing you and your family the very best.

pkpayne profile image
pkpayne

God bless you Dr. Koffman! Prayers that you continue to improve! Take care of yourself!

Paula

tesoro5858 profile image
tesoro5858

You are a pioneer and have touched so many lives. We are all strong together for you as you recover and eradicate your CLL.

Susan

EugeneL2 profile image
EugeneL2

Thank you. So happy with the outcome!

CaptRon1976 profile image
CaptRon1976

Very good to hear from YOU, who I consider a new friend as well as fellow traveler.

Your words speak volumes. Your trial mate Lisa M tells all how harrowing pioneering is.

May you stay on the path.

Capt Ron Campbell aboard M/V Rachel

Elbow Cay, Abaco, Bahamas

bkoffman profile image
bkoffmanCLL CURE Hero in reply toCaptRon1976

Hi Ron, Thanks. Looking forward to spending some time together when I have CLL in the rearview mirror. Brian

Mystic75 profile image
Mystic75

Thank you so much for the update, Dr. Koffman. Like so many, I have anxiously watched for updates and it is a great relief to know you are rehabilitating. Such good news!

I only recently became acquainted with Lisa Minkove through Patient Power and videos. What a courageous and beautiful woman, who contributed so much to the CLL community. Her passing must have been so difficult for everyone at SCCA, as it is for so many on this forum.

Best wishes on a continued recovery,

D.

bkoffman profile image
bkoffmanCLL CURE Hero in reply toMystic75

Very hard on so many including all the doctors and providers at SCCA. It never gets easy losing a patient or a friend. Never.

manzelka profile image
manzelka

Glad to hear you are starting to recover.

It sounds like you had a really a tough time.

Djike profile image
Djike

Great news!!! Here’s to a continued speedy recovery!

lukejensen27 profile image
lukejensen27

Wonderful news Brian! Thanks for keeping us posted. I know that can’t be an easy thing to do when you are feeling so badly. Here’s to continued improvement and hoping to put CLL behind your for a very long time.

Ashmom profile image
Ashmom

Fantastic news, Brian! Thank you for the update and for paving the way for the rest of us.

Ash

Ladydi49 profile image
Ladydi49

So very glad you are doing well Brian. Sorry to hear about your fellow CAR-T trialist. Something I heard last week when I was at Moffitt getting my 6th ivig infusion from the patient in the chair next to me was that she was being treated for cll but was talking CAR-T in the future and she said it wasn't for cll-ers? Curious as to what your markers/mutations are however I respect you if you don't want to share..if so you can private message me.

Best Regards,

Dianne

bkoffman profile image
bkoffmanCLL CURE Hero in reply toLadydi49

17p, 11q, unmutated, complex karyotype

Ladydi49 profile image
Ladydi49 in reply tobkoffman

Good Morning Brian....hope today will be a good day for you. Correction: she was being treated for cml and said CAR-T wasn't for cll-ers so, I don't know. I only know I'm Trisomy 12 and unmutated which I thought would be good but I'm an intermediate risk according to Moffitt.

Blessings,

Dianne

MsLockYourPosts profile image
MsLockYourPostsPassed Volunteer

Brian - I'm so glad that you are moving forward! Please really focus on your own recovery. You do so much for so many. Let this be a time to do for yourself (and Patty and the family)! Think of you daily and look forward to positive updates!

PSP52 profile image
PSP52

So glad to hear that you are moving out of the storm and onward in your life’s journey. Peace and positive thoughts for you and your family. ✨

MsDJ profile image
MsDJ

Glad you are doing well Brian, albeit not an easy road, best of everything on your journey to remission and cure! As we continue to grieve the loss of dear friend and advocate Lisa Minkove, her daughter asked me to state that the cause of death is unknown at this time. The following is a repost from her daughter Hera's update almost 3 days ago and is still current info as of today’s date: "I will follow up when we know. Something catastrophic. May not have been anything to do with the trial. We will have some sort of answers. Although, it will take time to know the facts. It is devastating. My 💔! My mom suffered EVERY DAY! She was in a constant fight." November 18, 2018, Lisa was officially announced as a Cure CLL Hero 🌹

Barbgee profile image
Barbgee in reply toMsDJ

So sorry for your loss🌹

bkoffman profile image
bkoffmanCLL CURE Hero

Hi,

Lisa’s daughter let me know that it is not yet confirmed her passing was related to her CRS.

It is always best to wait to all the facts are in and I am sorry for any possible trouble my assumption caused to her family or the CLL community.

Stay strong

Brian

Bubnojay profile image
Bubnojay

I’m sure no one will find you at fault. Rest easy, don’t try to do too much.

A whole community rooting for you here. I hope the path becomes less rocky.

Hang tough.

Bubnjay1

Judyanne profile image
Judyanne

Brian, we have been anxiously following your progress as all your admirers have been. So glad you are now on the mending track and the worst appears to be behind you. The frosting on the cake will be good scans and mrd- in the bone marrow. You have done so much good for everyone while sick I can’t imagine all you will accomplish when you are well. Now is the time to take care of yourself and mend from that daring, risky and harrowing treatment. Our deepest sympathies to Lisa Minkove’s family. Best, Judy and Jim

pati23 profile image
pati23

God bless you and than kyou for sharing your journey

eggemma profile image
eggemma

Dear Brian, I wish you all the best. You are wonderful. I will always appreciate your help when I was not well. Hope for a speedy recovery. Best wishes Emma Fleetwood

Hoffy profile image
Hoffy

Great work as usual!

Hoffy

Newdawn profile image
NewdawnAdministrator

Sending you huge best wishes Brian.

It’s too easy to overlook the impact of loss on the treating medics. They’re in this with us too.

Hope it’s all in the ‘rear view mirror’ for you soon.

Newdawn

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