Starting therapy 5 yrs post CAR-T with another... - CLL Support

CLL Support

23,324 members40,026 posts

Starting therapy 5 yrs post CAR-T with another immunotherapy trial, now epcoritamab

bkoffman profile image
bkoffmanCLL CURE Hero
63 Replies

Making my exercise "rounds" at the hospital

It was a nice long run and far exceeded the average duration of response to CAR-T in CLL, but as we all have grown to accept, essentially all therapies in CLL are palliative. If you live long enough, most but not all of us will eventually relapse. Sad but true.

You can follow my journey and my personal reasoning for my choices on my blog on the website: cllsociety.org/living-with-... Please follow along and stay connected. It means a lot.

It's nice to be blogging again. The CLL Society (CLLSociety.org) was born of two parents: my now mostly dormant blog that led to the website and the living room meetings of CLL patients and care partners that grew into 40+ CLLS support groups.

I won't be posting frequent updates here or on other forums, but will try to blog on the website when the steroids and the Benadryl and the fire alarms and the frequent vital sign checks and the blood draws give me a break. I'm pretty tired and sleep deprived.

Halfway through the ramp-up of epcoritimab, a novel bispecific monoclonal T-cell engine antibody, and hopefully heading home later today. No adverse events other than not sleeping. Back in hospital for the next dose in 5 days. I am the first US CLL patient in this protocol. Talk about bleeding edge.

Thanks to everyone who sent me their prayers and such kind notes of support and encouragement. I feel so lucky to have such friends around the world.

Stay strong, we are in this together

Brian

Written by
bkoffman profile image
bkoffman
CLL CURE Hero
To view profiles and participate in discussions please or .
Read more about...
63 Replies
Shrink profile image
Shrink

Wishing you the very best outcome . Strong decision ! 🙏🏻🙏🏻

craterlake profile image
craterlake

You are a true hero . thank you for everything Brian . may God continue to bless you and your family . james 🙏😊 Psalm 1:1-3

Nicebaps profile image
Nicebaps

Hi Brian

I will be watching from the UK as I'm about to embark on Epcor myself.

Good luck

Colin

bkoffman profile image
bkoffmanCLL CURE Hero in reply toNicebaps

Let's stay on touch. Very few CLL patients so far. Are you doing monotherapy or with venetoclax? I am only on epcor.

Ballyhoo777 profile image
Ballyhoo777 in reply tobkoffman

Prayers sent to you and your family Dr Koffman.🙏🙏🙏🙏

MrIvyLeague profile image
MrIvyLeague

You are the Babe Ruth, Michael Jordan, and Wayne Gretsky of bringing straightforward useful information to a very complicated and heterogeneous disease – and for all of us, we are very, very grateful. We are all rooting for you, and though there will be inevitable ups and downs in this new process I am quite confident you will hit another home run. As you often state: “Smart Patients Get Smart Care”. All the Best!!

Naka profile image
Naka

You are our beacon of Hope Dr Hoffman. 🙏

Pacificview profile image
Pacificview

May you have many more really good years out of this treatment. All the best to you!

Newdawn profile image
NewdawnAdministrator

Thank you for updating us Brian. You’re back at the ‘cutting edge’ and we await your progress with deep interest and immense best wishes.

Newdawn

Ghounds profile image
Ghounds

Very best of luck! You are indeed a hero to so many of us.

Feldman profile image
Feldman

Dr Koffman,

You are an inspiration to us all. Wishing you all the best. Thank you for your continued support to the CLL community. You are in my prayers.

ReneeSusan profile image
ReneeSusan

Sending orayers and positive thoughts your way!

Jackpot profile image
Jackpot

You are a true inspiration to all of us and I wish you the very best possible outcome.

Name-1 profile image
Name-1

🍀❤️💞

noeagaman profile image
noeagaman

Thank you for keeping us up to date and for being out there on the cutting edge for all of us Dr. Koffman. I followed you throughout your CAR-T journey and will be following you through this new journey. You are such an inspiration and I pray that you have great success with this new treatment.

Chris

studebaker profile image
studebaker

Thank you for being our beacon and educator sharing your experiences through your blog which I will be following along with others.

I will keep you and your family in my prayers. Wishing you the best success with this trial and a long remission after. 🙏🏻🤞🏻👋🏻

Dana

JigFettler profile image
JigFettlerVolunteer

Ahhh Brian! Thank you for your update. Sending you all best wishes!

Thinking of you, from a sunny SWest UK!

Jig

Peggy4 profile image
Peggy4

Best wishes to you Brian. Thanks for the update.

Peggy

Lakeviewg profile image
Lakeviewg

Wishing you the very best of outcomes Brian! Looking forward to your updates on the CLL Society site and positive news for you!

Mike

Thundercat2 profile image
Thundercat2

No words, just prayers for a spectacular outcome!

Walkingtall62 profile image
Walkingtall62

All the very best. Great photo too!

Elle_V profile image
Elle_V

Wishing you all the best, thank you for being such an inspiration and for all that you do for us! 🙏🙏🌞💐

mrsjsmith profile image
mrsjsmith

Brian I just want to add a silly aside and I am so impressed that you seem to be managing that contraption like a shopping trolley. I always keep my legs crossed when doing my monthly IVIG.

Respect

bkoffman profile image
bkoffmanCLL CURE Hero in reply tomrsjsmith

Funny. I think of it as a dancing partner, IVY

mrsjsmith profile image
mrsjsmith in reply tobkoffman

I shall remember that, thank you.

Sanders9 profile image
Sanders9

Wishing you all the best with this treatment

Snakeoil profile image
Snakeoil

Thanks for enabling me to give my team of hemos a hard time 😁

MiloG profile image
MiloG

I am so grateful to you for all the education, dedication, resources and hope you have given me. Know that your "army" of supporters are with you always.

vman82 profile image
vman82

Thank you for sharing Dr Koffman 🙏 - wish you all the very best !!

Classicaljazz profile image
Classicaljazz

It is great to hear that you have had no adverse effects with epcoritimab. A five day rest from not sleeping in the hospital sounds good as well. Best wishes!

BobbyFour profile image
BobbyFour

I am definitely sending you positive thoughts and prayers. ‘CLL Hero’ is the right adjective for you, and words can’t express how much I appreciate the work you have done (and will keep doing!) to make CLL manageable for us ‘next generation’ folks.

Agiledog profile image
Agiledog

Brian,

You are the soldier of soldiers among us! As I await the completion of the last year on venetoclax in the V+R comparator arm of the Bruin trial, I think of you often. As we all move along the path, I am regularly reminded of the importance finding opportunities for gratitude. You are a premier one of those opportunities. You have been in the vanguard of my journey and a constant reminder to be grateful for your presence and Churchillian ‘never, never give up’. God speed, friend.

Bud

Horatio2 profile image
Horatio2

Wishing you the best of luck on this new treatment!

bachplayer13 profile image
bachplayer13

wishing you the very best! i will be following your journey with great interest. you are a hero and an inspiration.

Fran57 profile image
Fran57

Thank you for keeping us informed.

I sincerely hope the treatment proves to straightforward and successful,

Fran 😉

Haileybury profile image
Haileybury

Good luck, Brian and thank you for your blog.

Haileybury

Jenzarou profile image
Jenzarou

❤️

hopefulbunny profile image
hopefulbunny

Thanks for update Brian, it means a lot. Sending healing vibes and 🙏for a completely successful outcome. Keep dancing! X

bennevisplace profile image
bennevisplace

Thanks for the link to your blog Brian. Your story is truly inspiring. Very best wishes going forward.

You are amazingly brave. Prayers for another great outcome.🙏 Sally

Osprey69 profile image
Osprey69

Hi Brian wishing you all the very best! My journey with Loxo is coming to end and hope to meet with NIH group to see if their Bispecific Antibody trial would be a fit. Will be following you like skin hope you can get some rest . Fran G.

1ofakind profile image
1ofakind

Just adding my good wishes for a successful outcome- I admire you for taking the time to care about us all and add your knowledgeable comments when needed …

Hope the treatment goes easy and that you’ll be able to continue enjoying good health going forward !

Be Well !

spi3 profile image
spi3

Sending prayers and very appreciative for you pioneering the way for many of us. God - bless you

200185 profile image
200185

Thanks for being a pioneer!! We are so blessed!!!

Stamphappy profile image
Stamphappy

Brian, my deepest best wishes and heartfelt prayers for you today and always ❤️. Thank you for all you have done for our community. You are a brave trailblazer. As you say, "We're in this together". It keeps us all strong. We are all here for you! God bless you, our dear Dr Koffman. 🙏

nvp815 profile image
nvp815

Sending the very best wishes to you Brian! I was reading your new blog and you continue to offer not only groundbreaking information but also an abundance of inspiration! I look forward to following your new journey toward another very long remission

Warm regards,

Nan

Mkhait profile image
Mkhait

Hi Brian, best wishes for you!

My wife went thru Ibrutinib, brukinsa and now venetoclax ( successful so far ) but i'm looking for potential next step. So could you please share with us why you decided to go with epcoritimab?

bkoffman profile image
bkoffmanCLL CURE Hero in reply toMkhait

I discussed my decision process on the blog

Smakwater profile image
Smakwater

Doctor Brian,

I am very grateful and encouraged by your giving efforts. You have provide so much substantiated hope for the CLL community, and your perseverance inspires us to pursue our inner strengths.

You deserve the greatest outcome.

Thank you for sharing.

JM

Siberunner profile image
Siberunner

Wishing you the best and I’ll be praying for you.🙏🏻

skunkbay53 profile image
skunkbay53

Greg and I send you healing wishes and prayers. Thank you for sharing your journey. We will follow your blog. God bless. The Johnsons

Pearlpink profile image
Pearlpink

Dear Brian, thank you for always being so inspiring! Good luck with your treatment!

You gave me so much hope when I was first diagnosed! I had such terrible fatigue, and my first consultant dismissed it. I saw your article on CLL related fatigue and it made me so optimistic!

Thank you!

rex9343 profile image
rex9343

Thank you Dr. Koffman for all that you do, and have done for us all. Blessings and prayers for you on this journey.

Jay

PSP52 profile image
PSP52

Thanks for all you do for the CLL community. You inspire me with your strength. I will follow your blog on the CLL Society page.

Analeese profile image
Analeese

Brian you are the definition of hope for those of us with CLL. Five years ago today I lost my husband with AML. Today I think about what if he had the choices we have today. There are so many new scientific and drug discoveries that benefit us that were not an option just a few years ago. Best of luck with your new treatment. I am another person who will follow you closely.

Sunrise to success
17Pisme profile image
17Pisme

We all love you Brian. Good Bless!

CLLBGone profile image
CLLBGone

Wishing you a smooth and successful ride on this new medication MAB road.

Hoffy profile image
Hoffy

Be well my friend. Wishing you the best,

Hoffy

kimiD profile image
kimiD

You are a true trailblazer for us all. Will be following your journey and wishing you all the best.

Mystic75 profile image
Mystic75

Thank you, Dr. Koffman, for letting us walk with you as you continue your journey. Sendin you positive thoughts and prayers for a successful outcome in this clinical trial.

You mean very much to so many people. We are so grateful. ❤️

casanova profile image
casanova

Thank you Dr Koffman for updating us of your latest pioneering journey into the world of CLL treatment . I read your blogs and yours, amongst others, gave me confidence to go forward with CAR-T therapy. I am sorry your remission has come to end but I wish you every success in your latest trial. You are indeed a trail blazer.

Maureen UK

Katinlr profile image
Katinlr

Good luck Brian! Hey can you give us the name of your trial? I am looking on the Clinical Trials.gov site and am not sure which one it is.

db601 profile image
db601

Hi Brian, Thank you for sharing so much of your journey. None of us expected this trip to be interminable. With your strength and generosity, you continue to be a beacon of hope. You’ve got this. All will be well. Keep IVY dancing! xox

Not what you're looking for?

You may also like...

Starting CAR-T therapy for my relapsing CLL

Friends and CLL Society supporters: This isn't easy. After consulting with my wife, my family, my...
bkoffman profile image
CLL CURE Hero

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

Hi, It was been an intensely dark and painful journey (see https://cllsociety.org/car-t-blog/ for...
bkoffman profile image
CLL CURE Hero

CLL Society Webinar Nov. 17th Dr. Joe Fraietta "The Future of CAR-T Therapy: Can CAR-T CURE CLL?" Some CAR-T patients are 10 years CLL-free!

CLL Society CAR-T Webinar Nov. 17th featuring CAR-T researcher Dr. Joe Fraietta: "The Future of...
bkoffman profile image
CLL CURE Hero

EHA 2019: Dr. Maloney on CAR-T and Dr. Davids of Chemo-Immunotherapy combinations

David Maloney is world expert in CAR-T therapy and was one of my doctors when I got my genetically...
bkoffman profile image
CLL CURE Hero

Good news 4 months post CAR-T therapy

Hi I got good news today 4 months post CAR-T when I saw Dr. Kipps. Hgb is over 14 so back to...
bkoffman profile image
CLL CURE Hero

Moderation team

See all
CLLerinOz profile image
CLLerinOzAdministrator
AussieNeil profile image
AussieNeilAdministrator
Newdawn profile image
NewdawnAdministrator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.