Dears,
I have a question.
I am in treatment for my CLL (13q, not mutated, with monoclonal component in gamma zone) with 2 cps of Ibrutinib.
Since the beginning my IgG, IgM, IgA are quite low, but I never got any treatment because I had no issues with that.
The result of the treatment with Ibrutinib is acceptable, from the hematological point of view, but after a while something changed: there was the presence of monoclonal IgM k , low concentration,
Recently a new change: ipogammaglobulinemie associated with profile oligoclonal low concentration IgG and IgM (k+lamda). My doctor says that those changes can be a side effect of CLL, with no specific concern. I am not fully convinced.
How do you think those changes should be evaluated? could be that 2 cps of Ibrutinib are not enough?
Thanks for your suggestions...