...with apologies to Kate Atkinson for pinching the title of her book!
CT scan this week shows that Topotecan, my 3rd line chemo has checked the disease. My good news! I will be continuing the treatment and the next scan in December. Christmas & New Year are looking good, and I will enjoy the autumn sunshine and cosy evenings with a fire before then.
Best wishes to all, Maureen
Written by
hmmartin
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Hi Marj, I'm all for 'watch and wait' as I'm in no hurry to return to treatment unless the oncy says it's right. The Ariel2 involves Rucaparib in BRCA negative women.
The Ariel2 trial is rather exciting as it's trying to find biomarkers that will predict which women will respond to Rucaparib once chemotherapy has stopped working. Apparently PARPs are enzymes that instruct the cells to repair themselves. If the PARPs are blocked they think the tumours might not repair and grow.
It all seems very new and leading edge and the trial will look at the benefits and side-effects of the drug, and how much Rucaparib is in the body at any one time. Makes me realise I've progressed along the treatment route to the stage where trials rather than traditional treatments are my greatest hope.
I have a scan in 2 weeks' time and I guess someone will call me in and let me know what the MDT are considering. At the moment I'm continuing on Avastin and will have my 15th dose of 18 next week.
I still feel well and am pretty active in various ways. I'd never have imagined getting on for four years ago that I could have had so much treatment and continue a normal active life. I hope some find that encouraging.
Hello there. I'm about to start 3rd line chemo and they suggested Caelyx and not Topotecan. I had a partial response to Gemcitabine/Carbo/Avastin. When were you diagnosed? Lovis
I was diagnosed in April 3013. I could not have surgery so had carbo/taxel. I was on the control arm of ICON8 trial. There was partial response to chemo at interim scan, still no surgery, so Avastin was added for the final 3 cycles. Again
Partial response, no surgery but contined with avastin. Scan in December showed progression so I had radical debulking surgery in January, described as palliative. A tumour on my small bowel was not removed and there was residual <1cm deposits
remaining in my abdominal cavity. My disease is platinum resistant because of progression within 6 months of carbo/taxel regime which I understand means it cannot be challenged again with platinum therapies. Caelyx was second line chemo for me, but disease was progressing at interim scan. So 3rd line Topotecan started, with the good news this week that the disease is stable and I will continue the treatment with another scan in December.
Best wishes with treatment
Maureen
PS. Both therapies have been very easy on me. I had real problems with first 2 cycles of carbo/taxel
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