Saturday, August 10, 2013

Sometimes good things fall apart, so better things can fall together

Well, after I posted my disappointing news on Wednesday, I get a call from UCSD on Thursday informing me that they just got done with a teleconference with the Pharmacyclics people.  If you remember, Pharmacyclics is the company whose trial I was on, and the one developing Ibrutinib.

Through some process I am not fully aware of, they have decided that the 180 people that were on  Ofatumumab (the side of the trial I was on) are now eligible to receive Ibrutinib.  There is no time frame given, but the guess is 6-8 weeks.  So all I have to do now is to remain relatively stable and healthy for the next month or two and I will hopefully get Ibrutinib.  I will get blood tests every two weeks to make sure I am staying stable.

When I got the call, I was still actively pursuing the Revlimid + Rituxan regimen and went so far as to confer with my prescription drug insurance company to find out what my cost would be.  I did find out that it would have been $2,800 for the first month, and then $300 per month after that.  If I do get the Ibrutinib as part of the trial it will be no cost to me for some time, so that is another reason to get the Ibrutinib.

 I will post an update when I actually get the pills in my hand, because by now, I know that things can change on a daily basis.

Terry

Tuesday, August 6, 2013

At the Crossroads Once Again

Today I had a visit with Dr. Kipps and the news I had been expecting for about 2 months finally happened.  It looks like I am beginning a new round of treatment, maybe as soon as this week.  End of short report.

This has not come as a complete surprise.  My numbers have been going the wrong way for over 3 months, a month after I stopped the clinical trial.  Today, Dr. Kipps took a long time in reviewing all my data before he came in to see me. When he walked in, I told him that this was not a good sign, and I immediately figured out what he was going to say.  Once again, he is concerned that I will spiral out of control too quickly, and then my options become limited. 

 As some of you remember, there was some glimmer of hope that I could wind up getting the drug (Ibrutinib) that was on the other arm of the trial.  This appears NOT to be an option.  The drug company is pushing so hard to get this approved for the general population (see BIG $$$$$), that small matters, like taking care of those people who proved the value of their drug by participating in a clinical trial, are pushed aside.  I do understand rules and regulations making sure that drugs are safe for people, but I don’t think the fault lies entirely with the FDA.  I think the drug company should step up and take some moral responsibility for their role in this.  I could devote an entire blog to this topic, but I will save my venom for killing those nasty cancer cells.

 Based on the fact that I have had Autoimmune Hemolytic Anemia, and the fact that my prognostic and genetic markers make me a difficult patient (no comments) to treat, Dr. Kipps is fairly certain that no treatment using chemotherapy will ever be in the cards for me again.  The protocol that I will be starting is using two drugs, Revlimid, a pill, and Rituxan, an IV infused drug.  The pills are given 21 of 28 days on a monthly cycle, and the Rituxan, is given once a month.  The length of treatment should be about 7 months, with a possibility of an extension depending on how I am doing.  Revlimid is an immune-modulating drug, and Rituxan is a monoclonal antibody.  Neither of which is chemotherapy.

Right now we are working on approval from the drug company and from the Insurance company to determine my eligibility and the out of pocket costs to me. 

 There are several other drugs that are close to beginning clinical trials, which have shown very positive results. So if this doesn’t work, there are still things in the wings that may fit the bill for me.

 None of this news took away from a joyous event for the Evans Family 2 weeks ago.  Our son Jeff, married his longtime girlfriend Kristen, in a beautiful ceremony.  Family and friends gathered together to celebrate this memorable event.  Since my diagnosis I have experienced 3 weddings and the birth of two grandchildren.  I thank God every day for the life he has extended to me and the fact that I am healthy enough to enjoy all the blessings that he has bestowed on our family.

 For those of you that care, Crossroads was the name of a song that was written by the famous blues guitarist Robert Johnson.  It was made popular when the Cream (Clapton, Baker, Bruce)recorded the song, and later became the name of a boxed set of Eric Clapton songs from all of his groups, The Yardbirds, John Mayall's Blues Breakers, Cream, Blind Faith, Delaney & Bonnie & Friends and Derek and the Dominos, as well as his solo career.  For some odd reason when I chose my blog title, that song came to mind.  Don't ask me why...It was the 60's.
 
Terry