brianan replied to the topic Maintenance alternative to a first SCT in the forum Treatment 7 years, 5 months ago
Hi Sabs
Many thanks for the information. What trial is your partner on? Perhaps it is the CARDAMON trial, which I know about?
Brian
brianan started the topic Maintenance alternative to a first SCT in the forum Treatment 7 years, 5 months ago
Hi
I have recently completed my first round of chemotherapy (VCD initially and then VTD). I have had an excellent response and I’m in remission. I am now being encouraged by my consultant to have a first SCT; tests etc. have indicated that I am eligible for this. However my preference at the moment is not to have an SCT and to have some form of…[Read more]
brianan replied to the topic Switching from VCD to VTD in the forum Treatment 7 years, 8 months ago
Hi Peter and Jan
Many thanks for the information – it’s very helpful and much appreciated.
On the subject of Cheltenham, I ‘m not a great fan of horse racing but I go with my brother and his son who are experts on the subject. I find it a great spectacle with – apart from the racing itself – lots of ‘human interest’. Of course, the obvious risks…[Read more]
brianan replied to the topic Switching from VCD to VTD in the forum Treatment 7 years, 8 months ago
Hi Peter
Good to hear from you again.
I am now halfway through four 4-week cycles of VTD. All seems to be going well. At the end of the first cycle, my kappa light chains (my particular problem) were down to 20 and the ratio was 2.4. I did not see figures as good as this when I was on VCD. Side effects are minimal; I am beginning to notice s…[Read more]
brianan replied to the topic Switching from VCD to VTD in the forum Treatment 7 years, 10 months ago
Hi Peter
Excellent advice on Dex!!
Brian
brianan replied to the topic Switching from VCD to VTD in the forum Treatment 7 years, 10 months ago
Hi Jan and Peter
Thanks for the further informative / helpful posts.
One aspect of MM that I’ve never really researched is the extent to which different forms of MM might require different treatment regimes and have different prognoses. (You both seem to have the Lambda light chain form whereas I have the Kappa form.) Have you pondered this?…[Read more]
brianan replied to the topic Switching from VCD to VTD in the forum Treatment 7 years, 10 months ago
Hi Jan
I was very interested to hear more about your experiences. It really helps in making more informed decisions.
You asked about my light chains levels. The highest levels before and lowest levels after my VCD cycles were:
– Light Chain Ratio : 180 to 7
– Kappa Light Chains : 1243 to 53
– Lambda Light Chains : 10 to 7
A couple of other…[Read more]
brianan replied to the topic Switching from VCD to VTD in the forum Treatment 7 years, 10 months ago
Hi Adrian
Please don’t be influenced by my approach. Everyone’s MM condition is different. In fact my consultant is recommending that I have an SCT now rather than putting it off.
I would be interested to hear about how you are getting on with VTD.
All the best
Brian
brianan replied to the topic Switching from VCD to VTD in the forum Treatment 7 years, 10 months ago
Hi Jan and again Peter
There is a lot of useful and thought-provoking information in your posts.
I have decided on my way forward. That is to have some cycles of VTD – starting this week – with a view to achieving a Complete response. My cycles of VCD achieved a borderline Very Good Partial Response. I have accepted the increased risks of h…[Read more]
brianan replied to the topic Switching from VCD to VTD in the forum Treatment 7 years, 11 months ago
Hi Peter
Many thanks for your encouraging words!
Best wishes for your New Year trip.
Brian
brianan replied to the topic Switching from VCD to VTD in the forum Treatment 7 years, 11 months ago
Hi Peter
Many thanks for the comprehensive information in your last two posts – I am in the process of digesting it all!
You obviously keep a good record of your test results – as do I. I have a spreadsheet recording my results back to May 2014 when I was first diagnosed.
I have the Kappa LC version of MM – generally described by my…[Read more]
brianan replied to the topic Switching from VCD to VTD in the forum Treatment 7 years, 11 months ago
Hi Peter
Many thanks again for a very thoughtful and helpful reply. It is quite difficult to find the right words to express how much I appreciate your input.
Firstly, I would appreciate the link to the Mayo Hospital report – if it’s not too much trouble to find. Apologies for more questions, but I wondered how long it is since you completed…[Read more]
brianan replied to the topic Switching from VCD to VTD in the forum Treatment 7 years, 11 months ago
Hi Peter
Many thanks for your very helpful reply!
I am certainly getting the impression that VTD can be more effective although I’ve heard that it can involve an increased risk of neuropathy. I think it’s worth the risk in order to get improved results.
By the way, have you had an SCT? My consultant is recommending that I have one but I have…[Read more]
brianan replied to the topic Switching from VCD to VTD in the forum Treatment 7 years, 11 months ago
Hi Peter
I have achieved a borderline “very good partial response” . My paraprotein level is 4 and my light chain ratio is 9.9. The highest values that I have ever had are 39 and 180 respectively. I’d really like to achieve a “complete response” before considering an SCT.
Brian
brianan started the topic Switching from VCD to VTD in the forum Treatment 7 years, 11 months ago
I’d be very grateful if any members could tell me something about their experiences in switching from VCD to VTD. Did you get a better response? Were side effects better/worse? I have been on VCD for four cycles and seem to have reached a plateau. I’ve seen some of the comments already on the forums concerning VCD/VTD but I’m particularly…[Read more]
brianan replied to the topic SCT effectiveness in the forum Treatment 8 years, 1 month ago
Hi
Many thanks to those who replied – they have certainly increased my understanding.
All the best
Brian
brianan started the topic SCT effectiveness in the forum Treatment 8 years, 1 month ago
I am still having chemo. (VCD) and looking ahead to probably having an SCT. I’ve been very lucky with VCD – it’s worked well and I’ve had minimal side effects.
I would be extremely grateful if anyone who has already had an SCT could tell me how effective it was in reducing the key measurements such as paraprotein, light chain ratio, light chain…[Read more]
brianan replied to the topic SCT alternatives in the forum Treatment 8 years, 3 months ago
Hi Peter
Many thanks for the link. SCT or no SCT? – a very difficult question! My feelings at the moment are that if an individual is in good health, then SCT (even though it is something of a ‘sledgehammer’) is marginally the better way to go.
Brian
brianan replied to the topic SCT alternatives in the forum Treatment 8 years, 3 months ago
Hi Peter
Many thanks for the info. concerning the Mayo clinic study. It sounds encouraging!
I would be very grateful if you would send me web link.
Brian
brianan replied to the topic SCT alternatives in the forum Treatment 8 years, 3 months ago
Hi Annette
Many thanks for your reply. Let’s hope your success with your treatment continues for many years!
I have discussed Revlimid with a number of people and it almost seems like a ‘wonder drug’. It’s a great pity that the NHS seems to be restricting its use for some new MM sufferers in some circumstances.
A basic question: on the weeks…[Read more]