Search Results for 'gemcitabine cisplatin'

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  • #14670

    In reply to: Gemzar & Cisplatin

    jules
    Spectator

    alison,

    I am sorry that your mother is experiencing pain. My Dad was on gemcitabine and carboplatin and did not suffer pain, only extreme fatigue the day after chemo, however steriods help with this although he used to feel lousy ‘coming down’ off the steroids. Platin drugs are hard on the bone marrow, although have in general been effective for many patients with cc. Cisplatin is a platin chemo 1st generation and quite harsh, carboplatin is better tolerated (2nd generation) and does the same job, it is newer then cisplatin and oxylplatin is 3rd generation. Maybe your mum would be better off with a newer platin drug that is not so harsh? – you should discuss this with her oncologist.

    Good luck, Jules

    #14706

    In reply to: Hello Everyone

    mallieg
    Spectator

    Hey jules,

    We are located in Cleveland, OH. Our oncologist, Dr. Afshin Dowlati, is actually the doctor who is heading the international trial our mom was participating in. It was his recommendation to start the Gemcitabine and Cisplatin next. He has a number of follow up drugs to try if or when this combo fails to show positive results. We have also been doing our own research. This site has helped us so much, not only in our research but emotionally as well. It is so helpful to see that there are many others out there fighting this disease with us. Thank you for all of that info!

    Alison & Mike

    #14705

    In reply to: Hello Everyone

    jules
    Spectator

    Alison and Mike

    I am sorry to hear about your mum. Where are you? – I know of one trial in the UK using XL119, I heard that all the patients where taken of 5FU and given the XL119 because the patients in that arm were doing so much better.

    My Dad was on gemcitabine and carboplatin which made him quite tired. Platinum drugs and gemcitabine seem to be the first line treatment for non resectable disease, you should be aware that there are different generations of platinum chemo drugs (ie some are newer and better on the toxicity front then the older ones) carboplatin is not as harsh as cisplatin (2nd generation) and oxylplatin is 3rd generation. Quite a few patients on this site have used oxy. Treatment options vary depending on where you are and whether you have an oncologist who is prepared to think outside the box and try newer breakthrough treatments. This site is very informative – try looking at the chemo worksheets under general info section and discuss all options with your mums oncologist.

    Hope this helps, Jules

    #246

    Topic: Hello Everyone

    in forum Introductions!
    mallieg
    Spectator

    Our mom, Pat, age 53, was diagnosed with cholangiocarcinoma in March of ’06. Like most of your stories, the doctors had a very difficult time in diagnosing what type of cancer she had. The doctors first thought she had gall stones, or acid reflux. Then her symptons increasingly got worse. Mom was always full of energy, but she slowly started to get more and more fatigued. Her appetite decreased as well. Then came the abdominal pain followed by the jaundice. Mom was admitted into the hospital. After numerous tests they found her cancer stemmed from the bile duct. At this time we were told that the cancer was in stage four. It had spread throughout her liver and into her lungs.

    She then had to undergo surgery to open up her bile duct. The first try was unsuccessful. This is when we all started to fear the worst. Thankfully, on the second try, the doctor was able to get an external tube through her bile duct to release the bile. She had to have an external bag connected to the tube for a few days. This tube was left in her for more than a month. Then an internal, metal stent was put into place.

    She was placed in a single blind clinical trial. There were two types of chemotherapy, 5-FU or XL-119, of which she would be given one. Her chemo schedule was five days on, followed by a break of three weeks. After three cycles of the chemo, she was given a CAT SCAN. We saw such positive results in that first CAT SCAN! All of her tumors shrank drastically. Therefore, we continued on with this process. Following the second CAT SCAN, the results were positive once again. The doctor even stated that most of the tumors on her lungs had nearly dissappeared. So of course we continued on. Following the third CAT SCAN the results were not good. Just yesterday we were told that her tumors have grown. Therefore, she was taken off of the study. We also learned that she was on 5-FU during this trial.

    Tommorrow, the 4th, we are going to start a new treatment. She will be given a combination of Gemcitabine and Cisplatin. We are all hopeful this combo will work.

    Our mom is such a fighter! She inspires us each and every day. Never give up hope!

    Alison & Mike

    #14466

    In reply to: hey out there

    geoff
    Member

    Alison

    I wish you well in your consulatation with Prof Lodge, he is a great guy and really easy to get on with, and he’s a brilliant surgeon. I believe that resection is probably the only route to cure, from what I remember reading from Jon’s posts his tumour is at a fairly early stage so I would hope for both of you that is is resectable.

    Regarding chemo, I’d just mention that Gemcitabine+Cisplatin is recognised as being more effective that Gemcitabine alone (this is also shown by early results from ABC02). And you don’t need to get these via a trial, my oncologist put me on Gemcitabine+Carboplatin as the first-line chemo regime (he says that carboplatin is a 2nd generation cisplatin). And my latest scan shows slight shrinkage of my Lymph Nodes (metastatic disease – my tumour, which Prof Lodge removed, was very advanced and he was unable to get to all of my Lymph Nodes).

    Anyway good luck

    Geoff

    #14436

    In reply to: My Brother

    geoff
    Member

    Alison

    I am a CC sufferer based in UK. From my own experience of this disease I would comment:

    (1) The ABC01 trial in UK compared Gemcitabine alone vs Gemcitabine with Cisplatin (Gemcis). The trial is still running but initial results show that Gemcis gives signifacantly better response rate than Gemcitabine alone. I am currently on Gemcitabine with Carboplatin (GemCarbo) – carboplatin is a 2nd genration of Cisplatin (less side effects) – and this is under the NHS. Suggest you ask Jon’s oncologist about this and if necessay find another oncologist.

    (2) Some surgeons are reluctant to operate but it’s the only route to extended survival. Depending of course on how advanced Jon’s tumour is you can find aggressive surgeons who will operate. I’ve been through this and my tumour was removed last October.

    Good luck

    Geoff

    #14430

    In reply to: My Brother

    stacie
    Member

    I want to agree with the previous posts that you are in a good position if your brother was considered a surgical candidate. Now, the crucial thing for him becomes the systemic treatment with chemo.

    However, you need to give another try to get a combination chemo for him. Your best bet will be to combine gemcitabine with 5FU/Xeloda (same drug administered differently) or one of the platins (Carboplatin, Cisplatin or Oxaliplatin) there is a lot of information and studies on these drugs. Start pulling them up and work with your insurance or oncologist now to get him on some kind of combination of drugs, he will have a much better result if your oncologist will do this.

    #14359

    In reply to: Intro , I suppose

    jules
    Spectator

    jon,

    my dad was offered to take part in the abc02 trial – he drew the gemcis combo, we then found prof lodge and so my dad dropped out of the trial before he started.

    my dad is currently on gemcitabine and carboplatin which he is tolerating really well. carboplatin is a 3rd generation platinum drug so better tolerated then cisplatin.

    The best thing to do with regard to getting second opinions is to send the scans and an up to date report to the consultant concerned. Prof Lodge will read scans on disc. we keep copies of my dad’s scans and notes with us – this is probably the most reliable way to do it. I just send copies wherever needed.

    Good luck – any further queries feel free to ask.

    Jules

    #170

    Topic: Hello

    in forum Introductions!
    campbell_zoe
    Spectator

    Just thought i’d say a quick hello. I’ve been looking at the messages for the past week and decided i would register.
    My dad has had Primary Sclerosing Cholangitis and Ulcerative Colitis for nearly 18 years now. He’s been generally very well however we all knew that the only cure for his condition would be a liver transplant and that his condition would eventually get worse. Anyway just before Christmas 05 he was put on the transplant list and we started waiting.
    We had a phonecall at the end of Feb and he went in but it was cancelled at the last minute (problems with the donor). 3 weeks later we had a second phonecall and it was all go this time. He went into theatre at 7pm and we were told that we were not to expect a phonecall until the morning as it would take all night. Anyway at 10.30pm the phone rang and they said that they had found tumours on his liver and that they had to cancel the transplant. We were all devestated. He had a lot of fluid retention after the operation and his wound leaked a lot for quite a few weeks after and he therefore had a bag on. He started chemo (Gemcitabine) a few months ago and has been well apart from being very tired. His oncologist has said that they may start the cisplatin and gemcitabine in combination but this hasn’t happened yet. His legs have started to really swell up in the past few weeks and he had to go in today to get a drain put in as he has a lot of fluid collecting in his abdomen. He’s had to stay in as there was still fluid coming out after 2.5 litres being drained off.

    As my mum keeps saying it’s so unfair that it happens to people that look after themselves and help other people so much (my dad is a doctor himself) but after the initial shock i’ve been able to remain quite positive and optimistic. We were all very hopeful that he may still be able to have a liver transplant after the chemo but at the moment he’s been told it’s not an option.

    It’s great to read about everyones experiences on here – makes you realise that there are lots of people around the world going through exactly the same thing.

    #118

    Topic: Intro

    in forum Introductions!
    leigh-a
    Spectator

    My 36 year old brother was diagnosed with cholangiocarcinoma in August of 2005. They thought he was a good candidate for resection; however, when they opened him up, they said they tumor was around an artery and could not be removed. A stent was put in his bile duct and, since the surgery, he was on a chemo regimen of gemcitabine and cisplatin followed by seven weeks of radiation. Things appeared to be going fairly well based on the initial follow-up PET scans and tumor markers with a few set backs. Last week his PET scan revealed tumor growth and they started chemo again, adding Avastin this time. He had a visit this past week with the doctor who did the stent placement and was told the tumor appears to be wrapping around the intestine. I would appreciate any suggestions/tips/advice for specialists, treatments, alternative treatments, etc. He lives in Flagstaff, Arizona and has been going to Tucson for treatment. Everyone’s stories on this site helps you to not feel so alone in this mess! Thanks!

    Leighanna

    #111
    jules
    Spectator

    does anybody have experience of treatments for metastasised cc to lypmh nodes and lungs that have proved effective? – my dad has been offered gemcitabine + carboplatin. Carboplatin is the ‘equivalent’ of cisplatin apparentely – we wanted cisplatin and i want to make sure that we are not being offered a cheaper inferior version. does anyone have experience of carboplatin?

    I notice from alot of the postings that alot of you are having avastin – they are reluctant to give it here in the UK because of cost – is it true that it is a ‘wonderdrug’? – does anyone have experience/more info on this? should it be given in conjunction with the chemo?

    we have not been given an optimistic outlook “at best chemo will give an extre 2-3 months IF it works – 1 in 4 chance of it working”.. this seems hard to reconcile with some of the successes being reported on this site.. marianne i think you mentioned that mark is on oxylplatin rather then cisplatin because trial data showed a more favourable response, do you have a link or further info on that?

    if anybody does have experience of mets to lungs i would really appreciate any advice/info you might have

    thanks everybody

    PS – Kelly – great news – good luck with the surgery

    #13994
    jules
    Spectator

    hi caroline,

    your postings make me smile and cheer up a wet day! – it is very kind of you to think of my dad when you are going through this too.

    My Dad met with the oncologist today. The oncologist was very negative about chemo – he told my dad that it is not effective on ‘microscopic cells’ (how do they know this when they can’t even be seen under the microscope?!) he also said that chemo for cc does not have a very good success rate, (he was referring to gemcitabine and cisplatin) and that he did not know of any trials worldwide that had evaluated the effectiveness of chemo post resection, he said that the surgeon was only able to achieve 1mm margins, he also said that chemo would ‘wipe out’ the next year for my Dad with no guarantees that it could prolong his life and that he needed to decide whether he wanted quality of life v quantity.. he also acknowledged that if the cancer did return in, say, one yrs time, my Dad could “kick himself” for not having chemo… so, alot to think about, he also gave my Dad contact details for another oncologist in London who specialises only in cc. My Dad has said that he needs time to think it all over. I have told him that it is a individual and personal decision, I hope he does go to see the other specialist in london though as he may have some more encouraging information.

    Hope you are ok, Jules

    #13990
    jules
    Spectator

    caroline, i hope that you get into the trial, has sorafenib given good results in the trial so far? my dad was offered to take part in a trial here – gemcitabine and cisplatin, he has also been offered to take part in another trial for bilcap (I think this is the oral tablet for of 5fu). so far he has not made his mind up what to do, it is difficult as his surgeon did not reccomend chemo and i think that my dad is reluctant as the benefits of chemo for cc are unproven, having said that i know someone who has taken gemcitabine and cisplatin which has shrunk his tumor enough so that he is soon going to be able to have a resection – it just seems so individual.

    best wishes,
    jules

    #13918
    stacie
    Member

    Jules,

    Here’s a website that may give you a little more information on the combination.

    http://www.cancerbacup.org.uk/Treatments/Chemotherapy/Combinationregimes/Gemcitabinecisplatin

    #58
    jules
    Spectator

    my dad has been advised to start chemo – gemcitabine and cisplatin as a ‘mop up’ following his liver resection, we are very concerned that chemo will curtail some of the plans we have for the coming year – we have booked a holiday to florida and australia, my parents are also visitng new zealand, last yr was a nightmare and my dad has been so looking forward to going away.. I am concerned that he may not be able to travel – I am not sure what the chemo entails – ie frequency and length and also have concerns re travel insurance, my dad has just started to feel better again after the op and I worry that the chemo will set him back – what are the advantages of chemo post op? – is it a case of quality v quantity? – does anyone have experience of gemcitabine and cisplatin? thankyou, Jules

Viewing 15 results - 661 through 675 (of 676 total)