Hello Cheryl-Anne,

  Since you have stated that you know all there is to know about CML, I
will leave it to you then to find out the answers to the questions you
have asked.  I certainly do not want to appear as "teaching" you.

  In your post, you said there are good stories as well as bad stories
about BMT so obviously you agree there is a risk.  If parents do not
want to take on that risk, I find that very acceptable in the light of
drug therapies for CML already in place to keep the disease at bay.
The risk factor is what others have tried to tell you.  The recent
European consensus article placed overall survival for children at 10
years at 65-70% which I do not find that different from adult stats.

  What drives doctors to find a cure?  It certainly is not our
enthusiasm about a cure.  Trace back CML history.  Patients were dying
from BMTs or lack of donors.  This spurred doctors on to drug therapy
and along came Interferon which really was a milestone since it did
bring CCR to a minority of patients.  However, since it did not bring
CCR to the majority, patients still died and then came Gleevec which
brings 86% of patients into remission.  Cast your mind to what the
doctors then did- try to find a cure?  No, Gleevec resistance
developed, patients began progressing to advanced phases and as you
know their lives are then at stake.  So, came very fast research and
Sprycel and AMN.  Always, the aim has been to save lives as first
priority.  Now, I can guarantee, the T315I inhibitors will be next for
patients who fail Sprycel and AMN.  More lives will be saved.  And
majority of patients would like to see this happen because one always
wants backup drugs in case of drug resistance and relapse.  So, it is
the PLIGHT of patients driving the CML research.  I see all this as
steps to the ultimate drug cure and if a cure does not happen, at least
patients can continue to live lives in remission.  This has nothing to
do with our HOPES.  We, one and all, hope for a cure, that is obvious.
Whats the point of getting frustrated over it?

  I will say this, however, it is the ease of the research that also
drives research.  Knowing how Gleevec binded, it was far easier to find
out mechanism of Gleevec resistance and design BMS and AMN than to try
to find a CML drug cure.  That is just the way of things.  We hear the
research success stories, we never hear of the research failures,
doctors may be working on quiescent cells and drugs to kill such cells,
there is not any big breakthrough, yet.  Research in any field is a
long process.  

Have a good day.
Anjana


--~--~---------~--~----~------------~-------~--~----~
[CMLHope]
A support group of http://cmlhope.com
-------------------------------------------------

You received this message because you are subscribed to the Google Groups 
"CMLHope" group.
To post to this group, send email to [email protected]
To unsubscribe from this group, send email to [EMAIL PROTECTED]
For more options, visit this group at http://groups.google.com/group/CMLHope
-~----------~----~----~----~------~----~------~--~---

Reply via email to