Hi Jerry, 

This is very exciting news - thank you for posting it for us!! I do have one 
question about the trial - would it require bmbs or aspirations? I would like 
to know exactly what they would require at each 3 month visit, if possible. 
Thanks so much for your info. 

Karyn 
----- Original Message ----- 
From: "Zavie Miller" <[email protected]> 
To: "cmlh...@googlegroups. com" <[email protected]> 
Sent: Thursday, March 18, 2010 11:26:07 AM GMT -07:00 U.S. Mountain Time 
(Arizona) 
Subject: [CMLHope] CML Combo/Trials...The cure we have been waiting for? 



Jerry Posted this on his CMLNEWDRUG.COM website. 

CML Combo/Trials...The cure we have been waiting for? 

by Jerry Mayfield 



Yesterday (March 17, 2010), I met with Dr. Talpaz about his Combo trials. The 
purpose of this post is to share information about these trials with you all. 

First, I want to share with those who are new to CML, a little background about 
Dr. Talpaz. Over the last 30 plus years, first at M. D. Anderson and now at the 
University of Michigan Medical Center, Dr. Moshe Talpaz has been doing research 
and treating thousands of CML patients. During that time, he has become world 
renowned as a researcher and pioneer in the treatment of CML. He was the first 
to prove that Interferon could be used effectively in the treatment of CML. He 
was one of the original three doctors to first use Gleevec in the treatment of 
CML. He was one of the first two doctors to use Sprycel to treat CML. He 
regularly travels the world to lecture about the latest research and treatment 
for CML. Some call him "The Guru of CML". He is certainly a superstar in the 
world of CML research and treatment. 

I have known Dr. Talpaz for 11 years now and I have never seen him more excited 
about the prospect of finding a cure for CML. For the last several years he has 
talked to me about the prospect of combining the proven immune stimulation of 
Interferon with the effective targeted killing of CML cells by the new tyrosine 
kinase inhibitors (TKIs) and how these combos might bring a cure for many CML 
patients. He is now conducting a Gleevec/Interferon trial and plans a 
Sprycel/Interferon trial to start in the next three months. He has further 
plans to combine Interferon with Tasigna and also Bosutinib if it gains FDA 
approval. Another possible pathway to a cure that he wants to trial is 
combining TKIs with Hedgehog Pathway Inhibitors. Some of these Hedgehog Pathway 
Inhibitors target the primitive stem cells that cause CML. These primitive stem 
cells are not eliminated by the current drugs used alone. All this is very 
exciting stuff. For as long as I have known Dr. Talpaz, he has always had an 
uncanny ability to look at the preclinical data about a drug and predict 
whether it will be a major player in the CML world. This ability has put him at 
the forefront of CML research. I have never seen him more excited about a 
prospective trial. He is literally bubbling over with optimism that this 
strategy will bring us the cure that we have been waiting for. We should all be 
very hopeful for the future. 

Here are answers to some questions about Dr. Talpaz’s Combo Trials: 

1. How do these trials work? Patients take the drug combination for two years 
then stop all CML drugs and are monitored by PCR to see it they remain CML 
free. 

2. Do I have to be PCRU? No you do not have to be PCRU. A three log reduction 
defined by Dr. Talpaz as a PCR result if 0.100% or below is required to 
participate. 

3. How much of my time will it take? After the first visit, another in 3 months 
and after that every 6 months or yearly. 

4. Will I have bad side effects form the interferon? No, the dose of pegylated 
Interferon used in the trial are miniscule, just a small fraction of a normal 
dose. Most patients do not have any significant side effects. 

5. Are there any other trial centers? No, these trials are located at the 
University of Michigan in Ann Arbor Michigan. There may be other doctors around 
the world doing similar trials but I do not have the information about them. 

6. How do I get more information? Doctor Talpaz requests that you contact him 
directly by email at [email protected] Please include these words in your 
subject line "CML Combo Trials". 

All this is very exciting but it can’t happen without your help. Patients must 
be recruited then remain on the trial for two years before stopping the drugs. 
Then they must be followed for several years in order to obtain the data 
needed. This is a long process and for the trials to be valid, there must be a 
substantial number of participants. Dr. Talpaz says that so far recruitment has 
been slow. He has devoted his life to CML. His dream is to find the cure. This 
is our chance to help him and at the same time to help ourselves and the CML 
community world wide. Please consider doing your part. 

Regards, 

Jerry 


Zavie 
- 
Zavie Miller (age 71) 
67 Shoreham Avenue 
Ottawa, Canada, K2G 3X3 
dxd AUG/99 
INF OCT/99 to FEB/00, CHF 
No meds FEB/00 to JAN/01 
Gleevec since MAR/27/01 (400 mg) 
CCR SEP/01. #102 in Zero Club 
2.8 log reduction Sep/05 
3.0 log reduction Jan/06 
2.9 log reduction Feb/07 
3.6 log reduction Apr/08 
3.6 log reduction Sep/08 
3.7 log reduction Jan/09 
3.8 log reduction May/09 
3.8 log reduction Aug/09 
e-mail: [email protected] 
Tel: 613-726-1117 
Fax: 613-482-4801 
Cell: 613-282-0204 
Yahoo ID: zaviem 



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