Hi Daniel:

I am on Gleevec since diagnosis in March '09 and hit a MHR and CCR early but I 
still have a trace in molecular testing.  I also have lots of fatigue with 
Gleevec and I need Aranesp to stimulate red cell growth every other month or 
so.  Hopefully the fluctuation you are experiencing is temporary but please 
keep the group updated.  It is very helpful for the rest of us, especially 
those of us who are newer to this illness, to know what is going on with our 
CML friends.  Best wishes to you for a great year.

Marcie
Baltimore






-----Original Message-----
From: daniel <[email protected]>
To: CMLHope <[email protected]>
Sent: Thu, Feb 10, 2011 8:19 pm
Subject: [CMLHope] Re: pcr count increased last visit


btw, i am different daniel from the one making political comments and
 agree it is best to keep such thing to oneself in this forum.
On Feb 10, 8:18 pm, daniel <[email protected]> wrote:
 hi all,
 i have had cml for about 3.5 years, and was originally on gleevec, but
 transferred to tasigna about a year ago due to fatigue issues with
 gleevec. i obtained ccr in the first year and since then my pcr has
 been stable, between a 2 and 3 log reduction. in the my previous
 quarterly visit my pcr had dropped to 3 log reduction for the first
 time (good news). but at my most recent visit it is back up to around
 the level it has been around for the past 2 years (bad news). my dr
 and i are concerned to see such an increase and i have a follow-up pcr
 in 5 weeks to see if it is still rising.

 my question is have other experienced similar increases? is it common
 to experience temporary fluctuation or does such a change usually
 indicate loss of response? obviously, i am very concerned and going to
 follow up regardless, but would be good to get a sense of others'
 experiences.

 thanks,
 daniel
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