Thanks Beth!

Time for another update.  Based on my PCR that was negative for CML in 
December, and my looming CLL, I was taken off Gleevec, and started 
Imbruvica for my CLL, with the hope that the CML would remain dormant. 
 There have been two slip-ups since then.  The Imbruvica triggered a heart 
problem, an atrial fibrillation in February.  At the end of a week in 
hos[pital, I was given one of those treatments with the electric paddles 
and fortunately immediately went back into a good rhythm.  Arriving home, I 
started a recovery process in which I am still weaker than I was, but a bit 
better every day.  

Then it was time for a new PCR.  My old nemesis, the Philadelphia 
chromosome, was back (that was quick!).  So now I am back on Gleevec.  My 
Imbruvica has to be on a 1/3 basis, since both drugs are Bruton's Tyrosine 
Kinase inhibitors, and both use the CYP3A4 pathway.  

It has only been since December that I was off Gleevec, but my heartburn 
reminds me of the main downside I had from it.  Still, I have faith it can 
keep the CML at bay.

Anyway, as I said, I'm better every day, and besides, spring has finally 
come to northern Michigan.

David  



On Wednesday, December 17, 2014 at 12:35:08 PM UTC-5, Beth wrote:
>
> Good luck to you David. It sounds so hard..glad you reconnected 
> here....after being diagnosed and doing well for 12 years....hope the meds 
> support you well with the CLL. happiest of holidays to you and yours. Beth. 
>
>  
>  
>  -----Original Message-----
> From: Richard H <[email protected] <javascript:>>
> To: cmlhope <[email protected] <javascript:>>
> Cc: icandoallttc <[email protected] <javascript:>>
> Sent: Sun, Dec 14, 2014 12:33 am
> Subject: Re: [CMLHope] Dual Diagnosis: CLL/ CML
>
>  I could not meet the requirements.  I have too many other health issues 
> that would interfere with the results they were looking for.  When I was 
> first diagnosed they ruled me out of a BMT for the same reasons.
>
>  Richard H.
>
> On Saturday, December 13, 2014 2:07:12 PM UTC-6, Icandoallttc wrote:
>
>>  Hi David 
>> So good to hear from you. 
>> Marty sent us a site not long ago about a study for going off Gleevec. 
>>  There are certain things you must meet to be in the study. 
>> Glad you are negative. 
>> Blessings
>> Jeanie
>>
>> Sent from my iPhone
>>
>> On Dec 13, 2014, at 12:00 PM, [email protected] wrote:
>>
>>   Hi, 
>>
>>  Hello everyone.
>>
>>  I have posted here long ago, when I was first diagnosed with CML, in 
>> 2003.  At the time, I started on Gleevec, and immediately had a Complete 
>> Remission, via FISH.  Unfortunately, I also showed signs of CLL, which was 
>> confirmed.  The CLL has been on "watchful waiting" until now.  
>>
>>  Recently my counts got very negative, due to the CLL, and I went to 
>> Mayo and found I have a 17p deletion, which is quite negative.  For the 
>> CLL, I will go on Ibrutinib, a targeted therapy.  Since Ibrutinib is a 
>> tyrosine kinase inhibitor, I will need to stop Gleevec, at least for a 
>> while.  
>>
>>  I kind of wish my onc had been doing PCR's for a while, but at Mayo 
>> they did one and found my CML was undetectable.  
>>
>>  Can anyone point me to any studies about stopping Gleevec after long 
>> periods (in my case around 10 years) of Complete (or molecular) remission?
>>
>>  The current plan is to check with regular PCR's for a reemergence of 
>> the BCR-ABL.  
>>
>>  Best wishes to all...
>>
>>  David  
>>
>>  
>>   -- 
>> -- 
>> [CMLHope]
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