Dear David
You are a special brave person and i wish you all the best and great success on 
your dual fight. 
You are the only person i have heard of that is on both Ibrutinib and Imatinib 
at the same time
My best regards
Giora

נשלח מה-iPhone שלי

‫ב-3 באפר׳ 2015, בשעה 16:51, ‏‏David Bradley ‏<[email protected]> כתב/ה:‬

> 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]>
>> To: cmlhope <[email protected]>
>> Cc: icandoallttc <[email protected]>
>> 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  
>>>> 
>>>> 
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