Dear David,

Thanks for your update. You are a brave soul. I am sorry you have had such a 
time getting on the meds for CLL. It seems that our initial experiences can be 
hard until we get settled into the routine, dosages etc..that work best for us. 
Still, two TKI's at once. Wow. 
It's good to feel confident that Gleevec will do it's job and keep the CML at 
bay as it has in the past. Taking the TKI for CLL will, I have great hope, will 
work just as effectively for you.


My CML came back very quickly while I was off sprycel on a break...and the 
sprycel, in a two month period back on did it's job and the CML is at very low 
levels...I have been struggling for a while, and some of my blood work has been 
off enough that they are thinking about doing a BMB to see - not about the CML, 
but if lymphoma or something else is lurking...They are waiting another 6 
weeks, and redoing blood work again. If it is the same, or worse, they will do 
BMB. I n some ways, Iwish they would do it and  get it over with...and I could 
know a definitive..
Unfortunately, having had two lower back surgeries this past year, I have a 
worry that the pressure used on the hip bone could ignite further disc, pain 
issues...so...as always it's a balancing act.


My doc says if I have lymphoma, it's just another TKI....and that I can be on 
two at once and others do this successfully and not to worry....Glitches will 
come but they can be ironed out....so I am passing her wisdom on...


Carry on...and happy holidays to you and everyone out there.all my CML 
buddies.......Marty....happy passover!! So happy you are here to celebrate!! 
May your pain get better and better each day.


Warm regards, Beth


-----Original Message-----
From: David Bradley <[email protected]>
To: cmlhope <[email protected]>
Sent: Fri, Apr 3, 2015 10:13 am
Subject: RE: [CMLHope] Dual Diagnosis: CLL/ CML


 
Thank you, Giora.  You are very kind.  I guess we are all fighting the bad 
mutations.  Best of luck in your struggle!  
   
   
   
    
Date: Fri, 3 Apr 2015 17:12:12 +0300    
From: [email protected]    
Subject: Re: [CMLHope] Dual Diagnosis: CLL/ CML    
To: [email protected]    
    
    
     
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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