Papillary Renal Cell Carcinoma- Anyone Experiencing This, Is A Survivor? PART 2 - STILL GOING STRONG

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  • ruthelizabeth
    ruthelizabeth Member Posts: 138
    ddt said:

    Papillary RCC
    Ruth, my husband's name is Don also and he has papillary with clear cell. He was diagnosed stage IV in December 2008 and it was in his lymph nodes. He tried Torisel which didn't work but has been working very well for a year and a half for a man with papillary where he went to receive the chemo. Don had ascites really bad. Was having about four to five liters a week removed. This is a very bad prognosis. He just started Nexavar a couple of weeks ago and the ascites has reduced unbelievably. The doctor had given him months unless we could get a chemo to work. This has given us hope which is what everyone needs. There is a clinical trial that is working really well for papillary patients. You can't have taken but one drug previously so my husband was not a candidate. You have to also have evidence that the disease has spread. Maryann tried to get into the trial also and was not able to because she had taken more than one chemo. It breaks my heart that she didn't survive long enough for that drug to be marketed. Two years ago there was no hope for these patients and now it's exploding. If we can just keep them alive long enough there are new drugs on the scene every six months it seems like. Afinitor is very similar to Torisel so we didn't try it since the Torisel didn't work. Avastin and Interferon are terribly harsh. I would get a second opinion. I just checked and the trial for XL880 or GSK1363089 as it is now called is closed but I had contacted a Dr. Logan in Indiana about the trial and really liked their approach. I didn't think the Nexavar would work because it seems more for clear cell so we are very excited to think that it is helping this much this soon.

    Thanks.
    I appreciate the input. I guessed that the combination of Avastin and interferon would be very tough. The dr. sort of brushed me off and said their patients were just getting flu-like symptoms, but I read up on the two of them and it sounds not too good.

    Don couldn't tolerate Sutent. He stuck out four months of Torisel with good results, if not long-lasting. We were put on that because the dr. said that Nexavar wouldn't be effective if Sutent hadn't worked. The problem with Sutent was that the side effects were so bad that he ended up on half the recommended dose and struggling at that level.

    I hope that we'll see some good changes with Afinitor in this month. I am cautiously hopeful. He has been getting two kinds of subcutaneous lumps, round, golf-ball-sized ones and smaller ones that are red and pointy. A week ago he got a smaller one below his jawline on the side and a large area under his arm got all the symptoms of a large one about to develop, reddish and round. Yesterday I saw that the one under his jaw hadn't grown and may even be a tiny bit smaller. The one under his arm is fading and hasn't swollen up.

    Forgive me for saying this, but I think you'll understand. I am hopeful, but I am almost afraid to hope. Okay, you can beat me up. I'm very cheerful with Don.

    Ruth

    Well, that all was this morning. Just had a call from Don. He has a large new lump.
  • ATM
    ATM Member Posts: 1
    ddt said:

    Papillary RCC
    Ruth, my husband's name is Don also and he has papillary with clear cell. He was diagnosed stage IV in December 2008 and it was in his lymph nodes. He tried Torisel which didn't work but has been working very well for a year and a half for a man with papillary where he went to receive the chemo. Don had ascites really bad. Was having about four to five liters a week removed. This is a very bad prognosis. He just started Nexavar a couple of weeks ago and the ascites has reduced unbelievably. The doctor had given him months unless we could get a chemo to work. This has given us hope which is what everyone needs. There is a clinical trial that is working really well for papillary patients. You can't have taken but one drug previously so my husband was not a candidate. You have to also have evidence that the disease has spread. Maryann tried to get into the trial also and was not able to because she had taken more than one chemo. It breaks my heart that she didn't survive long enough for that drug to be marketed. Two years ago there was no hope for these patients and now it's exploding. If we can just keep them alive long enough there are new drugs on the scene every six months it seems like. Afinitor is very similar to Torisel so we didn't try it since the Torisel didn't work. Avastin and Interferon are terribly harsh. I would get a second opinion. I just checked and the trial for XL880 or GSK1363089 as it is now called is closed but I had contacted a Dr. Logan in Indiana about the trial and really liked their approach. I didn't think the Nexavar would work because it seems more for clear cell so we are very excited to think that it is helping this much this soon.

    Papillary
    Hi everyone, my name is Ron and I have also been diagnosed with papillary rcc. I tried to get on the XL-880 trial and was eventually denied (long story). Anyway I did a search for other trials with C-met inhibitors and found one for a drug called PF-02341066. If you look up this trial (which has been going on for a year and a half) you'll see several cancers listed that they are looking for but kidney cancer is not one of them. I called a research director at one of the testing locations and he informed me that they were looking for just a few specific types of cancer and, though it's not listed, Papillary Rcc is one of them. The trial is listed as a phase I but it is actually now a phase II. The drug has only been given to a few dozen people, mostly with NSCLC, and supposedly it has done well for them.

    Here is a link

    http://www.newsmax.com/health/melts_lung_cancer/2009/08/05/244159.html

    One thing about this trial is that they want to test a tumor sample to see if there is a met mutation and/or amplification (apparently this is very common in Papillary Rcc), if you have it you can be allowed on the trial. So this is different than the XL-880 trial that allowed all Papillary Rcc patients on without testing for this specific defect (which is fine since most prcc patients seem to have it).

    The problem is that it took them four weeks to finish testing my sample which seemed like a long time. I did not have a met defect so I did not become the first PRCC person on this trial. If anyone wants to check out this trial, I know that they don't care how many previous treatments have been taken.

    It appears that next week I will be starting a trial with axitinib. I'll let you know how it's doing.

    Ron
  • rasilk
    rasilk Member Posts: 1
    hi

    hi