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Yervoy, treatment and side effects?

Forums General Melanoma Community Yervoy, treatment and side effects?

  • Post
    Iowa98
    Participant

      Hello,

      Hello,

      New to the board and looking for some guidance.  My father was diagnosed with Stage IV Melanoma in January of this year.  He has been on 4 treatments of Paxil/Carboplatin, but recently his scans showed that the treatment was no longer working.  We are trying to get him into a PD-1 trial, but live in Iowa so the travel to the coasts to participate is difficult.  If we are unable to get inot a PD-1 Trial, we would like to consider Yervoy, but want to understand the risks.  His doctor also recommended Tamazolide, which I'm not thrilled about as it is not very effective.  Any stories/recommendations?  Wish there was a crystal ball…..

      Thanks,

      Jessica

    Viewing 11 reply threads
    • Replies
        Swanee
        Participant

          Dear Jessica,  I am so glad you found this board as you will find so many answers here…..don't worry if no one responds immediately…….   just repost again!   So many of us are living  well  and extremely knowledged in melanoma, staying in touch but also living life to the fullest even though we are facing late stages of melanoma cancer.  My Auntie lives in Iowa and travels to the nearest Mayo Clinic for lung cancer……not sure how far that is, but I do believe you may be close as she is able to travel there without much diress. I do think it is important that you receive information from a melanoma specialist……it can make the difference of the outcome, nobody knows for sure…….but it will be your best bet to receive the latest information…….some of the treatments I read about are so outdated!!  Good luck to you and God Bless you as you help your Dad on this journey…….Swanee

            LynnLuc
            Participant

              I went to Mayo in Rochester MN. They gave me 6-9 months and put me on Temodar and radiation to give me a little more time. Temodar is not a cure by any means and while the radiation shrank it by 1/3 the Temodar kept it from growing and spreading for around 5 months and then it no longer works because melanoma finds a way around it. We had to move to do my trial…we lived in North Dakota and I enrolled in Anti PD 1 trial in Tampa Florida. I have now been in the trial for 90 weeks of 128 weeks. I am also NED for over 2 years ( no evidence of disease). For me the move was worth it. Mayo IS NOT a comprehensive melanoma center and typically has very few trials to benefit melanoma patients.

              Swanee
              Participant

                Hi Jessica……I made a comment about being treated in a major medical center and threw out the "Mayo Clinic"  as a place of possibility,  it was a suggestion…..  that it is important to get to a place that is familiar with melanoma.    Mayo Clinic may not be the right place for melanoma…..I don't know, but I do know they have treated members of my own family with rare disorders that the medical community I live in were unable to successfully help them with but  they found success there.   The most important point I was trying to make was get to a major medical center and go from there.  Maybe you will find answers and find the right medical treatment that feels right for you. maybe you will need to move on to other sources.  It is so scarry to be thrown into this melanoma abyss as there is so much information out there with a lot of negative info that scares the pants off of you (rightfully so) and gives you little hope.  I too was given the worst case scenario but continue to live well despite ongoing surgeries and treatments.  The best thing about this board is everyone has an opinion, experiences and lots of great info and feedback for those seeking  advice.  You have found a wonderful place and don't hesitate to clarify statements that you don't completely understand. I wish you all the best and please don't waste a day living in fear…….celebrate today, live it, take it all in …. today is all any of us have!   God Bless you and your Dad and your family as you find your way through this time……….Swanee

                Swanee
                Participant

                  Hi Jessica……I made a comment about being treated in a major medical center and threw out the "Mayo Clinic"  as a place of possibility,  it was a suggestion…..  that it is important to get to a place that is familiar with melanoma.    Mayo Clinic may not be the right place for melanoma…..I don't know, but I do know they have treated members of my own family with rare disorders that the medical community I live in were unable to successfully help them with but  they found success there.   The most important point I was trying to make was get to a major medical center and go from there.  Maybe you will find answers and find the right medical treatment that feels right for you. maybe you will need to move on to other sources.  It is so scarry to be thrown into this melanoma abyss as there is so much information out there with a lot of negative info that scares the pants off of you (rightfully so) and gives you little hope.  I too was given the worst case scenario but continue to live well despite ongoing surgeries and treatments.  The best thing about this board is everyone has an opinion, experiences and lots of great info and feedback for those seeking  advice.  You have found a wonderful place and don't hesitate to clarify statements that you don't completely understand. I wish you all the best and please don't waste a day living in fear…….celebrate today, live it, take it all in …. today is all any of us have!   God Bless you and your Dad and your family as you find your way through this time……….Swanee

                  Swanee
                  Participant

                    Hi Jessica……I made a comment about being treated in a major medical center and threw out the "Mayo Clinic"  as a place of possibility,  it was a suggestion…..  that it is important to get to a place that is familiar with melanoma.    Mayo Clinic may not be the right place for melanoma…..I don't know, but I do know they have treated members of my own family with rare disorders that the medical community I live in were unable to successfully help them with but  they found success there.   The most important point I was trying to make was get to a major medical center and go from there.  Maybe you will find answers and find the right medical treatment that feels right for you. maybe you will need to move on to other sources.  It is so scarry to be thrown into this melanoma abyss as there is so much information out there with a lot of negative info that scares the pants off of you (rightfully so) and gives you little hope.  I too was given the worst case scenario but continue to live well despite ongoing surgeries and treatments.  The best thing about this board is everyone has an opinion, experiences and lots of great info and feedback for those seeking  advice.  You have found a wonderful place and don't hesitate to clarify statements that you don't completely understand. I wish you all the best and please don't waste a day living in fear…….celebrate today, live it, take it all in …. today is all any of us have!   God Bless you and your Dad and your family as you find your way through this time……….Swanee

                    LynnLuc
                    Participant

                      I went to Mayo in Rochester MN. They gave me 6-9 months and put me on Temodar and radiation to give me a little more time. Temodar is not a cure by any means and while the radiation shrank it by 1/3 the Temodar kept it from growing and spreading for around 5 months and then it no longer works because melanoma finds a way around it. We had to move to do my trial…we lived in North Dakota and I enrolled in Anti PD 1 trial in Tampa Florida. I have now been in the trial for 90 weeks of 128 weeks. I am also NED for over 2 years ( no evidence of disease). For me the move was worth it. Mayo IS NOT a comprehensive melanoma center and typically has very few trials to benefit melanoma patients.

                      LynnLuc
                      Participant

                        I went to Mayo in Rochester MN. They gave me 6-9 months and put me on Temodar and radiation to give me a little more time. Temodar is not a cure by any means and while the radiation shrank it by 1/3 the Temodar kept it from growing and spreading for around 5 months and then it no longer works because melanoma finds a way around it. We had to move to do my trial…we lived in North Dakota and I enrolled in Anti PD 1 trial in Tampa Florida. I have now been in the trial for 90 weeks of 128 weeks. I am also NED for over 2 years ( no evidence of disease). For me the move was worth it. Mayo IS NOT a comprehensive melanoma center and typically has very few trials to benefit melanoma patients.

                        LynnLuc
                        Participant

                          Midwest
                          Multidisciplinary Melanoma Clinic
                          Comprehensive Cancer Center, University of Michigan
                          Ann Arbor, MI
                          734-936-6360
                          http://www.cancer.med.umich.edu/clinic/melclinic.htm

                          Pigmented Lesion Clinic
                          Henry Ford Hospital
                          Detroit, MI
                          313-916-4060

                          Multidisciplinary Melanoma Clinic
                          Karmanos Cancer Institute
                          Wayne State University
                          Detroit, MI
                          313-745-9166
                          1-800-Karmanos

                          Multidisciplinary Melanoma and Pigmented Lesion Clinic
                          University of Cincinnati Medical Center
                          Cincinnati, OH
                          513-584-8900

                          MetroHealth Medical Center
                          Cancer Care Center Melanoma Program
                          2500 MetroHealth Drive
                          Cleveland, Ohio 44109

                          (216) 778-4795 (Surgical Oncology)
                          (216) 778-5802 (Medical Oncology)
                          The Melanoma Clinic at the Cleveland Clinic Taussig Cancer Center
                          Cleveland, OH
                          http://www.clevelandclinic.org/cancer

                          The Melanoma Center At The James
                          Ohio State University
                          Columbus, OH
                          614-293-7531 (medical)
                          614-293-5644 (surgical)

                          Wagner & Associates Plastic and Reconstructive Surgery Consultants of Indiana
                          Indianapolis, IN
                          317-621-2520
                          317-621-2580

                          Interdisciplinary Melanoma Clinic
                          Indiana University Cancer Center, Indiana University Medical Center
                          Indianapolis, IN
                          317-278-7449

                          Cardinal Bernardin Cancer Center
                          Loyola University Chicago
                          Chicago, IL
                          708-327-2078
                          http://www.luhs.org

                          Pigmented Lesion Center
                          Rush University
                          Chicago, IL
                          312-563-2321
                          http://www.rush.edu/rumc/page-R12605.html

                          Melanoma and Pigmented Lesion Center
                          University of Minnesota
                          Minneapolis, MN
                          612-625-5199

                          Multidisciplinary Melanoma Group
                          St. Louis University Health Sciences Center/SLUCare
                          St. Louis, MO
                          314-268-5320

                          LynnLuc
                          Participant

                            Midwest
                            Multidisciplinary Melanoma Clinic
                            Comprehensive Cancer Center, University of Michigan
                            Ann Arbor, MI
                            734-936-6360
                            http://www.cancer.med.umich.edu/clinic/melclinic.htm

                            Pigmented Lesion Clinic
                            Henry Ford Hospital
                            Detroit, MI
                            313-916-4060

                            Multidisciplinary Melanoma Clinic
                            Karmanos Cancer Institute
                            Wayne State University
                            Detroit, MI
                            313-745-9166
                            1-800-Karmanos

                            Multidisciplinary Melanoma and Pigmented Lesion Clinic
                            University of Cincinnati Medical Center
                            Cincinnati, OH
                            513-584-8900

                            MetroHealth Medical Center
                            Cancer Care Center Melanoma Program
                            2500 MetroHealth Drive
                            Cleveland, Ohio 44109

                            (216) 778-4795 (Surgical Oncology)
                            (216) 778-5802 (Medical Oncology)
                            The Melanoma Clinic at the Cleveland Clinic Taussig Cancer Center
                            Cleveland, OH
                            http://www.clevelandclinic.org/cancer

                            The Melanoma Center At The James
                            Ohio State University
                            Columbus, OH
                            614-293-7531 (medical)
                            614-293-5644 (surgical)

                            Wagner & Associates Plastic and Reconstructive Surgery Consultants of Indiana
                            Indianapolis, IN
                            317-621-2520
                            317-621-2580

                            Interdisciplinary Melanoma Clinic
                            Indiana University Cancer Center, Indiana University Medical Center
                            Indianapolis, IN
                            317-278-7449

                            Cardinal Bernardin Cancer Center
                            Loyola University Chicago
                            Chicago, IL
                            708-327-2078
                            http://www.luhs.org

                            Pigmented Lesion Center
                            Rush University
                            Chicago, IL
                            312-563-2321
                            http://www.rush.edu/rumc/page-R12605.html

                            Melanoma and Pigmented Lesion Center
                            University of Minnesota
                            Minneapolis, MN
                            612-625-5199

                            Multidisciplinary Melanoma Group
                            St. Louis University Health Sciences Center/SLUCare
                            St. Louis, MO
                            314-268-5320

                            LynnLuc
                            Participant

                              Midwest
                              Multidisciplinary Melanoma Clinic
                              Comprehensive Cancer Center, University of Michigan
                              Ann Arbor, MI
                              734-936-6360
                              http://www.cancer.med.umich.edu/clinic/melclinic.htm

                              Pigmented Lesion Clinic
                              Henry Ford Hospital
                              Detroit, MI
                              313-916-4060

                              Multidisciplinary Melanoma Clinic
                              Karmanos Cancer Institute
                              Wayne State University
                              Detroit, MI
                              313-745-9166
                              1-800-Karmanos

                              Multidisciplinary Melanoma and Pigmented Lesion Clinic
                              University of Cincinnati Medical Center
                              Cincinnati, OH
                              513-584-8900

                              MetroHealth Medical Center
                              Cancer Care Center Melanoma Program
                              2500 MetroHealth Drive
                              Cleveland, Ohio 44109

                              (216) 778-4795 (Surgical Oncology)
                              (216) 778-5802 (Medical Oncology)
                              The Melanoma Clinic at the Cleveland Clinic Taussig Cancer Center
                              Cleveland, OH
                              http://www.clevelandclinic.org/cancer

                              The Melanoma Center At The James
                              Ohio State University
                              Columbus, OH
                              614-293-7531 (medical)
                              614-293-5644 (surgical)

                              Wagner & Associates Plastic and Reconstructive Surgery Consultants of Indiana
                              Indianapolis, IN
                              317-621-2520
                              317-621-2580

                              Interdisciplinary Melanoma Clinic
                              Indiana University Cancer Center, Indiana University Medical Center
                              Indianapolis, IN
                              317-278-7449

                              Cardinal Bernardin Cancer Center
                              Loyola University Chicago
                              Chicago, IL
                              708-327-2078
                              http://www.luhs.org

                              Pigmented Lesion Center
                              Rush University
                              Chicago, IL
                              312-563-2321
                              http://www.rush.edu/rumc/page-R12605.html

                              Melanoma and Pigmented Lesion Center
                              University of Minnesota
                              Minneapolis, MN
                              612-625-5199

                              Multidisciplinary Melanoma Group
                              St. Louis University Health Sciences Center/SLUCare
                              St. Louis, MO
                              314-268-5320

                            Swanee
                            Participant

                              Dear Jessica,  I am so glad you found this board as you will find so many answers here…..don't worry if no one responds immediately…….   just repost again!   So many of us are living  well  and extremely knowledged in melanoma, staying in touch but also living life to the fullest even though we are facing late stages of melanoma cancer.  My Auntie lives in Iowa and travels to the nearest Mayo Clinic for lung cancer……not sure how far that is, but I do believe you may be close as she is able to travel there without much diress. I do think it is important that you receive information from a melanoma specialist……it can make the difference of the outcome, nobody knows for sure…….but it will be your best bet to receive the latest information…….some of the treatments I read about are so outdated!!  Good luck to you and God Bless you as you help your Dad on this journey…….Swanee

                              Swanee
                              Participant

                                Dear Jessica,  I am so glad you found this board as you will find so many answers here…..don't worry if no one responds immediately…….   just repost again!   So many of us are living  well  and extremely knowledged in melanoma, staying in touch but also living life to the fullest even though we are facing late stages of melanoma cancer.  My Auntie lives in Iowa and travels to the nearest Mayo Clinic for lung cancer……not sure how far that is, but I do believe you may be close as she is able to travel there without much diress. I do think it is important that you receive information from a melanoma specialist……it can make the difference of the outcome, nobody knows for sure…….but it will be your best bet to receive the latest information…….some of the treatments I read about are so outdated!!  Good luck to you and God Bless you as you help your Dad on this journey…….Swanee

                                hopefortomorrow
                                Participant

                                  Actually, my mom had the longest response time with Temodar than with any other treatment she received.  Tumors shrunk and remained stable for 6 months and she only had very minor side effects.  Also the cheapest treatment for her.  She was also stage 4 with mets to lung and trachea at the time.  Never had a chance to try the Yervoy so can't help you there.  Traveling for a melanoma patient can be very tiring.  We had option to be treated at Johns Hopkins but after talking to Mom, she decided she didn't want to invest so much time and energy traveling back and forth and chose a local hospital with a melanoma specialist.  As everyone on this board can testify to, each patient is so different in their response to any treatment.  It is so frustrating trying to decide which way to go and then second guessing your decisions afterward.  The trials are great if you can get into them.  I wish you and your father the best and pray for all of the patients and their caregivers every day.

                                  hopefortomorrow
                                  Participant

                                    Actually, my mom had the longest response time with Temodar than with any other treatment she received.  Tumors shrunk and remained stable for 6 months and she only had very minor side effects.  Also the cheapest treatment for her.  She was also stage 4 with mets to lung and trachea at the time.  Never had a chance to try the Yervoy so can't help you there.  Traveling for a melanoma patient can be very tiring.  We had option to be treated at Johns Hopkins but after talking to Mom, she decided she didn't want to invest so much time and energy traveling back and forth and chose a local hospital with a melanoma specialist.  As everyone on this board can testify to, each patient is so different in their response to any treatment.  It is so frustrating trying to decide which way to go and then second guessing your decisions afterward.  The trials are great if you can get into them.  I wish you and your father the best and pray for all of the patients and their caregivers every day.

                                    hopefortomorrow
                                    Participant

                                      Actually, my mom had the longest response time with Temodar than with any other treatment she received.  Tumors shrunk and remained stable for 6 months and she only had very minor side effects.  Also the cheapest treatment for her.  She was also stage 4 with mets to lung and trachea at the time.  Never had a chance to try the Yervoy so can't help you there.  Traveling for a melanoma patient can be very tiring.  We had option to be treated at Johns Hopkins but after talking to Mom, she decided she didn't want to invest so much time and energy traveling back and forth and chose a local hospital with a melanoma specialist.  As everyone on this board can testify to, each patient is so different in their response to any treatment.  It is so frustrating trying to decide which way to go and then second guessing your decisions afterward.  The trials are great if you can get into them.  I wish you and your father the best and pray for all of the patients and their caregivers every day.

                                      Gene_S
                                      Participant
                                        Here may be another option, see:
                                         
                                        Holden Comprehensive Cancer Center
                                        The University of Iowa
                                        200 Hawkins Drive
                                        Iowa City, Iowa 52242
                                         (319) 353-8620
                                        Gene_S
                                        Participant
                                          Here may be another option, see:
                                           
                                          Holden Comprehensive Cancer Center
                                          The University of Iowa
                                          200 Hawkins Drive
                                          Iowa City, Iowa 52242
                                           (319) 353-8620
                                          Gene_S
                                          Participant
                                            Here may be another option, see:
                                             
                                            Holden Comprehensive Cancer Center
                                            The University of Iowa
                                            200 Hawkins Drive
                                            Iowa City, Iowa 52242
                                             (319) 353-8620
                                            Iowa98
                                            Participant

                                              Thank you to everyone for your kind comments and generous feedback.  My father will start his first treatment on Yervoy on Thursday.  I also want to talk with the Dr. about radiation therapy, as there has been some success with the combination of the two treatments.  Any feedback as to what to expect on the first Yervoy treatment?

                                              Iowa98
                                              Participant

                                                Thank you to everyone for your kind comments and generous feedback.  My father will start his first treatment on Yervoy on Thursday.  I also want to talk with the Dr. about radiation therapy, as there has been some success with the combination of the two treatments.  Any feedback as to what to expect on the first Yervoy treatment?

                                                  LuckyMan51
                                                  Participant
                                                    Hi, I completed all 4 doses of the Yervoy and had nothing more than a little itching which I got some topical creme for. I also had a cyber knife procedure between the 3rd and 4th infusion to zap a lesion on the brain that popped up 6 mos after a lund met was surgically removed. My last Cat scan showed the tumor shrinking. Hoping the combination of the radiation and the Yervoy stimulated an anti immune reaction and abscopal effect kicks in. That cyber knife-radio static surgery is pretty incredible and away from a couple of screw marks on my temples I felt nothing. Was reading the NY Post while wearing the halo and waiting fr the procedure. See Dr Jed Wolchucks paper on the Memorial Sloan Kettering web site.. Watch for diarrhea carefully as Yervoy can cause that and the Dr will likely give your Dad a much stronger med than over the counter things like immodium. I had my last infusion a few days prior to starting a new job and no problem.. Not everybody gets a bad reaction to Yervoy so monitor carefully and cross your fingers. I go for body scan then brain scans in a few weeks and hopeful nothing new is reported. I wish your Dad the best of luck and am hopeful it’s smooth sailing for him. Whenever you start to worry make a mental list of things you are thankful for and the scary feeling will pass.
                                                    LuckyMan51
                                                    Participant
                                                      Hi, I completed all 4 doses of the Yervoy and had nothing more than a little itching which I got some topical creme for. I also had a cyber knife procedure between the 3rd and 4th infusion to zap a lesion on the brain that popped up 6 mos after a lund met was surgically removed. My last Cat scan showed the tumor shrinking. Hoping the combination of the radiation and the Yervoy stimulated an anti immune reaction and abscopal effect kicks in. That cyber knife-radio static surgery is pretty incredible and away from a couple of screw marks on my temples I felt nothing. Was reading the NY Post while wearing the halo and waiting fr the procedure. See Dr Jed Wolchucks paper on the Memorial Sloan Kettering web site.. Watch for diarrhea carefully as Yervoy can cause that and the Dr will likely give your Dad a much stronger med than over the counter things like immodium. I had my last infusion a few days prior to starting a new job and no problem.. Not everybody gets a bad reaction to Yervoy so monitor carefully and cross your fingers. I go for body scan then brain scans in a few weeks and hopeful nothing new is reported. I wish your Dad the best of luck and am hopeful it’s smooth sailing for him. Whenever you start to worry make a mental list of things you are thankful for and the scary feeling will pass.
                                                      LuckyMan51
                                                      Participant
                                                        Hi, I completed all 4 doses of the Yervoy and had nothing more than a little itching which I got some topical creme for. I also had a cyber knife procedure between the 3rd and 4th infusion to zap a lesion on the brain that popped up 6 mos after a lund met was surgically removed. My last Cat scan showed the tumor shrinking. Hoping the combination of the radiation and the Yervoy stimulated an anti immune reaction and abscopal effect kicks in. That cyber knife-radio static surgery is pretty incredible and away from a couple of screw marks on my temples I felt nothing. Was reading the NY Post while wearing the halo and waiting fr the procedure. See Dr Jed Wolchucks paper on the Memorial Sloan Kettering web site.. Watch for diarrhea carefully as Yervoy can cause that and the Dr will likely give your Dad a much stronger med than over the counter things like immodium. I had my last infusion a few days prior to starting a new job and no problem.. Not everybody gets a bad reaction to Yervoy so monitor carefully and cross your fingers. I go for body scan then brain scans in a few weeks and hopeful nothing new is reported. I wish your Dad the best of luck and am hopeful it’s smooth sailing for him. Whenever you start to worry make a mental list of things you are thankful for and the scary feeling will pass.
                                                      Iowa98
                                                      Participant

                                                        Thank you to everyone for your kind comments and generous feedback.  My father will start his first treatment on Yervoy on Thursday.  I also want to talk with the Dr. about radiation therapy, as there has been some success with the combination of the two treatments.  Any feedback as to what to expect on the first Yervoy treatment?

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