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your IL-2 experience please

Forums General Melanoma Community your IL-2 experience please

  • Post
    pookerpb
    Participant

      Havent posted in a while. Our new firewall protection at work does allow me to post or comment, only read…uugh since the sign in process changed on thie board.

      My husband (45) State IV  has now failed on Ipi and now Keytruda as of this week. Has been on Keytruda for a year now with signigicant growth on his last scans. Stopping Keytruda. With 3 failed treatments, we are facing whether or not to try IL-2 either alone or with the Veg-F if thats the arm he would receive. We refused IL-2 3 years ago since Ipi was to becomb available to us. Doctor says now is maybe the time to try since he is still not too symptomatic and fairly healthy for now. Eventually when health declines which we feel wont be long, he wouldnt be able to tolerate the treatment and could be disqualified.

      Would like to hear from anyone what your IL-2 expereince is since response rate is so small and side effectsw can be so severe.

      On days not in the hospital in between hospital stay, how did you feel? Were you able to go out and do things outside of the house or too sick?

       

      Krista

       

    Viewing 11 reply threads
    • Replies
        Fen
        Participant

          I hope someone who knows more replies, Krista, but for now you might want to do a search for posts from Jane from Maine.  She was a complete responder to IL-2 when I was first diagnosed.  It has been about 8 years so I hope you can acess her posts as they were really informative.    Keeping you and your husband in my prayers.   

          Fen

          Fen
          Participant

            I hope someone who knows more replies, Krista, but for now you might want to do a search for posts from Jane from Maine.  She was a complete responder to IL-2 when I was first diagnosed.  It has been about 8 years so I hope you can acess her posts as they were really informative.    Keeping you and your husband in my prayers.   

            Fen

            Fen
            Participant

              I hope someone who knows more replies, Krista, but for now you might want to do a search for posts from Jane from Maine.  She was a complete responder to IL-2 when I was first diagnosed.  It has been about 8 years so I hope you can acess her posts as they were really informative.    Keeping you and your husband in my prayers.   

              Fen

              Janner
              Participant

                I haven't updated my website in a long time, but if you go to the link in my signature and go to "Patient Perspectives", you can scroll down to IL-2.  That section includes info by Jane from Maine and a few others.  They give their helpful hints on how to do IL-2 and what you need to take to the hospital and other things like that.

                Janner
                Participant

                  I haven't updated my website in a long time, but if you go to the link in my signature and go to "Patient Perspectives", you can scroll down to IL-2.  That section includes info by Jane from Maine and a few others.  They give their helpful hints on how to do IL-2 and what you need to take to the hospital and other things like that.

                  Janner
                  Participant

                    I haven't updated my website in a long time, but if you go to the link in my signature and go to "Patient Perspectives", you can scroll down to IL-2.  That section includes info by Jane from Maine and a few others.  They give their helpful hints on how to do IL-2 and what you need to take to the hospital and other things like that.

                    kylez
                    Participant

                      Hi Krista,

                      I did a normal course of IL-2 in 2010. I was pretty tired after each cycle — took 2-3 weeks each time to recover. Meaning non much time fully recovered between cycles 1+ 2. The longer stretch between cycles 2+3 gave some recovered time, then not much time to recover between 3+4. 

                      It was not pleasant during each cycle, just being in the hospital sucks aside from any effects from the treatment. I lucked out in that I did not get the water weight gain side effect, nor any endocrine problems. 

                      It put my lung mets into remission still to this day. I really didn't expect to be in that 5-6% group. A couple of lymphs node in my chest reared up in 2014, stablilized/stable by treatment at this point. I also had some brain mets emerge immediately after the IL-2 treatment. I think a cell or two must have escaped up into my brain. If that hadn't happened, I might be in remission today, or at least except for the lymph nodes.

                      My clinical trial coordinator says drug companies are starting to relax the 'no prior treatments' requirements, like being exclucded from a combo trial with PD1 if I had prior treatment PD1. There are some new drugs being combined with PD1 that sound interesting.

                      Good luck on your husband's next regimen. Best,

                      Kyle

                      kylez
                      Participant

                        Hi Krista,

                        I did a normal course of IL-2 in 2010. I was pretty tired after each cycle — took 2-3 weeks each time to recover. Meaning non much time fully recovered between cycles 1+ 2. The longer stretch between cycles 2+3 gave some recovered time, then not much time to recover between 3+4. 

                        It was not pleasant during each cycle, just being in the hospital sucks aside from any effects from the treatment. I lucked out in that I did not get the water weight gain side effect, nor any endocrine problems. 

                        It put my lung mets into remission still to this day. I really didn't expect to be in that 5-6% group. A couple of lymphs node in my chest reared up in 2014, stablilized/stable by treatment at this point. I also had some brain mets emerge immediately after the IL-2 treatment. I think a cell or two must have escaped up into my brain. If that hadn't happened, I might be in remission today, or at least except for the lymph nodes.

                        My clinical trial coordinator says drug companies are starting to relax the 'no prior treatments' requirements, like being exclucded from a combo trial with PD1 if I had prior treatment PD1. There are some new drugs being combined with PD1 that sound interesting.

                        Good luck on your husband's next regimen. Best,

                        Kyle

                        kylez
                        Participant

                          Hi Krista,

                          I did a normal course of IL-2 in 2010. I was pretty tired after each cycle — took 2-3 weeks each time to recover. Meaning non much time fully recovered between cycles 1+ 2. The longer stretch between cycles 2+3 gave some recovered time, then not much time to recover between 3+4. 

                          It was not pleasant during each cycle, just being in the hospital sucks aside from any effects from the treatment. I lucked out in that I did not get the water weight gain side effect, nor any endocrine problems. 

                          It put my lung mets into remission still to this day. I really didn't expect to be in that 5-6% group. A couple of lymphs node in my chest reared up in 2014, stablilized/stable by treatment at this point. I also had some brain mets emerge immediately after the IL-2 treatment. I think a cell or two must have escaped up into my brain. If that hadn't happened, I might be in remission today, or at least except for the lymph nodes.

                          My clinical trial coordinator says drug companies are starting to relax the 'no prior treatments' requirements, like being exclucded from a combo trial with PD1 if I had prior treatment PD1. There are some new drugs being combined with PD1 that sound interesting.

                          Good luck on your husband's next regimen. Best,

                          Kyle

                            kylez
                            Participant

                              To be fully accurate — IL-2 on itis own kept lung mets in remission from summer 2010 to summer 2011. Because of brain mets I got IPI in summer 2011. Some combination of the IL-2 (2010) and IPI (2011) has kept lung lymph nodes in remission till 2014, and lung mets in remission through today. 

                              kylez
                              Participant

                                To be fully accurate — IL-2 on itis own kept lung mets in remission from summer 2010 to summer 2011. Because of brain mets I got IPI in summer 2011. Some combination of the IL-2 (2010) and IPI (2011) has kept lung lymph nodes in remission till 2014, and lung mets in remission through today. 

                                kylez
                                Participant

                                  To be fully accurate — IL-2 on itis own kept lung mets in remission from summer 2010 to summer 2011. Because of brain mets I got IPI in summer 2011. Some combination of the IL-2 (2010) and IPI (2011) has kept lung lymph nodes in remission till 2014, and lung mets in remission through today. 

                                  pookerpb
                                  Participant
                                    Thank you Fen and Kyle. The information has really helped. We weren’t sure if in the in between cycle time he would feel good enough of anyrhing, and with such a low, low response rate is so scary. He was admitted to hospital today due to intense node pain in next and small bowel. Hasn’t been able to keep pain Meds down so admitted to out cancer hospital 3 hrs from home. Not sure how things will progress now or even if we can get him healthy enough for IL2 combo trial being offered there.

                                    Will update later…thank you again.

                                    pookerpb
                                    Participant
                                      Thank you Fen and Kyle. The information has really helped. We weren’t sure if in the in between cycle time he would feel good enough of anyrhing, and with such a low, low response rate is so scary. He was admitted to hospital today due to intense node pain in next and small bowel. Hasn’t been able to keep pain Meds down so admitted to out cancer hospital 3 hrs from home. Not sure how things will progress now or even if we can get him healthy enough for IL2 combo trial being offered there.

                                      Will update later…thank you again.

                                      pookerpb
                                      Participant
                                        Thank you Fen and Kyle. The information has really helped. We weren’t sure if in the in between cycle time he would feel good enough of anyrhing, and with such a low, low response rate is so scary. He was admitted to hospital today due to intense node pain in next and small bowel. Hasn’t been able to keep pain Meds down so admitted to out cancer hospital 3 hrs from home. Not sure how things will progress now or even if we can get him healthy enough for IL2 combo trial being offered there.

                                        Will update later…thank you again.

                                        Squash
                                        Participant

                                          I am really sorry about your situation. I dont think desperation should cloud your decision making.

                                          Given the toxicity and the fact the repsonse rate to IL2 is aboutt the same as placebo there must be some better options out there. 

                                          Maybe there are some vaccines trials out there or something less toxic with a higher response rate for your husband?

                                          Squash
                                          Participant

                                            I am really sorry about your situation. I dont think desperation should cloud your decision making.

                                            Given the toxicity and the fact the repsonse rate to IL2 is aboutt the same as placebo there must be some better options out there. 

                                            Maybe there are some vaccines trials out there or something less toxic with a higher response rate for your husband?

                                            Squash
                                            Participant

                                              I am really sorry about your situation. I dont think desperation should cloud your decision making.

                                              Given the toxicity and the fact the repsonse rate to IL2 is aboutt the same as placebo there must be some better options out there. 

                                              Maybe there are some vaccines trials out there or something less toxic with a higher response rate for your husband?

                                              Kim K
                                              Participant

                                                IMHO – vaccines haven't really panned out.  Unless there is something wonderful and new, vaccine trails have all failed when they entered phase III testing.  I would be afraid to go that route since it might "waste time" in waiting for a response.  It sounds like he is having some serious issues now that personally I would be afraid to go that route and would choose some other therapy or clinical trial.  It sounds like he is too sick at the moment for IL-2.

                                                Kim K
                                                Participant

                                                  IMHO – vaccines haven't really panned out.  Unless there is something wonderful and new, vaccine trails have all failed when they entered phase III testing.  I would be afraid to go that route since it might "waste time" in waiting for a response.  It sounds like he is having some serious issues now that personally I would be afraid to go that route and would choose some other therapy or clinical trial.  It sounds like he is too sick at the moment for IL-2.

                                                  Kim K
                                                  Participant

                                                    IMHO – vaccines haven't really panned out.  Unless there is something wonderful and new, vaccine trails have all failed when they entered phase III testing.  I would be afraid to go that route since it might "waste time" in waiting for a response.  It sounds like he is having some serious issues now that personally I would be afraid to go that route and would choose some other therapy or clinical trial.  It sounds like he is too sick at the moment for IL-2.

                                                  Kim K
                                                  Participant

                                                    I don't know if my posts are still in the archives or not but I underwent IL-2 in May & June of 2010 and have been NED ever since.

                                                    It is tough but doable.  The patient tips are excellent, I added a few of my own as well.  If you can get a hold of the "drops" or Poo-pouri it helps.  Sorry to be TMI but I had severe diarrhea.  I was too embarassed to call everytime I went but was also ceartain I was going to flood my "hat", the thing they put in the commode to catch everything.  They will strictly monitor your in's and out's, will be on an ECG continuously.

                                                    I did 23 bags.  13, then 10.  I was tired inbetween the 2 treatments, had peeling skin, and no appetite.  By the end of the second day I was sleeping most of the time.  The only discomfort besides the runs was dry skin including my eyelids.  Lubricant eye drops were very helpful as well as a lidocaine gargle and spray for my mouth sores.  I even had sores inside my nostrils.  Vaseline helped with that.

                                                    Once they stop treatment you recover quickly considering how sick they make you.

                                                    My frist treatment ended because my kidneys quit and my platelet count dropped to the point I was bleeding from my kidneys.  They were also no longer able to keep my blood pressure up which hovered around 50/30.

                                                    The second cycle stopped at 10.  I stopped it because I was no longer able to breathe while lying down in bed (fluid in the lungs), hurt so much from the ulcers (not as common), my heart was having arrythmias that didn't seem to concern the nurses, but concerned me!  I was convinced I would die or be put on a vent if I had another bag.  It was a very very hard choice to make.

                                                    I am a veterinarian and the arrythimias I saw were ventricular and getting worse.  I could feel them and had runs of PVC's that started to take up the entire monitor screen.  I was sure someone would call a code and run in with the paddles at any moment.  If that didn't scare them our cause them concern, that bothered me A LOT!  I lost trust that one more bag would make a difference in a good way so stopped.  Later I learned that they never had a female patient take as much as I did, and there was only one patient that took 24 bags.  Not that I was trying to set a record, but I was trying to save my life.  I had a 2 and 4 year old at the time.

                                                    Best of luck.  I hope it works.  Just ask your doc why they thing IL-2 will help since it is like taking a shotgun to your immune system while the newer drugs are far more targeted at modulating your immune system.  If the other immunotherapies didn't help, what is the reasoning behind IL-2 that mass activates your T cells?  Just wondering.

                                                    NIH does bonemarrow depletion first followed by stem cell transfer and then IL-2.  Much tougher to do but has an even higher response rate, about double I think.

                                                    Just some questions you might want to ask.

                                                    Yeah, I don't know why, but am eternally grateful to be in the 3% durable remission club.  6% complete responders of which half will have a durable remission.  When it works, there is the chance for "cure", but still such a small percent.  

                                                    In 2010 I only had that or Braf in a clinical trial.  I wasn't all impressed with biochemo.  How 5 years can make a difference.  If only my fallen warriors had the chance as well.

                                                    KK

                                                    Kim K
                                                    Participant

                                                      I don't know if my posts are still in the archives or not but I underwent IL-2 in May & June of 2010 and have been NED ever since.

                                                      It is tough but doable.  The patient tips are excellent, I added a few of my own as well.  If you can get a hold of the "drops" or Poo-pouri it helps.  Sorry to be TMI but I had severe diarrhea.  I was too embarassed to call everytime I went but was also ceartain I was going to flood my "hat", the thing they put in the commode to catch everything.  They will strictly monitor your in's and out's, will be on an ECG continuously.

                                                      I did 23 bags.  13, then 10.  I was tired inbetween the 2 treatments, had peeling skin, and no appetite.  By the end of the second day I was sleeping most of the time.  The only discomfort besides the runs was dry skin including my eyelids.  Lubricant eye drops were very helpful as well as a lidocaine gargle and spray for my mouth sores.  I even had sores inside my nostrils.  Vaseline helped with that.

                                                      Once they stop treatment you recover quickly considering how sick they make you.

                                                      My frist treatment ended because my kidneys quit and my platelet count dropped to the point I was bleeding from my kidneys.  They were also no longer able to keep my blood pressure up which hovered around 50/30.

                                                      The second cycle stopped at 10.  I stopped it because I was no longer able to breathe while lying down in bed (fluid in the lungs), hurt so much from the ulcers (not as common), my heart was having arrythmias that didn't seem to concern the nurses, but concerned me!  I was convinced I would die or be put on a vent if I had another bag.  It was a very very hard choice to make.

                                                      I am a veterinarian and the arrythimias I saw were ventricular and getting worse.  I could feel them and had runs of PVC's that started to take up the entire monitor screen.  I was sure someone would call a code and run in with the paddles at any moment.  If that didn't scare them our cause them concern, that bothered me A LOT!  I lost trust that one more bag would make a difference in a good way so stopped.  Later I learned that they never had a female patient take as much as I did, and there was only one patient that took 24 bags.  Not that I was trying to set a record, but I was trying to save my life.  I had a 2 and 4 year old at the time.

                                                      Best of luck.  I hope it works.  Just ask your doc why they thing IL-2 will help since it is like taking a shotgun to your immune system while the newer drugs are far more targeted at modulating your immune system.  If the other immunotherapies didn't help, what is the reasoning behind IL-2 that mass activates your T cells?  Just wondering.

                                                      NIH does bonemarrow depletion first followed by stem cell transfer and then IL-2.  Much tougher to do but has an even higher response rate, about double I think.

                                                      Just some questions you might want to ask.

                                                      Yeah, I don't know why, but am eternally grateful to be in the 3% durable remission club.  6% complete responders of which half will have a durable remission.  When it works, there is the chance for "cure", but still such a small percent.  

                                                      In 2010 I only had that or Braf in a clinical trial.  I wasn't all impressed with biochemo.  How 5 years can make a difference.  If only my fallen warriors had the chance as well.

                                                      KK

                                                      Kim K
                                                      Participant

                                                        I don't know if my posts are still in the archives or not but I underwent IL-2 in May & June of 2010 and have been NED ever since.

                                                        It is tough but doable.  The patient tips are excellent, I added a few of my own as well.  If you can get a hold of the "drops" or Poo-pouri it helps.  Sorry to be TMI but I had severe diarrhea.  I was too embarassed to call everytime I went but was also ceartain I was going to flood my "hat", the thing they put in the commode to catch everything.  They will strictly monitor your in's and out's, will be on an ECG continuously.

                                                        I did 23 bags.  13, then 10.  I was tired inbetween the 2 treatments, had peeling skin, and no appetite.  By the end of the second day I was sleeping most of the time.  The only discomfort besides the runs was dry skin including my eyelids.  Lubricant eye drops were very helpful as well as a lidocaine gargle and spray for my mouth sores.  I even had sores inside my nostrils.  Vaseline helped with that.

                                                        Once they stop treatment you recover quickly considering how sick they make you.

                                                        My frist treatment ended because my kidneys quit and my platelet count dropped to the point I was bleeding from my kidneys.  They were also no longer able to keep my blood pressure up which hovered around 50/30.

                                                        The second cycle stopped at 10.  I stopped it because I was no longer able to breathe while lying down in bed (fluid in the lungs), hurt so much from the ulcers (not as common), my heart was having arrythmias that didn't seem to concern the nurses, but concerned me!  I was convinced I would die or be put on a vent if I had another bag.  It was a very very hard choice to make.

                                                        I am a veterinarian and the arrythimias I saw were ventricular and getting worse.  I could feel them and had runs of PVC's that started to take up the entire monitor screen.  I was sure someone would call a code and run in with the paddles at any moment.  If that didn't scare them our cause them concern, that bothered me A LOT!  I lost trust that one more bag would make a difference in a good way so stopped.  Later I learned that they never had a female patient take as much as I did, and there was only one patient that took 24 bags.  Not that I was trying to set a record, but I was trying to save my life.  I had a 2 and 4 year old at the time.

                                                        Best of luck.  I hope it works.  Just ask your doc why they thing IL-2 will help since it is like taking a shotgun to your immune system while the newer drugs are far more targeted at modulating your immune system.  If the other immunotherapies didn't help, what is the reasoning behind IL-2 that mass activates your T cells?  Just wondering.

                                                        NIH does bonemarrow depletion first followed by stem cell transfer and then IL-2.  Much tougher to do but has an even higher response rate, about double I think.

                                                        Just some questions you might want to ask.

                                                        Yeah, I don't know why, but am eternally grateful to be in the 3% durable remission club.  6% complete responders of which half will have a durable remission.  When it works, there is the chance for "cure", but still such a small percent.  

                                                        In 2010 I only had that or Braf in a clinical trial.  I wasn't all impressed with biochemo.  How 5 years can make a difference.  If only my fallen warriors had the chance as well.

                                                        KK

                                                          pookerpb
                                                          Participant

                                                            Thanks for all the information everyone and KK.  Very helpful. We are in agreement that this is not going to be pretty if we go this route. you are correct, though, he isnt healty enough at the moment. He is still in the hospital and have brought in ENT specialists and been running test after test.

                                                            The only vaccine that was brought up (he is BRAG neg) is the new T-VEC?  But he has tumors that cant be reached with the injection.

                                                            Have been researching alot of trials, but havent found one either open to him to due disease location, or one that isnt IPI, Prembol, etc. Those seem to have no effect on the cancer for him, well, after about 6 months or so.

                                                            I guess for right now, they have his pain under control in the hospital and we are waiting for tests and ENT wants to dicuss options with our doc.. I dont think they want to do a total neck disection but with the masses in his neck and the size I dont know what options he has.. Praying and keeping fingers crossed they can get him some relief and make him well enough to have other treatment options.

                                                            Krista

                                                             

                                                            pookerpb
                                                            Participant

                                                              Thanks for all the information everyone and KK.  Very helpful. We are in agreement that this is not going to be pretty if we go this route. you are correct, though, he isnt healty enough at the moment. He is still in the hospital and have brought in ENT specialists and been running test after test.

                                                              The only vaccine that was brought up (he is BRAG neg) is the new T-VEC?  But he has tumors that cant be reached with the injection.

                                                              Have been researching alot of trials, but havent found one either open to him to due disease location, or one that isnt IPI, Prembol, etc. Those seem to have no effect on the cancer for him, well, after about 6 months or so.

                                                              I guess for right now, they have his pain under control in the hospital and we are waiting for tests and ENT wants to dicuss options with our doc.. I dont think they want to do a total neck disection but with the masses in his neck and the size I dont know what options he has.. Praying and keeping fingers crossed they can get him some relief and make him well enough to have other treatment options.

                                                              Krista

                                                               

                                                              pookerpb
                                                              Participant

                                                                Thanks for all the information everyone and KK.  Very helpful. We are in agreement that this is not going to be pretty if we go this route. you are correct, though, he isnt healty enough at the moment. He is still in the hospital and have brought in ENT specialists and been running test after test.

                                                                The only vaccine that was brought up (he is BRAG neg) is the new T-VEC?  But he has tumors that cant be reached with the injection.

                                                                Have been researching alot of trials, but havent found one either open to him to due disease location, or one that isnt IPI, Prembol, etc. Those seem to have no effect on the cancer for him, well, after about 6 months or so.

                                                                I guess for right now, they have his pain under control in the hospital and we are waiting for tests and ENT wants to dicuss options with our doc.. I dont think they want to do a total neck disection but with the masses in his neck and the size I dont know what options he has.. Praying and keeping fingers crossed they can get him some relief and make him well enough to have other treatment options.

                                                                Krista

                                                                 

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