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David McCaw

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      David McCaw
      Participant
        Lisa, what are the WBC and liver minimums for the Tils trial? Which trial at msk is your onc recommending, possibly this one, NCT02535078, IMCgp100-201, Phase 1b/2 Study of the Combination of IMCgp100 With Durvalumab and/or Tremelimumab in Cutaneous Melanoma; the prime is Alexander N. Shoushtari from Memorial Sloan Kettering Cancer Center.

        Also, Ed Williams provided me information on an interesting trial in Salt Lake city, where they are working to getting patients that did not respond to pd1 and have got more than 40% according to an Asco report.NCT02493361, 15852, Trial of pIL-12/MK-3475 in Metastatic Melanoma, contact Tamara, (801) 587-4767,[email protected]

        David McCaw
        Participant

          I am sorry, you did not pass the assessment.  I will be going through a similar exercise in Canada,  starting on April 25.  Ipi/nivo  failed for me, although i did 4 combos and 2 monos.  I have been on MEK inhibitors cotellic for two weeks,  but no shrinkage yet. I have a rare braf mutation,  k601n.  I wish you well in your journey at MSK,  I might be down there or another location if the Tils trial does not pan out. Since all i am being offered later is tvec which probably won't help my liver or lungs.  Don't give up hope.  keep going.

          David McCaw
          Participant

            also if you need more support contact Annette Cyr of Melanoma Network Canada, [email protected]

            David McCaw
            Participant

              Hi Janis, Ontario funds either ipi or keytruda but not both.  Follow up with your oncologist, they should know.  or get another oncologist.  

              David McCaw
              Participant

                I have read that some patients have their cells stored at MD Anderson.   Below is the contact information for the lab

                Chantale Bernatchez, Ph.D.
                Director
                Phone: 713-563-8830
                Email: [email protected]

                Location

                The TIL Lab is located in the Center for Cancer Immunology Research (CCIR) at the South Campus of MD Anderson Cancer Center (7455 Fannin, Houston, Texas). We have a cGMP-quality laboratory where clinical-grade TIL are expanded from fresh tumor samples.

                https://www.mdanderson.org/research/departments-labs-institutes/labs/til-laboratory/research.html

                David McCaw
                Participant

                  As Ed stated previously, it's a small world. I lived in Paul's hometown during the 70's (high school and college ). I still have family there and will be dropping in during March. I really enjoyed Paul's posts, an amazing man and will be sadly missed and as a stage 4 melanoma patient,  I must be as brave as Paul to keep living life to its fullest. My condolences to his family and friends.  Such an unfair end of  life. I was really rooting for Paul to get to the next trial. Hopefully others will continue to remember Paul, and not give up hope.  I am still reading Paul's posts, he was a real fighter / warrior and shared his thoughts openly.

                  David McCaw
                  Participant

                    Hi Anon,  here is an article written by Catherine Poole on the MIF board. Also, did you speak with Marcus Butler at Princess Margaret hospital or Pamela Ohashi.  I am also interested in the program 

                    http://melanomainternational.org/2015/05/til-therapy-for-melanoma-magic-bullet-or/#.WJt0CE6vC2c

                    David McCaw
                    Participant

                      Hi Anon,  here is an article written by Catherine Poole on the MIF board. Also, did you speak with Marcus Butler at Princess Margaret hospital or Pamela Ohashi.  I am also interested in the program 

                      http://melanomainternational.org/2015/05/til-therapy-for-melanoma-magic-bullet-or/#.WJt0CE6vC2c

                      David McCaw
                      Participant

                        Hi Anon,  here is an article written by Catherine Poole on the MIF board. Also, did you speak with Marcus Butler at Princess Margaret hospital or Pamela Ohashi.  I am also interested in the program 

                        http://melanomainternational.org/2015/05/til-therapy-for-melanoma-magic-bullet-or/#.WJt0CE6vC2c

                        David McCaw
                        Participant

                          I have done 4 combos,.Only fatigue and rash. They did scans at zero and week 8, unfortunately I had progression to liver and lungs. ( ( previously stage 3c with intransits on left inner thigh, after clnd on 9/29)I am scheduled to have first maintenance nivo on week 12 in 10 days. They will do another CT scan at week 15, if progression,  I will take Braf inhibitors combi V. I am hoping that I am a late responder.  I wish everyone well in their treatments and to either be NED or become NED.  I am also interested in any late responders.

                          David McCaw
                          Participant

                            I have done 4 combos,.Only fatigue and rash. They did scans at zero and week 8, unfortunately I had progression to liver and lungs. ( ( previously stage 3c with intransits on left inner thigh, after clnd on 9/29)I am scheduled to have first maintenance nivo on week 12 in 10 days. They will do another CT scan at week 15, if progression,  I will take Braf inhibitors combi V. I am hoping that I am a late responder.  I wish everyone well in their treatments and to either be NED or become NED.  I am also interested in any late responders.

                            David McCaw
                            Participant

                              Thanks for your input Caitlin.  I think for now I will contact NIH.  Take care

                              David McCaw
                              Participant

                                Thanks for the advice Tom.  All the best to your good  health.

                                David McCaw
                                Participant

                                  Thanks Terrie, that good to know. I will reach out to them. Is there any particular person to contact for international patients,  if not i will call and ask.  I appreciate your help,  it good to have options 

                                  David McCaw
                                  Participant

                                    Thanks Celeste, I did get a reply back from Dr. Flaherty around midnight ( no after hours ?) that gives me better direction , so keep to Mek inhibitors only and pray for major shrinkage ASAP to keep moving.

                                    "There are only anecdotes. I haven't heard of a single response to vemurafenib or dabrafenib in the setting of a K601 mutation. The laboratory data are fairly clear that melanoma cells that have these mutations are not sensitive to BRAF inhibitors, but are to MEK inhibitors."

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