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Old Wed Mar 9, 2011, 05:00 PM
knstone knstone is offline
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Join Date: Aug 2006
Location: Cincinnati, OH
Posts: 118
Change in my 3 drug regime

Hi to my MDS colleagues,
Wanted to update my Roller Coaster Ride. I've had a downhill run for a few months, hopefully it's now going uphill again (uphill is Good).

My blasts increased to 17% on 1/18/11, they were 10% on 9/14/10. The Hgb also has had a slow but consistent decrease to 6.0 .

We changed my complex drug protocol:
1. changed Thalidomide to Revlimid on 1/27/11.
2. changed Procrit 60, 1/wk to Aranesp 200mgc.
3. continuing Dacogen(decitabine), one day/week at 10 or 15mg.
Added Iron infusions for last 7 wks, may stop this soon.
Continuing Promacta(elthrombopag) at 75mg/day.

Since restarting the Revlimid the Hgb stabilized and has increased to by 15% during the last 3 weeks, 6.0 to 6.9; and is on a sharp linear increase.

I've been blessed to have the rare second response to an MDS drug that was started earlier. Two doctors have indicated that this can happen in some cases.

We are hoping the recent apparent good response will continue for a long time. I'll update the results in a few weeks-months.
__________________
Kirby71, RAEB2 dx 2/04, Thalidomide 30 mo, Revlimid 18 mo, No resp Vidaza
6/09 2nd Thalid use, Promacta, Lowdose Dacogen added 10/09 at 40% blasts. 5/11 BMB-blasts 8%.
2/11 2nd Revl restart=good resp, Platelets drop 6/11, 3rd Thalid,+Nplate+Dacogen. 7/12 Cnts stable for 10 mo.
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