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Post Info TOPIC: Clinical trails for Hep C w/ cirrhosis & cancer???


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RE: Clinical trails for Hep C w/ cirrhosis & cancer???
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That`s much easier on the eyes, thanks Steffie!  It`s probably a compatibility thing then.  It doesn`t really matter, it just makes it easier to read, that`s all.  smile 

Keep in touch and let us know how things go for your aunt.  It`s a lot of worry for you when you`re still on treatment yourself. 



__________________

Jill 

(71 yo, lives in UK)

Was Gen 3a, 

24wks Peg Ifn/Riba, Sep 2010 - Mch 2011

UND @ Wk.4, UND @ EOT, 

SVR Nov 2011 --> Still UND @ EOT + 4 yrs.

 

 



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I dont know why my font is different.  To me it looks the same but it might be because I compose my replies in Microsoft Word and then copy and paste them over.  For this post I will try and to change the font after I paste it over and see if it helps.



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Geno 1A; 25 year old; Started Pegasys/Ribavirin/Incivek: Feb.4, 2013. DET @ wk 4. UND @ wk 8.

 



Guru

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Hi Steffie, sometimes we need to pour out all our Hep C worries to people who understand, and we all know how important the health of our families is to us.  Best of luck to your mother with her end of treatment results, and to you with your ongoing tx.

ps - Steffie, is there a reason why you are posting your replies in large bold type?  It would be much better for us if you could use the standard font!   Cheers!  smile

 

 



__________________

Jill 

(71 yo, lives in UK)

Was Gen 3a, 

24wks Peg Ifn/Riba, Sep 2010 - Mch 2011

UND @ Wk.4, UND @ EOT, 

SVR Nov 2011 --> Still UND @ EOT + 4 yrs.

 

 



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Yes she has. She has genotype 1a and a viral load of 6 million.  ALT and AST are both in the 200 range.



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Geno 1A; 25 year old; Started Pegasys/Ribavirin/Incivek: Feb.4, 2013. DET @ wk 4. UND @ wk 8.

 



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Thank you so much for your answer.  I found it easy to do research when I was first diagnosed and then after I started treatment I cant seem to find the energy to do research for my aunt.  I feel overwhelmed when I try and sort all the new drugs out and what they do and who they are for. Thank you for simplifying it.  I will focus my reading on these two trails. 

I feel like I have to do something.  One of the reasons I decided to do treatment at such a young age and with no symptoms was because Ive seen the wait-and-see method not work out well.  I had an uncle who was told by a doctor that he didnt have to do anything about his Hep C because most people die with it not because of it.  He was told nothing about not drinking or a healthy lifestyle only that he should have it checked out every once in a while.He continued to drink and went on like normal until  years later he started having really bad health problems.  It was downhill from there and he passed from complications due to liver failure.  He had a lot of other things wrong with him other than the Hep C but I feel like if he had had a doctor who made him feel like it was important to be proactive about his health then maybe he would still be here. 

My aunt also has known about her positive antibody test for years but has choose to believe it was a false positive and tried to forget about it since she is in the healthcare field and had decided beforehand that she didnt want do treatment since it would interfere with her work.  This was years ago.  Now two years ago her year her ex-husband started having symptoms due to Hep C and got a biopsy.  He has cirrhosis and his doctor advised treatment.  He is not cleared but is doing much better heath wise.  His condition brought the dangers of Hep C to our familys attention and since a lot of my family had been children of the of the 70s and had experimented with drugs together.  We all got tested and the tally is 3 uncles with it, 1 aunt, my mother.  Out of the all the kids Im the only one who has tested positive.  I feel very unlucky.   Out of my uncles two have done the treatment when it was still only the shot and the ribavirin.  Like I said one is doing much better than before and the other is cleared!!!  My mother has just finished her treatment (did Victrelis) and has been UND since week 8.  Hoping she stays that way! :)  Anyway my aunts situation worries me because I am so scared of losing her.  Im scarred her doctor will just tell her to wait for new treatment and she might wait until its too late.  I know it might seem funny but right now with so many people around her are doing treatment and urging her to go get herself checked out is what got her out of denial.  Now I am just worried her doctor might not be taking it seriously and that scarred me most of all!  I read here that there is no such thing as MILD cirrhosis yet that is what her doctor told her she has.   

Did I mention Im on treatment and today is actually my shot day.  I took it a few hours ago and usually I just lay down and veg out in front of the TV but instead this week I decided to thank you for your reply and ended up pouring out all my family Hep C history.. sorry about that I just kinda felt compelled to get it out. I am very worried for my aunt even more that I was for myself or my mother since our livers were in such better shape.  I just wish we could all beat this thing and go on with healthy livers.



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Geno 1A; 25 year old; Started Pegasys/Ribavirin/Incivek: Feb.4, 2013. DET @ wk 4. UND @ wk 8.

 



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S.honey, good luck with your first dart. Keep us in the loop on how it is going. Just out of curiosity, has your Aunt had the HCV by PCR Hep C test yet?



-- Edited by 12Step Guy on Tuesday 2nd of April 2013 02:41:51 AM

__________________

Genotype 1a, IL 28 = CT  Interferon and riba 48 wks in 99, Daily Peg and Riba 18 months in 2007, Started Incivek, Peg, Riba 6/21/12. 4th stage cirrhosis. Last Dart will be May 23 2013.



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Hi again Steffie, yes, I expect your aunt`s doctor is trying to give her some encouragement and put her mind at ease.  We all need hope, but I can understand you being concerned.  It is possible that the new Abbott drugs will be available in 2 years time but there`s no guarantee of that at this stage.  Abbott and Gilead both have phase 3 trials currently taking place which are looking very promising, and Gilead is slightly ahead with their sofosbuvir (prev GS 7977) which is expected to get FDA approval later this year.   If you want to keep track of the progress of the drugs currently being investigated then the best thing to do is read the posts and updates in this `Clinical Trials` section.

As far as a vaccine for Hep C is concerned, research is under way, but again there are no guarantees about when this will be available.  Here`s the latest information I`ve seen on this...

http://hepcfriends.activeboard.com/t52232952/inovio-pharmaceuticals-to-initiate-clinical-trial-for-hep-c-/

Your aunt`s elevated afp levels don`t necessarily mean that she does have cancer of the liver, but if her test results do show that she has this then I think it will be something that her medical team will need to assess before any other treatment option or trial can be considered. 

 

 



__________________

Jill 

(71 yo, lives in UK)

Was Gen 3a, 

24wks Peg Ifn/Riba, Sep 2010 - Mch 2011

UND @ Wk.4, UND @ EOT, 

SVR Nov 2011 --> Still UND @ EOT + 4 yrs.

 

 



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Just to add:  Her doctor has also said things like:

There will defiantly be a vaccine for HCV in the next five years.

The drug Abbott is researching will defiantly be FDA approved an available to you in the next two years.

And the worst of all:

And if you have liver cancer, no big deal, well just get you a new liver and then she giggled.

These comments make my aunt feel good and comforted but they dont sit well with me because it almost seems like her doctor is too confident, flippant and giving her false hope.  Can she really say these things?  Or are these things based in fact and Im just overreacting?      



__________________

Geno 1A; 25 year old; Started Pegasys/Ribavirin/Incivek: Feb.4, 2013. DET @ wk 4. UND @ wk 8.

 



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Well I guess my question would be how do I find out about the state of clinical trials myself.  Her doctor seems very invested in the Abbott trails and seems sure it will be FDA approved.  When asked she wont give her any options except to wait for it that.  Is this because she has no other options?  Is the Abbott trail such a sure thing?  My doctor seems to have more faith is the Gilead company.  I try to find info on these trails and compare how they are doing but there is just so much information I dont know where to start.  Is there some website on Hep C trails 101 or something that lays the framework in order to understand and be able to follow the state of these trails? I just dont see how her doctor can be so sure about one trail that she wont give her any other options.         



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Geno 1A; 25 year old; Started Pegasys/Ribavirin/Incivek: Feb.4, 2013. DET @ wk 4. UND @ wk 8.

 



Guru

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Hi Steffie, sorry to hear that your aunt isn`t well, I`m sure it must be a big worry for you.  I`m afraid I can`t really advise you or answer your questions based on this information.  I really think  the best thing would be for your aunt to wait until all the test results have come back and then talk it over with her doctor.  Once she knows more about her state of health then her future treatment options will become clearer.  I know it must be frustrating for you both, and I wish you all the best of luck.  Take care ~ Jill



__________________

Jill 

(71 yo, lives in UK)

Was Gen 3a, 

24wks Peg Ifn/Riba, Sep 2010 - Mch 2011

UND @ Wk.4, UND @ EOT, 

SVR Nov 2011 --> Still UND @ EOT + 4 yrs.

 

 



Member

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Posts: 15
Date:
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Hi everyone.  I am currently on treatment with Incivek and I know a lot about my own disease but this post is for my aunt. I have not seen her labs and only know what she herself has conveyed to me but she wanted me to ask you all some questions about her options and clinical trials.

My aunt recently went to the doctor for a full work up and her liver enzymes were elevated.  She has suspected she has Hep C 1a for a decade now but her liver enzymes were always ok so she was in to boat of waiting for new more effective treatment. They ran numerous tests, did a fibro sure test and a CAT scan and doctor told her she is mildly cirrhotic. She just recently got an MRI and is waiting for results. What really worries her doctors is that they subsequently found elevated alpha-feta protein levels. The told her these were cancer markers and they have doubled and tripled in the last few weeks. 

Her doctor doesnt want to start her on treatment because she has some cirrhosis and say that she will not tolerate treatment well.  Her doctor has high hopes for the Abbott Trail and originally told her she should wait for it to be FDA approved.  This was before her cancer markers went up so drastically and so quickly.  Now they are running many more tests. 

The questions we have are:  

What exactly are her options (having cirrhosis) and possibly cancer?

Can she do standard treatment or is it not an option at her point?

Are there any clinical trails she would fit the criteria for?

How do we learn more about the different drugs and stages of the clinical trials?  It all seems so confusing and we dont know where to start.



__________________

Geno 1A; 25 year old; Started Pegasys/Ribavirin/Incivek: Feb.4, 2013. DET @ wk 4. UND @ wk 8.

 

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