Summary Text

SUMMARY: First diagnosed with myeloma October 2011. Recruited onto clinical trial Myeloma X11 (Lenalidomide) at Bristol Oncology and Haematology Centre. First High Dose Therapy and Stem Cell Transplant (HDT&SCT) in July 2012. On maintenance until June 2017. June 2018 recruited onto Myeloma XII trial (Ixazomib). December 2018 Second HDT&SCT. On maintenance until February 2020. August 2020 Commenced treatment involving Daratumumab. April 2021 relapsed. June 2021 recruited onto Cartitude 4 clinical trial and infused with CAR-T cells in October 2021. My own immune system is now fighting the cancer . I am exceedingly fortunate.


Friday, 30 November 2018

First Randomisation

Since my last post, life has been somewhat fraught.  I had two tests to be completed being lung function and a echocardiogram.  These went well confirming that my lungs and heart are in good health prior to further treatment.

On Monday, I had to provide a last blood test to check, amongst other things, that my paraprotein level (a measure of myeloma activity) was within the specified limits of the Myeloma XII trial.  Having been stable for some time at a count of 6, it had risen to 11 and thus, apparently, beyond the limits.  I'm not entirely surprised because I'd been off any treatment for a month but this could have reduced my treatment options.  Yesterday I returned for a further test and fortunately the count is now 10 and within the limits thus allowing the next stage to proceed.  Any research of myeloma will show how patients suddenly find that there are fewer options so initially to be told that I might not be able to continue in the trial was very worrying.  This affects not just me but also Margaret and our two sons.  Over the last week both Chis and then Nick have found time in their own busy lives to travel up and see us.  It has been so good to see them.  Thanks guys.

This morning, my trials nurse phoned to confirm the result of my randomisation.  At this stage in the trial, two options are possible;  Firstly conventional high dose therapy, and secondly augmented high dose therapy.  The latter includes the inclusion of the novel drug called Ixazomib.  In the event my result is to receive conventional high dose therapy (with a drug called Melphalan) immediately followed by stem cell transplant.  Accordingly, on Monday I have a clinic appointment for the installation of a central line called a PICC and then I should be admitted onto the ward for immediate high dose therapy.

It is my hope to that my next post will confirm my admission and then a day-by-day account of my hospital treatment.

As a rule, men worry more about what they can't see
than about what they can.
Julius Caesar

KBO
Stephen