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.


Tuesday, 2 March 2021

DARA Cycle 9

Cycle 8 is now completed and thank goodness.  As suggested in my last post, the these cycles have been characterised by side effects from the three medications. Most notably, I've needed regular platelet transfusions and I've lost energy and become breathless.  

The last 21 days has required me to visit the BHOC twice a week for both treatment and to receive platelet transfusions.  On one occasion I was also recognised as needing a blood transfusion in order to resolve low haemoglobin.  

Changing now to a much simpler protocol with less medications (notably without Velcade) should make things more bearable.  Cycles 9 onwards are considered to be maintenance and last for 28 days each.  As such, I will receive, on day one, Daratumumab and Dexamethasone, then on day two just the Dexamethazone.  My consultant thinks I may need to continue receiving weekly platelets, though this is yet to be confirmed.

Update: Attended BHOC to receive the Daratumamab injection in accordance with the maintenance protocol. Also discover that the protocol also stipulated dexamethasone at greatly reduced dose on days 1,2 and 3.  Given the removal of Velcade, I can have even more hope for reduced side effects.

On non-medical matters, I've now had contract gardeners to cut two hedges that I simply don't have the energy to attend to.  I will also need to make a decision regarding our grass cutting.  If my energy returns then I can do the work, but that seems decreasingly likely.

Life is 10% what happens to you and 90% how you react to it
Charles R. Swindoll

Keep safe, keep well and KBO

Stephen