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.


Thursday, 9 September 2021

Progress

Whilst I am still within a chemo cycle due to end on the 20th, I've received excellent news that my CAR-T cells have been returned to the UK following their processing.  This is something of a relief given their delay through customs back in June.  It is reasonable to assume that since the cells have been returned, they are considered viable. There is an NHS Blood and Transplant facility at Filton and it is there that my cells are currently in cold store.

This image shows a healthy T-cell.

T cells take their name from the Thymus where immature lymphocytes develop and mature enabling them to take up their role as part of the immune system. I was surprised to find that the thymus is located at the upper end of and behind of the breast bone, but in front of the heart

Processing of my T cells converts them to become known as CAR-T cells which will hopefully identify and destroy myeloma cells.  Untrained as I am, I find it less easy to define the meaning of CAR:
C - Chimeric. The best I can find is an association with genetics.
A - Antigen. A substance which induces an immune response.
R - Receptor. A protein which binds with specific molecules.


There you have it, a layman's explanation of CAR-T cells.

Ahead of me is first the completion of this chemo cycle.  I must then wait a minimum of 14 days (washout) in order that the current drugs have left my system.  During that time I will no doubt require a further medical examination and Covid PCR test (s).  It makes sense to also self-impose shielding.  I've got this far and must take every precaution.  Recent trips to the shops suggest that few people (as low as perhaps 10%) are now wearing masks thus surely increasing the risk.

Patience is the art of concealing your impatience
Holbrook Jackson

Keep safe, keep well and KBO

Stephen