Help with clinical trials (RMC-6236 and it's variations)
Hi everyone,
My husband who has stage 4 pancreatic cancer is approaching the end of his chemotherapy treatment and i'm trying to explore next step options / trials but the information can be really confusing and overwhelming in terms of inclusion criteria.
He was diagnosed stage 3 and had a whipple. Post whipple he started on Folfrinox and then switched to Irinotecan due to tolerance issues. 2 months later a pet scan revealed mets in his liver so the chemo was considered not effective and switched to Gem/ Abraxane which he responded wonderfully to. His latest scans that all the mets have dissapeared. We have 6 more chemotherapy sessions to go.
Can he get on any versions of the RAS inhibitor trials? Or has he had too many prior lines of chemo? I'd be delighted to hear from those of you that have been on the trials or if anyone can point me in the right direction that would be great.
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@gamaryanne
Have you had your mutations tested lately?
I did the liquid biopsy (Guardant 360) and the only mutations found were TP53 and SMAD4 (this one related to gastric cancer). My KRAS-G12D and ATM were no longer detected.
@ekaptur could you please share how your husband manages side effects like diarrhea and nausea with RMC-6236 for 8 months now? Was it worse in the beginning and got better? Any tips you can share will be helpful as we look at this. Thank you
I hope @ekaptur returns to answer your questions.
@strongone21, are you taking part in the trial RMC-6236?
@colleenyoung Yes my husband just started.
@strongone21 Sorry for the delay in responding. Granisetron 1 mg helps well with nausea. And over time we’re able to coordinate with the doctor to take the tablets in the evening, and this has almost completely relieved the nausea symptoms. Diarrhea went away about two weeks after the start of the first cycle.
Another suggestion might be to try acupuncture to help with persistent fatigue and low energy while on the trial. Based on his oncologist’s recommendation, due to progressive neuropathy (after chemotherapy, not related to the RMC-6236 trial, and medications didn’t help), he started acupuncture and the effect has been very positive: reduced numbness in the fingers and soles, and much more energy throughout the day.
@ekaptur thank you so much. We are doing Compazine and it's been manageable for nausea. Acupuncture is a good recommendation, will have to look into it. We are also dealing with bad skin rashes right now with Doxycycline, it's going to take sometime.