(MAC/MAI) Mycobacterium Avium Complex Pulmonary Disease: Join us

Posted by Katherine, Alumni Mentor @katemn, Nov 21, 2011

I am new to Mayo online .. I was hoping to find others with .. MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) and/or BRONCHIECTASIS. I found only 1 thread on mycobacterium accidently under the catagory "Lungs". I'm hoping by starting a subject matter directly related to MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) I may find others out there!

I was diagnosed by a sputum culture August 2007 (but the culture result was accidentally misfiled until 2008!) with MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) and BRONCHIECTASIS. I am now on 5 antibiotics. Working with Dr. Timothy Aksamit at Rochester Mayo Clinic .. he is a saint to have put up with me this long! I was terrified of the treatment . started the first antibiotic September 3, 2011 ... am now on all 5 antibiotics for 18 mos to 2 years. Am delighted at the very bearable side effects!

I wrote on the 1 thread I found: If you google NON-TUBERCULOUS MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) you will learn a LOT about the disease. But PLEASE do NOT get scared about all the things you read .. that is what I did and nearly refused to do the treatment until after a 2nd Micomacterium was discovered! Educate yourself for "due diligence" .. but take it all with a grain of salt .. you are NOT necessarily going to have all the terrible side effects of the antibiotics! Good luck to you!

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January 2017 Update

One of our great Connect Members .. @Paula_MAC2007  .. had a wonderfully helpful idea that I wanted to share! Her idea .. as you read through the pages to gather information on our shared disease of MAC you can develop a personal "file cabinet" for future reference without the necessity of reading all the pages again!

If you have the "MS Word" program on your computer:
- Document Title Example:  Mayo Clinic Connect MAI/MAC Information
- Then develop different categories that make sense to you such as:  Heath Aids .. Videos .. Healthy Living .. Positive Thinking .. Baseline Testing and Regular Testing .. Antibiotics ..
Tips for
- As you read the pages .. copy/paste/save things of interest into that MS Word document under your preferred categories for future reference.

Then as you want to refer back to something in the future .. YEAH!  You have now created your own personal "file cabinet" on MAC/MAI!  Go to it!

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

@sueinmn

National Jewish Health has an annual or biennial conference on NTM where all of the latest developments are discussed - there should be one coming up. The presentations are recorded and available on YouTube. I look forward to hearing from them this summer or fall - here is the series from the conference in 2019 https://www.nationaljewish.org/education/pro-ed/live-events/ntm-patient-videos
Sue

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This was a wealth of information...looking forward to you sharing this year’s conference. Mega thanks for putting it out there for those of us who haven’t been on this Mayo forum long.

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@sueinmn

National Jewish Health has an annual or biennial conference on NTM where all of the latest developments are discussed - there should be one coming up. The presentations are recorded and available on YouTube. I look forward to hearing from them this summer or fall - here is the series from the conference in 2019 https://www.nationaljewish.org/education/pro-ed/live-events/ntm-patient-videos
Sue

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Thank you for this site. So informative. Im in Hawaii and giving some serious considerations to going to the National Jewish Health in Denver when the weather warms up. Im trying to gather as much information about Bronchiectasis and MAC. Thank you Sue

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@karensarasota

Please take me off your email list you're driving me crazy with 10 to 15
emails a day

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@karensarasota,
You can change your settings to receive a daily or weekly digest rather than getting an email for every new post. See how to set your notification preferences here: https://connect.mayoclinic.org/get-started-on-connect/#notification-preferences

If you have further questions, contact me using this form: https://connect.mayoclinic.org/contact-a-community-moderator/

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@kathyhg

This discussion re: delays in getting lab results reminded me that we’re using drugs that were developed for other diseases as Mac/NTM is considered an orphan disease and hasn’t been profitable for pharmaceutical companies to invest in research and development.

It’s coming 2 years since I read on this forum that SPER Therapeutics was close to the trial phase in the development of a drug specifically for Mac/NTM. I haven’t heard anymore about whether they are getting closer to making this drug available.

Has anyone been following this?

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Hi Kathy @kathyhg, I was wondering about the SPERO trial too. Here's a link to where they're at (as of 21 Feb 2021): https://www.centerwatch.com/clinical-trials/listings/255544/phase-2a-safety-tolerability-pharmacokinetics-and-efficacy-of-spr720-for-the-treatment-of-patients-with-mycobacterium-avium-complex-mac-pulmonary-disease/ ,

Clinical trials like this seem to take a very long time, compared to all the money thrown at Covid vaccines. They are still recruiting for their Phase 2a trial for the new NTM drug -- currently called SPR720. This phase is expected to finish in 2022, but then after that there will need to be a Phase 3 trial with a larger number of NTM patients. Just recruiting the number of NTM patients needed for trial phases seems to take a long time with NTMs, so it looks like the new drug is a long way off yet.
All the best, Annie

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@anniepie

Hi Kathy @kathyhg, I was wondering about the SPERO trial too. Here's a link to where they're at (as of 21 Feb 2021): https://www.centerwatch.com/clinical-trials/listings/255544/phase-2a-safety-tolerability-pharmacokinetics-and-efficacy-of-spr720-for-the-treatment-of-patients-with-mycobacterium-avium-complex-mac-pulmonary-disease/ ,

Clinical trials like this seem to take a very long time, compared to all the money thrown at Covid vaccines. They are still recruiting for their Phase 2a trial for the new NTM drug -- currently called SPR720. This phase is expected to finish in 2022, but then after that there will need to be a Phase 3 trial with a larger number of NTM patients. Just recruiting the number of NTM patients needed for trial phases seems to take a long time with NTMs, so it looks like the new drug is a long way off yet.
All the best, Annie

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Your comment "Clinical trials like this seem to take a very long time, compared to all the money thrown at Covid vaccines" is SO true of most medical research!

Remember, however, that what you see and hear on Connect is a very tiny group compared to the hundreds of millions of lives impacted by the pandemic.

Here is some food for thought -
1) NTM is not not well-known, not contagious, and usually not fatal, so there is little urgency. Who among us even heard of it before our own diagnosis?
2) Medical research is very expensive, so the research dollars go where there is the best opportunity for recovery via new therapies - ie conditions that affect millions, not thousands. Unlike the Covid-19 vaccine, most research projects are measured in years, if not decades. That is how long it takes to set up a study, recruit participants, try therapies, produce results, have them peer-reviewed and publish.
3) "The squeaky wheel..." Maybe we need to begin to squeak.

By way of example, before my niece was pulled from her project to do Covid research at the University of Minnesota, she was working on a study of early interventions for stroke that is a 10-year project - and MANY more people suffer strokes each year than have NTM.

Sue

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@anniepie

Hi Kathy @kathyhg, I was wondering about the SPERO trial too. Here's a link to where they're at (as of 21 Feb 2021): https://www.centerwatch.com/clinical-trials/listings/255544/phase-2a-safety-tolerability-pharmacokinetics-and-efficacy-of-spr720-for-the-treatment-of-patients-with-mycobacterium-avium-complex-mac-pulmonary-disease/ ,

Clinical trials like this seem to take a very long time, compared to all the money thrown at Covid vaccines. They are still recruiting for their Phase 2a trial for the new NTM drug -- currently called SPR720. This phase is expected to finish in 2022, but then after that there will need to be a Phase 3 trial with a larger number of NTM patients. Just recruiting the number of NTM patients needed for trial phases seems to take a long time with NTMs, so it looks like the new drug is a long way off yet.
All the best, Annie

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@anniepie I have signed up, there was some odd answers to questions, maby they want Latino or Hispanic people, oh well hopefully they will keep in touch. Nice to know these trials are being done. Take care Heather

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@heathert

@anniepie I have signed up, there was some odd answers to questions, maby they want Latino or Hispanic people, oh well hopefully they will keep in touch. Nice to know these trials are being done. Take care Heather

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Hi Heather @heathert, I've finally received the Arikayce and Lamira inhaler system. They just told me to go and look at a video when I get home and gave me the internet address -- https://www.arikayce.com/taking-arikayce-video/ . Well I'm totally freaked out by this site. (I've already been on the Big 3 for two and a half years. That was quite stressful enough right at the beginning, thanks. But this is a whole new deal).
The problem is I am alone. I don't have a partner or family or anyone living with me if anything goes wrong. The things they headline you really need to have someone around for -- immediately. So i am stuck at the moment, and don't know what to do. I can't start using it yet! Can you help me? Can anyone help?

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@anniepie

Hi Heather @heathert, I've finally received the Arikayce and Lamira inhaler system. They just told me to go and look at a video when I get home and gave me the internet address -- https://www.arikayce.com/taking-arikayce-video/ . Well I'm totally freaked out by this site. (I've already been on the Big 3 for two and a half years. That was quite stressful enough right at the beginning, thanks. But this is a whole new deal).
The problem is I am alone. I don't have a partner or family or anyone living with me if anything goes wrong. The things they headline you really need to have someone around for -- immediately. So i am stuck at the moment, and don't know what to do. I can't start using it yet! Can you help me? Can anyone help?

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@anniepie Oh my goodness! You need a whole lot more than being told to watch a video. Call Panther pharmacy and see if they can send you an online nurse to walk you through it! If not I will send you my number privately and walk you through it myself. So sorry! I was a wreck even with the nurse. It took me two hours of an online tutorial with a nurse. She was sooo patient. @irene5

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@anniepie

Hi Heather @heathert, I've finally received the Arikayce and Lamira inhaler system. They just told me to go and look at a video when I get home and gave me the internet address -- https://www.arikayce.com/taking-arikayce-video/ . Well I'm totally freaked out by this site. (I've already been on the Big 3 for two and a half years. That was quite stressful enough right at the beginning, thanks. But this is a whole new deal).
The problem is I am alone. I don't have a partner or family or anyone living with me if anything goes wrong. The things they headline you really need to have someone around for -- immediately. So i am stuck at the moment, and don't know what to do. I can't start using it yet! Can you help me? Can anyone help?

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@anniepie, I never had problems with Arikayce and I am not on Lamira. Maby ask your specialist about it, to see if he thinks it is necessary to have someone around or maby you could have your first dose at your Dr s office and stay for a few hours, otherwise ask a friend to stay the night. It is great stuff and worth it. Let me know how you get on. All the best Heather

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@irene5

@anniepie Oh my goodness! You need a whole lot more than being told to watch a video. Call Panther pharmacy and see if they can send you an online nurse to walk you through it! If not I will send you my number privately and walk you through it myself. So sorry! I was a wreck even with the nurse. It took me two hours of an online tutorial with a nurse. She was sooo patient. @irene5

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Thanks so much Irene @irene5. Yes I've really had the 'wobbles' about all of this. All the warnings on the website I was given and the video freaked me out about the 'common' side effects.
Just trying to deal with all of this MAC/MAI stuff alone can be really tough. (I really sympathise with anyone in this forum who has to deal with this alone and lives alone).
When I don't get adequate support from some medical specialists it all falls down -- that happens too much unfortunately. I wish I had the nursing help you mentioned in Australia where I am, but I don't,
I've now ordered a personal medical alarm etc -- because there is nobody around if I have any bad side effects with anything. I won't start the Arikayce until I've got that all in place.
Thanks so much for your kindness. Hugs from Annie x

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