CAR-T Cell Therapy: Introduce yourself and connect with others

Welcome to the CAR-T Cell Therapy group on Mayo Clinic Connect.
This is a welcoming, safe place where you can meet people who have experience with CAR-T cell therapy or are caring for someone on CAR-T cell therapy. There are so few people who have experience with this new cancer immunotherapy. Together we can learn from each other, support one another and share stories about living with cancer and coping with the challenges of treatment.

Let’s chat. Why not start by introducing yourself? When did you or your family start therapy? How are you doing today?

Interested in more discussions like this? Go to the Bone Marrow Transplant (BMT) & CAR-T Cell Therapy Support Group.

@maryangelasmith

Hello,

I was infused with CAR-T Cells this past Monday, 12/11, at Mayo in Rochester. I am doing the trial for the colon rectal therapy.

So far no side effects and getting discharged tomorrow, 12/18.

Would love to hear from others if you’ve done this new trial.

Of course, hoping/praying it works.

Mary

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Hello Mary, I am so glad to hear thatCar T is expanding through trials, it would be wonderful if it worked for all cancers.
I had my treatment in Rochester as well, i feel you are in great hands.
Hopefully others on this platform will weigh in with their experiences as well.
When I had the treatment some years ago, I had to be within a few minutes of the cancer centre for 45 days, is this still the case?

Take care.

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@grandpabob

Hello Mary, I am so glad to hear thatCar T is expanding through trials, it would be wonderful if it worked for all cancers.
I had my treatment in Rochester as well, i feel you are in great hands.
Hopefully others on this platform will weigh in with their experiences as well.
When I had the treatment some years ago, I had to be within a few minutes of the cancer centre for 45 days, is this still the case?

Take care.

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Yes, I have to be here 30 days after day 0 of CAR T-Cells.

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@grandpabob

Hello Lynn, I had Car T 5 years ago, I am 68 years old. I am so glad to hear that you are progressing so well. My experience at 4 months out sounds very similar to yours. Fatigue, muscle and joint pain still dodge me today, though not as bad as earlier, given it has been 5 years I am reluctant to point the finger at Car T. From my experience, I suggest you are doing the correct things to get your strength back. What I feel worked for me was to insure I ate very healthy, small portions often, exercise as able, incorporate some yoga if you can and most importantly rest whenever you need to. (Don’t worry about having a quick rest or nap anytime, I still do.)

What do you find alleviates the muscle pain.

Keep up the great work!

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Hi Bob,
I follow your regiment except for yoga. My bone marrow was 97% impacted with myeloma cells by the time I received carT my bones are weakened. I fractured two lumbar vertebraes as result so yoga is out. Surgeons packed them with med cement and that has worked pretty well. I walk about 2 miles a day and adding more steps.
It amazes me that 3 months post treatment there is zero evidence of myeloma. This treatment is a wonder. My blood counts are still low as there are still CarT cells at work attacking good cells but that will slow down eventually. Everyone has a different response to CarT.

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@esperanza3a

My name is Lynn, I’m 77 years old.
I had CarT cell therapy August 2023 at Methodist Hospitin San Antonio, Tx. I was in the hospital 23 days to monitor side effects.
I am in complete remission and slowly gaining back strength and endurance.
I am experiencing fatigue and muscle and joint pain. I hope this improves with time. I see a physical therapist once a week but it takes days to recover from a light workout.
Wishing you all the best.

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Hi Lynn, I'd like to add my welcome. You may also be interested in this related discussion:
- CAR-T cell Therapy: Joint and muscle pain
https://connect.mayoclinic.org/discussion/joint-and-muscle-pain-1/

What helps you recover after a light workout? Rest? Pacing yourself?

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@esperanza3a

Hi Bob,
I follow your regiment except for yoga. My bone marrow was 97% impacted with myeloma cells by the time I received carT my bones are weakened. I fractured two lumbar vertebraes as result so yoga is out. Surgeons packed them with med cement and that has worked pretty well. I walk about 2 miles a day and adding more steps.
It amazes me that 3 months post treatment there is zero evidence of myeloma. This treatment is a wonder. My blood counts are still low as there are still CarT cells at work attacking good cells but that will slow down eventually. Everyone has a different response to CarT.

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Car T does work well in many cases, unfortunately as you mention, not in all cases. Given that it tends to be a last line of treatment, it certainly gives a better life to many.

I understand what you mean by low blood levels, mine are extremely low, I am told that this will be my normal going forward.

Are you receiving IGG infusions periodically to bring those levels back up from time to time?

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@maryangelasmith

Yes, I have to be here 30 days after day 0 of CAR T-Cells.

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That is great, being close by the treatment center is very important.

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@grandpabob

Car T does work well in many cases, unfortunately as you mention, not in all cases. Given that it tends to be a last line of treatment, it certainly gives a better life to many.

I understand what you mean by low blood levels, mine are extremely low, I am told that this will be my normal going forward.

Are you receiving IGG infusions periodically to bring those levels back up from time to time?

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I receive IvIg montly and still get platelets and blood infusions as needed. I still have half my collected red cells from transplant 6 years ago. I’ll have those infused next month with hopes of jump starting better CBC results.

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My wife had Yescarta in June for refractory single hit DLBCL after successful R-CHOP and consolidative radiation last year and Polar-R immunotherapy as a bridging treatment. We are happy to report that her roughly 6 month CT last week is still clear of any disease. Her 90 day PET/CT was also clear and she has been deemed in remission since the 90 day scan. And up until this week's labs, her WBC and Neutrophils just haven't been cooperating but are now at the highest since before her apheresis and CAR-T. Still, she's immunocompromised and needs to be careful and does experience muscle/joint aches and pains but exercise, stretching and a cortocosteroid shot in her left shoulder have helped somewhat. Is still on the mend but has been able to be physically active for a few months now just maybe a little less than her old self. It's turning out to be a great ending to a tumultuous year.

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@esperanza3a

I receive IvIg montly and still get platelets and blood infusions as needed. I still have half my collected red cells from transplant 6 years ago. I’ll have those infused next month with hopes of jump starting better CBC results.

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Most excellent, forward progress is all one can ask for.

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@gregolson

My wife had Yescarta in June for refractory single hit DLBCL after successful R-CHOP and consolidative radiation last year and Polar-R immunotherapy as a bridging treatment. We are happy to report that her roughly 6 month CT last week is still clear of any disease. Her 90 day PET/CT was also clear and she has been deemed in remission since the 90 day scan. And up until this week's labs, her WBC and Neutrophils just haven't been cooperating but are now at the highest since before her apheresis and CAR-T. Still, she's immunocompromised and needs to be careful and does experience muscle/joint aches and pains but exercise, stretching and a cortocosteroid shot in her left shoulder have helped somewhat. Is still on the mend but has been able to be physically active for a few months now just maybe a little less than her old self. It's turning out to be a great ending to a tumultuous year.

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So glad the hear Greg. Thanks for sharing on the joints and aches.

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