Hello. I had CAR-T in February this year (2022) and I had cytokine release toxicity as well as neurotoxicity. I was very sick for quite some time & I still suffer bone pain, fatigue & muscle weakness…
My cancer was DLBCL & I am in remission now. I had undergone 16 months of chemo/radiation/methotrexate/more high dose chemotherapy and I never had any luck at all. Therefore I was eligible for CAR-T (yescarta)
Hello, Judy Congratulations on your CAR-T transplant. You’re on the cutting edge of science. It’s fascinating, isn’t it? (More so if you didn’t have to go through that!). Having had the procedure in February, you’re still pretty early in your recovery so I hope you start feeling much better over the next several months. It takes time to rebuild your body and your life after the disease, the rounds of chemo and your reaction to the CAR-T therapy.
I’m so happy to hear you’re in remission. What an amazing feeling that is. A reward for all you’ve gone through this year!
I had AML and we’d talked about CAR-T but I wasn’t eligible for that therapy so I had a bone marrow transplant. May I ask what your follow up treatment is like? Are you on any medications?
Hello. I had CAR-T in February this year (2022) and I had cytokine release toxicity as well as neurotoxicity. I was very sick for quite some time & I still suffer bone pain, fatigue & muscle weakness…
My cancer was DLBCL & I am in remission now. I had undergone 16 months of chemo/radiation/methotrexate/more high dose chemotherapy and I never had any luck at all. Therefore I was eligible for CAR-T (yescarta)
Hi Kevin, my name is Cindy & on 2/2/22 I was just diagnosed with non Hodgkin Lymphoma, I had no idea a skin sore could be a blood disease. How long have you been Know of your lymphoma.?
@cindycoult, Welcome to Mayo Clinic Connect Cindy, I see this is your first post, there is a large group on Mayo Connect that is willing to help answer your questions and are willing to share their experiences.
I have added a link to the blood cancer group on connect below, you may find this group has more answers to your questions, feel free to re-post there as well. https://connect.mayoclinic.org/group/blood-cancers-disorders/
How long have you had the skin sore?
Hi, my name is Kevin. I have Follicular B-cell nonHodgkin's lymphoma. I am currently receiving TTI-622 by Trillium Therapeutics, an experimental drug clinical trial. They are trying to extend me into the Allogene Car T Cell trial on August 11, 2019. I am going through the Colorado Blood Cancer Institute in Denver. I have had several treatments since 2015, including R-CHOP and RICE chemotherapy and an autologous stem cell transplant (at CBCI). I relapsed from my stem cell transplant within 10 months. Everything seems so surreal to me. I am scared and feel somewhat lonely. It helps reading about other people's journey on this site. This is the first time I have accessed information in this manner. Kevin
Hi Kevin, my name is Cindy & on 2/2/22 I was just diagnosed with non Hodgkin Lymphoma, I had no idea a skin sore could be a blood disease. How long have you been Know of your lymphoma.?
Hello..Hope your husband continues to get better...Can you please tell me which Mayo Clinic location did your husband attend to? I went to Jacksonville once and it did not go so well.
Hello @mena2020. Colleen shared some links with you with more information on CAR-T cell therapy. FDA approved diagnoses that qualify for CAR-T treatment are constantly changing as more sites around the world invest in research and development. As of now, at Mayo Clinic, the FDA approved treatments are available for relapsed, refractory B-cell acute lymphoblastic leukemia and relapsed, refractory B-cell non-Hodgkin's-lymphoma. However, there is a clinical trial for refractory CLL/SLL, but exclusion criteria for clinical trials is often strict, https://www.mayo.edu/research/clinical-trials/cls-20467631. CAR-T is typically used as a last resort treatment when other treatments have failed because it can be an intense treatment.
My diagnosis is CLL/SLL , Hashimoto and Hypogammaglobulinemia. Having frequent infections. I don’t have any treatment yet because the doctor isn't clear if I should begin or not...but Lymphomas are manifesting more aggressively in my case and inflammation episodes cause scary neurological symptoms. Can anyone tell me how do I qualify for Cart T cell therapy or what is the protocol for it? I have extreme allergies and sensitivities to medicines, and everything. I am afraid to take Imbruvica and since the doctor refuses to start me with a lower dose. I react badly to MRIs contrast and even iodine. I am terrified every time they mention any drugs because I could die from medicines reactions...I need guidance on treatment and which doctor I should see aside from my Hematologist to support the immune deficiency (or suspected plasma deficiency) Where do I get this treatment and if anyone knows a the name of a good doctor ???
Mena, I'm unclear from your posts. Are you a candidate for CAR-T? It is my understanding that CAR-T therapy is currently only approved for B-cell ALL and B-cell non-Hodgkin lymphoma.
Thank you so much for responding ...I am from Connecticut and I recently went to see a doctor at Mayo Clinic in Jacksonville FL. I am learning many new things about my condition. It seems that treatment protocols are different in different states. I was ordered a bone Marrow test and a Pet scan at the Mayo clinic..CT has refused previously to do bone marrow. I have severe allergies and terrified to try drugs. I am seeking for Car T cell therapy . Never heard about the Mimicking diet FMD...I am not getting any treatments yet but getting closer as infections are showing up every month. I am trying to get informed and prepared to get the right treatment for me. My doctor in CT says that I wont get Car T cell therapy unless I fail other drugs therapies. CT isn't much advanced , their focus is in the drugs , same as Boston . They are developing customized drugs, but I find those drugs are pretty scary too. I read about Imbruvica and I dont like the fact that their protocols require doctors to start at higher dose. With my sensitivities it could kill me. Also the drug could cause cells to travel and cancer could develop in other areas. It could cause brain bleeding etc...I find the drug is pretty scary and the doctor refused to start me in a lower dose . He wanted one pill with 420 mg. I am sensitive even to over the counter meds,antibiotics ,dyes, foods, histamine and many foods ..My allergies & sensitivities are pretty bad. So I have to be careful...Many Blessing for you too!
My mother is also sensitive to drugs, she is the genotype for Gilbert's syndrome and perhaps this is the cause. I am also HLA-B27 positive as well as at least heterozygous for GS, all of which means that I too am sensitive to various things! Sounds like you are really learning about your condition. For me and my family it's very scary but we are taking it day by day.
My husband had this procedure in May-June 2018. It's very rough, but it worked for him. CAR-T is, as I understand, is not a first option treatment. Before his CAR-T, my husband had exhausted every other treatment option, including R-CHOP chemotherapy (in our city) and an autologous stem cell transplant (at Mayo). But his cancer, T-Cell Rich B-Cell non-Hodgkin Lymphoma, returned, and he was considered terminal in March 2017. But CAR-T passed clinical trials and was approved as a treatment by the FDA that autumn. After CAR-T, however, he is now in remission. Not all patients are eligible for CAR-T. Luckily, my husband's cancer advanced very slowly, and he was still asymptomatic and feeling find, with no other underlying health issues (diabetes, heart disease, etc.) when we went to Mayo's for the pre-tests. A patient must undergo a battery of pre-tests to ensure he or she can withstand the serious, but temporary, neurological and other side effects and the stress the treatment inflicts on the heart, kidneys, liver, etc. My husband had these serious side effects, but none was permanent. CAR-T treatment lasts about eight weeks, including, most often, one to two weeks of in-patient hospitalization when the side effects happen (usually very shortly after the T-cells are reinfused). If the patient is not hospitalized, he or she must go to outpatient clinic every day to be monitored over the course of the treatment. To undergo the CAR-T treatment, a patient must bring along a caregiver who is willing to assist in every way possible and observe the patent--24 hours a day. (Believe me, this was needed!) When the patient returns home, there is usually a week or two of recuperation before the patient feels like returning to work for a sendentary job (like my husband's). This recuperation would be longer if your had a job that required more physical or strenuous work. Also, the patient must return to Mayo's every three months or so for follow-up PETs and blood tests for a year and more. My husband was treated at Mayo's. I can't recommend Mayo's enough. The CAR-T team--everyone from doctors, physician assistants, nurses, physical and occupational therapists, well--everybody!!--was stellar. We will never forget the wonderful people we met. They are the very best!
Hello..Hope your husband continues to get better...Can you please tell me which Mayo Clinic location did your husband attend to? I went to Jacksonville once and it did not go so well.
Hello, Judy Congratulations on your CAR-T transplant. You’re on the cutting edge of science. It’s fascinating, isn’t it? (More so if you didn’t have to go through that!). Having had the procedure in February, you’re still pretty early in your recovery so I hope you start feeling much better over the next several months. It takes time to rebuild your body and your life after the disease, the rounds of chemo and your reaction to the CAR-T therapy.
I’m so happy to hear you’re in remission. What an amazing feeling that is. A reward for all you’ve gone through this year!
I had AML and we’d talked about CAR-T but I wasn’t eligible for that therapy so I had a bone marrow transplant. May I ask what your follow up treatment is like? Are you on any medications?
Hello. I had CAR-T in February this year (2022) and I had cytokine release toxicity as well as neurotoxicity. I was very sick for quite some time & I still suffer bone pain, fatigue & muscle weakness…
My cancer was DLBCL & I am in remission now. I had undergone 16 months of chemo/radiation/methotrexate/more high dose chemotherapy and I never had any luck at all. Therefore I was eligible for CAR-T (yescarta)
Hi Cindy, I add my welcome. How are you doing? Do you know what treatment you'll need, if any?
@cindycoult, Welcome to Mayo Clinic Connect Cindy, I see this is your first post, there is a large group on Mayo Connect that is willing to help answer your questions and are willing to share their experiences.
I have added a link to the blood cancer group on connect below, you may find this group has more answers to your questions, feel free to re-post there as well.
https://connect.mayoclinic.org/group/blood-cancers-disorders/
How long have you had the skin sore?
I encourage you to reach out at anytime.
Hi Kevin, my name is Cindy & on 2/2/22 I was just diagnosed with non Hodgkin Lymphoma, I had no idea a skin sore could be a blood disease. How long have you been Know of your lymphoma.?
Rochester.
Hello @mena2020. Colleen shared some links with you with more information on CAR-T cell therapy. FDA approved diagnoses that qualify for CAR-T treatment are constantly changing as more sites around the world invest in research and development. As of now, at Mayo Clinic, the FDA approved treatments are available for relapsed, refractory B-cell acute lymphoblastic leukemia and relapsed, refractory B-cell non-Hodgkin's-lymphoma. However, there is a clinical trial for refractory CLL/SLL, but exclusion criteria for clinical trials is often strict, https://www.mayo.edu/research/clinical-trials/cls-20467631. CAR-T is typically used as a last resort treatment when other treatments have failed because it can be an intense treatment.
Here are a few additional discussions on Connect you may find worth your time reading through and participating in:
- https://connect.mayoclinic.org/discussion/i-have-very-difficult-muscle-twitches-on-imbruvica-any-advice/
- https://connect.mayoclinic.org/discussion/cll-newly-diagnosed/
As Colleen mentioned, has CAR-T been discussed with you? Have you discussed your concerns with your providers about your sensitivity to medications?
Hi @mena2020, welcome Mayo Clinic Connect. Several members of the CAR-T therapy group went to Mayo Clinic for treatment, like @grandpabob @raemark @greta_k @annmillercarr @valerie912 and @cherylbogdan. I'm not sure which location however.
Here is more information about the CAR-T cell therapy program at Mayo Clinic, which includes a list of specialists https://www.mayoclinic.org/departments-centers/car-t-cell-therapy-program/sections/overview/ovc-20404319
You may also be interested in the Hematology blog, which features several posts about CAR-T https://connect.mayoclinic.org/page/hematology/
This is a good one to start with:
- CAR-T cell Therapy: What is it and what does it treat? https://connect.mayoclinic.org/page/hematology/newsfeed-post/car-t-cell-therapy-what-is-it-and-what-does-it-treat/
Mena, I'm unclear from your posts. Are you a candidate for CAR-T? It is my understanding that CAR-T therapy is currently only approved for B-cell ALL and B-cell non-Hodgkin lymphoma.
My mother is also sensitive to drugs, she is the genotype for Gilbert's syndrome and perhaps this is the cause. I am also HLA-B27 positive as well as at least heterozygous for GS, all of which means that I too am sensitive to various things! Sounds like you are really learning about your condition. For me and my family it's very scary but we are taking it day by day.
Hello..Hope your husband continues to get better...Can you please tell me which Mayo Clinic location did your husband attend to? I went to Jacksonville once and it did not go so well.