CAR-T cell Therapy: Joint and muscle pain

Posted by Bob, Alumni Mentor @grandpabob, Nov 12, 2018

Hello all, I had Car T infusion Augut1st. I currently have joint and muscle pain though intermittent. Is anyone else having these side effects? I am not sure if it is from Car T or the chemo I had previous to the infusion.

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Profile picture for bangobingo @bangobingo

HI Just finished my Cart T first August. I have begun to get deep pain all over my body.
Its been at least 45 days since my Cart T. Doctors say its not the dreaded side effect, but it is an side effect. We're still searching on how to make it not so painful. Keeping me in bed too much Im ready to get going. I'm still fatigued and moving slow but that's OK

Nice to meet you
Linda

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Hi Linda,
I’m not sure this will help but after my chemo for a stem cell transplant I had what they described as “pain that feels like it’s in your bones”. And adding a simple one pill a day of Claritin (the pill used for allergies) helped alot. The doctors said they didn’t know why it helped but they used it a lot and it helped me. Since it’s an easy add on with minimal side effects, I thought I’d mention it. Good luck. I hope you feel better soon.

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Profile picture for Justin McClanahan, Moderator @JustinMcClanahan

Hello @grandpabob, welcome to Connect. I would like to invite a few other members to this discussion who have either gone through the treatment or have had a loved one go through treatment to share if they have had any joint and muscle pain. @annmillercarr, @raemark, and @greta_k may have some experience to share with you about whether or not they or their loved one had joint/muscle pain.

@grandpabob, other than the joint and muscle pain, how are you feeling? Did you have any other side-effects that you had to deal with?

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HI Just finished my Cart T first August. I have begun to get deep pain all over my body.
Its been at least 45 days since my Cart T. Doctors say its not the dreaded side effect, but it is an side effect. We're still searching on how to make it not so painful. Keeping me in bed too much Im ready to get going. I'm still fatigued and moving slow but that's OK

Nice to meet you
Linda

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Profile picture for jandjerry @jandjerry

Hello
Wondering if anyone is having ankle and leg swelling after Car-T therapy.
Had my Car-T one year ago and oncologist has no idea why im having this. Blood test still show remission which I’m thankful for but would like to have a reason for the swelling.

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@jandjerry, glad the hear you're in remission. The ankle and leg swelling must be frustrating. Is this a new side effect? Has your doctor looking into it being lymphedema?

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Hello
Wondering if anyone is having ankle and leg swelling after Car-T therapy.
Had my Car-T one year ago and oncologist has no idea why im having this. Blood test still show remission which I’m thankful for but would like to have a reason for the swelling.

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Profile picture for pgollinger @pgollinger

Hi Mary
I am participating in a clinical trial to have Car T as a frontline therapy for MM. I had the infusion in October. I had two mild fevers while hospitalized for 14 days. No other CRS. No neurotoxicity. I am also having lower back pain. Not sure why. An X-ray didn’t show anything. I have had two bone marrow biopsies since infusion, one in January and the next in April. Both came back MRD negative. I’m hopeful for a long remission but I’m high risk due to deletion of p17 and high tumor load. I’m not on any maintenance therapy per the trial. I hope your husband is in remission and his neurotoxicity resolves. I believe Car T is one of the best current treatments for MM. I wish him well.
Pat G.

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Have you changed your diet?

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How are things going for you?

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Profile picture for mdbryson1953 @mdbryson1953

Hey Colleen,
I started ti reply, but hit something, so I don't know where it went. Mark is on high dose steroids to treat the neurotoxicity of the cranial nerves. We think that has resolved his back pain. The neurotoxicity does have us nervous, but we believe it will resolve over time. It's scary though as our CAR-T team has not seen CAR-T impact the nerves in this way. He is in remission from the MM, but weak from the steroids. We're at Day 61, looking forward to positive news by day 90.

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@mdbryson1953, glad to hear that the back pain has resolved. How is he doing on the high-dose steriods? Will they continue for a while yet?

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Profile picture for pgollinger @pgollinger

Hi Mary
I am participating in a clinical trial to have Car T as a frontline therapy for MM. I had the infusion in October. I had two mild fevers while hospitalized for 14 days. No other CRS. No neurotoxicity. I am also having lower back pain. Not sure why. An X-ray didn’t show anything. I have had two bone marrow biopsies since infusion, one in January and the next in April. Both came back MRD negative. I’m hopeful for a long remission but I’m high risk due to deletion of p17 and high tumor load. I’m not on any maintenance therapy per the trial. I hope your husband is in remission and his neurotoxicity resolves. I believe Car T is one of the best current treatments for MM. I wish him well.
Pat G.

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Thanks Pat. Yes, CAR-T is a blessing! My husband is also high risk with 17p deletion, and (11,14)translocation. It's a journey, but I'm glad to hear you are RMD negative. So far we are too!

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Hey Colleen,
I started ti reply, but hit something, so I don't know where it went. Mark is on high dose steroids to treat the neurotoxicity of the cranial nerves. We think that has resolved his back pain. The neurotoxicity does have us nervous, but we believe it will resolve over time. It's scary though as our CAR-T team has not seen CAR-T impact the nerves in this way. He is in remission from the MM, but weak from the steroids. We're at Day 61, looking forward to positive news by day 90.

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Profile picture for mdbryson1953 @mdbryson1953

Greetings All,

My husband Mark had CAR-T infusion on May 2, 2024. We are close to our 60 day check in. He experienced minimal CRS, but has developed some significant neurotoxicity symptoms in the last few weeks. Specifically involving the cranial nerves. He has also experienced low back pain, but we're not sure whether it is related to the CAR-T Nerve issue or his prior back issues related to his Multiple Myeloma. Has anyone else had experience with neurotoxicity related to the cranial nerves?

Thank you for any insight you may have.
Mary

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Hi Mary
I am participating in a clinical trial to have Car T as a frontline therapy for MM. I had the infusion in October. I had two mild fevers while hospitalized for 14 days. No other CRS. No neurotoxicity. I am also having lower back pain. Not sure why. An X-ray didn’t show anything. I have had two bone marrow biopsies since infusion, one in January and the next in April. Both came back MRD negative. I’m hopeful for a long remission but I’m high risk due to deletion of p17 and high tumor load. I’m not on any maintenance therapy per the trial. I hope your husband is in remission and his neurotoxicity resolves. I believe Car T is one of the best current treatments for MM. I wish him well.
Pat G.

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