Tuesday, September 24, 2013

Star of Ibrutinib

9/24/13 – I had my 3rd set of scans yesterday (I get scanned after every 3 cycles or every 63 days) and I met with Dr. Mateo today to get my results. As with the last time I met with Dr. Mateo, he started with a comment that brought a big smile to the faces of my wife and me. “You are the star of Ibrutinib.” My Mantle Cell Lymphoma is now considered reduced by 100% . I just cannot put into words how thrilled I am.
So, what’s next? Well the stem cell/bone marrow transplant is looking more and more like a reality and, my guess is, it will be sooner versus later. With my MCL reduced to nothing, it is the perfect time to begin the transplant process. BUT, there is still a major obstacle to pass. I must be a little too unique because so far we have still not found a full match. In order to move things forward the transplant team is now looking in another direction to find me a donor. It is called a “Tier Preferred Half Match.” I do have two daughters who are certainly half of me. In addition, one of my brothers is a little better than a half match. We will be testing all three who is the best of the Tier Preferred. I am not an expert on this but my understanding is that we will select the person who has different “T” receptors on the natural killer cells. We should know who my best donor option is within the next 2 to 3 weeks.

I often get asked the question: “if the study drug is working so well why you still need a transplant?” This is an excellent question and believe me I have asked my doctors it many times. It all comes down to the fact that no one is sure how long the Ibrutinib will work. If this was 5 years from now I would possibly do things differently… but it’s not. I have to make the decision based on what we know.  I am a young 52 year old and I certainly have many things I still want to do. I will go with whatever gives me the best chance of a long life.

 To change gears… This Sunday, September 29th is the 5th Annual Celebrate Life and Liberty event at Liberty State Park. This is an event that is sponsored by the John Theurer Cancer Center at Hackensack University Medical Center and of course Dr. Goy will be up front with, cancer coach, Sharon Parker MC-ing the event. The special performing guests will be Gloria (I Will Survive) Gaynor, and the Village People. In addition, my daughter Alli and I will be up on the stage performing a song as we did at last year’s event. It is sure to be a blast. I can’t wait to tell you all about it.

“A Psalm for giving thanks. Make a joyful noise to the Lord, all the earth! Serve the Lord with gladness! Come into his presence with singing! Know that the Lord, he is God! It is he who made us, and we are his; we are his people, and the sheep of his pasture. Enter his gates with thanksgiving, and his courts with praise! Give thanks to him; bless his name! For the Lord is good; his steadfast love endures forever, and his faithfulness to all generations.” 
Psalm 100:1-5

More to come…

http://mantlecell.blogspot.com/

4 comments:

Anonymous said...

Hi Rich. I am Michael. I was diagnosed with MCL last October. My wife Kathy contacted you at that time. I had RCHOP and just finished an autologous SCT. Getting ready for a clinical trial for maintenance with Valcade and Retuxin. I have some thoughts on your situation, A good idea might be to stay on the ibrutinub and keep searching for a 100% donor match. If you find that match keep it frozen and stay on the ibrutinub as this may keep it alway long term. Use the SCT as a back up as the side affects of the SCT can be huge. I understand the longer you are on ibrutinub the better it works, Just a thought.

Rich Franco said...

Hey Michael, It sure sounds like you are doing well. That is so GREAT to hear. Thank you for sharing your thoughts. I think it is great advice. It does seem that I am in a bit of a “Catch 22”. With me responding so to Ibrutinib and that I am “clear” of MCL, I am in the perfect position to start the transplant process. Also, although Ibrutinib has been awesome for me, I believe the current thinking is that it is not a long term option. My transplant coordinator explained that there is no research that says that a full match non-relative is safer and more effective that a non-full match relative. I guess I need to follow whatever my doctor feels is best for me. Trust me; I would absolutely love to avoid the transplant. I guess at the end of the day if comes down to the where is the least amount of risk for me. I am sure there will be much to discuss before any decisions are made. Thank you again for your very sound advice. Please say Hi to Kathy for me.

Rich

Keith A said...

Truly awesome news Rich!!!
I am so excited to read your latest post.

Rich Franco said...

Keith,
Thank you so much!!!! I hope all is going well with you.
Rich