MPIP: Melanoma Patients Information Page

The MPIP is the oldest and largest community of people affected by melanoma hosted through the Melanoma Research Foundation. It is designed to provide support and information to caregivers, patients, family and friends. Once you have been touched by melanoma—either as a patient or as a family member or friend of a patient—you become part of a community. It is not a community anyone joins willingly. But if you must be part of this group, you will find no better place to find the tools you need in your journey with this cancer, and the friends who can make that journey more bearable.

The information on the bulletin board is open and accessible to everyone. To add a new topic or to post a reply, you must be a registered user. Please note that you will be able to post both topics and replies anonymously even though you are logged in. All posts must abide by MRF posting policies.

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MSKCC to Test Agenus' Personalized Cancer Vaccine in Combination With Novel Immunomodulatory Agents

LEXINGTON, Mass., Jan. 24, 2011 (GLOBE NEWSWIRE) -- Agenus Inc. (Nasdaq:AGEN) today announced it has entered into a research agreement with Memorial Sloan-Kettering Cancer Center (MSKCC) using Agenus' proprietary cancer vaccine technology.

The collaboration will test Agenus' cancer vaccine in combination with antibodies that are intended to target specific markers on tumor cells, such as CTLA-4 and PDL-1. This group of antibodies represents a new class of immunotherapeutic agents that are thought to have complementary mechanisms of action with cancer vaccines. The studies will be performed in the laboratory of Jedd D. Wolchok, M.D., Ph.D., a leader in the field of cancer immunotherapy. Dr. Wolchok serves as the Associate Director of the Ludwig Center for Cancer Immunotherapy at MSKCC as well as Director of Immunotherapy Clinical Trials.

"Collaborating with MSKCC and Dr. Wolchok's laboratory opens a new chapter in the development of our personalized cancer vaccine portfolio for targeting later stages of this disease," said Garo Armen, Ph.D., CEO of Agenus. "Partnerships with leading institutions are central to Agenus' strategy to bringing life-changing products for cancer patients to market faster."

Agenus' cancer vaccine is designed to expand and specifically program the army of T-cells responsible for killing tumor cells; however, as cancer grows it becomes smarter and increasingly builds an 'immune fortress' that can protect itself from the attack of T-cells. Therefore, combining a product that activates T-cells with an agent that blocks the signal preventing the T-cells from effectively killing the tumor could have highly potent outcomes.  

"Combination immunotherapy in cancer is increasingly becoming a key focus of research, and this collaboration will add to this important and growing knowledge base," said Dr. Wolchok. "Our interest in Agenus' cancer vaccine is that it contains many antigens that are genetically matched with the cancer as the product is derived from the tumor itself."

"In addition to this preclinical research effort, we are looking forward to opportunities to rapidly initiate clinical trials, combining our Prophage series of cancer vaccines with either marketed or investigational agents that work against T-cell down regulation," said Dr. Armen.

Source:http://www.globenewswire.com/newsroom/news.html?d=211612">Personalized Cancer Vaccine in Combination With Novel Immunomodulatory Agents

Vaccine + Anti-CTLA-4 and or PD-1, PD-L1 equals Immune response

Best regards

Jimmy B

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justzack's picture
Replies 8
Last reply 1/24/2011 - 12:49am

I am new to the board, so excuse my posting ettiquette :0)  I had a 1.55 Melnoma, Clarks IV on my right infamammary (under right breast, chest wall).  WLE and SLNB was performed by Dr. Zaeger at Moffitt in Tampa.  Ongoing health issues - unexplained hypertensive crisis', tachycardia, sever skin flushing, facial swelling, massive headches, multiple admissions and ICU stays, unexplained acute renal failure in april 2010.  Last month, I had a case of pneumonia and xray showed possible lung nodules ot right lung and medastinal shift with enlarged heart, thyroid, and liver.  In prior scans in April, no evidence of what is now showing on scans.  Primary Care doc ordered Thoracic Ct Scan.  Impression results:  3 calcified lung nodules that appear to be granulomatas and 3 non-calcified lung nodules, that are not specific.  Recommendation to follow-up with oncologist due to patient history and possible metastasis.  The non-calcified nodules are very small 2-3 mm.  My chief complaints right now are severe back and chest pain, that gets worse when I lie down.  Minimal coughing that produces no sputum.  Weightloss of 22 lbs this month, but still eating ... big girl so not really worried, but just unsually - was on weight watchers for 18 months recently and couldn't lose more than 15 lbs due to major fluid and swelling of face and stomach.  All of this to say ... we are at a loss, we are fearful the NED Badge will no longer be mine to wear.  I have an appointment on Monday, January 28th with Dr. Zaeger at Moffitt, he has read the report, but not seen the films.  He advised his nurse that he wants to see me soon.  The appointment was scheduled for first available, just a week and a half from the date we notified them ... unheard of at Moffitt ;0), but really welcomed.

So my question to all, does anyone have experience with lung mets, how small or big were they, what were your symptoms, what are treatment options, what are biopsy options, anyone diagnosed with pneumonia - but really melanoma lung metastasis ... I hav so many questions, but so glad to have everyone's guidance.

Peace to all --- Missy

He has taught me to say, it is well, t is well with my soul ...

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I hope this okay to post here.  It is not a question, but an interesting radio show/podcast about melanoma which includes an interview with a mom that has stage 4 melanoma.  http://girltalkwithmarlo.com/metastatic-melanoma-skin-cancer

I know the interviewer via twitter, was happy to see someone taking the time to discuss and bring more attention to the topic.

Best wishes to all ~ Pennie

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Anonymous's picture
Anonymous
Replies 20
Last reply 1/23/2011 - 2:30pm

Hi IPI Warrior

 

I read MPIP posts & some IPI warriors have remain stable & unfortuanately some have progressed. Cannot find any post from IPI warriors in REMISSION and NED?????

IPI has got alot of press at ASCO & in the news getting approved by FDA. I read 1 in 3 respond BUT is the response "remission"???

This might be a stupid question but how good is this drug??? Has any reports indicated this drug has brought IPI users into remission??? or has this drug just prolonged progression??? What exactly does "RESPONSE" to this drug mean to the IPI warrior

It wouuld be interesting if IPI warriors posted their disease status since taking IPI.  I wonder the results of IPI users who have finished treatment. Just a thought?? It would be encouraging for IPI users to see some IPI warriors that are NED after taking IPI.

Hope we see  many posts from IPI warriors that are NED!

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carol b's picture
Replies 7
Last reply 1/23/2011 - 11:33am

my pet scans just showed only the tumors we can see and feel..NO mets anwhere eles in my body. THANK GOD FOR THAT

Believe all thing are possible, believe faith can move mountains, believe in the healing power of prayer and never ever give up on your dreams

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Nebr78's picture
Replies 5
Last reply 1/22/2011 - 10:32pm

I haven't been here for awhile. I am now taking strong radiation treatments for nearly golf ball size lumps on side of face and chest near armpit..  I just have 2 more treatments left. I am eating pain pills from the lump on side of face. Real sore.  My second Dr. recommended that I not take radiation, but a cancer nurse encouraged me to go see a radiation Dr.    I am now between a rock and hard place.  I don't know whether I should  ever go back to the second Dr. or not.???  I can't take anymore chemo because of serious heart disease.

I don't know what to do if the lumps don't go away. I was sort of waiting for this Ipilimumab chemo but FDA has put approval off another 3 months.

I really don't think they are in too much of a hurry to find a cure.   Big Business

Has anyone ever had big lumps treated with radiation?    Thanks

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2atlascedars's picture
Replies 1
Last reply 1/22/2011 - 9:10pm
Replies by: Janner

I am finally back on my feet after a three-month ordeal that began with an October 26th diagnosis of MM on the sole of my foot. I just stopped needing to use crutches this week, after having been in a wheelchair for 6 weeks following my WLE on November 19th. I had to have a full-thickness skin graft to reconstruct the WLE site, which required nearly 3 weeks in a hospital and surgical rehab center, followed by countless hours of wound care and physical therapy by home health care providers. Also, I could not drive or work until January 3rd, when I was first permitted to use crutches.

I was VERY fortunate to have my SNB results come back negative, particularly since my MM was 3.7 mm deep. I have read so many post of yours on this site which indicate much shallowed depths of MM that had spread to the lymph or cirulatory systems. Since I had no ulceration, I believe I am stage 2A. I will have my first of many 3-month follow-ups with my Melanoma Specialist in February. I was wondering if anyone can offer their advice on what questions I should ask and what tests I should insist to be performed to ensure that I am, and continue to remain, NED.

I feel as though I should know as much about my primary melanoma as possible, such as the genetic profile, so I can stay abreast of the continued advances in targeted treatments. I know I am not truely cured yet, and want to be as prepared as humanly possible to quickly send my melanoma back to the HOLY F----ING HELL that it came from...if it should come back.

Also, I have heard that 8% of patients who had local-only disease go on to have a recurrance (spreading) of their original primary...is this correct? Are there any stats that break this down to more specific stages? (References are greatly appreciated).

Thanks for your help fellow MM Warriors!

Best regard,
Mark from California

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djpayn's picture
Replies 2
Last reply 1/22/2011 - 10:18am
Replies by: EricNJill, Amy Busby

im hoping that someone can give me advice about using fentanyl patches. i have been using one (100mcg/h) for about 6 months now. in the past few weeks,  i have begun to notice that by the second day of wearing the patch, my pain becomes stronger and i have wierd sensations in my legs - almost like restless legs but not quite as severe. i start taking my breakthrough meds on the second day which helps with the pain, but also relieves the sensations in my legs. i hafta take the pills the second and third day of the the patch, but once i change the patch on the 3rd day, i feel fine again.... for abt 2 days.

dont know if anyone has experienced this before but im hoping someone has some advice. i have been on a wide assortment of pain meds in the past 2.5yrs, and feel the patch works best, but am wondering if this will get worse over time. im not opposed to talking with my pain specilist about a med change, i just really dont want to. the patch has been instrumental in makin my pain and life manageable and feels like im back to my old self.

thanks for any help.

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molly's picture
Replies 2
Last reply 1/22/2011 - 10:07am
Replies by: molly, Anonymous

Does anyone know of a board like this for Prostate Cancer?

Thank you so much,

molly

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KatyWI's picture
Replies 6
Last reply 1/22/2011 - 2:10am
Replies by: kylez, jag, KatyWI, NicOz, MaryBZ, Janner

It looks like the cyberknife I had on my brain in November was successful on 3 spots and not so much on the fourth.  After three doses of Ipi, it's swelled up and "looks" like it's growing (though as we know know with ipi you can't really tell initially!).  The plan is to remove the offending brain met in a week.  I'd really like to hear from some of our craniotomy "experts" (John?  Nic?  How many have you guys had between the two of you - twelve or something!  j/k, but I know it's a lot.)  Can I have some advice?

What should I bring to the hospital for "comfort"?  What should I have prepared at home?  I know the doctors will "tell" me, but how long might I *really* expect to be useless/recovering?  Anything else I should know?

Thanks, I appreciate it.

KatyWI

Just keep going!

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Doug-Pepper's picture
Replies 26
Last reply 1/22/2011 - 1:40am

Hello! Doug had wle & snb in Nov. I lymph node contained a microscopic amount of melanoma. His scans & mri came back clear. The drs. have suggested interferon or clinical trial of ipilimumab. Doug feels great & is reluctant to go on these drugs that have the potential to make you feel horrible.We have almost decided to go about this in a more natural way.  We are trying to cut out processed foods & sugar. We are eating lots more fruits & veggies & less meat. He is taking a whole foods multi-V, juice festiv, garlic, CO-Q10, tumeric,& omega 3 fish oil. Anyone else out there fighting this awful disease this way with promising results? I had read several books 2 years ago about fighting cancer with nutrition & was very interested. Now I am praying that this is the answer for us. Thanks, Pepper.

"God is our refuge & strength, an ever-present help in trouble." Psalm 46:1

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Sharyn's picture
Replies 4
Last reply 1/21/2011 - 11:52pm
Hi Folks,
Well, I finally got the results of my Dec 8 CT scan, and it's not as good as I was hoping, but not all that bad either. I already knew that my leg and back tumors were shrinking, as I could see that for myself. But officially, the leg tumor is gone, and the back tumor went from over 2cm down to 1.6cm. The lung tumor has shrunk from 5.5cm to 3.3cm. All that is great, and in March I will resume the Ipilimumab treatment for another 12 weeks.
 
However, the brain is another issue. I still have the 4 tumors that I've had since last spring, but on this report, no measurements are given, only that they are "small". So what's "small"? 2mm? 2 cm? How are we supposed to guage success or failure without measurements? In any case, three of the 4 tumors have vasogenic edema (swelling) around them. So Dr. Mihalcioiu wants me to come to Montreal, and meet with him and Dr Roberge (radiation oncologist) to discuss another round of Stereotactic Radiation Surgery. That's the same procedure I had done last May, when my head was bolted to a table in a mask for 4 hours, and I wasn't allowed to move. Can't wait to do that again --NOT!!! Dr Mihalcioiu says it's possible the swelling is caused by the tumors starting to respond. My back and leg tumors did become inflamed before they receded, so it's possible the same is happening in the brain. I could also be having a delayed reaction.
 
All in all, I'm encouraged by the positive effect Ipilimumab is having on my tumors from the neck down. Hopefully we'll soon get the brain tumors under control too. I'll keep you posted.
 
Hugs
Sharyn, Stage IV , Stage IV
WLE, SNB, ILP, LND, PV-10, Uterine mets (Hysterectomy), GM-CSF, WBR, RT, Temodar, B-RAF negative, SRS (Novalis) to brain, Breast mets (Mastectomy), currently on Ipilimumab compassionate use trial Mets to brain, lung and sub-qs. Craniotomy.

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Nebr78's picture
Replies 3
Last reply 1/21/2011 - 11:39pm
Replies by: SusanE, Lori C, sharmon

i am waiting to evaluate 2 golf ball size lumps on my face and chest.  I had 7-8 strong doses of radiation and if they begin to shrink He will give them some more zaps..Strong chemo is out of the question as I have serious heart disease.

What I am having trouble facing is if the lumps don't shrink, there is nothing more that can be done.

How long might it be before the tumors kill me?  And will it be done slow or fast.?

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Shelby - MRF's picture
Replies 8
Last reply 1/21/2011 - 9:03pm

Can you spare a few minutes to take a survey?

Synovate Healthcare is a medical and healthcare market research firm.  They are conducting a market research project and would like to ask for your assistance.  This is an opportunity to offer your insight and perspective regarding treatment for metastatic melanoma.  To complete the survey, you will first be asked a few qualifying questions.  In return for completing the 25 minute survey, Synovate Healthcare is offering $35 for your time and a donation to the MRF.

Synovate Healthcare will keep all of your answers completely confidential and results will only be reported as a whole – not as individual responses.  Please note that when you click over to the survey, you will be redirected to the Synovate Healthcare site.  The survey is done online.

If you’ve been diagnosed with melanoma and are interested in participating, please use this link:

https://mr01.equesta2.net/mrIWeb/mrIWeb.dll?I.Project=U55J8EMAILADD&i.user2=Advocacy1 

Once you have completed the survey, there will be a page to specify where you would like your honoraria sent. Your participation is enormously helpful! 

Shelby - MRF

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Kim K's picture
Replies 7
Last reply 1/21/2011 - 9:53am

I guess it is about time finally (after prodding my docs).  Brain MRI, PET/CT whole body, CT chest without and with contrast.  For some reason they only wanted to CT the chest, as if mel dosen't like to go to the liver, GI tract or anywhere else in the abdomen/pelvis.  At least I won't have to drink the nasty contrast this time.  I am getting over a stomach bug and don't want to revisit cherry flavored chalk.  I didn't push too hard on the abdo. CT figuring that if anything was there, the PET/CT should pick it up.

My main goal for this visit is to get a scanning schedule down on paper so all my docs are on the same page.

Take care all!

Cancer Sucks Shit Happens Nothing is ever 100% bad, there is a reason and silver lining in everything. Sometimes I need a good light and my glasses to find it though. You can't fix stupid.

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