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Bile Duct Cancer...My Mom's Situation....Please Add Any Info Or Comments

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Subject: Bile Duct cancer...my mom's situation....please add any info or comments
Date: 01/26/2007
My mom went for the usual remove the gall stone caught in bile duct procedure (she had jaundace).Earlier Cat scans, etcc...were good. Dr. came out and saw a form of bile duct cancer took initial biopsy which came back negativeand installed stint. Went back for a better look and more precise biopsy....found cncerous tumor in Bile duct near top of Pancreas. Didn't look like it spread to other organs. We made her an appointment at OSU for Whipple (she's in excellent heath at 71 yrs old.) Dr. Ellison did a scope right before surgery and backed out....he saw microscopic "sprinkles" on the lining (I forgot name) that surrounds that entire area. Also...on diaphram as well. The Dr. suggested Chemo/Radiation treatment to encourage remission. A couple of other idbits: Her CA-19 was well over 1000 when first diagnosed. Her test before surgery showed a reading aroud 600 (which is still really hight). Her bloodwork was all normal (red/white blood cells, liver enzymes, etc). Doctor said Liver looked really good. Anyway...the survival rate beyond 5 years is under 8% with chemo option..She has no choice. Any success stories for this type of situation I can relate to her? I got the feeling that the cancer is advanced...but it could be lots worse. She she's Oncologist Monday for consultation. The surgeon stated he has not seen a non surgical cure for this...but has seen really positive results with chemo....and highly suggested she gets treatment. We really would like Mom around for another 5 years...(or more)...she looks so healthy.
Subject: RE: Bile Duct cancer...my mom's situation....please add any info or comments
Date: 01/26/2007

My 37 year old husband had also went for removal of gall stones in his bile duct that was causing jaundice.  Our doctor did not find gallstones but what he called a stricture.  That was November 1, 2006.  On November 13th my husband was diagnosed with Stage 3 pancreatic cancer.  The tumor was at the head of the pancreas into the bile duct.  He had the Whipple on November 28th.  They removed his gallbladder, 2/3 of his pancreas, 5 cm. of his intestine, his duodenum and a the common bile duct.  Scott came through the surgery quite well and was doing great.  They could not tell us for sure if there was any proof to chemo/radiation being beneficial with this type of cancer.  However, they also said that since he was so young that he had a lot to live for therefore they were going to go with an aggressive treatment schedule: 2  months of Gemcitibine once a week.  Then 6 weeks of radiation with a 5FU pill and then back to 3 months of chemo. (3 weeks on and 1 week off)  He had his first chemotherapy treatment (Gemcitibine) last Thursday and went back this past Wednesday for the second one but found that his white blood cells were to low.  The nurse told him that this was common since they gave him a the largest dose of the Gemcitibine and that hopefully things would get easier. 

We are not sure what tommorow will bring, but we are doing everything we can to make sure that we see alot of tommorows.  Good luck to you and your mom.  I know the stress that this can put on you and it is nice to know that there are others that you can talk to. 

 

Cathy  

 

Subject: RE: Bile Duct cancer...my mom's situation....please add any info or comments
Date: 01/28/2007
The Mayo Clinic, barnes Jewish Hospital/Washington University in St. Louis and, I believe the University of Nebraska are doing treatment of this cancer with new techniques. Have your doctor contact those facilities (at barnes it Dr. William Chapman). Also, the University of Michigan just is beginning a Clinical trial of Davanat with (I think) 5FU Chemo on this cholangiocarcinoma (Dr. Zalupsky). Good luck. You must be aggressive at finding the new treatments.
Subject: RE: Bile Duct cancer...my mom's situation....please add any info or comments
Date: 01/28/2007

 

On 1/28/2007 Honolulu wrote:

The Mayo Clinic, barnes Jewish Hospital/Washington University in St. Louis and, I believe the University of Nebraska are doing treatment of this cancer with new techniques. Have your doctor contact those facilities (at barnes it Dr. William Chapman). Also, the University of Michigan just is beginning a Clinical trial of Davanat with (I think) 5FU Chemo on this cholangiocarcinoma (Dr. Zalupsky). Good luck. You must be aggressive at finding the new treatments.

Here is an added quote on DAVANAT.

Tue Jan 23 06:21:16 2007 (Pro-Pharmaceuticals, Inc.)

Pro-Pharmaceuticals Announces Dosing of Patients with DAVANAT(R) in Phase II, First Line, Advanced Biliary Cancer Clinical Trial

NEWTON, Mass.--(BUSINESS WIRE)--Pro-Pharmaceuticals, Inc. (Amex:PRW - News), a developer of novel carbohydrate compounds, today announced the dosing of patients in its Phase II, first line, biliary cancer trial. The Phase II trial is an open-label, multi-center trial of DAVANAT® with 5-Fluorouracil (5-FU) to treat patients with advanced bile duct and gall bladder cancer.

"Our excellent Phase I/II results show DAVANAT®, when co-administered with 5-FU, stabilized the disease and improved the quality of life for many of the end-stage cancer patients," said David Platt, Ph.D., President and Chief Executive Officer, Pro-Pharmaceuticals, Inc. "When we combine the very positive results from those trials, with the data expected from the ongoing biliary and colorectal first line cancer trials, we will prove the clinical benefit of DAVANAT® to treat cancer patients.

"In addition, we continue discussions with pharmaceutical companies who are evaluating our technology. Our goal is to facilitate collaborations that will enable us to get our compounds to market quickly in multiple indications and modalities," stated Dr. Platt.

Phase II, First Line, Biliary Cancer Trial

The Company is actively recruiting and dosing patients in a Phase II study of DAVANAT® with 5-FU for first line treatment of advanced biliary cancer. The primary objectives of the trial are a partial or complete tumor response and stable disease. Secondary outcomes include progression-free survival and quality of life. The multi-center, open-label study will evaluate up to 42 patients treated with DAVANAT® and 5-FU for at least two cycles or to disease progression. An end stage, cholangiocarcinoma (bile duct) patient from the Phase I, all solid tumors, cancer trial remained on study for 13 months, far exceeding expectations. Treatment of biliary cancer may represent an opportunity for orphan drug status approval.

Two clinical sites are currently recruiting patients in the biliary cancer trial: University of Michigan, Comprehensive Cancer Center in Ann Arbor, Michigan, and Barrett Cancer Center in Cincinnati, Ohio. The Company expects additional sites to become active shortly. Additional information on the this trial and the Company's Phase II, first line, colorectal cancer clinical trial as well as participating sites, can be found at www.clinicaltrials.gov website, key word: DAVANAT®.

About DAVANAT®

DAVANAT®, the Company's lead drug candidate, is a carbohydrate (polysaccharide) polymer composed of mannose and galactose. The Company believes DAVANAT®'s mechanism of action is based upon binding to lectins on the cell surface. Lectins are carbohydrate binding proteins found in increased amounts on cell surfaces. DAVANAT®, when injected into humans, recognizes and attaches to lectins. It is theorized that DAVANAT® targets specific lectin receptors (Galectins) that are over-expressed on cancer cells. Current research indicates that Galectins affect cell development and play important roles in cancer, including tumor cell survival, angiogenesis and tumor metastasis. This form of targeted delivery may allow for higher doses of chemotherapy administration with no increase in toxicity.

Pro-Pharmaceuticals, Inc. - Advancing Drugs Through Glycoscience®

Pro-Pharmaceuticals is a development stage pharmaceutical company engaged in the discovery, development and commercialization of carbohydrate-based therapeutic compounds for advanced treatment of cancer, liver, microbial, cardiovascular and inflammatory diseases. Initially, the product pipeline is principally focused on increasing the efficacy and decreasing the toxicity of approved chemotherapy drugs. The Company has been conducting clinical and pre-clinical studies with its lead compound, DAVANAT®, in combination with 5-FU, leucovorin, irinotecan, doxorubicin, oxaliplatin, paclitaxel, cisplatin, and bevacizumab (Avastin®). Results show that DAVANAT® exhibits a broad spectrum of activity with tested drugs. The Company is developing other carbohydrate-based therapeutic compounds that are currently in the pre-clinical stage of development. Founded in 2000, the Company is headquartered in Newton, Mass. Additional information is available at www.pro-pharmaceuticals.com.

"Our excellent Phase I/II results show DAVANAT®, when co-administered with 5-FU, stabilized the disease and improved the quality of life for many of the end-stage cancer patients," said David Platt, Ph.D., President and Chief Executive Officer, Pro-Pharmaceuticals, Inc. "When we combine the very positive results from those trials, with the data expected from the ongoing biliary and colorectal first line cancer trials, we will prove the clinical benefit of DAVANAT® to treat cancer patients.

"In addition, we continue discussions with pharmaceutical companies who are evaluating our technology. Our goal is to facilitate collaborations that will enable us to get our compounds to market quickly in multiple indications and modalities," stated Dr. Platt.

Phase II, First Line, Biliary Cancer Trial

The Company is actively recruiting and dosing patients in a Phase II study of DAVANAT® with 5-FU for first line treatment of advanced biliary cancer. The primary objectives of the trial are a partial or complete tumor response and stable disease. Secondary outcomes include progression-free survival and quality of life. The multi-center, open-label study will evaluate up to 42 patients treated with DAVANAT® and 5-FU for at least two cycles or to disease progression. An end stage, cholangiocarcinoma (bile duct) patient from the Phase I, all solid tumors, cancer trial remained on study for 13 months, far exceeding expectations. Treatment of biliary cancer may represent an opportunity for orphan drug status approval.

Two clinical sites are currently recruiting patients in the biliary cancer trial: University of Michigan, Comprehensive Cancer Center in Ann Arbor, Michigan, and Barrett Cancer Center in Cincinnati, Ohio. The Company expects additional sites to become active shortly. Additional information on the this trial and the Company's Phase II, first line, colorectal cancer clinical trial as well as participating sites, can be found at www.clinicaltrials.gov website, key word: DAVANAT®.

About DAVANAT®

DAVANAT®, the Company's lead drug candidate, is a carbohydrate (polysaccharide) polymer composed of mannose and galactose. The Company believes DAVANAT®'s mechanism of action is based upon binding to lectins on the cell surface. Lectins are carbohydrate binding proteins found in increased amounts on cell surfaces. DAVANAT®, when injected into humans, recognizes and attaches to lectins. It is theorized that DAVANAT® targets specific lectin receptors (Galectins) that are over-expressed on cancer cells. Current research indicates that Galectins affect cell development and play important roles in cancer, including tumor cell survival, angiogenesis and tumor metastasis. This form of targeted delivery may allow for higher doses of chemotherapy administration with no increase in toxicity.

Pro-Pharmaceuticals, Inc. - Advancing Drugs Through Glycoscience®

Pro-Pharmaceuticals is a development stage pharmaceutical company engaged in the discovery, development and commercialization of carbohydrate-based therapeutic compounds for advanced treatment of cancer, liver, microbial, cardiovascular and inflammatory diseases. Initially, the product pipeline is principally focused on increasing the efficacy and decreasing the toxicity of approved chemotherapy drugs. The Company has been conducting clinical and pre-clinical studies with its lead compound, DAVANAT®, in combination with 5-FU, leucovorin, irinotecan, doxorubicin, oxaliplatin, paclitaxel, cisplatin, and bevacizumab (Avastin®). Results show that DAVANAT® exhibits a broad spectrum of activity with tested drugs. The Company is developing other carbohydrate-based therapeutic compounds that are currently in the pre-clinical stage of development. Founded in 2000, the Company is headquartered in Newton, Mass. Additional information is available at www.pro-pharmaceuticals.com.

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