when to treat with revlimid?

[Guest guest]

hello group,

i just finished reading the latest article sent by chaya venkat of

cll topics. the article relates that there is a new study on

revlimid (lenolidimide) at roswell park for untreated patients with

the worst prognostic factors (11q + 17p deletions), who are untreated

and in the early stages of cll.

she points out that revlimid works best on patients who have not

progressed so far so enough healthy B cells can mount a response--as

i understand it the revlimid stimulates the production of the healthy

B cells.

i am wondering about the aspect of being treated earlier rather than

later as we been encouraged to do. i have been advised by two docs

to wait as long as possible before treatment, which if i were to

begin today, would be the revlimid + rituxin study. my first onc

wanted to treat me about 8 months ago.

i am now concerned that i may be waiting too long and the revlimid

may not be as effective---my hbg is varies from 9.5 - 9.7 so i have

significant anemia---wbc is 8k.

any comments?

best regards,

lynn c.

no tx, 11q, dx 2006, lymphocytocis since 2001