Jump to content
RemedySpot.com
Sign in to follow this  
Guest guest

Re: Peg

Rate this topic

Recommended Posts

Guest guest

I was told today by my dr. that his next recommend for me (after being

classified as non-resp. on combo) in six months start the

Peg/ribivirin. would like input from anyone that has tried it. He

also said Peg would be approved this Dec. but Peg/ribivirin would not

be approved until next year. He wants me to get in a study that is

six months Peg/combo and if non-resp then three and a half years of

maintenance small dose interferon. This is what you commit to in

order to get in the study.

Don't know if anyone is interested in this info. or not. I asked how

long the virus lives outside the body and he said not even a minute.

He is with U.T Southwestern Medical in Dallas and they do lots of

research. Conflicting info. on test, treatments, etc. has got me very

confused about all of it. Who do you believe, or which Dr. do you

believe is more appropriate.

Good Health to All

MD

Share this post


Link to post
Share on other sites
Guest guest

>Hi marjorie..

I live in Indianapolis, facilitate a hep c support group here. The only doc

I know of doing studies and compiling data on Peg/ribavirin is Dr. Bruce

Bacon. he is in st. Louis, MO.

Hope that helps. You could also call your Schering representative there and

see if they can give you statistics.

Glenna G.

________________________________________________________________________

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com

Share this post


Link to post
Share on other sites
Guest guest

Dear Marjorie,

I have a question about the study that your doctor wants to put you on.

You say that it is six months of Peg/combo and if non-response then three

and a half years of maintenance dose? What happens if you DO respond? How

long will you stay on it then? As a previous non-responder don't you need

to stay on for a longer time than 6 months? I'm a non-responder too, and my

doctor is also talking about doing a peg when it comes out. I know that if

I do respond I want to stay on for at least a year, maybe even longer. I

liked the idea of the maintenance dose for so long a period. I would like to

do something like that even if I do respond. Maybe not 3 1/2 years!! Also,

which peg is being used in this study, the Schering or Roche?

I did find the info on how long the virus can live outside the body

interesting. I had asked Dr. Misra this a while back and he said up to 12

hours, depending on the room temperature. This is a current debate going on

on another HepC list, and everyone has a different 'expert' opinion! Many

are insisting it can live for days, weeks, even months. When I sent in what

Dr. Misra said I got a testy reply back that the virus could live for 3

months, that was why it was so contagious!!!! I find that down-right

silly. Everyone in our households would probably be infected, since most of

us have had this sometimes for years without knowing it, and weren't too

careful prior to finding out we have HCV. Common sense says it can't live

very long outside the body, even IN the body the virus has a very short life

span.

Good luck with your decision.

Claudine

________________________________________________________________________

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com

Share this post


Link to post
Share on other sites
Guest guest

Yeah I'd like to hear more about the PEG too. Here at UT Southwestern, they

are doing trials with PEG only for 3 year maintenance for nonresponders,

after that, it'll be with riba.

alley/

ICQ 12631861

alleypat@...

http://www.flash.net/~alleypat

Share this post


Link to post
Share on other sites
Guest guest

Yeah I'd like to hear more about the PEG too. Here at UT Southwestern, they

are doing trials with PEG only for 3 year maintenance for nonresponders,

after that, it'll be with riba.

alley/

ICQ 12631861

alleypat@...

http://www.flash.net/~alleypat

Share this post


Link to post
Share on other sites
Guest guest

Dear Marjorie,

I think for a non-responder to only stay on any treatment for 6 months

is asking for a relapse. After all, you've already shown you don't respond

to interferon well. I liked the sound of the study until you got to this

part! The other medication, could it be amantadine? I'd like to see a

study on Peg, ribavirin, and amantadine, all together.

I just read a letter today about all the genotype 2's and 3's that are

suddenly relapsing, when everyone assumed they were going to be sustained

responders, just because of their genotype. Supposedly the Mayo Clinic is

going to start treating them for a full year too. Maybe 6 months is not

long enough for anyone, and I just can't believe it would be long enough for

a previous non-responder. This is the down side to studies, there is no

flexibility, no room for individual treatment options. Good luck on making

a decision, I know it will be a tough one for you. Are you in a position

where you can wait a while?

Claudine

>From: " Marjorie Delese " <mrdelese@...>

>

>Claudine, the study on the Peg/ribivirin is six months on the combo,

>if you respond that['s it, if you do not then 3 and 1/2 yrs of low

>dose INf along with this they are testing Peg along with another drug

>(don't remember the name starts with A----dine) right now they are

>starting one with just Peg but you have to e off trmts 6 months

>before starting another study.>

________________________________________________________________________

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com

Share this post


Link to post
Share on other sites
Guest guest

Dear Marjorie,

I think for a non-responder to only stay on any treatment for 6 months

is asking for a relapse. After all, you've already shown you don't respond

to interferon well. I liked the sound of the study until you got to this

part! The other medication, could it be amantadine? I'd like to see a

study on Peg, ribavirin, and amantadine, all together.

I just read a letter today about all the genotype 2's and 3's that are

suddenly relapsing, when everyone assumed they were going to be sustained

responders, just because of their genotype. Supposedly the Mayo Clinic is

going to start treating them for a full year too. Maybe 6 months is not

long enough for anyone, and I just can't believe it would be long enough for

a previous non-responder. This is the down side to studies, there is no

flexibility, no room for individual treatment options. Good luck on making

a decision, I know it will be a tough one for you. Are you in a position

where you can wait a while?

Claudine

>From: " Marjorie Delese " <mrdelese@...>

>

>Claudine, the study on the Peg/ribivirin is six months on the combo,

>if you respond that['s it, if you do not then 3 and 1/2 yrs of low

>dose INf along with this they are testing Peg along with another drug

>(don't remember the name starts with A----dine) right now they are

>starting one with just Peg but you have to e off trmts 6 months

>before starting another study.>

________________________________________________________________________

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com

Share this post


Link to post
Share on other sites
Guest guest

Dr at U T Southwestern told me yesterday that trials using

Peg/ribivirin are going on right now. Trials using Peg/ribivirin are

starting this fall ; six months on trmt; non resp. will be three and a

half yrs on small doses of INF. He also said they have numberous

trial going on for Hep C. MD

Re: Re: Peg

> Yeah I'd like to hear more about the PEG too. Here at UT

Southwestern, they

> are doing trials with PEG only for 3 year maintenance for

nonresponders,

> after that, it'll be with riba.

> alley/

> ICQ 12631861

> alleypat@...

> http://www.flash.net/~alleypat

>

>

> --------------------------------------------------------------------

----

> Did you get the best price for these CDs and movies?

> ****************************************************

> 1/4738/0/_/619765/_/959822720/

> --------------------------------------------------------------------

----

>

>

Share this post


Link to post
Share on other sites
Guest guest

Dr at U T Southwestern told me yesterday that trials using

Peg/ribivirin are going on right now. Trials using Peg/ribivirin are

starting this fall ; six months on trmt; non resp. will be three and a

half yrs on small doses of INF. He also said they have numberous

trial going on for Hep C. MD

Re: Re: Peg

> Yeah I'd like to hear more about the PEG too. Here at UT

Southwestern, they

> are doing trials with PEG only for 3 year maintenance for

nonresponders,

> after that, it'll be with riba.

> alley/

> ICQ 12631861

> alleypat@...

> http://www.flash.net/~alleypat

>

>

> --------------------------------------------------------------------

----

> Did you get the best price for these CDs and movies?

> ****************************************************

> 1/4738/0/_/619765/_/959822720/

> --------------------------------------------------------------------

----

>

>

Share this post


Link to post
Share on other sites
Guest guest

Marjorie thanks for the update.... My info came from Dr Lee but it was a few

months ago right after Christmas... Unfortunately, i have normal liver

enzymes and never done treatment so I didn't qualify for any of their trials

:( oh well

alley/

ICQ 12631861

alleypat@...

http://www.flash.net/~alleypat

Share this post


Link to post
Share on other sites
Guest guest

Marjorie thanks for the update.... My info came from Dr Lee but it was a few

months ago right after Christmas... Unfortunately, i have normal liver

enzymes and never done treatment so I didn't qualify for any of their trials

:( oh well

alley/

ICQ 12631861

alleypat@...

http://www.flash.net/~alleypat

Share this post


Link to post
Share on other sites
Guest guest

Claudine, the study on the Peg/ribivirin is six months on the combo,

if you respond that['s it, if you do not then 3 and 1/2 yrs of low

dose INf along with this they are testing Peg along with another drug

(don't remember the name starts with A----dine) right now they are

starting one with just Peg but you have to e off trmts 6 months

before starting another study. I'm not sure what I'll do, just

finished my second round of trmts the first was in 98. Take care,

Marjorie

Re: Re: Peg

> Dear Marjorie,

> I have a question about the study that your doctor wants to put

you on.

> You say that it is six months of Peg/combo and if non-response

then three

> and a half years of maintenance dose? What happens if you DO

respond? How

> long will you stay on it then? As a previous non-responder don't

you need

> to stay on for a longer time than 6 months? I'm a non-responder

too, and my

> doctor is also talking about doing a peg when it comes out. I know

that if

> I do respond I want to stay on for at least a year, maybe even

longer. I

> liked the idea of the maintenance dose for so long a period. I would

like to

> do something like that even if I do respond. Maybe not 3 1/2

years!! Also,

> which peg is being used in this study, the Schering or Roche?

> I did find the info on how long the virus can live outside the

body

> interesting. I had asked Dr. Misra this a while back and he said up

to 12

> hours, depending on the room temperature. This is a current debate

going on

> on another HepC list, and everyone has a different 'expert' opinion!

Many

> are insisting it can live for days, weeks, even months. When I sent

in what

> Dr. Misra said I got a testy reply back that the virus could live

for 3

> months, that was why it was so contagious!!!! I find that

down-right

> silly. Everyone in our households would probably be infected, since

most of

> us have had this sometimes for years without knowing it, and weren't

too

> careful prior to finding out we have HCV. Common sense says it

can't live

> very long outside the body, even IN the body the virus has a very

short life

> span.

> Good luck with your decision.

> Claudine

>

>

______________________________________________________________________

__

> Get Your Private, Free E-mail from MSN Hotmail at

http://www.hotmail.com

>

>

> --------------------------------------------------------------------

----

> Did you get the best price for these CDs and movies?

> ****************************************************

> 1/4738/0/_/619765/_/959821547/

> --------------------------------------------------------------------

----

>

>

Share this post


Link to post
Share on other sites
Guest guest

Claudine, the study on the Peg/ribivirin is six months on the combo,

if you respond that['s it, if you do not then 3 and 1/2 yrs of low

dose INf along with this they are testing Peg along with another drug

(don't remember the name starts with A----dine) right now they are

starting one with just Peg but you have to e off trmts 6 months

before starting another study. I'm not sure what I'll do, just

finished my second round of trmts the first was in 98. Take care,

Marjorie

Re: Re: Peg

> Dear Marjorie,

> I have a question about the study that your doctor wants to put

you on.

> You say that it is six months of Peg/combo and if non-response

then three

> and a half years of maintenance dose? What happens if you DO

respond? How

> long will you stay on it then? As a previous non-responder don't

you need

> to stay on for a longer time than 6 months? I'm a non-responder

too, and my

> doctor is also talking about doing a peg when it comes out. I know

that if

> I do respond I want to stay on for at least a year, maybe even

longer. I

> liked the idea of the maintenance dose for so long a period. I would

like to

> do something like that even if I do respond. Maybe not 3 1/2

years!! Also,

> which peg is being used in this study, the Schering or Roche?

> I did find the info on how long the virus can live outside the

body

> interesting. I had asked Dr. Misra this a while back and he said up

to 12

> hours, depending on the room temperature. This is a current debate

going on

> on another HepC list, and everyone has a different 'expert' opinion!

Many

> are insisting it can live for days, weeks, even months. When I sent

in what

> Dr. Misra said I got a testy reply back that the virus could live

for 3

> months, that was why it was so contagious!!!! I find that

down-right

> silly. Everyone in our households would probably be infected, since

most of

> us have had this sometimes for years without knowing it, and weren't

too

> careful prior to finding out we have HCV. Common sense says it

can't live

> very long outside the body, even IN the body the virus has a very

short life

> span.

> Good luck with your decision.

> Claudine

>

>

______________________________________________________________________

__

> Get Your Private, Free E-mail from MSN Hotmail at

http://www.hotmail.com

>

>

> --------------------------------------------------------------------

----

> Did you get the best price for these CDs and movies?

> ****************************************************

> 1/4738/0/_/619765/_/959821547/

> --------------------------------------------------------------------

----

>

>

Share this post


Link to post
Share on other sites
Guest guest

Pat, my info was from Dr. Malet (associate of Dr. Lee) have a

girlfriend just finishing a study with Dr. Lee. This is her last week

of nine months, she was in the High dose study, I don't know how she

has made it through. Lost all her hair, bruises any time she bumbs

herself slightly and says the pain just goes all through her bones.

Take care, Marjorie

Re: Re: Peg

> Marjorie thanks for the update.... My info came from Dr Lee but it

was a few

> months ago right after Christmas... Unfortunately, i have normal

liver

> enzymes and never done treatment so I didn't qualify for any of

their trials

> :( oh well

> alley/

> ICQ 12631861

> alleypat@...

> http://www.flash.net/~alleypat

>

>

> --------------------------------------------------------------------

----

> 22,345,678 matches to your search term?

> Inforocket.com is the fast way to the right answer - guaranteed.

> 1/4521/0/_/619765/_/959828737/

> --------------------------------------------------------------------

----

>

>

Share this post


Link to post
Share on other sites
Guest guest

Pat, my info was from Dr. Malet (associate of Dr. Lee) have a

girlfriend just finishing a study with Dr. Lee. This is her last week

of nine months, she was in the High dose study, I don't know how she

has made it through. Lost all her hair, bruises any time she bumbs

herself slightly and says the pain just goes all through her bones.

Take care, Marjorie

Re: Re: Peg

> Marjorie thanks for the update.... My info came from Dr Lee but it

was a few

> months ago right after Christmas... Unfortunately, i have normal

liver

> enzymes and never done treatment so I didn't qualify for any of

their trials

> :( oh well

> alley/

> ICQ 12631861

> alleypat@...

> http://www.flash.net/~alleypat

>

>

> --------------------------------------------------------------------

----

> 22,345,678 matches to your search term?

> Inforocket.com is the fast way to the right answer - guaranteed.

> 1/4521/0/_/619765/_/959828737/

> --------------------------------------------------------------------

----

>

>

Share this post


Link to post
Share on other sites
Guest guest

Could someone let me know about the trials and

possibly their locations? I would appreciate it very

much. Thank You, Connie

--- alley/ <alleypat@...> wrote:

> Yeah I'd like to hear more about the PEG too. Here

> at UT Southwestern, they

> are doing trials with PEG only for 3 year

> maintenance for nonresponders,

> after that, it'll be with riba.

> alley/

> ICQ 12631861

> alleypat@...

> http://www.flash.net/~alleypat

>

>

__________________________________________________

Share this post


Link to post
Share on other sites
Guest guest

Could someone let me know about the trials and

possibly their locations? I would appreciate it very

much. Thank You, Connie

--- alley/ <alleypat@...> wrote:

> Yeah I'd like to hear more about the PEG too. Here

> at UT Southwestern, they

> are doing trials with PEG only for 3 year

> maintenance for nonresponders,

> after that, it'll be with riba.

> alley/

> ICQ 12631861

> alleypat@...

> http://www.flash.net/~alleypat

>

>

__________________________________________________

Share this post


Link to post
Share on other sites
Guest guest

Hello all:

Can anyone explain why the Peg. treatment is going to work better then

the regular high dose daily combo treatment?

Les

Share this post


Link to post
Share on other sites
Guest guest

Hello all:

Can anyone explain why the Peg. treatment is going to work better then

the regular high dose daily combo treatment?

Les

Share this post


Link to post
Share on other sites
Guest guest

Dear Les,

The Peg will NOT work better than high dose daily interferon. In fact,

I would rather do high dose daily combo treatment. The problem is that the

current interferon is only FDA approved for 3 times weekly dosing, and many

doctors are not willing to prescribe 'off label', which daily dosing is.

With all the stupid law suits that get filed against them you can hardly

blame them. The pegylated interferons are the drug companies answer to the

fact that keeping a constant, sustained pressure on the virus works much

better than giving the virus a break between injections on the 3 times a

week dosing. I think they would rather come out with a NEW IMPROVED

interferon rather than admit that they made a mistake in the original 3

times a week dosing. The only reason interferon for HCV was studied at 3

times a week dosing is because that was already how it was used when

treating cancer. What works for cancer just doesn't work well at all for

HCV, especially in genotypes 1 and 4, and 1 is the most common genotype in

the US!

At only one injection a week the Schering version of peg interferon

will probably not work nearly as well as daily dosing of regular interferon

would. The half-life of their version is just not long enough, and will not

last a week in your body. The Roche brand has a longer half-life, which is

better, and will last almost a full week, but not quite!

The other up-side to the pegylateds is that it is only one injection a

week, and the side effects are also supposed to be easier to handle than 3

times a week dosing, since there is a constant level in your blood, and not

the up's and down's of 3X weekly dosing. Of course, daily dosing addresses

this issue also.

To sum this up, the pegylateds will work much better than standard, 3

times a week dosing, but not as well as daily dosing of regular interferon.

At least, this is my much researched belief.

Claudine

>From: LEST2001@...

> Can anyone explain why the Peg. treatment is going to work better then

>the regular high dose daily combo treatment?

>Les

________________________________________________________________________

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com

Share this post


Link to post
Share on other sites
Guest guest

Dear Les,

The Peg will NOT work better than high dose daily interferon. In fact,

I would rather do high dose daily combo treatment. The problem is that the

current interferon is only FDA approved for 3 times weekly dosing, and many

doctors are not willing to prescribe 'off label', which daily dosing is.

With all the stupid law suits that get filed against them you can hardly

blame them. The pegylated interferons are the drug companies answer to the

fact that keeping a constant, sustained pressure on the virus works much

better than giving the virus a break between injections on the 3 times a

week dosing. I think they would rather come out with a NEW IMPROVED

interferon rather than admit that they made a mistake in the original 3

times a week dosing. The only reason interferon for HCV was studied at 3

times a week dosing is because that was already how it was used when

treating cancer. What works for cancer just doesn't work well at all for

HCV, especially in genotypes 1 and 4, and 1 is the most common genotype in

the US!

At only one injection a week the Schering version of peg interferon

will probably not work nearly as well as daily dosing of regular interferon

would. The half-life of their version is just not long enough, and will not

last a week in your body. The Roche brand has a longer half-life, which is

better, and will last almost a full week, but not quite!

The other up-side to the pegylateds is that it is only one injection a

week, and the side effects are also supposed to be easier to handle than 3

times a week dosing, since there is a constant level in your blood, and not

the up's and down's of 3X weekly dosing. Of course, daily dosing addresses

this issue also.

To sum this up, the pegylateds will work much better than standard, 3

times a week dosing, but not as well as daily dosing of regular interferon.

At least, this is my much researched belief.

Claudine

>From: LEST2001@...

> Can anyone explain why the Peg. treatment is going to work better then

>the regular high dose daily combo treatment?

>Les

________________________________________________________________________

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com

Share this post


Link to post
Share on other sites
Guest guest

Dear ,

Thanks for the info. Is this the study where you are randomly assigned

to receive one of the 4 combinations, but have no say-so on which you get?

I wish the study included more than just relapsers. I'm eager to hear the

results!

Claudine

>From: " gorski " <gorski@...>

>

>There is a study in progress with the above three. The one study I know of

>has four arms as follows:

>

>Randomized PEG study (ROCHE) with four arms

>for relapsers:

>

>1) PEG plus Ribavirin

>2) PEG plus Amantidine

>3) PEG plus Ribaviron & Amantidine

>4) PEG plus Cellcept

>

>

>

>

________________________________________________________________________

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com

Share this post


Link to post
Share on other sites
Guest guest

Dear ,

Thanks for the info. Is this the study where you are randomly assigned

to receive one of the 4 combinations, but have no say-so on which you get?

I wish the study included more than just relapsers. I'm eager to hear the

results!

Claudine

>From: " gorski " <gorski@...>

>

>There is a study in progress with the above three. The one study I know of

>has four arms as follows:

>

>Randomized PEG study (ROCHE) with four arms

>for relapsers:

>

>1) PEG plus Ribavirin

>2) PEG plus Amantidine

>3) PEG plus Ribaviron & Amantidine

>4) PEG plus Cellcept

>

>

>

>

________________________________________________________________________

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com

Share this post


Link to post
Share on other sites
Guest guest

Dear ,

Thanks for the info. Is this the study where you are randomly assigned

to receive one of the 4 combinations, but have no say-so on which you get?

I wish the study included more than just relapsers. I'm eager to hear the

results!

Claudine

>From: " gorski " <gorski@...>

>

>There is a study in progress with the above three. The one study I know of

>has four arms as follows:

>

>Randomized PEG study (ROCHE) with four arms

>for relapsers:

>

>1) PEG plus Ribavirin

>2) PEG plus Amantidine

>3) PEG plus Ribaviron & Amantidine

>4) PEG plus Cellcept

>

>

>

>

________________________________________________________________________

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com

Share this post


Link to post
Share on other sites
Guest guest

Dear ,

Thanks for the info. Is this the study where you are randomly assigned

to receive one of the 4 combinations, but have no say-so on which you get?

I wish the study included more than just relapsers. I'm eager to hear the

results!

Claudine

>From: " gorski " <gorski@...>

>

>There is a study in progress with the above three. The one study I know of

>has four arms as follows:

>

>Randomized PEG study (ROCHE) with four arms

>for relapsers:

>

>1) PEG plus Ribavirin

>2) PEG plus Amantidine

>3) PEG plus Ribaviron & Amantidine

>4) PEG plus Cellcept

>

>

>

>

________________________________________________________________________

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com

Share this post


Link to post
Share on other sites

Join the conversation

You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...
Sign in to follow this  

×
×
  • Create New...