Why do they wait?

Forums General Melanoma Community Why do they wait?

  • Post
    Jewel
    Participant

      Hi Everyone,

      Please forgive me for needing to rant a little. I just don't understand why SO LITTLE is being offered to Stage 3 people….basically they look you in the face and say you NEED to get worse (stage 4) before we can help you. I'm just frustrated…..and sad for everyone that is fighting this disease.

      Best wishes to everyone,

      Jewel

      Hi Everyone,

      Please forgive me for needing to rant a little. I just don't understand why SO LITTLE is being offered to Stage 3 people….basically they look you in the face and say you NEED to get worse (stage 4) before we can help you. I'm just frustrated…..and sad for everyone that is fighting this disease.

      Best wishes to everyone,

      Jewel

    Viewing 11 reply threads
    • Replies
        Linny
        Participant

          It is frustrating to have to get worse before you can get treated with something Zelboraf or Yervoy. Perhpas somewhere down they pipeline these drugs or a form of them may be used for Stage III patients.

          However, there is a vaccine that's currently in a Phase III trial by Glaxo Smith Kline that is suitable for people with Stage III resectable melanoma. Since I'm in that trial I scour the web every now and to see if any news pops up about it. This evening I found it mentioned in an article about the 10 top biotech stock predictions for 2012:

          "3. Cancer immunothera-flop: Phase III cancer “vaccine” studies being run by Merck KGaA and Oncothyreon(ONTY) (Stimuvax in non-small cell lung cancer) and Vical(VICL) (Allovectin in melanoma) both fail. The only positive clinical news in cancer immunotherapy in 2012 will come from GlaxoSmithKline(GSK) with its Mage-A3 therapy, in phase III for melanoma."

          Perhaps we'll hear some positive news with regard to melanoma treatments some time this year? I certainly hope so!

          I'm keeping my fingers crossed.

          Linda

          Linny
          Participant

            It is frustrating to have to get worse before you can get treated with something Zelboraf or Yervoy. Perhpas somewhere down they pipeline these drugs or a form of them may be used for Stage III patients.

            However, there is a vaccine that's currently in a Phase III trial by Glaxo Smith Kline that is suitable for people with Stage III resectable melanoma. Since I'm in that trial I scour the web every now and to see if any news pops up about it. This evening I found it mentioned in an article about the 10 top biotech stock predictions for 2012:

            "3. Cancer immunothera-flop: Phase III cancer “vaccine” studies being run by Merck KGaA and Oncothyreon(ONTY) (Stimuvax in non-small cell lung cancer) and Vical(VICL) (Allovectin in melanoma) both fail. The only positive clinical news in cancer immunotherapy in 2012 will come from GlaxoSmithKline(GSK) with its Mage-A3 therapy, in phase III for melanoma."

            Perhaps we'll hear some positive news with regard to melanoma treatments some time this year? I certainly hope so!

            I'm keeping my fingers crossed.

            Linda

              Jewel
              Participant

                Linda,

                Thanks for your reply, I am also keeping my fingers crossed!!! I hope you are doing well on your trial. I really was dissapointed when Sloan Kettering had nothing to offer since my husband is currantly NED.

                Best wishes,

                Jewel

                Jewel
                Participant

                  Linda,

                  Thanks for your reply, I am also keeping my fingers crossed!!! I hope you are doing well on your trial. I really was dissapointed when Sloan Kettering had nothing to offer since my husband is currantly NED.

                  Best wishes,

                  Jewel

                  Jewel
                  Participant

                    Linda,

                    Thanks for your reply, I am also keeping my fingers crossed!!! I hope you are doing well on your trial. I really was dissapointed when Sloan Kettering had nothing to offer since my husband is currantly NED.

                    Best wishes,

                    Jewel

                  Linny
                  Participant

                    It is frustrating to have to get worse before you can get treated with something Zelboraf or Yervoy. Perhpas somewhere down they pipeline these drugs or a form of them may be used for Stage III patients.

                    However, there is a vaccine that's currently in a Phase III trial by Glaxo Smith Kline that is suitable for people with Stage III resectable melanoma. Since I'm in that trial I scour the web every now and to see if any news pops up about it. This evening I found it mentioned in an article about the 10 top biotech stock predictions for 2012:

                    "3. Cancer immunothera-flop: Phase III cancer “vaccine” studies being run by Merck KGaA and Oncothyreon(ONTY) (Stimuvax in non-small cell lung cancer) and Vical(VICL) (Allovectin in melanoma) both fail. The only positive clinical news in cancer immunotherapy in 2012 will come from GlaxoSmithKline(GSK) with its Mage-A3 therapy, in phase III for melanoma."

                    Perhaps we'll hear some positive news with regard to melanoma treatments some time this year? I certainly hope so!

                    I'm keeping my fingers crossed.

                    Linda

                    LynnLuc
                    Participant

                      Its all about money and drug companies sponsering the trials- it's not about you or your care…What makes it worse is that if you are stage 4 and NED…its even harder to get into a trial…unless you have measureable disease ( which could have been simply surgically removed) you are out of luck. At the time I was diagnosed stage 4  I had a trial…but things turned bad and I had to have surgery to remove the melanoma…which left me unable to get into any trial…finally I found Dr Weber and he posted the only trial for NED patients…

                      They know melanoma always returns…yet they work to get people NED and then can't offer tham anything else until it comes back.

                      My onc is hoping I can remain on this drug as long as I remain NED…but everything will depend on the drug company…as it hasn't been approved yet….March 26 will be my 2 year NEDaversary!

                        Jewel
                        Participant

                          Hi Lynn,

                          I have always admired you for trying to help all of us be a liitle bit more informed. I was very dissapointed when we went to Sloan and they had nothing to offer since my husband was NED EVEN though he had a reacurrance in his leg and 3 positive nodes in his groin out of 19. STUPID!!!! As of 1-23-12 his scans are clear.

                          Congrats on your almost 2 years!!!!!

                          Jewel

                          Jewel
                          Participant

                            Hi Lynn,

                            I have always admired you for trying to help all of us be a liitle bit more informed. I was very dissapointed when we went to Sloan and they had nothing to offer since my husband was NED EVEN though he had a reacurrance in his leg and 3 positive nodes in his groin out of 19. STUPID!!!! As of 1-23-12 his scans are clear.

                            Congrats on your almost 2 years!!!!!

                            Jewel

                            Jewel
                            Participant

                              Hi Lynn,

                              I have always admired you for trying to help all of us be a liitle bit more informed. I was very dissapointed when we went to Sloan and they had nothing to offer since my husband was NED EVEN though he had a reacurrance in his leg and 3 positive nodes in his groin out of 19. STUPID!!!! As of 1-23-12 his scans are clear.

                              Congrats on your almost 2 years!!!!!

                              Jewel

                            LynnLuc
                            Participant

                              Its all about money and drug companies sponsering the trials- it's not about you or your care…What makes it worse is that if you are stage 4 and NED…its even harder to get into a trial…unless you have measureable disease ( which could have been simply surgically removed) you are out of luck. At the time I was diagnosed stage 4  I had a trial…but things turned bad and I had to have surgery to remove the melanoma…which left me unable to get into any trial…finally I found Dr Weber and he posted the only trial for NED patients…

                              They know melanoma always returns…yet they work to get people NED and then can't offer tham anything else until it comes back.

                              My onc is hoping I can remain on this drug as long as I remain NED…but everything will depend on the drug company…as it hasn't been approved yet….March 26 will be my 2 year NEDaversary!

                              LynnLuc
                              Participant

                                Its all about money and drug companies sponsering the trials- it's not about you or your care…What makes it worse is that if you are stage 4 and NED…its even harder to get into a trial…unless you have measureable disease ( which could have been simply surgically removed) you are out of luck. At the time I was diagnosed stage 4  I had a trial…but things turned bad and I had to have surgery to remove the melanoma…which left me unable to get into any trial…finally I found Dr Weber and he posted the only trial for NED patients…

                                They know melanoma always returns…yet they work to get people NED and then can't offer tham anything else until it comes back.

                                My onc is hoping I can remain on this drug as long as I remain NED…but everything will depend on the drug company…as it hasn't been approved yet….March 26 will be my 2 year NEDaversary!

                                lhaley
                                Participant

                                  As others have said if we are stage 4 and NED there is also nothing to offer. 

                                  Right now there aren't many offers plus those drugs that are out there don't statsically give a great chance. If you do the drug but you don't know if it really works your body has had to go through the side effects for nothing.  The zelboraf has shown to be a limited timeline, why use that when you have no measurable disease?  

                                  I don't know how long you have been stage 3 but as time moves on your fears do subside. There are many on this board that have been stage 3 that have been NED for many years. Most of them don't come often because they are out there living their lives.

                                  Linda

                                  Stage IV 06   Currently NED from 7 recurrances and 1 brain met

                                    Jewel
                                    Participant

                                      Linda,

                                      The way you have fought this disease has continued to amaze me and I was so happy to hear that you were NED. My husband has also been lucky to be able to have everything removed by surgery this far….I just can't help to be scared. As of 1-23-12 he is also NED. Thank God.

                                      Wish you nothing but continued NED

                                      Jewel

                                      Jewel
                                      Participant

                                        Linda,

                                        The way you have fought this disease has continued to amaze me and I was so happy to hear that you were NED. My husband has also been lucky to be able to have everything removed by surgery this far….I just can't help to be scared. As of 1-23-12 he is also NED. Thank God.

                                        Wish you nothing but continued NED

                                        Jewel

                                        Jewel
                                        Participant

                                          Linda,

                                          The way you have fought this disease has continued to amaze me and I was so happy to hear that you were NED. My husband has also been lucky to be able to have everything removed by surgery this far….I just can't help to be scared. As of 1-23-12 he is also NED. Thank God.

                                          Wish you nothing but continued NED

                                          Jewel

                                        lhaley
                                        Participant

                                          As others have said if we are stage 4 and NED there is also nothing to offer. 

                                          Right now there aren't many offers plus those drugs that are out there don't statsically give a great chance. If you do the drug but you don't know if it really works your body has had to go through the side effects for nothing.  The zelboraf has shown to be a limited timeline, why use that when you have no measurable disease?  

                                          I don't know how long you have been stage 3 but as time moves on your fears do subside. There are many on this board that have been stage 3 that have been NED for many years. Most of them don't come often because they are out there living their lives.

                                          Linda

                                          Stage IV 06   Currently NED from 7 recurrances and 1 brain met

                                          lhaley
                                          Participant

                                            As others have said if we are stage 4 and NED there is also nothing to offer. 

                                            Right now there aren't many offers plus those drugs that are out there don't statsically give a great chance. If you do the drug but you don't know if it really works your body has had to go through the side effects for nothing.  The zelboraf has shown to be a limited timeline, why use that when you have no measurable disease?  

                                            I don't know how long you have been stage 3 but as time moves on your fears do subside. There are many on this board that have been stage 3 that have been NED for many years. Most of them don't come often because they are out there living their lives.

                                            Linda

                                            Stage IV 06   Currently NED from 7 recurrances and 1 brain met

                                            Linny
                                            Participant

                                              Wow, I never realized that if you were Stage IV and NED, the medical community has nothing to offer you, either. That's terrible!

                                              Yet this same medical community as a whole discourages you from trying alternatives because they are not FDA tested/approved and the FDA makes the manufacturers state that the "product is not intended to diagnose, treat, or prevent any disease".  Why not test and approve some of these alternatives to see if they're something an individual who's NED might want to to try to remain NED. What's the worst that can happen? Your immune system is stronger and you feel better? How bad can that be?

                                              Linda

                                                Janner
                                                Participant

                                                  You want to pay for testing alternative treatments?  I suspect not.  And if it isn't something that you can patent, most pharmaceuticals don't want to either.  It is EXTREMELY expensive to get drugs through clinical trials – I don't think you realize the kind of numbers and resources that are involved.  The FDA doesn't conduct these type of trials, companies who want their product approved foot the cost.  And if you don't have resources, you don't get approval.

                                                  Jewel
                                                  Participant

                                                    Janner,

                                                    I have been coming here since Nov 2010 the day after my husband was diagnosed with Stage 3 melanoma. I have always been impressed by the way you have always wanted to inform others……but not today. I feel you were very cold….and even though you may be right at 3 stage 1's you have NO IDEA what it feels like to be in our shoes…..and I hope you never do.

                                                    Jewel

                                                    JerryfromFauq
                                                    Participant

                                                      Jewel, I suspect that Janner has some feeling for the way NED people of all stages feel about the possibility of Tumors returning.  Why do you think she is still looking at herself and is here helping so many.  I'm sure she also has a nagging in her mind that things may happen any time.  Hopefully less intense than we at Stage IV have about the immediacy if a return is experienced. 

                                                          I look at things that may be considered off the main line of heavy research that money cannot be made from. (Alternatives that are not FDA tested/approved)   Many cancer centers such as MDA, UVA and others do look (within funding constraints) at things like Curcumin, broccoli, aspirin (COX-2 inhibitors), anti-oxidant supplements, the interaction of different vitamins with different treatments, etc.  Some of these items apply to NED people and is some cases mores so than to Non-NED but stable cancer patients on different treatments.  i wish we could get more funding for such locations to do deeper studies. 

                                                        

                                                      JerryfromFauq
                                                      Participant

                                                        PS, I have had my Oncologist 'suggest' that I look at Dr Andrew Weil's writings.

                                                        JerryfromFauq
                                                        Participant

                                                          PS, I have had my Oncologist 'suggest' that I look at Dr Andrew Weil's writings.

                                                          JerryfromFauq
                                                          Participant

                                                            PS, I have had my Oncologist 'suggest' that I look at Dr Andrew Weil's writings.

                                                            Jewel
                                                            Participant

                                                              Jerry,

                                                              Thank you for your reply, I know you are right about Janner but for some reason my feathers were ruffled. I wish this disease on nobody.

                                                              I will definately look into some of the things that you listed, Thank you Jerry,

                                                              Jewel

                                                              Jewel
                                                              Participant

                                                                Jerry,

                                                                Thank you for your reply, I know you are right about Janner but for some reason my feathers were ruffled. I wish this disease on nobody.

                                                                I will definately look into some of the things that you listed, Thank you Jerry,

                                                                Jewel

                                                                Jewel
                                                                Participant

                                                                  Jerry,

                                                                  Thank you for your reply, I know you are right about Janner but for some reason my feathers were ruffled. I wish this disease on nobody.

                                                                  I will definately look into some of the things that you listed, Thank you Jerry,

                                                                  Jewel

                                                                  JerryfromFauq
                                                                  Participant

                                                                    Jewel, I suspect that Janner has some feeling for the way NED people of all stages feel about the possibility of Tumors returning.  Why do you think she is still looking at herself and is here helping so many.  I'm sure she also has a nagging in her mind that things may happen any time.  Hopefully less intense than we at Stage IV have about the immediacy if a return is experienced. 

                                                                        I look at things that may be considered off the main line of heavy research that money cannot be made from. (Alternatives that are not FDA tested/approved)   Many cancer centers such as MDA, UVA and others do look (within funding constraints) at things like Curcumin, broccoli, aspirin (COX-2 inhibitors), anti-oxidant supplements, the interaction of different vitamins with different treatments, etc.  Some of these items apply to NED people and is some cases mores so than to Non-NED but stable cancer patients on different treatments.  i wish we could get more funding for such locations to do deeper studies. 

                                                                      

                                                                    JerryfromFauq
                                                                    Participant

                                                                      Jewel, I suspect that Janner has some feeling for the way NED people of all stages feel about the possibility of Tumors returning.  Why do you think she is still looking at herself and is here helping so many.  I'm sure she also has a nagging in her mind that things may happen any time.  Hopefully less intense than we at Stage IV have about the immediacy if a return is experienced. 

                                                                          I look at things that may be considered off the main line of heavy research that money cannot be made from. (Alternatives that are not FDA tested/approved)   Many cancer centers such as MDA, UVA and others do look (within funding constraints) at things like Curcumin, broccoli, aspirin (COX-2 inhibitors), anti-oxidant supplements, the interaction of different vitamins with different treatments, etc.  Some of these items apply to NED people and is some cases mores so than to Non-NED but stable cancer patients on different treatments.  i wish we could get more funding for such locations to do deeper studies. 

                                                                        

                                                                      Janner
                                                                      Participant

                                                                        Jewel, that reply wasn't for you.  It was for Linny wondering why the medical establishment doesn't promote alternative treatments – or why the FDA doesn't do trials on alternative medicines.  There is a big reality involved there and most people just don't get it.  I used to work for a medical device manufacturer and have been on the side of a company conducting a clinical trial, analyzing data and paying all the money to get a treatment approved.  I understand it from the patient angle, and from the corporate angle.  The money involved is staggering.

                                                                        The medical establishment will never promote alternatives that don't have hard science behind them.  And most alternative medicines have no possibility of profit margin.  Natural remedies often aren't patentable.  So unless some corporation finds a natural alternative that has some possibility of profit, there isn't going to be FDA approval for alternatives.  I may not like it, but I get it.

                                                                        That's all the point I was trying to make.  Sorry if I came off cold or ruffled your feathers.  I've answered thousands of replies over the last 10+ years and some don't come off as I intend.  It's the nature of a bulletin board.

                                                                        BTW, my father is stage III melanoma (not NED), stage IV prostate cancer, stage 1 lung cancer and also has a massive thyroid cancer tumor.  My mother is stage 0 melanoma.  I get cancer from many angles.

                                                                        Janner

                                                                        Janner
                                                                        Participant

                                                                          Jewel, that reply wasn't for you.  It was for Linny wondering why the medical establishment doesn't promote alternative treatments – or why the FDA doesn't do trials on alternative medicines.  There is a big reality involved there and most people just don't get it.  I used to work for a medical device manufacturer and have been on the side of a company conducting a clinical trial, analyzing data and paying all the money to get a treatment approved.  I understand it from the patient angle, and from the corporate angle.  The money involved is staggering.

                                                                          The medical establishment will never promote alternatives that don't have hard science behind them.  And most alternative medicines have no possibility of profit margin.  Natural remedies often aren't patentable.  So unless some corporation finds a natural alternative that has some possibility of profit, there isn't going to be FDA approval for alternatives.  I may not like it, but I get it.

                                                                          That's all the point I was trying to make.  Sorry if I came off cold or ruffled your feathers.  I've answered thousands of replies over the last 10+ years and some don't come off as I intend.  It's the nature of a bulletin board.

                                                                          BTW, my father is stage III melanoma (not NED), stage IV prostate cancer, stage 1 lung cancer and also has a massive thyroid cancer tumor.  My mother is stage 0 melanoma.  I get cancer from many angles.

                                                                          Janner

                                                                          Jewel
                                                                          Participant

                                                                            Janner,

                                                                            I have never had a problem saying I'm sorry when I am wrong so please except my apologies, obviously I misunderstood.

                                                                            I'm sorry to hear that you and your family have had to endure so much.

                                                                            Best Wishes

                                                                            Jewel

                                                                            Jewel
                                                                            Participant

                                                                              Janner,

                                                                              I have never had a problem saying I'm sorry when I am wrong so please except my apologies, obviously I misunderstood.

                                                                              I'm sorry to hear that you and your family have had to endure so much.

                                                                              Best Wishes

                                                                              Jewel

                                                                              Jewel
                                                                              Participant

                                                                                Janner,

                                                                                I have never had a problem saying I'm sorry when I am wrong so please except my apologies, obviously I misunderstood.

                                                                                I'm sorry to hear that you and your family have had to endure so much.

                                                                                Best Wishes

                                                                                Jewel

                                                                                Linny
                                                                                Participant

                                                                                  I've never worked for a company that does clinical trials, so please share with me and others what type of cost that entails. What exactly is "staggering"?

                                                                                  Yes, you did come off a bit brusque, but that sometimes happens with online discussions. 🙂 Too bad we can't have a discussion like this over come coffee.

                                                                                  JerryfromFauq
                                                                                  Participant

                                                                                    Linny, I haave to run now, but go back to the finding of BRAF (B-RAF) oncoproteins and DNA mutations in melanoma tumors.  Look at the years of research and the many years of trials and the number of places that were involved in trials, the various trials that were examined, the FDA requirements.   THis type efforts costs many millions and even approaches billions of dollars in some cases. 

                                                                                    The other recently approved treatment of Ipi (anti-CTLA-4) was even worse to get approved.  (Many of us do really wonder about what the company was doing much of the time!)  It should have been approved years before it was.

                                                                                     

                                                                                    Remember the MOTTO, "DO NO HARM"     to a dying person.

                                                                                    Linny
                                                                                    Participant

                                                                                      Thanks for your reply Jerry. A price tag in the millions would not be unexpected. But billions is staggering, indeed.

                                                                                      Your statement that Ipi should have been approved years before it was, is scary. Maybe there were budgetary problems? But I'm glad they finally got around to it. It's been a blessing for many.

                                                                                      I was only diagnosed in December 2010 so I still have a lot to learn.

                                                                                      JerryfromFauq
                                                                                      Participant

                                                                                        Ipi still only has long term "cure rates of even  less than IL-2 (the last stage IV treatment approved before Ipi).  IL-2 was approved in the late 1990's.  IL-2  had been being used and worked on by my Oncologist since the early 1980's!  Ipi, while a good step against across the board melanoma, still has no higher stand-alone success rate than IL-2.  It does work on some cases that IL-2 doesn't.  IL-2 works on some patients where Ipi doesn't.  Both of them seem to help boast the immune system so that the other might be successful.  Both of them quite likely boast the immune system so that the seldom effective chemo treatments stand a better chance of working in individuals.  Much is being learned thru the human gnome studies so that the medical scientists are leaning more about why what works on some, works on them.  In the lab in Petri dishes there have ben hundredths of drugs that kill melanoma cells.  When the same chemo has been turned into a drug and administered to patients few of them have shown even a 1% success rate.  Many of them have worked on a few individuals.  Why what worked on the ones it did?  Science has yet to provide the answer.  If one could keep enough health to try everything, many more lives would be extended.  However before the gnome project and targeted drugs, it was just trial and failure before each drug, whose purpose was to kill fast reproducing cells, could be tried on each individual and them then recover enough to try the next drug.  This is still a problem even with the targeted BRAF drugs because melanoma often finds a way around even the single targeted signaling pathway and rears its ugly head again.  Many baby steps, maybe one day a giant leap?  (Maybe something like aspirin or doxycycline are a modified version of these cheap readily available drugs?)  Look up what is being done in these areas.  If you had a company and found a cheap readily available treatment, how many hundreds of milions of dollars would your stockholders approve for an expenditure that might take hundred of years to recoup on the profit margin that aspirin would provide?  (Could I offer you an aspirin while you try to figure that out?) 

                                                                                        JerryfromFauq
                                                                                        Participant

                                                                                          Ipi still only has long term "cure rates of even  less than IL-2 (the last stage IV treatment approved before Ipi).  IL-2 was approved in the late 1990's.  IL-2  had been being used and worked on by my Oncologist since the early 1980's!  Ipi, while a good step against across the board melanoma, still has no higher stand-alone success rate than IL-2.  It does work on some cases that IL-2 doesn't.  IL-2 works on some patients where Ipi doesn't.  Both of them seem to help boast the immune system so that the other might be successful.  Both of them quite likely boast the immune system so that the seldom effective chemo treatments stand a better chance of working in individuals.  Much is being learned thru the human gnome studies so that the medical scientists are leaning more about why what works on some, works on them.  In the lab in Petri dishes there have ben hundredths of drugs that kill melanoma cells.  When the same chemo has been turned into a drug and administered to patients few of them have shown even a 1% success rate.  Many of them have worked on a few individuals.  Why what worked on the ones it did?  Science has yet to provide the answer.  If one could keep enough health to try everything, many more lives would be extended.  However before the gnome project and targeted drugs, it was just trial and failure before each drug, whose purpose was to kill fast reproducing cells, could be tried on each individual and them then recover enough to try the next drug.  This is still a problem even with the targeted BRAF drugs because melanoma often finds a way around even the single targeted signaling pathway and rears its ugly head again.  Many baby steps, maybe one day a giant leap?  (Maybe something like aspirin or doxycycline are a modified version of these cheap readily available drugs?)  Look up what is being done in these areas.  If you had a company and found a cheap readily available treatment, how many hundreds of milions of dollars would your stockholders approve for an expenditure that might take hundred of years to recoup on the profit margin that aspirin would provide?  (Could I offer you an aspirin while you try to figure that out?) 

                                                                                          JerryfromFauq
                                                                                          Participant

                                                                                            Ipi still only has long term "cure rates of even  less than IL-2 (the last stage IV treatment approved before Ipi).  IL-2 was approved in the late 1990's.  IL-2  had been being used and worked on by my Oncologist since the early 1980's!  Ipi, while a good step against across the board melanoma, still has no higher stand-alone success rate than IL-2.  It does work on some cases that IL-2 doesn't.  IL-2 works on some patients where Ipi doesn't.  Both of them seem to help boast the immune system so that the other might be successful.  Both of them quite likely boast the immune system so that the seldom effective chemo treatments stand a better chance of working in individuals.  Much is being learned thru the human gnome studies so that the medical scientists are leaning more about why what works on some, works on them.  In the lab in Petri dishes there have ben hundredths of drugs that kill melanoma cells.  When the same chemo has been turned into a drug and administered to patients few of them have shown even a 1% success rate.  Many of them have worked on a few individuals.  Why what worked on the ones it did?  Science has yet to provide the answer.  If one could keep enough health to try everything, many more lives would be extended.  However before the gnome project and targeted drugs, it was just trial and failure before each drug, whose purpose was to kill fast reproducing cells, could be tried on each individual and them then recover enough to try the next drug.  This is still a problem even with the targeted BRAF drugs because melanoma often finds a way around even the single targeted signaling pathway and rears its ugly head again.  Many baby steps, maybe one day a giant leap?  (Maybe something like aspirin or doxycycline are a modified version of these cheap readily available drugs?)  Look up what is being done in these areas.  If you had a company and found a cheap readily available treatment, how many hundreds of milions of dollars would your stockholders approve for an expenditure that might take hundred of years to recoup on the profit margin that aspirin would provide?  (Could I offer you an aspirin while you try to figure that out?) 

                                                                                            Linny
                                                                                            Participant

                                                                                              Thanks for your reply Jerry. A price tag in the millions would not be unexpected. But billions is staggering, indeed.

                                                                                              Your statement that Ipi should have been approved years before it was, is scary. Maybe there were budgetary problems? But I'm glad they finally got around to it. It's been a blessing for many.

                                                                                              I was only diagnosed in December 2010 so I still have a lot to learn.

                                                                                              Linny
                                                                                              Participant

                                                                                                Thanks for your reply Jerry. A price tag in the millions would not be unexpected. But billions is staggering, indeed.

                                                                                                Your statement that Ipi should have been approved years before it was, is scary. Maybe there were budgetary problems? But I'm glad they finally got around to it. It's been a blessing for many.

                                                                                                I was only diagnosed in December 2010 so I still have a lot to learn.

                                                                                                JerryfromFauq
                                                                                                Participant

                                                                                                  Linny, I haave to run now, but go back to the finding of BRAF (B-RAF) oncoproteins and DNA mutations in melanoma tumors.  Look at the years of research and the many years of trials and the number of places that were involved in trials, the various trials that were examined, the FDA requirements.   THis type efforts costs many millions and even approaches billions of dollars in some cases. 

                                                                                                  The other recently approved treatment of Ipi (anti-CTLA-4) was even worse to get approved.  (Many of us do really wonder about what the company was doing much of the time!)  It should have been approved years before it was.

                                                                                                   

                                                                                                  Remember the MOTTO, "DO NO HARM"     to a dying person.

                                                                                                  JerryfromFauq
                                                                                                  Participant

                                                                                                    Linny, I haave to run now, but go back to the finding of BRAF (B-RAF) oncoproteins and DNA mutations in melanoma tumors.  Look at the years of research and the many years of trials and the number of places that were involved in trials, the various trials that were examined, the FDA requirements.   THis type efforts costs many millions and even approaches billions of dollars in some cases. 

                                                                                                    The other recently approved treatment of Ipi (anti-CTLA-4) was even worse to get approved.  (Many of us do really wonder about what the company was doing much of the time!)  It should have been approved years before it was.

                                                                                                     

                                                                                                    Remember the MOTTO, "DO NO HARM"     to a dying person.

                                                                                                    Linny
                                                                                                    Participant

                                                                                                      I've never worked for a company that does clinical trials, so please share with me and others what type of cost that entails. What exactly is "staggering"?

                                                                                                      Yes, you did come off a bit brusque, but that sometimes happens with online discussions. 🙂 Too bad we can't have a discussion like this over come coffee.

                                                                                                      Linny
                                                                                                      Participant

                                                                                                        I've never worked for a company that does clinical trials, so please share with me and others what type of cost that entails. What exactly is "staggering"?

                                                                                                        Yes, you did come off a bit brusque, but that sometimes happens with online discussions. 🙂 Too bad we can't have a discussion like this over come coffee.

                                                                                                        Janner
                                                                                                        Participant

                                                                                                          Jewel, that reply wasn't for you.  It was for Linny wondering why the medical establishment doesn't promote alternative treatments – or why the FDA doesn't do trials on alternative medicines.  There is a big reality involved there and most people just don't get it.  I used to work for a medical device manufacturer and have been on the side of a company conducting a clinical trial, analyzing data and paying all the money to get a treatment approved.  I understand it from the patient angle, and from the corporate angle.  The money involved is staggering.

                                                                                                          The medical establishment will never promote alternatives that don't have hard science behind them.  And most alternative medicines have no possibility of profit margin.  Natural remedies often aren't patentable.  So unless some corporation finds a natural alternative that has some possibility of profit, there isn't going to be FDA approval for alternatives.  I may not like it, but I get it.

                                                                                                          That's all the point I was trying to make.  Sorry if I came off cold or ruffled your feathers.  I've answered thousands of replies over the last 10+ years and some don't come off as I intend.  It's the nature of a bulletin board.

                                                                                                          BTW, my father is stage III melanoma (not NED), stage IV prostate cancer, stage 1 lung cancer and also has a massive thyroid cancer tumor.  My mother is stage 0 melanoma.  I get cancer from many angles.

                                                                                                          Janner

                                                                                                          Jewel
                                                                                                          Participant

                                                                                                            Janner,

                                                                                                            I have been coming here since Nov 2010 the day after my husband was diagnosed with Stage 3 melanoma. I have always been impressed by the way you have always wanted to inform others……but not today. I feel you were very cold….and even though you may be right at 3 stage 1's you have NO IDEA what it feels like to be in our shoes…..and I hope you never do.

                                                                                                            Jewel

                                                                                                            Jewel
                                                                                                            Participant

                                                                                                              Janner,

                                                                                                              I have been coming here since Nov 2010 the day after my husband was diagnosed with Stage 3 melanoma. I have always been impressed by the way you have always wanted to inform others……but not today. I feel you were very cold….and even though you may be right at 3 stage 1's you have NO IDEA what it feels like to be in our shoes…..and I hope you never do.

                                                                                                              Jewel

                                                                                                              Janner
                                                                                                              Participant

                                                                                                                You want to pay for testing alternative treatments?  I suspect not.  And if it isn't something that you can patent, most pharmaceuticals don't want to either.  It is EXTREMELY expensive to get drugs through clinical trials – I don't think you realize the kind of numbers and resources that are involved.  The FDA doesn't conduct these type of trials, companies who want their product approved foot the cost.  And if you don't have resources, you don't get approval.

                                                                                                                Janner
                                                                                                                Participant

                                                                                                                  You want to pay for testing alternative treatments?  I suspect not.  And if it isn't something that you can patent, most pharmaceuticals don't want to either.  It is EXTREMELY expensive to get drugs through clinical trials – I don't think you realize the kind of numbers and resources that are involved.  The FDA doesn't conduct these type of trials, companies who want their product approved foot the cost.  And if you don't have resources, you don't get approval.

                                                                                                                Linny
                                                                                                                Participant

                                                                                                                  Wow, I never realized that if you were Stage IV and NED, the medical community has nothing to offer you, either. That's terrible!

                                                                                                                  Yet this same medical community as a whole discourages you from trying alternatives because they are not FDA tested/approved and the FDA makes the manufacturers state that the "product is not intended to diagnose, treat, or prevent any disease".  Why not test and approve some of these alternatives to see if they're something an individual who's NED might want to to try to remain NED. What's the worst that can happen? Your immune system is stronger and you feel better? How bad can that be?

                                                                                                                  Linda

                                                                                                                  Linny
                                                                                                                  Participant

                                                                                                                    Wow, I never realized that if you were Stage IV and NED, the medical community has nothing to offer you, either. That's terrible!

                                                                                                                    Yet this same medical community as a whole discourages you from trying alternatives because they are not FDA tested/approved and the FDA makes the manufacturers state that the "product is not intended to diagnose, treat, or prevent any disease".  Why not test and approve some of these alternatives to see if they're something an individual who's NED might want to to try to remain NED. What's the worst that can happen? Your immune system is stronger and you feel better? How bad can that be?

                                                                                                                    Linda

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                                                                                                                The MRF Patient Forum is the oldest and largest online community of people affected by melanoma. It is designed to provide peer support and information to caregivers, patients, family and friends. There is no better place to discuss different parts of your journey with this cancer and find the friends and support resources to make that journey more bearable.

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