I think that’s absolutely bloody marvellous that your lesions have disappeared . You just keep going on your current regime. X
Hi Anniej, it is a TYPO. I mean ladies like me ER+ and HER2+. I finished 8 cycles Taxol/Herceptin/Purjeta and currently on Herceptin/Purjeta/Letrozole. I wish I can have Palbo as well besides my current regime. In the first scan after 4 cycles of chemo, my onco told me all my suspicious/confirmed lesions disappeared and nothing to worry. I hope and pray going on I can get as much protection as possible.
Hi Lovemama, just wondering where you got your info re Palbociclib. The chief oncologist at my hospital said NICE signed off on this drug in late 2019. He came over to our SBC group to deliver this good news. My friend now has it prescribed by her GP. I’m fortunate to be still going strong after three years on a fiscal trial, and I’m ER+. The results from US are excellent, which is why NICE signed off on it. Still very expensive, though.
Apologies, just reread your post. You mean ladies who are both Er+ and HR+. 🤪duh!
Hi Pawsome, thanks for your reply. Yes, currently Pablo is not available for ER+, HER+ in UK and Canada.
Hi Liz - that’s great to hear you are doing well on this combination! Really inspiring xx
Lovemama - that’s interesting what you say about the blood brain barrier. I haven’t heard of that. I’m assuming if you are on Herceptin your cancer is HER2+? It might be worth having a look on the Ibrance (trade name for Palbociclib) website from the company who make it. That says that it’s only indicated for hormone receptive and HER2- BC and I know the NICE guidelines only allow it to be prescribed on that basis. My tumour testing results initially came back borderline for HER2+ and my oncologist wouldn’t let me start palbo until they had done further tests to confirm my HER2- status. But I guess they are always looking for new uses with meds so who knows xx
Palbo is a good drug.
Read from BC Cancer Agency of Canada Provincial Health Authorities website, both Palbo and Everolimus transport cross blood-brain barrier. I am no medical but it sounds to me this may give us some protection against brain met. I even asked my onco to give me palbo on top of Letrozole+Herceptin/Purjeta. But she said this combination is on trial in other countries. (US?) ahhh xx Mel
Hi Maja and pawsome Been on palbo and letrozole since April 2018 last scan of pelvis 2 weeks ago showing no progression of tumours in spine or pelvis oncologist happy and says I will stay on both as long as things are stable. Have had pain in right hip so was very relieved to find it wasnt due to progression of cancer. I hope you both get on okay with treatment x
Hi Maja - I am on Palbociclib too. I’ve just got back from clinic to get the results of my first CT scan and I finished my third cycle yesterday. The tumours in my lung and sternum have shrunk by 50% like yours and in other places (rib, spine and pelvis and lymph nodes in chest) it has completely gone. Fantastic news isn’t it for both of us? My oncologist did say to me when I started treatment back in October that they have seen some very good results with it quite quickly. I guess we are amongst the lucky ones as I know it doesn’t work for everyone. Plus we are lucky to have access to a treatment that is showing some really good results for ladies with SBC x
I’m new to this side not sure where to start. I just finished third cycle and my All lesions shrank 50% I wonder whether that’s norm with all women taking it or the results are much slower ?
been on palbo and letrozole since april 2018 minimal side effects on lansoprazole for nausea stomach discomfort since may 2018 apart from that slight fatigue and thinning hair but still working 20 hrs . TAke astragalus for help with immunity as I read on American site it had helped some people as Palbo has been available in America and Canada for over 5 years also take turmeric the one with circumin and black pepper both available at health shops. Only missed 2 treatments due to low neutrophils this only delayed treatment by a week. 3 monthly scan show this stable have secondaries in lung pelvis and base of spine also tumour in breast has shrunk too. Hoping you get on okay with your treatment . love and hugs LIZ X
Hi just started my first cycle this week of Palpociclib full dose and anastrozole 1mg. Really anxious always have refused any treatment or therapy expect radiotherapy 23 years ago now have no choice but to accept some treatment!
I am trying not to think of the meds I am taking and especially of the possible side effects as I am still working and taking tube to the City everyday which has been unbearably stuffy recently more so than normal and worried of infections!
Still staying positive and looking forward to reading everyones experiences as I have joined today.
8 unfortunately did not even finish my first cycle of Palbociclib due very sore lips, so oncologist told me come off straight away I was the due to have radiotherapy on neck and skull and wanted to get that out of the way before we considering me going back onto it maybe on Lowe dose. However after my radiotherapy I had bad week of not very well one day in bed all day nearly af A&E sickness head aches feeling sick now lost. My taste buds for. Few weeks. So my oncologist said she wants this month to be well. Month where I get my. Calcium. Up. For bone drug treatment and just generally be well.
Didn’t initially tolerate the Palbociclib as my neuts kept crashing and I picked up anything and everything. So I would suggest staying well away from any source of infection towards the end of the cycle. It also made me deathly tired, so I had to adjust daily routines to cope. I am now on the lowest dose, 75mgs, and on a short cycle, 2 weeks on and 2 off, and it’s worked. Mets are stable, energy levels up, eating and sleeping well. Still a nightmare in the winter with chest infections....which is where my mets are. Be positive and don’t give up. X
Hi blueash, I was on palbo and letrozole from January 2018 for bone Mets. I tolerated it well, just fatigue and some hair thinning. It kept the bones stable but unfortunately it spread to my bowel and had to stop in Feb this year. Oncologist had hoped that I'd have at least 2 years on it.
Hope it works well for your relative. X
A relation of mine is about to start Palbociclib and letrozole tomorrow. She had her original diagnoses 13 years ago and now has secondary skin lesions (not strictly mets) to the same area and under her arm. She could do with some positive information.
Although I have a bit of knowledge from my own journey that is limited to chemo, cold capping and Herceptin nothing which applies to her. Anything I can bring to her attention?
I am on Ribociclib, which is similar to Palbociclib.
I have been on this medication since April of last year when I was diagnosed with Secondary Breast Cancer.m (bony Mets) It has been well tolerated, although I had an initial melt down about taking them.
Neutrophils have been around 1 4 to 2.1and apart from a little soft stool sometimes it has been okay.
I have been back to Greece 3 times since diagnosis and honestly had a great time.
Looking to go back to work, although may have to have a rethink, as I am an oncology nurse!!.
All you Ladies give me hope and strength.
Lots of hugs.
Would you consider trying astragalus and or turmeric I got info from american sites where it has been available for a few years I know oncologists dont hold much faith in supplementsbut it has been ok for me. Hoping you get good results, Im on cycle11 and things stable.
I am fascinated to read all your expereinces with Palpociclib. I have been taking it with anastrozol for about 12 cycles. I do expereince low neutrafles at times and have to extrnd the rst time between doeses at times. This is very up and down, now been reduced to 100mg daily as consistant ly low neutiafiles, .8 and lower at times.
My hair has thinned and I am more prone to colds etc (as an ex teacher i never got ill as built up a good immunity to everything) and I get tierd quickly, this is the hardest to manage as I like to be on the go and hod to change my life style signifiacanlty. I was 53 when diagnosed with Secondaries. I orignally had breast cancer when 31 and the doctors did not believe I had a breast cancer..........!
Keep smiling everyone, we just need to adjust how we do things... jot always easy, but worth
Thanks for the information. New to forum and hadn't spotted relies were going to spam folder. Off treatment at present as too unwell. Liz
Hi Liz, I bought Astralgus 4 months ago after being on the USA site. My Onco hasn't found any research that proves it's effective . He doesn't object to me taking it, but as I have had three chest infections out of the four months Ive been taking it I think he's right!
i also take Circumin supplement , which is the active ingredient in Turmeric. Again, there's no medical research / evidence to prove it works. But.....given the situation we're in, and if it's not harming us, and you've checked with your Onco , why not? X
I did some research on american and canadian bc support sites and some people on palbo use astragalus to help with white cell count and neutrophils have been taking this one daily since may 2018 and counts have been okay on 125mgs palbociclib I get it at Holland and barrett and it is also available online I find it easy to tolerate and have always managed to stay on my cycle of 3 weeks on week off since June only had second round delayed for a week,started pablo in April and started taking the Astragalus in May. Dont know if this is of any help also wondered if anyone uses or is thinking of trying Turmeric?
Hi Tiny Tears, I've been on Palbo and Letrozole for over a year now. I don't tolerate the Palbo very well as my neutrophils tend to crash. My Onco ( and I) have worked hard to keep me going, and I am on 75 mcgs, and my cycle is two weeks on and two weeks off. My neuts tend to be low around the second week, and it's not unusual for them to be knocking on the .9, but by the end of the two week rest period they normally manage a respectable 2. Fatigue is now kicking in, as well as me suffering a chest infection every month over this mild winter. I'm hoping this cold spell will eradicate a few germs. I'm 72 with two mets in each lung. They have all shrunk on this treatment, and I am currently classed as stable. My Onco is delighted with the result , and with me, and I have finally been given the go ahead to holiday in foreign parts. Most of my holidays so far have been in hospital! Yay me! 😎✈️
Hi on round 10 of palbo 125mgs with letrozole and denosumab only missed second cycle due to low neutrophils. Have had two ct scans (every 3 months) which show stable results and shrinking of both tumours in chest and 2 out of 3 in pelvis and spine. Having another ct next week so hoping for continued good results
First time to the forum. Similar to others been on Ibrance / Letrozole and Zoladex for 5 rounds. All good, just a couple of time slight delay due to neutra's. Hair is still thick, a little shedding, nothing that anyone would notice.
I am 51 with lung mets.. having days where I am up and then down. Keen to hear from others how long they have been on Ibrance or similar?
Hi Sally, I'm not a big help because I've never been on a different cycle to the 3 on/ 1 off. Luckily, after 33 cycles I haven't had to miss any weeks apart from a bad flu last January.
What I was going to say is that I have read anecdotal evidence on a U.S. Forum that reducing the dose further to 75mg has still given good results. They have been using Palbociclib for much longer than us so it might be worth a discussion with your Onc?
I am interested to know if anyone on here is doing a different palbocyclib schedule to the 21 days on 7 days off. I know there is currently a trial in the US seeing if a continual 5 days on 2 days off works better to reduce neutropenia, which will report on its interim findings next year. I started on Palbo 13 months ago and had the dosage reduced to 100 after about 5 goes, because my neutrophyls were consistently low. This last cycle I have been feeling grotty nearly all the way through rather than just at the end. I had a FBC blood test (for the dentist) on day15 and they were already only at 1.13. I will ask my oncologist what she thinks about changing the schedule, but tbh I dont have much faith in her, so am thinking of trying the 5/2 one for a month anyway to see if it improves things.
Hi MagsHicks, are you worried that the vaccination or that possible flu might set you back? The flu jab last year wasn't very effective, I had it in November and got flu really badly after Christmas so I'm keen to avoid that this year!
The vaccination itself is safe, it's not a live vaccine but I hope it works this year....I joke that NHS got the economy version that only targeted 1 strain!!
Im on cycle 33 of my Palbo trial, will be having the jab but I'll also avoid crowds, late nights, getting tired and anything else that might hit a weakened immune system. I'm not sure if I've been helpful but I hope so.
Hi Mary Anne, the chief Onco in my hospital exhorts us secondary girls to get our flu jabs ASAP every year. Too easy to end up really really poorly, he says. However, just check it is a dead vaccine being used ( which it is in uk) What country are you from? X
Hello ladies, I am new to this group. I was diagnosed with stage 4 breast cancer nearly 3 years ago. My original treatment consisted of radiation treatment followed by letrozole and Denosumab for my bones. After 2 years the letrozole stopped working and I developed anothe 2 tumours ( already have 2 in my spine) . Because I am a private patient I have been put on a combination of Palbociclib and Flasodex. For those on this treatment you know that means your white and red blood count I will be lowered.
Niw this is the point of this email and I would be interested to hear from those UK residence on this point. I am 64 my white blood count has been too low on one occasion that my treatment has been delayed once but my GP said I don qualify for a flu jab. Has anyone else experience this .
‘Good luck ladies , it isn’t easy but there is life in this old dog yet
Mags, definitely try to stay germ free while on Palbo, especially at the end of your cycle when your neutrophils will be low. I don't tolerate the drug well, so I can tell you all about raised temps and snotty colds and hospital admissions! I go from sniffly to hospital in 48 hours if I'm not careful. I have my GP on speed dial for anti biotics! Stay away from crowds, use hand wash, and stay warm and well wrapped up out of doors - these are my top tips. X
P.S forgot about the Manuka honey which is ace for sore throats , and the tea tree toothpaste which gets rid of mouth ulcers. Just little side effects for me of low neutrophils.
Hi Mags, sorry you’ve had to join this side of the forum, and hope your treatment goes well for you. It’s no secret on here that I’m firmly in the no processed sugar camp, and firmly believe in omitting it, or cutting down as much as possible. While it’s true, all carbs will be converted to sugar, the type of sugar is important because it affects the speed it’s released into your blood, and this is greatly increased with processed sugar as opposed to natural sugars, where absorption is slowed down. Fibre is very important here as it greatly slows down absorption, making most natural sugars slow release, therefore insulin is released more slowly into the blood and the “insulin spikes” are lower or avoided. Whereas insulin is instantly released with most processed sugar, which has nothing in it to slow it down. These spikes generally put extra work loads on other organs, which are usually having to cope with the added pressure of treatments and medications, so probably need all the help they can get! I’ve always said I don’t think lifestyle changes will cure me but I do believe they help to keep you in a better position to deal with whatever this disease throws at us! I agree there are many people who have followed really healthy diets who still get cancer, but diet is only one of many factors involved but is one we can help. To be fair, where do you ever read processed sugar is good for you, or fruit and vegetables are bad?!! So yes, I believe sugar does help cancer to party! Kxx