Thursday, June 28, 2007

Really a Plan

We've been waiting all week to find out which clinical trial Adrienne will start. So as not to be too annoying, we've been taking turns calling each day and each day, they said they'd call by the next morning. There were a few issues that complicated things. Many trials exclude patients who have had allo (donor) transplants, some exclude patients who have had an auto transplant, and Adrienne has had both. The other issue turned out to be her heart heart and lung damage from previous treatments since one of the drugs has shown heart and lung damage in mice.

Adrienne will be getting a drug called SB-743921, which is a type of kinesin spindle protein (KSP) inhibitor. It is "a novel small molecule therapeutic targeting human mitotic kinesins for applications in the treatment of cancer and other diseases." Don't worry, we don't really get it either but the basic idea is that it inhibits a protein that cancer cells need to divide, and therefore grow. This is given as an IV treatment every two weeks. Adrienne will try it and we'll decide if she should get a port later. Right now, she's enjoying being port free. She also has to get a bone marrow biopsy for the trial, not pleasant, but not too awful either. We've requested sedation since they don't generally sedate adults for the procedure.

It's getting really hot in New York, just in time for the holiday week. The heat combined with the cardiac meds really bother Adrienne as they make her blood pressure drop so she's doing everything she can to stay indoors, though she can't avoid the outdoors altogether. At least she has air conditioning in her dorm.

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