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Sunday, April 17, 2016

Post Date: 04/17/16

Two quick links to YouTube videos noting advancements in treatments for Mantel Cell Lymphoma (MCL) and further below: Article @ cancer.org on FDA's approval of IBRUTINIB (which is taken by mouth once-per-day, and so far, side effects have been less severe than for most standard chemotherapy drugs.)

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Promising Advances in Treating Mantle Cell Lymphoma


Published on Aug 27, 2013
Mantle cell lymphoma can be a challenging disease to treat, especially since most people are diagnosed once the disease has spread throughout the body. What are the latest approaches to treating this disease and how do treatment options vary between age groups? Dr. Jeff Sharman, a mantle cell lymphoma expert from Willamette Valley Cancer Institute and Research Center, explains the latest treatment advances and what they means for patients.

Mantel Cell Lymphoma (MCL) (Case Studies)

Presentation by: Myron S. Czuczman, MD
Roswell Park Cancer Institute Buffalo, New York, USA

Published on Apr 28, 2015

Since recognition of MCL as a unique lymphoma entity over 25 years ago, significant progress has been made in uncovering molecular and cellular pathophysiology, examining the clinical spectrum of disease, and in defining and refining effective treatment approaches. While several therapeutic agents are safe and effective for recurrent/refractory mantle cell lymphoma (R/R MCL), challenges remain in establishing the most effective approaches for optimizing consolidation and maintenance strategies. To address these challenges, this activity is a case-based exploration of evidence-based practices for managing R/R MCL.

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FDA Approves Ibrutinib for Mantle Cell Lymphoma

Article date: November 14, 2013
The US Food and Drug Administration (FDA) has approved ibrutinib (Imbruvica) to treat some people with mantle cell lymphoma. The drug is intended for patients who have stopped responding to treatment, or whose cancer has come back after treatment. Ibrutinib was granted “breakthrough therapy” status, which qualified it for faster FDA review.
“Imbruvica’s approval demonstrates the FDA’s commitment to making treatments available to patients with rare diseases,” said Richard Pazdur, M.D., director of the Office of Hematology and Oncology Products in the FDA’s Center for Drug Evaluation and Research, in a statement. “The agency worked cooperatively with the companies to expedite the drug’s development, review and approval, reflecting the promise of the Breakthrough Therapy Designation program.”
Ibrutinib is a type of targeted therapy that works by interrupting certain parts of the cellular changes and signals that are needed for a cancer to develop and keep growing. Ibrutinib is taken by mouth once a day. So far side effects have been less severe than for most standard chemotherapy drugs.
Mantle cell lymphoma is a type of cancer that starts in white blood cells called lymphocytes, which are part of the body’s immune system. Lymphocytes are in the lymph nodes and other lymphoid tissues. Mantle cell lymphoma is usually widespread at the time it is diagnosed, and it often doesn’t respond well to treatment. A new drug to treat it is significant, because there are few other effective treatments currently available.
Approval was based on a study of 111 mantle cell lymphoma patients whose disease had come back or was no longer responding to other treatments. Of the patients studied, 75 of them responded to ibrutinib, meaning the lymphoma shrank. The responses lasted for an average 17 months.  Of these patients, 23 had a complete response, meaning all signs of the cancer disappeared. The most common side effects were mild or moderate diarrhea, fatigue, and nausea.
Ibrutinib is marketed by Pharmacyclics and Biotech, Inc.
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Friday, September 25, 2015

Just a quick hello to say thank you to all of you who continue to visit this blog.
It has been too long since I've updated content but I appreciate your comments & support and am grateful that you find the information I've compiled helpful.

Continue the fight and press on.

Blessings, abundant blessings to you.

Frank.

Saturday, December 22, 2012

Merry Christmas / Happy Holidays everyone.

Wow! we're at the end of 2012 and it has been a while (way too long) since I've posted a note so I thought what would be more appropriate than to share a brief year-recap of the exciting things going on at City of Hope as written in a letter (below) by Dr. Stephen Forman, Chair of the Department of Hematology and Hematopoietic Cell Transplantation.

Really, the best hands & minds dedicated to (us) in helping fight cancers and to whom I have an extreme gratitute for giving me the opportunity to cotinue my life and to being a part of my family and friends lives also.

Doing well.

Thank you.
Frank (Uriel)

Dec. 22, 2012

Here is Dr. Forman's letter:  [ AWSOME STUFF ! ! ]
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December 14, 2012
 

Dear [Friends]:

As we approach this holiday season, all of us here at the City of Hope reflect on the many things in our lives for which we are grateful.  On behalf of all of our physicians, nurses and scientists, I wanted to extend our gratitude to you for your faith in our efforts to provide you with the best possible care and at the same time conduct the research required to improve the therapies for everyone who comes to us for care.  All of us who work in this program remain committed to developing more effective treatments to help not only you, but those who are yet to come to us for help.

In reflecting on this year, I am very proud of what we have accomplished, not only in the care of so many people, but in developing new therapies for the treatment of lymphoma, acute and chronic leukemia, myelodysplasia and multiple myeloma. Some of the research and clinical highlights of the past year and for the future include:

Cancer Immunotherapy:  We have developed a new way of engineering the immune system to better recognize cancer, introducing a gene into T cells that can recognize the cancer. We now have an open T cell therapy trial for patients with B cell lymphoma undergoing autologous transplant, the first of its kind in the United States, and will be opening another trial in 2013 that will allow us to treat patients with various type of B cell lymphoma and CLL.  In our laboratory we are also working on a similar T cell approach for patients who have AML.  Dr. Ryo Nakamura and Dr. Andrew Raubitschek are also developing a unique way of stimulating immune responses against the tumor in patients with B cell lymphoma and patients are now undergoing treatment with this new molecule called an immunocytokine.

Leukemia Biology:  Under the direction of Dr. Ravi Bhatia, we are conducting laboratory studies to better understand the leukemia stem cell in both AML and CML and he and his colleagues are developing trial to more effectively eliminate the stem cell that is the source of the disease.  At the same time, he an Dr. Smita Bhatia are continuing studies to determine why patients develop myelodysplasia after being exposed to chemotherapy and have identified genes that seem to predict its development.

Novel Treatment Regimens: Dr. Leslie Popplewell and Dr. Robert Chen are leading our efforts to develop new early phase clinical trials for our patients.  This past year, we published a paper about a new drug that is effective for many patients with Hodgkin disease and T cell lymphoma.  This has facilitated our patients who have had a recurrence of their disease being able to undergo successful transplant.  This was the first new drug approved by the FDA specifically for these two diseases.

Dr. Amrita Krishnan and her colleagues in our multiple myeloma program have developed a number of innovative clinical trials for both the initial treatment of the disease as well as for patients who have had a recurrence, including a new immunotherapy trial that will open in 2013 led by Dr. Myo Htut.

New Transplant Regimens:  Under the leadership of Drs. Auayporn Nademanee, Amrita Krishnan and Andrew Raubitschek, we have also developed new transplant protocols to improve the efficacy of the therapy for patients undergoing autologous transplant for lymphoma and Hodgkin disease, utilizing radioimmunotherapy which targets the radiation to the sites of the tumor.  Dr. Samer Khaled has led the development of a novel reduced intensity transplant regimen for leukemia that has had very good results to date.  Drs. Anthony Stein, Jeff Wong, George Somlo and Joseph Rosenthal have designed a new technique of helical tomotherapy for treatment of patients with myeloma and those undergoing allogeneic transplant for advanced leukemia.  Our program is the only one in California using these approaches to improve the outcomes for patients needing transplant.

Treatment of HIV:  In our gene therapy program, Dr. John Zaia and his colleagues have developed a gene therapy approach to make stem cells resistant to HIV and we will begin testing this therapy in patients with HIV lymphoma and ultimately in people suffering from HIV without lymphoma.

CMV (cytomegalovirus) Vaccine:  Dr. Don Diamond has begun testing the first CMV vaccine in patients undergoing transplant to eliminate this complication that occurs commonly after donor type transplants.  This is work that was developed in laboratories at City of Hope.

All of the studies described above will benefit not only City of Hope patients, but hopefully patients at many other institutions around the world.

Over the years, I have been very mindful and grateful for the support we have received from our patients, their families and friends, as often our initial ideas are facilitated by those who have seen our work and our progress and want to help.  At this time of the year, if you would like to help our research programs and maintain the style of patient care that we all know is critical to recovery, I would invite you to contact Tina Pakfar who is one of my colleagues in the Development Office who works with us in getting support for our research. You can contact her at (213) 241-7216 or at tpakfar@coh.org .

I have been taking care of people with cancer for over 35 years and, like all of you, have memories of wonderful people for whom we have had the honor to care.  Obviously, some of the research that we do is really in their memory and supporting research is the only way that we will make progress for all the patients in our own program.

So, at this wonderful season, full of hope and memory, I wish you and your whole family a wonderful holiday season and a new year to come.

Sincerely,

Stephen J. Forman, M.D.
Chair
Department of Hematology and
Hematopoietic Cell Transplantation
SFJ:jem
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Monday, February 7, 2011

Pollo & Mole (Chicken and Mole) @ Juan's


Get to eat more 'normal' food... : )

Enjoying some chicken over rice and delicious mole with freshly made cactus/corn tortillas at Juan's.
Yummy!

The Noble Knight at Juan's /
with Sarape y Sombrero







Salsa and Tortillas






Thursday, January 13, 2011

Happy 2011


I know, it has been a while since I've posted an update - sorry... been lazy : )

Happy New Year everyone! Thank God we're able to share 2011.

Getting close to a significant milestone: today (1/13/11) I am 7-days shy of [100-days] after my stem-cell transplant. Since October, every week has been progressive. I'm getting my strength back - not as fatigued throughout the day as was the case the first month or so after I got out of the hospital. I've gain my body weight back and feeling pretty good. Last week I went through the usual battery of tests and scans; Blood, PET, CT, Heart, Lungs, & Bone-marrow... Everything looks great!  Now I'm getting back to a more normal diet and started exercising more.
Robert W. Chen, M.D.
Here is a picture of my primary cancer care doctor at City of Hope:
Robert W. Chen, M.D.  - A great guy who has been very patient with me : )
. . .  Thank you Dr. Chen!
http://www.cityofhope.org/directory/people/chen-robert/Pages/default.aspx
And a big hug and thank you to the Lymphoma Team and exceptional nursing staff that has taken such wonderful care of me.
http://www.cityofhope.org/patient_care/treatments/lymphoma/Pages/lymphoma-team.aspx

Here is a quick pic of Nurse Practicioner, Kerri and me. Good blood-work results.  : )  >
Thank you all for your continued prayers and support.

Blessings to you.

Frank (Uriel).

Wednesday, November 24, 2010

Happy Thanksgiving

Happy Thanksgiving everyone.

It has been a little over a month since my transplant and thank God (and all of your prayers ans support) all is going well. My body strength is getting better from week to week and my blood counts are now at the low end of normal : )

The doctor keeps reminding me that my immune system is at the baby stage - so, be patient: things will get back to normal in due time.

'Yall know me, I'm anxious ; )

Here is also a quick hello from a young sparrow that came by to visit me one day while I was sitting outside at City of Hope between appointments.

To me, another positive sign of God's grace. A sign of new life and a comfort to the soul... for - as the song/saying goes: His eye is on the sparrow He is sure to watch over you.

Happy Thanksgiving Day.

Frank

Friday, October 15, 2010

Day Zero: Oct. 12, 2010

Hello everyone: Day Zero (the day of my stem cell transplant) has arrived, all has gone well & feeling pretty good. Am still in-hospital for the recovery process - blood counts are down, as expected,so time to allow the body to rebuild.
Happy ReBirth-Day to me : )


October 12, 2010