Next steps
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The Steinhaus Family
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The Steinhaus Family
It’s been a rough week, with a lot of developments—maybe an up or two, mostly downs.
Andrew has been researching clinical trials with open slots that target a different gene mutation (KRAS, present in about 90% of pancreas cancer patients) vs. BRCA (present in a very small percentage of patients). There is a lot of competition to get into KRAS trials, and for at least one promising trial, there are no open slots anywhere in the US.
We saw his NYU doctor this morning, and this is the plan for now.
We saw his NYU doctor this morning, and this is the plan for now.
- Restart chemo on Wednesday. Andrew will take the same drug combo as last year. We were concerned that he was mounting a resistance in the fall, but his doctor thinks growth was isolated and it’s worth retrying. We will watch the bloodwork closely and reassess often. Andrew is worried about the return of cold sensitivity and cumulative neuropathy effects. He already has constant numbness in both hands and feet.
- Continue to look for phase 1 or 2 trials that guarantee the investigational drug, as opposed to a randomized chance to get the drug or do chemo. We were put in touch with someone who works in research at a drug company and is trying to help find different trial options. This is much better than what we can do on our own, but the process is inefficient and difficult no matter who does it. NYU’s phase 1 team is advocating for him, but, again, the process for getting off a waitlist can be opaque, even if you work at a hospital.
- If the chemo stops working before finding an early-phase trial, Andrew will enroll in a phase 3 trial where you have a 50/50 chance of getting KRAS drug or second-line chemo. The second-line chemo will make him lose his hair, which he really doesn’t want. The treatment schedule is chemo three weeks straight then one week off.
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