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Q I was diagnosed with stage IIB adenocarcinoma of the lung in July 2013. I underwent a lobectomy, followed by cisplatin/alimta and radiation therapy. In October 2014, a brain metastasis was found in my parietal lobe, and excised by craniotomy and then treated with SRS. In January 2015, my doctor found a cerebellar brain met, which we treated with SRS then surgical removal. In October 2015 this area had to be re-irradiated, and now in January 2016, my MRI showed that it is enlarged, and there is a new tumor in the frontal lobe. My neurosurgeon thinks that the old spot is “pseudo-progression,” but the new tumor is real. My radiation oncologist said no more radiation to the brain. There were no mutations found in any of my tumors; my oncologist thinks I should find a clinical trial. Any suggestions for relevant trials in Florida?
A Brain metastases limit your eligibility for some trials, unfortunately, but several trials might be a good fit if your new brain lesion is asymptomatic. Below is a list of trials in FL, all of which either accept patients with asymptomatic mets, like you, or don’t mention brain metastases as one of the exclusion criteria:
NCT02000947: Combines MEDI4736 and tremelimumab, two promising immunotherapy drugs. In Tampa.
NCT02423343: Combines galunisertib (a targeted drug) with the immunotherapy drug nivolumab (Opdivo). Nivolumab is approved for lung cancer, and may work even better when combined with a second drug that acts in a different way. In Tampa.
NCT02451930: Combines necitumumab, a targeted drug, with Keytruda. In Fort Myers and St. Petersburg.
NCT02309177: Tests nivolumab and chemotherapy. In Tampa.
NCT02646748: Combines Keytruda with a targeted drug. In Port St. Lucie.
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The life expectancy of a patient with metastatic melanoma. This number has not changed in decades.
The variance of 5-year survival rates for similar patients depending on where they are treated and by whom.
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