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Re: Possible Mutation

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Hi ,

Welcome to the group and congratulations on your pregnancy. You can

rest assured that you are going to one of the best places for CML

treatment in the world. The doctors at OHSU are among the very top

world wide and will be able to treat you no matter what situation you

find yourself in.

There are several different types of mutations each with their own

set of characteristics. Some mutations respond to certain drugs

better than others, some are harmless and some aren't really well

understood. It would be helpful if you could find out the name of

the particular mutation they found so that we can give a bit more

detailed information.

In the mean time, try not to worry too much. There are many members

in the group who have been on the CML journey a long time with many

ups and downs along the way. You're not alone.

Tracey

dx Jan 2002

>

> My name is and I am a 35-year old CML patient. I was dx'd on

> Nov. 2001. I was on Gleevec until 2005 and became intolerant. I was

> switched to Sprycel and it worked beautifully. I was PCRU for 2

> years. With my doc from OHSU on board, we decided to get pregnant.

> Things have not gone as well as expected. I am 6 months pregnant

and

> my test results continue to get worse.

>

> *1/2003 - .97 (Baseline)

> 3/2008 - undetectable

> 6/2008 - .0076

> 7/2008 - .085

> 8/2008 - .31

>

> In my last sample, my doctor says they found a mutation. It is not

> the T315 but a rather new one. He used the term " insertion

mutation. "

>

> Can anyone shed light on this for me? I don't exactly understand

> mutations but I need to know what is ahead for us. We are already

> planning to have the baby early so that I can get back on

treatment.

> I just feel so helpless and my husband is worried sick.

>

> Thanks in advance for any information.

>

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,

From what you describe, your cells don't have the typical " codon

substitution " like the T315I. The " insertion mutation " is something

that is fairly new.

I have not seen too much in the publication database on this topic but

I recall that the Physicians and scientists at OHSU know more about

these mutations than probably anyone in the world.

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Stacey

Congratulations on the baby news

What a journey you have had

Highs and Lows - PCRU and then finding a mutation

Question

To become pregnant - did you have to go off glivec and then sprycel

and go on another drug like interferon or some such thing

Is that why the mutation has occurred and bloods going north.

So what happens after the baby is born - you go back on sprycel ?

I also are not that educated on mutations, however quite a number of young women

in Australia have become pregnant and when pregnancy not going according to plan

have had blood tests and found to have CML. The few that I have knowledge of

all babies were born just chubby and gorgeous - all girls by the way - this

year.

I can understand that your husband is anxious - give him my warmest wishes

- husbands are CML woman's greatest assest - mine is just a great support.

Your guy sounds like he is going to be a great caring DAD.

Tracey gave some great advise -

Hope all goes well and let us know if the baby is a gal

Could actually be a CML side effect

Cheers

Sue (Aussie)

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