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Re: Tasigna Question

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Hi Zavie,

I just checked and found nothing like that on my box.

If you will email me your address I would be happy to send you the " Patient

Medication Guide Brochure " I get one everytime I get the medication.

I have a few of them. I will also send you the medication leaflet.

Sharon t

onthewtr@...

_____

From: [mailto: ] On Behalf Of Zavie

Sent: Wednesday, June 24, 2009 7:13 AM

Subject: [ ] Tasigna Question

Hi all,

For those of you on Tasigna, can you tell me if there is a warning on the

box that say Tasigna is a form of chemotherapy and must be treated

carefully?

Thank you,

Zavie

Zavie (age 70)

67 Shoreham Avenue

Ottawa, Canada, K2G 3X3

dxd AUG/99

INF OCT/99 to FEB/00, CHF

No meds FEB/00 to JAN/01

Gleevec since MAR/27/01 (400 mg)

CCR SEP/01. #102 in Zero Club

2.8 log reduction Sep/05

3.0 log reduction Jan/06

2.9 log reduction Feb/07

3.6 log reduction Apr/08

3.6 log reduction Sep/08

3.7 log reduction Jan/09

3.8 log reduction May/09

e-mail: zmillersympatico (DOT) <mailto:zmiller%40sympatico.ca> ca

Tel: 613-726-1117

Fax: 613-482-4801

Cell: 613-282-0204

ID: zaviem

YM: zaviemiller

Skype: Zavie

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Hi Zavie - I've just checked mine and doesn't say it anywhere or in the

brochure that I also have. In the introduction, it says: " Inside, you'll

read about how to use TASIGNA properly and things you should know to make

your therapy for chronic myeloid leukaemia (CML) work best for you " .

The only thing it emphasizes is if you overdose or someone else takes it to

seek urgent medical advice (most likely due to the heart issues ~prolonged

QTc, which can lead to collapse and sudden death).

Regards,

From: [mailto: ] On Behalf Of Zavie

Sent: Thursday, 25 June 2009 12:13 AM

Subject: [ ] Tasigna Question

Hi all,

For those of you on Tasigna, can you tell me if there is a warning on the

box that say Tasigna is a form of chemotherapy and must be treated

carefully?

Thank you,

Zavie

Zavie (age 70)

67 Shoreham Avenue

Ottawa, Canada, K2G 3X3

dxd AUG/99

INF OCT/99 to FEB/00, CHF

No meds FEB/00 to JAN/01

Gleevec since MAR/27/01 (400 mg)

CCR SEP/01. #102 in Zero Club

2.8 log reduction Sep/05

3.0 log reduction Jan/06

2.9 log reduction Feb/07

3.6 log reduction Apr/08

3.6 log reduction Sep/08

3.7 log reduction Jan/09

3.8 log reduction May/09

e-mail: zmiller@... <mailto:zmiller%40sympatico.ca>

Tel: 613-726-1117

Fax: 613-482-4801

Cell: 613-282-0204

ID: zaviem

YM: zaviemiller

Skype: Zavie

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Hi Zavie,

I'm not sure if this is what you're looking for but I found these references:

http://www.cancercenter.com/glossary/tasigna.cfm

That's a page from Cancer Treatment Centers of America that clearly refers to

Tasigna as oral chemotherapy.

The word chemotherapy is also mentioned directly on the Tasigna monograph but

because it's in Pdf format, for some reason I can't get the URL but if you

search " Tasigna monograph " you'll see that it says

" TASIGNA* should only be administered under the supervision of a physician

experienced with the use of chemotherapy and with the treatment of chronic

myeloid leukemia. "

Hope that helps,

Tracey

>

> Hi all,

>

> For those of you on Tasigna, can you tell me if there is a warning on the

> box that say Tasigna is a form of chemotherapy and must be treated

> carefully?

>

> Thank you,

>

> Zavie

> Zavie (age 70)

> 67 Shoreham Avenue

> Ottawa, Canada, K2G 3X3

> dxd AUG/99

> INF OCT/99 to FEB/00, CHF

> No meds FEB/00 to JAN/01

> Gleevec since MAR/27/01 (400 mg)

> CCR SEP/01. #102 in Zero Club

> 2.8 log reduction Sep/05

> 3.0 log reduction Jan/06

> 2.9 log reduction Feb/07

> 3.6 log reduction Apr/08

> 3.6 log reduction Sep/08

> 3.7 log reduction Jan/09

> 3.8 log reduction May/09

> e-mail: zmiller@...

> Tel: 613-726-1117

> Fax: 613-482-4801

> Cell: 613-282-0204

> ID: zaviem

> YM: zaviemiller

> Skype: Zavie

>

>

>

>

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<http://www.cancercenter.com/> Home /

<http://www.cancercenter.com/glossary/cancer-terms.cfm> Cancer Glossary /

TasignaR

TasignaR

Learn More About Cancer Treatment Centers of America:

<https://www.cancercenter.com/contact-us/chat.cfm> Chat with Us |

<https://www.cancercenter.com/contact-us/email.cfm> Email Us

TasignaR - TasignaR is an oral chemotherapy drug used in the treatment of

Philadelphia chromosome-positive chronic myelogenous leukemia (Ph+ CML) in

some adult patients who have not responded well to other chemotherapy drugs

(such as imatinib). Chronic myeloid leukemia (CML) accounts for about 15

percent of all cases of adult leukemia. The majority of CML cases have cells

containing the abnormal Philadelphia chromosome. A tyrosine kinase

inhibitor, TasignaR works against cancerous cells by interfering with cell

communication and growth.

_____

From: [mailto: ] On Behalf Of Tracey

Sent: Wednesday, June 24, 2009 10:19 AM

Subject: [ ] Re: Tasigna Question

Hi Zavie,

I'm not sure if this is what you're looking for but I found these

references:

http://www.cancerce <http://www.cancercenter.com/glossary/tasigna.cfm>

nter.com/glossary/tasigna.cfm

That's a page from Cancer Treatment Centers of America that clearly refers

to Tasigna as oral chemotherapy.

The word chemotherapy is also mentioned directly on the Tasigna monograph

but because it's in Pdf format, for some reason I can't get the URL but if

you search " Tasigna monograph " you'll see that it says

" TASIGNA* should only be administered under the supervision of a physician

experienced with the use of chemotherapy and with the treatment of chronic

myeloid leukemia. "

Hope that helps,

Tracey

>

> Hi all,

>

> For those of you on Tasigna, can you tell me if there is a warning on the

> box that say Tasigna is a form of chemotherapy and must be treated

> carefully?

>

> Thank you,

>

> Zavie

> Zavie (age 70)

> 67 Shoreham Avenue

> Ottawa, Canada, K2G 3X3

> dxd AUG/99

> INF OCT/99 to FEB/00, CHF

> No meds FEB/00 to JAN/01

> Gleevec since MAR/27/01 (400 mg)

> CCR SEP/01. #102 in Zero Club

> 2.8 log reduction Sep/05

> 3.0 log reduction Jan/06

> 2.9 log reduction Feb/07

> 3.6 log reduction Apr/08

> 3.6 log reduction Sep/08

> 3.7 log reduction Jan/09

> 3.8 log reduction May/09

> e-mail: zmiller@...

> Tel: 613-726-1117

> Fax: 613-482-4801

> Cell: 613-282-0204

> ID: zaviem

> YM: zaviemiller

> Skype: Zavie

>

>

>

>

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Guest guest

Zavie:

I recieve Tasigna through a special

mail order pharmacy and the bag

it comes in does state " chemotherapy

drug observe safety precautions

for handling and administration " .

Matt

Florida

Sent from my iPhone

On Jun 24, 2009, at 10:26 AM, " Sharon Teichera "

<onthewtr@...> wrote:

>

>

> Hi Zavie,

>

> I just checked and found nothing like that on my box.

>

> If you will email me your address I would be happy to send you the

> " Patient

> Medication Guide Brochure " I get one everytime I get the medication.

>

> I have a few of them. I will also send you the medication leaflet.

>

> Sharon t

>

> onthewtr@...

>

> _____

>

> From: [mailto: ] On Behalf

> Of Zavie

>

> Sent: Wednesday, June 24, 2009 7:13 AM

>

> Subject: [ ] Tasigna Question

>

> Hi all,

>

> For those of you on Tasigna, can you tell me if there is a warning

> on the

> box that say Tasigna is a form of chemotherapy and must be treated

> carefully?

>

> Thank you,

>

> Zavie

> Zavie (age 70)

> 67 Shoreham Avenue

> Ottawa, Canada, K2G 3X3

> dxd AUG/99

> INF OCT/99 to FEB/00, CHF

> No meds FEB/00 to JAN/01

> Gleevec since MAR/27/01 (400 mg)

> CCR SEP/01. #102 in Zero Club

> 2.8 log reduction Sep/05

> 3.0 log reduction Jan/06

> 2.9 log reduction Feb/07

> 3.6 log reduction Apr/08

> 3.6 log reduction Sep/08

> 3.7 log reduction Jan/09

> 3.8 log reduction May/09

> e-mail: zmillersympatico (DOT) <mailto:zmiller%40sympatico.ca> ca

> Tel: 613-726-1117

> Fax: 613-482-4801

> Cell: 613-282-0204

> ID: zaviem

> YM: zaviemiller

> Skype: Zavie

>

>

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Guest guest

Hi Zavie,

I am not presently on Tasigna so I haven't seen a box but I have seen the

consuner info and the prescribing info for all 3 presently approved TKI's. I

did not see the term chemotherapy used on any of the prescribing info I read. I

think given they are targeting a leukemia, they are generally understood to be

chemotherapy, but its not on the box.

However, Tasigna has a black box warning on its label from the FDA. This is due

to its more significant increased risk of adverse events. Generally, the black

box warning is at the top of the prescribing data about a drug. See Tasigna's

at the FDA

http://www.accessdata.fda.gov/drugsatfda_docs/label/2007/022068lbl.pdf

And on the Novartis website:

http://www.pharma.us.novartis.com/product/pi/pdf/tasigna.pdf

Gleevec does not have a black box warning.

See the Novartis prescribing info

http://www.pharma.us.novartis.com/product/pi/pdf/gleevec_tabs.pdf

Sprycel does not have a black box warning:

See BMS site prescribing info:

http://packageinserts.bms.com/pi/pi_sprycel.pdf

See definition of black box warning here:

http://en.wikipedia.org/wiki/Black_box_warning

So Tasigna is considered 'riskier' than the other 2 treatments but this by no

means suggests that it should not be used. Indeed, like each of these drugs,

individual patients have individual responses to them. Tasigna is easier to

take for some, while Sprycel and or Gleevec is easier for others. The key is

working with your doc based on your particular needs, response and preexisiting

conditions to help map out the best drug for each of us.

Its amazing we have these available and more in the pipeline getting closer to

approval like bosutinib and perhaps Ariad. Plus HHT for T315i.

Despite not yet being at zero after such an extended period of time, I still

feel I will get there and possibly to a cure in the near future!.

Best wishes to everyone,

dx 11/98

>

> Hi all,

>

> For those of you on Tasigna, can you tell me if there is a warning on the

> box that say Tasigna is a form of chemotherapy and must be treated

> carefully?

>

> Thank you,

>

> Zavie

> Zavie (age 70)

> 67 Shoreham Avenue

> Ottawa, Canada, K2G 3X3

> dxd AUG/99

> INF OCT/99 to FEB/00, CHF

> No meds FEB/00 to JAN/01

> Gleevec since MAR/27/01 (400 mg)

> CCR SEP/01. #102 in Zero Club

> 2.8 log reduction Sep/05

> 3.0 log reduction Jan/06

> 2.9 log reduction Feb/07

> 3.6 log reduction Apr/08

> 3.6 log reduction Sep/08

> 3.7 log reduction Jan/09

> 3.8 log reduction May/09

> e-mail: zmiller@...

> Tel: 613-726-1117

> Fax: 613-482-4801

> Cell: 613-282-0204

> ID: zaviem

> YM: zaviemiller

> Skype: Zavie

>

>

>

>

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