Mayo Clinic Visit Thursday, August 20, 2009, end of Cycle 19

Pomalidomide works! At the end of the 19th 28-day cycle on the Pomalidomide/Dexamethasone Phase II trial my M-Spike is 0.8 g/dL, as low as it has ever been, IgG is 979 mg/dL, below 1000 for the first time ever, and neuropathy caused by the pomalidomide (CC-4047) is easily tolerated and has not increased in two months. No big breakthrough this month, just more evidence of a continuously stable or declining tumor burden. I'll take it!

Related links:

      My Myeloma     A discussion of my myeloma, not very technical.
My Treatment History Not technical.
My Test Charts Graphic displays of several key test results over time.
My Test Result Table Best with a wide browser window. Very "technical."

Here are a few of the latest test results:

Test May 28   Jun 25   Jul 23   Aug 20   Remarks
M-spike g/dL 0.9 0.9 0.8 0.8 Best tumor measure
IgG mg/dL 1030 1010 1010 979 Variation is normal
L FLC mg/dL 2.60 2.63 1.95 2.07 L Free light chains
Calcium mg/dL 10.0 9.6 9.7 10.0 Below 10.2 is best
Creat mg/dL 1.0 1.0 1.1 1.0 Kidney, lower is better
HGB g/dL 14.4 14.0 14.8 14.5 Hemoglobin, normal
RBC M/uL 4.06 3.93 4.13 4.01 Red cell count, low
WBC K/uL 4.0 5.6 3.9 3.7 White cells, normal


Discussion with Dr KDS: For this last cycle I took the pomalidomide in the morning, as often as I remembered to do it then, before eating anything at all. I thought that it might have the most impact if taken on an empty stomach. If so, it didn't seem to make a very big difference. Nevertheless, I liked that and will continue doing it that way for the next cycle. DEX will be taken with Sunday dinner, as it was during this cycle.