If you did not have the opportunity to hear Dr. Trico’s Cure Panel Broadcast you can hear it if you CLICK HERE! The three biggest takeaways for me about this broadcast were as follows:
1) Dr. Guido Tricot is brilliant (ergo the large head), and has an uncanny way of bringing the most complex of concepts to a level where the average human can understand. A skill which many brainiacks do not have.
2) He explained to me for the very first time that the dual transplant is not a double dose of high dose chemo, but a split dose of high dose chemo. What I mean by this is that high dose chemo is used for young leukemia patients, but the same dose would likely kill an older myeloma patient. So they split the dose into two phases to limit the toxicity. For me with kidney damage they spit the dose again because of my comorbidity.
3) MRD is a great tool in measurement, but because it is tested on the bone marrow it has a key limitation. Myeloma is very heterogeneous in the bone marrow, and as a result the samples can be good or bad just because of the location of the biopsy. Like Nick van Dyk mentioned, it is a lot like the spots on a Dalmatian, depending on where you biopsy it may be white or black. As a result MRD must be used in conjunction with M spike, light chain tests, MRI and PET tests, and tests of protein in the blood and urine to be sure a person is cancer free. He did mention they are working on an MRD test of the blood and not the marrow, which may have more value in the determination of MRD, without which heterogeneity of the location will always be an issue.
Please listen to his presentation, because it could be the difference of 10 years of survival or more as compared to the national average of 4 years. Good luck and may God Bless your Cancer Journey. For more information on multiple myeloma survival rates and treatments CLICK HERE and you can follow me on twitter at: https://twitter.com/grpetersen1