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  • 1.  Post chemo plan

    Posted 3 days ago

    Hello 

    I am new here - I've been reading people's post and gaining a lot of information.  I feel familiar with some of you now through your posts - this is a nice part for me.  I am HGSC non BRCA and HRD negative (probably - still waiting for tumour assessment results from USA) 

    I was diagnosed in March and had a full hysterectomy etc in April.  I  will be doing my last of six chemo at the end of the month  I’m looking for  information  so I know what questions to ask my oncologist  about non recurrence drugs and follow up   

    I don’t see a lot of non BRCA people- is anyone in a similar situation as me ? 
    Thank you . 


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  • 2.  RE: Post chemo plan

    Posted 2 days ago

    @pepperbee hi and welcome.  I just posted this evening about needing to start talking about the post chemo meds PARP inhibitors.  I too don't have the brca gene so suggested to me today that I will need to decide if I try these meds or not as there is no real evidence that it prevents a recurrence or not.  I go for my 5th treatment on Thursday. And then 3 weeks after that will be my final one.  I just had my surgery 4 weeks ago after 4 rounds of chemo.  Will be looking for insight in the coming days and weeks to figure out the pros and cons of this treatment for us non brca ladies.

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  • 3.  RE: Post chemo plan

    Posted 2 days ago

    Thank you @meinvan and @ellie for your replies 

    I will be looking up niraparib and making notes.  I appreciate the drug name.   I may have misheard one of the PAs  but I believe she told me that there probably wasn't any drug I would qualify for after chemo  so I feel a bit vulnerable and i need to do my homework   Such nice information from Ellie that she has had no recurrence  

    As @ellie said, the HRD testing is done in the states - I believe the company is called Myriad (?)

    I was told that the government used to pay for later stage testing but that the funding has recently been withdrawn.  

    Thank you agin for your replies 

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  • 4.  RE: Post chemo plan

    Posted 2 days ago

    @pepperbee from the notes I've seen my doctor was looking at niraparib too.  Her notes mentioned there was no nurse doing hrd program, so I guess she is the one to help facilitate testing but I guess in bc we currently don't have one to do that.  So I'm not sure how or if mine will be tested for hrd.   Not sure how that affects my decision on whether or not to take this med or not.

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  • 5.  RE: Post chemo plan

    Posted 2 days ago
    Hi,
    I am HGSOC Stage 3b at diagnosis in May 2022.  Went thru optimal debulking and 6 rounds of chemo ending November 2022.  I have no BCRA mutation and am HRD negative.  On Dec. 11 2022 I elected to take niraparib, initially at 200 mg dose.  That dose caused my Hg to crash so on March 1 I was reduced to 100 mg dose.  I have had few symptoms over the last 3 years other than initial constipation which has now resolved itself.

    I face the 3 year limit on taking niraparib on Dec. 11th 2025.  I have had no recurrence.  The question is still there and will be there until research proves otherwise:  have I had no recurrence due to niraparib or did chemo wipe out all cancer cells and I had no need for niraparib?  When faced with not taking niraparib in March 2022, I reacted with some desperation-I wanted to have as much support for NED for as long as possible.  So I did continue with niraparib.  I am glad I made that decision.   I am 79 and am in excellent health; I maintain a healthy diet, regular exercise and fulfilling activities.  I know that helps in the fight against recurrence. 

    I do know that others with HGSOC have not been so fortunate on niraparib and have had recurrence. 

    Hope this helps with your decision.







  • 6.  RE: Post chemo plan

    Posted 2 days ago

    I believe that I don't have access to hrd testing currently, is there somewhere private to get this done?

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  • 7.  RE: Post chemo plan

    Posted 2 days ago
    Hi,
    HRD testing was arranged by Princess Margaret.  I believe it was related to the niraparib prescription.  Your oncologist should be able to arrange-I believe it is not performed in Canada...has to be sent to the US.





  • 8.  RE: Post chemo plan

    Posted yesterday
    Hi, I was diagnosed in October 2022 with HGS Stage 3, I receive treatment in Abbotsford. I was offered hereditary testing which I could opt in or out of right way. It showed all these mutations, HRD +or -, BRCA 1&2 and many more. I wanted to know if I had any other mutations or if my daughter, granddaughters or other family members were at risk for this disease. The samples were all sent collected and sent by Life Labs to a lab in the US. There are offices for this in Vancouver and Abbotsford or I would ask my Oncologist.
    Hope this helps,
    Bonnie
    Sent from my iPad




  • 9.  RE: Post chemo plan

    Posted 2 days ago

    @elliethats kind of how I feel I want to be Ned for as long as I can.  I'm scared of not taking the drug and having a recurrence but I'm also scared of taking the drug and having a recurrence too. And then of course we have to worry about when the 2 or 3 years of the drug finishes….then what?

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