HCV Support's
Donation Drive 2012.
Help HCV Support in continuing it's mission of providing knowledge, support and encouragement to those affected by hepatitis C.

Fundraising Thermometer
Donate Now!
Thanks to all our HCV Support Donors

Author Topic: Another "Can I live w/o treatment topic?"  (Read 1309 times)

Offline hburgart

  • Page
  • **
  • Posts: 17
  • Gender: Male
  • HCV Support Member
  • HCV Genotype: 1B
  • Treatment Therapy Success: Nonresponder
Another "Can I live w/o treatment topic?"
« on: January 29, 2012, 05:27:37 PM »
Hi out there. I'd appreciate any feedback on this topic even though I'm sure it's been hashed out to death. I'm 53 years old, hep c 1 positive, and my liver biopsy last month was minimal stage 1 damage. The doctor said it was up to me if I wanted to do the treatment and she is referring me to the clinical trials department for consideration. I'm in good health with no other problems right now. Is there anyone out there putting off treatment for better drugs later, to avoid depression and other side effects, and to avoid costs? I don't have health insurance. I live 2 hours from medical college where treatment is available. I already battle depression and anxiety and I'm worried that I might not be able to handle any additional mental pressure. I've never used any medication for depression and anxiety to date. I quit the heavy drinking and drugs a long time ago but I'm surprised that my liver is in as good a shape as it is. I don't drink at all now. I think if I was closer to the doctor I might go ahead and treat but I just don't know. How bad is it?

Offline relay

  • Extreme Warlord
  • *******
  • Posts: 2030
  • Gender: Male
  • Fall seven times, stand up eight
  • HCV Genotype: 2
  • Treatment Therapy Countdown: I have 3 weeks left of treatment.
  • Treatment Therapy Success: Treating
Re: Another "Can I live w/o treatment topic?"
« Reply #1 on: January 29, 2012, 05:41:48 PM »
I think that the referral to the clinical trials is a good start!  Some of the all oral trials have been reporting little side effects and cost is not a concern. While right now there is early damage to the liver, it's hard to gauge how that progresses with time. At very least some forward motion towards treating and eradicating the virus is wise...
So, continue to inform yourself about the available options and please get back to us.

 peace
gabe
Life is essentially a cheat and its conditions are those of defeat; the redeeming things are not happiness and pleasure but the deeper satisfactions that come out of struggle. - F. Scott Fitzgerald

Offline hburgart

  • Page
  • **
  • Posts: 17
  • Gender: Male
  • HCV Support Member
  • HCV Genotype: 1B
  • Treatment Therapy Success: Nonresponder
Re: Another "Can I live w/o treatment topic?"
« Reply #2 on: January 29, 2012, 07:16:41 PM »
Thanks. I think my age beckons me to go for the treatment now rather than later for a variety of reasons.

Offline greyrocker

  • Overlord
  • ********
  • Posts: 6000
  • Gender: Male
  • Life's a Journey; Not a Destination
  • HCV Genotype: 1
  • Treatment Therapy Success: Undetectable
Re: Another "Can I live w/o treatment topic?"
« Reply #3 on: January 29, 2012, 07:31:02 PM »
I agree with Relay, why not check out the trials? Nothing ventured, nothing gained...

Knowledge is power, so keep reading, keep asking questions and get to know the enemy better. Here he is:  :dragon:

greyrocker
And as we let our own light shine, we unconsciously give other people permission to do the same. Nelson Mandela
        SVR as of Dec. 08, 2010

Offline nsauce

  • Page
  • **
  • Posts: 28
  • Gender: Male
  • HCV Support Member
  • HCV Genotype: 1a
  • Treatment Therapy Success: Treating
Re: Another "Can I live w/o treatment topic?"
« Reply #4 on: January 29, 2012, 09:29:02 PM »
Id go for it. I'm 42, and doing a clinical trial for alisporivir . (Peg Interferon, Ribavirin and Alisporivir) I have had almost no side effects at all . Just the first week I went from viral load of over 4 million to only 29 . It is completely free, and they even pay me $50 every time I go in to the clinic. Can't beat that .

Offline adn57

  • Knight
  • ****
  • Posts: 254
  • Gender: Male
  • HCV Support Member
  • HCV Genotype: 1a
  • Treatment Therapy Success: Treating
Re: Another "Can I live w/o treatment topic?"
« Reply #5 on: January 29, 2012, 10:08:16 PM »
Thanks. I think my age beckons me to go for the treatment now rather than later for a variety of reasons.

It's a pretty well established fact .. that there is no way to predict rates of liver degeneration ... what we do know is that after 50 .. the chances/rate of the liver degeneration does increase for some people ... compared to those below 50 ..

I'm 54 , finished P/R Tx 4 weeks ago ... my reason for Tx were a combo of factors ... age , F2-3  being the most influential ....

When considering Tx options .. There are higher rates of success when the person has less liver degeneration .. just food for thought ..

Good Results with whichever path you choose !

Adn
Post Tx - 12 Wk. PCR - Und < 15 IU/ml
Waiting for Wk 24  ....

Offline TakkiC

  • Squire
  • ***
  • Posts: 63
  • Gender: Male
  • HCV Support Member
    • Blogging in E minor
  • HCV Genotype: 1a
  • Treatment Therapy Success: Relapsed
Re: Another "Can I live w/o treatment topic?"
« Reply #6 on: January 29, 2012, 10:22:12 PM »
I was 46 years old when diagnosed and, like you, genotype 1 stage 1. We have several other things in common, as described in your post.

I decided to go ahead with treatment because:
* I anticipated the disease progressing more rapidly as I got older.
* The new three-drug treatments were considerably more effective than the former standard of care.
* The new drugs could reduce treatment duration significantly.
* I had good insurance at the time.
* I was finishing my graduate studies and it seemed like good timing.

Your circumstances are a little trickier. Keep an open mind, educate yourself and take your time making decisions. Generally speaking, everything in the HCV realm moves slowly enough to prevent compulsive choices. Also, build a network of support, starting here. The folks in this group are a well-informed lot. We've all been there.

Take care and best wishes to you!

TakkiC

Offline banarep

  • Kulia i ka nu'u
  • Overlord
  • ********
  • Posts: 7658
  • Gender: Male
  • HCV Genotype: 1a
  • Treatment Therapy Success: Undetectable
Re: Another "Can I live w/o treatment topic?"
« Reply #7 on: January 29, 2012, 10:58:13 PM »
You have received some great advice here.  As a participant in two clinical trials for Hep C, I say go see what they have to offer.  My last trial not only gave me the meds, paid for the labs, etc.  but paid me each time I came in.
I hate to advocate drugs, alcohol, or insanity to anyone, but they've always worked for me.    Hunter S. Thompson

Offline hburgart

  • Page
  • **
  • Posts: 17
  • Gender: Male
  • HCV Support Member
  • HCV Genotype: 1B
  • Treatment Therapy Success: Nonresponder
Re: Another "Can I live w/o treatment topic?"
« Reply #8 on: January 30, 2012, 10:28:50 AM »
I appreciate the responses. I will talk to the clinical trials department. I've done a little bit of reading about that process and treatment at treatmentactiongroup.org. I'm reading other forum topics at hcvsupport.org as well. I've got time to make an informed and considerate decision as stated here earlier. It is good to hear from people in the same situation. Is there anyone out there who uses or has used the VCU Health System in Richmond, Virginia for Hep C medical care? That is where I am going.

Offline ScaredyCat

  • ScaredyCat
  • Warlord
  • ******
  • Posts: 1129
  • Gender: Female
  • HCV Support Member
  • HCV Genotype: 1a
  • Treatment Therapy Success: Relapsed
Re: Another "Can I live w/o treatment topic?"
« Reply #9 on: January 30, 2012, 12:58:09 PM »
Hi hburgart-
I did a clinical trial as well -at Duke University.  They checked me out every time I went -major blood chemistry -which I appreciated.

Just read all you can about any drug combo and ask around on here before starting.  We can help you find articles about study results about the drugs.  There are some quad-combos that have 100% cure - but the number of patients was small.

The study I did had very little "news" about it -and had a current on-going study when I started.  You do need to watch out for hype -the clinical coordinators are very excited about their studies.  Also, be sure you get tested at 4 and 8 and 12 weeks.  These are major factors in a cure rate and the time spent on tx.

You will know more about this than your job soon  :whistling:
The best to you-
Oh-welcome from NC.
ScaredyCat
Yikes! Did 24 wk clinical trial with Lambda Interferon. UND at week 12 & 24. Relapsed after one month. No VL test at weeks 4 & 8. I would get myself tested at week 4 and 8 next time I treat if the doc doesn't order it.

Offline hburgart

  • Page
  • **
  • Posts: 17
  • Gender: Male
  • HCV Support Member
  • HCV Genotype: 1B
  • Treatment Therapy Success: Nonresponder
Re: Another "Can I live w/o treatment topic?"
« Reply #10 on: January 31, 2012, 06:52:46 AM »
Thanks for the advice. I have been wondering about the balance between care and business in the clinical trials arena. The doctor said I can go with the current standard of care if desired. Do you think that might be a good choice considering it was just updated in May, 2011? 

Offline alice

  • Moderator
  • Warlord
  • *
  • Posts: 1970
  • Gender: Female
  • HCV Genotype: 1a
  • Treatment Therapy Countdown: I have 6 weeks left of treatment.
  • Treatment Therapy Success: Treating
Re: Another "Can I live w/o treatment topic?"
« Reply #11 on: January 31, 2012, 02:58:43 PM »
Hi out there. I'd appreciate any feedback on this topic even though I'm sure it's been hashed out to death. I'm 53 years old, hep c 1 positive, and my liver biopsy last month was minimal stage 1 damage. The doctor said it was up to me if I wanted to do the treatment and she is referring me to the clinical trials department for consideration. I'm in good health with no other problems right now. Is there anyone out there putting off treatment for better drugs later, to avoid depression and other side effects, and to avoid costs? I don't have health insurance. I live 2 hours from medical college where treatment is available. I already battle depression and anxiety and I'm worried that I might not be able to handle any additional mental pressure. I've never used any medication for depression and anxiety to date. I quit the heavy drinking and drugs a long time ago but I'm surprised that my liver is in as good a shape as it is. I don't drink at all now. I think if I was closer to the doctor I might go ahead and treat but I just don't know. How bad is it?

Hi,

Since your first post (above), it sounds like you are now considering going ahead with the current tx, and for Geno1, that would be interferon, riba, and one of the PIs (Incivek or Victrelis).

Like you, I don't have health insurance and live VERY far away from the HCV clinic (1500 air miles!). I also suffer depression and anxiety. However...
  • I get ALL my meds free through various pharmaceutical companies and foundations
  • the HCV clinic offers consultations with my local GI
  • My depression and anxiety are well managed with medication and a tx/drepression management plan
  • My doctors have been cutting me slack on paying them

If you want to do tx now-- for whatever reason you decide is best for you--- just want you to know that it IS doable in your circumstances but could take some extra legwork on your part. I'd be happy to help with that if you're interested in going this route. Just send me a message.

alice

Offline hburgart

  • Page
  • **
  • Posts: 17
  • Gender: Male
  • HCV Support Member
  • HCV Genotype: 1B
  • Treatment Therapy Success: Nonresponder
Re: Another "Can I live w/o treatment topic?"
« Reply #12 on: January 31, 2012, 04:21:03 PM »
Thanks for the reply. I'm waiting for the clinical trials dept. to make contact with me. Alice: you do have to travel far for treatment so I better quit complaining.

Offline adn57

  • Knight
  • ****
  • Posts: 254
  • Gender: Male
  • HCV Support Member
  • HCV Genotype: 1a
  • Treatment Therapy Success: Treating
Re: Another "Can I live w/o treatment topic?"
« Reply #13 on: January 31, 2012, 11:43:23 PM »
Thanks for the reply. I'm waiting for the clinical trials dept. to make contact with me. Alice: you do have to travel far for treatment so I better quit complaining.


As you consider CT's & fortunately there are many choices now ... however they are not created equally ...

Here are a few questions you may want to know the answers to  .. it's a basic list and may be a bit dated ..

Here is a initial list of questions for anyone who is considering participating in medical research ie: Clinical Trials .. the answers you might want to know before signing up ... kindly add to it if you have any others that I've missed ... and remember , Clinical Trials are for data gathering , not about the patient ..

Things to ask before participating in a trial :

It would be good to know the Phase of the trial.  The goal of a trial is not necessarily to "cure" people.

In Phase I trials, researchers test an experimental drug or treatment in a small group of people (20-80) for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.

In Phase II trials, the experimental study drug or treatment is given to a larger group of people (100-300) to see if it is effective and to further evaluate its safety.

In Phase III trials, the experimental study drug or treatment is given to large groups of people (1,000-3,000) to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the experimental drug or treatment to be used safely.

In Phase IV trials, post marketing studies delineate additional information including the drug's risks, benefits, and optimal use.

Are Rescue drugs ie: drugs such as epo, GCSF (Neupogen) etc allowed or not allowed and If no rescue drugs are  given ...what action is taken in regards to decreasing Hgb.,whites,platlets etc., and at what levels do they intercede?

Would you have the ability to self pay for rescue drugs if they are needed and not provided by the trial protocol?

What access do I have to lab results during the course of my trial participation?

Will I receive hard copies of lab results, and how are they transmitted to me?


What are the parameters for intervention in the event I develop cytopenia such as hemolytic anemia, neutropenia, etc.

I understand genetic sequencing is generally conducted as part of HCV drug trials to study viral mutation. Will this data be made available to me, and if so, at what time?

What are the statistical odds I will receive placebo in this trial?

For those patients that don’t respond fully to the trial (SVR) will the study drug be made available to them at a later date (roll over program)?

Will participation in this trial limit my future participation in trials and how so?

Who will directly manage my care throughout my trial participation; Physician, NP, PA, RN

How often will i need to come into the clinic?  How long will the appointments take?  Can i schedule the appointments to suit my schedule?

Can I get a commitment to receive any sequencing (population and clonal if available) results done on my virus in the case of failure?  (Push strongly for this given the importance of understanding resistance as best one can.)

When will the study be unblinded (if it is)?

What are the response parameters for determining whether treatment will continue, how long it will continue for, or if it will stop?

Follow this link to a good review of what trials are about ....

http://www.hcvadvocate.org/community/Clinical_Trials.htm


Cheers , Adn

Post Tx - 12 Wk. PCR - Und < 15 IU/ml
Waiting for Wk 24  ....

Offline hburgart

  • Page
  • **
  • Posts: 17
  • Gender: Male
  • HCV Support Member
  • HCV Genotype: 1B
  • Treatment Therapy Success: Nonresponder
Re: Another "Can I live w/o treatment topic?"
« Reply #14 on: February 01, 2012, 01:58:00 PM »
Thanks for the breakdown - very considerate of you. I'll see what the proposals are and post them here for help evaluating. I'm beginning to think that the current standard of care treatment might be best. I would rather concentrate my energy on taking care of myself than trying to properly negotiate the medical and legal maze within the experimental realm. There will be plenty of that to do in the standard program I would imagine.

 

Information provided in this site is solely for educational purposes only and is intended to support, not replace, the relationship that exists between a patient and their physician. HCV Support .org / HCV Support, Inc. does not provide medical advice nor endorse any Physicians or Pharmaceutical companies mentioned within the Site. Always consult with your HEALTHCARE PROVIDER regarding all aspects of managing and/or treating your HCV, or any other health related issues you may have.