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Weekly polls of the Myeloma Beacon's readers on topics related to multiple myeloma. A new polls is posted every Wednesday.

How long after your first stem cell transplant did your myeloma relapse?

Poll ended at Wed Dec 25, 2013 10:59 am

My myeloma is still in remission from my first transplant.
69
52%
My myeloma continued to progress immediately after my transplant.
5
4%
I responded or was stable, but my myeloma relapsed less than 6 months after my transplant.
10
8%
My myeloma relapsed at least 6 months, but less than 1 year after my transplant
5
4%
At least 1 year, but less than 2 years
19
14%
At least 2 years, but less than 3 years
11
8%
At least 3 years, but less than 4 years
7
5%
At least 4 years, but less than 5 years
1
1%
At least 5 years, but less than 6 years
3
2%
At least 6 years, but less than 7 years
0
No votes
At least 7 years, but less than 8 years
1
1%
At least 8 years, but less than 9 years
1
1%
At least 9 years, but less than 10 years
1
1%
10 or more years after my transplant
0
No votes
 
Total votes : 133

Weekly Poll - Relapse After Stem Cell Transplant - 2013

by Beacon Staff on Wed Dec 18, 2013 10:59 am

This week’s poll is about how effective your first stem cell transplant was. How long did your myeloma remain in remission? How long was it before your myeloma relapsed / progressed?

A few clarifications:

First, count from the day you had your first stem cell transplant until your myeloma relapsed, such as when your M-spike began to rise.

Second, if you are a caregiver or family member of a myeloma patient who has had a stem cell transplant, feel free to answer on their behalf.

As always, feel free to post comment, thoughts, or feedback in the space below. For example, what treatments did you receive prior to your stem cell transplant? Did you receive consolidation or maintenance therapy after your stem cell transplant? If you are still in remission after your first transplant, how long has it been? If you have had multiple stem cell transplants, how long did each of your remissions last?

See the following link for results of the 2012 version of this poll:
https://myelomabeacon.org/forum/weekly-poll-relapse-after-stem-cell-transplant-t1221.html

See another related 2012 poll:
If you are still in remission after your first stem cell transplant, how long ago was your transplant?
https://myelomabeacon.org/forum/weekly-poll-remission-after-stem-cell-transplant-t1230.html

Beacon Staff

Re: Weekly Poll - Relapse After Stem Cell Transplant - 2013

by indy mike on Wed Dec 18, 2013 12:36 pm

Is there data that shows relapse averages for patients who do not follow ASCT with mainteanance therapy? I assumed this is a combination of maintenance and no maintenance? Any input would be appreciated.

indy mike
Name: Mike Mathias
Who do you know with myeloma?: Self
When were you/they diagnosed?: Jan 2011
Age at diagnosis: 51

Re: Weekly Poll - Relapse After Stem Cell Transplant - 2013

by Beacon Staff on Wed Dec 18, 2013 1:18 pm

Hi indymike,

You're right that this poll is open to both those who have and have not used maintenance therapy after stem cell transplantation.

We have not yet run the polls that you suggested that would differentiate between relapse rates for those who have and haven't used maintenance therapy, but it's a good question and we may run those polls in the near future.

Beacon Staff

Re: Weekly Poll - Relapse After Stem Cell Transplant - 2013

by indy mike on Wed Dec 18, 2013 1:21 pm

Thanks for the response Beacon Staff. I appreciate all you do for the myeloma community!

indy mike
Name: Mike Mathias
Who do you know with myeloma?: Self
When were you/they diagnosed?: Jan 2011
Age at diagnosis: 51

Re: Weekly Poll - Relapse After Stem Cell Transplant - 2013

by Gilbert on Wed Dec 18, 2013 1:55 pm

Have had 2 SCT with my cells last was 12/10/13 all is well from last pet scan on 10/31/13
Thank you Hackensack Medical Center!

Gilbert

Re: Weekly Poll - Relapse After Stem Cell Transplant - 2013

by tconklin on Wed Dec 18, 2013 2:26 pm

My husband was dx Aug 2007 at age 40. Had 1st SCT March 08 and 2nd Aug 08. No maintenance at all. Mspike started to appear Sept 2012 at .11 and is now .40. No chemo yet, all other #'s are in range. He goes back to doc Jan 10.

Theresa

tconklin

Re: Weekly Poll - Relapse After Stem Cell Transplant - 2013

by rumnting on Wed Dec 18, 2013 4:11 pm

My husband's m-spike starting rising about 15 months after his ASCT. He's now 2 years post transplant, and his m-spike is 1.1. He saw his transplant doc at Mayo 2 months ago. Though he lab-wise has relapsed, his doctor doesn't consider him relapsed because his other labs are perfect, and he has no new bone lesions. I would feel more comfortable if they also had a PET scan and a bone marrow bx. to back this up, but figure they know way more than me!

rumnting
Who do you know with myeloma?: husband
When were you/they diagnosed?: 4/9/11
Age at diagnosis: 54

Re: Weekly Poll - Relapse After Stem Cell Transplant - 2013

by LibbyC on Thu Dec 19, 2013 11:17 pm

Hi Beacon Staff,
I was wondering what do you define as responding to treatment? After my auto my paraprotein decreased by 16% and then it started going up again. Libby

LibbyC
Name: LibbyC
Who do you know with myeloma?: myself
When were you/they diagnosed?: 2009
Age at diagnosis: 43

Re: Weekly Poll - Relapse After Stem Cell Transplant - 2013

by Beacon Staff on Fri Dec 20, 2013 10:40 am

Hi Libby,

Thanks for pointing out that we didn't really have an option for people who achieved stable disease (a reduction in blood M-spike of less than 50 percent).

We made a few small changes to the options above such that people who responded or achieved stable disease after stem cell transplantation can vote for how much time passed before they relapsed.

Beacon Staff

Re: Weekly Poll - Relapse After Stem Cell Transplant - 2013

by JanInWloo on Mon Dec 23, 2013 11:32 am

My m-spike reappeared within a year of my SCT, and crept up slowly over the course of the years, never reaching its original diagnosis level. My oncologist didn't declare me "relapsed" or put me on treatment drugs until I was nearly 8 years out. Prior to that was "watch and wait" and a few months of Revlimid at year 6, which drove down numbers, but was abandoned due to side effects. Velcade, combined with Dex and Cytoxin, is slowly driving the numbers back to where they belong. I was happy to live with a low level of stable disease and no drugs. I consider that to mean the SCT worked.

JanInWloo
When were you/they diagnosed?: 2005
Age at diagnosis: 51

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