Terminal Mouth Cancer - Treatment Options after Immunotherapy

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Hi 

My dad was diagnosed with terminal mouth cancer in March 2021, given 6 months to live, had radiotherapy and then went in to palliative care. I read an article in the guardian about immunotherapy and pushed my dads consultant to try it, and he started on Keytruda (Pembrolizumab) in November 2021.

He responded well, saw a reduction in tumour size and started putting weight back on, and has had a pretty good run on it to be fair. Unfortunately the last scan he had shows a number of new tumours so they will be stopping treating him with it.

They have suggested Chemo which he is dead against for some reason as he has heard bad things about the side effects.

I just wondered a couple of things. Does anyone know of any other treatments he could look at now they are stopping immunotherapy that aren't chemo? Im conscious that had i not pushed for immunotherapy he probably wouldn't be here today, and I have researched but can't find or see many other options. Are there different brands/types of immuno he could have? 

Second thing is does anyone have any experience of chemo for terminal mouth cancer, side effects, effectiveness etc.

Any help/experiences/advice would be appreciated

Thanks

  • Sorry to hear about your Dad.  I think you need to ask your clinical team what the chemo is for and what the side effects may be.  Generally in H&N cancer the chemo is fairly "lightweight" and used to sensitise the cancer cells so the radiotherapy is more effective.  Not everybody has chemo and not everybody feels ill after chemo. However, I suspect that the chemo they are suggesting is to deal with the other tumours (are they all in his mouth or at distant sites??) and is designed to reduce pain and may not be the same as many have had on this site.  They may also suggest some radiotherapy for the same effect.

    Immunotherapy is in its infancy, especially for H&N cancers so there may not be any other realistic alternatives.  Sorry.

    Peter
    See my profile for more details of my convoluted journey
  • Thanks for your reply. After posting this I saw another post on here about the Modi 1 trial, investigated and managed to speak to Dr Miller about my dads suitability for the trial and so far he appears to be a suitable candidate. He is luckily based in Nottingham where they are recruiting, has squamous head and neck cancer which is one of the types for the trial, and his immunotherapy is Pembrolizumab which they are trialling modi 1 with in cohort 3. Quite a lucky set of circumstances! Meeting with his consultant on 15th november so going to ask them to refer my dad to the trial. Fingers crossed. 

  • Hi fingers x please keep us in loop. We all try to work together knowledge is power. 
    Hazel 

    Hazel aka RadioactiveRaz 

    My blog is www.radioactiveraz.wordpress.com  HPV 16+ tonsil cancer Now  6 years  post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help

    2 videos I’ve been involved with raising awareness of HNC and HPV cancers 

    https://www.instagram.com/merckhealthcare/reel/DBs8Y0niJ8N/

  • Quite a lucky set of circumstances!

    I was going to shout Modi to you the second I read your post but reading on I see you’ve found it. We have  on Modi2 so fingers crossed you can get your dad in the trial 

    Please do let us know how things go. 

    Your story illustrates how informed  we have to be to keep our heads above water. You’d think our team would know more than we do but sadly it’s not always the case. 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

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  • I have nothing but praise for the nhs and the care my dad has received, but you are very right. He had had 2 months of no treatment and just palliative care when I luckily read that guardian article about immunotherapy. His consultant hadn’t suggested it and he’s gained at least an extra year so far by having it. Which is why I’m now reading and searching for things like Modi as anything is worth a try. X