Hello DCI
thank you once again. This is a 'copy and paste' excerpt from the University College London Hospital website. Monoclonal Treatment seems to be recommended for a roll-out nationwide. Maybe a few more 'listers' will post further on this topic - All Best Wishes, Bodger.
REFINE is a clinical trial for patients who are receiving immune checkpoint inhibitors for the treatment of advanced cancers. These drugs work by stimulating the body’s own immune system to fight against cancer cells. Immune checkpoint inhibitors can stop cancers from growing for many months or years.
Immune checkpoint inhibitors are given to patients through an injection into a vein every 3-6 weeks in a hospital or clinic. Blood tests are needed before each injection. This means that patients spend a lot of time (and money) on hospital visits.
Clinical trials have proven the effectiveness of immune checkpoint inhibitors in the treatment of different cancers. However, the best way to give these drugs is not known. It is likely that immune checkpoint inhibitors work for a longer period of time than originally thought. This means it may be possible to give the drugs less often and still have the same effect on the cancer. The REFINE trial tests whether giving an immunotherapy drug less often to patients with advanced cancer results in fewer side effects and improved quality of life, whilst continuing to be an effective treatment. Giving these drugs less often may also allow the NHS to deliver equally effective treatment at a lower cost.
Hi Marigold
i too have incurable stage 4 RCC which had already spread to lungs and brain when first diagnosed. After a craniotomy last November followed by six sessions of stereotactic radiotherapy I began immunotherapy in January - 40mg Cabozantinib tablet once a day and IV nivolumab every four weeks. Scans, CT and MRI, after first three months showed thd brain was stable, a representative tumour in lung had shrunk as had the kidney tumour. So, very encouraging early results. My next scans are due end of July. There are some side effects to cope with but I will continue this schedule to the end of the year and into a second year, all being well.
I hope this might be of some use.
kind regards
Carlo
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