continuing adjunctive therapy

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Hi i has a stage 3b melanoma diagnosed last year. i have a WLE and SNB and started adjunctive thearapy in dec last year. the last few months the treatment has been stop start due to raised liver function followed by two night stay in hospital due to them being very high. liver scan all ok. anyone else had to stop treatment before the 12 months? worried as feel that it i dont complete course its going to come back. despite 6month ct scans and 3 monthly dermatology reviews. anyone have any experiences the same? thanks 

  • I’m in exactly the same boat as you. I also had stage 3b melanoma. I had to stop adjuvant treatment after just one dose in March as I developed type 1 diabetes and other side effects. I’m also now on 6 mth CT scans and 3 month dermatology. Like you I would have preferred to have had the full course but I’m determined not to live my life in fear( easier said than done I know). I’m going to live life to the full and trust the scans and skin checks will pick up any reoccurrence early. Good luck moving forward. You’ve got this 

  • thank you. i agree completely with what you say. but keep thinking if i dont finish it....... x

  • I know this whole journey is a rollercoaster of emotions. When I was first diagnosed a good friend who was battling bowel cancer at that time told me not to look to far into the future and just take one day at a time and that’s honestly what I’m trying to do

  • Hi, hollysunray. If you look on page 2 of this forum you’ll see a post from me titled ‘Deciding to stop immunotherapy treatment after six doses.’ Pricilla and Cerys30 both contributed their experiences there and you may find it relevant to your situation. 

  • Hello, I have stage 4 melanoma. I started ipilumab and Nivolumab treatment on 4/06/26. Persist fevers almost from start. Second infusion stopped due to a reaction. About 10 days later I ended up in hospital for a week due to high liver enzymes and hyper ferritin level. On IV steroids but didn't fully respond so  started tacrolimus, an anti rejection drug.  Steroids reduced and I remain on tacrolimus. Restarted single Nivolumab 6 weeks after the second infusion. I've had 2 treatments so far. I can sympathise with your concerns as I haven't even completed 4 full cycles with active disease. Sorry this doesn't really help does it but I have certainly read other posts that state treatment withheld indefinitely as early as after 1 treatment due to immunotherapy reactions and they have been clear on monitoring. So I hope all goes well for you.