Hi Choi,

Pleural Effusions are quite common to people that are using Sprycel
sometimes even on low doses. Since he also has the E55G mutation he or you
may want to get in touch with Dr. Brian Druker and Dr. Moshie Talpaz.
Both of these doctors are the CML experts Dr. Druker was the one that made
STI-571 later to become Gleevec.
Mailing Address

Oregon Health & Science University
3181 S.W. Sam Jackson Park Road
Telephone NumberGeneral information

503 494-8311

Portland, OR 97239.

Or Dr. Moshie Talpaz.
U of M Internal Medicine Hematology/Oncology
<http://maps.google.com/maps?q=1500%20E%20Medical%20Center%20Dr%20%205911>
Cancer Center Floor B1 Reception B
1500 E Medical Center Dr SPC 5911
Ann Arbor
MI
48109
Phone:
734-647-8901
Fax:

734-647-866

Good luck

18's Symbol for life

Marty



On Tue, Jun 9, 2015 at 6:47 AM, Choi <saehyun...@naver.com> wrote:

> Hi, this is Choi from South Korea. One of my CML friends had some problems
> and I just wonder who had a similar experience.
>
> He was diagnosed with CML chronic phase on july 2012 and started Gleevec
> 400mg for 16 months and switched to Sprycel due to E355G mutation.
> At that time his PCR was 1.89. He started Sprycel  and E355G mutaiton was
> disappered. He was on Sprycel for 12 months.
> He developed pleural effusions after 12 months of Sprycel at that time his
> dose was 100mg. His doctor stopped Sprycel for 2 weeks and restarted
> Sprycel 80mg for 3 months.
> Once again he developed pleural effusions so he was off Sprycel for 4
> weeks and restarted Sprycel 60mg until now and still had minor pleural
> effusions.
> PCR count was 0.37, 0.47, 0.45 and never drop to under 0.1% so his doctor
> was considering to switch to other drugs but hesitated to switch because of
> he had E355G mutation.
> Is there any one who had a similar experience?
>
> Choi.
>
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