Skip to main content

Magic little pill

With apologies to Alanis Morissette...


Today marks 4 years on Tagrisso, my magic little pill. I owe this pill my life and my markedly improved lung function. My lungs still aren’t normal – there is a lot of scarring, and I have to use a portable O2 concentrator when I fly. But I can now walk up hills, climb stairs, lift, bike, and hike without feeling short of breath.

Four years ago today in Prof. Dr. Reck’s office at the LungenClinic, we received the joyous news that I was a candidate for targeted therapy. It felt like winning the lottery because I could avoid chemo and have much better chances of managing the cancer. Genetic analysis showed I had the EGFR (epidermal growth factor receptor) mutation, and that there was a drug to target this mutation and stop the cells from reproducing. I also have the TP53 mutation, but there is no drug that targets it.

Tagrisso (osimertinib) was invented by AstraZeneca researchers in 2009 and approved by the FDA in 2015. It and other targeted therapies have enabled millions of people like me to live a full life even with late-stage cancer. I hate Big Pharma as much as the next person…but Big Pharma is also saving my life. AstraZeneca has a special program that covers 100% of the co-pay that isn’t paid by insurance (for me, that amounts to $1200/year, but the program covers up to $25K). So I haven’t had to pay anything for this life-saving medication. Of course, many others aren’t as lucky. The retail cost is $18-19K+ per month.

Comments

  1. Amazing pharmaceutical progress. Thankful for the life you share every day.

    ReplyDelete

Post a Comment

Popular posts from this blog

A failure of institutional care

I just hit "send" on this letter to my dean and associate dean. Mic drop. I've never sent such a scathing letter, but it's definitely called for in this situation. I'm not expecting anything other than a "Oh, that wasn't how we intended to make you feel; our hands were tied" email. Dear Dean Lawless and Associate Dean Lloyd, When I wrote to Professor Land [my department head] to see if I could get a course release this fall due to having lung cancer plus complications from pulmonary embolism and COVID, I had no idea what I was in for. When faculty friends in other colleges have had health crises (ones that don’t warrant a full-semester medical leave), their department head or dean has simply said, “Don’t worry about teaching this semester. We’ll figure it out.” I figured the same would happen in my case. To be blunt, the way that my case was handled was a colossal failure of leadership. As my husband and I have shared my story with colleagues at PSU ...

regular update

I had my regular oncology appointment in Pittsburgh yesterday. Dr. Villaruz said the scans look good and everything is stable. Although I don’t have much scanxiety nowadays, it’s always a relief to get good news. Just to be sure that my understanding was correct, I asked her why I’m not a candidate for surgery. It’s because of the cancer’s growth pattern. The one nodule that’s visible on the CT scan could just be scarring; she’s not sure if it’s a tumor. When I was diagnosed, I was told the lung cancer was “lepidic.” This means that the tumor cells were growing along the lining of the alveolar structures (air sacs).* That’s why my lungs looked like they were draped in cobwebs. You can’t do surgery in enough places to get all of it. Thankfully, Tagrisso swept out those cobwebs – and continues to do so. We go back in December for a regular appointment. *Lepidic spread tends to be slow-growing, with minimal invasion of nearby tissues, less chance of metastasis, and overall better progno...

38.6 months

September 18 marked 38.6 months (3 years, 2 months, 18 days) since I first started taking Tagrisso. Why is 38.6 months significant? Because it is the median overall survival in the FLAURA study, a landmark study (2014-16) comparing Tagrisso and older targeted therapies among patients with advanced non-small cell lung cancer, EGFR mutation, and no prior treatment. 279 patients received Tagrisso and 277 people received an older drug (in addition, all patients received at least one dose of a trial drug). Nearly 58% of patients had died when data collection stopped. However, patients in the Tagrisso group lived nearly 7 months longer (median) than the control group. When Leland and I initially read that number – 38.6 months – in the Tagrisso promotional materials, we were stunned. This was supposed to be good news? The median age in the FLAURA study was 64 and at the time (August 2022), I had just turned 50. But still, it was a sobering statistic. For the longest time, I didn't feel ...