I was on Tysabri for 22 months and I felt like a million bucks. My doctor at that time said my JC Virus was to high and I needed to stop treatment. I was put on a pill Terapy and got sick as a dog.I am with another Doctor now and did Rituxin Infusions for a year. I Don't feel like it did anything for me. I would like to go back on Tysabri. My test level is actually very low. Do you know how high the JC Virus level has to go to be high risk for PML to set in?
Hi Rita,
Thank you so much for bumping this thread! As you know all this info is so helpful foy my Tysabri decision making.
As always, you are the best!
Talk to you soon,
Deb
I'm JC+ and on Tyssbri
Dx 2011 but neuro feels I've had MS since 1981
taking steroids before each infusion due to side effects but neuro wants me to stay on it, feels he can work past the side effects.
Tysabri is only DMD I've every been on
BUMPing for new members and/or users!
When dx'd? March 2011
Other treatments prior to Tysabri? Betasaron, Copaxone
How long have you been on Tysabri? Just had third infusion
Do you feel it is helping? don't know yet
Have you had any side effects? Headache and fatigue but only for a day
I am Not Jc virus positive
I was on betasaron and switched due to a relapse, tried Copaxone next but stopped due to hair loss. Tried betasaron again but had another relapse.
A positive is I don't have to give myself shots, I like the once a month treatment.
I am hoping the Ty will work well and slow down the amount of relapses.
When dx'd? 10/2011
Other treatments prior to Tysabri? None
How long have you been on Tysabri? 2 Infusions to date
Do you feel it is helping? No big improvement, but no further deterioration. I suppose that's Tysabri's job :-)
Have you had any side effects? No side effects of any kind.
I have been tested for the JC virus, but don;t officially know that I'm negative. I am assuming that If I were positive my doc would have mentioned it :-)
I had one Tysabri treatment on Nov. 1, 2011. Felt great for 2 days. On day 3 I awoke with a bad headache and bumps the size of mosquito bites all over my face and neck, plus a huge, dark red circle on my right cheek. The Dr. stopped the treatment forever for me because of the extreme reaction.
I was diagnosed with MS 20 years ago.
Been on Avonex, Betasaron, Rebif, Copaxone, Tysabri, and now, Copaxone again.
I tested negative for the JC virus, but scheduled for an MRI very soon.
Looking into taking legal action against the manufacturer of Tysabri who have settled out ot court numerous times due to the PML and skin scarring Tysabri has caused to people.
It is now 1/19/12 and the skin reaction has caused my skin to turn blue and purple...................I never had skin problems befor Tysabri.
Bump!
New users - please add!
Thank you all for sharing! I'm waiting for my insurance to go through, then Solumedrol to wash out and I might be on tysabri in a month or so. I'll most probably have more questions then so I'm very happy to know the place where to ask them :)
Rita, you always make your voice sound so calm and informed it makes me feel better to read your responses. I appreciate your efforts to share you knowledge with us - thanks for your contributions here.
hugs, L
Deb,
I am certainly no expert, but this is what I understand from reading as much as I can and from discussing the issue frequently with my neuro ... if anyone has any more or different information, please speak up, so we can all keep learning more.... :-)
The JC virus test detects antibodies to the virus - so if you are positive, it just means that you have been exposed to the virus at some point in your life. Initially, they thought up to 80% of people were positive, because it is such a common virus, but now what I've read pegs it more around 60-70%. Once you are exposed to the virus (which often has no really discernable symtoms initially), it then remains dormant in your system. As far as I know, there is really no way to tell when you were actually exposed to the JC virus, but apparently it is most common in childhood.
For most people, carrying the latent virus is no problem, because the immune system keeps it in check. It only sometimes becomes a problem when the immune system is compromised for some reason, thus allowing the virus to be re-activated. Prior to Tysabri use becoming more common, most cases of PML were seen in AIDS patients. There are a few other meds that have seen associated cases of PML also.
The JC virus test was developed as part of a clinical trial to hopefully gather enough information from many people to be able to help stratify the risk for PML when on Tysabri. At this point, though, there are no hard and fast answers. The assumption is that if you are JC positive, you stand the CHANCE of developing PML - it certainly doesn't mean you will develop it.
One of the questions, though, is that if you initially test JC negative, could you be exposed to it later on, since it is such a common virus? It had generally been assumed that if you are JC negative, then you wouldn't be at risk for PML - but there was recently a case of PML where the patient tested negative for the JC virus. This was after the patient had been treated with plasmaphoresis, so it is hard to tell what part that played in the test results. But when I discussed it with my neuro, his feeling was that even with plasmaphoresis, the JC virus still should have shown up, at least to some degree. They currently test for 3 variants of the virus - perhaps there are more variants that we are currently unaware of?
For me, (and that certainly doesn't mean I'm right, lol), the bottom line is that there are still no concrete answers regarding the JC virus and PML risk. I expect that over the next year or two, as more and more results come in and can then be compared to documented PML cases, we will learn more ... so at this point, we just continue to make treatment decisions on all the other factors we have used to evaluate the situation up to now.
I hope things are going OK with your sister and the Tysabri. And hopefully you won't have to consider that choice any time soon. I honestly don't know if being TB positive would mean you couldn't take Tysabri. Let me know if you find out about that, and feel free to PM me any time... :-)
Talk to ya soon,
Rita
Lulu,
Thanks, but it's really no surprise - I've been running on the assumption I was positive all along, since it's so common. That's why it's not changing our treatment decisions...
Shell,
Nope - not brave at all. Just realistic and practical, lol. We assume the Tysabri is still helping (unfortunately, nobody has the crystal ball), so we don't want to rock the boat. Going off Tysabri carries some risks of its own, and there aren't alot of other choices for me at this point in the game. And my neuro DOES watch me closely - he's the one who starts my IV each month, so I get face time with him, which is reassuring to both of us. I get to ask questions and tell him anything that is going on, and he doesn't hesitate to investigate anything that is remotely suspicious.
You guys are so sweet ....
Rita
Rita Girl -
You brave woman you! You'll beg do differ for sure :)
But you are, you truly are!
Sorry for the positive, but hope they watch you constantly.
xoxo
shell
I'm sorry to hear about this development. I do know know that this is the virus that causes PML, but what does it mean to be positive for JC? Do people normally carry this virus or is this something that you were exposed to with a weakened immune system on Tysabri?
Is there any kind of medicine that you can take as a preventative?
As I've mentioned, my sister is taking this drug. I am wondering also what going to happen at my next visit as I've had new lesions show up on my MRI. Maybe I'll stay on the same medicine, but seeing what my doctor's done in the past, he may opt for a different DMD. However, I have latent TB which may not be such a good thing to go on a DMD that lowers the immune system.
Rita
So sorry to hear that. :-(
hugs,
L
Just a quick update ... I got the official JC virus results, and I am JC positive. We are still staying with the Tysabri at this point, since we feel it is helping me.
Rita
When dx'd? Feb '09 officially but my flare that lead to my DX started in Dec '08
Other treatments prior to Tysabri? Rebif and Betaseron
How long were you on them? Rebif 9 months Betaseron 6 months
How long have you been on Tysabri? 13 months
Do you feel it is helping? not sure
Have you had any side effects? for the first 9 treatments I would feel pretty good for the first week then back to my static or normal for 2 weeks and the last week was really downhill.
If you were on Tysabri, did you have to stop the treatment for any reason? Yes.
If so, why? Each time I had a flare I had to be seen by the Dr at UCSF before they would allow me to continue. I missed one treatment last summer then was off from Jan to March of this year.
If you stopped treatment, did you have any problems with rebound symptoms? No, I actually felt fairly static during my 3 month break with no ups and downs just my everyday sx's
Have you had your JC Virus status checked?Yes
If so, did the results affect your treatment decision? I am negative so I feel very comfortable with the med
And if you would like to share, how did you make the decision to start Tysabri, given that it has such serious potential risks?
My MS was going down hill rapidly and I was having injection site reactions from the shots. The UCSF specialist felt Tysabri was the next best step. I do not know how much longer I will continue the treatment if I continue to have flares.
D
When dx'd? Feb 2008
Other treatments prior to Tysabri? Avonex and Betaseron
How long were you on them? 1 year on Avonex, 1 year on Betaseron
How long have you been on Tysabri? Since December 2010
Do you feel it is helping? Not sure.
Have you had any side effects? Head ache, Sick more often than normal with sinus infections, takes me a long time to get over them. Had a relapse after having been on Ty for 5 months. Lost use of my leg and spent 5 days in the hospital on IVSM. My optic nerve continues to deteriorate. Herpes out break...
If you were on Tysabri, did you have to stop the treatment for any reason? No If so, why?
If you stopped treatment, did you have any problems with rebound symptoms?
Have you had your JC Virus status checked? If so, did the results affect your treatment decision? I am JC neg
And if you would like to share, how did you make the decision to start Tysabri, given that it has such serious potential risks?
I was having a very difficult time with side effects from Avonex and Betaseron. I basically could not function because of the fluish side effects.
LA
p.s ...ssside effects.
for four mos at months 3-6, i hhad herpes breakouts. I had not had one in 12+ yrss, so I believe it is the ty.
And I have had other rashes on my f ace, but they clear up.
When dx'd?
debateable... 2000 then taken awayy 2003. I was dx'd with another neuro disease ... given dx baack 2007 (?) when they realizee i indeed have two illnesses,
Other treatments prior to Tysabri? How long were you on them?
copaaxone 1 1/2 yrs
avonex 1 1/2 year
betaserone + 2 yrears
How long have you been on Tysabri?
10 mos.
Do you feel it is helping?
as far as symoptoms... no
had a scan 4 mos into ty. and having new lesions.
will rescan at another yr and compair again.
Have you had any side effects?
yes... headaches, mild neaausea, fatiguee
If you were on Tysabri, did you have to stop the treatment for any reason? If so, why? N.A.
If you stopped treatment, did you have any problems with rebound symptoms?
N.A.
Have you had your JC Virus status checked? If so, did the results affect your treatment decision?
yes... positive. It did not effect my decission. Siince II have J.C. my doctor give me 18 mos for ty.
We will rethink andI wiill likkely have chemo then.
And if you would like to share, how did you make the decision to start Tysabri, given that it has such serious potential risks?
The other dsrugs have not helped . My doctor com[piles the innternational data for MS Centers on pppeople and the manyy various senereos, and we decided this mos. will give me at least some chance slow things.
I see two m.s. neuros and I feel comfortable the watch me close.
good luck, amo
When dx'd?
5/5/09
Other treatments prior to Tysabri? How long were you on them?
Rebif for 4 months.
How long have you been on Tysabri?
Was on for 12 months, then took a 6 month "holiday", now back on it.
Do you feel it is helping?
I had NO flairs while on it, so yes. My disability has progressed, mildly, though.
Have you had any side effects?
Hip and knee pain, skin lesions like you mentioned.
If you were on Tysabri, did you have to stop the treatment for any reason? If so, why?
I stopped for a few months on the advise of my neuro. Now, I'm back on it.
If you stopped treatment, did you have any problems with rebound symptoms?
I had 2 minor flares - one just after stopping it, and one in May while on Betaseron.
Have you had your JC Virus status checked? If so, did the results affect your treatment decision?
I had my status checked in June. Negative! Yay!! I felt good about going back on Tysabri.
And if you would like to share, how did you make the decision to start Tysabri, given that it has such serious potential risks?
My symptoms and progression were out of control, according to my neuro. He felt this was the best thing for me. He presented my case to a group of peers, and they agreed with him that I should be on Tysabri. I'm happy to be back on it, and I will check my JC Virus status on a yearly basis.
Thanks for the update, Rita!
Cheers,
Lisa
Bump for new member needing advice - critter
When dx'd? April 09
Other treatments prior to Tysabri? How long were you on them?
Copaxone for about 1 1/2 years
How long have you been on Tysabri? 4 infusions so far
Do you feel it is helping? yes, my MS symptoms seem to have slowed the last month or so.
Have you had any side effects? YES. I am thinking of D/C Tysabri. I continue to have bad respiratory issues (I have asthma). At the moment I have no voice for about 5 days, and feel like an elephant is on my chest. Was at the ER this morning. Lots of trouble breathing.
I also am getting more migraines, like Ren.
They told me to "stay away from people who are sick." I told them I have 4 young kids. They said just do the best you can. Not working...
Have you had your JC Virus status checked? I am JC Negative
If so, did the results affect your treatment decision? yes, I don't think I would have tried it if I was JC +, even though I know the risk is still very low and I am watched over very carefully
And if you would like to share, how did you make the decision to start Tysabri, given that it has such serious potential risks?
Since DX, I continue to steadily progress downward. Kept having new SX and things didn't seem to help. Took me about 6 months until I "OKed" the neuro to go ahead with Tysabri.
Michelle
When dx'd? 4/2009
Other treatments prior to Tysabri? Copaxone
How long were you on them? 18 months
How long have you been on Tysabri? 2 months
Do you feel it is helping? As of yet , I haven't noticed any improvements. I was hoping for more improvement in my fatigue levels.
Have you had any side effects? My migraines have gotten worse, I'm not sure if it's related but plan to ask next infusion.
If you were on Tysabri, did you have to stop the treatment for any reason? No.
Have you had your JC Virus status checked? I had my JC status checked before the first infusion. I am JC negative.
If so, did the results affect your treatment decision? Knowing it was negative made it easier for me to take that leap to the "big guns".
And if you would like to share, how did you make the decision to start Tysabri, given that it has such serious potential risks?
I was making such a steady decline and Copaxone did not seem to be helping. I could not take the interferons for medical reasons so my MS neuro suggested Tysabri. He has used it since it first came on the market and said out of the 88 patients he has treated personally, only one person had problems. That patient was given plasmapherisis and the neuro side effects stopped.
I go to a different MS Center for my Tysabri infusions where they have a TOUCH program in place. I see a NP or MD every infusion. They ask a list of questions before an infusion and check blood work monthly. An MRI is done every 3 months. With these safeguards in place , I feel as good as I can about taking a drug with potential risks.
Ren