Dom

Dom

Friday, November 12, 2021

My Clinical Trial Experience - Day 1

 Its been 4 1/2 years since my last Blog Post......

I started this Blog to post about my challenges of being a step parent, mother of a child diagnosed on the spectrum and just life. As life goes on things change, your priorities change and so do your problems i suppose.

Today I wanted to share my experience about being accepting into a clinical trial for ADPKD. If you know me well you know that i have PKD and PLD, Polycystic Kidney and Liver disease. One organ basically gave it to the other. This is a genetic disease that I got from my mother and she got from hers. I first found out that I had kidney disease at 18 when my mother got me tested. I was fine, healthy and no worries. Then life kind of changes. Your a teenager with a disease but there's nothing to do about it. My mother started to get sick is her late 30s into early 40s and I always told myself that I would be fine till I hit my 40s and to enjoy life. Well here I am at 42. Not on dialysis yet and not in kidney failure. Its tough going through life thinking that you will be sick when you get older and just waiting for it to happen. This past August we lost my mother to her 30 year battle with kidney disease. She suffered through 3 failed kidney transplants, about 30 surgeries and decades of main, BUT always had a positive attitude even on her last days.

For the past 2 years I have been looking into clinical trials for kidney disease. Without clinical trials drugs never get approved and help people, right? Well the first trial I tried to get into I got rejected because my kidneys were not "bad" enough. I was pretty disappointed and sulked for about a week until I started searching again. Then I came onto one in Denver that was for early stage ADPKD and applied. I received a call pretty quickly and within a month was approved! It all happened so quick. Flight booked and hotel booked immediately. I only had to pay for my own  food. Some clinical trials pay you for being in the study but at this point $$ did not matter, finding a cure does.

The drug is called Pravastatin and is actually a Phase 4 medication that is also used for people with high cholesterol. I was happy that it was Phase 4, so no one has died from the medication or had serious side effects. This study is also a double blind study which means you do not know if you are on a placebo or the drug till the conclusion on the study, which is 2 years. Some people who be so discouraged by this but without people taking the placebo clinical trials would not be approved or move onto the next phase. This study has shown to slow down the progression of cysts in the kidneys in young children which is pretty promising. So off to Denver I went.

I was pretty excited to go to Denver but the week before, my anxiety started to set in. While seeing my mother suffer for so many years and always thinking that it would be me one day its just a very surreal feeling. I don't believe my mother ever tried clinical trials but you always have to do as much as you can to survive. 

The people with the clinical trial were so nice, very committed to the cause. My first day in Denver was full of lots of paperwork and signing forms. I found out the the Department of Defense funding the trial due to the fact that anyone with PKD is discharged from the military or not approved, I found that pretty interesting. Also I found out that the University of Colorado Hospital also is conducting 4 different clinical trials on PKD. Its nice to know that there are doctors out there working their ass off to help those life me. 

The next day I had about 7 hours of testing done. I arrived for a urine test and received my first IV and went in to get an abdominal MRI. If you have ever this type of MRI you basically go into the machine with about 2 inches of space above you and hold your breathe for a very very long time multiple times. One of the times i had to hold my breathe for 40 seconds. Honestly that is a long time, you try, ill wait.............yes exhausting i know! This MRI technician was new to the PKD trials and asked a bunch of questions on my disease. At one point the clinical trial assistant told me that i had really huge organs and since my liver is so huge it pushes down on my kidneys which then push on my stomach. I'm like yep i know thats why i cant eat huge meals. (i miss hamburgers).

After the MRI I went to get a 5 hour blood test which test your GFR. This is your kidney function. I got another IV put in that injected some radioactive chemical in my body and had to take a pill so that my thyroid would not be effected. No big deal :) Then i had to have blood drawn in multiple time increments up to 5 hours along. 5 minutes, 10 minutes, 30 minutes etc. It actually wasn't as bad as it sounded. The one hardship for me was just looking down at my IV and remembering the countless times that I saw my mother with one. The multiple times they punctured her not being able to find her veins because they had become so tiny and hard to find. Being in this state frightens me to death but I am trying to be strong and positive. 

I went home the next day with my medication which i will take once a day for 2 years and my own blood pressure machine where i will have to check my blood pressure once a month and get blood tested every 6 weeks.

I often get asked will you get your kids tested. My answer is always no. Why put my kids through that pain of knowing there is something wrong. When they are 18 and they want to know of course I will support them. I never had any symptoms till I hit 40 with the large liver and both my liver and kidney function are perfect. Why open up that can of worms when there is no cure and NO preventative care you can take. That's my thought anyways.


I'm hoping this trial goes well and that these 2 years and painless. Ill update you on my journey and thank you for reading this VERY long post. Until next time!







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