Tuesday, March 19, 2013

Quandary

I've been  mulling something over all day, so I have decided to ask my blog readers for feedback.

I got a text from my awesome CF doctor today.  He told me that my latest culture came back positive MAC.  For 5 months I have been on a clinical trial for Arikace, an inhaled antibiotic to treat resistant MAC, in hopes of getting my MAC infection under control.  I have appointments, including cultures, monthly to monitor my progress.  In December and January my cultures were free of the MAC infection and I was hopeful that I finally found something that worked.  Today I found out that even if the Arikace was helping at one time, it is no longer doing the trick.  I wasn't surprised, because my lungs have been having a rough time for the past month or two.  My doctor said that I can go off of the Arikace if I choose.

He's my quandary...  I am 5 months into this 6 month clinical trial.  If I withdraw from the trial, none of my information will be able to be used in the final trial results.  I have spent many, many hours at appointments and doing the required treatments for this trial at home.  The coordinators at my hospital have spent countless hours offering this trial.  I am the only one at my center enrolled in this trial.  My lung function has been constantly declining for the past few months.  I have no idea if this is due to the study drug or just CF in general.

So, with one month left should I withdraw from the trial since it is no longer providing me benefit and MAY actually be making me worse.  Or should I stick it out.  I am lined up to start the Kalydeco trial in Pittsburgh 30 days after I finish the Arikace trial.  If I withdraw a month earlier, I will be able to start Kalydeco a month early.

I'm leaning toward seeing through my commitment with this current trial, just because I think it's important to follow through with commitments.  However, I feel like I might feel better physically faster if I quit.

What would you do and why?