Treatment Map

Treatment Map

*** UPDATED November 1, 2012

I am listing Titus’ general treatment plan. Before each treatment change, I will to update how often he receives each medication and if there are any changes being made to his treatment plan.

To find out more about Titus’ medications listed here, type in “Medication List” in the websites search bar to locate the Medication post.

Induction : 1 month – completed Friday March 30^th, 2012

• Medications
  • Vincristine – given once weekly via port
  • PEG-Asparaginase – given once via port
  • Dexamethasone – twice daily via oral
  • Cytarabine – given once via Lumbar Puncture
  • Methotrexate – given 3 times via Lumbar Puncture

Consolidation : 1 month – Starting April 6, 2012 – Ending May 3, 2012

• Medications
  • Vincristine – given once via port
  • 6-Mercaptopurine – given once daily via oral
  • Methotrexate – given once weekly via Lumbar Puncture

Interim Maintenance #1 : 2 months Starting May 4, 2012 – Ended June 28, 2012

• Medications
  • Vincristine - given via port every 10 days
  • Methotrexate – given via port every 10 days
  • Methotrexate – Lumbar Puncture on Day 31

Delayed Intensification : 2 months Beginning June 28, 2012 – Second month began August 3rd, 2012.

• Medications
  • Vincristine – given via port 3 times during first month
  • PEG-Asparaginase – given via port once during first month
  • Dexamethasone – given orally for 14 days during first month
  • Thioguanine – tablet taken orally at home for first 14 days of second month
  • Cyclophosphamide also called Cytoxan – Given via port one time August 3rd, 2012
  • Methotrexate – given via Lumbar Puncture June 28th, and August 3rd
  • Cytarabine – Given via port August 3rd and August 10th, and given at home via injection 4th, 5th, 6th, and 11th, 12th, 13th.

Interim Maintenance #2 : 2 months Ended October 19, 2012

• Medications
  • Vincristine – given via port every 10 days
  • Methotrexate – given via port every 10 days
  • Methotrexate – via Lumbar Puncture

Maintenance : Begin November 2, 2012 – Ending in May 2015 (approx)

• Medications
  • **Vincristine – via port once every 12 weeks
  • **Dexamethasone – given orally for 5 days every 12 weeks
  • Methotrexate – given orally at home once a week
  • 6-Mercaptopurine – given orally at home DAILY
  • Methotrexate – given via Lumbar Puncture once every 12 weeks

**Titus is participating in a clinical study – These two medications are being given a third less often (standard treatment being once every 4 weeks instead of every 12). The study is to determine if they can get same cure rates/results from less chemo, ultimately minimizing the side effects. The effects from these two chemo meds are not pretty. We are praying that the little we are doing in this study will help benefit kids in the future.