T-Cell Therapy Patient Story: Nicole Gularte
In 2016, Emily Whitehead Foundation co-founder and Emily's dad, Tom Whitehead wrote the following blog about Nicole and her journey to receive CAR T-cell therapy. Following this first success with CAR-T, Nicole's cancer returned in 2018. She participated in two more CAR T-cell therapy clinical trials, however they were ultimately unsuccessful. We are deeply saddened and heartbroken to share that Nicole passed away on April 24, 2020.
She was very proud to know that what researchers learned from her participation in the clinical trials would help others in the future. Nicole was a warrior and never gave up hope after 10 years of fighting, and her spirit and her mantra to “fight for cures” will inspire us always
Nicole Gularte is 33 years old and has relapsed with leukemia 7 times. Over the last couple of years she has been speaking in California about Emily's treatment in between her own cancer treatments at Stanford. Nicole had her T-cells extracted, modified, and frozen awhile back in case she needed T-cell therapy. I had been messaging Nicole to encourage her to keep fighting.
On August 12th she messaged me that she was worn out, had stopped treatment three weeks earlier, and that her doctors had given her 4 to 5 weeks to live. She told me that this time her relapse was in her spinal fluid, which would disqualify her from the T-cell therapy trial, so she had contacted her doctors to tell them she was stopping all treatment. I asked Nicole what she had done since stopping treatment because I was getting strong feelings that she was going to get her modified T-cells. She told me that since stopping treatment she had been baptized and had attended several events where people prayed for her.
"I told her that it was hard for me to explain but, just like when I knew Emily would get through her treatment, I had a very strong feeling that she would get her modified T-cells if she kept fighting." - Tom Whitehead
Nicole messaged me not long after that and said 'Thank you for inspiring me, I have now decided to get my blood checked one more time at Stanford'. She went the next day and that evening she and her mom called me crying and told me her blood came back cancer free. She went back to the doctor the next day and had a spinal tap...her spinal fluid came back clear of cancer. This meant that Nicole now qualified for the T-cell therapy clinical trial at Penn in Philadelphia, but she had lost nonrefundable flights because she was too sick to fly.
With help from some very special people, we were able to reach out to American Airlines and they donated a flight to get Nicole and her friend Janelle to Philadelphia so Nicole could get her T-cells. One of the doctor's called me and said 'Tom, I heard that you inspired Nicole, and I am amazed that she got results back cancer free.' He said 'I don't know how to medically explain the clear blood test but I want you to know, I BELIEVE.'Last month, Nicole received her modified T-cells and spiked a high fever due to the cytokine storm that can occur with this type of immunotherapy treatment (just like it did with Emily). She almost needed a ventilator but doctors administered tocilizumab (the same medicine that turned Emily around when she was so sick). It also worked for Nicole and she was feeling much better by the next day.
I received a message from Nicole when I was in Boston attending the International CAR-TCR Summit (a T-cell therapy conference). She told me that before she had the T-cell therapy, she had only been able to see in black and white in her left eye for the last two years due to leukemia cells in her eye…but that now she could see in full color! This was our first sign that the T-cells might be working. Nicole stayed in Philadelphia for several more weeks to recover and flew home to California earlier this week. On Thursday she received the news that her spinal fluid test came back cancer free. Then, on Friday, her doctors said her bone marrow was also free of cancer - the T-cell therapy worked!
Kari and I receive calls and emails from patients from around the world more than once a week. We are working very hard to continue expanding the Emily Whitehead Foundation while we both work full-time jobs but there just never seems to be enough hours in the day! Talking with patients who need help now to survive always comes first. I hope to get the time to continue to update on other patients we are currently helping. Many patients still find out about these innovative treatments such as T-cell therapy too late.
We will continue to raise awareness for this treatment and help patients as much as we can. When Kari and I speak at events we always tell the story of how all of your prayers and positive thoughts helped our family get through Emily's treatment. To continue growing our foundation we could use any help you can provide such as holding fundraisers and donating, sharing your story, or sharing information from our website or these blog posts, so we can continue to reach other patients. Together we can make a difference!
For all the families who fought with us - we think of all of you every day especially those courageous warriors who cancer took from us. You inspire us to never stop trying to make a difference. I will continue to listen to the whispers and act on them in the hope that some day many more families will be changed for the better because their loved one survived just like our Emily.
We plan to continue sharing other patient's stories here on our blog, including a patient who will receive the T-cell therapy this week!
Listen to the Whispers / We Believe!