
Patients with advanced skin cancer to test a new vaccine in NHS drive
Patients with advanced skin cancer will be able to test a new vaccine as part of a drive to speed up the development of new treatments.
The NHS Cancer Vaccine Launch Pad (CVLP) intends to accelerate access to messenger ribonucleic acid (mRNA) vaccine clinical trials for people with different types of cancer.
The programme has already given thousands of patients better access to a personalised vaccine for bowel cancer, and is now expanding to include a trial for melanoma.
The CVLP aims to provide up to 10,000 patients in England with personalised cancer treatments in the UK by 2030.
Faster recruitment to the trials and having them run in more NHS sites means they should be able to progress faster and produce results more quickly.
The new melanoma vaccine, known as iSCIB1+ (Immunobody), helps the immune system recognise cancer cells and therefore better respond to existing immunotherapy treatment.
By working to help the body recognise, attack and 'remember' cancer cells, it can help stop the disease returning.
Around half of melanoma patients respond to immunotherapy, but those who do not are at higher risk of their cancer getting worse.
The vaccine is being trialled by needle-free injection into the skin or muscle, and the CVLP, working with UK life-sciences company Scancell, hopes to expand the number of patients taking part by October.
Melanoma is the fifth most common cancer in the UK, accounting for around 4% of all new cancer cases.
NHS national cancer director, Professor Peter Johnson, said: 'Skin cancer can have a devastating impact and we know that cancer vaccines have the potential to revolutionise cancer care for patients in this country and across the world – and to save more lives.
'It's incredibly exciting that the NHS is expanding its world-leading programme so more patients with different types of cancer could benefit from the development of new vaccines that could stop their cancer coming back.'
Grandfather-of-four Paul Thomas, 63, from New Milton, Hampshire, was first diagnosed with advanced skin cancer in 2017, and the disease kept returning following treatment.
Last year, Mr Thomas, who owns a window cleaning business, was given the opportunity to be part of the SCOPE skin cancer vaccine trial which is now part of the NHS CVLP.
He said: 'I feel so lucky to be put on the trial. Thankfully I was still quite fit and since I've been on it, my tumours have all shrunk.
'Every time I go for a scan they seem to be shrinking, which is really exciting.
'I'm really hoping for total eradication of my cancer, as opposed to being put in remission, and I'm feeling optimistic.
'The care I've had so far has been fantastic and the team that have looked after me have been superb, along with amazing support from my family, I'm so thankful.'
Dr Nermeen Varawalla, chief medical officer, Scancell, said: 'Cancer vaccines have the potential to transform immunotherapy, redefine treatment options and ultimately save lives.
'Recent clinical data has demonstrated that our potent, tumour-targeted 'off-the-shelf' cancer vaccine delivers strong efficacy, with the potential for meaningful long-term survival benefits in patients with advanced metastatic melanoma.
'Our partnership with the CVLP will give patients expedited access to this landmark study and is an important step in accelerating the clinical development of this important new treatment.'
Susanna Daniels, chief executive of Melanoma Focus, said: 'Melanoma skin cancer can be deadly and it's sadly on the rise in the UK.
'As well as continuing to call for urgent action on prevention, we're delighted to see progress in innovative treatments and very much welcome the expansion of this vaccine trial.
'The use of vaccines to treat melanoma is an exciting development and we will be encouraging eligible patients to take part in these ground-breaking trials with our up-to-date Melanoma TrialFinder so that vaccines can be understood and patients can locate trial centres to discuss with their medical teams.'
Prime Minister Sir Keir Starmer said: 'This kind of innovation is nothing short of life-saving and I want to see more of these world-leading treatments being developed in the UK.'
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Professor Graham Easton, a GP who has been using weight loss jabs himself, said: 'I think it's a major issue about the proper funding and resourcing of not only the GPs in the surgeries but also the wraparound care we talked about. 'I think the other issue is that so far, to my knowledge, the NHS and National Institute for Health and Care Excellence have talked about this being something you take for two years, and that's probably related to data from research studies. 'But as we discussed, this is likely to be a lifelong commitment if it is going to be worthwhile to the NHS. 'There's no point in most people taking it for a couple of years and then have the weight bouncing back. 'You can argue possibly you're about to prepare for surgery or something, but in most cases it doesn't make any sense. 'Then I think there's a big issue around access. Most obesity occurs in poorer populations as wealthier populations tend to not be so affected. 'There's a massive sort of socio-economic inequality and there is a worry about this driving that inequality even further. 'Unless the NHS makes sure that these are available across the board equally, I think that's a major risk.' Prof Easton said recent studies had shown people who stopped taking the drugs had put the weight they lost back on within around a year. 'That's often true of any diet, people would say, and that's certainly my experience of having wrestled with my weight in diets over the years,' he said. 'All I would say that I found interesting from that review was that they were suggesting perhaps that weight returns even quicker after having been on GLP-1 drugs. 'Then speculating, because there was no way of knowing from that review, that perhaps it's because people are not changing the behaviours we've been talking about like exercise and other lifestyle changes, just relying on the drugs. 'When you stop them, of course, you're going to put weight back on. The switch is turned back off, or whatever it was. 'I mean very similar to, for example, statins or anti-hypertensive blood pressure medications, if you want lifelong effects, you have to keep on them lifelong.' Prof Easton was speaking at an event at the Cheltenham Science Festival discussing the growing use of weight loss drugs with neurophysiologist Dr Simon Cork and consultant endocrinologist and obesity expert Dr Tony Goldstone. Dr Cork said the jabs have an important role to play in losing weight but are part of wider changes to diet and lifestyle. 'I think we have to understand that diet is always limited. People will tend to lose on average around 5% of their body weight on a diet,' he said. 'But you're hungry, you're miserable, you're tired, your wife hates you because you're so grumpy, you're not going to continue with that. 'But we should absolutely all be looking at our diet and all changing our diet, and doing something.' Dr Goldstone said weight loss drugs had been used in the treatment of diabetes for over a decade and had benefits of reducing the risk of developing other conditions. 'We're now in the third and fourth generation of these drugs, but the first generation of these drugs we've been using for 15 years for diabetes,' he said. 'There is nothing of concern that has emerged. In fact, all we're seeing are benefits. I'm not too worried about longer term side effects coming out. 'There is no real biological reason why there should be dangerous side-effects in the way that we know these drugs work. 'The benefits of the weight loss improvement in the diabetes are actually by themselves helping health and preventing other diseases, like cancer, heart attacks, renal failure, and potentially even reducing the risk of Alzheimer's disease. 'All those benefits, even if there was something that we hadn't really thought of that emerged down the line, I suspect that the harm of that is outweighed by the potential benefits of weight loss improvement in diabetes control.' Dr Cork said no drug is without side-effects and previous weight loss medications had failed because of them. 'There are side-effects, there are some concerning side-effects that tend to be very rare, but then you can monitor for those side-effects,' he said. 'As long as you're getting the correct care, as long as your GP is aware that you're taking them, then those should be identified. 'If you do find those side-effects, you can stop taking the drug.'