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Drug that cuts risk of breast cancer returning is approved for use in England
Drug that cuts risk of breast cancer returning is approved for use in England

The Guardian

time24-04-2025

  • Health
  • The Guardian

Drug that cuts risk of breast cancer returning is approved for use in England

Thousands of women with early breast cancer could be offered a drug to stop the cancer returning, after the medicines watchdog approved its use in England. Up to 4,000 patients a year could be given ribociclib alongside hormone therapy, for hormone receptor-positive, HER2-negative early breast cancer, which despite initial treatment has a higher risk of returning. Globally, one in 20 women will develop breast cancer in their lifetime, with cases up 38% and deaths up 68% over the next 25 years, according to latest analysis by the International Agency for Research on Cancer (IARC). In the UK, breast cancer rates are expected to rise a fifth to 71,006 cases a year in 2050. The most common type of breast cancer – accounting for around 70% of cases – are hormone receptor-positive, HER2-negative tumours. The National Institute for Health and Care Excellence (Nice) said the drug, known under the brand name Kisqali, will be available to patients with cancer that has spread to the lymph nodes and meets at least one of these criteria: Cancer present in at least four lymph nodes, or Cancer present in one to three lymph nodes that is either grade 3 (more advanced); or has a primary tumour at least 5cm in size. Ribociclib targets and blocks proteins called CDK 4 and CDK 6, which play a role in cancer cell growth and division, helping to slow or stop tumour growth. It is taken as a pill twice a day, alongside an aromatase inhibitor, a hormone therapy that reduces oestrogen levels in the body. Clinical trials show that combining ribociclib with an aromatase inhibitor may extend the time before cancer returns by up to 29%, compared with using an aromatase inhibitor alone. The decision follows Nice approval earlier in April for capivasertib to treat advanced hormone receptor (HR)-positive HER2-negative breast cancer that has spread, which could benefit as many as 3,000 women a year. But cancer charities said they were disappointed Nice did not approve ribociclib's use for those with other forms of early breast cancer at high risk of recurrence. Claire Rowney, the chief executive of Breast Cancer Now, said: 'We're deeply concerned that thousands of people with early breast cancer could miss out on access to a vital type of treatment due to uncertainties around cost-effectiveness. 'Despite the promising potential for adjuvant ribociclib to cut the risk of cancer coming back by almost a third (28.5%), today's decision means only certain people with high-risk node positive disease, and none with high-risk node negative disease, would receive it. 'While drug approvals are always welcome, it's disappointing that so many people could be denied access to this vital treatment and the chance to alleviate some anxiety about their cancer returning. 'Nice and Novartis must urgently work together to resolve the uncertainties around cost-effectiveness, to ensure a swift change to guidance so that everyone who could benefit can receive adjuvant ribociclib.'

Pill that slashes risk of breast cancer recurring to be available on NHS
Pill that slashes risk of breast cancer recurring to be available on NHS

The Independent

time24-04-2025

  • Health
  • The Independent

Pill that slashes risk of breast cancer recurring to be available on NHS

A new twice-daily pill has been approved for NHS use, offering a significant reduction in the risk of certain breast cancers recurring. The decision by the National Institute for Health and Care Excellence (Nice) is expected to benefit about 4,000 people. Ribociclib (known by the brand name Kisqali), manufactured by Novartis, operates by targeting specific proteins that contribute to cancer cell growth. It will be administered in conjunction with an aromatase inhibitor, a medication that blocks oestrogen production, a hormone known to fuel some breast cancers. While this approval marks a significant step forward, concerns have been raised about access for patients with other types of breast cancer. The treatment will be an option for patients with hormone receptor-positive, HER2-negative early breast cancer which has responded to initial treatments, including surgery, but has a higher risk of returning. It has been made available on the NHS with interim funding from the Cancer Drugs Fund. However, Claire Rowney, chief executive at Breast Cancer Now, said on Thursday that the charity is 'deeply concerned' that 'thousands' of other patients with early breast cancer could miss out. 'Despite the promising potential for adjuvant ribociclib to cut the risk of cancer coming back by almost a third (28.5 per cent), today's decision means only certain people with high-risk node positive disease, and none with high-risk node negative disease, would receive it,' she added. 'While drug approvals are always welcome, it's disappointing that so many people could be denied access to this vital treatment and the chance to alleviate some anxiety about their cancer returning.' According to Nice, its committee found cost-effectiveness estimates 'were not suitable for decision making in the context of a recommendation for routine use' because the 'clinical and economic evidence was too uncertain'. It has asked Novartis for further evidence for the wider eligible population and a further committee meeting will be held in June. Breast Cancer Now urged Nice and Novartis to 'work together to resolve the uncertainties around cost-effectiveness' in a bid to 'ensure a swift change to guidance so that everyone who could benefit can receive adjuvant ribociclib'. It also called for the Scottish Medicines Consortium to consider the treatment 'at pace' so it is made available across the UK.

Six new drugs approved for NHS use in Scotland
Six new drugs approved for NHS use in Scotland

BBC News

time10-02-2025

  • Health
  • BBC News

Six new drugs approved for NHS use in Scotland

Six new drugs, including a treatment for patients with advanced breast cancer, have been approved for use by the NHS in Scottish Medicines Consortium (SMC) has given the green light to three new cancer treatments as well as a drug to treat a rare type of epilepsy. Medicine that can help prevent HIV infections has also means the treatments can prescribed by NHS doctors across the a drug which has been shown to slow the progression of Alzheimer's is among those not approved. The SMC, the body which approves drugs for use in the health service, said there was "uncertainty" around the "modest clinical benefit" of the drug UK Medicines and Healthcare products Regulatory Agency (MHRA) has deemed the medication as efficient at slowing Alzheimer's drug is the first Alzheimer's treatment of its kind to be licensed for use in Great Britain but it has not been rolled out in England or Wales either due to the at Alzheimer Scotland said they were "disappointed" by the decision, which chief executive Henry Simmons said was "based on the medicine's cost in relation to the evidence of its clinical benefit".He said: "We remain optimistic that these initial hurdles will be overcome and, after decades of waiting, that new treatments will be approved for NHS use soon." Olaparib - which is also known under the brand name Lynparza - was approved for prescription to adults with breast cancer linked to the BRCA1 gene, or those with mutated HER2-negative advanced breast executive of Breast Cancer Now, Claire Rowney, said: "It's brilliant this targeted treatment has been made available on the NHS in Scotland."Crucially, it offers people living with incurable secondary breast cancer with an altered BRCA gene an additional drug option to help stop their cancer from progressing for longer, so they can continue doing the things that matter most to them."In addition to olaparib, the SMC approved cemiplimab for treating women with recurrent or metastatic cervical cancer, where the cancer has progressed on or after also backed the use of durvalumab as a treatment together with chemotherapy for those patients with newly diagnosed extensive-stage small cell lung cancer. Meanwhile, fenfluramine was approved for use to help treat a serious, rare type of epilepsy called Lennox-Gastaut syndrome, with another drug, cabotegravir approved to help prevent sexually transmitted HIV infections in adults and adolescents who are at high risk of being the SMC backed the use of netarsudil/latanoprost for patients suffering from high pressure in the eye or the eye condition chairman Dr Scott Muir said: "The committee was pleased to be able to accept six new medicines for use by NHS Scotland."Cabotegravir, when used together with safer sex practices may help to reduce the spread of HIV, which is an ongoing priority for the Scottish government."Cemiplimab offers a second line treatment option for patients with advanced cervical cancer, where there are few others."

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