
New Medical Breakthrough Could Transform Blood Cancer Treatment
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A significant number of individuals in England suffering from aggressive blood cancer are poised to gain from a groundbreaking treatment that reprograms their own immune cells to combat the illness, following its endorsement for use by the NHS. Lisocabtagene maraleucel, commonly referred to as liso-cel or Breyanzi and developed by Bristol Myers Squibb, has received approval from the National Institute for Health and Care Excellence.
This form of CAR T-cell therapy entails extracting a patient’s T-cells and altering them in a laboratory setting to specifically target and eliminate cancer cells. The modified cells are subsequently reintroduced into the patient’s body as a singular, personalized treatment. It has been recommended for individuals diagnosed with large B-cell lymphoma, a rapidly progressing cancer that impacts certain white blood cells, particularly in instances where the disease has not responded to initial therapies or has recurred within a year.
Liso-cel offers hope for blood cancer patients
The anticipated decision is projected to benefit nearly 600 patients annually, as reported by Nice. Clinical trials indicate that liso-cel significantly prolongs the progression-free survival of patients, allowing them to live more than twice as long without disease deterioration compared to standard treatment options. Helen Knight, the director of medicines evaluation at Nice, remarked, “For individuals affected by this aggressive form of blood cancer and their families, today’s announcement brings genuine hope.
“These figures represent real lives – each individual who stands to gain from this treatment is a parent, child, partner, or friend. “The evidence we have reviewed demonstrates extraordinary outcomes. Liso-cel can provide invaluable time before additional treatments are necessary and may even be administered as an outpatient procedure, thereby minimizing hospital stays.” According to Cancer Research UK, approximately 5,000 individuals in the UK receive a diagnosis of large B-cell lymphoma each year.
The recent guidance from Nice follows a four-month period after the NHS spending watchdog initially advised against making the treatment available through the health service. It noted that the manufacturer, Bristol Myers Squibb, has since proposed a more favourable commercial arrangement to the NHS regarding the £297,000 list price for each treatment.
NHS reverses decision to offer lifesaving treatment
Ms. Knight expressed satisfaction, stating, “We are pleased to have reversed our initial decision, thereby demonstrating our commitment to providing prompt and effective care while ensuring value for taxpayers.” Professor Peter Johnson, the national director for cancer at NHS England, remarked, “This development allows us to offer four CAR-T products across five clinical indications, benefiting over 1,500 individuals through NHS treatments at a cost that is manageable for taxpayers.
“The NHS is committed to financing the most effective cancer care, and it is remarkable that we can extend these treatments to hundreds more patients suffering from advanced blood cancers, offering them genuine hope for an improved quality of life and longevity.” In response to this announcement, Josh Hill, policy officer at Blood Cancer UK, stated, “Our UK-wide blood cancer action plan has underscored the debilitating side effects of current treatments and the fact that survival rates for blood cancer in the UK are lower than those in similarly affluent and healthy nations.
“Many existing therapies are highly toxic to human cells, so we welcome this decision, which expands treatment options for blood cancer patients in England. Blood cancer ranks as the third leading cause of cancer-related deaths in the UK, and it is through research and investment that we can establish a foundation for new treatment alternatives. We must also ensure that individuals across the UK have access to these new therapies, providing them with the best opportunity for a favourable outcome.”
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