Immunotherapy 2 year limit

Hi everyone, my partner was diagnosed with stage 4 non small cell lung cancer in october 2015, she received chemotherapy initially, which didn't agree with her and after 2 rounds, was sent home for palliative care, she was given 3-4 months. Fortunately we got a second opinion and found a consultant who enrolled her on an early access to medicine scheme for immunotherapy (nivolumab) which she started in March 2016. She received 2 years on this scheme, and from March 2018, she has received her treatment via the cancer drug fund. At a recent consultation we were told that you can only be funded for a maximum of 2 years by the cdf which means that her treatment is due to end in March 2020. This news came as a big shock as my partner has responded to treatment excellently and I have been told by her consultant that her response is in the top 30% in the UK. Not only were we told that her treatment is being stopped, but the worst news of all is that in the future if her disease progresses there is no way she can have nivolumab again, even though it has proven to work for her before. I find this position by nhs England and the cdf absolutely unbelievable, she will basically be denied life saving treatment because she has effectively used up her quota. Since hearing this news I have been trying to find other people in a similar position so we can find a way of getting these life saving drugs prescribed as long as needed, and not as long as budgets permit. I think it is not only unethical but also completely immoral to deny patients medication that is clearly working for them and something must be done to change this. If anyone has any information on how to get continued funding for immunotherapy for patients please send a reply.

Many thanks 

Parents
  • We are in the same position. Back in 2015 my mum was diagnosed with stage 4 lung cancer and went onto have chemotherapy.  Unfortunately this didnt work as well as hoped but her oncologist then put her forward for an immunotherapy trial.  This worked amazingly and shrunk her tumours by 80% very quickly, it did however cause her to have quite bad arthritis in her joints after about a year so she was taken off it after 18 months.  She has had a healthy 4 years since then, but unfortunately it has now spread to her liver, pelvis and by the sound of it today, her eye too.  Chemotherapy hasnt yet shrunk the tumours, as it didn't last time, and she has already asked if there was any chance at all of being able to access immunotherapy again but has been told no as you can only be funded for it once.  However, her argument is that as she only received 18 months worth of the 2 year treatment, she should be entitled to the other 6 months.  Immunotherapy was the only thing that worked for her before and it did most of the shrinking in the first few months so surely she should be allowed 6 months of it to see if it would help.  Seems very unfair and as you said, unethical to stop people accessing treatment that could really help them

    I hope your partner is still doing well and keeping happy and healthy x

  • Hi my Dad has stage 3 non small cell lung cancer and chemo is unfortantly not working ! I have been looking i to the gene's / mutations and I am going to speak to his consultant regarding immunotherapy . Fo you know what sort of lung cancer your Gran has , any mutations and which immunotherapy she was on ? 

    I am so sorry to hear about your Gran and surely if she has not had the full 2 years of the immunotherapy she should be entitiled to finish the 2 years .

    I can not bear how the NHS / goverment are putting a price on peoples lives like this ! A horrid and evil disease its so heartbreaking watching the people you love the most in the world go through this ! 

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Reply
  • Hi my Dad has stage 3 non small cell lung cancer and chemo is unfortantly not working ! I have been looking i to the gene's / mutations and I am going to speak to his consultant regarding immunotherapy . Fo you know what sort of lung cancer your Gran has , any mutations and which immunotherapy she was on ? 

    I am so sorry to hear about your Gran and surely if she has not had the full 2 years of the immunotherapy she should be entitiled to finish the 2 years .

    I can not bear how the NHS / goverment are putting a price on peoples lives like this ! A horrid and evil disease its so heartbreaking watching the people you love the most in the world go through this ! 

    xxxxxxxxxxxxxx

Children
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