{"id":27736,"date":"2021-12-16T16:46:26","date_gmt":"2021-12-16T16:46:26","guid":{"rendered":"https:\/\/news.cancerresearchuk.org\/?p=23894"},"modified":"2024-11-03T15:14:07","modified_gmt":"2024-11-03T15:14:07","slug":"ovarian-bowel-and-non-hodgkins-lymphoma-treatments-approved-for-nhs-use-in-scotland","status":"publish","type":"post","link":"https:\/\/ogkologos.com\/en\/ovarian-bowel-and-non-hodgkins-lymphoma-treatments-approved-for-nhs-use-in-scotland\/","title":{"rendered":"Ovarian, bowel and non-Hodgkin\u2019s lymphoma treatments approved for NHS use in Scotland"},"content":{"rendered":"<div class=\"image hero-image\"><img decoding=\"async\" width=\"620\" height=\"348\" src=\"https:\/\/34p2k13bwwzx12bgy13rwq8p-wpengine.netdna-ssl.com\/wp-content\/uploads\/2021\/05\/shutterstock_ovarian_cancer.jpg\" class=\"attachment-featuredImage size-featuredImage\" alt=\"Ovarian cancer micrograph\" loading=\"lazy\" srcset=\"https:\/\/34p2k13bwwzx12bgy13rwq8p-wpengine.netdna-ssl.com\/wp-content\/uploads\/2021\/05\/shutterstock_ovarian_cancer.jpg 620w, https:\/\/34p2k13bwwzx12bgy13rwq8p-wpengine.netdna-ssl.com\/wp-content\/uploads\/2021\/05\/shutterstock_ovarian_cancer-300x168.jpg 300w, https:\/\/34p2k13bwwzx12bgy13rwq8p-wpengine.netdna-ssl.com\/wp-content\/uploads\/2021\/05\/shutterstock_ovarian_cancer-220x123.jpg 220w, https:\/\/34p2k13bwwzx12bgy13rwq8p-wpengine.netdna-ssl.com\/wp-content\/uploads\/2021\/05\/shutterstock_ovarian_cancer-150x84.jpg 150w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" data-attachment-id=\"18504\" data-permalink=\"https:\/\/news.cancerresearchuk.org\/2021\/05\/12\/ovarian-cancer-screening-trial-did-not-save-lives\/shutterstock_ovarian_cancer\/\" data-orig-file=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2021\/05\/shutterstock_ovarian_cancer.jpg\" data-orig-size=\"620,348\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;Copyright (c) 2017 David A Litman\\\/Shutterstock. No use without permission.&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"shutterstock_ovarian_cancer\" data-image-description data-medium-file=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2021\/05\/shutterstock_ovarian_cancer-300x168.jpg\" data-large-file=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2021\/05\/shutterstock_ovarian_cancer.jpg\"><\/div>\n<p aria-level=\"1\"><span data-contrast=\"none\">Ovarian, bowel and non-Hodgkin\u2019s lymphoma treatments approved for NHS use in Scotland<\/span><\/p>\n<p aria-level=\"1\"><span data-contrast=\"auto\">Three new treatment options will be made available for patients in Scotland living with advanced ovarian cancer, bowel cancer and a rare form of non-Hodgkin\u2019s lymphoma.<\/span><\/p>\n<p><span data-contrast=\"auto\">The latest batch of drug decisions from The Scottish Medicines Consortium (SMC) includes the approval of olaparib, nivolumab and ibrutinib for use on the NHS in Scotland.<\/span><\/p>\n<p><span data-contrast=\"auto\">David Ferguson, public affairs manager for Cancer Research UK in Scotland hopes the decisions will give patients facing these advanced forms of cancer \u201cbetter options for treatment and more memories with the people they love.\u201d<\/span><\/p>\n<h2 aria-level=\"2\"><span data-contrast=\"none\">Targeted cancer drug made available for advanced ovarian cancer<\/span><\/h2>\n<p aria-level=\"2\"><a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/cancer-in-general\/treatment\/cancer-drugs\/drugs\/olaparib-lynparza\"><span data-contrast=\"none\">Olaparib (Lynparza)<\/span><\/a> <span data-contrast=\"auto\">is a type of targeted cancer treatment that blocks an enzyme called PARP from working. Without PARP, it\u2019s more difficult for cancer cells to repair, making them more likely to die.<\/span><\/p>\n<p><span data-contrast=\"auto\">In a <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/nejmoa1911361\" target=\"_blank\" rel=\"noopener\">phase 3 study<\/a><\/span><span data-contrast=\"auto\">, olaparib was used in combination with<\/span> <a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/cancer-in-general\/treatment\/cancer-drugs\/drugs\/bevacizumab\"><span data-contrast=\"none\">bevacizumab<\/span><\/a> <span data-contrast=\"auto\">to prolong the effects of initial treatment for people with advanced ovarian cancer.<\/span> <a href=\"https:\/\/www.scottishmedicines.org.uk\/medicines-advice\/olaparib-lynparza-full-smc2368\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">The SMC decision<\/span><\/a> <span data-contrast=\"auto\">declared that olaparib plus bevacizumab gave patients longer without their cancer growing, compared to a placebo plus bevacizumab.<\/span><\/p>\n<p><span data-contrast=\"auto\">The treatment will be offered to adults with<\/span> <a href=\"https:\/\/www.cancer.org\/cancer\/ovarian-cancer\/detection-diagnosis-staging\/staging.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">advanced<\/span><\/a><span data-contrast=\"auto\">, high-grade<\/span> <a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/ovarian-cancer\/types\/epithelial-ovarian-cancers\/epithelial\"><span data-contrast=\"none\">epithelial ovarian<\/span><\/a><span data-contrast=\"auto\">,<\/span> <a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/ovarian-cancer\/types\/epithelial-ovarian-cancers\/fallopian-tube\"><span data-contrast=\"none\">fallopian tube<\/span><\/a> <span data-contrast=\"auto\">or<\/span> <a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/ovarian-cancer\/types\/epithelial-ovarian-cancers\/primary-peritoneal\"><span data-contrast=\"none\">primary peritoneal cancer<\/span><\/a><span data-contrast=\"auto\">, who have already been treated with chemotherapy and bevacizumab.<\/span><\/p>\n<p><span data-contrast=\"auto\">It will only be an option if someone\u2019s cancer has genetic changes that prevent cells from repair DNA damage \u2013 such as a fault in BRCA1 and BRCA2 genes, or genomic instability.<\/span><\/p>\n<p><span data-contrast=\"auto\">Ferguson said: \u201cCancer Research UK played a leading role in the first clinical trials for olaparib, which led to it being used routinely to treat ovarian cancer in patients who have the BRCA1 and BRCA2 gene faults.<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cOlaparib is now a well-established treatment option for ovarian cancer and today\u2019s decision reaffirms that position for advanced ovarian cancer.\u201d<\/span><\/p>\n<h2 aria-level=\"2\"><span data-contrast=\"none\">Immunotherapy combo approved for people with bowel cancer<\/span><\/h2>\n<p aria-level=\"2\"><span data-contrast=\"none\">In a <a href=\"https:\/\/www.scottishmedicines.org.uk\/medicines-advice\/nivolumab-opdivo-full-smc2394\/\" target=\"_blank\" rel=\"noopener\">second decision, the SMC approved an immunotherapy combo<\/a><\/span> <span data-contrast=\"auto\">for adults with bowel cancer that has spread to other parts of the body.<\/span><\/p>\n<p><span data-contrast=\"auto\">The new combination of <a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/cancer-in-general\/treatment\/cancer-drugs\/drugs\/nivolumab\" target=\"_blank\" rel=\"noopener\">nivolumab (Opvido)<\/a> and <a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/cancer-in-general\/treatment\/cancer-drugs\/drugs\/ipilimumab-yervoy\" target=\"_blank\" rel=\"noopener\">ilipimumab<\/a> will be offered to people whose cancers can be described as microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) due to generic changes in the cells.<\/span><\/p>\n<p><span data-contrast=\"auto\">Right now, there\u2019s limited data on whether the combination can increase survival compared with current treatments like chemotherapy. But results from a <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34637336\/\" target=\"_blank\" rel=\"noopener\">phase 2 clinical trial<\/a> found that by the end of the trial, 65% of patients\u2019 cancers responded to the treatment.<\/span><\/p>\n<p><span data-contrast=\"auto\">Patients reported an improved quality of life undergoing this treatment compared to chemotherapy, with fewer side effects and greater hope for potentially added months and years of life.<\/span><\/p>\n<p><span data-contrast=\"auto\">Current NHS treatment options for advanced bowel cancer are known to be extremely limited. \u201cIt\u2019s great news for patients that nivolumab has been approved for further use in NHS Scotland,\u201d Ferguson said.<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cNivolumab provides a more targeted approach to treating cancer, by helping the immune system to attack tumours. Studies in metastatic colorectal cancer have found that it can help some patients live longer, as well as producing fewer side effects than other treatments.\u201d<\/span><\/p>\n<h2 aria-level=\"2\"><span data-contrast=\"none\">A new treatment option for patients with a rare type of non-Hodgkin\u2019s lymphoma<\/span><\/h2>\n<p aria-level=\"2\"><span data-contrast=\"auto\">In the<\/span> <a href=\"https:\/\/www.scottishmedicines.org.uk\/medicines-advice\/ibrutinib-imbruvica-full-smc2387\/\"><span data-contrast=\"none\">final SMC cancer decision<\/span><\/a> <span data-contrast=\"auto\">of the month,<\/span> <span data-contrast=\"auto\">drug that blocks cancer from growing, called<\/span> <a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/cancer-in-general\/treatment\/cancer-drugs\/drugs\/ibrutinib\"><span data-contrast=\"none\">ibrutinib (Imbruvica)<\/span><\/a> <span data-contrast=\"auto\">has been accepted for use with patients diagnosed with Waldenstr\u00f6m\u2019s macroglobulinaemia (WM).<\/span><\/p>\n<p><span data-contrast=\"auto\">The drug will provide a vital new option for patients who\u2019ve already had at least one cancer treatment \u2013 which tends to be chemotherapy in combination with immunotherapy \u2013 or people who are unable to take this combination.<\/span><\/p>\n<p><span data-contrast=\"auto\">Right now, the only available option for people at this stage is a combination of ibrutinib plus another drug called<\/span> <a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/cancer-in-general\/treatment\/cancer-drugs\/drugs\/rituximab\"><span data-contrast=\"none\">rituximab<\/span><\/a><span data-contrast=\"auto\">. A combo that\u2019s not suitable for everyone.<\/span><\/p>\n<p><span data-contrast=\"auto\">Having the option to take ibrutinib by itself represents a \u201cmajor step change\u201d for those diagnosed with WM. And, as an oral treatment, it reduces the need for frequent hospital visits.<\/span><\/p>\n<p><span data-contrast=\"auto\">Ferguson added the treatment has \u201cshown great promise in <a href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT01614821\" target=\"_blank\" rel=\"noopener\">clinical trials<\/a> with patients whose cancer has come back after previous treatment, helping to keep cancer at bay for longer.\u201d<\/span><\/p>\n<p><span data-contrast=\"auto\">All 3 decisions apply to NHS Scotland only, with England, Wales and Northern Ireland having a separate process for reviewing treatments.<\/span><\/p>\n<p><h3 class=\"panel-title\">More on this topic<\/h3>\n<\/p>\n<p> <a href=\"https:\/\/news.cancerresearchuk.org\/2021\/12\/16\/ovarian-bowel-and-non-hodgkins-lymphoma-treatments-approved-for-nhs-use-in-scotland\/\">Source<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Ovarian, bowel and non-Hodgkin\u2019s lymphoma treatments approved for NHS use in Scotland Three new treatment options will be made available for patients in Scotland living with advanced ovarian cancer, bowel cancer and a rare form of non-Hodgkin\u2019s lymphoma. The latest batch of drug decisions from The Scottish Medicines Consortium (SMC) includes the approval of olaparib, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[5137],"tags":[],"class_list":["post-27736","post","type-post","status-publish","format-standard","hentry","category-world-news"],"_links":{"self":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/27736","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/comments?post=27736"}],"version-history":[{"count":1,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/27736\/revisions"}],"predecessor-version":[{"id":45058,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/27736\/revisions\/45058"}],"wp:attachment":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/media?parent=27736"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/categories?post=27736"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/tags?post=27736"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}