{"id":29380,"date":"2023-05-16T10:21:01","date_gmt":"2023-05-16T10:21:01","guid":{"rendered":"https:\/\/news.cancerresearchuk.org\/?p=25671"},"modified":"2024-11-03T15:12:46","modified_gmt":"2024-11-03T15:12:46","slug":"first-immunotherapy-approved-for-cervical-cancer-in-england-and-scotland","status":"publish","type":"post","link":"https:\/\/ogkologos.com\/en\/first-immunotherapy-approved-for-cervical-cancer-in-england-and-scotland\/","title":{"rendered":"First immunotherapy approved for cervical cancer in England and Scotland"},"content":{"rendered":"<div class=\"image hero-image\" readability=\"8\"> <img width=\"620\" height=\"348\" src=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2023\/05\/cervical-cancer-cells.jpg\" class=\"attachment-featuredImage size-featuredImage\" alt=\"A magnified image of cervical cancer cells.\" decoding=\"async\" loading=\"lazy\" srcset=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2023\/05\/cervical-cancer-cells.jpg 620w, https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2023\/05\/cervical-cancer-cells-300x168.jpg 300w, https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2023\/05\/cervical-cancer-cells-220x123.jpg 220w, https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2023\/05\/cervical-cancer-cells-150x84.jpg 150w\" sizes=\"(max-width: 620px) 100vw, 620px\" data-attachment-id=\"25673\" data-permalink=\"https:\/\/news.cancerresearchuk.org\/2023\/05\/16\/pembrolizumab-cervical-cancer-england-scotland\/cervical-cancer-cells\/\" data-orig-file=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2023\/05\/cervical-cancer-cells.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;&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=\"cervical-cancer-cells\" data-image-description data-image-caption=\"<p>A magnified image of squamous cell carcinoma, the most common type of cervical cancer.<\/p><p> &#8221; data-medium-file=&#8221;https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2023\/05\/cervical-cancer-cells-300&#215;168.jpg&#8221; data-large-file=&#8221;https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2023\/05\/cervical-cancer-cells.jpg&#8221;><\/p><p>A magnified image of squamous cell carcinoma, the most common type of cervical cancer. <span class=\"image-credit\">NCI <\/span><\/p>\n<\/div>\n<p><span data-contrast=\"auto\">The immunotherapy drug <\/span><a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/treatment\/drugs\/pembrolizumab\"><span data-contrast=\"none\">pembrolizumab (Keytruda)<\/span><\/a><span data-contrast=\"auto\"> is now available for people in England and Scotland with some forms of advanced cervical cancer. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">Early trial results suggest that, on average, pembrolizumab can stop some incurable cervical cancers from growing for <\/span><a href=\"https:\/\/www.scottishmedicines.org.uk\/media\/7487\/pembrolizumab-keytruda-final-jan-2023-amended-170123-for-website.pdf\"><span data-contrast=\"none\">8 months<\/span><\/a><span data-contrast=\"auto\"> longer than current treatments. It may also help some people with cervical cancer live longer overall. It\u2019s the first <\/span><span data-contrast=\"auto\">immunotherapy approved for treating cervical cancer in the UK.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">That\u2019s thanks to two separate decisions. First, in February, the Scottish Medicines Consortium (SMC) recommended pembrolizumab as a routine treatment for women with incurable cervical cancer on NHS Scotland. Then, in March, the National Institute for Health and Care Excellence (NICE) approved its use through the Cancer Drugs Fund for the same group in England. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cIt\u2019s good news that people with advanced cervical cancer in England and Scotland can access pembrolizumab while more data is collected about how well it works through the ongoing clinical trial,\u201d says Kruti Shrotri, our head of policy development. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<h2>Pembrolizumab and cervical cancer<\/h2>\n<p><span data-contrast=\"auto\">Around 3,200 women are diagnosed with cervical cancer in the UK each year. The incidence is highest between the ages of 30 and 34.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">Cervical cancer starts when abnormal cells in the lining of the cervix (the lower part of the womb) grow in an uncontrolled way, forming a tumour. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">Pembrolizumab has been recommended for advanced forms of cervical cancer that either don\u2019t respond to other treatments, have come back after other treatments, or have spread to other parts of the body. It\u2019s given alongside the the current standard care for these groups, which includes chemotherapy with or without the targeted cancer drug <\/span><a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/treatment\/drugs\/bevacizumab\"><span data-contrast=\"none\">bevacizumab (Avastin)<\/span><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<h2>How does pembrolizumab work?<span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/h2>\n<p><span data-contrast=\"auto\">Pembrolizumab is a type of immunotherapy called a checkpoint inhibitor. It works by guiding immune cells to target a specific feature of cancer cells. It\u2019s used to treat people whose tumours include a lot of that feature, a protein called PD-L1.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">Both the SMC and NICE decisions were made using evidence from the KEYNOTE-826 trial, which showed that adding pembrolizumab to the current standard of care increases the time before advanced cervical cancers that express a lot of PD-L1 spread or get bigger. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">That evidence suggests that pembrolizumab may help some people with advanced cervical cancer live longer. But, as the trial isn\u2019t finished yet, it\u2019s not clear just how big that benefit might be. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">Because these long-term benefits are still unclear, pembrolizumab is only approved for up to two years of uninterrupted treatment. This is also why NICE only chose to recommend it for use through the Cancer Drugs Fund, rather than as a routine part of NHS treatment in England. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<h2>The next steps<\/h2>\n<p><span data-contrast=\"auto\">The <\/span><a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/treatment\/access-to-treatment\/cancer-drugs-fund-cdf\"><span data-contrast=\"none\">Cancer Drugs Fund<\/span><\/a><span data-contrast=\"auto\"> pays to give patients promising cancer treatments while NICE continues to assess how well they work. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cPembrolizumab shows promise as the first effective immunotherapy,\u201d explained Helen Knight, director of medicines evaluation at NICE. \u201cHowever, to ensure the best use of limited public funding, we need additional evidence to fully analyse its clinical and cost effectiveness before it can be considered for routine NHS use.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cRecommending pembrolizumab to the CDF means people have faster access to care while this further evidence is gathered.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">NICE estimates that 400 people in England with advanced cervical cancer will be eligible to receive pembrolizumab through the CDF.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">NICE decisions are usually followed in Wales and Northern Ireland.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><h3 class=\"panel-title\">More on this topic<\/h3>\n<\/p>\n<p><a href=\"https:\/\/news.cancerresearchuk.org\/2023\/05\/16\/pembrolizumab-cervical-cancer-england-scotland\/\">Source<\/a><\/p>","protected":false},"excerpt":{"rendered":"A magnified image of squamous cell carcinoma, the most common type of cervical cancer. NCI The immunotherapy drug pembrolizumab (Keytruda) is now available for people in England and Scotland with some forms of advanced cervical cancer. Early trial results suggest that, on average, pembrolizumab can stop some incurable cervical cancers from growing for 8 months [...]","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-29380","post","type-post","status-publish","format-standard","hentry","category-world-news"],"_links":{"self":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/29380","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=29380"}],"version-history":[{"count":1,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/29380\/revisions"}],"predecessor-version":[{"id":42954,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/29380\/revisions\/42954"}],"wp:attachment":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/media?parent=29380"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/categories?post=29380"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/tags?post=29380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}