Formulary Chapter 8: Malignant disease and immunosuppression - Full Chapter
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Details... |
08.01.05 |
Other antineoplastic drugs |
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Abemaciclib tabs
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Restricted

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system) Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA563: Abemaciclib with an aromatase inhibitor for previously untreated, hormone receptor-positive, HER2-negative, locally advanced or metastatic breast cancer
NICE TA579: Abemaciclib with fulvestrant for treating hormone receptor-positive, HER2-negative advanced breast cancer after endocrine therapy
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Aflibercept infusion
(Zaltrap®)
(Oncology)
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Formulary


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Provider notes - NMUH:
- Non-formulary
- See MHRA Drug Safety Update
- RFL:
- RNOH:
- UCLH:
- WH:
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NICE TA307 (not recommended): Aflibercept in combination with irinotecan and fluorouracil-based therapy for treating metastatic colorectal cancer that has progressed following prior oxaliplatin-based chemotherapy
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Alectinib tabs
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Formulary

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic).
- RNOH:
- UCLH:
- WH:
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NICE TA438 (not recommended): Alectinib for previously treated anaplastic lymphoma kinase-positive advanced non-small-cell lung cancer (terminated appraisal)
NICE TA536: Alectinib for untreated ALK-positive advanced non-small-cell lung cancer
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Anagrelide caps
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Formulary

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Approved for essential thrombocythaemia, if first-line hydroxycarbamide is unsuitable (JFC February 2020).
Provider notes
- NMUH:
- Approved for essential thrombocythaemia (see above)
- This drug for the treatment of malignant disease must be prescribed on chemocare
- RFL:
- Approved for essential thrombocythaemia
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
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Atezolizumab inj
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Formulary

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- As per NICE TA492, TA520, TA525, TA584, TA638 & TA639
- RFL:
- As per NICE TA492, TA520, TA525, TA584/ CDF criteria
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
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NICE TA492: Atezolizumab for untreated locally advanced or metastatic urothelial cancer when cisplatin is unsuitable
NICE TA520: Atezolizumab for treating locally advanced or metastatic non-small-cell lung cancer after chemotherapy
NICE TA525: Atezolizumab for treating locally advanced or metastatic urothelial carcinoma after platinum-containing chemotherapy
NICE TA584: Atezolizumab in combination for treating metastatic non-squamous non-small-cell lung cancer
NICE TA618 (not recommended): Atezolizumab with carboplatin and nab-paclitaxel for untreated advanced non-squamous non-small-cell lung cancer (terminated appraisal)
NICE TA638: Atezolizumab with carboplatin and etoposide for untreated extensive-stage small-cell lung cancer
NICE TA639: Atezolizumab with nab-paclitaxel for untreated PD-L1-positive, locally advanced or metastatic, triple-negative breast cancer
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Avelumab solution for infusion
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Restricted

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- RFL:
- As per NICE TA517/CDF criteria
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
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NICE TA517: Avelumab for treating metastatic Merkel cell carcinoma
NICE TA645: Avelumab with axitinib for untreated advanced renal cell carcinoma
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Axitinib tabs
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Restricted

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- As per NICE TA333
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA333: Axitinib for advanced renal cell carcinoma
NICE TA645: Avelumab with axitinib for untreated advanced renal cell carcinoma
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Binimetinib tabs
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Restricted

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- Non-formulary
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system) Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA562: Encorafenib with binimetinib for unresectable or metastatic BRAF V600 mutation-positive melanoma
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Bosutinib
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Restricted


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See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA401: Bosutinib for previously treated chronic myeloid leukaemia
NICE TA576 (not recommended): Bosutinib for untreated chronic myeloid leukaemia (terminated appraisal)
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Brigatinib tabs
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Formulary

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See link below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system) Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA571: Brigatinib for treating ALK-positive advanced non-small-cell lung cancer after crizotinib
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Carboplatin + paclitaxel
(Squamous cell carcinoma of anus)
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Formulary

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Approved as first-line treatment for advanced squamous cell carcinoma of anus (JFC March 2019).
Note: Carboplatin AUC5 day 1 of 28 day cycles + paclitaxel 80 mg/m2 on day 1, day 8 and day 15 of 28 day cycles. 6 cycles (each cycle 28 days)
Provider notes
- NMUH:
- RFL:
- RNOH:
- UCLH:
- WH:
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Carboplatin + paclitaxel (CROSS)
(Oesophageal cancer)
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Formulary

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Approved as neo-adjuvant treatment before surgery for adenocarcinoma of the oesophagus or the gastro-oesophageal junction (JFC November 2017) Provider notes
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Carfilzomib
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Restricted

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See NICE TA for eligibility criteria Provider notes - NMUH:
- RFL:
- As per NICE TA
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
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NICE TA457: Carfilzomib for previously treated multiple myeloma
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Cemiplimab infusion
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Formulary

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- RFL:
- As per TA592
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
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NICE TA592: Cemiplimab for treating metastatic or locally advanced cutaneous squamous cell carcinoma
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Ceritinib
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Restricted

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Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See link below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA395: Ceritinib for previously treated anaplastic lymphoma kinase positive non-small-cell lung cancer
NICE TA500: Ceritinib for untreated ALK-positive non-small-cell lung cancer
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Dabrafenib caps
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Restricted


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See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA321:Dabrafenib for BRAF V600 +ve melanoma
NICE TA396:Trametinib in combination with dabrafenib for treating unresectable or metastatic melanoma
NICE TA544: Dabrafenib with trametinib for adjuvant treatment of resected BRAF V600 mutation-positive melanoma
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Dacomitinib tabs
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Formulary

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- RFL:
- As per TA595
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
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NICE TA595: Dacomitinib for untreated EGFR mutation-positive non-small-cell lung cancer
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Docetaxel + oxaliplatin + disodium folinate + fluorouracil (FLOT)
(Oesophageal cancer)
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Formulary

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Approved gastric or gastro-oesophageal junction adenocarcinoma (JFC November 2017) Provider notes
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Durvalumab
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Formulary

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- Non-formulary
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- As per NICE/CDF criteria
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
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NICE TA578: Durvalumab for treating locally advanced unresectable non-small-cell lung cancer after platinum-based chemoradiation
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Encorafenib caps
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Restricted

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- Non-formulary
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- As per NICE TA
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA562: Encorafenib with binimetinib for unresectable or metastatic BRAF V600 mutation-positive melanoma
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Eribulin
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Restricted


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See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
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NICE TA423: Eribulin for treating locally advanced or metastatic breast cancer after 2 or more chemotherapy regimens
NICE TA515 (not recommended): Eribulin for treating locally advanced or metastatic breast cancer after 1 chemotherapy regimen
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Folinic acid + fluorouracil + irinotecan (FOLFIRI)
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Formulary

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Approved for: - 2nd / 3rd line treatment of inoperable gasto-oesophageal adenocarcinoma (May 2015)
- 2nd line for high grade neuroendocrine tumour (March 2016)
Provider notes
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Folinic acid + fluorouracil + oxaliplatin + irinotecan (FOLFOXIRI)
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Formulary

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Approved for 1st line treatment of unresectable metastatic colorectal cancer (May 2015) Provider notes
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Folinic acid + fluorouracil + oxaliplatin + irinotecan (mFOLFIRINOX)
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Formulary

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Approved adjuvant treatment of pancreatic cancer (JFC September 2018)
Provider notes
- NMUH:
- RFL:
- RNOH:
- UCLH:
- WH:
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Ibrutinib
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Restricted


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Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotheray prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA429 : Ibrutinib for previously treated chronic lymphocytic leukaemia and untreated chronic lymphocytic leukaemia with 17p deletion or TP53 mutation
NICE TA437 (not recommended): Ibrutinib with bendamustine and rituximab for treating relapsed or refractory chronic lymphocytic leukaemia after systemic therapy (terminated appraisal)
NICE TA452 (not recommended): Ibrutinib for untreated chronic lymphocytic leukaemia without a 17p deletion or TP53 mutation (terminated appraisal)
NICE TA491: Ibrutinib for treating Waldenstrom’s macroglobulinaemia
NICE TA502: Ibrutinib for treating relapsed or refractory mantle cell lymphoma
NICE TA608 (terminated appraisal): Ibrutinib with rituximab for treating Waldenstrom’s macroglobulinaemia
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Idelalisib tabs
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Restricted


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Idelalisib should not be initiated as a first-line treatment in chronic lymphocytic leukaemia (CLL) patients with 17p deletion or TP53 mutation - see 'Direct Communication' below.
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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Direct Healthcare Professional Communication: Gilead (REF: 1101-16-208)
NICE TA328 (not recommended): Idelalisib for treating follicular lymphoma that is refractory to 2 prior treatments (terminated appraisal)
NICE TA359: Idelalisib for treating chronic lymphocytic leukaemia
NICE TA469 (not recommended): Idelalisib with ofatumumab for treating chronic lymphocytic leukaemia (terminated appraisal)
NICE TA604 (not recommended): Idelalisib for treating refractory follicular lymphoma
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Ixazomib
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Formulary


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See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See link below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA505: Ixazomib with lenalidomide and dexamethasone for treating relapsed or refractory multiple myeloma
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Lenvatinib caps
(Kisplyx®)
(Renal cell carcinoma)
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Formulary

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DO NOT CONFUSE Kisplyx® AND Lenvima® AS THEY ARE LICENSED FOR DIFFERENT INDICATIONS See NICE TA for eligibility criteria Provider notes - NMUH:
- RFL:
- As per NICE guidance for renal cell carcinoma
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA498: Lenvatinib with everolimus for previously treated advanced renal cell carcinoma
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Lenvatinib caps
(Lenvima®)
(Differentiated thyroid carcinoma, Hepatocellular carcinoma)
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Formulary

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DO NOT CONFUSE Kisplyx® AND Lenvima® AS THEY ARE LICENSED FOR DIFFERENT INDICATIONS
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- TA551 does not apply at NMUH as service is not offered
- RFL:
- As per NICE guidance for thyroid cancer and hepatocellular carcinoma
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA535: Lenvatinib and sorafenib for treating differentiated thyroid cancer after radioactive iodine
NICE TA551: Lenvatinib for untreated advanced hepatocellular carcinoma
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Lutetium (177Lu) oxodotreotide injection
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Formulary

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- Non-formulary
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- RNOH:
- UCLH:
- WH:
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NICE TA539: Lutetium (177Lu) oxodotreotide for treating unresectable or metastatic neuroendocrine tumours
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Neratinib tabs
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Formulary

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- RFL:
- As per NICE TA612
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
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NICE TA612: Neratinib for extended adjuvant treatment of hormone receptor-positive, HER2-positive early stage breast cancer after adjuvant trastuzumab
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Nivolumab injection
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Restricted


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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- TA400, TA417, TA530, TA558 and TA581 do not apply at NMUH as service is not offered
- RFL:
- As per NICE TA
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
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NICE TA384: Nivolumab for treating advanced (unresectable or metastatic) melanoma
NICE TA400: Nivolumab in combination with ipilimumab for treating advanced melanoma
NICE TA417: Nivolumab for previously treated advanced renal cell carcinoma
NICE TA462: Nivolumab for treating relapsed or refractory classical Hodgkin lymphoma
NICE TA483: Nivolumab for previously treated squamous non-small-cell lung cancer
NICE TA484: Nivolumab for previously treated non-squamous non-small-cell lung cancer
NICE TA490: Nivolumab for treating squamous cell carcinoma of the head and neck after platinum-based chemotherapy
NICE TA530 (not recommended): Nivolumab for treating locally advanced unresectable or metastatic urothelial cancer after platinum-containing chemotherapy
NICE TA558: Nivolumab for adjuvant treatment of completely resected melanoma with lymph node involvement or metastatic disease
NICE TA581: Nivolumab with ipilimumab for untreated advanced renal cell carcinoma
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Olaparib
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Restricted

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- Non-formulary (TA381, TA598 and TA620 does not apply at NMUH as service is not offered)
- RFL:
- RNOH:
- UCLH:
- Approved for
- Fallopian tube cancer (in line with NICE TA 381 and 620)
- Primary peritoneal cancer (in line with NICE TA 381 and 620)
- Relapsed platinum-sensitive BRCA mutated high grade serous ovarian cancer (in line with NICE TA 381 and 620)
- WH:
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NICE TA381: Olaparib for maintenance treatment of relapsed, platinum-sensitive, BRCA mutation-positive ovarian, fallopian tube and peritoneal cancer after response to second-line or subsequent platinum-based chemotherapy
NICE TA598: Olaparib for maintenance treatment of BRCA mutation-positive advanced ovarian, fallopian tube or peritoneal cancer after response to first-line platinum-based chemotherapy
NICE TA620: Olaparib for maintenance treatment of relapsed platinum-sensitive ovarian, fallopian tube or peritoneal cancer
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Palbociclib cap
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Restricted

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See NICE TA for eligibility criteria
Provider notes
- NMUH:
- RFL:
- As per NICE TA495
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA495: Palbociclib with an aromatase inhibitor for previously untreated, hormone receptor-positive, HER2-negative, locally advanced or metastatic breast cancer
NICE TA619: Palbociclib with fulvestrant for treating hormone receptor-positive, HER2-negative, advanced breast cancer
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Panitumumab
|
Restricted


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Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- Check for MHRA Drug Safety Updates
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
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NICE TA240 (not recommended): Panitumumab in combination with chemotherapy for the treatment of metastatic colorectal cancer (terminated appraisal)
NICE TA242 (not recommended): Cetuximab, bevacizumab and panitumumab for the treatment of metastatic colorectal cancer after first-line chemotherapy
NICE TA439 : Cetuximab and panitumumab for previously untreated metastatic colorectal cancer
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Panobinostat
|
Restricted

|
See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- To be prescribed Oncology Consultants ONLY.
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA380: Panobinostat for treating multiple myeloma after at least 2 previous treatments
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Pegaspargase
|
Restricted

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Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- For Paediatric patients, the supply is made from GOSH
- See links below
- RFL:
- Formulary for paediatrics
- For Paediatric patients, the supply is made from GOSH
- RNOH:
- UCLH:
- WH:
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NICE TA408: Pegaspargase for treating acute lymphoblastic leukaemia
|
Pembrolizumab injection
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Formulary

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- As per NICE TA428, TA447, TA519, TA522, TA531, TA540, TA557, TA600
- TA357, TA366 and TA553 do not apply at NMUH as service is not offered
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
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NICE TA357: Pembrolizumab for melanoma after ipilimumab
NICE TA366: Pembrolizumab for advanced melanoma not previously treated with ipilimumab
NICE TA428: Pembrolizumab for treating PD-L1-positive non-small-cell lung cancer after chemotherapy
NICE TA447: Pembrolizumab for untreated PD-L1-positive metastatic non-small-cell lung cancer
NICE TA519: Pembrolizumab for treating locally advanced or metastatic urothelial carcinoma after platinum-containing chemotherapy
NICE TA522: Pembrolizumab for untreated locally advanced or metastatic urothelial cancer when cisplatin is unsuitable
NICE TA531: Pembrolizumab for untreated PD-L1-positive metastatic non-small-cell lung cancer
NICE TA540: Pembrolizumab for treating relapsed or refractory classical Hodgkin lymphoma
NICE TA553: Pembrolizumab for adjuvant treatment of resected melanoma with high risk of recurrence
NICE TA557: Pembrolizumab with pemetrexed and platinum chemotherapy for untreated, metastatic, non-squamous non-small-cell lung cancer
NICE TA600: Pembrolizumab with carboplatin and paclitaxel for untreated metastatic squamous non-small-cell lung cancer
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Ponatinib
|
Restricted


|
Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA451: Ponatinib for treating chronic myeloid leukaemia and acute lymphoblastic leukaemia
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Ribociclib
|
Formulary

|
Provider notes
- NMUH
- RFL
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
- RNOH
- UCLH
- WH
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NICE TA496: Ribociclib with an aromatase inhibitor for previously untreated, hormone receptor-positive, HER2-negative, locally advanced or metastatic breast cancer
NICE TA593: Ribociclib with fulvestrant for treating hormone receptor-positive, HER2-negative, advanced breast cancer
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Ruxolitinib
(Myelofibrosis)
|
Restricted

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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See link below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
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NICE TA356 (not recommended): Ruxolitinib for treating polycythaemia vera (terminated appraisal)
NICE TA386: Ruxolitinib for treating disease-related splenomegaly or symptoms in adults with myelofibrosis
|
Talimogene laherparepvec
(Imlygic®)
|
Restricted

|
See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- As per NICE TA
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
NICE TA410: Talimogene laherparepvec for treating unresectable metastatic melanoma
|
Tivozanib
|
Formulary

|
Provider notes - RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
|
NICE TA512: Tivozanib for treating advanced renal cell carcinoma
|
Trametinib tabs
|
Restricted


|
See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
|
NICE TA396: Trametinib in combination with dabrafenib for treating unresectable or metastatic melanoma
NICE TA544: Dabrafenib with trametinib for adjuvant treatment of resected BRAF V600 mutation-positive melanoma
|
08.01.05 |
Amsacrine |
|
|
08.01.05 |
Arsenic trioxide |
|
|
08.01.05 |
Bevacizumab |
|
|
Bevacizumab
(Oncology)
|
Restricted


|
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- Discuss with cancer pharmacy team before prescribing
- RNOH:
- UCLH:
- WH:
|
NICE TA118 (not recommended): Bevacizumab for the treatment of metastatic colorectal cancer
NICE TA148 (not recommended): Bevacizumab for the treatment of non-small-cell lung cancer (terminated appraisal)
NICE TA178 (not recommended): Bevacizumab (1st line), sorafenib, sunitinib (2nd line) and temsirolimus for the treatment of advanced and/or metastatic renal cell carcinoma
NICE TA212 (not recommended): Bevacizumab in combination with oxaliplatin and either fluorouracil plus folinic acid or capecitabine for the treatment of metastatic colorectal cancer
NICE TA214 (not recommended): Bevacizumab in combination with a taxane for the first-line treatment of metastatic breast cancer
NICE TA242 (not recommended): Cetuximab, bevacizumab and panitumumab for the treatment of metastatic colorectal cancer after first-line chemotherapy
NICE TA263 (not recommended): Bevacizumab in combination with capecitabine for the first-line treatment of metastatic breast cancer
NICE TA284 (not recommended): Bevacizumab in combination with paclitaxel and carboplatin for first-line treatment of advanced ovarian cancer
NICE TA285 (not recommended): Bevacizumab in combination with gemcitabine and carboplatin for treating the first recurrence of platinum-sensitive advanced ovarian cancer
NICE TA353 (not recommended): Bevacizumab for treating relapsed, platinum‑resistant epithelial ovarian, fallopian tube or primary peritoneal cancer (terminated appraisal)
NICE TA436 (not recommended): Bevacizumab for treating EGFR mutation-positive non-small-cell lung cancer (terminated appraisal)
NICE TA584: Atezolizumab in combination for treating metastatic non-squamous non-small-cell lung cancer
|
08.01.05 |
Bexarotene |
|
|
08.01.05 |
Bortezomib |
|
|
Bortezomib injection
|
Restricted


|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- To be prescribed by the Haematology Team ONLY
- See links below
- RFL:
- As per NICE guidance/CDF criteria
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
NICE TA129: Multiple myeloma - bortezomib
NICE TA228: 1st line treatment of multiple myeloma
NICE TA311: Bortezomib for induction therapy in multiple myeloma
NICE TA370: Bortezomib for previously untreated mantle cell lymphoma
NICE TA453 (not recommended): Bortezomib for treating multiple myeloma after second or subsequent relapse (terminated appraisal)
NICE TA573: Daratumumab with bortezomib and dexamethasone for previously treated multiple myeloma
|
08.01.05 |
Brentuximab vedotin |
|
|
Brentuximab vedotin infusion
|
Restricted


|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- As per NICE TA478, TA524, TA641
- TA577 does not apply at NMUH as service is not offered
- RFL:
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL elecctronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
- As per NICE TA478, TA524, TA577.
|
NICE TA478: Brentuximab vedotin for treating relapsed or refractory systemic anaplastic large cell lymphoma
NICE TA524: Brentuximab vedotin for treating CD30-positive Hodgkin lymphoma
NICE TA577: Brentuximab vedotin for treating CD30-positive cutaneous T-cell lymphoma
NICE TA594 (terminated appraisal): Brentuximab vedotin for untreated advanced Hodgkin lymphoma
NICE TA641: Brentuximab vedotin in combination for untreated systemic anaplastic large cell lymphoma
|
08.01.05 |
Cetuximab |
|
|
Cetuximab
|
Restricted


|
See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- Check MHRA Drug Safety Updates
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
NICE TA145: Head and neck cancer - cetuximab
NICE TA242 (not recommended): Cetuximab, bevacizumab and panitumumab for the treatment of metastatic colorectal cancer after first-line chemotherapy
NICE TA439: Cetuximab and panitumumab for previously untreated metastatic colorectal cancer
NICE TA472: Cetuximab for treating recurrent or metastatic squamous cell cancer of the head and neck
|
08.01.05 |
Crisantaspase |
|
|
Crisantaspase
|
Formulary

|
Provider notes
- NMUH:
- RFL:
- RNOH:
- UCLH:
- WH:
|
|
08.01.05 |
Dacarbazine and Temozolomide |
|
|
Dacarbazine
|
Formulary

|
Provider notes - NMUH:
- RFL:
- No restriction stated
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
|
Temozolomide
|
Restricted

|
See NICE TA for eligibility criteria Provider notes - NMUH:
- Positive NICE TA This medicine has a positive NICE Technology Appraisal but the service is not provided at NMUH.
- Check MHRA Drug Safety Updates
- RFL:
- Restricted to neuroendocrine (NET) patients (with capecitabine) and metastatic melanoma
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA121: Glioma (newly diagnosed and high grade)
NICE TA23: Guidance on the use of temozolomide for the treatment of recurrent malignant glioma (brain cancer)
|
08.01.05 |
Erlotinib |
|
|
Erlotinib tab
|
Restricted

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when use in line with NICE recommendations and/or Local Trust Guidelines.
- To be prescribed by the Oncology team ONLY.
- As per NICE guidance TA258, TA374.
- RFL:
- As per NICE guidance TA258, TA374.
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA227 (not recommended): Erlotinib monotherapy for maintenance treatment of non-small-cell lung cancer
NICE TA258: Erlotinib for the first-line treatment of locally advanced or metastatic EGFR-TK mutation-positive non-small-cell lung cancer
NICE TA374: Erlotinib and gefitinib for treating non-small-cell lung cancer that has progressed after prior chemotherapy
NICE TA635 (not recommended): Ramucirumab with erlotinib for untreated EGFR-positive metastatic non-small-cell lung cancer (Terminated appraisal)
|
08.01.05 |
Hydroxycarbamide |
|
|
Hydroxycarbamide
(Malignant disease)
|
Formulary

|
NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications.
Provider notes
- NMUH:
- RFL:
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
|
08.01.05 |
Imatinab |
|
|
Imatinib tabs
(CML, GIST)
|
Restricted

|
NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. Gilvec for GIST only. Generic for all other indications. Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- To be prescribed by the Haematology Team ONLY.
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA209 (not recommended): Imatinib for the treatment of unresectable and/or metastatic gastrointestinal stromal tumours
NICE TA326: Imatinib for the adjuvant treatment of gastrointestinal stromal tumours
NICE TA425 (not recommended): Dasatinib, nilotinib and high-dose imatinib for treating imatinib-resistant or intolerant chronic myeloid leukaemia
NICE TA426: Dasatinib, nilotinib and imatinib for untreated chronic myeloid leukaemia
NICE TA70: Imatinib for chronic myeloid leukaemia
NICE TA86: Imatinib for the treatment of unresectable and/or metastatic gastro-intestinal stromal tumours
|
08.01.05 |
Ipilimumab |
|
|
Ipilimumab
|
Restricted


|
See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- As per NICE TA
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
NICE TA268: Ipilimumab for previously treated advanced (unresectable or metastatic) melanoma
NICE TA319: Ipilimumab for previously untreated advanced (unresectable or metastatic) melanoma
NICE TA400: Nivolumab in combination with ipilimumab for treating advanced melanoma
NICE TA581: Nivolumab with ipilimumab for untreated advanced renal cell carcinoma
|
08.01.05 |
Mitotane |
|
|
Mitotane
|
Formulary

|
Approved for metastatic adrenocortical carcinoma (JFC February 2018)
Provider notes
- NMUH:
- RFL:
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
|
08.01.05 |
Panitumumab |
|
|
08.01.05 |
Pentostatin |
|
|
Pentostatin
|
Formulary

|
Provider notes - NMUH:
- RFL:
- No restriction stated
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
|
08.01.05 |
Platinum compounds |
|
|
Carboplatin
|
Formulary

|
Provider notes - NMUH:
- RFL:
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
|
Cisplatin
|
Formulary

|
Provider notes - NMUH:
- RFL:
- No restriction stated
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
|
Oxaliplatin
|
Formulary

|
See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- Restricted for treatment of pancreatic, colorectal, oesophago-gastric cancers and lymphoma only
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
NICE TA100: Colon cancer (adjuvant) - capecitabine and oxaliplatin
|
08.01.05 |
Porfimer sodium and temoporfin |
|
|
08.01.05 |
Procarbazine |
|
|
Procarbazine
|
Formulary

|
Provider notes
- NMUH:
- RFL:
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
|
08.01.05 |
Protein kinase inhibitors |
|
|
Afatinib
|
Restricted

|
Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See link below
- RFL:
- As per NICE TA
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA310: Afatinib for treating epidermal growth factor receptor mutation-positive locally advanced or metastatic non-small-cell lung cancer
NICE TA444 (not recommended): Afatinib for treating advanced squamous non-small-cell lung cancer after platinum-based chemotherapy (terminated appraisal)
|
Cabozantinib caps
(Cometriq®)
(Thyroid carcinoma)
|
Formulary

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- Non-formulary
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- As per NICE guidance for the treatment of medullary thyroid cancer
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA516: Cabozantinib for treating medullary thyroid cancer
|
Cabozantinib tabs
(Cabometyx®)
(Renal cell carcinoma, Hepatocellular carcinoma)
|
Restricted


|
See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- As per NICE guidance for the treatment of renal cell carcinoma
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA463: Cabozantinib for previously treated advanced renal cell carcinoma
NICE TA542: Cabozantinib for untreated advanced renal cell carcinoma
|
Crizotinib
|
Restricted


|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- Check MHRA drug safety alerts
- See London Cancer Guidelines for the Treatment of Lung Cancer
- RFL:
- As per NICE TA
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additonally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- In line with NICE TA's
- In line with Cancer Drug Fund
- WH:
|
NICE TA406: Crizotinib for untreated anaplastic lymphoma kinase-positive advanced non-small-cell lung cancer
NICE TA422: Crizotinib for previously treated anaplastic lymphoma kinase-positive advanced non-small-cell lung cance
NICE TA529: Crizotinib for treating ROS1-positive advanced non-small-cell lung cancer
|
Dasatinib
|
Restricted


|
Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patient this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA241: CML where treatment with imatinib has failed
NICE TA425: Dasatinib, nilotinib and high-dose imatinib for treating imatinib-resistant or intolerant chronic myeloid leukaemia
NICE TA426: Dasatinib, nilotinib and imatinib for untreated chronic myeloid leukaemia
|
Entrectinib caps
|
Restricted

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA643: Entrectinib for treating ROS1-positive advanced non-small-cell lung cancer
NICE TA644: Entrectinib for treating NTRK fusion-positive solid tumours
|
Everolimus
(Afinitor®)
(Oncology)
|
Restricted


|
NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. DO NOT CONFUSE Afinitor®, Votubia® AND Certican® AS THEY ARE LICENSED FOR DIFFERENT INDICATIONS See NICE TA for eligibility criteriaProvider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when in line with NICE recommendations and/or Local Trust Guidelines.
- TA432, 449 and 498 do not apply at NMUH as services not offered.
- See links below
- RFL:
- As per NICE guidance (see below)
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA421: Everolimus with exemestane for treating advanced breast cancer after endocrine therapy
NICE TA432: Everolimus for advanced renal cell carcinoma after previous treatment
NICE TA449: Everolimus and sunitinib for treating unresectable or metastatic neuroendocrine tumours in people with progressive disease
NICE TA498: Lenvatinib with everolimus for previously treated advanced renal cell carcinoma
|
Everolimus
(Votubia®)
(Angiomyolipoma; Seizures)
|
Restricted

|
DO NOT CONFUSE Afinitor®, Votubia® AND Certican® AS THEY ARE LICENSED FOR DIFFERENT INDICATIONS.
Approved for:
- renal angiomyoplipomas who are at risk of complications but who do not require immediate surgery, and is reserved for patients with multiple AMLs in one or both kidneys and one or more lesions of >3cm in diameter. Restricted to renal consultants in renal genetics specialist clinic only (JFC July 2013)
- refractory focal onset seizures associated with tuberous sclerosis complex (TSC) in line with NHS England Commissioning Policy (JFC June 2019)
Provider notes
- NMUH:
- RFL:
- Approved for renal angiomyoplipomas (see above and NHSE Commissioning Policy)
- RNOH:
- UCLH:
- WH:
|
NHSE 170093P: Everolimus for refractory focal onset seizures associated with tuberous sclerosis complex (ages 2 years and above)
NHSE B14X09: Everolimus (Votubia®) for treatment of angiomyolipomas associated with tuberous sclerosis
|
Gefitinib
|
Restricted

|
Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- To be prescribed by the Oncology Team ONLY.
- See links below
- RFL:
- Approved for non-small cell lung cancer in line with NICE
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
- Restricted to the treatment of NSCLC with EGFR mutation.
|
NICE TA192: Gefitinib for the first-line treatment of locally advanced or metastatic non-small-cell lung cancer
NICE TA374 (not recommended): Erlotinib and gefitinib for treating non-small-cell lung cancer that has progressed after prior chemotherapy
|
Lapatinib
|
Restricted

|
Provider notes - NMUH:
- Special Funding Approval required - seek advice from Oncology Pharmacist
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA257 (lapatinib not recommended): Lapatinib or trastuzumab in combination with an aromatase inhibitor for HER2 positive metastatic breast cancer
|
Lorlatinib tabs
|
Restricted

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA628: Lorlatinib for previously treated ALK-positive advanced non-small-cell lung cancer
|
Nilotinib
|
Restricted

|
Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patient prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA241: Dasatinib, nilotinib and high dose imatinib for CML
NICE TA251: Dasatinib, nilotinib and imatinib for first line treatment of CML
NICE TA425: Dasatinib, nilotinib and high-dose imatinib for treating imatinib-resistant or intolerant chronic myeloid leukaemia
NICE TA426: Dasatinib, nilotinib and imatinib for untreated chronic myeloid leukaemia
|
Nintedanib
(Vargatef®)
(Oncology)
|
Restricted

|
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- To be prescribed Oncology Consultants ONLY.
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA347: Nintedanib for previously treated locally advanced, metastatic, or locally recurrent non‑small‑cell lung cancer
|
Osimertinib tab
|
Restricted

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- Positive NICE TA This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- As per NICE TA416
- RFL:
- As per NICE TA416
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA416: Osimertinib for treating locally advanced or metastatic EGFR T790M mutation-positive non-small-cell lung cancer
NICE TA621 (not recommended): Osimertinib for untreated EGFR mutation-positive non-small-cell lung cancer Technology appraisal guidance
|
Pazopanib
|
Restricted

|
Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- Approved for metastatic renal cell carcinoma only in line with NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA215: Pazopanib in renal cell cancer
|
Regorafenib tab
|
Formulary


|
See NICE TA for eligibility criteria Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA334 (not recommended): Regorafenib for metastatic colorectal cancer after treatment for metastatic disease (terminated appraisal)
NICE TA488: Regorafenib for previously treated unresectable or metastatic gastrointestinal stromal tumours
NICE TA514 (not recommended): Regorafenib for previously treated advanced hepatocellular carcinoma
NICE TA555: Regorafenib for previously treated advanced hepatocellular carcinoma
|
Sorafenib tabs
|
Restricted


|
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- TA178 and TA474 do not apply at NMUH as service is not offered/drug not recommended.
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA178 (not recommended): Bevacizumab (1st line), sorafenib, sunitinib (2nd line) and temsirolimus for the treatment of advanced and/or metastatic renal cell carcinoma
NICE TA474: Sorafenib for treating advanced hepatocellular carcinoma
NICE TA535: Lenvatinib and sorafenib for treating differentiated thyroid cancer after radioactive iodine
|
Sunitinib
|
Restricted


|
Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA169: Sunitinib for the first-line treatment of advanced and/or metastatic renal cell carcinoma
NICE TA178 (not recommended): Bevacizumab (1st line), sorafenib, sunitinib (2nd line) and temsirolimus for the treatment of advanced and/or metastatic renal cell carcinoma
NICE TA179: Gastrointestinal stromal tumours - sunitinib
NICE TA449: Everolimus and sunitinib for treating unresectable or metastatic neuroendocrine tumours in people with progressive disease
|
Vemurafenib
|
Restricted

|
Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- Check MHRA drug safety updates
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA269: Vemurafenib for treating malignant melanoma
|
08.01.05 |
Taxanes |
|
|
Cabazitaxel
|
Restricted

|
See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- As per NICE TA
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
NICE TA391: Cabazitaxel for hormone-relapsed metastatic prostate cancer treated with docetaxel
|
Docetaxel
|
Restricted

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- Positive NICE TA This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- RFL:
- No restrictions stated
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
NICE TA101: Prostate cancer (hormone-refractory) - docetaxel
NICE TA109: Breast cancer (early) - docetaxel
|
Paclitaxel
|
Restricted

|
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- No restrictions stated
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
NICE TA108 (not recommended): Paclitaxel for the adjuvant treatment of early node-positive breast cancer
NICE TA389: Topotecan, pegylated liposomal doxorubicin hydrochloride, paclitaxel, trabectedin and gemcitabine for treating recurrent ovarian cancer
NICE TA55: Guidance on the use of paclitaxel in the treatment of ovarian cancer
|
Paclitaxel - Albumin Bound Formulation, solution for infusion
(Abraxane®)
|
Restricted

|
See NICE TA for eligibility criteria
Approved for:
- Adjuvant or neoadjuvant therapy and metastatic disease breast cancer for those with hypersensitivity to taxanes. Hypersensitivity is defined as grade 3 hypersensitivity (JFC August 2013).
- See NICE TA476 for use of Abraxane for other cancers
Provider notes
- NMUH:
- As per NICE TA476 and TA639.
- RFL:
- Restricted to breast and pancreatic cancer patients as per NHS England criteria and NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
NICE TA362 (not recommended): Paclitaxel as albumin-bound nanoparticles with carboplatin for untreated non-small-cell lung cancer (terminated appraisal)
NICE TA476: Paclitaxel as albumin-bound nanoparticles with gemcitabine for untreated metastatic pancreatic cancer
NICE TA639: Atezolizumab with nab-paclitaxel for untreated PD-L1-positive, locally advanced or metastatic, triple-negative breast cancer
|
08.01.05 |
Topoisomerase I inhibitors |
|
|
Irinotecan Hydrochloride
|
Restricted

|
See NICE TA for eligibility criteria Provider notes - NMUH:
- To be prescribed by the Oncology team only.
- See links below
- RFL:
- No restriction stated
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
NICE TA307: Aflibercept in combination with irinotecan and fluorouracil-based therapy (FOLFIRI) for treating metastatic colorectal cancer that has progressed following prior oxaliplatin-based chemotherapy
|
Topotecan
|
Restricted

|
See NICE TA for eligibility criteria Providernotes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- TA183 not applicable at NMUH as service is not offered.
- See links below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
- Topotecan is available for the treatment of relapsed SCLC
|
NICE TA183: Cervical cancer (recurrent) - topotecan
NICE TA184: Lung cancer (small-cell) - topotecan
NICE TA389 (not recommended): Topotecan, pegylated liposomal doxorubicin hydrochloride, paclitaxel, trabectedin and gemcitabine for treating recurrent ovarian cancer
|
Venetoclax tabs
|
Restricted

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines
- See Link below
- RFL:
- As per NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system). Additionally for in-patients this drug must be prescribed on an in-patients prescription chart (paper or electronic)
- RNOH:
- UCLH:
- WH:
|
NICE TA487: Venetoclax for treating chronic lymphocytic leukaemia
NICE TA561: Venetoclax with rituximab for previously treated chronic lymphocytic leukaemia
|
08.01.05 |
Trabectedin |
|
|
Trabectedin
|
Restricted

|
Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA185: Soft tissue sarcoma - trabectedin
NICE TA389 (not recommended): Topotecan, pegylated liposomal doxorubicin hydrochloride, paclitaxel, trabectedin and gemcitabine for treating recurrent ovarian cancer
|
08.01.05 |
Trastuzumab |
|
|
Olaratumab
|
Formulary

|
See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA465: Olaratumab in combination with doxorubicin for treating advanced soft tissue sarcoma
|
Pertuzumab injection
|
Restricted


|
See NICE TA for eligibility criteria Provider notes - NMUH:
- This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- As per NICE guidane
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
NICE TA424: Pertuzumab for the neoadjuvant treatment of HER2-positive breast cancer
NICE TA509: Pertuzumab with trastuzumab and docetaxel for treating HER2-positive breast cancer
NICE TA569: Pertuzumab for adjuvant treatment of HER2-positive early stage breast cancer
|
Trastuzumab
|
Restricted

|
IV or SC
See NICE TA for eligibility criteria
Use Ontruzant brand as first choice IV trastuzumab (JFC July 2018).
Provider notes
- NMUH:
- Positive NICE TA This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
- See links below
- RFL:
- Approved for breast cancer and adenocarcinoma of the stomach in line with NICE guidance
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- See links below
- RNOH:
- UCLH:
- WH:
- Trastuzumab is indicated for metastatic breast cancer as per Cancer Network Guidelines
|
NICE TA107: Trastuzumab for the adjuvant treatment of early-stage HER2-positive breast cancer
NICE TA208: Gastric cancer (HER2-positive metastatic) - trastuzumab
NICE TA257: Lapatinib or trastuzumab in combination with an aromatase inhibitor for HER2 positive metastatic breast cancer
NICE TA34: Breast cancer - trastuzumab
|
Trastuzumab emtansine
(Kadcyla®)
|
Restricted

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- RFL:
- As per NICE TA458
- This drug for the treatment of malignant disease must be prescribed on chemocare (RFL electronic chemotherapy prescribing system)
- RNOH:
- UCLH:
- WH:
|
NICE TA458: Trastuzumab emtansine for treating HER2-positive advanced breast cancer after trastuzumab and a taxane
NICE TA632: Trastuzumab emtansine for adjuvant treatment of HER2-positive early breast cancer
|
08.01.05 |
Tretinoin |
|
|
Tretinoin capsules
|
Restricted

|
Provider notes
- NMUH:
- To be prescribed by the Haematology Team ONLY in emergencies prior to the patient being transferred to UCLH. This is kept in the Emergency Drug Cupboard ONLY. This is a critical medicine and doses must not be delayed.
- RFL:
- To be prescribed by the Haematology Team ONLY in emergencies prior to the patient being transferred to UCLH. This is kept in the Emergency Drug Cupboard ONLY. This is a critical medicine and doses must not be delayed.
- RNOH:
- UCLH:
- WH:
|
|
08.01.05 |
Vismodegib |
|
|
Vismodegib
|
Restricted


|
Provider notes - NMUH:
- To be prescribed by the Oncology Team ONLY if CDF funded
- RFL:
|
NICE TA489 (not recommended): Vismodegib for treating basal cell carcinoma
|
.... |
Non Formulary Items |
Amsacrine

|
Non Formulary

|
|
|
Arsenic Trioxide

|
Non Formulary

|
Provider notes
- NMUH:
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA526: Arsenic trioxide for treating acute promyelocytic leukaemia
|
Axicabtagene ciloleucel infusion

|
Non Formulary

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- Non-formulary
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA559: Axicabtagene ciloleucel for treating diffuse large B-cell lymphoma and primary mediastinal large B-cell lymphoma after 2 or more systemic therapies
|
Bexarotene

|
Non Formulary

|
|
|
Elotuzumab

|
Non Formulary

|
|
NICE TA434 (not recommended): Elotuzumab for previously treated multiple myeloma (terminated appraisal)
|
Gilteritinib tabs

|
Non Formulary

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA642: Gilteritinib for treating relapsed or refractory acute myeloid leukaemia
|
Glasdegib tabs

|
Non Formulary

|
|
NICE TA646 (not recommended): Glasdegib with chemotherapy for untreated acute myeloid leukaemia (terminated appraisal)
|
Imatinib tabs
(Chordoma)

|
Non Formulary

|
NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. Not approved for locally advanced and metastatic chordoma (JFC June 2018) |
|
Imatinib tabs
(PVNS, D-TGCT)

|
Non Formulary

|
NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. Not approved for unresectable, locally advanced or metastatic pigmented villonodular synovitis (PVNS) or diffuse tenosynovial giant cell tumour (D-TGCT) (JFC September 2018). |
|
Inotuzumab ozogamicin injection

|
Non Formulary

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- Non-formulary
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA541: Inotuzumab ozogamicin for treating relapsed or refractory B-cell acute lymphoblastic leukaemia
|
Irinotecan pegylated liposomal

|
Non Formulary

|
|
NICE TA440 (not recommended): Pegylated liposomal irinotecan for treating pancreatic cancer after gemcitabine
|
Isatuximab Solution for infusion

|
Non Formulary

|
|
|
Larotrectinib oral solution

|
Non Formulary

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA630: Larotrectinib for treating NTRK fusion-positive solid tumours
|
Midostaurin

|
Non Formulary

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA523: Midostaurin for untreated acute myeloid leukaemia
|
Necitumumab

|
Non Formulary

|
|
NICE TA411 (not recommended): Necitumumab for untreated advanced or metastatic squamous non-small-cell lung cancer
|
Niraparib caps

|
Non Formulary

|
See NICE TA for eligibility criteria.
Provider notes
- NMUH:
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA528: Niraparib for maintenance treatment of relapsed, platinum-sensitive ovarian, fallopian tube and peritoneal cancer
|
Polatuzumab vedotin solution for infusion

|
Non Formulary

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA649: Polatuzumab vedotin with rituximab and bendamustine for treating relapsed or refractory diffuse large B-cell lymphoma
|
Porfimer Sodium

|
Non Formulary

|
|
|
Ramucirumab infusion

|
Non Formulary

|
|
NICE TA378 (not recommended): Ramucirumab for treating advanced gastric cancer or gastro–oesophageal junction adenocarcinoma previously treated with chemotherapy
NICE TA403 (not recommended): Ramucirumab for previously treated locally advanced or metastatic non-small-cell lung cancer
NICE TA609 (not recommended): Ramucirumab for treating unresectable hepatocellular carcinoma after sorafenib (Terminated appraisal)
NICE TA635 (not recommended): Ramucirumab with erlotinib for untreated EGFR-positive metastatic non-small-cell lung cancer (Terminated appraisal)
|
Rociletinib

|
Non Formulary

|
|
|
Rucaparib tabs

|
Non Formulary

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA611: Rucaparib for maintenance treatment of relapsed platinum-sensitive ovarian, fallopian tube or peritoneal cancer
|
Sonidegib
(Odomzo®)

|
Non Formulary

|
|
|
Temoporfin

|
Non Formulary

|
|
|
Temsirolimus

|
Non Formulary

|
|
NICE TA178 (not recommended): Bevacizumab (1st line), sorafenib, sunitinib (2nd line) and temsirolimus for the treatment of advanced and/or metastatic renal cell carcinoma
NICE TA207 (not recommended): Temsirolimus for the treatment of relapsed or refractory mantle cell lymphoma (terminated appraisal)
|
Tisagenlecleucel cells dispersion for infusion

|
Non Formulary

|
See NICE TA for eligibility criteria
Provider notes
- NMUH:
- Non-formulary
- This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
- RFL:
- RNOH:
- UCLH:
- WH:
|
NICE TA554: Tisagenlecleucel for treating relapsed or refractory B-cell acute lymphoblastic leukaemia in people aged up to 25 years
NICE TA567: Tisagenlecleucel for treating relapsed or refractory diffuse large B-cell lymphoma after 2 or more systemic therapies
|
Vandetanib tabs

|
Non Formulary

|
|
NICE TA550 (not recommended): Vandetanib for treating medullary thyroid cancer
|
Vosaroxin
(Qinprezo)

|
Non Formulary

|
|
|
|
Key |
Traffic Light Status Information
Status |
Description |
 
|
Medicines that should be initiated by a specialist. Prescribing can be transferred to primary care once the patient has been stabilised.
Shared care: For drugs with regular, ongoing need for monitoring and/or assessment of efficacy or toxicity. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the North Central London JFC.
Fact sheet: For drugs with some concerns surrounding safety or efficacy but do not require regular monitoring and/or monitoring of effectiveness/toxicity. |
 
|
Medicines which should normally be prescribed by specialists only (hospital only).
For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.
See link for the complete NCL Red List https://www.ncl-mon.nhs.uk/wp-content/uploads/2017/08/ncl_red_list.pdf |
 
|
Medicines not recommended for routine use in primary or secondary care.
Medicines, which the North Central London JFC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data. |
|
|
|