The Cancer Drugs Fund: Paving the way for earlier and more sustainable access to promising new drugs

Executive Summary

  • In 2011, The Cancer Drugs Fund (CDF) was launched to help patients in England access cancer drugs that had been rejected by the NHS
  • As a result of financial struggles, the CDF faced a reform and partnered with NICE and pharmaceutical companies
  • The partnership has led to earlier engagements from manufacturers and a shorter timeframe for drug acceptances from assessment stages to entry into the CDF, especially when comparing to other European market authorisation
  • CBPartners Take: The CDF pathway allows patients access promising new treatments earlier than other major European markets

 

A brief history of The Cancer Drugs Fund

Established in 2011, the Cancer Drugs Fund (CDF) was initially created as a temporary solution to help patients access cancer drugs in England that were not available on the National Health Service (NHS). It was no secret that the fund became a lifeline to many.

Through the years 2013 – 2014, the CDF faced huge financial challenges and exceeded their budget year on year. In large, this was due to a lack of clear criteria on how and when drugs should exit the fund. The CDF became unsustainable from a financial perspective and was criticised for not delivering “meaningful value to patients or society”.

Fast forward to 2016 when a reformed CDF was introduced and a partnership between NICE and pharmaceutical companies was created. The new redesign set out to provide access to promising new treatments while further evidence was collected to address clinical and cost-effectiveness uncertainty via ‘managed access’. This was a fundamental shift for NICE who previously could only make a ‘yes’ or ‘no’ decision for funding – the new system helped to provide earlier access to promising new treatments associated with clinical or cost-effectiveness uncertainty.

The CDF has a huge impact on patient access

Exploring the difference in time-lag between European Marketing Authorisation and Cancer Drugs Fund

How does the time-lag between European Marketing Authorisation and market access decision making differ between NICE and other European HTA bodies?

A comparison between two immunotherapies

Early engagement with NICE can lead to rapid market access in the UK, benefiting manufacturers and patients

There are several factors to weigh in on when it comes to the speed of market access for oncology drugs. However, for manufacturers who proactively engage with NICE to initiate the assessment procedure ahead of expected marketing authorisation timelines, there is the possibility of a short time-lag between marketing authorisation and entry into the CDF.

Additionally, for the recent cases of LIBTAYO™ and KEYTRUDA™, which were recommended for CDF funding within days of receiving European Marketing Authorisation, the CDF pathway allows UK patients to access promising new treatments earlier than in other major European markets where reimbursement is not automatic upon launch.

Authors