NICE recommends axitinib as a possible treatment for adults with advanced renal cell carcinoma when drugs called tyrosine kinase inhibitors or cytokines have not worked.

What does this mean for me?

If you have advanced renal cell carcinoma and your doctor thinks that axitinib is the right treatment, you should be able to have the treatment on the NHS if treatment with a type of tyrosine kinase inhibitor called sunitinib or a cytokine has not worked. Axitinib should be available on the NHS within 3 months of the guidance being issued.

You may be able to have axitinib treatment on the NHS if you have had a different type of tyrosine kinase inhibitor first (that is, not sunitinib) as long as your doctor gets your written consent to have it and the NHS within your area agrees to provide it.

Your responsibility

The recommendations in this guidance represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take this guidance fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this guidance is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Commissioners and/or providers have a responsibility to provide the funding required to enable the guidance to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

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