NHS England to offer breakthrough treatment for sickle cell disease

The Guardian – Andrew Gregory (Health Editor) Oct 5, 2021

Crizanlizumab is the first new therapy for 20 years for serious and lifelong health condition

Thousands of patients in England are to benefit from the first treatment for sickle cell disease in two decades, the NHS has announced. Crizanlizumab, a “revolutionary” life-changing drug treatment, is delivered by a transfusion drip and works by binding to a protein in the blood cells to prevent the restriction of blood and oxygen supply.

The therapy, the first to become available for the disease in 20 years, will help at least 5,000 people over the next three years, officials said.

Sickle cell disease – particularly common in people with an African or Caribbean background – is a serious and lifelong health condition. It can cause severe pain and organ failure, often requiring hospital admissions.

Current treatments to prevent sickle cell crises include a tablet called hydroxycarbamide and regular blood transfusions, but these are not always effective for people with severe forms of the disease.

“This is a historic moment for people with sickle cell disease who will be given their first new treatment in over two decades,” said Amanda Pritchard, chief executive of NHS England. “This revolutionary treatment will help to save lives, allow patients to have a better quality of life and reduce trips to A&E by almost half.”

People aged over 16 who suffer from multiple sickle cell crises every year will be eligible for the treatment. The disease is characterised by the production of unusually shaped red blood cells, which can cause serious health issues across the body, sending organs into crisis and causing extreme pain.

Toks Odesanmi, a sickle cell patient at Cambridge University hospitals trust, welcomed the arrival of the treatment and said it gave her new hope. “Sickle cell disease has defined me, defined my body and made a big dent to my dreams,” said Odesanmi, 47, a finance specialist from Colchester. “No matter how hard I fight, it continues to defeat me. A new treatment brings hope and might make dreaming possible again.”

Sickle Cell Society chair Kye Gbangbola said: “A new treatment brings new hope for people living with sickle cell disorder, the world’s most common genetic blood condition. SCD is a medical emergency, it causes excruciating pain. This new treatment will reduce the number of agonising pain episodes we have to endure.

“The hope is improved quality of life for many living with the condition and their families.”

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