In a significant decision set to benefit around 1,700 people each year, access to cancer drug trastuzumab deruxtecan (Enhertu) is being expanded from 1 September 2024.
For those living with the newly defined HER2-low subtype of metastatic breast cancer, this is a vital development that will extend their lives and improve quality of life.
Until now, the high cost of each treatment – $10,000 to $15,000 every three months – has kept it out of reach of most Australians. The Government’s milestone decision to list it on the PBS reduces that cost to just $31.60 ($7.70 concession) per treatment.
In clinical trials, Enhertu was shown to extend the time without the cancer progressing by an average of almost 10 months compared to the current standard treatment. Overall, it extended survival by more than 23 months.
We are extremely proud to have played a role in this achievement through working with government and amplifying the voice of our members.
This is a part of our commitment to secure better treatments, support, and policies to benefit those living with metastatic disease.
None of this would have happened without BCNA’s help. I was just one little person, trying to get my voice out. But they gave my voice power. That’s what changed things.
When I was ready to quit, they empowered me to keep going.
Sarah Lee, who has spent more than $200,000 on Enhertu to treat her metastatic breast cancer, welcomes this announcement. She was diagnosed in 2017 at the age of 41 and accessed Enhertu through private treatment, spending more than $13,000 every three weeks.
“The financial burden of Enhertu drained my life savings, and the fear of what would happen when the money ran out was overwhelming. I'm deeply relieved that Enhertu is now on the PBS, ensuring that no one else has to endure the same financial and emotional strain that I did.”
Sarah recently became eligible for subsidised access to the drug. Last weekend, she completed the Adelaide Marathon – her 10th marathon, and the first she has run with her daughter, which she described as "a pretty magical moment".
On the start line, she said: "I’ve had 32 treatments of Enhertu and still going strong, as you’ll see today."
With support from BCNA, including our Lived Experience Reference Group made up of people living with Metastatic Breast Cancer, Sarah has campaigned hard to raise awareness of the financial burden facing families like hers.
9.9
months on average without the cancer progressing
1,700
people set to benefit each year
$31.60
per treatment, down from $10-15,000
23.4
months longer in overall survival
Enhertu – also referred to as trastuzumab deruxtecan or T-DXd – is a targeted therapy. It works by directly targeting the HER2 proteins expressed by HER2-low metastatic breast cancer, killing the cancer cells.
This type of drug is referred to as an ‘antibody drug conjugate’ (ADC).
To be eligible for this treatment, the patient must have HER2-low unresectable or metastatic breast cancer and have had prior chemotherapy.
To understand why Enhertu can be effective for people living with HER2-low metastatic breast cancer, watch this simple video Enhertu: what it is and how it works from retired breast surgeon Liz O’Riordan.
Federal Minister for Health and Aged Care, The Hon. Mark Butler MP, made the announcement in Adelaide on 28 August 2024.
Speaking at the event, Vicki Durston, BCNA Director of Policy, Advocacy, and Support Services, said Enhertu is "part of a new wave of targeted therapies for metastatic breast cancer that focuses specifically on cancer cells, minimising harm to healthy cells. This targeted approach means fewer side effects and potentially more effective treatment outcomes".
Read about our previous advocacy efforts on this topic.
News and media
30 April 2024: Life prolonging breast cancer drug recommended for PBS subsidy
26 Apr 2024: Enhertu recommended for PBS subsidy, but it is not time to celebrate
23 Aug 2023: BCNA celebrates recent PBAC decisions
Advocacy
Time to Count People with Metastatic Breast Cancer - A Way Forward: the challenges, enablers and a path forward to the routine collection of stage and recurrence data.
Our policy and advocacy priorities, including access to new drugs and treatment
*This article does not provide medical advice and is intended for informational purposes only.
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