In October we reported the good news that the National Institute for Health and Care Excellence (NICE) had provisionally approved enzalutamide, a life-extending cancer drug, for men with advanced prostate cancer who have stopped responding to hormone therapy and chemotherapy. However, today NICE has revised that draft decision, and says that enzalutamide should only be made available post chemotherapy to those men who haven’t already been treated with abiraterone – the only other available treatment for men at this stage of the disease.

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