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The Royal Marsden NHS Foundation Trust – Medicines Formulary

Drug & Therapeutics Committee medicines & regimens approval list (2007 to present).

Medicine Clinical Unit DTC proposal date

20% Intralipid Trust wide January 2007

Abiraterone Urology unit September 2011

Gastro Intestinal January 2011 unit

Abraxane® Breast unit November 2014

Gynaecology unit September 2016

Pain, Palliative care Abstral® (sublingual fentanyl) and symptom January 2010 control The Royal Marsden NHS Foundation Trust – Medicines Formulary

Accelerated EC Breast Unit July 2019

Acetyl salicylate (aspirin) injection Critical Care Unit November 2012 (named patient)

Abemaciclib in combination Breast unit April 2019 with Fulvestrant

Afatanib Lung unit January 2014

Alectinib Lung unit June 2017 & June 2018

5-aminolaevulinic acid Dermatology unit December 2019 (Alemuz®) gel

Alemtuzumab Haemato-oncology July 2012 (named patient) unit The Royal Marsden NHS Foundation Trust – Medicines Formulary

Aloe-vera – skin care Radiotherapy unit May 2017

Gastro Intestinal Aflibercept March 2013 unit

Aprepitant Trust wide December 2011

Argatroban Trust wide April 2015

Atezolizumab Gynaecology unit January 2018

Atezolizumab in combination

with &

Atezolizumab in combination with bevacizumab plus Lung unit March 2019 carboplatin and (ABCP) regimen The Royal Marsden NHS Foundation Trust – Medicines Formulary

Axitinib Renal unit October 2012

January 2011 Haemato-oncology unit December 2017

Bevacizumab Urology unit January 2008

Bevacizumab (monotherapy) Neuro-oncology unit January 2010

Haemato-oncology Bosutinib February 2015 unit

Botulinium toxin A Pain team December 2017

Buprenorphine (butrans® Paediatric unit January 2008 brand) The Royal Marsden NHS Foundation Trust – Medicines Formulary

Cabazitaxel Urology unit January 2011

Carboplatin (in addition to Breast unit September 2018 weekly paclitaxel) regimen

Haemato-oncology March 2016 unit

Ceftazidime-avibactam Microbiology unit October 2018

Ceftozolone-Tazobactam Microbiology unit April 2017

Cetuximab & platinum regimen Head & Neck unit January 2011

Haemato-oncology February 2014 unit The Royal Marsden NHS Foundation Trust – Medicines Formulary

Clofarabine Paediatric unit January 2010

Gastro Intestinal Colesevalem January 2008 unit

Crizotinib Lung unit December 2012 & June 2018

Cyclophosphamide and Sarcoma unit July 2012 Prednisolone regimen

Skin & Melanoma Dabrafanib January 2014 unit

Dabrafenib and Trametinib Thyroid unit September 2019

Haemato-oncology Daratumumab July 2016 unit The Royal Marsden NHS Foundation Trust – Medicines Formulary

Haemato-oncology Dasatanib January 2008 unit

Haemato-oncology Defibrotide January 2009 unit

Degeralix Urology unit January 2011

Denosumab Breast unit November 2012

Dornase alfa Critical Care unit January 2013

Doxepin Pain team December 2017

Doxorubicin (myocet®) brand Gynaecology unit March 2012 The Royal Marsden NHS Foundation Trust – Medicines Formulary

Duloxetine Pain Team November 2014

Durvalumab Lung unit April 2019

Edoxaban Trust wide December 2018

Enzalutamide Urology unit June 2013

Eribulin Breast unit December 2011

Gastro Intestinal Erlotinib January 2007 unit

Renal unit January 2009 Everolimus Paediatric unit January 2013 The Royal Marsden NHS Foundation Trust – Medicines Formulary

Everolimus & Exemestane Breast unit November 2012 regimen

Surgical & Evicel surgical sealant Anaesthetics January 2009 departments

Fidaxomicin Microbiology unit July 2013

Gastro Intestinal Modified FOLFIRINOX regimen November 2018 unit

Formalin 5% aqueous solution Gastro Intestinal January 2008 (named patient). unit

Fosaprepitant Trust wide February 2012

January 2011 (oral) Fosfamycin Microbiology unit (named patient) April 2017 (IV formulation)

The Royal Marsden NHS Foundation Trust – Medicines Formulary

Gadoteric acid (dotarem®) Radiography January 2007 contrast medium department

Gefitinib Lung unit December 2009

Gastro Intestinal January 2008 unit

Gemcitabine & nab paclitaxel GI unit December 2013 regimen

Haemato-oncology Gliteritinib June 2019 unit

Surgical & Human Fibrinogen Concentrate Anaesthetics January 2009 (Haemocomplettan). departments

Haemato-oncology Ibrutinib March 2015 unit The Royal Marsden NHS Foundation Trust – Medicines Formulary

Haemato-oncology Idelalasib July 2016 unit

Ifosfamide (continuous 14 day Sarcoma unit December 2009 infusion)

Haemato-oncology Imatanib September 2012 unit

Haemato-oncology Interferon gamma January 2009 unit

Invicorp Urology unit September 2016 (aviptadil/phentolamine).

Skin and Melanoma Ipilimumab September 2011 unit

Isavuconazole Microbiology unit May 2018 The Royal Marsden NHS Foundation Trust – Medicines Formulary

Lapatanib Breast unit January 2008

Lapatanib in combination with Breast unit January 2011 an aromatase inhibitor

Haemato-oncology Lenalidomide July 2011 unit

Levosimendan Critical Care unit January 2009 (named patient)

Surgical & 1% lidocaine infusion Anaesthetics July 2019 (IV perioperative) departments

Lipegfilgrastim Trust wide April 2020

Liposomal - Haemato-oncology January 2019 (Vyxeos) unit The Royal Marsden NHS Foundation Trust – Medicines Formulary

Liposomal Doxoribucin Sarcoma unit January 2008 (caelyx® brand)

Lomustine & Temozolamide Neuro-oncology unit July 2019

Lutetium-177-PSMA Urology unit June 2019

Methyl aminolevulinate 16% Dermatology unit May 2018 cream (Metvix®)

Pain, Palliative care Methyl naltrexone. and symptom January 2008 control

Methylphenidate Paediatric unit April 2019

Microbiology Micafungin November 2015 department

Gynaecology unit Mirena Coil (intrauterine The Royal Marsden NHS Foundation Trust – Medicines Formulary

device) September 2011

Mitotane Renal unit December 2009

Surgical & Monofer Anaesthetics October 2012 departments

Morphine sulphate in Intrasite Pain Team November 2019 gel

Nab-sirolimus Sarcoma March 2020

Pain, Palliative care Naloxegol and symptom April 2017 control

Nano-liposomal G.I. unit April 2017 The Royal Marsden NHS Foundation Trust – Medicines Formulary

Nelarabine Paediatric unit March 2012

Haemato-oncology February 2015 unit

Nilotinib Sarcoma unit January 2008

Nintedanib Lung unit March 2015

Niraparib Gynaecology unit November 2017

Skin & Melanoma September 2015 & February 2018 Nivolumab

GI Unit February 2018

Nivolumab Lung October 2015 The Royal Marsden NHS Foundation Trust – Medicines Formulary

Critical Care unit & Octaplex January 2008 Theatres

Haemato-oncology Ofatumumab May 2012 unit

Gynae. Unit November 2015 & July 2018 G.I. unit March 2020

Olaratumumab Sarcoma unit September 2017

Osimertinib Lung Unit May 2016

Urology unit December 2009 Paclitaxel Lung unit January 2009

Gastro Intestinal January 2011 unit Paclitaxel weekly regimen

Head & Neck unit September 2011

The Royal Marsden NHS Foundation Trust – Medicines Formulary

Palbociclib Breast unit February 2017

Gastro Intestinal Panatumumab February 2012 unit

Urology unit January 2011 Pazopanib Sarcoma unit September 2012

Pain, Palliative care Pecfent and symptom January 2012 intranasal fentanyl) control

Pemetrexed Lung unit January 2011

Skin & Melanoma October 2015

Haemato-oncology May 2016 unit Pembrolizumab

September 2016 Lung unit

October 2017 Urology unit The Royal Marsden NHS Foundation Trust – Medicines Formulary

Pembrolizumab in combination with and Platinum Lung unit December 2018 regimen

Pertuzumab Breast unit May 2013

Phenzopyridine Urology unit September 2019

Pivecillinam Microbiology unit May 2017

Haemato-oncology February 2014 unit

Surgical & PlasmaLyte Anaesthetics October 2012 departments

Haemato-oncology Plerixafor January 2009 unit The Royal Marsden NHS Foundation Trust – Medicines Formulary

Haemato-oncology Pomalidomide September 2013 unit

Haemato-oncology Ponatanib February 2015 unit

Haemato-oncology Posaconazole January 2008 unit

Radium 223 Urology unit December 2013

Gastro Intestinal March 2015 unit Ramucirumab

Lung unit May 2016

Gastro Intestinal Rifaxamin February 2014 unit

Rituximab-bendamustine Haemato-oncology September 2012 regimen unit The Royal Marsden NHS Foundation Trust – Medicines Formulary

Sarcoma unit & GI Regorafenib December 2013 unit

Critical Care unit & Remifentanil January 2009 Theatres

Haemato-oncology Rituximab January 2008 unit

Haemato-oncology Rituximab January 2007 unit

Rucaparib Gynae. unit April 2019

Sirolimus Sarcoma unit January 2012

Gastro Intestinal January 2007 unit

Sorafenib January 2009 Urology unit

June 2019 Haemato-oncology The Royal Marsden NHS Foundation Trust – Medicines Formulary

unit

Sodium thiosulphate Paediatric unit November 2019

Urology unit January 2009

Sunitinib Gastro Intestinal January 2010 unit

Surgical & Tachosil Anaesthetics January 2008 departments

Pain, Palliative care Tapentadol and symptom September 2011 control

Temocillin Microbiology dept. June 2015

Temozolomide and Irinotecan Sarcoma unit January 2010 regimen The Royal Marsden NHS Foundation Trust – Medicines Formulary

Temsirolimus Urology unit January 2008

Testogel Urology unit January 2012

Gastro Intestinal Teysuno (S-1) September 2012 unit

Tolvaptan Trust wide January 2012

Topotecan (oral formulation) Lung unit January 2008

Trabectadin Sarcoma unit January 2007

Trabectadin and caelyx Gynaecology unit January 2010 regimen The Royal Marsden NHS Foundation Trust – Medicines Formulary

Trametanib Gynaecology unit December 2019

Pain, Palliative care Transdermal buprenorphine and symptom January 2008 control

Gastro Intestinal Trastuzumab (intravenous) January 2010 unit

Trastuzumab (subcutaneous) Breast unit December 2013

Trastuzumab emtansine Breast unit January 2014

Trometamol (THAM) Critical Care unit & February 2013 (named patient) Theatres

Vandetanib Head and Neck unit June 2012 The Royal Marsden NHS Foundation Trust – Medicines Formulary

Skin and Melanoma Vemurafanib March 2012 unit

Haemato-oncology June 2018 unit

Haemato-oncology Venetoclax and low dose cytarabine June 2019 unit

Venetoclax and Hypomethalating Haemato-oncology January 2019 agent ( or ) unit

Venetoclax in combination with low Haemato-oncology June 2019 dose cytarabine unit

Vinflunine Urology unit October 2012

Vinorelbine Lung unit May 2012 The Royal Marsden NHS Foundation Trust – Medicines Formulary

Vinorelbine Lung unit January 2009

Skin and Melanoma Vismodegib September 2013 unit

Vitamin A (in combination with Gastro Intestinal formalin 5%) January 2012 unit (named patient)