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Families Face Postcode Lottery for NHS Access to Duchenne Drug Givinostat

Uneven NHS rollout has forced Evelina London Children’s Hospital to ration givinostat by mobility risk ahead of a July Nice appraisal.

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Overview

  • ITF Pharma UK has offered givinostat free under an early access programme since November 2024 but by mid-June 2025 only a handful of NHS trusts in England are supplying the drug.
  • Several trusts are refusing or delaying treatment and drawing up prioritisation lists, citing annual monitoring costs of about £1,900 per patient.
  • Evelina London Children’s Hospital has begun contacting eligible families and is prioritising children at highest risk of losing ambulation.
  • Duchenne UK is calling on the NHS to make givinostat available to both ambulant and non-ambulant boys to end the ‘cruel’ postcode lottery.
  • The National Institute for Health and Care Excellence will hold its first committee meeting on givinostat in July 2025 to determine national guidance and pricing.