However for many this will become an unaffordable and unrealistic option.. A post-code lottery still is present for tumor patients with ‘exceptional circumstances’ A study of patients, at the Christie Hospital, Manchester, has shown that the decision to fund patient care depends even more on where in fact the patient lives, than the patient’s health situations, raising general public concern regarding a ‘postcode lottery’ since each decision is made solely by the patients’ local Primary Care Trust . The findings of this scholarly study are published in a letter to Clinical Oncology. Between July 2006 and could 2008, 102 requests for financing for patients with ‘remarkable circumstances’ were designed to a total of 27 surrounding PCTs. The financing decision was obtained for 98 patients and of the, 73 percent got their applications authorized.Patients in both groups received just lenalidomide and dexamethasone beyond cycle 18 until disease progression. Patients also received antiviral and antithrombotic prophylaxis. The primary end point was progression-free survival in the intention-to-treat population. Secondary end factors included general survival, the price of general response , duration of response, health-related standard of living, and safety. The price of clinical advantage was an exploratory end stage.