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Less red tape and lower costs: How the UK-EU political reset can support cancer research progress worldwide

by Laura Williams | Analysis

22 April 2025

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A union jack and EU flag tied together

With the approaching UK-EU political summit on 19 May, we reflect on how the UK and EU could be more ambitious, grasping opportunities for closer scientific cooperation to promote health and wealth across the continent and beyond.

Today, we’re launching a new report, ā€œNothing should stand in the wayā€.Ā 

I don’t care about geographical boundaries in Europe (or most of the rest of the world). I just care about scientists being able to work together.

- Cancer Research UK online survey of people affected by cancer, 2023

As Europe and Global Affairs manager for Cancer Research UK, I love hearing from our researchers, and scientists based in other countries who collaborate with the UK. Brilliant people at different career stages from different places working in labs, universities and hospitals. They’re so passionate about their global collaborations. I’m always left in no doubt that these partnerships are as strong as ever. We’ve got so many great examples.Ā 

After all, science is global. We’re in a golden age of cancer research and cancer is the defining health issue of our time. No single country will beat cancer alone. Evidence shows that collaborating overseas makes research more impactful, speeding up the development of groundbreaking discoveries. The enthusiasm and motivation for collaboration is huge.Ā 

The impact on researchĀ 

Over the last few years, I’ve been asking how it’s going now the UK is outside the EU. Does it have any impact on our research community’s work or plans?Ā Ā 

Every time, I get similar stories: clinical trials delayed; drugs stuck in transit; samples destroyed; difficulties recruiting to permanent posts; waits for innovative bits of kit; uncertainty about project funding; the enforced use of expensive couriers; concerns about data-sharing; and frustration at fewer chances to offer shorter-term opportunities to EU-based scientists that push the barriers of research.Ā Ā 

Over and over it’s been the same: more delays; higher costs. 79% of researchers we surveyed said that since the UK left the EU it has been harder to begin new collaborations with EU-based scientists and researchers.Ā 

An infographic highlighting the barriers between the UK and Europe which includes: additional red tape and duplicative processes, more expensive and slower importation of drugs for trials, higher visa costs putting off global talent, distinct regulatory and legal environments in the EU and UK, regulatory divergence between Northern Ireland and Great Britain and reduced access to EU research funding programmes

The most frustrated researchers tend to be those who can’t yet offer their patients a place on a clinical trial they know might provide the best hope, because of more red tape and higher costs to open the trial in the UK. In particular, this has been the case for children’s and young people’s cancer trials.Ā Ā 

Over 40% of Cancer Research UK-supported clinical trials collaborate with countries inside the EU single market. For example, they recruit patients in participating European countries. Almost all (90%) paediatric trials carried out in clinical trials units we fund are international.

For a while, some of the delays and higher costs were almost certainly due to COVID-19. But by 2023, we decided to dig deeper to get a clear picture. Was the UK’s new relationship with the EU having a real impact on research and therefore, ultimately, on people affected by cancer?Ā Ā 

We surveyed Cancer Research UK’s research community and we asked people affected by cancer what matters to them. We worked with the University of Southampton’s Hatch Consultancy, who conducted a rapid scoping review, interviews and focus groups.Ā Ā 

The report ā€œEverything’s harderā€, but ā€œthe spirit of science is still thereā€ has a clear answer: ā€œThe challenges currently being faced are having a direct negative impact on people affected by cancerā€. The environment for research continues to be affected by regulation and policy, by political messaging, funding decisions and by the way change is communicated.Ā Ā 

Cancer Research UK’s new policy report, ā€œNothing should stand in the wayā€ uses this evidence to set out our ideas for the UK-EU ā€œre-setā€.Ā Ā 

Steps to effective collaborationĀ 

In our report, we set out four priority recommendations for effective collaboration between the UK and EU.Ā 

  • Avoid duplication in clinical trial set-up to reduce red tape and costs: a UK-EU ā€˜mutual recognition agreement’ to include medicines manufacturing site inspections, batch release and testing (and the processes around these).Ā 
  • The UK Government should support global research programmes: ensure the UK continues to associate with Horizon Europe and its successor, as a third country. Join EU4Health and health-related workstreams of wider EU funding programmes. And join future global research programmes, with clear, positive messages about UK support for the global research environment.Ā 
  • Reduce trade friction: support the logistics industry to meet cross-border regulatory requirements more effectively, ensuring scientists can access items needed for research in a timely manner.Ā Ā 

These steps will ensure that the UK and EU can maximise research impact and, as a result, improve outcomes for people with cancer.

eSMART: A clinical trial case studyĀ 

eSMART is a trial of novel targeted drugs and chemotherapy for children and young people whose cancers have either come back or stopped responding to treatment. The trial is jointly coordinated by the Cancer Research UK Clinical Trials Unit in Birmingham and the Institut Gustave Roussy in France.   

The eSMART trial was open in the UK but had to be put on hold due to new requirements from 2021 for a second UK-based qualified person (QP) to quality control the drugs used in the trial before they could be provided to patients. Before the 2021 UK-EU trade agreement, the EU’s QP release process would have allowed the drugs to be used in the UK without further approvals. To overcome this new Brexit red tape, the trial had to find Ā£92,000 on top of the existing costs of running the trial.  

UK patients will be able to join the eSMART trial in 2025 as Cancer Research UK stepped in to provide the additional funding to allow the trial drugs to clear quality control in the UK. Meanwhile, EU patients were able to access new arms of the trial, and the treatments offered in it, whilst UK patients lost out.   

ā€œBrexit has made it harder for us to get paediatric trials running in the UK. While we’re now in a better position with the eSMART trial, the barriers and delays we’ve experienced demonstrate what we need to do to ensure cross-border clinical trials can function seamlessly in the future,” said Dr Lynley Marshall, Lead on the eSMART trial in the UK, Consultant in Paediatric and Adolescent Oncology Drug Development and Paediatric Clinical Research Lead at The Royal Marsden and The Institute of Cancer Research.Ā 

ā€œDelaying QP release came at a cost of time and money – which could have been spent reaching more patients and offering them potentially transformative treatment. Data from these trials is used around the world to deliver better, kinder treatments – delays anywhere affect every child and young person with cancer.

ā€œChildren and young people with cancer cannot wait. We need to make sure that the UK-EU relationship works much better for the paediatric cancer research community, which works tirelessly to improve the lives of children and young people with cancer.ā€

Building on opportunityĀ 

The EU and UK have said that they want to strengthen their unique relationship, especially in the areas that matter most to people. In the UK, nearly 1 in 2 of us will get cancer in our lifetime. At Cancer Research UK, we believe cancer research is at its best when backed by global collaboration. European cancer research outputs emphasise the benefits of a collaborative approach. So we will continue to invest in the multinational initiatives that tackle cancer’s biggest questions, such as the Cancer Grand Challenges (including a new challenge to turn AI on cancer) and our European clinical trials partnerships, and we want governments in London and Brussels to reduce barriers to collaboration.Ā Ā 

As we learned so painfully during the pandemic, there is no security without health. With Europe-wide conversations about long-term cooperation to support prosperity and security, there is now a major opportunity to build better collaborations to unlock progress in cancer research.Ā 

A vibrant life sciences sector is at the heart of the growth and health missions of both the UK Government and the European Commission. The cost of cancer means there is no time to lose. The EU’s Beating Cancer Plan and Cancer Mission, which emphasise international research collaboration, continue to be implemented with major investment. The plan’s major themes will be echoed in England’s new cancer plan (currently in development) because we all face the same challenges in cancer, including significant inequities.Ā 

Beating cancer is a team effort. Whether as a family, as a community or as a continent.

- Dr Ursula von der Leyen, President of the European Commission, 2024

Science is fundamentally international, and to succeed it depends on trust, collaboration and openness.

- Lord Patrick Vallance, UK Minister of State for Science, 2024

Our progress is everyone’s progressĀ 

We hope the UK-EU political summit next month will include the shared commitment to support scientific cooperation and to tackle the growing global burden of cancer. As a mission-based funder, spending £4 billion on research over the past decade, Cancer Research UK wants UK and EU cooperation to be as ambitious as possible for the research environment. 

We call on policymakers to remove barriers and seek more opportunities for global collaboration, particularly with our nearest neighbours. By working together, we can provide a more supportive research environment for the huge global challenges posed by cancer and other diseases.Ā 

It’s vital our researchers aren’t held back any longer. Higher costs and more delays ultimately harm people with cancer and their families, and mean we fund less research overall. It slows down progress. And our progress is everyone’s progress.Ā 

Nothing should stand in the way of trying to reduce the threat of cancer for everyone.

- Cancer Research UK online survey of people affected by cancer, 2023

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