He began six cycles of chemotherapy, which was standard for his diagnosis, before going to see Professor Sanjay Popat at The Royal Marsden.
Tom says: “I saw Prof Popat a month after diagnosis and he said he would leave me on standard treatment and test me for a genetic mutation. He was confident I had an ALK mutation, due to my age and healthy lifestyle, and that the mutation would open up more treatment options for me.
“I had never heard of a mutation before, never mind ALK. I was a fit 34-year-old who thought I was invincible. I had a busy job and I was fit; the day before I was diagnosed I had swam a couple of miles.”
Tom tested positive for ALK and was put on a drug called crizotinib which targeted the mutation. It worked for two years, then stopped working. He started a trial drug called Alectinib, also an ALK inhibitor, but was taken off the trial for radiotherapy and two operations on metastases in his brain. In 2014 he started a new targeted treatment called ceritinib. Four and half years later he switched to Lorlatinib.
He says: “I’m now on my fourth targeted drug so far. These drugs weren’t even available at my time of diagnosis- that’s how quickly research is moving. I have learnt it’s about staying in the game long enough for something new to come through.
“It’s been almost nine years now since my diagnosis. In the past couple of years we have become more relaxed about the future and have the confidence to plan ahead a little more. We have also had the third child we’d always wanted. The limited side effects of these targeted drugs have allowed me to enjoy so many important parts of our family life.
Professor Sanjay Popat, Consultant Medical Oncologist, said: “As lung cancer specialists, we’re not used to being asked questions like ‘should I have another child?’ and it’s extremely rewarding to see so many patients doing better than ever. Patients with lung cancer historically had chemotherapy, which made them feel extremely unwell and extended life by just a couple of months. Now, we see more and more patients getting on with their lives and living longer.”