Cancierge™ - Advanced Oncology Navigation & Access Services
"We advise, your physician decides."
When standard cancer treatments aren't working, you need more than hope—you need a clear path forward. We find breakthrough treatments worldwide and handle everything to get you access.


We understand what you're going through
When cancer treatments aren't working anymore, you need more than medical advice—you need someone who truly gets it. Someone who's been there and knows how to navigate what comes next.
What we do for you
We find the right path forward
Every treatment decision is based on the latest research, matched to your specific situation, and reviewed by multiple experts. We make sure you never miss an opportunity because of incomplete information or rushed decisions.
We open doors before you need them
We secure access to breakthrough treatments—clinical trials, special access programs, and innovative therapies—by handling all the complex paperwork and advocacy work before time runs out.
You shouldn't have to become a medical expert overnight. You shouldn't have to fight the system while fighting cancer. That's our job.
Why Us: Lived Expertise and Execution Muscle
A Founder's Personal Journey
Our founder is a two-time cancer survivor with direct, invaluable insight into the challenges of late-line care navigation. This lived experience is the cornerstone of Cancierge™:
  • Successfully secured the three most advanced experimental therapies under compassionate use protocols
  • Personally navigated complex submissions, insurer negotiations, and physician champion identification
  • Deeply understands the emotional and practical realities of cancer care decision-making
  • Approaches the patient journey from both sides of the clipboard, ensuring empathy and effectiveness
Professional Acumen & Impact
Beyond personal experience, our founder's professional background provides the "execution muscle" critical for navigating complex healthcare systems:
  • 8+ years of specialized experience in medical advisory services and oncology consulting
  • Expertise in regulatory pathways for non-standard treatment access and medical policy development
  • Proven ability to build multi-stakeholder relationships, bridging communication gaps
  • Track record of successfully overcoming bureaucratic healthcare hurdles and aligning diverse stakeholders
When standard treatments stop working
You're facing the hardest part of your cancer journey. The system isn't designed for what comes next—but we are.
Too much information, no clear path
  • You're drowning in research and conflicting advice
  • Every option seems complicated and uncertain
  • Your family is trying to become instant medical experts
  • Nobody can tell you simply: "Here's what you should do next"
The right treatments feel impossible to reach
  • Clinical trials have confusing rules that keep changing
  • Promising new treatments exist but no one owns getting you access
  • Your local hospital only knows about their own options
  • Distance and red tape block you from the best care
Time is slipping away while you wait
  • Paperwork and approvals take weeks when you don't have weeks
  • You're coordinating everything yourself while fighting cancer
  • Appointments get delayed and nobody follows up
  • Each delay might mean missing your window for treatment
The Hard Questions Patients Ask
Cancierge™ fills critical gaps in healthcare by answering complex, time-sensitive questions for advanced cancer patients and families.
What are my evidence-based options right now?
Discover current, data-driven treatment paths tailored to your needs.
Which option fits my biomarkers and history?
Match your unique genetic profile and medical background to optimal treatments.
Am I eligible for any trials this month?
Identify relevant clinical trials and their current eligibility criteria.
Who are the 2–3 true experts for my subtype?
Connect with leading specialists recognized for your specific cancer type.
How can I get compassionate-use access if no trial fits?
Explore options for accessing experimental drugs when standard trials aren't suitable.
How do I avoid weeks lost to forms and scheduling?
Streamline paperwork and appointments to accelerate your treatment journey.
Why Cancierge™ is necessary
Even excellent centers face structural limits. Advanced patients need navigation beyond standard pathways.
1. Capacity & Systems Limitations
2. Scope & Incentive Misalignment
3. Process & Consequence Challenges
1. Capacity & Systems Limitations
  • 15–30-minute visits limit option-hunting
  • Medical records don't connect between hospitals
  • 20–30 patients/day makes deep research unrealistic

Limited staff resources prevent dedicated time for complex paperwork, outreach, and submissions required for advanced access pathways.
2. Scope & Incentive Misalignment
  • Care stays inside local protocols/trials
  • Reimbursement rarely funds complex access work
  • Cross-institution coordination lacks clear ownership

Geographic and protocol restrictions mean 'outside access' falls outside defined responsibilities and institutional boundaries.
3. Process & Consequence Challenges
  • Off-label/trial/EA paths need niche know-how + time
  • Default reverts to older regimens to "do something"
  • Regulatory complexity discourages non-standard paths

This pattern burns precious time and may reduce patient fitness for innovative trials when they become available.
How we're unique
While others give advice or stick to standard treatments, we get you access to cutting-edge options—and handle everything to make it happen.
Cancer Centers
What they do: Focus on their own treatments and trials
What you get: Standard care within one system
The gap: Limited to what's available locally
Other Consultants
What they do: Research options and give recommendations
What you get: Reports and advice
The gap: You're left to figure out the next steps alone
Cancierge™
What we do: Find global options AND make them happen
What you get: Access to experimental treatments worldwide + full support
The difference: We don't just find options—we open the doors
The result? You get treatments that might not be available anywhere else, without the runaround.
Your journey with us
We handle the complexity so you can focus on what matters most—getting better.
We organize everything
Send us your medical records and test results. We'll organize everything into one clear picture of your case—no more scattered files or missing information.
We find your options
Our team searches worldwide for treatments that match your specific cancer. We look at clinical trials, new therapies, and options your local doctors might not know about.
We create your roadmap
You get a clear plan with your best options ranked in order. We explain each choice in plain English and prepare everything your doctors need to review.
We make it happen
We don't just give advice—we handle the paperwork, coordinate with doctors, work with insurance, and guide you through every step until you're in treatment.
Throughout this process, we keep you and your doctors informed every step of the way. No surprises, no confusion—just clear progress toward getting you the treatment you need.
Our Services & Packages
At Cancierge™, we understand that every cancer journey is unique. That's why we offer tiered service packages, meticulously designed to align with various stages of care complexity and your specific needs. Explore our offerings below to find the level of support that's right for you.
Pricing for all packages is available upon consultation.
The Clarity Package: Initial Assessment & Guidance
The Clarity Package is designed for individuals seeking a thorough initial assessment of their current diagnosis and treatment path. It provides comprehensive support to help you understand your options and make informed decisions from the outset of your journey.
  • Comprehensive case review of all medical records
  • Evidence-based assessment of your current treatment plan
  • Detailed comparison of alternative treatment options
  • Expert consultation to clarify diagnoses and prognoses
  • Personalized guidance for next steps in your care journey
The Precision Package: Advanced Options & Molecular Matching
When standard treatments fall short, the Precision Package steps in, offering a deeper dive into personalized and advanced therapeutic avenues. We leverage cutting-edge science to identify the most targeted and effective treatments available for your specific cancer profile.
  • Advanced molecular matching for targeted therapies
  • Extensive clinical trial screening based on your unique cancer markers
  • Preliminary access coordination for identified trials
  • Identification of novel and emerging treatment protocols
  • Guidance on genetic testing and its implications for treatment
The Frontier Package: Navigating Uncharted Territory
The Frontier Package is our most comprehensive and intensive offering, specifically tailored for 4th line+ patients, aggressive subtypes, and cases with no standard of care remaining. It's designed for those facing the most challenging and aggressive cancers, particularly when limited or no standard treatment options remain. We navigate the most complex landscapes to find innovative and potentially life-saving solutions, offering expanded access/compassionate use program navigation, cross-border treatment options, experimental therapy access, and full concierge-level implementation support with dedicated case management.
  • Expanded access and compassionate use program navigation
  • Exploration of cross-border treatment options and medical tourism support
  • Access to highly experimental therapies and off-label treatments
  • Full concierge-level implementation support, including logistics and appointments
  • Dedicated case management with personalized, high-touch support
  • Advocacy for novel treatment protocols and institutional approvals
Exclusive Cancierge™ Features
At Cancierge™, we go beyond standard care to offer unique services designed to accelerate access, improve outcomes, and provide unparalleled support throughout your cancer journey. These exclusive features set us apart, ensuring you receive the most advanced and timely care available.
Physician Champion Networks
Access an exclusive network that reduces specialist wait times by 4-6 weeks, connecting you with the right experts faster.
Expanded-Access Dossier
Complete preparation and submission of complex dossiers for expanded-access or compassionate-use programs, opening doors to cutting-edge therapies.
Oncologist Briefing Materials
Professionally prepared materials in tumor board format, ensuring your case is presented effectively to medical teams for optimal review.
Trial Submission Service
Comprehensive handling of all paperwork and follow-up required for clinical trial enrollment, simplifying complex administrative processes.
Quarterly Monitoring Updates
Receive ongoing surveillance of the treatment landscape with regular updates to identify new opportunities and ensure you never miss emerging advancements.
Contact & Intake with Cancierge™
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General Inquiries
For general questions not related to a specific case, please use the form or the information below:
Business Hours
Monday - Friday: 9:00 AM - 5:00 PM (EST)
Weekends & Holidays: Closed
Response Time
We strive to respond to all inquiries within 1-2 business days.
Contact Information
FourthLine Consulting LLC
2331 University Boulevard
Houston, TX 77005

Our Intake Process
Initial consultation scheduling:
We'll arrange a brief call to understand your needs and answer preliminary questions.
Secure medical record collection:
Our team will guide you through our secure process for submitting all necessary medical documents.
Case review timeline:
Once we have your records, we'll provide a clear timeline for our comprehensive case review.
Service agreement and engagement:
Upon completion of the review, we will present a detailed service agreement outlining the scope of our engagement.
Imprint
FourthLine Consulting LLC
2331 University Boulevard, Houston, TX 77005
© 2025 FourthLine Consulting LLC
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