FrancophonIA/ELRC3.0 huggingface dataset:
English: Since not all countries have such a text included in their national labels and in some countries only Sandimmun Neoral is available, the MAH recommended shortening the proposed text.
Slovenian: Ker v nekaterih državah to besedilo ni vključeno v informacije o zdravilu in ker je v nekaterih državah na voljo samo zdravilo Sandimmun Neoral, je imetnik dovoljenja za promet z zdravilom priporočil skrajšanje predlaganega besedila.
English: The efficacy of ciclosporin has been demonstrated in bone marrow transplant (BMT) recipients in eight studies carried out in Europe and US with a total of 227 patients.
Slovenian: Učinkovitost ciklosporina pri bolnikih s presajenim kostnim mozgom so dokazali v osmih študijah s skupno 227 bolniki, ki so jih izvedli v Evropi in Združenih državah.
English: With regards to the sub-section Summary of the safety profile, the MAH proposed the inclusion of an overall summary of the principal adverse reactions which were most frequently reported in clinical trials.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predlagal, da se v podpoglavje Povzetek varnostnega profila vključi splošni povzetek glavnih neželenih učinkov, o katerih so najpogosteje poročali v kliničnih preskušanjih.
English: As a consequence of these additional advantages, Sandimmun Neoral can be administered independently of mealtimes.
Slovenian: Zaradi teh dodatnih prednosti se lahko zdravilo Sandimmun Neoral daje ne glede na obroke hrane.
English: Sandimmun was used as a basis of the review as the dossier supporting the approval of the new ciclosporin formulation (Sandimmun Neoral) was based on pharmacokinetics evaluation that demonstrated equivalence between the 2 forms of ciclosporin (oil-based formulation versus microemulsified formulation).
Slovenian: Dokumentacijo zdravila Sandimmun so kot podlago za pregled uporabili zato, ker je dokumentacija v podporo vlogi za odobritev novega pripravka ciklosporina (Sandimmun Neoral) temeljila na farmakokinetičnih podatkih, ki so pokazali enakovrednost obeh oblik ciklosporina (pripravka na oljni osnovi in mikroemulzije).
English: Lastly, based on the fact that ciclosporin is a potent active substance associated with serious safety concerns, the CHMP was of the opinion that the posology section should clearly state that Sandimmun/Sandimmun Neoral is a product to be handled by specialists within the respective therapeutic area; a general wording was agreed and included accordingly in section 4.2.
Slovenian: Poleg tega je CHMP zaradi dejstva, da je ciklosporin močna zdravilna učinkovina, povezana z resnimi varnostnimi tveganji, menil, da bi moralo biti v poglavju o odmerjanju jasno navedeno, da je Sandimmun/Sandimmun Neoral zdravilo, ki ga lahko predpisujejo samo specialisti na zadevnem terapevtskem področju; sestavljeno je bilo splošno besedilo, ki je bilo vključeno v poglavje 4.2.
English: The MAH stated in their response package that the absolute changes may be considered small, but in view of the narrow therapeutic window for ciclosporin, standardised intake in relation to food intake would be preferable to reduce intra-individual variability.
Slovenian: V odgovoru je navedel, da so absolutne spremembe majhne, vendar bi bilo zaradi ozkega terapevtskega okna ciklosporina za zmanjšanje intraindividualne variabilnosti primernejše standardizirano jemanje glede na obroke hrane.
English: The CHMP therefore requested the MAH to justify the positive benefit risk for all nephrotic conditions except the primary minimal change glomerulonephritis, primary focal segmental glomerulosclerosis, or primary membranous glomerulonephritis.
Slovenian: Zato je od imetnika dovoljenja za promet z zdravilom zahteval, da utemelji pozitivno razmerje med tveganji in koristmi za vse nefrotske bolezni, razen za primarni glomerulonefritis z minimalnimi spremembami, primarno fokalno segmentno glomerulosklerozo in primarni membranski glomerulonefritis.
English: However concerning HMG CoA reductase inhibitors (statins), the CHMP agreed that a strict contraindication may not be warranted, however, information in section 4.4 should be strengthened.
Slovenian: Po drugi strani se je strinjal, da v primeru zaviralcev reduktaze HMG CoA (statinov) ni nujna stroga kontraindikacija, vendar je menil, da je treba okrepiti informacije v poglavju 4.4.
English: The MAH proposed a wording that was approved in between 18 an 24 MS, depending on subsections.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predlagal besedilo, ki je že bilo odobreno v 18 do 24 državah članicah, odvisno od podpoglavja.
English: From the data provided and other published data the CHMP concluded that benefit-risk ratio for ciclosporin in treatment of endogenous refractory uveitis, including Behçet uveitis, is positive.
Slovenian: Na podlagi predloženih podatkov in drugih javno dostopnih podatkov je CHMP zaključil, da je razmerje med tveganji in koristmi ciklosporina pri zdravljenju neodzivnega endogenega uveitisa, vključno z Behçetovo boleznijo, pozitivno.
English: Section 5.2 - Pharmacokinetic Properties
Slovenian: Poglavje 5.2 - Farmakokinetične lastnosti
English: This data, along with ciclosporin experience in other nontransplant diseases, helped to design the four pivotal placebocontrolled double-blind Sandimmun (SIM) trials in severe RA in the US and Canada.
Slovenian: S pomočjo teh podatkov in izkušenj s ciklosporinom pri drugih boleznih, ki niso povezane s presaditvijo, so v Združenih državah in Kanadi zasnovali štiri ključna s placebom nadzorovana dvojno slepa preskušanja zdravila Sandimmun (SIM) pri bolnikih s hudim revmatoidnim artritisom.
English: As an outcome of this full review, both CDSs were finalized with a release date of 13 February 2012.
Slovenian: Na podlagi tega pregleda sta bili sprejeti dokončni različici obeh krovnih dokumentov, ki sta bili objavljeni 13. februarja 2012.
English: Finally in this section, the MAH proposed two additions to this section, under the format of two new sub-sections on Acute and chronic nephrotoxicity and Paediatric population.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predlagal še, da se v to poglavje doda dve novi podpoglavji z naslovoma Akutna in kronična nefrotoksičnost in Pediatrična populacija.
English: Considering the narrow therapeutic window for ciclosporin, the CHMP requested the MAH to consider ciclosporin intake in order to reduce intra-individual variability.
Slovenian: Glede na ozko terapevtsko okno ciklosporina je CHMP zahteval, da imetnik dovoljenja za promet z zdravilom presodi, kako bi se moral ciklosporin jemati, da bi se zmanjšala intraindividualna variabilnost.
English: To ensure that the Core Safety Information of the updated CDSs remains in line with the agreed CSP information, newly incorporated safety information into the CDS was proposed by the MAH for consideration into the agreed CSP, hence for the harmonized Eu SmPC safety related sections.
Slovenian: Za zagotovitev skladnosti temeljnih informacij o varnosti v najnovejših krovnih dokumentih z informacijami v odobrenem CSP je imetnik dovoljenja za promet z zdravilom predlagal, da se informacije o varnosti, ki so bile na novo vključene v CDS, dodajo v odobreni CSP ter posledično tudi v poglavja o varnosti v usklajenem SmPC.
English: The CHMP also requested the MAH to provide more detailed information that could help the dose adjustments.
Slovenian: Poleg tega je zahteval, da imetnik dovoljenja za promet z zdravilom zagotovi podrobnejše informacije, ki bi lahko pomagale pri prilagajanju odmerkov.
English: The CHMP requested the MAH to clarify the discrepancy in the shelf life term; the CHMP was concerned by the different shelf-life periods.
Slovenian: CHMP je zahteval, da imetnik dovoljenja za promet z zdravilom pojasni neskladja v zvezi z rokom uporabnosti; CHMP je bil zaskrbljen zaradi različnih rokov uporabnosti.
English: The MAH is of the view that the efficacy of ciclosporin in bone marrow transplantation and GVHD is well established from the data in the original MAA, published clinical studies and extensive clinical use.
Slovenian: Imetnik dovoljenja za promet z zdravilom meni, da učinkovitost ciklosporina pri presaditvi kostnega mozga in GVHD zadovoljivo dokazujejo podatki iz prvotne vloge za pridobitev dovoljenja za promet z zdravilom, objavljene klinične študije in obsežna klinična uporaba.
English: The MAH addressed this concern; based on the submitted data the CHMP agreed with the MAH that the common practice is to change to another agent in case of rejection.
Slovenian: Imetnik dovoljenja za promet je odgovoril na omenjene zadržke; na podlagi predloženih podatkov se je CHMP strinjal z imetnikom dovoljenja za promet, da je prehod na drugo zdravilo v primeru zavrnitve običajna praksa.
English: With regards to the treatment of rejection, the main concerns reflected by the CHMP related to the switch from tacrolimus, treatment of humoral rejections with Cyclosporin and in case of chronic allograft injury, as this has been seen as chronic rejection.
Slovenian: Glavni zadržki, ki jih je CHMP izrazil v zvezi z zdravljenjem zavrnitve, so bili povezani s prehodom s takrolimusa, zdravljenjem humoralnih zavrnitev s ciklosporinom in zdravljenjem v primeru kronične poškodbe presadka, ki se obravnava kot kronična zavrnitev.
English: Rheumatoid arthritis is an approved therapeutic indication in all EU countries.
Slovenian: Revmatoidni artritis je terapevtska indikacija, ki je odobrena v vseh državah EU.
English: Ciclosporin is a potent immunosuppressive agent used in human solid organ and bone marrow transplantation to prevent graft rejection and in Graft Versus Host Disease (GVHD).
Slovenian: Ciklosporin je močan imunosupresiv, ki se uporablja pri presaditvah parenhimskih organov in kostnega mozga pri ljudeh za preprečevanje zavrnitve presadka in reakcije presadka proti gostitelju (Graft Versus Host DiseaseGVHD).
English: The approach taken by the MAH to achieve a proposed harmonized SmPC with regard to the safety sections of the SmPC (sections 4.3 to 4.9) was to use as a basis the most recently updated MAH's Core Data Sheet (CDS) of Sandimmun Neoral, dated 13 February 2012 (as justified by a review of submitted legacy studies, and identified literature references) and the finalized Core Safety profile (CSP) from the last PSUR 13 work sharing (WS) procedure (EE/H/PSUR/0007/001).
Slovenian: Imetnik dovoljenja za promet z zdravilom je k predlagani uskladitvi poglavij povzetka glavnih značilnosti zdravila, povezanih z varnostjo (poglavja od 4.3 do 4.9), pristopil tako, da je za osnovo uporabil najnovejšo različico krovnega dokumenta družbe (CDS) za zdravilo Sandimmun Neoral z dne 13. februarja 2012 (kar je podprl tudi pregled predloženih starejših študij in referenčne literature) in končno različico dokumenta „Ključne informacije o varnosti zdravila“ (CSP), ki je bil sprejet v okviru zadnjega postopka delitve dela pri oceni PSUR 13 (EE/H/PSUR/0007/001).
English: Extensive information was provided by the MAH, including the dosages used in clinical studies that supported the approval of Sandimmun and Sandimmun Neoral in the bone marrow transplant indications.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predložil izčrpne podatke, vključno s podatki o odmerkih, uporabljenih v kliničnih študijah, ki so podprli odobritev zdravil Sandimmun in Sandimmun Neoral za indikacije presaditev kostnega mozga.
English: In addition, the MAH clarified as requested why conjunctivitis, depression and hearing loss were not included in the ADR table.
Slovenian: Prav tako je imetnik dovoljenja za promet z zdravilom na zahtevo Odbora pojasnil, zakaj konjunktivitisa, depresije in izgube sluha ni vključil v razpredelnico z neželenimi učinki.
English: Finally the CHMP also requested the MAH to discuss whether the heading “bone marrow transplantation” shall be updated to “allogenous stem cell transplantation”, i.e. independent from the source (else than non-host) of the stem cells and blasts.
Slovenian: CHMP je prav tako zahteval, da imetnik dovoljenja za promet z zdravilom presodi, ali bi bilo treba naslov „presaditev kostnega mozga" spremeniti v „alogenična presaditev krvotvornih matičnih celic", tj. neodvisna od vira (ki ni negostiteljski) matičnih celic in blastnih celic.
English: Lastly the CHMP was of the view that further additions to the lists of interactants would be of value, based on an updated survey.
Slovenian: Prav tako je CHMP menil, da bi bilo koristno dodatno dopolniti seznam zdravil, pri katerih prihaja do medsebojnega delovanja, glede na najnovejše raziskave.
English: Based on the higher Cmax and AUC values achieved with Sandimmun Neoral compared to Sandimmun, the resulting individualized doses of Sandimmun Neoral were on average lower compared to Sandimmun.
Slovenian: Ker so bile vrednosti Cmax in AUC po uporabi zdravila Sandimmun Neoral višje kot po uporabi zdravila Sandimmun, so bili odmerki zdravila Sandimmun Neoral, ki so jih določili za posamezne bolnike, v povprečju manjši kot odmerki zdravila Sandimmun.
English: The CHMP was in agreement with this approach and a revised wording was agreed consequently.
Slovenian: CHMP se je s tem pristopom strinjal, zato so se dogovorili o ustrezni spremembi besedila.
English: It is recommended that Sandimmun Neoral be administered on a consistent schedule with regard to time of day and relation to meals.
Slovenian: Priporoča se, da se zdravilo Sandimmun Neoral jemlje po ustaljenem urniku glede na čas dneva in obroke hrane. "
English: This type of information is in line with SmPCs of several Member States.
Slovenian: Tovrstna informacija je vključena v povzetek glavnih značilnosti zdravila v več državah članicah.
English: Further to this introduction paragraph on non-transplantation, the MAH proposed a posology for each of the non-transplantation indications (i.e. endogenous uveitis, nephrotic syndrome, rheumatoid arthritis, psoriasis, atopic dermatitis).
Slovenian: Na podlagi uvodnega odstavka pri indikacijah, ki niso povezane s presaditvijo, je imetnik dovoljenja za promet z zdravilom predlagal odmerjanje za vsako od teh indikacij (endogeni uveitis, nefrotski sindrom, revmatoidni artritis, psoriaza in atopijski dermatitis).
English: In line with the overall above mentioned strategy, the MAH proposed an indication wording which is already approved as proposed in 21 EU national labels.
Slovenian: Imetnik dovoljenja za promet z zdravilom je v skladu z zgoraj omenjeno strategijo za indikacijo predlagal besedilo, ki je v tej obliki že odobreno v 21 državah EU.
English: However, in case of a more prolonged inability to use oral ciclosporin, use of IV ciclosporin should be considered, provided that care is taken to administer an adequate IV dose.
Slovenian: Vendar pa je v primerih, ko peroralna uporaba ciklosporina dalj časa ni mogoča, treba razmisliti o intravenski uporabi, pri čemer je treba zagotoviti, da se uporabi ustrezen intravenski odmerek.
English: Sandimmun Neoral was first registered in Germany in February 1993 and is available in the EU as 10 mg, 25 mg, 50 mg, 100 mg soft gelatin capsules and 100 mg/ml oral solution.
Slovenian: Zdravilo Sandimmun Neoral je bilo prvič registrirano v Nemčiji februarja 1993 in je v EU na voljo v obliki mehkih želatinastih kapsul (10 mg, 25 mg, 50 mg in 100 mg) ter peroralne raztopine (100 mg/ml).
English: As recorded in the minutes of the prereferral meeting held on 27 July 2011, regarding the approach to label harmonisation, the Agency agreed with the MAH's proposal to use the SmPC wording that is common in the majority of the Members States, the Sandimmun and Sandimmun Neoral CDSs as justified by the review of legacy studies and literature references.
Slovenian: V zapisniku seje pred začetkom napotitvenega postopka, ki je potekala 27. julija 2011 in na kateri so obravnavali pristop k uskladitvi označevanja, je navedeno, da se je agencija strinjala s predlogom imetnika dovoljenja za promet z zdravilom, da se uporabi besedilo povzetka glavnih značilnosti zdravila, ki se uporablja v večini držav članic in krovnih dokumentih za zdravili Sandimmun in Sandimmun Neoral, kar je podprl tudi pregled starejših študij in referenčne literature.
English: Concerning the wording contained in the sub-section Tabulated summary of ADRs, the MAH made a complete revision of the ADR table and changed many of the frequency figure, in most cases based on the fact that several ADRs originated from post-marketing data and a denominator was missing for the estimation of a frequency.
Slovenian: Kar se tiče besedila v podpoglavju Preglednica s povzetkom neželenih učinkov, je imetnik dovoljenja za promet z zdravilom v celoti revidiral preglednico z neželenimi učinki in spremenil številne številčne podatke o pogostosti, večinoma zato, ker številni neželeni učinki izvirajo iz podatkov v obdobju trženja in je manjkal imenovalec za oceno pogostosti.
English: The MAH proposed the CSP wording as the harmonized SmPC text for all sections except the additional text regarding interactions with bosentan/ ambrisentan and anthracycline antibiotics.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predlagal, da se za uskladitev besedila vseh podpoglavij povzetka glavnih značilnosti zdravila uporabi besedilo iz CSP, razen za dodatno besedilo glede medsebojnega delovanja z bosentanom/ambrisentanom in antraciklini.
English: The CHMP considered that the use of Hypericum perforatum (St. John's wort, SJW) products in the treatment of a mild depression was not considered to balance the potential risk of an acute organ rejection caused by SJW induction; the CHMP requested the introduction of a contraindication accordingly.
Slovenian: CHMP je menil, da koristi pripravkov, ki vsebujejo Hypericum perforatum (šentjanževko) in se uporabljajo za zdravljenje blažje depresije, niso večje od možnega tveganja za akutno zavrnitev organov zaradi indukcijskih lastnosti šentjanževke; CHMP je zahteval, da se vključi ustrezna kontraindikacija.
English: Referring to the “non-transplantation indications” section, likewise, the MAH proposed a posology for each of the special populations (i.e. patients with renal impairment, patients with hepatic impairment, paediatric population, elderly population).
Slovenian: Imetnik dovoljenja za promet z zdravilom je pri poglavju „indikacije, ki niso povezane s presaditvijo“ predlagal tudi odmerjanje za vsako od posebnih skupin bolnikov (to so bolniki z okvaro ledvic, bolniki z okvaro jeter, pediatrični bolniki in starejši bolniki).
English: The CHMP was concerned by the fact that different approaches in monitoring proposals for transplantation and non-transplantation populations were proposed by the MAH, ignoring blood levels measurements in non-transplant indications.
Slovenian: CHMP je bil zaskrbljen zaradi dejstva, da je imetnik dovoljenja za promet z zdravilom predlagal različne načine spremljanja pri bolnikih po presaditvi in bolnikih, ki niso prestali presaditve, pri čemer ni omenil meritev koncentracij ciklosporina v krvi pri indikacijah, ki niso povezane s presaditvijo.
English: The MAH proposed a new general wording to introduce the paragraph on non- transplantation indications, as general recommendations.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predlagal novo splošno besedilo v obliki splošnih priporočil za uvod v odstavek o indikacijah, ki niso povezane s presaditvijo.
English: This was endorsed by the CHMP with the exceptions of some requests for clarifications, which were subsequently provided by the MAH with supportive data.
Slovenian: CHMP je besedilo odobril, vendar je zahteval nekatera pojasnila, ki jih je imetnik dovoljenja za promet tudi predložil skupaj s spremljajočimi podatki.
English: Based on the above the CHMP considers the benefit/risk ratio of Sandimmun Neoral to be favourable and the harmonised PI to be approvable.
Slovenian: Na podlagi naštetega je odbor CHMP menil, da je razmerje med tveganji in koristmi zdravila Sandimmun Neoral ugodno in da se usklajene informacije o zdravilu lahko odobrijo.
English: Sandimmun is available as Sandimmun soft gelatin capsules (25 mg, 50 mg and 100 mg), Sandimmun oral solution, 100 mg/ml and Sandimmum concentrate for solution for infusion, 50mg/ml.
Slovenian: Zdravilo Sandimmun je na voljo kot Sandimmun mehke želatinaste kapsule (25 mg, 50 mg in 100 mg), Sandimmun peroralna raztopina (100 mg/ml) in Sandimmun koncentrat za raztopino za infundiranje (50 mg/ml).
English: The CHMP provided the MAH with a detailed suggestion of a clearer structure and proposed text revisions accordingly.
Slovenian: CHMP je imetniku dovoljenja za promet z zdravilom posredoval podrobne predloge za jasnejšo zgradbo besedila in predlagal ustrezne spremembe.
English: The MAH proposed a wording on which the CHMP agreed with the exception of one minor comment, which was taken into consideration subsequently by the MAH.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predlagal besedilo, s katerim se je CHMP strinjal oziroma je imel zgolj eno manjšo pripombo, ki jo je imetnik dovoljenja upošteval.
English: The CHMP questioned the MAH's justification with regards to the listing of specific organ transplantations in the indication.
Slovenian: CHMP je ugovarjal razlogom imetnika dovoljenja za promet z zdravilom za to, da bi v indikaciji navedli točno določene presaditve organov.
English: • Solid organ transplantation:
Slovenian: • Presaditev parenhimskih organov:
English: In response to the CHMP'S request, the MAH adjusted information by adding cautious reference to blood level monitoring options for non-transplant indications and additionally stressing the practice protocols for transplantation indications.
Slovenian: Imetnik dovoljenja za promet z zdravilom se je odzval tako, da je v informacije premišljeno vključil možnost spremljanja koncentracij v krvi pri indikacijah, ki niso povezane s presaditvijo, in še dodatno izpostavil praktične protokole pri indikacijah, povezanih s presaditvijo.
English: Based on literature and supportive data the MAH is of the view that the data presented supports the positive benefit/risk of the indication while recommending using Ciclosporin as systemic therapy both for non-infectious uveitis and for the ocular manifestations of Behcet's disease in patients without neurological manifestations.
Slovenian: Imetnik dovoljenja za promet z zdravilom je menil, da predloženi podatki iz literature in spremljajoči podatki dokazujejo, da je razmerje med tveganji in koristmi pri tej indikaciji pozitivno, in hkrati priporočil uporabo ciklosporina za sistemsko zdravljenje tako neinfekcijskega uveitisa kot tudi očesnih znakov Behçetove bolezni pri bolnikih brez nevroloških znakov.
English: • the scope of the referral was the harmonisation of the summary of products characteristics, labelling and package leaflet
Slovenian: • da je bil namen napotitve uskladitev povzetka glavnih značilnosti zdravila, označevanja in navodila za uporabo;
English: The MAH addressed the CHMP's concerns; the CHMP is of the view that clinical experience supports the proposed additions in the indication.
Slovenian: Imetnik dovoljenja za promet z zdravilom je odgovoril na zadržke odbora CHMP; slednji meni, da klinične izkušnje kažejo, da je predlagana dopolnitev indikacije upravičena.
English: Sandimmun Neoral is available as Sandimmun Neoral soft gelatin capsules (10 mg, 25 mg, 50 mg and 100 mg) and Sandimmun Neoral oral solution, 100 mg/ml.
Slovenian: Zdravilo Sandimmun Neoral je na voljo kot Sandimmun Neoral mehke želatinaste kapsule (10 mg, 25 mg, 50 mg in 100 mg) ter Sandimmun Neoral peroralna raztopina (100 mg/ml).
English: The MAH proposed wording was in line with the overall strategy undertaken to propose a harmonized wording based on the most commonly approved label across the EU community.
Slovenian: Besedilo, ki ga je predlagal imetnik dovoljenja za promet z zdravilom, je bilo skladno s splošno strategijo, ki je bila predlagati usklajeno besedilo na osnovi besedila, ki je odobreno v največ državah EU.
English: Non-transplantation indications:
Slovenian: Indikacije, ki niso povezane s presaditvijo: