FrancophonIA/ELRC3.0 huggingface dataset:
English: These data seem to suggest a different tolerability to doxorubicin depending on the group, which appears to be different from that observed in the previous phase II trial, where the exposure to doxorubicin was higher for patients in the investigational group as compared to the control group (7 vs 4).
Danish: Disse data synes at pege på forskellig tolerabilitet over for doxorubicin alt efter gruppe; tolerabiliteten ser ikke ud til at være den samme som i det tidligere fase II-studie, hvor eksponeringen for doxorubicin var højere hos patienter i den eksperimentelle gruppe end i kontrolgruppen (7 vs. 4).
English: However, the median duration of doxorubicin treatment was 18 weeks and 23 weeks for the investigational and control groups, respectively.
Danish: Imidlertid var den mediane varighed af doxorubicinbehandlingen i den eksperimentelle gruppe og kontrolgruppen på hhv. 18 og 23 uger.
English: The rate of haematological toxicities (neutropenia, thrombocytopenia, anaemia and febrile neutropenia) and gastrointestinal toxicities (nausea, vomiting and diarrhoea) was balanced between the treatment arms.
Danish: Forekomsten af hæmatologiske toksiciteter (neutropeni, trombocytopeni, anæmi og febril neutropeni) og gastrointestinale toksiciteter (kvalme, opkastning og diarré) var balanceret mellem behandlingsgrupperne.
English: STS is a disease which encompasses a wide range of different tumour histologies, some of them with different prognosis and specific treatments.
Danish: Bløddelssarkom er en sygdom med mange varierende tumorhistologier, der har forskellige prognoser og kræver specifik behandling.
English: All the sensitivity analyses carried out in the ANNOUNCE study, both in the ITT population an in the LMS group, point in the same direction (no favourable effect of olaratumab).
Danish: Alle følsomhedsanalyserne i ANNOUNCE-studiet peger i samme retning, både i ITT-populationen og LMS-gruppen (ingen gavnlig effekt af olaratumab).
English: • The Committee considered the procedure under Article 20 of Regulation (EC) No 726/2004 for Lartruvo.
Danish: • Udvalget behandlede sagen vedrørende Lartruvo i henhold til artikel 20 i forordning (EF) nr. 726/2004.
English: Nausea, neutropenia and fatigue were the most frequently reported TEAEs.
Danish: Kvalme, neutropeni og træthed var de hyppigst indberettede behandlingsrelaterede uønskede hændelser.
English: The median of the number of cycles received were higher in the control arm (6 vs 7) and the median of cumulative dose per body surface area (mg/m2) was also higher for the control group (409 vs 483).
Danish: Det mediane antal gennemførte serier var højere i kontrolgruppen (6 vs. 7), og den mediane kumulative dosis pr. legemsoverflade (mg/m2) var også højere i kontrolgruppen (409 vs. 483).
English: There are also no data regarding the toxicity observed in subjects in the investigational arm when treated with olaratumab maintenance.
Danish: Der foreligger heller ingen data vedrørende toksicitet hos patienter i den eksperimentelle gruppe ved vedligeholdelsesbehandling med olaratumab.
English: • The Committee reviewed the results of the ANNOUNCE (JGDJ) study, which was conducted to fulfil the specific obligation with a view to confirming a favourable benefit-risk balance for the conditional marketing authorisation for Lartruvo, pursuant to Article 14-a of Regulation (EC) No
Danish: • Udvalget gennemgik resultaterne af ANNOUNCE (JGDJ)-studiet, der blev gennemført for at opfylde det specifikke krav om bekræftelse af det påberåbte gunstige benefit/risk-forhold i forbindelse med den betingede markedsføringstilladelse for Lartruvo, jf. artikel 14a, i forordning (EF) nr. 726/2004.
English: Immediate non-anaphylactic reactions were reported in 9.3% patients and were grade 1/2 in severity.
Danish: Der blev rapporteret om umiddelbare ikkeanafylaktiske reaktioner (grad 1/2) hos 9,3 % af patienterne.
English: The primary endpoint for this study was OS in the ITT population and in the LMS population.
Danish: Studiets primære endepunkt var den samlede overlevelse i ITT-populationen og i LMS-populationen.
English: Lartruvo was granted a conditional marketing authorisation under Article 14(7) of Regulation (EC) No. 726/2004, valid throughout the European Union, on 9 November 2016.
Danish: Den 9. november 2016 fik Lartruvo en betinget markedsføringstilladelse med gyldighed i hele EU, jf. artikel 14, stk. 7, i forordning (EF) nr. 726/2004.
English: Doxorubicin was administered for a maximum of 8 cycles every 3 weeks, along with olaratumab/placebo which was continued after 8 cycles until PD, unacceptable toxicity, death, or other withdrawal criteria.
Danish: Doxorubicin blev administreret i maksimalt 8 serier hver 3. uge parallelt med olaratumab/placebo, der blev fortsat efter 8 serier indtil sygdomsprogression, uacceptabel toksicitet, død eller andre seponeringskriterier.
English: The Kaplan-Meier curves for OS are overlapping.
Danish: Kaplan-Meier-kurverne for samlet overlevelse er overlappende.
English: A total of 170 (66.1%) vs 158 (63.5%) of patients died in the investigational vs control arm, respectively, mostly attributed to study disease (63.4% vs 61%).
Danish: I alt 170 (66,1 %) vs. 158 (63,5 %) patienter døde i henholdsvis den eksperimentelle gruppe og kontrolgruppen, fortrinsvis som følge af deres sygdom (63,4 % vs. 61 %).
English: The patient disposition of the ANNOUNCE trial does not indicate major differences between arms in reasons for treatment discontinuation.
Danish: Patientfordelingen i ANNOUNCE-studiet peger ikke på større forskelle mellem grupperne, hvad angår grundene til seponering.
English: Deaths due to adverse events were overall similar in both arms (7[2.7%] vs 6 [2.4%]).
Danish: Forekomsten af dødsfald, der skyldtes uønskede hændelser, var omtrent den samme i de to grupper (7 [2,7 %] vs. 6 [2,4 %]).
English: Consequently, as the ANNOUNCE study was imposed as a specific obligation to confirm the efficacy and safety of olaratumab in the authorised indication, the conditional marketing authorisation for Lartruvo should be revoked.
Danish: Da ANNOUNCE-studiet blev gennemført for at opfylde det specifikke krav om at bekræfte virkningen og sikkerheden ved olaratumab i den godkendte indikation, bør den betingede markedsføringstilladelse for Lartruvo derfor tilbagekaldes.
English: Even though no new safety concerns arose from the ANNOUNCE study, any safety concerns associated with olaratumab render the benefit-risk balance of Lartruvo negative in view of the lack of therapeutic efficacy observed in the study.
Danish: Selvom ANNOUNCE-studiet ikke gav anledning til nye sikkerhedsmæssige betænkeligheder, betyder eventuelle sikkerhedsmæssige betænkeligheder ved olaratumab, at benefit/risk-forholdet for Lartruvo er negativt, for så vidt angår den manglende terapeutiske effekt, der er observeret i studiet.
English: ANNOUNCE as the confirmatory trial was specifically designed to show differences in OS.
Danish: Som bekræftelsesstudie var ANNOUNCE specifikt designet til at påvise forskelle i samlet overlevelse.
English: The analyses of ANNOUNCE study showed that PDGFR-α status did not have any predictive role of the response to olaratumab in terms of OS or PFS, and that PDGFR-α was a poor prognostic factor, consistently with literature data.
Danish: Analyserne i ANNOUNCE-studiet viste, at PDGFR-α-status ikke havde nogen prædiktiv rolle for responset på olaratumab, hvad angår samlet overlevelse eller progressionsfri overlevelse, og at PDGFR-α-status udgjorde en ringe prognostisk faktor, hvilket er konsistent med litteraturens data.
English: Even though the primary endpoint of that study (PFS) did not reveal a clear delay in the tumour progression for the experimental arm, the longer survival associated with the olaratumab combination treatment supported the granting of a conditional marketing authorisation.
Danish: Selvom studiets primære endepunkt (progressionsfri overlevelse) ikke viste en tydelig forsinkelse i tumorprogression i den eksperimentelle gruppe, understøttede den længere overlevelse ved olaratumab-kombinationsbehandling udstedelsen af en betinget markedsføringstilladelse.
English: The rate of potential immediate (i.e. occurring on the day of infusion) hypersensitivity reactions was higher in the investigational arm for all grade events (11.7% vs. 7.2%) and Grade ≥3 events (2.3% vs 0.8%) but no fatal events were reported.
Danish: Forekomsten af potentielle umiddelbare overfølsomhedsreaktioner (dvs. som opstår på infusionsdagen) var højere i den eksperimentelle gruppe for hændelser af alle grader (11,7 % vs. 7,2 %) og hændelser af grad ≥ 3 (2,3 % vs. 0,8 %), men der sås ingen hændelser med dødelig udgang.
English: In total, 509 patients were randomised to treatment either with Lartruvo + doxorubicin (followed by Lartruvo monotherapy until progression) or with placebo + doxorubicin (followed by placebo monotherapy until progression).
Danish: I alt 509 patienter var randomiseret til behandling med enten Lartruvo + doxorubicin (efterfulgt af Lartruvo alene indtil progression) eller placebo + doxorubicin (efterfulgt af placebo alene indtil progression).
English: • The Committee noted that no benefit was observed from adding Lartruvo to doxorubicin in the treatment of patients with advanced soft tissue sarcoma, when compared to doxorubicin alone.
Danish: • Udvalget bemærkede, at der ikke sås nogen gavnlig virkning ved tilføjelse af Lartruvo til doxorubicin ved behandling af patienter med fremskredent bløddelssarkom, sammenholdt med doxorubicin alene.
English: The ANNOUNCE (JGDJ) study was then requested as a specific obligation to confirm the efficacy and safety of olaratumab in same population for whom Lartruvo is currently indicated.
Danish: Derefter blev der stillet specifikt krav om gennemførelse af ANNOUNCE (JGDJ)-studiet for at bekræfte virkningen og sikkerheden ved olaratumab i den population, som Lartruvo aktuelt er indiceret til.
English: Annex Scientific conclusions
Danish: Bilag Videnskabelige konklusioner
English: ‘in combination with doxorubicin, for the treatment of adult patients with advanced soft tissue sarcoma who are not amenable to curative treatment with surgery or radiotherapy and who have not been previously treated with doxorubicin'.
Danish: "Lartruvo i kombination med doxorubicin er indiceret til behandling af voksne patienter med avanceret bløddelssarkom, som ikke er egnede til kurativ behandling med kirurgi eller strålebehandling, og som ikke tidligere er blevet behandlet med doxorubicin."
English: Of those, 2 TEAE leading to deaths were considered related to study treatment in the investigational arm (pneumonia and aspiration) vs none in the control arm.
Danish: 2 af de behandlingsrelaterede uønskede hændelser, der havde dødelig udgang, ansås for at være forbundet med forsøgslægemidlet i den eksperimentelle gruppe (pneumoni og aspiration) vs. ingen i kontrolgruppen.
English: Compared to the currently recommended posology of olaratumab (15 mg/kg on days 1 and 8 of each 3 week cycle), a loading cycle of 20 mg/kg on day 1 and day 8 of cycle 1 was used, to minimize the number of patients exposed to sub-therapeutic olaratumab serum levels without an increased risk of toxicity, based on PK and matched case-control analysis by exposure quartiles results.
Danish: Sammenholdt med den aktuelt anbefalede dosering af olaratumab (15 mg/kg på dag 1 og 8 i hver 3ugers serie) blev der anvendt en støddosis på 20 mg/kg på dag 1 og 8 i serie 1 for at minimere antallet af patienter, der blev eksponeret for subterapeutiske olaratumab-serumniveauer, uden øget risiko for toksicitet, baseret på farmakokinetik og matchet case-kontrolanalyse ud fra eksponeringsrelaterede kvartilresultater.
English: In order to confirm the efficacy and safety of olaratumab, the marketing authorisation holder was required to submit as specific obligation, by January 2020, the clinical study report of a phase III randomised double-blind confirmatory study comparing doxorubicin plus olaratumab versus doxorubicin in patients with advanced or metastatic soft tissue sarcoma (Study I5B-MCJGDJ [JGDJ]; ANNOUNCE), including exploratory biomarker data.
Danish: For at bekræfte virkningen og sikkerheden ved olaratumab var indehaveren af markedsføringstilladelsen specifikt forpligtet til senest i januar 2020 at indsende den kliniske studierapport fra et randomiseret, dobbeltblindet fase III-bekræftelsesstudie til sammenligning af doxorubicin plus olaratumab versus doxorubicin hos patienter med fremskredent eller metastatisk bløddelssarkom (studie I5B-MCJGDJ [JGDJ]; ANNOUNCE), herunder eksplorative biomarkørdata.
English: In summary, no benefit of adding Lartruvo to doxorubicin in patients with advanced STS was observed in the ANNOUNCE study.
Danish: Overordnet set sås der ingen fordel ved tilføjelse af Lartruvo til doxorubicin hos patienter med fremskredent bløddelssarkom i ANNOUNCE-studiet.
English: Death due to AEs on therapy or within 30 days from the last dose of study drug were 5 (1.9%) vs 3 (1.2%) (investigational arm: pulmonary embolism in 2 subjects, acute respiratory failure, aspiration and pneumonia in one patient each; control arm: cerebrovascular accident, ischemic stroke and sepsis, each in one patient).
Danish: Forekomsten af dødsfald, der skyldes uønskede hændelser i forbindelse med behandling, eller som indtraf inden for 30 dage efter den sidste dosis forsøgslægemiddel, var 5 (1,9 %) vs. 3 (1,2 %) (den eksperimentelle gruppe: lungeemboli hos 2 patienter og akut respirationssvigt, aspiration og pneumoni hos én patient hver; kontrolgruppen: cerebrovaskulær hændelse, iskæmisk slagtilfælde og sepsis, hver hos én patient).
English: In the LMS population, ORR was in favour of the control arm (no statistical significance) and DCR was statistically significant in favour of the control arm.
Danish: I LMS-populationen var den objektive responsrate i kontrolgruppens favør (ingen statistisk signifikans), og sygdomskontrolraten var i kontrolgruppens favør (statistisk signifikant).
English: No new safety concerns arose from the ANNOUNCE study.
Danish: ANNOUNCE-studiet gav ikke anledning til nye sikkerhedsmæssige betænkeligheder.
English: No difference was seen in OS in the LMS population either.
Danish: Der sås heller ingen forskel i samlet overlevelse i LMS-populationen.
English: ANNOUNCE (I5B-MC-JGDJ) was a randomized, double-blind, placebo-controlled, phase 3 trial of olaratumab plus doxorubicin versus placebo plus doxorubicin in patients with locally advanced or metastatic soft tissue sarcoma.
Danish: ANNOUNCE (I5B-MC-JGDJ) er et randomiseret, dobbeltblindet, placebo-kontrolleret fase 3-studie til undersøgelse af olaratumab plus doxorubicin versus placebo plus doxorubicin hos patienter med lokalt fremskredent eller metastatisk bløddelssarkom.
English: Overall, 509 adult patients with advanced or metastatic soft tissue sarcoma not amenable to treatment with surgery or radiotherapy with curative intent (of those 234 were leiomiosarcoma, LMS) were randomized 1:1, stratified by number of prior systemic therapies for advanced/metastatic disease, histological tumour type, and ECOG PS, to the investigational arm (n=258; LMS n=119) with olaratumab plus doxorubicin or the control arm (n=251; LMS n=114) with placebo plus doxorubicin.
Danish: I alt 509 voksne patienter med fremskredent eller metastatisk bløddelssarkom, der ikke var modtagelige over for kurativ behandling i form af kirurgi eller stråleterapi (234 af patienterne havde leiomiosarkom (LMS)), blev randomiseret i forholdet 1:1 - og stratificeret ud fra antallet af tidligere systemiske behandlinger for fremskreden/metastatisk sygdom, histologisk tumortype og ECOGperformancestatus - til den eksperimentelle gruppe (n = 258; LMS n = 119) med olaratumab plus doxorubicin eller til kontrolgruppen (n = 251; LMS n = 114) med placebo plus doxorubicin.
English: No significant difference in PFS between the treatment arms in the LMS population was found.
Danish: Der sås ingen signifikant forskel i progressionsfri overlevelse mellem behandlingsgrupperne i LMS-populationen.
English: Frequency of patients with TEAE leading to treatment discontinuation was similar in both arms (4.3% vs 4.4%).
Danish: Forekomsten af behandlingsrelaterede uønskede hændelser, der førte til seponering, var næsten den samme i de to grupper (4,3 % vs. 4,4 %).
English: Lartruvo was authorised based on a single open-label, randomised phase 1b/2 clinical trial which enrolled doxorubicin-naïve subjects with advanced soft tissue sarcoma not amenable to treatment with surgery and radiotherapy (study JGDG).
Danish: Lartruvo blev godkendt på grundlag af et åbent, randomiseret, klinisk fase 1b/2-studie af doxorubicinnaive patienter med fremskredent bløddelssarkom, der ikke var modtagelige over for behandling med kirurgi og stråleterapi (studie JGDG).
English: The rate of TEAE was overall similar in both treatment arms (98.1% vs 99.2%).
Danish: Forekomsten af behandlingsrelaterede uønskede hændelser var generelt sammenlignelige i de to behandlingsgrupper (98,1 % vs. 99,2 %).
English: No data on AE adjusted by exposure are available.
Danish: Der foreligger ingen data om uønskede hændelser justeret i forhold til eksponering.
English: Overall, 6 patients in the investigational vs none in the control arm developed an anaphylactic reaction.
Danish: I alt 6 patienter i den eksperimentelle gruppe udviklede en anafylaktisk reaktion vs. ingen i kontrolgruppen.
English: The median PFS was 5.42 months in the investigational arm and 6.77 months in the control arm (HR=1.231 [95% CI: 1.009, 1.502]; p=0.042).
Danish: Den mediane progressionsfri overlevelse var 5,42 måneder i den eksperimentelle gruppe og 6,77 måneder i kontrolgruppen (HR = 1,231 [95 %-KI: 1,009-1,502]; p = 0,042).
English: The incidence for all grades of events in the cardiac dysfunction AESI category was 18.3% in the investigational arm and 13.7% in the control arm, the majority being events of peripheral oedema (13.2 vs 9.2%) and oedema (1.2% vs 0%).
Danish: Forekomsten af hændelser af alle grader i kategorien af hændelser af særlig interesse var 18,3 % i den eksperimentelle gruppe og 13,7 % i kontrolgruppen, idet der i de fleste tilfælde var tale om perifert ødem (13,2 vs. 9,2 %) og ødem (1,2 % vs. 0 %).
English: No statistically significant difference in ORR or DCR in the ITT population was observed between the investigational arm and control arms, and both rates favoured the control arm.
Danish: Der sås ingen statistisk signifikant forskel i objektiv responsrate eller sygdomskontrolrate i ITTpopulationen mellem den eksperimentelle gruppe og kontrolgruppen, og begge rater var i kontrolgruppens favør.
English: There was a significant difference in PFS in the ITT population based on investigator assessment, but in favour of the control arm.
Danish: Der sås en signifikant forskel i progressionsfri overlevelse i ITT-populationen i henhold til investigators vurdering, men det var i kontrolgruppens favør.
English: In the ITT population, the median OS was 20.37 months in the investigational arm and 19.75 months in the control arm (HR=1.047 [95% CI: 0.841, 1.303]; p=0.69), and the OS KM curves are completely overlapping, indicating that adding Lartruvo to doxorubicin had no favourable effect on OS. Further OS analyses showed that in most subgroups HR estimates ranged from 0.9 to 1.1, consistent with the overall OS results.
Danish: I ITT-populationen var den mediane samlede overlevelse 20,37 måneder i den eksperimentelle gruppe og 19,75 måneder i kontrolgruppen (HR = 1,047 [95 %-KI: 0,841-1,303]; p = 0,69), og KM-kurverne for samlet overlevelse var fuldstændigt overlappende, hvilket tyder på, at tilføjelsen af Lartruvo til doxorubicin ikke havde nogen gavnlig effekt på den samlede overlevelse.
English: The only significant difference found in PFS was in the ITT population, but in favour of the control arm.
Danish: Den eneste signifikante forskel i progressionsfri overlevelse, der blev konstateret, sås i ITT-populationen, men i kontrolgruppens favør.
English: Cardiac arrhythmia events were more commonly reported in the investigational arm (any grade 12.8% vs 9.6%; grade >=3 2.7% vs 0.8%).
Danish: Der blev oftere rapporteret om hjertearytmier i den eksperimentelle gruppe (alle grader: 12,8 % vs. 9,6 %; grad ≥ 3: 2,7 % vs. 0,8 %).
English: With regard to PDGFR-β, no significant association was found between PDGFR-β status and response to olaratumab in terms of OS or PFS. PDGFR-β did not seem to have a clear prognostic role in STS either.
Danish: Med hynsyn til PDGFR-β sås der ingen signifikant sammenhæng mellem PDGFR-β-status og responset på olaratumab, hvad angår samlet overlevelse eller progressionsfri overlevelse.
English: In this trial, treatment with olaratumab in combination with doxorubicin resulted in an improvement in progression-free survival (PFS) (8.2 vs. 4.4 months according to independent assessment; 6.6 vs. 4.1 months, hazard ratio (HR) 0.672 [95% CI: 0.442, 1.021], p = 0.0615 according to investigator assessment) and overall survival (OS) (26.5 months vs. 14.7 months, HR = 0.463; p = 0.0003).
Danish: en uafhængig vurdering; 6,6 vs. 4,1 måneder, hazard ratio (HR) 0,672 [95 %-KI: 0,442-1,021], p = 0,0615 iht.
English: Few more SAE (38.9% vs 34.9%) occurred in the investigational arm than in the control arm. Febrile neutropenia was the most frequently SAE occurring with similar frequency in both arms (12.8% vs 13.3%).
Danish: Febril neutropeni var den hyppigst forekommende alvorlige uønskede hændelse; hyppigheden var sammenlignelig i de to grupper (12,8 % vs. 13,3 %).
English: The raw data were made available as separate documentation.
Danish: De rå data blev gjort tilgængelige som separat dokumentation.
English: The presentations for use in dogs have already been authorised in the reference Member State, the Czech Republic, since December 2011 and the cat product was more recently authorised there in May 2012.
Danish: Produkterne til anvendelse hos hunde har siden december 2011 været godkendt i referencemedlemsstaten, Tjekkiet, hvor produktet til katte blev godkendt i maj i 2012.
English: Applications for marketing authorisation were submitted to the concerned Member States using the mutual recognition procedure.
Danish: Ansøgninger om markedsføringstilladelse blev indgivet i de berørte medlemsstater via den gensidige anerkendelsesprocedure.
English: The MAH highlighted paragraph 3.5 of Title III of Directive 2009/9/EC which states that: “Post-marketing experience with other products containing the same constituents is of particular importance and applicants shall put a special emphasis on this issue.”
Danish: Indehaveren af markedsføringstilladelsen fremhævede punkt 3.5 i afsnit III i direktiv 2009/9/EF, der fastslår, at: “Erfaringer efter markedsføring af andre produkter, der indeholder samme bestanddele, er af særlig betydning, og ansøgerne bør lægge særlig vægt på dette spørgsmål”.
English: The duration of efficacy for currently authorised fipronil-containing spot-on products varies from 4-8 weeks for fleas and 1-4 weeks for different tick species.
Danish: Virkningsvarigheden af aktuelt godkendte spot-on produkter indeholdende fipronil varierer fra 4 til 8 uger for lopper og 1 til 4 uger for forskellige flåtarter.
English: The condition for lifting the suspension of the marketing authorisations is described in Annex III.
Danish: Betingelsen for ophævelse af suspenderingen af markedsføringstilladelserne er beskrevet i bilag III.
English: List of the names, pharmaceutical form, strengths of the veterinary medicinal product, animal species, route of administration, marketing authorisation holder in the Member States
Danish: Liste over veterinærlægemidlernes navne, lægemiddelformer, styrker, dyrearter, administrationsvej og indehaver af markedsføringstilladelse i medlemsstaterne
English: National Competent Authorities, coordinated by the reference Member State, shall ensure that the following condition is fulfilled by the marketing authorisation holder:
Danish: De nationale kompetente myndigheder sikrer med referencemedlemsstaten som koordinerende instans, at indehaveren af markedsføringstilladelserne opfylder følgende betingelser: