FrancophonIA/ELRC3.0 huggingface dataset:
English: The exacerbations captured within the Applicant's studies are consistent with those described by the ATS/ERS (although differences in terminology do exist).
Danish: Med hensyn til registreringen af eksacerbationer er ansøgerens undersøgelser på linje med ATS/ERS (dog med forskelle i terminologi).
English: These results do not imply that modest differences in pulmonary inhaled corticosteroid delivery will result in differences in exacerbation risk.
Danish: Resultaterne peger ikke på, at moderate forskelle i den pulmonale afsætning af inhalerede kortikosteroider fører til forskelle i eksacerbationsrisiko.
English: The magnitude of changes seen on a range of secondary endpoints helps to quantify the clinical relevance of the effects seen on pulmonary function and on exacerbation rate.
Danish: Ændringerne i en række sekundære endepunkter gør det i kraft af deres størrelse muligt at kvantificere den kliniske relevans af virkningerne på lungefunktion og eksacerbationsrate.
English: This recommendation was made on the basis of several published studies which have demonstrated the predictive value of pre-dose and random/post-dose FEV1 over both the medium- and longer-term.
Danish: Denne anbefaling blev fremsat på grundlag af flere publicerede undersøgelser, der har vist den prædiktive værdi af FEV1 (før dosering og uafhængigt af eller efter dosering) på både mellemlangt og længere sigt.
English: These conclusions based on an indirect assessment of future exacerbation risk are consistent with and support those based on a direct observation of exacerbation rates during the clinical studies.
Danish: Disse konklusioner bygger på en indirekte vurdering af risikoen for efterfølgende eksacerbationer, men er i overensstemmelse med de iagttagne eksacerbationsrater i de kliniske undersøgelser.
English: However, the specific formulation of a fixed-dose combination of these two well known active substances, fluticasone propionate and formoterol fumarate, is new.
Danish: Produktet er imidlertid en ny formulering i form af en fast kombination af disse to velkendte aktive stoffer, fluticasonpropionat og formoterolfumarat.
English: Formoterol fumarate is particularly useful in patients with reversible airways obstruction who continue to experience symptoms despite treatment with an anti-inflammatory agent such as an inhaled corticosteroid.
Danish: Formoterolfumarat er særlig gavnligt ved reversibel luftvejsobstruktion, når symptomerne persisterer trods behandling med et antiinflammatorisk middel såsom et inhalationskortikosteroid.
English: The CHMP supported the clinical study designs in the Phase III clinical development programme and the use of pre-dose FEV1 as the primary endpoint for efficacy in respect of corticosteroid effect.
Danish: CHMP tilsluttede sig designet af undersøgelserne i det kliniske fase III-udviklingsprogram og anvendelsen af FEV1 før dosering som det primære endepunkt for kortikosteroid effekt.
English: Iffeza 50/5, 125/5 and 250/10 microgram pressurised inhalation, suspension is a new fixed-dose combination of two well-known active drug substances fluticasone propionate and formoterol fumarate.
Danish: Iffeza, inhalationsspray, suspension, 50/5, 125/5 og 250/10 µg, er en ny fast kombination af to velkendte aktive lægemiddelstoffer, fluticasonpropionat og formoterolfumarat.
English: In its recent Consensus Statement on Asthma Control and Exacerbations the ATS/ERS identified pre-dose FEV1 as an essential endpoint in asthma studies and a predictor of future exacerbation risk.
Danish: I en nylig konsensuserklæring om astmakontrol og eksacerbationer har ATS/ERS udpeget FEV1 før dosering som et essentielt endepunkt i astmastudier og som en prædiktor for risikoen for efterfølgende eksacerbationer.
English: Of the five pivotal studies submitted with this Marketing Authorisation Application three studies were designed such that they facilitate a rigorous, internally validated examination as to whether the long-acting β2 agonist formoterol fumarate “masks” deficient corticosteroid effects of Iffeza upon pre-dose FEV1.
Danish: Af de fem hovedundersøgelser, der blev forelagt sammen med denne ansøgning om markedsføringstilladelse, var de tre udformet, så de tillader en stringent, internt valideret fastlæggelse af, om den langtidsvirkende β2-agonist formoterolfumarat “maskerer” manglende kortikosteroid virkning af Iffeza på FEV1 før dosering.
English: However the exacerbations data were supported by the nocturnal symptoms and discontinuations due to lack of efficacy data.
Danish: Disse eksacerbationsdata støttedes imidlertid af data vedrørende natlige symptomer og vedrørende seponeringer grundet behandlingssvigt.
English: The PK data in Study FLT1501 were compared with a corresponding pharmacodynamic (PD) dataset from Study FLT3503.
Danish: De farmakokinetiske data fra undersøgelse FLT1501 blev sammenlignet med de tilsvarende farmakodynamiske data fra undersøgelse FLT3503.
English: Formoterol fumarate is a selective long-acting ß2 adrenergic agonist and exerts a preferential effect on ß2 adrenergic receptors on bronchial smooth muscle to produce relaxation and bronchodilatation.
Danish: Formoterolfumarat er en langtidsvirkende adrenerg ß2-agonist, der selektivt virker på adrenerge ß2receptorer i bronkiernes glatmuskulatur og udløser afslapning og bronkiedilatation.
English: The question posed by CHMP implied that the 67% relative bioavailability of the fluticasone propionate component of Iffeza compared with GSK fluticasone propionate pMDI may translate to a lesser inhaled corticosteroid effect and that this lesser effect would be best evaluated in a 6- to 12-month exacerbations study.
Danish: Spørgsmålet fra CHMP forudsatte, at den relative biotilgængelighed af fluticasonpropionatkomponenten af Iffeza på 67 % i forhold til GSK fluticasonpropionat-inhalator muligvis skal oversættes til en ringere inhalationskortikosteroid-virkning, og at dette bedst kan vurderes med en 6-12-måneders undersøgelse vedrørende eksacerbationer.
English: The CHMP was of the opinion that these findings suggest that the PK data from study FLT1501 do not reflect pulmonary deposition accurately and therefore in this study are not a valid surrogate for clinical efficacy of Iffeza.
Danish: CHMP fandt, at disse resultater tyder på, at de farmakokinetiske data fra undersøgelse FLT1501 ikke nøjagtigt afspejler afsætningen i lungerne og derfor i denne undersøgelse ikke er et validt surrogat for den kliniske virkning af Iffeza.
English: The PK study (Study FLT1501) which has given rise to concerns was conducted to evaluate the comparative safety of Iffeza when compared with the marketed monoproduct pMDIs.
Danish: Den PK-undersøgelse, der giver anledning til bekymring (undersøgelse FLT1501), blev udført til vurdering af den relative sikkerhed af Iffeza i forhold til de markedsførte monokomponentinhalationsprodukter.
English: • In the pharmacokinetic data presented systemic exposure of fluticasone was lower (67%) following Iffeza inhalation than following the concurrent inhalation of fluticasone and formoterol from monoproduct pMDIs.
Danish: • de forelagte farmakokinetiske data viser, at den systemiske eksponering for fluticason var lavere (67 %) efter inhalation af Iffeza end efter samtidig inhalation af fluticason og formoterol fra inhalationspræparater af monokomponenttypen.
English: Fluticasone propionate is an inhaled glucocortosteroid with high local anti-inflammatory activity and a lower incidence of adverse effects than is seen with oral corticosteroids.
Danish: Fluticasonpropionat er et inhalationsglukokortikosteroid med høj lokal antiinflammatorisk virkning og lavere bivirkningsfrekvens end orale kortikosteroider.
English: The designs of the clinical studies were not appropriate to establish equivalent control of inflammation because in order to distinguish a potential difference between two ICS products, exacerbations (particularly severe exacerbations) are the indicated parameter.
Danish: Udformningen af de kliniske undersøgelser gjorde det ikke muligt at fastslå ækvivalent inflammationskontrol, da en eventuel forskel mellem to præparater med inhalationskortikosteroid bør bestemmes ud fra forekomsten af eksacerbationer (navnlig svære eksacerbationer).
English: Furthermore, the CHMP noted that the need to demonstrate either pharmacokinetic equivalence or therapeutic equivalence to a reference product is not a requirement for this development, which was submitted according to Directive 2001/83/EC, Article 10b fixed combination application - requiring complete administrative and complete quality, non-clinical and clinical data on the combination only; the specific combination of these two well known active substances, fluticasone propionate and formorerol fumarate, is new, and therefore equivalence/therapeutic equivalence does not have to be proven.
Danish: Desuden konstaterede CHMP, at der ikke er krav om at godtgøre den farmakokinetiske eller terapeutiske ækvivalens med et referenceprodukt i denne ansøgning, der er indgivet i overensstemmelse med direktiv 2001/83/EF, artikel 10, litra b), for faste kombinationer - som kræver fuldstændige administrative data og fuldstændige data vedrørende kvalitet samt ikke-kliniske og kliniske data udelukkende for kombinationen.
English: These data were generated from the five pivotal 8- to 12-week studies and demonstrate the protective benefit of Iffeza against exacerbations compared with fluticasone propionate monotherapy.
Danish: Disse data, der er uddraget af de fem 8-12ugers hovedundersøgelser, viser den beskyttende virkning af Iffeza mod eksacerbationer sammenlignet med fluticasonpropionat-monoterapi.
English: These endpoints were demonstrably inhaled cortocosteroid-driven and/or inhaled corticosteroid dose-responsive and all provided rigorous statistical evidence that the inhaled corticosteroid effects of Iffeza were not less than those of fluticasone propionate + formoterol fumarate.
Danish: Disse endepunkter blev påviseligt drevet af inhalationskortikosteroid og/eller udviste dosisrespons for inhalationskortikosteroid, og de gav alle klart statistisk bevis for, at de inhalationskortikosteroidbetingede virkninger af Iffeza ikke var mindre end de tilsvarende virkninger af fluticasonpropionat + formoterolfumarat.
English: The products are orally inhaled products and the combined therapy of an inhaled glucocorticosteroid and a selective long-acting ß2 adrenergic agonist is well established for use in the regular treatment of adults and children with asthma where the use of such a combination is deemed appropriate.
Danish: Kombinationen af et inhalationsglukokortikosteroid med en langtidsvirkende, selektiv adrenerg ß2agonist er anerkendt til regelmæssig behandling af voksne og børn med astma, hvor denne kombination er hensigtsmæssig.
English: These findings should be taken together with the results that show that the clinical effects of Iffeza are comparable with the clinical effects of GSK fluticasone propionate and Novartis formoterol fumarate given concomitantly.
Danish: Disse resultater må ses i sammenhæng med dem, der viser, at de kliniske virkninger af Iffeza er sammenlignelige med de kliniske virkninger af GSK fluticasonpropionat og Novartis formoterolfumarat indgivet samtidigt.
English: The apparent lower systemic availability of fluticasone propionate in Iffeza compared with GSK fluticasone propionate pMDI would not appear to result in a lesser clinical effect.
Danish: Den klart lavere systemiske tilgængelighed af fluticasonpropionat i Iffeza end i GSK fluticasonpropionat-inhalatoren synes ikke at medføre ringere klinisk virkning.
English: Committee was also of the opinion that the corticosteroid effects seen with Iffeza are no less than those seen with GSK fluticasone propionate pMDI and that formoterol fumarate does not appreciably “mask” any lesser corticosteroid effect.
Danish: Udvalget fandt desuden, at de konstaterede kortikosteroide virkninger af Iffeza ikke er mindre end af GSK fluticasonpropionat-inhalatoren, og at formoterolfumarat ikke i nævneværdigt omfang ”maskerer” en eventuel nedsat kortikosteroid effekt.
English: It is intended for use in the management of asthma, formulated as a pressurised inhalation suspension in three strengths, and administered via a pressurised metered dose inhaler (pMDI).
Danish: Produktet er en inhalationsspray til astmabehandling bestående af en suspension, der findes i tre styrker og administreres gennem en inhalator (pMDI).
English: As such the applicant claimed that the asthma control results from the pivotal studies should logically be extrapolated to the longer-term.
Danish: På dette grundlag påberåbte ansøgeren sig, at det var logisk at ekstrapolere resultater vedrørende astmakontrol fra hovedundersøgelsernes til mere langvarig behandling.
English: The Applicant presented some reasons which could potentially explain such discordance: this could be a function of the deviation of orally inhaled product (OIP) pulmonary PK from standard PK principles, i.e. unlike conventional PK analysis (e.g. for tablets) blood concentrations of OIPs are a “post-event” (rather than “pre-event”) surrogate for efficacy and standard PK analysis does not necessarily define drug residence at the pulmonary site of action.
Danish: Ansøgeren angav nogle eventuelle årsager til sådanne overensstemmelser: De kan være betinget af inhalationsprodukters særlige pulmonale farmakokinetik, idet blodkoncentrationen af inhalationsprodukter (modsat f.eks. tabletter) er et “post-event” (snarere end “pre-event”) surrogat for virkning, og idet sædvanlig farmakokinetisk analyse ikke nødvendigvis beskriver lægemidlets tilstedeværelse på det pulmonale virkningssted.
English: An annual exacerbation rate ratio of 0.98, i.e. very close to unity for the comparison of Iffeza 500µg/20µg versus fluticasone propionate 500µg + formoterol fumarate 24µg was therefore suggestive of non-inferiority but was not statistically definitive.
Danish: Forholdet mellem de årlige eksacerbationsrater var 0,98, dvs. meget tæt på 1, for Iffeza 500µg/20µg versus fluticasonpropionat 500µg + formoterolfumarat 24µg, hvilket således tyder på non-inferioritet, som dog ikke er statistisk sikker.
English: In conclusion, given the long-term predictive value of FEV1, given the static nature of FEV1 after 8 to 12 weeks of treatment, and given the pattern of the FEV1 data observed in the five pivotal studies, the CHMP considers there to be no reason to anticipate that the long-term exacerbation risk with Iffeza may exceed that with fluticasone propionate alone (the “Step-up” indication) or fluticasone propionate in combination with formoterol fumarate (the “Switch” indication).
Danish: På grundlag af den langsigtede prædiktive værdi af FEV1, de konstante FEV1-værdier efter 8-12ugers behandling og det iagttagne mønster af FEV1-dataene i de fem hovedundersøgelser konkluderede CHMP, at der ikke er grund til at forvente, at den langsigtede eksacerbationsrisiko med Iffeza er større end med fluticasonpropionat alene (“optrapningsindikationen”) eller med fluticasonpropionat kombineret med formoterolfumarat “substitutionsindikationen”).
English: The CHMP noted that the differences of the magnitude observed between Iffeza and GSK fluticasone propionate in Study FLT1501 (67% relative bioavailability) are within the same range of variance as observed within patients (from inhalation to inhalation), between different batches of the same product and between different inhalers containing the same or more than one of the same active substances and are without adverse clinical consequences, and therefore are likely to be clinically irrelevant.
Danish: CHMP bemærkede, at forskellen i biotilgængelighed mellem Iffeza og GSK fluticasonpropionat i undersøgelse FLT1501 (67 % relativ biotilgængelighed) ligger inden for den variation, der iagttages for samme patient (fra inhalation til inhalation) mellem forskellige batcher af samme produkt og mellem forskellige inhalatorer indeholdende samme aktive stof(fer).
English: Furthermore, the discordance between the PK and PD data for Iffeza suggests that the PK data do not accurately reflect comparative pulmonary deposition and are not a valid surrogate for clinical effect.
Danish: Desuden tyder uoverensstemmelsen mellem de farmakokinetiske og farmakodynamiske data for Iffeza på, at de farmakokinetiske data ikke afspejler den relative afsætning i lungerne nøjagtigt og ikke er et gyldigt surrogat for klinisk virkning.
English: The CHMP was of the view that clinical data generated over 6 to 12 months to further elucidate the level of asthma control and to further assess exacerbation rates seen with Iffeza compared with fluticasone propionate administered concomitantly with formoterol fumarate or administered alone, are not required.
Danish: CHMP fandt ikke, at der er behov for kliniske undersøgelser af 6-12 måneders varighed til yderligere belysning af graden af astmakontrol eller fastlæggelse af eksacerbationsraterne med Iffeza sammenlignet med fluticasonpropionat alene eller kombineret med formoterolfumarat.
English: With regard to the “Switch” therapy, the CHMP accepted the discussions presented by the Applicant and was of the view that the clinical effects of Iffeza in respect of asthma control and exacerbation risk are comparable with/similar to the clinical effects of GSK fluticasone propionate and Novartis formoterol fumarate given concomitantly.
Danish: Hvad angår “substitutionsbehandling” accepterede CHMP den af ansøgeren fremlagte analyse og var af den opfattelse, at de kliniske virkninger af Iffeza på astmakontrol og eksacerbationsrisiko er sammenlignelige eller identiske med de kliniske virkninger af GSK fluticasonpropionat og Novartis formoterolfumarat givet samtidigt.
English: Data submitted by the Applicant demonstrated that asthma control with Iffeza is superior to that with fluticasone propionate pMDI alone and that asthma control with Iffeza is similar to that with fluticasone propionate pMDI + formoterol fumarate pMDI.
Danish: Dataene fra ansøgeren viser, at der opnås bedre astmakontrol med Iffeza end med fluticasonpropionatinhalator alene, og at der opnås samme astmakontrol med Iffeza som med fluticasonpropionatinhalator + formoterolfumarat-inhalator.
English: the CHMP has recommended the granting of the marketing authorisation for which the summary of product characteristics, labelling and package leaflet remain as per the final versions achieved during the Coordination group procedure as mentioned in Annex III for Iffeza and associated names (see Annex I).
Danish: • Udvalget konkluderede derfor, at benefit/risk-forholdet for Iffeza til de ansøgte indikationer er gunstigt anbefalede CHMP udstedelse af markedsføringstilladelse, for hvilken produktresuméet, etiketteringen og indlægssedlen er uændrede svarende til endelige version, der er fastlagt ved behandlingen i koordinationsgruppen som anført i bilag III for Iffeza og relaterede navne (se bilag I).
English: The relative bioavailability of fluticasone propionate at steady state was 67% following Iffeza administration compared with GSK fluticasone propionate pMDI.
Danish: Den relative steady state-biotilgængelighed af fluticasonpropionat efter administration af Iffeza var 67 % af biotilgængeligheden ved brug af GSK fluticasonpropionat-inhalator.
English: These PK and PD studies both included the same strengths/doses of Iffeza, GSK fluticasone propionate pMDI and Novartis formoterol fumarate pMDI, and all products in both studies were administered via the same spacing device, so allowing a valid comparison of PK and PD data.
Danish: Disse farmakokinetiske og farmakodynamiske undersøgelser omfattede begge de samme styrker og doseringer af Iffeza, GSK fluticasonpropionatinhalator og Novartis formoterolfumarat-inhalator, og der blev anvendt samme afstandsstykke til alle produkter i de to undersøgelser.
English: Based on the results of the pharmacokinetic and clinical studies the objecting Member State stated that proof of equivalent bioavailability or control of inflammation is not established because:
Danish: Den indsigende medlemsstat anførte, at der ikke er påvist ækvivalent biotilgængelighed eller inflammationskontrol i de farmakokinetiske og kliniske undersøgelser, eftersom:
English: However, an analysis of annualised exacerbation rates in this study was able to differentiate the effects of high dose ICS-LABA (inhaled corticosteroid - long-acting β2 agonist) treatments (Iffeza 500µg/20µg and fluticasone propionate 500µg + formoterol fumarate 24µg) from low dose ICS-LABA treatment (fluticasone propionate 100µg/10µg) and fluticasone propionate 500µg monotherapy.
Danish: En analyse af den årlige eksacerbationsrate i denne undersøgelse gjorde det imidlertid muligt at differentiere virkningerne af højdosis-ICS-LABA - (inhaleret kortikosteroid + langtidsvirkende β2-agonist) (Iffeza 500µg/20µg og fluticasonpropionat 500µg + formoterolfumarat 24µg) - fra lavdosis-ICS-LABA (fluticasonpropionat 100µg/10µg) og fra fluticasonpropionat 500µg som monoterapi.
English: • For patients already adequately controlled on both an inhaled corticosteroid and a long-acting β2
Danish: • til patienter, der allerede er velkontrollerede på et inhalationskortikosteroid kombineret med en langtidsvirkende β2-agonist (“substitutionsindikationen”)
English: Several endpoints which reflect these different facets of asthma control are modulated by long-acting β-agonists.
Danish: Langtidsvirkende β agonister virker modulerende på flere endepunkter, der afspejler disse forskellige facetter af astmakontrol.
English: Approximately 20 subjects in each arm of this parallel group study were administered Iffeza 500/20 (fluticasone propionate 500µg and formoterol fumarate 20µg) or GSK fluticasone propionate 500µg pMDI + Novartis formoterol fumarate 24µg pMDI.
Danish: Ca. 20 personer i hver arm af dette parallelgruppeforsøg fik enten Iffeza, 500/20 (fluticasonpropionat 500µg og formoterolfumarat 20µg) eller GSK fluticasonpropionat-inhalator, 500µg, + Novartis formoterolfumarat-inhalator, 24µg.
English: • For patients not adequately controlled with inhaled corticosteroids and ‘as required' inhaled shortacting β2 agonist.
Danish: • til patienter, der ikke er velkontrollerede på inhalationskortikosteroider og en PN-ordineret korttidsvirkende inhaleret β2-agonist (“optrapningsindikationen”)
English: Turning to the available data in the Applicant's studies, for the “Step-up” comparison the odds of “any” exacerbation were 33% higher in fluticasone propionate- than Iffeza-treated patients (p=0.019) whilst the annual exacerbation rate was 49% higher in fluticasone propionate- than Iffeza-treated patients (p=0.004).
Danish: Ansøgerens undersøgelser viser, at med henblik på “optrapning” var odds for “enhver” eksacerbation 33 % højere på fluticasonpropionat end på Iffeza (p=0,019), og den årlige eksacerbationsrate 49 % højere på fluticasonpropionat end på Iffeza (p=0,004).
English: The clinical findings suggest that fluticasone propionate in Iffeza is non-inferior in respect of clinical effects to GSK fluticasone propionate.
Danish: De kliniske resultater indikerer non-inferioritet af den kliniske virkning af fluticasonpropionat i Iffeza i forhold til GSK fluticasonpropionat.
English: The Applicant's own short- and long-term studies have demonstrated the same association between FEV1 and future exacerbation risk.
Danish: Ansøgerens egne data viser, at sammenhængen mellem FEV1 og risikoen for efterfølgende eksacerbationer er den samme, uanset om der er tale om kort- eller langsigtede undersøgelser.
English: The pre-dose FEV1 data in this study which were again a demonstrably inhaled corticosteroid-mediated effect provided no evidence of a lesser inhaled corticosteroid effect with Iffeza than seen with fluticasone propionate + formoterol fumarate.
Danish: Denne undersøgelses FEV1-data før dosering var igen bestemt af en påviseligt inhalationskortikosteroid-medieret virkning og gav ikke holdepunkt for, at Iffeza skulle resultere i ringere inhalationskortikosteroid-virkning end fluticasonpropionat + formoterolfumarat.