FrancophonIA/ELRC3.0 huggingface dataset:
English: Therefore, the new indication of prevention of transmission of L. infantum can only be accepted if the vector, i.e. P. perniciosus would also be part of the clinical indication'.
Estonian: Seega saab uue näidustuse - patogeeni L. infantum ülekande ennetamine - heaks kiita ainult siis, kui kliinilises näidustuses sisaldub ka vektor (P. perniciosus).
English: Luxembourg Bayer SA-NV, J.E.
Estonian: Luksemburg Bayer SA-NV, J.E.
English: It should be noted that Guideline 7AE17a provides general guidance including a threshold for efficacy against Diptera, but was not established with the aim of providing guidance on studies to support claims relating to vector-borne diseases such as reduction of canine leishmaniosis.
Estonian: Tuleb märkida, et suunises 7AE17a on üldjuhised, sealhulgas Diptera-vastase efektiivsuse lävi, kuid dokumendi eesmärk ei ole selgitada, kuidas teha uuringuid, mis toetaksid vektori kaudu levivate haigustega seotud väiteid, näiteks koerte leišmanioosi esinemissageduse vähendamine.
English: Having considered all of the data and argumentation submitted, it was the opinion of the CVMP that, although the MAH has not demonstrated that Seresto has satisfactory anti-feeding efficacy against P. perniciosus that would support a direct repellent claim against this parasite, the studies provided demonstrate that dogs treated with Seresto have a significant reduction in the occurrence of infection with L. infantum as a result of reduced transmission by the sand fly vector.
Estonian: Arvestades kõiki esitatud andmeid ja põhjendusi, oli veterinaarravimite komitee arvamusel, et kuigi müügiloa hoidja ei ole tõendanud Seresto rahuldavat moskiito P. perniciosus toitumist ennetavat efektiivsust, mis põhjendaks väidet otsese tõrjuva toime kohta selle parasiidi vastu, tõendasid esitatud uuringud, et Serestoga ravitud koertel on tänu moskiitovektori vähenenud ülekandele patogeeni L. infantum infektsiooni esinemissagedus oluliselt väiksem.
English: Risk assessment
Estonian: Riskihindamine
English: The United Kingdom considered that, for any vector-borne disease, before an indication can be accepted, demonstration of efficacy against the vector must also be established.
Estonian: Ühendkuningriik oli arvamusel, et nagu kõigi vektori kaudu levivate haiguste korral, peab enne näidustuse heakskiitmist tõendama vektorivastast efektiivsust.
English: The influence of shampooing or water immersion regarding the transmission of canine leishmaniosis has not been examined.
Estonian: Šampoonitamise või veega kokkupuute mõju koerte leišmanioosi ülekandumisele pole uuritud.
English: In the same studies, the incidence density rates in untreated dogs (60.7%, 46.2% and 67.0% respectively) demonstrated the high infection pressure present in the field situations used.
Estonian: Samades uuringutes näitas esinemissagedus ravimata koertel suure infektsioonisurve (vastavalt 60,7%, 46,2% ja 67,0%) esinemist kasutatud väliolukordades.
English: Conjunctival swabs were collected on study day 0 and samples of bone marrow were collected on study day 0, in April 2012, and October 2012.
Estonian: Konjunktiivi kaaped võeti uuringupäeval 0 ning luuüdi proovid uuringupäeval 0, aprillis 2012 ja oktoobris 2012.
English: Data from efficacy studies against sand flies (Phlebotomus perniciosus) showed a variable sand fly repellent (anti-feeding) efficacy ranging from 65 to 89% for 7-8 months following initial application of the collar.
Estonian: Andmed efektiivsuse uuringutest moskiitode (Phlebotomus perniciosus) vastu näitasid varieeruvat peletavat (toitumisvastast) toimet moskiitodele vahemikus 65-89% 7-8 kuu jooksul pärast esmast kaelarihma paigaldamist.
English: Amendments in the relevant sections of the summary of product characteristics and package leaflet
Estonian: Ravimi omaduste kokkuvõttesse ja pakendi infolehe asjakohastesse lõikudesse tehtavad muudatused
English: Animals were tested for leishmaniosis with samples of blood and skin tissue being collected on study days 0, 120, 210, and 360 (i.e. in the post-treatment phase), and samples of bone marrow collected on study days 0, 210, and 300.
Estonian: Loomi uuriti leišmanioosi suhtes vere- ja nahakoe proovidest, mis võeti uuringu päevadel 0, 120, 210 ja 360 (st ravijärgses faasis), ning luuüdi proovidest, mis võeti uuringu päevadel 0, 210 ja 300.
English: Positive animals were defined as the animals that at study completion were positive to one or more of the following tests: serology for circulating anti-Leishmania-infantum-antibodies (IFAT), cytology/PCR on skin tissue sample, and cytology/PCR of bone marrow aspirate.
Estonian: Leišmanioosi suhtes positiivsed loomad määratleti kui loomad, kellel uuringu lõpus saadi ühes või mitmes järgmises analüüsis positiivne tulemus: seroloogiline uuring veres leiduvate patogeeni Leishmania infantum vastaste antikehade suhtes (IFAT), nahakoe proovi tsütoloogiline/PCR-analüüs või luuüdi aspiraadi tsütoloogiline/PCR-analüüs.
English: The anti-feeding results, when using the absolute numbers of sand flies to calculate efficacy using the Abbott's formula as per the recommendation of Guideline for the testing and evaluation of the efficacy of antiparasitic substances for the treatment and prevention of tick and flea infestations in dogs and cats (EMA/CVMP/EWP/005/2000-Rev.2)2, averaged 75.1% over the study period (65%-89%).
Estonian: Kui moskiitode toitumist takistava efektiivsuse tulemused arvutati moskiitode absoluutarvu järgi ja Abbotti valemiga, mida soovitatakse puugi- ja kirbuinfestatsioonide raviks ja ennetamiseks koertel ja kassidel näidustatud antiparasitaarsete ainete efektiivsuse katsetamise ja hindamise suunises (EMA/CVMP/EWP/005/2000-Rev.2)2, saadi uuringuperioodi jooksul tulemuseks keskmiselt 75,1% (65…89%).
English: Depending on the infection pressure by sand flies the efficacy in the reduction of the risk of infection with leishmaniosis ranged from 88.3 to 100%.
Estonian: Sõltuvalt moskiitode poolsest nakkussurvest ulatus leišmanioosi nakatumise riski vähendav toime 88,3 kuni 100%-ni.
English: Based on the data presented, the CVMP concluded that the efficacy of Seresto, and its associated name Foresto, with regard to a reduction of infection with L. infantum has been demonstrated, and that the benefit-risk balance is favourable.
Estonian: Esitatud andmetele tuginedes järeldas veterinaarravimite komitee, et Seresto ja sarnase nimetuse Foresto efektiivsus patogeeni L. infantum infektsiooni vähendamisel on tõendatud ning ravimi kasulikkuse ja riski tasakaal on soodne.
English: Data from 3 clinical field studies performed in endemic areas indicate a significant reduction in the risk of Leishmania infantum transmission by sand flies in treated dogs compared to non-treated dogs.
Estonian: Endeemilistes piirkondades läbiviidud kolme kliinilise katse andmed näitavad moskiitode poolt siirutatava Leishmania ülekandumise riski märgatavat vähenemist ravitud koertel võrreldes ravimata koertega.
English: Laboratory studies did not demonstrate a sufficient anti-feeding (repellent) effect against sand flies (P. perniciosus) to support a direct indication against the sand fly.
Estonian: Laboriuuringud ei tõendanud piisavat moskiitode toitumist ennetavat (tõrjuvat) toimet moskiitode (P. perniciosus) vastu, et toetada otsese moskiitovastase näidustuse lisamist.
English: The consistently low fed to unfed ratios observed in treated dogs, compared to the high and variable fed to unfed ratios in untreated animals, demonstrate that the use of Seresto confers on treated dogs a sustained and consistent anti-feeding effect against sand flies (P. perniciosus).
Estonian: Ravitud koertel on järjepidevalt täheldatud toitunud ja toitumata moskiitode väikesi suhteid võrreldes toitunud ja toitumata moskiitode suhetega ravimata loomadel, mis tõendab, et Seresto kasutamine ravitud koertel tagab püsiva ja ühtlase moskiitode (P. perniciosus) toitumist takistava toime.
English: Belgium Bayer SA-NV, J.E.
Estonian: Bayer SA-NV, J.E.
English: Grounds for the granting of the variation of the marketing authorisations
Estonian: Müügilubade muutmise alused
English: • the CVMP considered that the efficacy of Seresto, and its associated name Foresto, relating to repellent (anti-feeding) activity against sand flies (Phlebotomus perniciosus) has not been satisfactorily demonstrated in the laboratory studies provided;
Estonian: • veterinaarravimite komitee oli arvamusel, et Seresto ja sarnase nimetuse Foresto efektiivsus seoses tõrjuva (moskiitode toitumist ennetava) toimega moskiitode suhtes (Phlebotomus perniciosus) ei ole esitatud laboriuuringutes rahuldavalt tõendatud;
English: Therefore, whilst it was concluded that the claim ‘to significantly reduce the occurrence of infection with Leishmania infantum for up to 8 months due to repellent (anti-feeding) action of the product on sand flies' should not be included in the SPC, an amended indication, which accurately reflects the data provided, ‘reduction of the risk of infection with Leishmania infantum via transmission by sand flies for up to 8 months' was considered acceptable.
Estonian: Kuigi järeldati, et soovitavat näidustust „patogeeni Leishmania infantum infektsiooni esinemissageduse oluline vähendamine kuni 8 kuu jooksul ravimi tõrjuva (moskiitode toitumist takistava) toime tõttu moskiitode suhtes“ ei saa lisada ravimi omaduste kokkuvõttesse, peeti aktsepteeritavaks esitatud andmeid täpselt kajastavat muudetud näidustust: „moskiitodega ülekantava patogeeni Leishmania infantum infektsiooni riski vähendamine kuni 8 kuu jooksul“
English: Regarding the data requirement for the demonstration of repellent (anti-feeding) efficacy against P. perniciosus, the UK did not accept that the laboratory data submitted by the MAH for the product justify the inclusion of an indication against the sand fly vector.
Estonian: Arvestades nõuet tõendada andmetega moskiitode P. perniciosus vastase tõrjuvat (moskiitode toitumist takistavat) toimet, ei aktsepteerinud Ühendkuningriik müügiloa hoidja ravimi kohta esitatud laboriandmeid, mis põhjendaksid moskiitovektori vastase näidustuse lisamist.
English: Regarding the results of the three field studies presented by the MAH, all three studies were able to demonstrate that use of Seresto led to a significant reduction in the occurrence of infection with L. infantum over a sustained period (between 7 and 8 months), with overall mean efficacies of the collar in preventing leishmaniosis of 93.4% in the first field study, 100% in the second field study, and 88.3% in the third field study as evaluated by the incidence density rate.
Estonian: Müügiloa hoidja esitatud kolme väliuuringu tulemuste järgi tõendati kõigis kolmes uuringus, et Seresto kasutamine vähendas pika aja jooksul (7-8 kuud) oluliselt patogeeniga L. infantum infektsiooni esinemissagedust, kusjuures ravimkaelarihma efektiivsus leišmanioosi ennetamisel esinemissageduse järgi hinnates esimeses väliuuringus 93,4%, teises 100% ja kolmandas 88,3%.
English: Although a significant reduction in the incidence of Leishmania infantum in dogs has been demonstrated, the product has shown variable repellent (anti-feeding) and insecticidal efficacy against the sand fly Phlebotomus perniciosus.
Estonian: Kuigi on demonsteeritud märkimisväärset Leishmania infantum juhtude vähenemist koertel, on ravim näidanud erinevat peletavat (toitumisvastast) ja insektitsiidset toimet moskiito Phlebotomus perniciosus vastu.
English: The anti-feeding efficacy demonstrated for Seresto is, therefore, considered insufficient for the inclusion of a direct repellent claim against P. perniciosus.
Estonian: Seega peetakse Seresto korral moskiitode toitumist takistavat tõendatud toimet ebapiisavaks, et ravimiteabesse lisada otsene väide moskiito P. perniciosus vastase tõrjuva toime kohta.
English: A claim for ‘reduction of the risk of infection with Leishmania infantum via transmission by sand flies for up to 8 months' has been adequately demonstrated.
Estonian: Väide „moskiitode ülekantava patogeeni Leishmania infantum infektsiooni riski vähendamine kuni 8 kuu jooksul“ on adekvaatselt tõendatud.
English: Efficacy evaluation was based on the comparison of the percentage of animals infected by L. infantum in the treated and untreated groups at the end of the study.
Estonian: Efektiivsuse hindamine põhines patogeeni L. infantum infektsiooniga loomade protsendi võrdlemisel ravitud ja ravimata loomade rühmades uuringu lõpus.
English: The third field study was a double positive and negative controlled, partially blinded, randomised multicentre field study.
Estonian: Kolmas väliuuring oli positiivse ja negatiivse topeltkontrolliga randomiseeritud mitmekeskuseline väliuuring, milles kasutati osaliselt pimemenetlust.
English: Efficacy evaluation for Seresto was based on the comparison of the percentage of animals infected by L. infantum in the Seresto treated and untreated groups at the end of the study.
Estonian: Seresto efektiivsuse hindamine põhines patogeeni L. infantum infektsiooniga loomade protsendi võrdlemisel Serestoga ravitud ja ravimata loomade rühmades uuringu lõpus.
English: • the CVMP considered that the efficacy of Seresto, and its associated name Foresto, relating to the transmission or occurrence of Leishmania infantum in dogs has been satisfactorily demonstrated in the field studies provided;
Estonian: • veterinaarravimite komitee oli arvamusel, et Seresto ja sarnase nimetuse Foresto efektiivsus seoses patogeeni Leishmania infantum ülekande või esinemissageduse vähendamisega koertel on esitatud väliuuringutes rahuldavalt tõendatud;
English: For the protective claim sought, demonstration of an anti-feeding activity for Seresto against sand flies was considered a prerequisite by the CVMP as the active substances in the Seresto collar, imidacloprid and flumethrin, have no known efficacy against Leishmania and therefore, any preventative efficacy against leishmaniosis is purely a result of efficacy against the sand fly.
Estonian: Taotletava kaitsva väite aspektist pidas veterinaarravimite komitee eeltingimuseks, et tõendatud on Seresto toime moskiitode toitumise vastu, sest Seresto ravimkaelarihma toimeainetel imidaklopriidil ja flumetriinil puudub teadaolev Leishmania-vastane toime ja seega põhineb leišmanioosi ennetav efektiivsus ainult moskiitovastasel efektiivsusel.
English: The three field studies provided demonstrated that, depending on the infection pressure by sand flies, use of Seresto reduced the risk of infection with L. infantum by 88.3-100%.
Estonian: Esitatud kolmes väliuuringus tõendati, et sõltuvalt moskiitode infektsioonisurvest vähendas Seresto kasutamine patogeeni L. infantum riski 88,3…100% võtta.
English: However, the consistently low ratios of fed to unfed females seen in the laboratory studies are considered supportive of the field studies results.
Estonian: Arvestades laboriuuringutes pidevalt täheldatud toitunud ja toitumata emaste moskiitode väikest suhet, peetakse neid tulemusi väliuuringuid toetavateks.
English: The indication proposed by the RMS, and agreed by the majority of the concerned Member States (CMSs), at the referral stage was “To significantly reduce the occurrence of infection with Leishmania infantum for up to 8 months due to repellent (anti-feeding) action of the product on sand flies.”
Estonian: Viiteliikmesriigi pakutud näidustus, millega nõustus enamik asjaomaseid liikmesriike, oli esildise staadiumis järgmine: „Patogeeni Leishmania infantum infektsiooni esinemissageduse oluline vähendamine kuni 8 kuu jooksul ravimi moskiitosid tõrjuva (moskiitode toitumist takistava) toime tõttu.“
English: Conclusion on the benefit-risk balance
Estonian: Järeldus kasulikkuse ja riski tasakaalu kohta
English: The MAH also provided an alternative analysis of the laboratory data from all 3 studies using ratios of fed to unfed sand flies for efficacy calculation.
Estonian: Müügiloa hoidja esitas kõigi kolme uuringu laboriandmete alternatiivse analüüsi, milles arvutati efektiivsus toitunud ja toitumata moskiitode arvu suhte järgi.
English: The efficacy threshold of 80-100% (preferably 90%) as recommended in the guideline Demonstration of Efficacy of Ectoparasiticides (7AE17a)1 was not met at sufficient time points.
Estonian: Nõutud ajapunktides ei olnud saavutatud ektoparasiitide vastase efektiivsuse tõendamise suunises „Demonstration of Efficacy of Ectoparsiticides“ (7AE17a)1 soovitatud efektiivsusläve 80…100% (eelistatavalt 90%).
English: During the course of the procedure, the indication was amended by the reference Member State (RMS) who stated that ‘the demonstration of efficacy of the product against the sand flies over the whole season is a prerequisite for the claimed indirect prevention of transmission of L. infantum.
Estonian: Menetluse käigus muutis viiteliikmesriik näidustust, märkides, et taotletava näidustuse - patogeeni L. infantum ülekande kaudne ennetamine - eeltingimus on moskiitovastase efektiivsuse tõendamine kogu hooaja jooksul.
English: The first study was a negatively-controlled, randomised, multicentre field study, which was partially blinded.
Estonian: Esimene uuring oli negatiivse kontrolliga randomiseeritud mitmekeskuseline väliuuring, milles osaliselt kasutati pimemenetlust.
English: In the case of the sand fly and L. infantum, the active substances in Seresto, imidacloprid and flumethrin, have no known efficacy against the Leishmania parasite and therefore any preventative efficacy against leishmaniosis would be purely as a result of efficacy against the sand fly.
Estonian: Seresto toimeainetel imidaklopriidil ja flumetriinil puudub teadaolev toime moskiitode ja patogeeni L. infantum vastu, mistõttu mis tahes leišmanioosivastane ennetav efektiivsus põhineb ainult moskiitovastasel efektiivsusel.
English: Reduction of the risk of infection with Leishmania infantum via transmission by sand flies for up to 8 months.
Estonian: Moskiitode poolt Leishmania infantum'i ülekandumise riski vähendamine kuni 8 kuu jooksul.
English: A total of 224 dogs, of several breeds and aged between 7 and 77 weeks, were enrolled, blocked by pens and pens were randomised to one of four groups.
Estonian: Uuringusse kaasati kokku 224 eri tõugudest koera vanuses 7-77 kuud, kes olid eraldatud aedikutesse.
English: • the CVMP considered that the consistently low ratios of fed to unfed female sand flies seen in the laboratory studies are regarded supportive of the field study results;
Estonian: • veterinaarravimite komitee oli arvamusel, et laboriuuringutes pidevalt täheldatud toitunud ja toitumata emaste moskiitode väike suhe toetab väliuuringute tulemusi,
English: Bayer Healthcare, 220 Avenue de la Recherche 59120, Loos, France
Estonian: Prantsusmaa Bayer Healthcare, 220 Avenue de la
English: Three field studies, performed in situations with high infection pressure for leishmaniosis, demonstrated that the occurrence of new cases of L. infantum is significantly reduced in dogs treated with Seresto.
Estonian: Leišmanioosi suure infektsioonisurvega olukordades tehtud kolmes väliuuringus tõendati, et Serestoga ravitud koertel väheneb oluliselt patogeeni L. infantum uute juhtude esinemissagedus.
English: The application was submitted as a Type II variation for the addition of the new therapeutic indication ‘to significantly reduce the occurrence of infection with Leishmania infantum for up to 8 months due to repellent (anti-feeding) action of the product on sand flies'.
Estonian: Taotlus esitati II tüüpi muudatusena, et lisada uus näidustus: „patogeeni Leishmania infantum infektsiooni esinemissageduse oluline vähendamine kuni 8 kuu jooksul ravimi tõrjuva (moskiitode toitumist takistava) toime tõttu moskiitode suhtes“.
English: Animals were defined as noninfected by Leishmania when seronegative for circulating anti-L. infantum antibodies and negative to PCR of skin tissue and bone marrow aspirate samples.
Estonian: Patogeeni Leishmania infektsioonita loomad olid määratletud kui loomad, kelle veres puudusid patogeeni L. infantum vastased antikehad ning kelle nahakoe ja luuüdi aspiraadi proovide PCR-analüüsi tulemus oli negatiivne.
English: The marketing authorisation holder (MAH) submitted a variation application to add a new therapeutic indication: “Indirect protection against the transmission of pathogen Leishmania infantum by sand flies (Phlebotomus perniciosus) thereby reducing the risk of canine leishmaniosis for 7 to 8 months”.
Estonian: Müügiloa hoidja esitas müügiloa muutmise taotluse uue näidustuse lisamiseks: „Kaudne kaitse patogeeni Leishmania infantum ülekande eest moskiitodega (Phlebotomus perniciosus), millega väheneb koerte leišmanioosi risk 7-8 kuuks.“ Taotluse toetuseks esitas müügiloa hoidja labori- ja väliuuringute tulemused.
English: As a result, bites by sand flies may occur, and the transmission of L. infantum cannot be completely excluded.
Estonian: Seega on siiski võimalik moskiitopisted, mistõttu ei ole võimalik täielikult välistada patogeeni L. infantum ülekannet.
English: The second field study was a negatively-controlled, single centre, partially-blinded, clinical field study.
Estonian: Teine väliuuring oli negatiivse kontrolliga ühekeskuseline kliiniline väliuuring, milles osaliselt kasutati pimemenetlust.
English: The MAH has provided three GCP-compliant laboratory studies, conducted in order to determine the anti-feeding and insecticidal efficacy of the test product against sand flies.
Estonian: Müügiloa hoidja on esitanud kolm headele kliinilistele tavadele vastavat laboriuuringut, milles uuriti ravimi moskiitode toitumist takistavat ja moskiitovastast insektsitsiidset toimet.
English: Although a significant reduction in the incidence of L. infantum in dogs has been demonstrated, the product has shown variable repellent (anti-feeding) and insecticidal efficacy against the sand fly P. perniciosus.
Estonian: Kuigi tõendatud on patogeeni L. infantum esinemissagedust oluliselt vähendav toime, on ravimi tõrjuv (moskiitode toitumist ennetav) ja insektitsiidne toime moskiitode P. perniciosus vastu olnud varieeruv.
English: 12 SPECIAL WARNING(S)
Estonian: NÄIDUSTUS(ED)
English: Repellent efficacy was assessed by comparing the number of fed female sand flies in the treated animals to the number of fed female sand flies in the untreated animals.
Estonian: Tõrjuva toime efektiivsuse hindamiseks võrreldi toitunud emaste moskiitode arvu ravitud loomadel toitunud emaste moskiitode arvuga ravimata loomadel.
English: This is a variation application for an already-authorised product (Seresto); no further risks have been identified in the studies provided.
Estonian: Esitatud uuringutes ei tuvastatud täiendavaid riske.
English: 2 Guideline for the testing and evaluation of the efficacy of antiparasitic substances for the treatment and prevention of tick and flea infestations in dogs and cats (EMA/CVMP/EWP/005/2000-Rev.2) - link skin tissue being collected on study days 0, 90, 180, 210, and 300 (i.e. in the post-treatment phase), and samples of bone marrow collected on study days 0 and D300.
Estonian: 2 Guideline for the testing and evaluation of the efficacy of antiparasitic substances for the treatment and prevention of tick and flea infestations in dogs and cats (EMA/CVMP/EWP/005/2000-Rev.2) - link
English: Foresto 4.50 g + 2.03 g, g zgardă antiparazitară pentru câini >8 kg
Estonian: Foresto 4,50 g + 2,03 g, zgardă antiparazitară pentru câini >8 kg
English: The study duration was 300 days ± 10 days, and the treated animals wore the collar for the first 210 ± 10 days of this period.
Estonian: Uuringu kestus oli 300 ± 10 päeva ja ravitud loomad kandsid ravimkaelarihma sellest perioodist esimesed 210 ± 10 päeva Loomi uuriti leišmanioosi suhtes vereja nahakoe proovidest, mis võeti uuringu päevadel 0, 90, 180, 210 ja 300 (st ravijärgses faasis), ning luuüdi proovidest, mis võeti uuringu päevadel 0 ja D300.
English: Strength
Estonian: Recherche
English: In support of the efficacy of Seresto relating to the transmission or occurrence of Leishmania infantum in dogs, the MAH provided three field studies.
Estonian: Müügiloa hoidja esitas kolm väliuuringut, et toetada Seresto efektiivsust seoses patogeeni Leishmania infantum ülekandega koertele ja koertel esinemisega.
English: 4 INDICATIONS
Estonian: ERIHOIATUSED