FrancophonIA/ELRC3.0 huggingface dataset:
English: Administration in combination with paclitaxel or docetaxel In the pivotal trials (H0648g, M77001), paclitaxel or docetaxel was administered the day following the first dose of trastuzumab (for dose, see the Summary of Product Characteristics (SmPC) for paclitaxel or docetaxel) and immediately after the subsequent doses of trastuzumab if the preceding dose of trastuzumab was well tolerated.
Danish: Administration i kombination med paclitaxel eller docetaxel I de pivotale studier (H0648g, M77001) blev paclitaxel eller docetaxel administreret dagen efter den første dosis af trastuzumab (for dosis se produktresuméet for paclitaxel eller docetaxel) og umiddelbart efter de efterfølgende doser af trastuzumab, hvis den forudgående dosis af trastuzumab var veltolereret.
English: MARKETING AUTHORISATION NUMBER(S) EU/1/17/1241/001
Danish: MARKEDSFØRINGSTILLADELSESNUMMER (-NUMRE) EU/1/17/1241/001
English: All candidates for treatment with trastuzumab, but especially those with prior anthracycline and cyclophosphamide (AC) exposure, should undergo baseline cardiac assessment including history and physical examination, electrocardiogram (ECG), echocardiogram, and/or multigated acquisition (MUGA) scan or magnetic resonance imaging.
Danish: Alle kandidater til behandling med trastuzumab, men især de der tidligere har været eksponeret for antracyklin og cyclophosphamid (AC), skal have foretaget en kardiel vurdering ved baseline, herunder anamnese og objektiv undersøgelse, elektrokardiogram (EKG), ekkokardiogram og/eller MUGA (multigated acquisition)-scanning eller MR (magnetisk resonans)-scanning.
English: There were no restrictions on the relative timing of trastuzumab and anastrozole at administration (for dose, see the SmPC for anastrozole or other aromatase inhibitors).
Danish: Der var ingen tidsmæssige restriktioner for administrationen af trastuzumab og anastrozol (for dosis se produktresuméet for anastrozol eller andre aromatasehæmmere).
English: Each vial contains either: 150 mg trastuzumab that has to be dissolved in 7.2 mL of water for injection, or 420 mg trastuzumab that has to be dissolved in 20 mL of water for injection.
Danish: Hvert hætteglas indeholder enten: - 150 mg trastuzumab, som skal opløses i 7,2 ml vand til injektionsvæsker, eller - 420 mg trastuzumab, som skal opløses i 20 ml vand til injektionsvæsker.
English: Although the number of cases identified by a search of the safety database and meeting the CairoBishop criteria for diagnosis was low, it is endorsed that a contributing factor of trastuzumab to tumour lysis syndrome (TLS) could not be excluded.
Danish: Selvom antallet af tilfælde, som opfylder Cairo-Bishop kriterierne og som blev identificeret ved søgning i sikkerhedsdatabesen var lave, så tilsluttes det, at trastuzumab ikke kan udelukkes som bidragende faktor til tumorlyse syndrom.
English: In the neoadjuvant-adjuvant treatment setting, study MO16432, a multicentre randomised trial, was designed to investigate the clinical efficacy of concurrent administration of trastuzumab with neoadjuvant chemotherapy including both an anthracycline and a taxane, followed by adjuvant trastuzumab, up to a total treatment duration of 1 year.
Danish: I den neoadjuverende-adjuverende behandling var studie MO16432, et randomiseret multicenterstudie, designet til at undersøge den kliniske virkning af samtidig administration af trastuzumab og neoadjuverende kemoterapi, herunder både et antracyklin og et taxan, efterfulgt af adjuverende trastuzumab, op til en total behandlingsvarighed på 1 år.
English: Pharmacotherapeutic group: Antineoplastic agents, monoclonal antibodies, ATC code: L01XC03 Ontruzant is a biosimilar medicinal product.
Danish: Farmakoterapeutisk klassifikation: Antineoplastiske midler, monoklonale antistoffer, ATC-kode: L01XC03
English: Do not use Ontruzant if you notice any particulate matter or discoloration prior to administration.
Danish: Brug ikke Ontruzant, hvis du bemærker partikler eller misfarvning inden brug.
English: In the BCIRG 006 study HER2 positive, EBC was defined as either lymph node positive or high-risk node negative patients with no (pN0) lymph node involvement, and at least 1 of the following factors: tumour size greater than 2 cm, estrogen receptor and progesterone receptor negative, histological and/or nuclear grade 2-3, or age <35 years).
Danish: I BCIRG 006-studiet blev HER2-positiv EBC defineret som enten lymfeknudepositive eller lymfeknudenegative højrisikopatienter uden (pN0) lymfeknudeinddragelse og mindst 1 af følgende faktorer: tumorstørrelse over 2 cm, østrogenreceptor- og progesteronreceptornegativ, histologisk og/eller nuklear grad 2-3 eller alder < 35 år.
English: • Doxorubicin 60 mg/m2 and paclitaxel 150 mg/m2, administered 3-weekly for 3 cycles, which was followed by Paclitaxel 175 mg/m2 administered 3-weekly for 4 cycles,
Danish: • doxorubicin 60 mg/m2 og paclitaxel 150 mg/m2 administreret hver 3. uge i 3 cyklusser efterfulgt af paclitaxel 175 mg/m2 administreret hver 3. uge i 4 cyklusser,
English: HER2 testing is mandatory prior to initiation of therapy (see sections 4.4 and 5.1).
Danish: En HER2-test er obligatorisk før initiering af terapi (se pkt.
English: Ontruzant is a powder for concentrate for solution for intravenous infusion, which is supplied in a glass vial with a rubber stopper containing either 150 mg or 420 mg of trastuzumab.
Danish: Ontruzant er et pulver til koncentrat til intravenøs infusionsvæske, opløsning, som bliver leveret i et hætteglas af glas med en gummiprop, der indeholder enten 150 mg eller 420 mg trastuzumab.
English: Risk factors associated with interstitial lung disease include prior or concomitant therapy with other anti-neoplastic therapies known to be associated with it such as taxanes, gemcitabine, vinorelbine and radiation therapy.
Danish: Risikofaktorer i forbindelse med interstitiel lungesygdom omfatter tidligere eller samtidig behandling med andre antineoplastiske terapier, der er kendt for at være forbundet med denne sygdom, såsom taxaner, gemcitabin, vinorelbin og stråleterapi.
English: Linear clearance was 0.136 L/day for MBC, 0.112 L/day for EBC and 0.176 L/day for AGC.
Danish: Lineær clearance var 0,136 l/dag ved MBC, 0,112 l/dag ved EBC og 0,176 l/dag ved fremskreden ventrikelkræft.
English: During an Ontruzant infusion, chills, fever and other flu like symptoms may occur.
Danish: Under en Ontruzant-infusion kan der forekomme kulderystelser, feber og andre influenzalignende symptomer.
English: In the joint analysis of the NSABP B-31 and NCCTG N9831 studies, EBC was limited to women with operable breast cancer at high risk, defined as HER2-positive and axillary lymph node positive or HER2 positive and lymph node negative with high-risk features (tumour size >1 cm and ER negative or tumour size >2 cm, regardless of hormonal status).
Danish: I den samlede analyse af NSABP B-31- og NCCTG N9831-studierne var EBC begrænset til kvinder med operabel brystkræft med høj risiko defineret som HER2-positiv og aksillær lymfeknudepositiv eller HER2-positiv og lymfeknudenegativ med højrisikoegenskaber (tumorstørrelse > 1 cm og ER-negativ eller tumorstørrelse > 2 cm uanset hormonstatus).
English: These are very common (may affect more than 1 in 10 people).
Danish: Disse symptomer er meget almindelige (kan forekomme hos mere end 1 ud af 10 personer).
English: MARKETING AUTHORISATION NUMBER(S) EU/1/17/1241/002
Danish: MARKEDSFØRINGSTILLADELSESNUMMER (-NUMRE) EU/1/17/1241/002
English: following surgery, chemotherapy (neoadjuvant or adjuvant) and radiotherapy (if applicable) (see section 5.1).
Danish: efter operation, kemoterapi (neoadjuverende eller adjuverende) og strålebehandling (hvis indiceret) (se pkt.
English: Febrile neutropenia, leukopenia, anaemia, thrombocytopenia and neutropenia occurred very commonly.
Danish: Forekomsten af febril neutropeni, leukopeni, anæmi, trombocytopeni og neutropeni er meget almindelig.
English: • you have had heart failure, coronary artery disease, heart valve disease (heart murmurs), high blood pressure, taken any high blood pressure medicine or are currently taking any high blood pressure medicine.
Danish: • hvis du har haft hjertesvigt, kranspulsåresygdom, hjerteklapsygdom (hjertemislyd), forhøjet blodtryk, eller hvis du tager eller har taget medicin mod forhøjet blodtryk.
English: Talk to your doctor, pharmacist or nurse before you are given Ontruzant if:
Danish: Kontakt lægen, apotekspersonalet eller sundhedspersonalet, før du får Ontruzant:
English: The central compartment volume was 2.62 L for patients with MBC and EBC and 3.63 L for patients with AGC.
Danish: Volumen af det centrale kompartment var 2,62 l hos patienter med MBC og EBC og 3,63 l hos patienter med fremskreden ventrikelkræft.
English: These events have been observed in patients receiving trastuzumab therapy alone or in combination with paclitaxel or docetaxel, particularly following anthracycline (doxorubicin or epirubicin) containing chemotherapy.
Danish: Disse bivirkninger er observeret hos patienter, der behandles med trastuzumab alene eller i kombination med paclitaxel eller docetaxel, især efter kemoterapi indeholdende antracyklin (doxorubicin eller epirubicin).
English: Do not use with glucose-containing solutions (see section 6.2).
Danish: Der må ikke anvendes glucoseholdige opløsninger (se pkt.
English: In order to prevent medication errors it is important to check the vial labels to ensure that the medicinal product being prepared and administered is Ontruzant (trastuzumab) and not trastuzumab emtansine.
Danish: For at forhindre medicineringsfejl er det vigtigt at kontrollere etiketten på hætteglasset for at sikre, at lægemidlet, der klargøres og administreres, er Ontruzant (trastuzumab) og ikke trastuzumabemtansin.
English: In 3 pivotal clinical trials of adjuvant trastuzumab given in combination with chemotherapy, the incidence of grade 3/4 cardiac dysfunction (specifically symptomatic Congestive Heart Failure) was similar in patients who were administered chemotherapy alone (i.e. did not receive trastuzumab) and in patients who were administered trastuzumab sequentially after a taxane (0.3-0.4%).
Danish: I 3 kliniske pivotale studier med adjuverende trastuzumab givet i kombination med kemoterapi var forekomsten af grad 3/4 kardiel dysfunktion (specifikt symptomatisk CHF) tilsvarende hos patienter, der fik administreret kemoterapi alene (d.v.s. ikke fik trastuzumab), og hos patienter, der fik administreret trastuzumab sekventielt efter et taxan (0,3-0,4 %).
English: Subsequent Ontruzant maintenance doses (weekly regimen: 2 mg/kg; three-weekly regimen 6 mg/kg respectively) should be administered 7 days or 21 days later according to the weekly or three-weekly schedules respectively.
Danish: Efterfølgende vedligeholdelsesdoser af Ontruzant (ugentligt regime: 2 mg/kg, 3-ugers regime 6 mg/kg) skal administreres 7 dage eller 21 dage senere i henhold til planerne for administration henholdsvis ugentligt eller hver 3. uge.
English: Dedicated pharmacokinetic studies in the elderly and those with renal or hepatic impairment have not been carried out.
Danish: Der er ikke udført dedikerede farmakokinetiske studier hos ældre og hos personer med nedsat nyreeller leverfunktion.
English: In general, SISH or FISH is considered positive if the ratio of the HER2 gene copy number per tumour cell to the chromosome 17 copy number is greater than or equal to 2.
Danish: Generelt anses SISH eller FISH for positiv, hvis forholdet mellem antallet af HER2-genkopier pr. tumorcelle og antallet af kromosom 17-kopier er større end eller lig med 2.
English: If possible, physicians should avoid anthracycline-based therapy for up to 7 months after stopping trastuzumab.
Danish: Antracyklinbaseret terapi skal så vidt muligt undgås i op til 7 måneder, efter behandling med trastuzumab er stoppet.
English: following adjuvant chemotherapy with doxorubicin and cyclophosphamide, in combination with paclitaxel or docetaxel.
Danish: efter adjuverende kemoterapi med doxorubicin og cyclophosphamid i kombination med paclitaxel eller docetaxel.
English: Ontruzant in combination with capecitabine or 5-fluorouracil and cisplatin is indicated for the treatment of adult patients with HER2 positive metastatic adenocarcinoma of the stomach or gastro-oesophageal junction who have not received prior anti-cancer treatment for their metastatic disease.
Danish: Ontruzant i kombination med capecitabin eller 5-fluoruracil og cisplatin er indiceret til behandling af voksne patienter med HER2-positivt metastatisk adenokarcinom i ventriklen eller den gastroøsofageale overgang, som ikke tidligere har fået anticancerbehandling for deres metastatiske sygdom.
English: As a weekly regimen (initial loading dose of 4 mg/kg followed by 2 mg/kg every week) concomitantly with paclitaxel following chemotherapy with doxorubicin and cyclophosphamide.
Danish: I et regime med ugentlig administration er den initiale støddosis 4 mg/kg efterfulgt af 2 mg/kg hver uge samtidig med paclitaxel efter kemoterapi med doxorubicin og cyclophosphamid.
English: Severe pulmonary events have been reported with the use of trastuzumab in the post-marketing setting (see section 4.8).
Danish: Der er rapporteret svære pulmonale hændelser ved anvendelse af trastuzumab efter markedsføring (se pkt.
English: Early breast cancer in the HERA trial was limited to operable, primary, invasive adenocarcinoma of the breast, with axillary nodes positive or axillary nodes negative if tumours at least 1 cm in diameter.
Danish: Tidlig brystkræft i HERA-studiet var begrænset til operabelt, primært, invasivt adenokarcinom i brystet med positive aksillære lymfeknuder eller negative aksillære lymfeknuder, hvis tumorerne var mindst 1 cm i diameter.
English: Trastuzumab and anthracyclines should not be given concurrently in combination in the adjuvant treatment setting.
Danish: Trastuzumab og antracykliner bør ikke anvendes i kombination som adjuverende behandling.
English: In the neoadjuvant-adjuvant EBC study (BO22227), at a median follow-up exceeding 70 months, 10.1% (30/296) of patients treated with intravenous trastuzumab developed antibodies against trastuzumab.
Danish: I det neoadjuverende-adjuverende studie af tidlig brystkræft (BO22227) udviklede 10,1 % (30/296) af patienterne behandlet med intravenøs trastuzumab antistoffer mod trastuzumab ved en median opfølgningstid på mere end 70 måneder.
English: In order to prevent medication errors it is important to check the vial labels to ensure that the medicine being prepared and given is Ontruzant (trastuzumab) and not trastuzumab emtansine.
Danish: For at undgå fejlmedicinering er det også vigtigt at kontrollere hætteglassets etiket for at sikre, at det lægemiddel, som klargøres og gives, er Ontruzant (trastuzumab) og ikke trastuzumabemtansin.
English: Parenteral solutions should be inspected visually for particulates and discoloration prior to administration.
Danish: Parenterale opløsninger skal inspiceres visuelt for partikler og misfarvning før administration.
English: In study BO16348, after a median follow-up of 8 years the incidence of severe CHF (NYHA Class III & IV) in the trastuzumab 1-year treatment arm was 0.8%, and the rate of mild symptomatic and asymptomatic left ventricular dysfunction was 4.6%.
Danish: I studie BO16348 var forekomsten af svær CHF (NYHA-klasse III & IV) i armen med 1-års-trastuzumab-behandling efter en median opfølgning på 8 år 0,8 %, og hyppigheden af let symptomatisk og asymptomatisk venstre ventrikulær dysfunktion var 4,6 %.
English: As a result, trastuzumab has been shown, in both in vitro assays and in animals, to inhibit the proliferation of human tumour cells that overexpress HER2.
Danish: Som følge heraf har trastuzumab både i in vitro-analyser og hos dyr vist sig at hæmme proliferationen af humane tumorceller med overekspression af HER2.
English: The frequency of progression in the liver was significantly reduced in patients treated with the combination of trastuzumab and paclitaxel, compared to paclitaxel alone (21.8% versus 45.7%;
Danish: Hyppigheden af progression i leveren var signifikant reduceret hos patienter behandlet med kombinationen af trastuzumab og paclitaxel sammenlignet med paclitaxel alene (21,8 % versus 45,7 %, p = 0,004).
English: The test method for HER2 overexpression used to determine eligibility of patients in the pivotal trastuzumab monotherapy and trastuzumab plus paclitaxel clinical trials employed immunohistochemical staining for HER2 of fixed material from breast tumours using the murine monoclonal antibodies CB11 and 4D5.
Danish: Den testmetode for HER2-overekspression, der blev anvendt til bestemmelse af patienternes egnethed i det kliniske pivotale studie med trastuzumab-monoterapi og i kliniske studier med trastuzumab plus paclitaxel, benyttede immunhistokemisk farvning for HER2 af fikseret materiale fra brysttumorer ved anvendelse af de murine monoklonale antistoffer CB11 og 4D5.
English: Three-weekly and weekly schedule
Danish: Plan for administration hver 3. uge og ugentligt
English: Severe anaphylactic reactions requiring immediate additional intervention can occur usually during either the first or second infusion of trastuzumab (see section 4.4) and have been associated with a fatal outcome.
Danish: Svære anafylaktiske reaktioner, der kræver øjeblikkelig yderligere intervention, kan forekomme sædvanligvis under enten den første eller anden infusion af trastuzumab (se pkt.
English: If the patient has missed a dose of Ontruzant by one week or less, then the usual maintenance dose (weekly regimen: 2 mg/kg; three-weekly regimen: 6 mg/kg) should be administered as soon as possible.
Danish: Hvis patienten har undladt en dosis af Ontruzant i én uge eller mindre, skal den sædvanlige vedligeholdelsesdosis (ugentligt regime: 2 mg/kg, 3-ugers regime: 6 mg/kg) administreres så hurtigt som muligt.
English: The updated DFS analysis results (stratified HR = 0.61; 95% CI [0.54, 0.69]) showed a similar DFS benefit compared to the definitive primary DFS analysis, despite the 24.8% patients in the AC→P arm who crossed over to receive trastuzumab.
Danish: De opdaterede DFS-analyseresultater (stratificeret HR = 0,61; 95 % CI: 0,54-0,69) viste en lignende gavnlig virkning på DFS sammenlignet med den endelige primære DFS-analyse på trods af de 24,8 % patienter i AC→P-armen, der skiftede til trastuzumab.
English: Trastuzumab has been used in clinical trials as monotherapy for patients with MBC who have tumours that overexpress HER2 and who have failed one or more chemotherapy regimens for their metastatic disease (trastuzumab alone).
Danish: Trastuzumab har været anvendt i kliniske studier som monoterapi til patienter med MBC, der har tumorer med overekspression af HER2, og som ikke har responderet på et eller flere kemoterapiregimer for deres metastatiske sygdom (trastuzumab alene).
English: The exploratory analyses of covariates with information in only a subset of patients suggested that patients with greater shed HER2-ECD level had faster nonlinear clearance (lower Km) (P<0.001).
Danish: Cirkulerende shed HER2-ECD (ekstracellulært domæne af HER2) De eksplorative analyser af kovarianter med information fra kun en undergruppe af patienter tydede på, at patienter med et højere niveau af shed HER2-ECD havde en hurtigere ikke-lineær clearance (lavere Km) (p < 0,001).
English: Weekly dosing in metastatic breast cancer The efficacy results from the monotherapy and combination therapy studies are summarised in Table 4:
Danish: Ugentlig dosering ved metastatisk brystkræft Virkningsresultaterne fra studierne med monoterapi og kombinationsterapi er sammenfattet i tabel 4:
English: Full instructions on assay performance and results interpretation should be taken from the product information leaflet provided with the HER2 testing assays used.
Danish: Fulde instruktioner i analysemetode og resultattolkning kan findes i produktinformationsbrochuren, der er vedlagt de anvendte HER2-testanalyser.
English: Patients are eligible for trastuzumab treatment if they show strong HER2 overexpression as described by a 3+ score by IHC or a positive FISH or CISH result.
Danish: Patienter er egnet til trastuzumab-behandling, hvis de viser potent HER2-overekspression som beskrevet ved en 3+ score ved IHC eller et positivt FISH- eller CISH-resultat.
English: Pain in extremity
Danish: Smerter i ekstremitet
English: The recommended scoring system to evaluate the IHC staining patterns is as stated in Table 2:
Danish: Det anbefalede scoringssystem til evaluering af IHC-farvningsmønstrene er som anført i tabel 2:
English: If LVEF has not improved, or declined further, or symptomatic CHF has developed, discontinuation of trastuzumab should be strongly considered, unless the benefits for the individual patient are deemed to outweigh the risks.
Danish: Hvis LVEF ikke er forbedret, eller den er faldet yderligere, eller der er udviklet symptomatisk CHF, bør det kraftigt overvejes at afbryde behandlingen med trastuzumab, medmindre det vurderes, at fordelene for den enkelte patient opvejer risiciene.
English: If left ventricular ejection fraction (LVEF) percentage drops ≥10 points from baseline AND to below 50%, treatment should be suspended and a repeat LVEF assessment performed within approximately
Danish: Hvis venstre ventrikel ejektionsfraktions(LVEF)-procent falder ≥ 10 point fra baseline OG til under 50 %, skal behandlingen afbrydes, og LVEF-vurdering gentages inden for ca. 3 uger.
English: The pharmacokinetics of trastuzumab were evaluated in a population pharmacokinetic model analysis using pooled data from 1,582 subjects, including patients with HER2-positive MBC, EBC, AGC or other tumour types, and healthy volunteers, in 18 Phase I, II and III trials receiving trastuzumab via an intravenous infusion.
Danish: Trastuzumabs farmakokinetik blev evalueret i en populationsfarmakokinetisk modelanalyse ved brug af puljede data fra 1.582 forsøgspersoner, herunder patienter med HER2-positiv MBC, EBC, fremskreden ventrikelkræft eller andre tumortyper og raske forsøgspersoner, i 18 fase I-, II- og IIIstudier, som fik trastuzumab via en intravenøs infusion.
English: There was a correlation between shed antigen and SGOT/AST levels; part of the impact of shed antigen on clearance may have been explained by SGOT/AST levels.
Danish: En del af shed antigens indvirkning på clearance kan muligvis forklares ved SGOT/ASATniveauerne.
English: (increased muscle tone or tension)
Danish: • øget muskeltonus eller muskelspænding
English: Malignant neoplasm progression
Danish: Malign neoplasmaprogression
English: Accurate and validated assay methods should be used (see sections 4.4 and 5.1).
Danish: Der bør anvendes præcise og validerede analysemetoder (se pkt.
English: Trastuzumab has also been used in combination with paclitaxel or docetaxel for the treatment of patients who have not received chemotherapy for their metastatic disease.
Danish: Trastuzumab har også været anvendt i kombination med paclitaxel eller docetaxel til behandling af patienter, der ikke har fået kemoterapi for deres metastatiske sygdom.
English: The data also suggested that the pharmacokinetics of cisplatin were not affected by concurrent use of capecitabine or by concurrent use of capecitabine plus trastuzumab.
Danish: Data indikerede også, at farmakokinetikken af cisplatin ikke blev påvirket af samtidig anvendelse af capecitabin eller af samtidig anvendelse af capecitabin plus trastuzumab.
English: One case of tumour lysis syndrome with trastuzumab administration as monotherapy lends further support.
Danish: Ét tilfælde af tumorlyse syndrom med trastuzumab som monoterapi behandling støtter dette yderligere.
English: Ontruzant should only be used in patients with metastatic gastric cancer (MGC) whose tumours have HER2 overexpression as defined by IHC2+ and a confirmatory SISH or FISH result, or by an IHC3+ result.
Danish: Ontruzant bør kun anvendes til patienter med metastatisk ventrikelkræft (MGC), hvis tumorer har HER2-overekspression defineret ved IHC2+ og et bekræftende SISH- eller FISH-resultat, eller ved et IHC3+ resultat.