FrancophonIA/ELRC3.0 huggingface dataset:
English: An application was submitted under Article 13(1) of Directive 2001/82/EC, i.e. a generic application for a marketing authorisation under the decentralised procedure for the veterinary medicinal product ‘Parofor 175 mg/ml solution for injection', with Belgium as Reference Member State (BE/V/0027/003/DC).
Croatian: Zahtjev je podnesen u skladu s člankom 13. stavkom 1. Direktive 2001/82/EZ, tj. riječ je o zahtjevu za odobrenje za stavljanje u promet generičkog proizvoda u skladu s decentraliziranim postupkom za veterinarsko-medicinski proizvod „Parofor 175 mg/ml otopina za injekciju”, pri čemu je Belgija bila referentna država članica (BE/V/0027/003/DC).
English: The reference product is ‘Gabbrovet solution injectable', which has been authorised in a few Member States.
Croatian: Referentni VMP je „Gabbrovet otopina za injekciju”, odobren u nekoliko država članica.
English: The quantification of paromomycin in tissues was carried out by validated HPLC-MS/MS analytical methods.
Croatian: Kvantifikacija paromomicina u tkivima provedena je potvrđenim HPLC-MS/MS analitičkim metodama.
English: The CVMP was also asked to recommend whether in view of the elements described in the referral notification the marketing authorisations for the veterinary medicinal products concerned should be maintained, varied, suspended, or withdrawn.
Croatian: Od CVMP-a je zatraženo i da preporuči treba li, s obzirom na elemente opisane u obavijesti o arbitražnom postupku, odobrenja za stavljanje u promet predmetnih veterinarsko-medicinskih proizvoda zadržati, izmijeniti, privremeno ili trajno oduzeti.
English: The marketing authorisation holder also considered that the veterinary medicinal product could be used to treat Mastitis-Metritis-Agalactia (MMA) syndrome associated with E. coli, but acknowledged that further data are needed to assess the correct dose regimen in adult animals.
Croatian: Nositelj odobrenja za stavljanje VMP-a u promet također je smatrao da se veterinarsko-medicinski proizvod može primijeniti za liječenje sindroma mastitis-metritis-agalakcija (MMA) povezanog s bakterijom E. coli, no priznao je da su potrebni dodatni podatci kako bi se odredio ispravan režim doziranja u odraslih životinja.
English: The veterinary medicinal products involved in this referral contain 250 mg/ml paromomycin sulfate as active substance (equivalent to 175 mg/ml paromomycin base or to a paromomycin activity of 175,000 IU/ml).
Croatian: Veterinarsko-medicinski proizvodi obuhvaćeni ovim arbitražnim postupkom kao djelatnu tvar sadrže 250 mg/ml paromomicin sulfata (istovjetno 175 mg/ml baze paromomicina ili aktivnosti paromomicina od 175 000 IU/ml).
English: Due to the deficiencies noted in the study, a withdrawal period cannot be covered by any safety margin.
Croatian: Zbog nedostataka koji su uočeni u ispitivanju na razdoblje karencije ne može se primijeniti nijedna sigurnosna granica.
English: • To provide a benefit-risk assessment outlining that the clinical benefits of these veterinary medicinal products outweigh potential risks relating to animal health and the development of resistance, and (if applicable) environmental and user risks.
Croatian: • Potrebno je dostaviti procjenu omjera koristi i rizika u kojoj je utvrđeno da kliničke koristi tih veterinarsko-medicinskih proizvoda nadmašuju potencijalne rizike povezane sa zdravljem životinja i razvojem rezistencije, te (ako je primjenjivo) rizike za okoliš i korisnika.
English: Finally the PK/PD model does not allow justifying the duration of treatment.
Croatian: Naposljetku, farmakokinetički/farmakodinamički model ne opravdava trajanje liječenja.
English: Paromomycin belongs to the group of aminoglycoside antibiotics.
Croatian: Paromomicin pripada skupini antibiotika koja se naziva aminoglikozidi.
English: Considering that colibacillosis is a disease complex (including neonatal diarrhoea, post-weaning diarrhoea, oedema disease, septicemia, polyserositis, coliform mastitis, and urinary tract infection) and is caused by different types of Escherichia coli (enteropathogenic E. coli, Shiga-toxin producing E. coli, enterotoxigenic E. coli, etc.), the marketing authorisation holders should define the clinical indication(s) as precisely as possible by including also the sub-category (age and production type) of the target animals.
Croatian: Uzimajući u obzir činjenicu da je kolibaciloza kompleks bolesti (uključuje neonatalni proljev, proljev nakon odbića, edemsku bolest, septikemiju, poliserozitis, koliformni mastitis i infekciju urinarnog trakta), a uzrokuju ga različiti sojevi bakterije Escherichia coli (enteropatogena E. coli, E. coli koja proizvodi Shiga toksin, enterotoksigena E. coli, itd.), nositelji odobrenja za stavljanje VMP-a u promet trebaju što je moguće preciznije definirati kliničku indikaciju(e) tako da uključuje i potkategorije (dob i vrsta uzgoja) ciljnih životinja.
English: Residue data
Croatian: Podatci o reziduima
English: However, the deficiencies noted in the study (absence of data on storage stability, the wide recovery rates in muscle samples and the absence of ring sample in the sampling of the injection site) cannot be covered by any safety span.
Croatian: Međutim, nedostatci uočeni u ispitivanju (nedostatak podataka o stabilnosti čuvanja, širok raspon stopa oporavka u uzorcima mišića i nedostatak uzorka susjednog tkiva pri uzorkovanju mjesta primjene injekcije) ne mogu se nadoknaditi nijednim sigurnosnim rasponom.
English: Both the animal and analytical phases of the study were in compliance with GLP requirements and European guidelines.
Croatian: Faza testiranja životinja i analitička faza ispitivanja bile su u skladu sa zahtjevima koji se odnose na dobru laboratorijsku praksu i s europskim smjernicama.
English: The national competent authorities shall ensure that the following conditions are fulfilled by the concerned marketing authorisation holders:
Croatian: Nacionalna nadležna tijela osiguravaju da predmetni nositelji odobrenja za stavljanje VMP-a u promet ispunjavaju sljedeće uvjete:
English: For antimicrobials like paromomycin, whose efficacy is concentration-dependent, high plasma concentration levels relative to the MIC of the pathogen (Cmax/MIC ratio, also known as the inhibitory quotient or IQ) are a major determinant of clinical efficacy; a Cmax/MIC ratio > 8-10 is suggested to achieve optimal efficacy.
Croatian: Za antimikrobne lijekove poput paromomicina, čija je djelotvornost ovisna o koncentraciji, visoke razine koncentracije u plazmi u odnosu na MIC patogena (omjer Cmax/MIC, poznat i kao inhibitorni kvocijent ili IQ) glavni su čimbenik kliničke djelotvornosti; za postizanje optimalne djelotvornosti predlaže se omjer Cmax/MIC > 8-10.
English: Moreover, this model holds true only for target strains in plasma or tissue sites with equivalent paromomycin distribution, no predictability can be expected against the pathogen located in other tissues.
Croatian: Štoviše, ovaj model vrijedi samo za ciljane sojeve u plazmi ili tkivima s jednakom raspodjelom paromomicina te se ne može očekivati predvidljivost u slučaju patogena koji se nalaze u drugim tkivima.
English: Samples of the target tissues were analysed by HPLC method coupled with MS/MS detection.
Croatian: Uzorci ciljnih tkiva analizirani su HPLC metodom i detekcijom MS/MS.
English: Regarding A. pleuropneumoniae, the PK/PD analysis based on the inhibitory quotient (Cmax/MIC >8 to 10) shows that only 10% of the target bacterial population would be sensitive to paromomycin administered at the recommended posology.
Croatian: Što se tiče bakterije A. pleuropneumoniae, analiza farmakokinetike i farmakodinamike temeljena na inhibitornom kvocijentu (Cmax/MIC > 8 do 10) pokazuje da bi samo 10 % ciljane bakterijske populacije bilo osjetljivo na paromomicin primijenjen pri preporučenom doziranju.
English: A pharmacokinetic study was carried out in target animals at the recommended dose (14 mg/kg bodyweight of paromomycin).
Croatian: Provedeno je farmakokinetičko ispitivanje na ciljnim životinjama pri preporučenoj dozi (14 mg paromomicina na kg tjelesne težine).
English: Overall summary of the scientific evaluation of Veterinary medicinal products containing paromomycin to be administered parenterally to pigs (see Annex I)
Croatian: Cjeloviti sažetak znanstvene ocjene veterinarsko-medicinskih proizvoda koji sadrže paromomicin za parenteralnu primjenu u svinja (vidjeti Prilog I.)
English: Furthermore, the duration of treatment has not been justified and no clinical data have been provided by the marketing authorisation holder to justify the recommended dose.
Croatian: Nadalje, trajanje liječenja nije opravdano, a nositelj odobrenja za stavljanje VMP-a u promet nije dostavio kliničke podatke koji bi opravdali preporučenu dozu.
English: In the case of E. coli, the PK/PD analysis was only favourable for strains with MICs equal to or below 4.44 µg/ml.
Croatian: U slučaju bakterije E. coli, analiza farmakokinetike i farmakodinamike bila je povoljna samo u sojeva s MIC-om jednakim ili nižim od 4,44 µg/ml.
English: Therefore, the indication against colibacillosis based on an overestimated success from a theoretical modelling, against E. coli strictly located in plasma, for an unjustified duration of treatment and not confirmed by clinical data, is not acceptable.
Croatian: Stoga nije prihvatljiva indikacija za liječenje kolibaciloze koja se temelji na precijenjenom uspjehu teorijskog modela djelovanja protiv bakterije E. coli koja se nalazi isključivo u plazmi, tijekom trajanja liječenja koje nije opravdano niti je potvrđeno kliničkim podatcima.
English: Efficacy data
Croatian: Podatci o učinkovitosti
English: During the aforementioned decentralised procedure, it has been noted that there are different approved indications, posology and withdrawal periods for veterinary medicinal products containing paromomycin to be administered parenterally to pigs across the European Union (EU).
Croatian: Tijekom navedenog decentraliziranog postupka uočeno je da diljem Europske unije (EU) postoje različite odobrene indikacije, doziranja i razdoblja karencije za veterinarsko-medicinske proizvode koji sadrže paromomicin za parenteralnu primjenu u svinja.
English: However, a number of deficiencies in the study were noted related to the storage of the samples, the stability of the residues in storage conditions, the wide range of recovery in muscle and the absence of a ring-shaped control surrounding the excised injection site core sample.
Croatian: Međutim, u ispitivanju je uočeno više nedostataka koji se odnose na čuvanje uzoraka, stabilnost rezidua u uvjetima čuvanja, širok raspon oporavka mišića i nedostatak kontrolnog uzorka iz tkiva koje okružuje mjesto primjene injekcije iz kojeg je uzet glavni uzorak.
English: Scientific conclusions and grounds for suspension of the marketing authorisations
Croatian: Znanstveni zaključci i razlozi za privremeno oduzimanje odobrenja za stavljanje VMP-a u promet
English: • the CVMP concluded that the benefit-risk assessment for veterinary medicinal products containing paromomycin to be administered parenterally to pigs is negative because there were inadequate data to support efficacy of these veterinary medicinal products for the proposed indications at the recommended treatment dose and that this deficiency poses a risk of ineffective treatment and antimicrobial resistance development; the CVMP has recommended the suspension of the marketing authorisations for veterinary medicinal products containing paromomycin to be administered parenterally to pigs as referred in Annex I. The conditions to lift the suspension of the marketing authorisations are set out in Annex III.
Croatian: • CVMP je zaključio da je procjena omjera koristi i rizika za veterinarsko-medicinske proizvode koji sadrže paromomicin za parenteralnu primjenu u svinja negativna zbog nedostatnih podataka kojima bi se poduprla djelotvornost tih veterinarsko-medicinskih proizvoda pri preporučenoj dozi liječenja za predložene indikacije te da taj nedostatak predstavlja rizik od neučinkovitog liječenja i razvoja antimikrobne rezistencije; CVMP je preporučio privremeno oduzimanje odobrenja za stavljanje VMP-a u promet za veterinarskomedicinske proizvode koji sadrže paromomicin za parenteralnu primjenu u svinja kao što je navedeno u Prilogu I.
English: • To provide adequate clinical data (including GCP, randomised, blinded field study) in support of the treatment of pleuropneumonia caused by Actinobacillus pleuropneumoniae at the recommended dose and duration of treatment.
Croatian: • Potrebno je dostaviti odgovarajuće kliničke podatke uključujući randomizirano, slijepo terensko ispitivanje provedeno u skladu s dobrom kliničkom praksom) koji podupiru liječenje pleuropneumonije uzrokovane bakterijom Actinobacillus pleuropneumoniae pri preporučenoj dozi i trajanju liječenja.
English: The CVMP was requested to review all available pre-clinical, clinical and residue depletion data for veterinary medicinal products containing paromomycin to be administered parenterally to pigs and recommend appropriate indications, dosing recommendations and withdrawal periods.
Croatian: Od CVMP-a je zatraženo da pregleda sve dostupne pretkliničke i kliničke podatke te podatke o razgradnji rezidua za veterinarsko-medicinske proizvode koji sadrže paromomicin za parenteralnu primjenu u svinja te da preporuči odgovarajuće indikacije, preporuke za doziranje i razdoblja karencije.
English: • To provide adequate clinical data in support of an indication against colibacillosis at the recommended dose and duration of treatment.
Croatian: • Potrebno je dostaviti odgovarajuće kliničke podatke koji podupiru indikaciju za liječenje kolibaciloze pri preporučenoj dozi i trajanju liječenja.
English: The same marketing authorisation holder provided data in order to justify the use of ‘Gabbrovet solution injectable' in pigs at a dose of 14 mg paromomycin base/kg bodyweight for 5 consecutive days.
Croatian: Isti nositelj odobrenja za stavljanje VMP-a u promet dostavio je podatke kako bi opravdao primjenu VMP-a „Gabbrovet otopina za injekciju” u svinja u dozi od 14 mg baze paromomicina/kg tjelesne težine tijekom pet uzastopnih dana.
English: The currently authorised indications are unspecific and no specific pathogens are mentioned i.e. for the treatment of bacterial infections caused by pathogens which are susceptible to paromomycin or for bacterial infections of the respiratory tract, uro-genital tract, mastitis, enteritis, abscess, wounds, canine leishmaniosis and surgery.
Croatian: Trenutačno odobrene indikacije neodređene su te se ne navode specifični patogeni, tj. za liječenje bakterijskih infekcija uzrokovanih patogenima koji su osjetljivi na paromomicin ili bakterijskih infekcija dišnih putova, urogenitalnog trakta, mastitisa, enteritisa, apscesa, rana, lišmanioze pasa i infekcija kao posljedica kirurških zahvata.
English: This result, however is likely to overestimate the efficacy of paromomycin at the recommended dose since the % binding of paromomycin to plasma proteins was not determined, which would reduce the portion of paromomycin in plasma able to work against E. coli.
Croatian: Međutim, vjerojatno je da bi se na temelju tog rezultata precijenila učinkovitost paromomicina pri preporučenoj dozi jer nije utvrđen postotak vezivanja paromomicina za proteine u plazmi, što bi smanjilo udio paromomicina u plazmi koji može djelovati protiv bakterije E. coli.
English: • the CVMP considered that the use of veterinary medicinal products containing paromomycin to be administered parenterally to pigs is not supported by pre-clinical, clinical and residue depletion data and the currently recommended indications, dosing regimens and withdrawal period could pose a potential risk to animal and human health;
Croatian: • CVMP je zaključio da primjena predmetnih VMP-ova koji sadrže paromomicin za parenteralnu primjenu u svinja nije potkrijepljena pretkliničkim i kliničkim podatcima te podatcima o razgradnji rezidua, a trenutačno preporučene indikacije, režimi doziranja i razdoblje karencije mogli bi predstavljati potencijalni rizik za zdravlje životinja i ljudi;
English: The residue depletion study was performed in pigs with the intramuscular administration of the maximum recommended dose of 14 mg paromomycin/kg bodyweight/day for 5 consecutive days.
Croatian: Ispitivanje o razgradnji rezidua provedeno je u svinja pri intramuskularnoj primjeni najveće preporučene doze od 14 mg paromomicina/kg tjelesne težine/dan tijekom pet uzastopnih dana.
English: Furthermore, neither dose determination, nor dose confirmation studies have been made available to confirm the results of the PK/PD analysis and no field trial was made available.
Croatian: Nadalje, nisu stavljena na raspolaganje ispitivanja za određivanje doze i za potvrdu doze kako bi se potvrdili rezultati analize farmakokinetike i farmakodinamike niti je stavljeno na raspolaganje terensko ispitivanje.
English: Evaluation and conclusions on the benefit-risk balance Therefore, the Committee considers that in the absence of adequate pre-clinical, clinical and residue depletion data and because the use of these medicinal products could pose a potential risk to animal and human health, the benefit-risk balance for the concerned veterinary medicinal products containing paromomycin to be administered parenterally to pigs is not favourable.
Croatian: Stoga Odbor smatra da u nedostatku odgovarajućih pretkliničkih i kliničkih podataka te podataka o razgradnji rezidua i zbog toga što bi primjena ovih VMP-ova mogla predstavljati potencijalni rizik za zdravlje životinja i ljudi, omjer koristi i rizika za predmetne veterinarsko-medicinske proizvode koji sadrže paromomicin za parenteralnu primjenu u svinja nije povoljan.
English: 2600 Antwerpen Belgium
Croatian: 1130 Brussel Belgium
English: Moreover, the product was well tolerated.
Croatian: Štoviše, pokazalo se da se VMP dobro podnosi.
English: This already poor result is in addition likely to overestimate the efficacy of paromomycin at the recommended dose since the % binding of paromomycin to plasma proteins was not determined, which would reduce the portion of paromomycin in plasma able to work against A. pleuropneumoniae.
Croatian: Vjerojatno je da bi se na temelju tog ionako lošeg rezultata precijenila učinkovitost paromomicina pri preporučenoj dozi jer nije utvrđen postotak vezivanja paromomicina za proteine u plazmi, što bi smanjilo udio paromomicina u plazmi koji može djelovati protiv bakterije A. pleuropneumoniae.
English: o Potential effects on target animal tolerance.
Croatian: o procjena utjecaja na okoliš o potencijalni učinak (učinci) na sigurnost korisnika o potencijalni učinci na toleranciju u ciljnih životinja.
English: Consequently, the Committee recommends the suspension of the existing marketing authorisations for the concerned veterinary medicinal products containing paromomycin to be administered parenterally to pigs.
Croatian: Slijedom toga, Odbor preporučuje privremeno oduzimanje postojećih odobrenja za stavljanje u promet predmetnih VMP-ova koji sadrže paromomicin za parenteralnu primjenu u svinja.
English: In the absence of adequate data to support indications and posology, there is a risk that product administration at the currently recommended dose will lead to ineffective treatment and a potential unnecessary suffering in the treated animals.
Croatian: U nedostatku odgovarajućih podataka koji bi podržali indikacije i doziranje, postoji rizik da će primjena VMP-a u trenutačno preporučenoj dozi dovesti do neučinkovitog liječenja i moguće nepotrebne patnje liječenih životinja.
English: In the absence of adequate data to support indications and posology, there is a risk that product administration at the currently recommended dose and duration of treatment will lead to ineffective treatment and a potential unnecessary suffering in the treated animals.
Croatian: U nedostatku odgovarajućih podataka koji bi podržali indikacije i doziranje, postoji rizik da će primjena VMP-a u trenutačno preporučenoj dozi i trajanju liječenja dovesti do neučinkovitog liječenja i moguće nepotrebne patnje liječenih životinja.
English: • Treatment of E. coli involved in swine colibacillosis (neonatal diarrhoea, post-weaning diarrhoea, oedema disease) and against Actinobacillus pleuropneumoniae strains with a
Croatian: • Liječenje infekcija bakterijom E. coli, koja je uzročnik kolibaciloze prasadi (neonatalni proljev, proljev nakon odbića, edemska bolest), i sojevima bakterije Actinobacillus pleuropneumoniae s minimalnom inhibitornom koncentracijom (MIC) ≤ 4 mg/l.
English: Conditions for lifting the suspension of the marketing authorisations
Croatian: Uvjeti za ukidanje privremenog oduzimanja odobrenja za stavljanje VMP-a u promet
English: Parofor 175 mg/ml
Croatian: Parofor 175 mg/ml Paromomycin 175 mg/ml
English: Relevant clinical data (including GCP, randomised, blinded field study) are required for each claim related to a specific type of Escherichia coli.
Croatian: Za svaku tvrdnju koja se odnosi na određeni soj bakterije Escherichia coli potrebni su relevantni klinički podatci (uključujući randomizirano, slijepo terensko ispitivanje provedeno u skladu s dobrom kliničkom praksom).
English: As no adequate data are available to support indications, posology and withdrawal periods, the CVMP is not able to recommend any appropriate indications, dosage and withdrawal periods for the concerned veterinary medicinal products.
Croatian: Mjere za upravljanje rizikom ili ublažavanje rizika Budući da nisu dostupni odgovarajući podatci koji bi podržali indikacije, doziranje i razdoblja karencije, CVMP ne može preporučiti odgovarajuće indikacije, doziranje i razdoblja karencije za predmetne veterinarsko-medicinske proizvode.
English: One of the marketing authorisation holders proposed a withdrawal time of 16 days based on a linear regression with kidney as limiting tissue, and 16 days with muscle of injection site by using the ‘alternative' method, in line with CVMP note for guidance on the approach towards harmonisation of withdrawal periods (EMEA/CVMP/036/95).
Croatian: Jedan od nositelja odobrenja za stavljanje VMP-a u promet predložio je razdoblje karencije od 16 dana na temelju linearne regresije s utvrđivanjem najvećih dopuštenih količina rezidua (NDK) u bubrezima te 16 dana s utvrđivanjem NDK-a u mišiću na mjestu primjene injekcije s pomoću „alternativne” metode, u skladu s uputama CVMP-a o pristupu usklađivanju razdoblja karencije (EMEA/CVMP/036/95).
English: The statistical evaluation to establish withdrawal period was carried out following the CVMP note for guidance on the approach towards harmonisation of withdrawal periods (EMEA/CVMP/036/95)1.
Croatian: Statistička procjena s ciljem utvrđivanja razdoblja karencije provedena je u skladu s uputama CVMP-a o pristupu usklađivanju razdoblja karencije (EMEA/CVMP/036/95)1.
English: For kidney, a withdrawal time rounded to 16 days was determined based on linear regression using the ‘statistical' method, in line with CVMP note for guidance on the approach towards harmonisation of withdrawal periods (EMEA/CVMP/036/95).
Croatian: Za bubrege, utvrđeno razdoblje karencije zaokruženo je na 16 dana na temelju linearne regresije s pomoću „statističke metode” u skladu s uputama CVMP-a o pristupu usklađivanju razdoblja karencije (EMEA/CVMP/036/95).
English: For injection site, a rounded withdrawal period of 16 days was calculated using the ‘alternative' method, in line with CVMP note for guidance on the approach towards harmonisation of withdrawal periods (EMEA/CVMP/036/95).
Croatian: Za mjesto primjene injekcije, zaokruženo razdoblje karencije od 16 dana izračunato je s pomoću „alternativne” metode u skladu s uputama CVMP-a o pristupu usklađivanju razdoblja karencije (EMEA/CVMP/036/95).
English: Grounds for suspension of the marketing authorisations
Croatian: Razlozi za privremeno oduzimanje odobrenja za stavljanje VMP-a u promet
English: Marketing authorisation holder
Croatian: Nositelj odobrenja za stavljanje VMP-a u promet
English: Risk management or mitigation measures
Croatian: Ocjena i zaključci o omjeru koristi i rizika
English: Annex IV Conditions to the marketing authorisation
Croatian: Prilog IV. Uvjeti odobrenja za stavljanje u promet