FrancophonIA/ELRC3.0 huggingface dataset:
English: In single and repeated dose toxicity studies in rats, the main findings were reduced body weight gain, haematological changes, reduced serum alkaline phosphatase and microscopic findings in the bone marrow (depletion of haematopoietic cells, fibrosis), spleen (secondary extra-medullary haematopoiesis) and bone (depletion of osteocytes, osteoblasts, osteoclasts, fibro-osseous lesions, disruption/disorganisation of the physis/growth line).
Danish: I enkelt og gentagen doseringstoksicitetsstudier i rotter var de primære fund en reduktion af øgning i kropsvægten, hæmatologiske ændringer, reduceret basisk fosfatase i serum og mikroskopiske fund i knoglemarven (reduktion af hæmatopoietiske celler, fibrose), milten (sekundær ekstramedullær hæmatopoiese) og knoglerne (reduktion af osteocytter, osteoblaster, osteoklaster, fibro-osseøse læsioner, forstyrrelse/disorganisation af epifysen/vækstlinjen).
English: Xofigo is excreted mainly via the faeces.
Danish: Xofigo udskilles hovedsageligt via afføringen.
English: It is stored in a lead pot.
Danish: Det bliver opbevaret i en blybeholder.
English: After administration of Xofigo - Care should be taken when handling materials, such as bed linen, that come into contact with body fluids (such as spill of urine, faeces, vomiting etc.).
Danish: Efter behandlingen med Xofigo - Du skal være forsigtig, når du kommer i berøring med f.eks. sengetøj, der kommer i kontakt med kropsvæsker (som f.eks. spildt urin, afføring og opkast).
English: Animal reproduction studies have not been conducted with Xofigo.
Danish: Der er ikke udført reproduktionsstudier hos dyr med Xofigo.
English: • in combination with abiraterone and prednisone/prednisolone (which are used together to treat prostate cancer).
Danish: • i kombination med abirateronacetat og prednison/prednisolon (som bruges sammen til behandling af prostatakræft).
English: In the phase III study, cases of ONJ have been reported in 0.67% patients (4/600) in the Xofigo arm compared to 0.33% patients (1/301) in the placebo arm.
Danish: I fase III-studiet blev der set tilfælde med ONJ hos 0,67% af patienterne (4/600) i Xofigo-armen sammenlignet med 0,33% af patienterne (1/301) i placebo-armen.
English: Driving and using machines It is considered unlikely that Xofigo will affect your ability to drive or to use machines.
Danish: Trafik- og arbejdssikkerhed Det anses ikke for sandsynligt, at Xofigo vil påvirke din evne til at føre motorkøretøj eller betjene maskiner.
English: In patients with a high baseline risk of fracture, the benefit of treatment should be carefully assessed to outweigh the risk.
Danish: Hos patienter med en høj risiko for fraktur ved baseline, skal det nøje vurderes om fordelen opvejer risikoen ved behandlingen.
English: In a phase I study, neutrophil and platelet count nadirs occurred at 2 to 3 weeks after intravenous administration of a single dose of Xofigo.
Danish: I et fase I-studie forekom de laveste neutrofil- og trombocyttal 2 til 3 uger efter intravenøs administration af en enkelt dosis Xofigo.
English: Xofigo is not to be used in women who are, or may be, pregnant or breast-feeding.
Danish: Xofigo må ikke anvendes til kvinder, som er, eller kan være, gravide eller som ammer.
English: The pharmacokinetics of radium-223 dichloride were linear in the activity range investigated (51 to 276 kBq/kg).
Danish: Farmakokinetikken af radium-223 dichlorid var lineær i det undersøgte radioakvititetsinterval (51 til 276 kBq/kg).
English: In the course of the 2:1 randomised ALSYMPCA study, 93 (15.5%) patients in the Xofigo group and 54 (17.9%) patients in the placebo group received cytotoxic chemotherapy at varying times after the last treatment.
Danish: I efterforløbet af ALSYMPCA-studiet med randomisering i forholdet 2:1 fik 93 (15,5 %) af patienterne i Xofigo-gruppen og 54 (17,9 %) af patienterne i placebogruppen cytotoksisk kemoterapi på forskellige tidspunkter efter den sidste Xofigo behandling.
English: If you are engaged in sexual activity with a woman who could become pregnant you are advised to use effective birth control methods during and up to 6 months after treatment with Xofigo.
Danish: Hvis du har seksuelt samvær med en kvinde, som kunne blive gravid, skal du anvende effektiv prævention under behandlingen og op til 6 måneder efter behandlingen med Xofigo.
English: In adults with castrationresistant prostate cancer and mildly symptomatic bone metastases the benefit of treatment should be carefully assessed to outweigh the risks considering that high osteoblastic activity is likely to be required for treatment benefit (see section 5.1).
Danish: Hos voksne med kastrationsresistent prostatacancer og let symptomatiske knoglemetastaser, skal det vurderes nøje om fordelen opvejer risici ved behandlingen i betragtning af, at det er sandsynligt, at høj osteoblastisk aktivitet er nødvendig for at opnå en fordel af behandlingen (se pkt.
English: The European Medicines Agency has waived the obligation to submit the results of studies with Xofigo in all subsets of the paediatric population in the treatment of all conditions included in the category of malignant neoplasms (except central nervous system tumours, haematopoietic and lymphoid tissue neoplasms) and in the treatment of multiple myeloma (see section 4.2 for information on paediatric use).
Danish: Det Europæiske Lægemiddelagentur har dispenseret fra kravet om at fremlægge resultaterne af studier med Xofigo i alle undergrupper af den pædiatriske population ved behandlingen af alle tilstande inkluderet i kategorien af maligne neoplasmer (undtagen tumorer i det centrale nervesystem, neoplasmer i hæmatopoietisk og lymfoidt væv) og ved behandlingen af myelomatose (se pkt.
English: Figure 1: Radium-223 decay chain with physical half-lives and mode of decay:
Danish: Figur 1: Radium-223-henfald med fysiske halveringstider og henfaldsrute:
English: However, since excretion in urine is minimal and the major route of elimination is via the faeces, renal impairment is not expected to affect the pharmacokinetics of radium-223 dichloride.
Danish: Da udskillelsen via urinen imidlertid er minimal, og den primære udskillelsesvej er via fæces, forventes en nedsat nyrefunktion ikke at påvirke farmakokinetikken af radium-223 dichlorid.
English: If you have been given more Xofigo than you should An overdose is unlikely.
Danish: Det er usandsynligt, at du vil få en overdosis.
English: Pharmacokinetic, biodistribution and dosimetry data were obtained in 6 patients at an activity of 110 kBq/kg given twice, 6 weeks apart, and in 10 patients at an activity of 55, 110 or 221 kBq/kg.
Danish: Data fra farmakokinetik, biodistribution og dosimetri blev indsamlet for 6 patienter ved en radioaktivitetsdosis på 110 kBq/kg administreret to gange med 6 ugers mellemrum, og hos 10 patienter ved en radioaktivitetsdosis på 55, 110 eller 221 kBq/kg.
English: Your doctor will test your bone health before deciding whether you can be given Xofigo.
Danish: Lægen vil undersøge din knoglestatus, før han/hun beslutter, om du kan få Xofigo.
English: Its active moiety radium-223 (as radium-223 dichloride) mimics calcium and selectively targets bone, specifically areas of bone metastases, by forming complexes with the bone mineral hydroxyapatite.
Danish: Dens aktive del radium-223 (som radium-223 dichlorid) efterligner calcium og virker selektivt på knoglevæv, specielt i områder med knoglemetastaser, ved at danne komplekser med knoglemineralet hydroxyapatit.
English: The results of both the interim and updated analysis revealed that overall survival was significantly longer in patients treated with Xofigo plus best standard of care compared to patients treated with placebo plus best standard of care (see Table 2 and Figure 2).
Danish: Resultaterne fra både interimanalysen og den opdaterede analyse viste, at den samlede overlevelse var signifikant længere hos patienter i behandling med Xofigo plus bedste standardbehandling, sammenlignet med patienter i behandling med placebo plus bedste standardbehandling (se tabel 2 og figur 2).
English: Xofigo and chemotherapy used together may further decrease the number of your blood cells and blood platelets.
Danish: Når Xofigo og kemoterapi anvendes samtidigt, kan det yderligere nedsætte antallet af dine blodlegemer og blodplader.
English: Table 3: Secondary efficacy endpoints from the phase III ALSYMPCA study (interim analysis)
Danish: Tabel 3: Sekundære endepunkter for virkning fra fase III ALSYMPCA-studiet (interimanalyse)
English: Patients with evidence of compromised bone marrow reserve e.g. following prior cytotoxic chemotherapy and/or radiation treatment (EBRT) or prostate cancer patients with advanced diffuse infiltration of the bone (EOD4; “superscan”) should be treated with caution.
Danish: Patienter med evidens for kompromitterede knoglemarvsreserver, f.eks. efter tidligere cytotoksisk kemoterapi og/eller strålebehandling (EBRT) eller prostatacancer patienter med fremskreden diffus infiltration af knoglerne (EOD4; ”superscan”), bør behandles med forsigtighed.
English: The MAH shall conduct and submit the results of a phase IV randomised double-blind multicentre study according to an agreed protocol in order to further characterise the efficacy and safety, in particular the risk of fractures, the risk of formation of visceral and nodal metastases of radium-223 in the authorized indication.
Danish: Indehaveren af markedsføringstilladelsen skal udføre og indsende resultaterne af et fase IV randomiseret, dobbeltblindet multicenterstudie i henhold til den godkendte protokol for yderligere at karakterisere virkning og sikkerhed, særligt risikoen for frakturer, risikoen for dannelsen af viscerale og nodale metastaser fra radium-223 for den godkendte indikation.
English: However, in the case of an accidental overdose, your doctor will start appropriate supportive treatment and will check you for changes in the number of blood cells, and for gastrointestinal symptoms (e.g. diarrhoea, nausea [feeling sick], vomiting).
Danish: Hvis en utilsigtet overdosering sker vil lægen påbegynde passende understøttende behandling, og vil kontrollere, om du får ændringer i antallet af blodlegemer, samt om du får mave-tarm-symptomer (f.eks. diarré, kvalme, opkastning).
English: Combination with abiraterone and prednisone/prednisolone or with systemic cancer therapies other than LHRH analogues
Danish: Kombination med abirateronacetat og prednison/prednisolon eller med andre systemiske cancerbehandlinger end LHRH-analoger.
English: The clinical safety and efficacy of Xofigo have been evaluated in a double-blind, randomised, multiple dose, phase III, multicentre study (ALSYMPCA; EudraCT 2007-006195-1)) in castration-resistant prostate cancer patients with symptomatic bone metastases.
Danish: Xofigos kliniske sikkerhed og virkning er blevet evalueret i et dobbeltblindet, randomiseret, flerdosis, fase III multicenterstudie (ALSYMPCA, EudraCT 2007-006195-1) i patienter med kastrationsresistent prostatacancer med symptomatiske knoglemetastaser.
English: The gamma radiation associated with the decay of radium-223 and its daughters allows for the radioactivity measurement of Xofigo and the detection of contaminations with standard instruments.
Danish: Gammastrålingen, som er forbundet med henfaldet af radium-223, og dattermolekylerne tillader måling af Xofigos radioaktivitet og detektion af kontaminering med standardinstrumenter.
English: Prior to starting radium-223 bone status (e.g. by scintigraphy, bone mineral density measurement) and baseline risk of fractures of patients (e.g. osteoporosis, less than 6 bone metastases, medication increasing fracture risk, low body mass index) should be carefully assessed, and closely monitored for at least 24 months.
Danish: Før behandling med radium-223 startes skal knoglestatus (f.eks. ved scintigrafi, måling af knogletæthed) og patienternes risiko for frakturer ved baseline (f.eks. osteoporose, færre end 6 knoglemetastaser, medicin, der øger risikoen for frakturer, lavt Body Mass Index (BMI)) vurderes nøje og overvåges nøje i mindst 24 måneder.
English: If you have symptoms of pain, swelling or numbness of the jaw, a “heavy jaw feeling” or loosening of a tooth, please contact your doctor.
Danish: Hvis du får smerter, hævelse eller følelsesløshed i kæben, en følelse af tunghed i kæben eller en tand bliver løs, skal du kontakte din læge.
English: Time to event data on ALP progression were supported by statistically significant advantage with respect to ALP normalisation and ALP responses at week 12.
Danish: Antal patienter med risiko til hændelse for BASP-progression blev understøttet af statistisk signifikant fordel med hensyn til BASPnormalisering og BASP-respons ved uge 12.
English: At an interim analysis, an increased incidence of fractures (28.6% vs 11.4%) and reduced median overall survival (30.7 months versus 33.3 months, HR 1.195, 95% CI [0.950 - 1.505], p=0.13) was observed among patients receiving Xofigo in combination with abiraterone acetate and prednisone/prednisolone compared to patients receiving placebo in combination with abiraterone acetate and prednisone/prednisolone.
Danish: Ved en interimanalyse blev der observeret en øget forekomst af frakturer (28,6 % vs. 11,4 %) og nedsat median samlet overlevelse (30,7 måneder vs. 33,3 måneder, HR 1,195, 95 % CI [0,950 - 1,505], p=0,13) hos patienter, der modtog Xofigo i kombination med abirateronacetat og prednison/prednisolon sammenlignet med patienter, der modtog placebo i kombination med abirateronacetat og prednison/prednisolon.
English: Gallbladder wall LLI2 Wall
Danish: Galdeblærevæg LLI2 væg
English: Table 1: Adverse reactions reported in clinical trials in patients treated with Xofigo System Organ Class
Danish: Tabel 1: Bivirkninger rapporteret i kliniske studier hos patienter i behandling med Xofigo
English: Safety and efficacy of Xofigo in patients with Crohn's disease and with ulcerative colitis have not been studied.
Danish: Xofigos sikkerhed og virkning hos patienter med Crohns sygdom og med ulcerøs kolitis er ikke blevet undersøgt.
English: - If you suffer from untreated spinal cord compression or if it is thought likely that you are developing spinal cord compression (pressure on the spinal cord nerves which can be caused by a tumour or other lesion), your doctor will first treat this disease with standard treatment before starting or continuing treatment with Xofigo.
Danish: - Hvis du lider af ubehandlet rygmarvskompression eller hvis det anses for sandsynligt, at du vil udvikle rygmarvskompression (tryk på nerverne i rygmarven, som kan forårsages af en tumor eller en anden læsion), vil lægen først behandle denne sygdom med standardbehandling, før behandlingen med Xofigo påbegyndes eller fortsættes.
English: (12.9 - NE) 10.8 (7.9 - NE)
Danish: (12,9 - NE)
English: - If you plan to take Xofigo following treatment with abiraterone and prednisone/prednisolone, you must wait 5 days before starting treatment with Xofigo.
Danish: - Hvis du planlægger at tage Xofigo efter behandling med abirateronacetat og prednison/prednisolon, skal du vente 5 dage, før du starter behandlingen med Xofigo.
English: Any unused product or waste materials should be disposed of in accordance with local regulations.
Danish: Ikke anvendt præparat eller emballage skal bortskaffes i henhold til lokale retningslinjer.
English: The vial contains 6 mL of solution.
Danish: Hætteglasset indeholder 6 ml opløsning.
English: A higher rate of non-prostate cancer related deaths was observed in the placebo group (26/541, 4.8% in the Xofigo arm compared to 23/268, 8.6% in the placebo arm).
Danish: En højere hyppighed i ikke prostatacancer relaterede dødsfald sås i placebogruppen (26/541, 4,8% i Xofigo-armen sammenlignet med 23/268, 8,6% i placeboarmen).
English: The most frequently observed adverse reactions (≥ 10%) in patients receiving Xofigo were diarrhoea, nausea, vomiting, thrombocytopenia and bone fracture.
Danish: De hyppigst observerede bivirkninger (≥ 10 %) hos patienter, der fik Xofigo, var diarré, kvalme, opkastning, trombocytopeni og knoglefraktur.
English: When injected into the patient, radium-223 reaches the bone where the cancer has spread to and emits short-range radiation (alpha particles) which kills the surrounding tumour cells.
Danish: Når Xofigo indsprøjtes i patienten, sætter radium-223 sig i det knoglevæv, som kræften har spredt sig til, og udsender en kortrækkende stråling (alfapartikler), der dræber de omgivende kræftceller.
English: Xofigo monotherapy or in combination with luteinising hormone releasing hormone (LHRH) analogue is indicated for the treatment of adult patients with metastatic castration-resistant prostate cancer (mCRPC), symptomatic bone metastases and no known visceral metastases, in progression after at least two prior lines of systemic therapy for mCRPC (other than LHRH analogues), or ineligible for any available systemic mCRPC treatment (see section 4.4).
Danish: Xofigo som monoterapi eller i kombination med gonadotropinfrigørende hormon (LHRH)-analog er indiceret til behandling af voksne patienter med metastatisk kastrationsresistent prostatacancer (mCRPC), med symptomatiske knoglemetastaser og ingen kendte viscerale metastaser i progression efter mindst to tidligere systemiske behandlinger af mCRPC (med andet end LHRH-analoger), eller som ikke er egnet til nogen tilgængelig systemisk mCRPC-behandling (se pkt.
English: Before the first administration, the absolute neutrophil count (ANC) should be ≥ 1.5 x 109/l, the platelet count ≥ 100 x 109/l and haemoglobin ≥ 10.0 g/dl.
Danish: Før den første administration skal det absolutte neutrofiltal (ANC) være ≥ 1,5 x 109/l, trombocyttallet ≥ 100 x 109/l og hæmoglobin ≥ 10,0 g/dl.
English: Concomitant chemotherapy with Xofigo may have additive effects on bone marrow suppression (see section 4.4).
Danish: Samtidig behandling med kemoterapi og Xofigo kan have additiv effekt på knoglemarvssuppression (se pkt.
English: Bone marrow suppression, notably thrombocytopenia, neutropenia, leukopenia and pancytopenia, has been reported in patients treated with Xofigo (see section 4.8).
Danish: Knoglemarvssuppression, især trombocytopeni, neutropeni, leukopeni og pancytopeni, er blevet rapporteret hos patienter i behandling med Xofigo (se pkt.
English: Studies on the mutagenic and carcinogenic potential of Xofigo have not been performed.
Danish: Studier af Xofigos mutagenicitet og karcinogenicitet er ikke blevet udført.
English: Since radium-223 is neither metabolised by the liver nor eliminated via the bile, hepatic impairment is not expected to affect the pharmacokinetics of radium-223 dichloride.
Danish: Da radium-223 hverken metaboliseres af leveren eller udskilles via galden, forventes en nedsat leverfunktion ikke at påvirke farmakokinetikken for radium-223 dichlorid.
English: An increased incidence of haematological adverse reactions such as neutropenia and thrombocytopenia was observed in these patients during the phase III study (see section 4.8).
Danish: Der blev set en øget forekomst af hæmatologiske bivirkninger som f.eks. neutropeni og trombocytopeni hos disse patienter under fase III-studiet (se pkt.
English: Cases of osteonecrosis of the jaw (dead tissue in the jaw bone which is mainly seen in patients who have been treated with bisphosphonates) have occurred in patients treated with Xofigo.
Danish: Der er set tilfælde med osteonekrose i kæben (dødt væv i kæbebenet, hvilket hovedsagelig ses hos patienter, der er blevet behandlet med bisfosfonater) hos patienter, der er blevet behandlet med Xofigo.
English: At the cut-off date of the pre-planned interim analysis (confirmatory analysis), a total of 809 patients were randomised 2:1 to receive Xofigo 55 kBq/kg intravenously every 4 weeks for 6 cycles (N=541) plus best standard of care, or matching placebo plus best standard of care (N=268).
Danish: Ved den planlagte skæringsdato for interimanalysen (bekræftende analyse) var i alt 809 patienter blevet randomiseret i forholdet 2:1 til at få Xofigo 55 kBq/kg intravenøst hver 4. uge i 6 cyklusser (N=541), plus bedste standardbehandling eller matchende placebo plus bedste standardbehandling (N=268).
English: The most serious side effects in patients receiving Xofigo are - decrease in the number of blood platelets (thrombocytopenia), - decrease in the number of neutrophils, a type of white blood cells (neutropenia, which may lead to an increased risk of infection).
Danish: De mest alvorlige bivirkninger hos patienter, der fik Xofigo, er - nedsat antal blodplader (trombocytopeni) - nedsat antal af en speciel type hvide blodlegemer kaldet neutrofilocytter (neutropeni, der kan føre til en øget infektionsrisiko).
English: How Xofigo is used
Danish: Sådan anvendes Xofigo
English: - If you suffer from decreased blood cell production in the bone marrow, e.g. if you have received prior chemotherapy (other medicines used to kill cancer cells) and/or radiation therapy, you may be at higher risk and your doctor will give you Xofigo with caution.
Danish: Hvis du lider af nedsat dannelse af blodlegemer i knoglemarven, f.eks. hvis du har fået kemoterapi (anden medicin, der anvendes til at dræbe kræftceller) og/eller strålebehandling, kan du have en større risiko, og lægen vil give dig Xofigo med forsigtighed.
English: Relative to placebo, the decline in quality of life was slower for Xofigo during the on-treatment period as measured by EQ-5D utility index score (-0.040 versus - 0.109; p=0.001), EQ-5D self-reported Visual Analogue health status scores (VAS) (-2.661 versus -5.860; p=0.018) and the FACT P total score (-3.880 versus -7.651, p=0.006) but did not reach published minimally important differences.
Danish: I forhold til placebo var faldet i livskvaliteten langsommere for Xofigo i behandlingsperioden målt ved hjælp af EQ-5D-nytteindexscore (0,040 versus - 0,109; p=0,001), EQ-5D selvrapporteret Visual Analogue-score (VAS) (-2,661 versus -5,860; p=0,018) og FACT P samlet score (-3,880 versus -7,651, p=0,006), men nåede ikke op på de publicerede minimalt vigtige forskelle.
English: 4Absorbed dose data to the lung are based on model-derived calculation using pooled blood time-activity data from all subjects
Danish: 4Data for den absorberet dosis til lungerne er baseret på en modelafledt beregning ved brug af de samlede tidaktivitetsdata fra alle deltagere.
English: A statistically significant overall survival benefit of treatment could not be demonstrated in the subgroups of patients with fewer than 6 metastases (HR for radium-223 to placebo 0.901; 95% CI [0.553 -1.466], p=0.674) or a baseline total alkaline phosphatase (ALP) < 220 U/L (HR 0.823; 95% CI [0.633 -1.068], p=0.142) in the phase III ALSYMPCA study.
Danish: En statistisk signifikant samlet overlevelsesfordel ved behandlingen kunne ikke vises i undergrupperne af patienter med færre end 6 metastaser (HR for radium-223 vs. placebo 0,901; 95% CI [0,553-1,466], p=0,674) eller totalt basisk fosfatase ved baseline < 220 E/l (HR 0,823; 95 % CI [0,633-1,068], p=0,142) i fase III ALSYMPCA-studiet.
English: Xofigo must not be given in combination with abiraterone and prednisone/prednisolone due to a possible increase in the risk of bone fracture or death.
Danish: Xofigo må ikke gives i kombination med abirateronacetat og prednison/prednisolon på grund af en muligt forhøjet risiko for knoglebrud eller dødsfald.
English: Xofigo is a clear, colourless solution and should not be used in case of discolouration, the occurrence of particulate matter or a defective container.
Danish: Xofigo er en klar, farveløs opløsning, og den bør ikke anvendes, hvis der er misfarvning, partikler eller beholderen er beskadiget.
English: The limited available data indicates that patients receiving chemotherapy after Xofigo had a similar haematological profile compared to patients receiving chemotherapy after placebo (see also section 5.1).
Danish: De begrænsede data, der er tilgængelige, tyder på, at patienter, der får kemoterapi efter Xofigo, har en hæmatologisk profil, der er sammenlignelig med profilen hos de patienter, der får kemoterapi efter placebo (se også pkt.