FrancophonIA/ELRC3.0 huggingface dataset:
English: Fatal events other than those listed in section 4.4 above or in section 4.8 below that were considered possibly related to sunitinib included multi-system organ failure, disseminated intravascular coagulation, peritoneal haemorrhage, adrenal insufficiency, pneumothorax, shock, and sudden death.
Slovenian: Med dogodki s smrtnim izidom (razen naštetih v poglavju 4.4 zgoraj ali v poglavju 4.8 spodaj), ki so jih ocenili kot morda povezane s sunitinibom, so bili: odpoved več organov, diseminirana intravaskularna koagulacija, peritonealna krvavitev, adrenalna insuficienca, pnevmotoraks, šok in nenadna smrt.
English: The median PFS was 11.4 months for the sunitinib arm compared to 5.5 months for the placebo arm [hazard ratio: 0.418 (95% CI: 0.263, 0.662), p-value=0.0001]; similar results were observed when derived tumour response assessments based upon application of RECIST to investigator tumour measurements were used to determine disease progression, as shown in Table 4.
Slovenian: Mediana vrednost PFS je znašala 11,4 meseca pri skupini, ki je prejemala sunitinib, v primerjavi s 5,5 meseci pri skupini, ki je prejemala placebo [razmerje ogroženosti: 0,418 (95 % IZ: 0,263, 0,662), vrednost p = 0,0001]; podobne rezultate so opažali, kadar so bila za določitev napredovanja bolezni uporabljena izpeljana ocenjevanja odziva tumorja, izvedena po merilih RECIST pri meritvah tumorja s strani raziskovalcev, kot je prikazano v Preglednici 4.
English: At the time of the prespecified interim analysis, the median TTP on sunitinib was 28.9 weeks (95% CI: 21.3, 34.1) as assessed by the investigator and 27.3 weeks (95% CI: 16.0, 32.1) as assessed by the independent review and was statistically significantly longer than the TTP on placebo of 5.1 weeks (95% CI: 4.4, 10.1) as assessed by the investigator and 6.4 weeks (95% CI: 4.4, 10.0) as assessed by the independent review.
Slovenian: Pri vnaprej določeni vmesni analizi je mediani TTP s sunitinibom znašal 28,9 tedna (95 % IZ: 21,3-34,1), kot ga je ocenil raziskovalec, in 27,3 tedna (95 % IZ = 16,0-32,1), kot je bil ocenjen pri neodvisnem pregledu, in je bil statistično pomembno daljši kot TTP s placebom pri 5,1 tedna (95 % IZ: 4,4-10,1), kot ga je ocenil raziskovalec, in 6,4 tedna (95 % IZ = 4,4-10,0), kot je bil ocenjen pri neodvisnem pregledu.
English: Number of subjects at risk
Slovenian: Razmerje ogroženosti
English: Patients who develop thyroid dysfunction should be treated as per standard medical practice.
Slovenian: Bolnike, pri katerih se pojavi moteno delovanje ščitnice, je treba zdraviti v skladu z običajno medicinsko prakso.
English: The most frequent adverse drug reactions were diarrhoea, nausea, WBC count decreased, neutropenia, and headache in 3 (50.0%) patients each, primarily Grade 1 or 2 in severity.
Slovenian: Najpogostejši neželeni učinki zdravila so bili diareja, navzea, zmanjšanje števila belih krvnih celic, nevtropenija in glavobol, pri čemer se je vsak pojavil pri 3 (50,0 %) bolnikih, po resnosti pa so bili predvsem 1. ali 2. stopnje.
English: Therapy with Sutent should be initiated by a physician experienced in the administration of anticancer agents.
Slovenian: Zdravljenje z zdravilom Sutent mora uvesti zdravnik, ki ima izkušnje z uporabo zdravil za zdravljenje rakavih bolezni.
English: Cases of pulmonary embolism were observed in approximately 3.1% of patients with GIST and in approximately 1.2% of patients with MRCC, who received sunitinib in Phase 3 studies.
Slovenian: Primere pljučne embolije so opazili pri približno 3,1 % bolnikov z GIST in približno 1,2 % bolnikov z MRCC, ki so prejemali sunitinib v študijah 3. faze.
English: Patients should be advised that depigmentation of the hair or skin may occur during treatment with sunitinib.
Slovenian: Bolnikom je treba svetovati, da lahko med zdravljenjem s sunitinibom pride do depigmentacije las in dlak ali kože.
English: At approximately twice therapeutic concentrations, the maximum QTcF interval change from baseline was 15.4 msec (90% CI: 22.4 msec).
Slovenian: Pri približno dvakratni terapevtski koncentraciji je bila največja sprememba intervala QTcF od izhodišča 15,4 milisekunde (90 % IZ, 22,4 milisekunde).
English: It may be taken with or without food.
Slovenian: Bolnik lahko zdravilo vzame s hrano ali brez nje.
English: Hepatic dysfunction has been reported and may include Liver Function Test abnormalities, hepatitis, or liver failure (see section 4.4).
Slovenian: Poročali so o nepravilnem delovanju jeter, kar lahko vključuje nenormalnosti v rezultatih testov jetrne funkcije, hepatitis ali odpoved jeter (glejte poglavje 4.4).
English: Notify your doctor as soon as possible if you experience any signs and symptoms of low blood sugar (fatigue, palpitations, sweating, hunger and loss of consciousness).
Slovenian: Obvestite zdravnika takoj, ko je mogoče, če se vam pojavijo znaki in simptomi nizke ravni sladkorja v krvi (utrujenost, razbijanje srca, potenje, občutek lakote in izguba zavesti).
English: Tell your doctor if you feel very tired, are short of breath, or have swollen feet and ankles.
Slovenian: Obvestite zdravnika, če se počutite zelo utrujeni, imate kratko sapo ali otekle noge in gležnje.
English: reductions in gravid uterine weights and number of live foetuses were due to increases in the number of resorptions, increases in postimplantation loss and complete litter loss in 4 of 6 pregnant females at plasma exposure levels 3 times the systemic exposure in humans.
Slovenian: Pri kuncih sta bila zmanjšanje gravidne uterine mase in števila živih plodov posledica večjega števila resorpcij, večje poimplantacijske izgube in popolne izgube legla pri 4 od 6 brejih samic, in sicer pri plazemski izpostavljenosti, ki je bila 3-krat večja od sistemske izpostavljenosti pri ljudeh.
English: Risk factors associated with ATE, in addition to the underlying malignant disease and age  65 years, included hypertension, diabetes mellitus, and prior thromboembolic disease.
Slovenian: Med dejavniki tveganja, ki so povezani z ATE, so bili poleg osnovne maligne bolezni in starosti  65 let, prisotni hipertenzija, sladkorna bolezen in predhodna trombembolična bolezen.
English: In addition, 24% of sunitinib patients had received somatostatin analogues compared with 22% of placebo patients.
Slovenian: Poleg tega je 24 % s sunitinibom zdravljenih bolnikov prejemalo analoge somatostatina, v primerjavi z 22 % bolnikov iz skupine s placebom.
English: During sunitinib treatment, routine monitoring of thyroid function should be performed every 3 months.
Slovenian: Bolnike je treba med zdravljenjem s sunitinibom vsake 3 mesece rutinsko spremljati glede delovanja ščitnice.
English: Medicinal products that may increase sunitinib plasma concentrations Effect of CYP3A4 inhibitors
Slovenian: Zdravila, ki lahko zvečajo koncentracijo sunitiniba v plazmi Učinek zaviralcev CYP3A4
English: Treatment-related venous thromboembolic events were reported in patients who received sunitinib including deep venous thrombosis and pulmonary embolism (see section 4.8).
Slovenian: Pri bolnikih, ki so prejemali sunitinib, so zabeležili z zdravljenjem povezane venske trombembolične dogodke, vključno z globoko vensko trombozo in pljučno embolijo (glejte poglavje 4.8).
English: If angioedema due to hypersensitivity occurs, sunitinib treatment should be interrupted and standard medical care provided (see section 4.8).
Slovenian: Če se zaradi preobčutljivosti pojavi angioedem, je treba zdravljenje s sunitinibom prekiniti in uvesti standardno zdravniško oskrbo (glejte poglavje 4.8).
English: Severe skin rashes (Stevens-Johnson syndrome, toxic epidermal necrolysis, erythema multiforme) have been reported with the use of sunitinib, appearing initially as reddish target-like spots or circular patches often with central blisters on the trunk.
Slovenian: Pri uporabi sunitiniba so poročali o hudih izpuščajih na koži (Stevens-Johnsonov sindrom, toksična epidermalna nekroliza, multiformni eritem), ki se najprej pojavijo kot rdečkaste pike, podobne tarči, ali okrogle lise, ki imajo na trupu v sredini pogosto še mehurje.
English: Moxifloxacin (400 mg) used as a positive control showed a 5.6 msec maximum mean QTcF interval change from baseline.
Slovenian: Med uporabo moksifloksacina (400 mg) kot pozitivne kontrole so ugotovili največjo povprečno spremembo intervala QTcF od izhodišča 5,6 milisekunde.
English: Immune system disorders Hypersensitivity reactions, including angioedema, have been reported (see section 4.4).
Slovenian: Bolezni imunskega sistema Poročali so o preobčutljivostnih reakcijah, vključno z angioedemom (glejte poglavje 4.4).
English: Baseline laboratory measurement of thyroid function is recommended in all patients.
Slovenian: Izhodiščne meritve delovanja ščitnice je priporočljivo opraviti pri vseh bolnikih.
English: Additional effects observed in other studies included: QTc interval prolongation, LVEF reduction and testicular tubular atrophy, increased mesangial cells in kidney, haemorrhage in gastrointestinal tract and oral mucosa, and hypertrophy of anterior pituitary cells.
Slovenian: Med dodatnimi učinki, opaženimi v drugih študijah, so bili: podaljšanje intervala QTc, zmanjšanje LVEF in atrofija tubulov v modih, zvečanje mezangijskega matriksa v ledvicah, krvavitve iz prebavil in ustne sluznice ter hipertrofija celic v sprednjem delu hipofize.
English: Population PK analyses of a pooled dataset from adult patients with GIST and solid tumours and paediatric patients with solid tumours were completed.
Slovenian: Izvedli so populacijske FK analize združenih zbirk podatkov, pridobljenih pri odraslih bolnikih z GIST in čvrstimi tumorji ter pediatričnih bolnikih s čvrstimi tumorji.
English: For pNET, dose modification in 12.5 mg steps may be applied based on individual safety and tolerability.
Slovenian: Pri pNET je odmerek mogoče prilagajati v korakih po 12,5 mg, upoštevaje varnost in prenašanje pri posameznem bolniku.
English: If signs or symptoms of hepatic failure are present, sunitinib should be discontinued and appropriate supportive care should be provided (see section 4.8).
Slovenian: Če se pojavijo znaki ali simptomi odpovedi jeter, je treba uporabo sunitiniba prekiniti in zagotoviti ustrezno podporno oskrbo (glejte poglavje 4.8).
English: Sutent was not studied in subjects with severe (Child-Pugh Class C) hepatic impairment.
Slovenian: Zdravila Sutent niso raziskali pri bolnikih s hudo jetrno okvaro (razred C po Child-Pughu).
English: Efficacy is based on time-to-tumour progression (TTP) and an increase in survival in GIST, on progression-free survival (PFS) and objective response rates (ORR) for treatment-naïve and cytokine-refractory MRCC respectively, and on PFS for pNET.
Slovenian: Učinkovitost temelji na času do napredovanja tumorja in podaljšanju preživetja pri GIST, na preživetju brez napredovanja bolezni (PFS - progression-free survival) pri še nezdravljenem MRCC, na objektivnem odzivu (ORR - objective response rates) na zdravljenje pri MRCC, odpornemu proti citokinom in na PFS pri pNET.
English: Patients should be screened for hypertension and controlled as appropriate.
Slovenian: Pri bolnikih je treba opraviti presejanje za hipertenzijo in jo ustrezno urediti.
English: In patients receiving sunitinib for treatment-naïve MRCC, 39% had bleeding events vs 11% of patients receiving interferon- (IFN-α).
Slovenian: Med bolniki, ki so prejemali sunitinib za še nezdravljen MRCC, je imelo pojave krvavitev 39 % bolnikov, med bolniki, ki so prejemali interferon- (IFN-), pa 11 %.
English: If symptoms of pancreatitis are present, patients should have sunitinib discontinued and be provided with appropriate supportive care.
Slovenian: Če se pri bolnikih pojavijo simptomi pankreatitisa, je treba zdravljenje s sunitinibom prekiniti in jim nuditi ustrezno podporno oskrbo.
English: No effects on male or female fertility were observed in reproductive toxicity studies.
Slovenian: Pri samcih in samicah v študijah vpliva na sposobnost razmnoževanja niso opazili učinkov na plodnost.
English: Sunitinib treatment in rats during organogenesis resulted in developmental effects at  5 mg/kg/day consisting of increased incidence of foetal skeletal malformations, predominantly characterised as retarded ossification of thoracic/lumbar vertebrae and occurred at plasma exposure levels 5.5 times the systemic exposure in humans.
Slovenian: Pri podganah je zdravljenje s sunitinibom med organogenezo, pri odmerkih  5 mg/kg/dan, povzročilo učinke na razvoj, ki so vključevali večjo incidenco skeletnih malformacij pri plodu, ki so se kazale predvsem kot zapoznelo zakostenevanje prsnih in ledvenih vretenc, pojavile pa so se pri plazemski izpostavljenosti, ki je bila 5,5-krat večja od sistemske izpostavljenosti pri ljudeh.
English: The EMA has waived the obligation to submit the results of the studies with Sutent in all subsets of the paediatric population for the treatment of gastroenteropancreatic neuroendocrine tumours (excluding neuroblastoma, neuroganglioblastoma, and phaeochromocytoma) (see section 4.2).
Slovenian: EMA za zdravila je odstopila od zahteve za predložitev rezultatov študij z zdravilom Sutent za vse podskupine pediatrične populacije pri gastroenteropankreatičnih nevroendokrinih tumorjih (z izjemo nevroblastoma, nevroganglioblastoma, feokromocitoma) (glejte poglavje 4.2).
English: In addition, patients should be observed closely for signs and symptoms of thyroid dysfunction during treatment, and patients who develop any signs and/or symptoms suggestive of thyroid dysfunction should have laboratory testing of thyroid function performed as clinically indicated.
Slovenian: Dodatno je treba bolnike med zdravljenjem skrbno spremljati glede znakov in simptomov motenega delovanja ščitnice, in pri bolnikih, pri katerih se pojavijo znaki ali simptomi, ki nakazujejo na moteno delovanje ščitnice, laboratorijsko preveriti delovanje ščitnice, kot je klinično indicirano.
English: Baseline was reset at cross-over and efficacy analyses were based on investigators assessment.
Slovenian: Izhodišče je bilo ponastavljeno ob prehodu s placeba na zdravilo, analizi učinkovitosti temeljita na oceni raziskovalcev.
English: Bleeding events, excluding epistaxis, were reported in 21.7% of patients receiving sunitinib in the Phase 3 pNET study compared to 9.85% of patients receiving placebo (see section 4.4)
Slovenian: Krvavitve, z izjemo epistakse, so se pojavljale pri 21,7 % bolnikov, ki so sunitinib prejemali v študiji 3. faze pri pNET, v primerjavi z 9,85 % bolnikov, ki so prejemali placebo (glejte poglavje 4.4).
English: The most common (≥10%) treatment-related adverse events were neutrophil count decreased (6 [20.7%] patients) and haemorrhage intracranial (3[10.3%] patients).
Slovenian: Najpogostejša (≥ 10 %) z zdravljenjem povezana neželena učinka sta bila zmanjšanje števila nevtrofilcev (6 [20,7 %] bolnikov) in intrakranialna krvavitev (3 [10,3 %] bolniki).
English: In vitro, binding of sunitinib and its primary active metabolite to human plasma protein was 95% and 90%, respectively, with no apparent concentration dependence.
Slovenian: V preskusih in vitro je bila vezava sunitiniba na beljakovine v človeški plazmi 95 %, vezava njegovega primarnega aktivnega presnovka pa 90 %; vezavi nista bili odvisni od koncentracije.
English: Progression-free survival [median, months (95% CI)] by derived tumour response assessment based upon application of RECIST to investigator tumour assessments
Slovenian: Preživetje brez napredovanja bolezni [mediana, meseci (95 % IZ)] po izpeljani oceni odziva tumorja na temelju uporabe meril RECIST pri ocenah tumorjev s strani raziskovalcev
English: Treatment-naïve mRCC summary of efficacy endpoints (ITT population)
Slovenian: Preglednica 3 - Povzetek opazovanih dogodkov učinkovitosti pri še nezdravljenem MRCC (populacija ITT)
English: A higher incidence rate of hypoglycaemia events was reported in patients with pNET in comparison to MRCC and GIST.
Slovenian: Pri bolnikih s pNET so v primerjavi z bolniki z MRCC in GIST poročali o večji incidenci hipoglikemije.
English: If indicated, elimination of unabsorbed active substance may be achieved by emesis or gastric lavage.
Slovenian: Izločanje neabsorbirane učinkovine je mogoče doseči z emezo ali izpiranjem želodca, če je to indicirano.
English: In rats, embryo-foetal mortality was evident as significant reductions in the number of live foetuses, increased numbers of resorptions, increased postimplantation loss, and total litter loss in 8 of 28 pregnant females at plasma exposure levels 5.5 times the systemic exposure in humans.
Slovenian: Pri podganah se je embrio-fetalna umrljivost kazala s pomembno manjšim številom živih plodov, večjim številom resorpcij, večjimi poimplantacijskimi izgubami ter popolno izgubo legla pri 8 od 28 brejih samic, in sicer pri plazemski izpostavljenosti, ki je bila 5,5-krat večja od sistemske izpostavljenosti pri ljudeh.
English: Tell your doctor if you develop any of the following signs and symptoms of liver problems during Sutent treatment: itching, yellow eyes or skin, dark urine, and pain or discomfort in the right upper stomach area.
Slovenian: Obvestite zdravnika, če se vam pojavi kateri od naslednjih znakov in simptomov težav z jetri med zdravljenjem z zdravilom Sutent: srbenje, rumene oči ali koža, temen urin in bolečina ali nelagodje v desnem zgornjem predelu želodca.
English: Treatment-related serious adverse events (TRSAEs) were reported in 23.7% of patients receiving sunitinib and in 6.9% of patients receiving IFN-α.
Slovenian: O resnih neželenih učinkih, povezanih z zdravljenjem (TRSAEs - treatment-related serious adverse events), so poročali pri 23,7 % bolnikov, ki so prejemali sunitinib in pri 6,9 % bolnikov, ki so prejemali IFN-.
English: In the dosing ranges of 25 to 100 mg, the area under the plasma concentration-time curve (AUC) and Cmax increase proportionally with dose.
Slovenian: Površina pod krivuljo plazemske koncentracije po času (AUC) in Cmax v odmernem območju od 25 do 100 mg naraščata sorazmerno z odmerkom.
English: Maternal body weight gains were reduced during gestation and lactation at ≥ 1 mg/kg/day but no maternal reproductive toxicity was observed up to 3 mg/kg/day (estimate exposure ≥ 2.3 times the AUC in patients administered the RDD).
Slovenian: Pridobivanje telesne mase pri samicah se je zmanjšalo v obdobju brejosti in laktacije pri odmerkih  1 mg/kg/dan, toda nobenega toksičnega vpliva na sposobnost razmnoževanja samic niso opazili pri odmerkih do 3 mg/kg/dan (ocena izpostavljenosti  2,3-kratnik vrednosti AUC pri bolnikih, ki prejemajo RDD).
English: If you develop a rash or these skin symptoms, seek immediate advice from a doctor.
Slovenian: Če se vam pojavijo izpuščaj ali opisani simptomi na koži, se nemudoma posvetujte z zdravnikom.
English: Adverse reactions reported in clinical trials
Slovenian: Preglednica 1 - Neželeni učinki, o katerih so poročali v kliničnih preskušanjih
English: The most common (≥10%) reported treatment-related adverse events in patients in both groups combined were neutrophil count decreased (6 patients [20.7%]) and haemorrhage intracranial (3 patients [10.3%]) (see section 4.8).
Slovenian: Najpogostejša (≥ 10 %) z zdravljenjem povezana neželena učinka, o katerih so poročali pri bolnikih v obeh skupinah skupaj, sta bila zmanjšanje števila nevtrofilcev (6 bolnikov [20,7 %]) in intrakranialna krvavitev (3 bolniki [10,3 %]) (glejte poglavje 4.8).
English: Cases of TLS, some fatal, have been rarely observed in clinical trials and have been reported in postmarketing surveillance in patients treated with sunitinib.
Slovenian: Sindrom lize tumorja (TLS - tumour lysis syndrome) Primere TLS, nekatere s smrtnim izidom, so redko opazili v kliničnih preskušanjih ter o njih poročali med nadzorom v obdobju trženja zdravila pri bolnikih, zdravljenih s sunitinibom.
English: Hypothyroidism has been observed to occur early as well as late during treatment with sunitinib (see section 4.8).
Slovenian: Opažali so, da se je hipotiroidizem pojavljal v zgodnjem in tudi poznejšem obdobju zdravljenja s sunitinibom (glejte poglavje 4.8).
English: The major active metabolite was not evaluated for genotoxic potential.
Slovenian: Genotoksičnega potenciala glavnega aktivnega presnovka niso ovrednotili.
English: Hypertension was reported in approximately 33.9% of patients receiving sunitinib for treatment-naïve MRCC compared to 3.6% of patients receiving IFN-.
Slovenian: O hipertenziji so poročali pri približno 33,9 % bolnikov, ki so prejemali sunitinib za še nezdravljen MRCC, in pri 3,6 % bolnikov, ki so prejemali IFN-.
English: Supportive care for gastrointestinal adverse reactions requiring treatment may include medicinal products with antiemetic, antidiarrhoeal, or antacid properties.
Slovenian: Če neželeni učinki na prebavilih zahtevajo zdravljenje, lahko podporna oskrba vključuje uporabo zdravil z antiemetičnim, antidiaroičnim ali antacidnim učinkom.
English: Tell your doctor if you have any of these symptoms or a serious bleeding problem during treatment with Sutent: painful, swollen stomach (abdomen); vomiting blood; black, sticky stools; bloody urine; headache or change in your mental status; coughing up of blood or bloody sputum from the lungs or airway.
Slovenian: Obvestite zdravnika, če imate katerega od naslednjih simptomov ali resne težave s krvavitvami med zdravljenjem z zdravilom Sutent: boleč, otekel trebuh, bruhanje krvi, črno, lepljivo blato, krvav urin, glavobol ali spremembe v vašem duševnem stanju, izkašljevanje krvi ali krvav izpljunek iz pljuč ali dihalnih poti.
English: • Nose bleeding.
Slovenian: • krvavitev iz nosu
English: Excretion is primarily via faeces (61%), with renal elimination of unchanged active substance and metabolites accounting for 16% of the administered dose.
Slovenian: Izloča se predvsem z blatom (61 %); skozi ledvice se v obliki nespremenjene učinkovine in presnovkov izloči 16 % uporabljenega odmerka.
English: In the Phase 1/2 study, stable disease and disease progression was observed in 3 out of 6 patients each (1 patient received neo adjuvant and 1 patient received adjuvant imatinib, respectively).
Slovenian: faze so tako stabilno bolezen kot napredovanje bolezni opazili pri 3 od 6 bolnikov (1 bolnik je prejemal neoadjuvantno, 1 bolnik pa adjuvantno zdravljenje z imatinibom).
English: In the Phase 3 pNET study, 1 (1%) patient who received sunitinib had treatment-related fatal cardiac failure.
Slovenian: V študiji 3. faze pri pNET je pri 1 bolniku (1 %), ki je prejemal sunitinib, prišlo do z zdravljenjem povezanega srčnega popuščanja s smrtnim izidom.
English: Administration of sunitinib with potent CYP3A4 inducers (e.g., dexamethasone, phenytoin, carbamazepine, rifampicin, phenobarbital or herbal preparations containing St. John's Wort/Hypericum perforatum) may decrease sunitinib concentrations.
Slovenian: Uporaba sunitiniba z močnimi induktorji CYP3A4 (npr. z deksametazonom, fenitoinom, karbamazepinom, rifampicinom, fenobarbitalom ali z rastlinskimi pripravki, ki vsebujejo šentjanževko / Hypericum perforatum) lahko zmanjša koncentracijo sunitiniba.