FrancophonIA/ELRC3.0 huggingface dataset:
English: It is indicated for the treatment and prevention of infestations with fleas, ticks, and lice in dogs and cats, and provides indirect protection against the transmission of the pathogens Babesia canis vogeli and Ehrlichia canis from the vector tick Rhipicephalus sanguineus, thereby reducing the risk of canine babesiosis and canine ehrlichiosis for 7 months.
Danish: Seresto er indiceret til behandling og forebyggelse af angreb fra lopper, flåter og lus hos hund og kat og giver indirekte beskyttelse mod overførsel af patogenerne Babesia canis vogeli og Ehrlichia canis fra vektor-flåten Rhipicephalus sanguineus, hvorved risikoen for hunde-babesiose og -ehrlichiose reduceres i 7 måneder.
English: The use of fed to unfed female sand flies ratios in Abbott's formula is not considered acceptable as a method for calculation of percentage efficacy as ratios have been used incorrectly to approximate risks (probabilities).
Danish: Anvendelsen af ratioer for sandfluer, der har suget blod, over for sandfluer, der ikke har suget blod, i Abbotts formel vurderes at være en uacceptabel metode til beregning af procentmæssig effekt, da ratioerne er anvendt forkert til opnåelse af omtrentlige risici (sandsynligheder).
English: the CVMP has recommended the granting of the variation of the marketing authorisations for Seresto and its associated name Foresto with amendment to the summary of product characteristics, labelling and package leaflet of the reference Member State.
Danish: CVMP anbefaler godkendelse af ændrede markedsføringstilladelser for Seresto og dets relaterede navn Foresto med ændring af produktresuméet, etikettering og indlægsseddel i referencemedlemsstaten.
English: As a result, bites by sand flies may occur, and the transmission of Leishmania infantum cannot be completely excluded.
Danish: Som følge heraf kan der forekomme bid fra sandfluer og overførsel af Leishmania infantum kan ikke fuldstændigt udelukkes.
English: In support of this application, the MAH provided laboratory and field studies.
Danish: Til støtte for sin ansøgning fremlagde indehaveren af markedsføringstilladelse laboratorie- og feltundersøgelser.
English: Three field studies, performed in situations with high infection pressure for leishmaniosis, demonstrated that the occurrence of new cases of L. infantum is significantly reduced in dogs treated with Seresto.
Danish: Tre feltundersøgelser, der er gennemført i situationer med højt infektionspres for leishmaniose, viste, at forekomsten af nye tilfælde af L. infantum reduceres signifikant hos hunde, der behandles med Seresto.
English: Having considered all of the data and argumentation submitted, it was the opinion of the CVMP that, although the MAH has not demonstrated that Seresto has satisfactory anti-feeding efficacy against P. perniciosus that would support a direct repellent claim against this parasite, the studies provided demonstrate that dogs treated with Seresto have a significant reduction in the occurrence of infection with L. infantum as a result of reduced transmission by the sand fly vector.
Danish: Efter gennemgang af alle fremsendte data og indlæg er CVMP af den opfattelse, at selvom indehaveren af markedsføringstilladelse ikke har påvist, at Seresto har en tilfredsstillende antiblodsugende virkning mod P. perniciosus, som kan understøtte en indikation for direkte repellerende effekt mod denne parasit, viser de fremlagte undersøgelser, at Seresto-behandlede hunde har en betydeligt reduceret forekomst af infektion med L. infantum som følge af en reduceret overførsel fra sandflue-vektoren.
English: Positive animals were defined as the animals that at study completion were positive to one or more of the following tests: serology for circulating anti-Leishmania-infantum-antibodies (IFAT), cytology/PCR on skin tissue sample, and cytology/PCR of bone marrow aspirate.
Danish: Positive dyr var defineret som dyr, der ved undersøgelsens afslutning blev testet positive ved en eller flere af følgende prøver: serologi for cirkulerende anti-Leishmania-infantum-antistoffer (IFAT), cytologi/PCR af hudprøve og cytologi/PCR af knoglemarvsaspirat.
English: Grounds for the granting of the variation of the marketing authorisations
Danish: Begrundelser for godkendelse af ændringen af markedsføringstilladelserne
English: Animal species
Danish: Tiergesundheit
English: Depending on the infection pressure by sand flies the efficacy in the reduction of the risk of infection with leishmaniosis ranged from 88.3 to 100%.
Danish: Afhængig af infektionstrykket fra sandfluer reduceres risikoen for infektion med leishmaniose med 88,3 til 100%.
English: The anti-feeding results, when using the absolute numbers of sand flies to calculate efficacy using the Abbott's formula as per the recommendation of Guideline for the testing and evaluation of the efficacy of antiparasitic substances for the treatment and prevention of tick and flea infestations in dogs and cats (EMA/CVMP/EWP/005/2000-Rev.2)2, averaged 75.1% over the study period (65%-89%).
Danish: Den repellerende effekt, der blev beregnet ud fra det absolutte antal sandfluer ved hjælp af Abbotts formel i henhold til anbefalingerne i vejledningen om test og vurdering af parasitbekæmpende stoffers effektivitet til behandling og forebyggelse af flåt- og loppeangreb hos hund og kat (EMA/CVMP/EWP/005/2000-Rev.2)2, lå på gennemsnitligt 75,1% i undersøgelsesperioden (65-89%).
English: Animals were tested for leishmaniosis with samples of blood and skin tissue being collected on study days 0, 120, 210, and 360 (i.e. in the post-treatment phase), and samples of bone marrow collected on study days 0, 210, and 300.
Danish: Dyrene blev testet for leishmaniose ved hjælp af blod- og hudprøver, der blev indsamlet dag 0, 120, 210 og 360 (dvs. i efterbehandlingsfasen), og knoglemarvsprøver indsamlet dag 0, 210 og 300.
English: Reduction of the risk of infection with Leishmania infantum via transmission by sand flies for up to 8 months.
Danish: Reducerer risikoen for infektion med Leishmania infantum ved overførsel via sandfluer i op til 8 måneder.
English: However, the ratio of fed to unfed sand flies in the laboratory study described above is lower in treated dogs (mean 0.3, range 0.1 to 0.4) when compared to untreated animals (mean 9.0, range 3.3 to 15.6).
Danish: Ratioen for sandfluer, der har suget blod, over for sandfluer, der ikke har suget blod, i ovenfor beskrevne laboratorieundersøgelse er imidlertid lavere hos behandlede hunde (gennemsnit 0,3; interval 0,1-0,4) end hos ubehandlede dyr (gennemsnit 9,0; interval 3,3-15,6).
English: The anti-feeding efficacy demonstrated for Seresto is, therefore, considered insufficient for the inclusion of a direct repellent claim against P. perniciosus.
Danish: Dokumentationen for en repellerende effekt ved Seresto vurderes derfor ikke at være tilstrækkelig til, at den påberåbte direkte repellerende effekt mod P. perniciosus kan inkluderes.
English: The United Kingdom considered that, for any vector-borne disease, before an indication can be accepted, demonstration of efficacy against the vector must also be established.
Danish: Storbritannien mente, at før en indikation kan godkendes ved vektorbårne sygdomme, skal det påvises, at produktet også har effekt mod vektoren.
English: Regarding the data requirement for the demonstration of repellent (anti-feeding) efficacy against P. perniciosus, the UK did not accept that the laboratory data submitted by the MAH for the product justify the inclusion of an indication against the sand fly vector.
Danish: Hvad angår kravet om data til påvisning af den repellerende effekt (forhindring af blodsugning) mod P. perniciosus, mente Storbritannien ikke, at de laboratoriedata vedrørende produktet, som indehaveren af markedsføringstilladelse havde indsendt, kunne berettige inkludering af en indikation mod sandflue-vektoren.
English: Conjunctival swabs were collected on study day 0 and samples of bone marrow were collected on study day 0, in April 2012, and October 2012.
Danish: Konjunktiva-podning blev foretaget dag 0, og knoglemarvsprøver blev indsamlet dag 0, april 2012 og oktober 2012.
English: In the case of the sand fly and L. infantum, the active substances in Seresto, imidacloprid and flumethrin, have no known efficacy against the Leishmania parasite and therefore any preventative efficacy against leishmaniosis would be purely as a result of efficacy against the sand fly.
Danish: Hvad angår sandfluer og L. infantum, har de aktive stoffer i Seresto, imidacloprid og flumethrin, ingen kendt effekt mod Leishmania-parasitten, og en eventuel forebyggende effekt mod leishmaniose vil udelukkende kunne tilskrives effekten mod sandfluer.
English: Regarding the results of the three field studies presented by the MAH, all three studies were able to demonstrate that use of Seresto led to a significant reduction in the occurrence of infection with L. infantum over a sustained period (between 7 and 8 months), with overall mean efficacies of the collar in preventing leishmaniosis of 93.4% in the first field study, 100% in the second field study, and 88.3% in the third field study as evaluated by the incidence density rate.
Danish: Hvad angår resultaterne af de tre feltundersøgelser, der blev fremlagt af indehaveren af markedsføringstilladelse, kunne de alle vise, at brug af Seresto førte til en signifikant reduktion i forekomsten af L. infantum-smitte i en længere periode (7-8 måneder), idet halsbåndets generelle gennemsnitlige effektivitet til forebyggelse af leishmaniose ud fra incidensraten var 93,4% i den første feltundersøgelse, 100% i den anden feltundersøgelse og 88,3% i den tredje feltundersøgelse.
English: Data from efficacy studies against sand flies (Phlebotomus perniciosus) showed a variable sand fly repellent (anti-feeding) efficacy ranging from 65 to 89% for 7-8 months following initial application of the collar.
Danish: Effektstudier over for sandfluer (Phlebotomus perniciosus) har vist en variabel repellerende effekt (forhindrer blodsugning) varierende fra 65 til 89% i 7-8 måneder efter første påsætning af halsbåndet.
English: Animals were defined as noninfected by Leishmania when seronegative for circulating anti-L. infantum antibodies and negative to PCR of skin tissue and bone marrow aspirate samples.
Danish: Dyrene blev defineret som ikke-smittede af Leishmania, når de var seronegative for cirkulerende anti-L. infantum-antistoffer og negative for PCR af hudprøver og knoglemarvsaspirat.
English: A total of 224 dogs, of several breeds and aged between 7 and 77 weeks, were enrolled, blocked by pens and pens were randomised to one of four groups.
Danish: I alt 224 hunde af forskellige racer i alderen 7-77 uger blev inkluderet og fordelt i hundegårde, og hver hundegård blev randomiseret til en af fire grupper.
English: The marketing authorisation holder (MAH) submitted a variation application to add a new therapeutic indication: “Indirect protection against the transmission of pathogen Leishmania infantum by sand flies (Phlebotomus perniciosus) thereby reducing the risk of canine leishmaniosis for 7 to 8 months”.
Danish: Indehaveren af markedsføringstilladelse indsendte en variationsansøgning for at tilføje en ny terapeutisk indikation: "Indirekte beskyttelse mod overførsel af patogenet Leishmania infantum fra sandfluer (Phlebotomus perniciosus), hvorved risikoen for hunde-leishmaniose reduceres i 78 måneder".
English: In support of the efficacy of Seresto relating to the transmission or occurrence of Leishmania infantum in dogs, the MAH provided three field studies.
Danish: Til understøttelse af Serestos effekt, hvad angår overførsel eller forekomst af Leishmania infantum hos hunde, fremlagde indehaveren af markedsføringstilladelse tre feltundersøgelser.
English: • the CVMP considered that the efficacy of Seresto, and its associated name Foresto, relating to repellent (anti-feeding) activity against sand flies (Phlebotomus perniciosus) has not been satisfactorily demonstrated in the laboratory studies provided;
Danish: • CVMP er af den opfattelse, at virkningen af Seresto, og dets relaterede navn Foresto, hvad angår repellerende (anti-blodsugende) virkning mod sandfluer (Phlebotomus perniciosus), ikke er tilstrækkeligt påvist i de fremlagte laboratorieundersøgelser.
English: Risk assessment
Danish: Vurdering af risici
English: • the CVMP considered that the efficacy of Seresto, and its associated name Foresto, relating to the transmission or occurrence of Leishmania infantum in dogs has been satisfactorily demonstrated in the field studies provided;
Danish: • CVMP er af den opfattelse, at virkningen af Seresto, og dets relaterede navn Foresto, hvad angår overførsel eller forekomst af Leishmania infantum hos hunde, er tilstrækkeligt påvist i de fremlagte feltundersøgelser.
English: The first study was a negatively-controlled, randomised, multicentre field study, which was partially blinded.
Danish: Den første undersøgelse var en negativ-kontrolleret, randomiseret feltundersøgelse på flere centre, der var delvist blindet.
English: Therefore, whilst it was concluded that the claim ‘to significantly reduce the occurrence of infection with Leishmania infantum for up to 8 months due to repellent (anti-feeding) action of the product on sand flies' should not be included in the SPC, an amended indication, which accurately reflects the data provided, ‘reduction of the risk of infection with Leishmania infantum via transmission by sand flies for up to 8 months' was considered acceptable.
Danish: Selvom det blev konkluderet, at indikationen "betydelig reduktion af forekomsten af L. infantum-infektion i op til 8 måneder som følge af produktets repellerende (anti-blodsugende) virkning på sandfluer" ikke bør medtages i produktresuméet, blev en ændret indikation ("reduktion af risikoen for L. infantum-infektion ved overførsel fra sandfluer i op til 8 måneder"), der præcist afspejler de fremlagte data, fundet acceptabel.
English: The third field study was a double positive and negative controlled, partially blinded, randomised multicentre field study.
Danish: Den tredje feltundersøgelse var en dobbelt positiv- og negativ-kontrolleret, delvist blindet, randomiseret feltundersøgelse på flere centre.
English: Belgium Bayer SA-NV, J.E.
Danish: Bayer SA-NV, J.E.
English: The MAH also provided an alternative analysis of the laboratory data from all 3 studies using ratios of fed to unfed sand flies for efficacy calculation.
Danish: Indehaveren af markedsføringstilladelse fremlagde også en alternativ analyse af laboratoriedataene fra alle 3 undersøgelser ved brug af ratioer for sandfluer, der har suget blod, over for sandfluer, der ikke har suget blod, hvad angår effektberegninger.
English: A total of 279 dogs, of several breeds and aged between 2 and 96 months, were enrolled on day 0, with 219 of these dogs included in the efficacy calculation.
Danish: I alt 279 hunde af forskellige racer i alderen 2-96 måneder blev inkluderet dag 0.
English: Bayer Austria Ges.m.b.H
Danish: Bayer Austria Ges.m.b.H Herbstraße 6-10
English: Although a significant reduction in the incidence of L. infantum in dogs has been demonstrated, the product has shown variable repellent (anti-feeding) and insecticidal efficacy against the sand fly P. perniciosus.
Danish: Selvom der er påvist en betydelig reduktion i forekomsten af L. infantum hos hunde, har produktet udvist varierende repellerende (antiblodsugende) og insekticid virkning mod sandfluen P. perniciosus.
English: The MAH has provided three GCP-compliant laboratory studies, conducted in order to determine the anti-feeding and insecticidal efficacy of the test product against sand flies.
Danish: Indehaveren af markedsføringstilladelse har fremlagt tre GCP-overensstemmende laboratorieundersøgelser, der er gennemført for at bestemme produktets repellerende og insekticide effekt mod sandfluer.
English: Based on the data presented, the CVMP concluded that the efficacy of Seresto, and its associated name Foresto, with regard to a reduction of infection with L. infantum has been demonstrated, and that the benefit-risk balance is favourable.
Danish: Konklusioner vedrørende benefit/risk-forholdet Ud fra de fremlagte data vurderer CVMP, at effekten ved Seresto og det relaterede navn Foresto i forhold til at reducere forekomsten af L. infantum-infektion er blevet påvist, og at benefit/riskforholdet er gunstigt.
English: The consistently low fed to unfed ratios observed in treated dogs, compared to the high and variable fed to unfed ratios in untreated animals, demonstrate that the use of Seresto confers on treated dogs a sustained and consistent anti-feeding effect against sand flies (P. perniciosus).
Danish: De konsistent lave ratioer for sandfluer, der har suget blod, over for sandfluer, der ikke har suget blod, som er observeret hos behandlede hunde, sammenholdt med de høje og variable ratioer for sandfluer, der har suget blod, over for sandfluer, der ikke har suget blod, hos ubehandlede dyr, viser, at brug af Seresto har en vedvarende og konsistent repellerende effekt mod sandfluer hos behandlede hunde (P. perniciosus).
English: The application was submitted as a Type II variation for the addition of the new therapeutic indication ‘to significantly reduce the occurrence of infection with Leishmania infantum for up to 8 months due to repellent (anti-feeding) action of the product on sand flies'.
Danish: Ansøgningen blev indsendt som en type II-variation for at tilføje den nye terapeutiske indikation "betydelig reduktion af forekomsten af L. infantum-infektion i op til 8 måneder som følge af produktets repellerende (anti-blodsugende) virkning på sandfluer".
English: A claim for ‘reduction of the risk of infection with Leishmania infantum via transmission by sand flies for up to 8 months' has been adequately demonstrated.
Danish: En indikation for "reduktion af risikoen for L. infantum-infektion ved overførsel fra sandfluer i op til 8 måneder" er tilstrækkeligt påvist.
English: Bayer d.o.o., Bravničarjeva 13 1000 Ljubljana Slovenia
Danish: Slovenien Bayer d.o.o., Bravničarjeva 13
English: The amended summary of product characteristics, labelling and package leaflet are set out in Annex III.
Danish: Den ændrede formulering af produktresuméet, etiketteringen og indlægssedlen fremgår af bi
English: However, it was agreed by the CVMP that the field situations used in the studies submitted represent a ‘worst case scenario' in terms of exposure to infected sand flies: there was a high level of exposure to infected sand flies (incidence density rates in untreated dogs varied between 46.2 to 67.0%); dogs were housed outside throughout the day and night leading to unrestricted contact between the host and the vector; untreated dogs housed at the study area but not enrolled in the study constituted an additional reservoir for leishmaniosis.
Danish: CVMP anerkendte dog, at de feltsituationer, der blev anvendt i de fremlagte undersøgelser, repræsenterer et værst tænkeligt scenarie, hvad angår eksponering for smittede sandfluer: Der var et højt niveau af eksponering for smittede sandfluer (incidensraterne hos ubehandlede hunde varierede mellem 46,2-67,0%).
English: For the protective claim sought, demonstration of an anti-feeding activity for Seresto against sand flies was considered a prerequisite by the CVMP as the active substances in the Seresto collar, imidacloprid and flumethrin, have no known efficacy against Leishmania and therefore, any preventative efficacy against leishmaniosis is purely a result of efficacy against the sand fly.
Danish: CVMP vurderer, at en forudsætning for at kunne påberåbe sig en sådan beskyttende effekt er, at Serestos repellerende effekt mod sandfluer påvises, da de aktive stoffer i Seresto-halsbåndet, imidacloprid og flumethrin, ikke har nogen kendt effekt mod Leishmania, og da en eventuel forebyggende effekt mod leishmaniose derfor udelukkende vil kunne tilskrives effekten mod sandfluer.
English: Although a significant reduction in the incidence of Leishmania infantum in dogs has been demonstrated, the product has shown variable repellent (anti-feeding) and insecticidal efficacy against the sand fly Phlebotomus perniciosus.
Danish: Selvom der er vist en signifikant reduktion i forekomsten af Leishmania infantum hos hunde, har produktet vist en variabel repellerende (forhindrer blodsugning) og insekticid virkning over for sandfluen Phlebotomus perniciosus.
English: The indication proposed by the RMS, and agreed by the majority of the concerned Member States (CMSs), at the referral stage was “To significantly reduce the occurrence of infection with Leishmania infantum for up to 8 months due to repellent (anti-feeding) action of the product on sand flies.”
Danish: Den indikation, som referencemedlemsstaten har foreslået, og som størstedelen af de berørte medlemsstater har godkendt, var på indbringelsestidspunktet "at reducere forekomsten af Leishmania infantuminfektion signifikant i op til 8 måneder via produktets repellerende (forhindrer blodsugning) effekt mod sandfluer".
English: The influence of shampooing or water immersion regarding the transmission of canine leishmaniosis has not been examined.
Danish: Det er ikke undersøgt om shampoovask og badning i vand påvirker overførsel af leishmaniose hos hunde.
English: The three field studies provided demonstrated that, depending on the infection pressure by sand flies, use of Seresto reduced the risk of infection with L. infantum by 88.3-100%.
Danish: De tre fremlagte feltundersøgelser viste, at brug af Seresto reducerede risikoen for smitte med L. infantum med 88,3-100% alt efter infektionspresset fra sandfluer.
English: • the CVMP considered that the consistently low ratios of fed to unfed female sand flies seen in the laboratory studies are regarded supportive of the field study results;
Danish: • CVMP vurderer, at de konsistent lave ratioer for hunsandfluer, der suger blod, over for hunsandfluer, der ikke suger blod, som er set i laboratorieundersøgelserne, understøtter resultaterne fra feltundersøgelser.
English: This is a variation application for an already-authorised product (Seresto); no further risks have been identified in the studies provided.
Danish: Der er tale om en variationsansøgning for et allerede godkendt produkt (Seresto).
English: Efficacy evaluation for Seresto was based on the comparison of the percentage of animals infected by L. infantum in the Seresto treated and untreated groups at the end of the study.
Danish: Effektvurderingen af Seresto blev foretaget ved at sammenholde andelen af L. infantum-smittede dyr i den behandlede gruppe og den ubehandlede gruppe ved undersøgelsens afslutning.
English: Efficacy evaluation was based on the comparison of the percentage of animals infected by L. infantum in the treated and untreated groups at the end of the study.
Danish: Effektvurderingen blev foretaget ved at sammenholde andelen af L. infantum-smittede dyr i den behandlede gruppe og den ubehandlede gruppe ved undersøgelsens afslutning.
English: The second field study was a negatively-controlled, single centre, partially-blinded, clinical field study.
Danish: Den anden feltundersøgelse var en klinisk, negativt kontrolleret, delvist blindet feltundersøgelse på ét center.
English: However, the consistently low ratios of fed to unfed females seen in the laboratory studies are considered supportive of the field studies results.
Danish: De konsistent lave ratioer for hunsandfluer, der suger blod, over for hunsandfluer, der ikke suger blod, som er set i laboratorieundersøgelserne, vurderes dog at understøtte resultaterne fra feltundersøgelser.
English: Repellent efficacy was assessed by comparing the number of fed female sand flies in the treated animals to the number of fed female sand flies in the untreated animals.
Danish: Den afskrækkende effekt blev vurderet ved at sammenholde antallet af hunsandfluer, der havde suget blod, hos de behandlede hunde med antallet af hunsandfluer, der havde suget blod, hos de ubehandlede dyr.
English: Bayer Portugal, Lda., Rua Quinta do Pinheiro,
Danish: Bayer Portugal, Lda., Rua Quinta do Pinheiro, 5, 2794-003 Carnaxide Portugal