FrancophonIA/ELRC3.0 huggingface dataset:
English: This finding was not observed in repeat-dose studies in other species, including monkeys administered entecavir daily for 1 year at exposures ≥ 100 times those in humans.
Danish: Dette fund blev ikke observeret i studier med gentagne doser til andre arter, inklusiv aber, der fik entecavir dagligt i 1 år i doser ≥ 100 gange den humane dosis.
English: Baseline HBV DNA < 8 log10 IU/ml Baseline HBV DNA ≥ 8 log10 IU/ml aNC=F (noncompleter=failure) * Patients randomized to placebo who did not have HBe- seroconversion by Week 48 rolled over to open-label entecavir for the second year of the study; therefore randomized comparison data are available only through Week 48.
Danish: Baseline HBVDNA < 8 log10 IE/ml Baseline HBV-DNA ≥ 8 log10 IE/ml aNC=F (noncompleter=svigt) * Patienter randomiseret til placebo, som ikke opnåede HBe-serokonvertering ved uge 48, skiftede til åben entecavir i studiets andet år; derfor foreligger der kun randomiserede sammenligningsdata indtil uge 48.
English: Adverse reactions considered at least possibly related to treatment with entecavir are listed by body system organ class.
Danish: Bivirkninger, der som minimum vurderedes som muligvis at være forbundet med entecavir, angives efter organklasse nedenfor.
English: There are limited data on patients co-infected with HIV who have low CD4 cell counts (< 200 cells/mm3).
Danish: Der er begrænsede data vedrørende patienter med samtidig hiv-infektion, som har lave CD4-tal (< 200 celler/mm3).
English: If your doctor instructs you to take Entecavir Accord on an empty stomach, empty stomach means at least 2 hours after a meal and at least 2 hours before your next meal.
Danish: Hvis lægen har sagt, at du skal tage Entecavir Accord på tom mave, betyder det mindst 2 timer efter et måltid og mindst 2 timer før næste måltid.
English: Do not pass it on to others.
Danish: Lad derfor være med at give Entecavir Accord til andre.
English: Patients with advanced liver disease or cirrhosis may be at a higher risk for hepatic decompensation following hepatitis exacerbation, and therefore should be monitored closely during therapy.
Danish: Patienter med fremskreden leversygdom eller cirrose kan have højere risiko for hepatisk inkompensation efter hepatitis-eksacerbation og bør derfor monitoreres tæt under behandling.
English: Lamivudine-refractory:
Danish: Lamivudin-refraktære patienter:
English: Patients in response were followed for an additional 24 weeks offtreatment.
Danish: Patienter der responderede blev fulgt i yderligere 24 uger efter seponering af behandling.
English: For patients with baseline Ishak fibrosis score ≥ 2, 25/43 (58%)
Danish: Blandt patienter med baseline Ishak fibrose-score ≥ 2, havde 25/43 (58%) ≥ 2 point fald.
English: As an alternative, in case the oral solution is not available, the dose can be adjusted by increasing the dosage interval, also shown in the table.
Danish: Hvis oral opløsning ikke er tilgængelig, kan dosis alternativt justeres ved at øge dosisintervallet, som vist i tabellen.
English: Treatment with nucleoside analogues should be discontinued when rapidly elevating aminotransferase levels, progressive hepatomegaly or metabolic/lactic acidosis of unknown aetiology occur.
Danish: Behandling med nukleosidanaloger skal seponeres i tilfælde af hurtigt stigende aminotransferaseniveauer, progressiv hepatomegali eller metabolisk acidose/laktacidose af ukendt ætiologi.
English: The median EC50 value for entecavir against LVDr HBV (rtL180M and rtM204V) was 0.026 µM (range 0.010-0.059 µM).
Danish: Gennemsnitlig EC50-værdi for entecavir mod LVDr HBV (rtL180M og rtM204V) er 0,026 µM (0,010 - 0,059 µM).
English: Administration of 0.5 mg entecavir with a standard high-fat meal (945 kcal, 54.6 g fat) or a light meal (379 kcal, 8.2 g fat) resulted in a minimal delay in absorption (1-1.5 hour fed vs. 0.75 hour fasted), a decrease in Cmax of 44-46%, and a decrease in AUC of 18-20%.
Danish: Administration af 0,5 mg entecavir med et fedtrigt standardmåltid (945 kcal, 54,6 g fedt) eller et let måltid (379 kcal, 8,2 g fedt) forårsagede en minimal forsinkelse i absorption (1 - 1,5 time efter fødeindtagelse vs. 0,75 time fastende), et fald i Cmax på 44 - 46% samt et fald i AUC på 18 - 20%.
English: Resistance is mediated by reduced inhibitor binding to the altered HBV reverse transcriptase, and resistant HBV exhibits reduced replication capacity in cell culture.
Danish: Resistens medieres ved nedsat hæmmerbinding til den ændrede HBV-reverstranskriptase, og resistent HBV udviser nedsat replikationskapacitet i cellekulturer.
English: Also, patients with decompensated liver disease may be at higher risk for lactic acidosis and for specific renal adverse events such as hepatorenal syndrome.
Danish: Derudover kan patienter med inkompenseret leversygdom have større risiko for laktacidose og for specifikke renale bivirkninger, såsom hepatorenalt syndrom.
English: Antiviral activity: entecavir inhibited HBV DNA synthesis (50% reduction, EC50) at a concentration of 0.004 µM in human HepG2 cells transfected with wild-type HBV.
Danish: Antiviral aktivitet: Entecavir hæmmer HBV-DNA-syntese (50% reduktion, EC50) ved en koncentration på 0,004 µM i humane HepG2-celler transficeret med vild-type HBV.
English: For both compensated and decompensated liver disease, this indication is based on clinical trial data in nucleoside naive patients with HBeAg positive and HBeAg negative HBV infection.
Danish: For både kompenseret og inkompenseret leversygdom er denne indikation baseret på data fra kliniske forsøg hos nukleosid-naive patienter med HBeAg-positiv og HBeAg-negativ HBV-infektion.
English: A reduction of the daily dose using entecavir oral solution, as detailed in the table, is recommended.
Danish: Det anbefales at reducere daglig dosis af entecavir oral opløsning, som angivet i tabellen.
English: Hepatic function should be monitored at repeated intervals with both clinical and laboratory follow-up for at least 6 months after discontinuation of hepatitis B therapy.
Danish: Leverfunktionen skal løbende monitoreres med faste intervaller med såvel klinisk som laboratoriemæssig opfølgning igennem mindst 6 måneder efter seponering af hepatitis B-behandling.
English: Renal clearance is independent of dose and ranges between 360-471 ml/min suggesting that entecavir undergoes both glomerular filtration and net tubular secretion.
Danish: Nyre-clearance er uafhængig af dosis inden for området 360 - 471 ml/min, hvilket tyder på, at entecavir gennemgår såvel glomerulær filtration som net tubulær udskillelse.
English: Other medicines and Entecavir Accord
Danish: Brug af anden medicin sammen med Entecavir Accord
English: Dose adjustment is recommended for patients with creatinine clearance < 50 ml/min, including those on haemodialysis or continuous ambulatory peritoneal dialysis (CAPD).
Danish: Dosisjustering anbefales hos patienter med kreatinin-clearance < 50 ml/min, inklusive patienter i hæmodialyse eller i vedvarende ambulant peritonealdialyse (CAPD).
English: Mechanism of action: entecavir, a guanosine nucleoside analogue with activity against HBV polymerase, is efficiently phosphorylated to the active triphosphate (TP) form, which has an intracellular half-life of 15 hours.
Danish: Virkningsmekanisme: Entecavir, en guanosinnukleosidanalog med aktivitet mod HBV-polymerase, fosforyleres effektivt til den aktive trifosfat-form (TP), som har en intracellulær halveringstid på 15 timer.
English: At Week 72 post-transplant, none of 55 observed cases had virologic recurrence of HBV [defined as HBV DNA ≥50 IU/ml (approximately 300 copies/ml)], and there was no reported virologic recurrence at time of censoring for the remaining 6 patients.
Danish: Ved uge 72 efter transplantationen havde ingen af de 55 observerede individer virologisk tilbagefald af HBV [defineret som HBV-DNA ≥50 IE/ml (ca. 300 kopier/ml)], og der var ingen rapporterede virologiske tilbagefald hos de resterende 6 patienter på undersøgelsestidspunktet.
English: The cumulative probability of emerging genotypic entecavir resistance after 1, 2, 3, 4 and 5 years treatment in the lamivudine-refractory studies was 6%, 15%, 36%, 47% and 51%, respectively.
Danish: I studier med lamivudin-refraktære patienter var den kumulative sandsynlighed for udvikling af genotypisk entecavir-resistens efter 1, 2, 3, 4 og 5 års behandling henholdsvis 6%, 15%, 36%, 47% og 51%.
English: Gender/age: there was no apparent difference in the safety profile of entecavir with respect to gender (≈ 25% women in the clinical trials) or age (≈ 5% of patients > 65 years of age).
Danish: Køn/alder: Der sås ingen åbenlyse forskelle i sikkerhedsprofil for entecavir med hensyn til køn (≈ 25% kvinder i kliniske forsøg) eller alder (≈ 5% > 65 år).
English: Post-Liver transplant: entecavir exposure in HBV-infected liver transplant recipients on a stable dose of cyclosporine A or tacrolimus (n = 9) was ≈ 2 times the exposure in healthy subjects with normal renal function.
Danish: Efter levertransplantation: Entecavir eksponering hos HBV-inficerede levertransplanterede patienter i behandling med stabil dosis ciclosporin A eller tacrolimus (n = 9) var ≈ 2 gange eksponeringen hos raske frivillige med normal nyrefunktion.
English: Clinical experience: the demonstration of benefit is based on histological, virological, biochemical, and serological responses after 48 weeks of treatment in active-controlled clinical trials of 1,633 adults with chronic hepatitis B infection, evidence of viral replication and compensated liver disease.
Danish: Klinisk erfaring: Påvisning af benefit er baseret på histologisk, virologisk, biokemisk og serologisk respons efter 48 ugers behandling i aktivt kontrollerede kliniske forsøg med 1.633 voksne med kronisk hepatitis B-infektion, dokumenteret virusreplikation og kompenseret leversygdom.
English: There was no apparent difference in efficacy for entecavir based on gender (≈ 25% women in the clinical trials) or age (≈ 5% of patients > 65 years of age).
Danish: Der sås ingen åbenlyse forskelle i effekt af entecavir baseret på køn (≈ 25% kvinder i de kliniske forsøg) eller alder (≈ 5% af patienter var > 65 år).
English: HIV variants containing the M184V substitution showed loss of susceptibility to entecavir (see section 4.4).
Danish: hiv-varianter, der indeholder M184I-substitutionen, viste tab af følsomhed mod entecavir (se pkt.
English: Blister pack:
Danish: Blisterpakning:
English: Lactic acidosis occurs more often in women, particularly if they are very overweight.
Danish: Kvinder har større risiko for lactacidose, specielt hvis de er meget overvægtige.
English: Resistance and specific precaution for lamivudine-refractory patients: mutations in the HBV polymerase that encode lamivudine-resistance substitutions may lead to the subsequent emergence of secondary substitutions, including those associated with entecavir associated resistance (ETVr).
Danish: Resistens og specifikke forsigtighedsregler for lamivudin-refraktære patienter: Mutationer i den HBVpolymerase, der koder for lamivudin-resistens-substitutioner, kan forårsage sekundære substitutioner, inklusive entecavir-associerede resistens-substitutioner (ETVr).
English: Therefore, clinical and laboratory parameters should be closely monitored in this patient population (see also sections 4.8 and 5.1).
Danish: Derfor bør kliniske parametre og laboratorieparametre monitoreres tæt hos denne patientpopulation (se også pkt.
English: Response criteria were HBV virological suppression (HBV DNA < 0.7 MEq/ml by bDNA) and loss of HBeAg (in HBeAg positive patients) or ALT < 1.25 times ULN (in HBeAg negative patients).
Danish: Responskriterier var HBV-virologisk suppression (HBV-DNA < 0,7 MEq/ml ved bDNA) og tab af HBeAg (hos HBeAg-positive patienter) eller ALAT < 1,25 gange ULN (hos HBeAg-negative patienter).
English: Entecavir Accord is eliminated from your body through the kidneys and your dose or dosing schedule may need to be adjusted.
Danish: Det er vigtigt, fordi Entecavir Accord udskilles gennem nyrerne, og din dosis eller dosisintervallet skal tilpasses.
English: The predictivity of the findings for humans is not known.
Danish: Det vides ikke, om fundene er prædiktive for mennesker.
English: High-density polyethylene (HDPE) bottle contians a silica gel cainster with child resistant polypropylene closure containing 30 film-coated tablets.
Danish: HDPE-beholder (high-density polyethylene), indeholdende en silicagelbeholder, med børnesikret polypropylen-lukning der indeholder 30 filmovertrukne tabletter.
English: At baseline, patients had a mean CTP score of 8.59 and 26% of patients were CTP class C. The mean baseline Model for End Stage Liver Disease (MELD) score was 16.23.
Danish: Patienterne havde et gennemsnitligt CTP-tal på 8,59 ved baseline, og 26% af patienterne var i CTPklasse C. Det gennemsnitlige score for Model for End Stage Liver Disease (MELD) ved baseline var 16,23.
English: Integrated Analysis of Phase 2 and 3 Clinical Studies: In a post-approval integrated analysis of entecavir resistance data from 17 Phase 2 and 3 clinical studies, an emergent entecavir resistanceassociated substitution rtA181C was detected in 5 out of 1461 subjects during treatment with entecavir.
Danish: Integreret analyse af fase 2 og 3 kliniske studier: I en integreret analyse efter markedsføring af entecavir-resistensdata fra 17 fase 2 og 3 kliniske studier blev der fundet en ny entecavirresistensassocieret substitution rtA181C i 5 ud af 1461 forsøgspersoner under behandlingen med entecavir.
English: An updated RMP should be submitted: At the request of the European Medicines Agency; Whenever the risk management system is modified, especially as the result of new information being received that may lead to a significant change to the benefit/risk profile or as the result of an important (pharmacovigilance or risk minimisation) milestone being reached.
Danish: • når risikostyringssystemet ændres, særlig som følge af, at der er modtaget nye oplysninger, der kan medføre en væsentlig ændring i risk/benefit-forholdet, eller som følge af, at en vigtig milepæl (lægemiddelovervågning eller risikominimering) er nået.
English: The recommended dose for adult patients with decompensated liver disease is 1 mg once daily, which must be taken on an empty stomach (more than 2 hours before and more than 2 hours after a meal) (see section 5.2).
Danish: Den anbefalede dosis til voksne patienter med inkompenseret leversygdom er 1 mg en gang dagligt, som skal tages på tom mave (mere end 2 timer før og mere end 2 timer efter et måltid) (se pkt.
English: Pre-existing lamivudine-resistant HBV is associated with an increased risk for subsequent entecavir resistance regardless of the degree of liver disease; in patients with decompensated liver disease, virologic breakthrough may be associated with serious clinical complications of the underlying liver disease.
Danish: Præ-eksisterende lamivudin-resistent HBV er associeret med en øget risiko for efterfølgende entecavir-resistens uanset graden af leversygdom; hos patienter med inkompenseret leversygdom kan virologisk svigt være associeret med alvorlige kliniske komplikationer af den underliggende leversygdom.
English: At study entry, the mean HBV DNA was 8.1 log10 IU/ml and mean ALT was 103 U/l across the study population.
Danish: Ved studiets start var gennemsnitlig HBV-DNA 8,1 log10 IE/ml og gennemsnitlig ALAT var 103 E/l på tværs af studiepopulationen.
English: - genotypic ETVrc with virologic breakthrough d
Danish: - genotype-ETVrc med virologisk svigt d
English: In clinical studies in patients with compensated liver disease, the most common adverse reactions of any severity with at least a possible relation to entecavir were headache (9%), fatigue (6%), dizziness (4%) and nausea (3%).
Danish: I kliniske studier med patienter med kompenseret leversygdom var de almindeligste bivirkninger af alle sværhedsgrader, og hvor en forbindelse med entecavir var mulig, hovedpine (9 %), træthed (6 %), svimmelhed (4 %) og kvalme (3 %).
English: Relative to the adverse reactions noted in section b. Tabulated list of adverse reactions, one additional adverse reaction [decrease in blood bicarbonate (2%)] was observed in entecavir-treated patients through week 48.
Danish: I forhold til de bivirkninger, der er anført i punkt b. Liste i tabelform over bivirkninger, blev der observeret en yderligere bivirkning [fald i blodhydrogencarbonat (2%)] hos entecavir-behandlede patienter i uge 48.
English: Serum ALT should be persistently elevated for at least 6 months prior to treatment of paediatric patients with compensated liver disease due to HBeAg positive chronic hepatitis B; and for at least 12 months in patients with HBeAg negative disease.
Danish: Serum-ALAT skal være vedvarende forhøjet i mindst 6 måneder inden behandling af pædiatriske patienter med kompenseret leversygdom forårsaget af HBeAG-positiv kronisk hepatitis B og i mindst 12 måneder hos patienter med HBeAG-negativ sygdom.
English: Elderly: no dosage adjustment based on age is required.
Danish: Ældre patienter: Dosisjustering er ikke nødvendig på baggrund af alder.
English: There are no recommendations for entecavir in children less than 2 years of age or weighing less than 10 kg.
Danish: Der er ingen anbefalinger for entecavir til børn under 2 år eller til børn, der vejer mindre end 10 kg.
English: b Includes patients with at least one on-therapy HBV DNA measurement by PCR at or after week 24 through week 58 (Year 1), after week 58 through week 102 (Year 2), after week 102 through week 156 (Year 3), after week 156 through week 204 (Year 4), or after week 204 through week 252 (Year 5).
Danish: b Inkluderer patienter med mindst én HBV-DNA-måling under behandling ved PCR ved eller efter uge 24 til og med uge 58 (År 1), efter uge 58 til og med uge 102 (År 2) eller efter uge 102 til og med uge 156 (År 3), efter uge 156 til og med uge 204 (År 4) eller efter uge 204 til og med uge 252 (År 5).
English: In studies in lamivudine-refractory patients, with only limited numbers of patients being followed up, 11% of entecavir-treated patients and no lamivudine-treated patients developed ALT elevations during posttreatment follow-up.
Danish: I studier med lamivudin-refraktære patienter, hvor kun et begrænset antal patienter blev fulgt op, udviklede 11% af de entecavir-behandlede patienter og ingen af de lamivudin-behandlede patienter ALAT-stigninger under opfølgning efter behandling.
English: Year 5 a
Danish: År 5a
English: Accord Healthcare Limited Sage House, 319 Pinner road North Harrow, Middlesex HA1 4HF United Kingdom
Danish: Accord Healthcare Limited Sage House, 319 Pinner road North Harrow, Middlesex HA1 4HF Storbritannien
English: It is not known whether entecavir, the active ingredient in Entecavir Accord, is excreted in human breast milk.
Danish: Det vides ikke om entecavir, der er det aktive indholdsstof i Entecavir Accord, udskilles i mælken.
English: Co-infection with hepatitis C or D: there are no data on the efficacy of entecavir in patients co-infected with hepatitis C or D virus.
Danish: Samtidig infektion med hepatitis C eller D: Der er ingen data vedrørende effekt af entecavir hos patienter, der samtidigt er inficerede med hepatitis C- eller D-virus.
English: Elderly: the effect of age on the pharmacokinetics of entecavir was evaluated comparing elderly subjects in the age range 65-83 years (mean age females 69 years, males 74 years) with young subjects in the age range 20-40 years (mean age females 29 years, males 25 years).
Danish: Ældre patienter: Effekt af alder på entecavirs farmakokinetik er vurderet ved at sammenligne ældre patienter i aldersgruppen 65 - 83 år (gennemsnitsalder for kvinder 69 år, for mænd 74 år) med yngre patienter i aldersgruppen 20 - 40 år (gennemsnitsalder for kvinder 29 år, for mænd 25 år).
English: Renal impairment: entecavir clearance decreases with decreasing creatinine clearance.
Danish: Nyreinsufficiens: Entecavir-clearance falder med faldende kreatinin-clearance.
English: Patients had stable controlled HIV (HIV RNA < 400 copies/ml) with recurrence of HBV viraemia on a lamivudine-containing HAART regimen.
Danish: Patienterne havde stabil, kontrolleret hiv (hiv RNA < 400 kopier/ml) med recidiv af HBV-viræmi i et lamivudinindeholdende HAART-regime.
English: Liver transplant recipients: the safety and efficacy of entecavir 1 mg once daily were assessed in a single-arm study in 65 patients who received a liver transplant for complications of chronic HBV infection and had HBV DNA <172 IU/ml (approximately 1000 copies/ml) at the time of transplant.
Danish: Levertransplanterede patienter: Sikkerheden og virkningen af entecavir 1 mg en gang dagligt blev vurderet i et enkelt-arm-studie med 65 patienter, som gennemgik en levertransplantation på grund af komplikationer ved kronisk HBV-infektion, og som havde HBV-DNA < 172 IE/ml (ca. 1.000 kopier/ml) på tidspunktet for transplantationen.
English: Accord Healthcare Limited Sage House, 319 Pinner Road North Harrow, Middlesex, HA1 4HF United Kingdom
Danish: Accord Healthcare Limited Sage House, 319 Pinner Road North Harrow, Middlesex, HA1 4HF Storbritannien
English: In reproductive toxicology studies in which animals were administered entecavir for up to 4 weeks, no evidence of impaired fertility was seen in male or female rats at high exposures.
Danish: I reproduktions-toksikologiske studier, hvor dyr fik entecavir i op til 4 uger, sås ingen tegn på nedsat fertilitet hos han- eller hunrotter ved høje doser.
English: Assessment of adverse reactions is based on experience from postmarketing surveillance and four clinical studies in which 1,720 patients with chronic hepatitis B infection and compensated liver disease received double-blind treatment with entecavir (n = 862) or lamivudine (n = 858) for up to 107 weeks (see section 5.1).
Danish: Bedømmelsen af bivirkninger er baseret på erfaringer fra postmarketing-overvågning og fire kliniske studier, hvor 1.720 patienter med kronisk hepatitis B-infektion og kompenseret leversygdom fik dobbeltblind-behandling med entecavir (n = 862) eller lamivudin (n = 858) i op til 107 uger (se pkt.
English: Film-coated tablet (tablet)
Danish: Filmovertrukken tablet (tablet)
English: Patients with decompensated liver disease: a higher rate of serious hepatic adverse events (regardless of causality) has been observed in patients with decompensated liver disease, in particular in those with Child-Turcotte-Pugh (CTP) class C disease, compared with rates in patients with compensated liver function.
Danish: Patienter med inkompenseret leversygdom: Der er set en højere forekomst af alvorlige leverbivirkninger (uanset kausalitet) hos patienter med inkompenseret leversygdom, især hos patienter med Child-Turcotte-Pugh (CTP) klasse C sygdom, sammenlignet med patienter med kompenseret leverfunktion.
English: This medicinal product contains soy polysaccharides.
Danish: Dette lægemiddel indeholder polysakkarider.
English: Hepatic impairment: pharmacokinetic parameters in patients with moderate or severe hepatic impairment were similar to those in patients with normal hepatic function.
Danish: Leverinsufficiens: Farmakokinetiske parametre hos patienter med moderat eller svær leverinsufficiens svarede til dem hos patienter med normal leverfunktion.
English: Cases of lactic acidosis have been reported, often in association with hepatic decompensation, other serious medical conditions or drug exposures (see section 4.4).
Danish: Der er rapporteret om tilfælde af laktacidose, ofte associeret med hepatisk inkompensation, andre alvorlige medicinske tilstande eller lægemiddeleksponering (se pkt.
English: Do not stop Entecavir Accord without your doctor's advice
Danish: Du må ikke holde op med at tage Entecavir Accord uden at have talt med lægen
English: Fertility: toxicology studies in animals administered entecavir have shown no evidence of impaired fertility (see section 5.3).
Danish: Fertilitet: Toksikologiske studier af dyr, der fik entecavir, har ikke vist nedsat fertilitet (se pkt.