FrancophonIA/ELRC3.0 huggingface dataset:
English: • The need of the 4th dose at 12 months has been reinforced, when the compressed administration schedule 0, 1, 2 and 12 months is used
Danish: • Det er blevet yderligere understreget, at det er nødvendigt at give den fjerde dosis ved 12 måneder, når det komprimerede program (0, 1, 2 og 12 måneder) anvendes.
English: In the past experience, there has never been an instance when high performance in adolescents and young adults did not correspond with high performance in infants.
Danish: Der er aldrig tidligere forekommet tilfælde, hvor en høj grad af virkning hos unge og unge voksne ikke er blevet modsvaret af en høj grad af virkning hos spædbørn.
English: The clinical issues were discussed with the MAH at the Vaccine Working Party (VWP) during its February 2006 meeting, while the quality issues were discussed at the February 2006 BWP meeting.
Danish: De kliniske spørgsmål blev drøftet med indehaveren af markedsføringstilladelsen i arbejdsgruppen vedrørende vacciner (VWP) på dennes møde i februar 2006, mens spørgsmålene vedrørende kvalitet blev drøftet på mødet i BWP i februar 2006.
English: Although the root cause for reduced immunogenicity during the past 5 years is still not ascertained, evidence was provided that the manufacturing process seems now to be better controlled.
Danish: Skønt grundårsagen til den nedsatte immunogenicitet gennem de seneste 5 år endnu ikke er fastlagt, er der fremlagt vidnesbyrd om, at fremstillingsprocessen nu synes at være bedre kontrolleret.
English: • The concomitant administration of pneumococcal conjugate vaccine is not recommended since this has not been sufficiently studied for HBVAXPRO.
Danish: • Sideløbende administration af pneumokok-konjugatvaccine anbefales ikke, da dette ikke er undersøgt tilstrækkeligt med henblik på HBVAXPRO.
English: • The use of this vaccine will not pose an immediate risk to any of the target groups the vaccine is indicated for.
Danish: • Brugen af denne vaccine vil ikke indebære nogen umiddelbar risiko for nogen af de målgrupper, vaccinen er bestemt til.
English: As a consequence the data obtained so far must be interpreted with caution since they were generated using the paediatric (5µg) dose of Hep B vaccine produced before 2001.
Danish: De hidtidige resultater må derfor tolkes med varsomhed, da er opnået med den pædiatriske (5 µg) Hep B-vaccine, der var produceret før 2001.
English: There are some indications that the Hep B vaccine currently produced is less immunogenic than the vaccine produced in the 1990's.
Danish: Der er visse tegn på, at den nu producerede Hep B-vaccine er mindre immunogen end den, der blev produceret sidst i 1990'erne.
English: This variability seems to be related to currently uncontrollable variances in the manufacturing process of the recombinant HepB vaccine component.
Danish: Denne variabilitet synes at hænge sammen med de på nuværende tidspunkt ukontrollable afvigelser i fremstillingsprocessen for den rekombinante HepB-vaccinekomponent.
English: The most recent immunogenicity data comes from the interim analysis of the V232-054 trial, this is the third trial in the past few years to study the current product (from the BTMC manufacturing facility) in young adults using the same dosing schedule (the other two trials are V501-011 and V232052).
Danish: De nyeste oplysninger om immunogenicitet kommer fra interimanalysen af undersøgelsenV232-054, som er den tredje undersøgelse, der inden for de seneste få år er foretaget af det nuværende produkt (fra BTMC-produktionsanlægget) hos unge voksne med anvendelse af samme doseringsplan (de to andre undersøgelser er V501-011 og V232-052).
English: The CHMP concluded that the use of this vaccine will not pose an immediate risk to any of the target groups the vaccine is indicated for.
Danish: CHMP konkluderede, at brug af denne vaccine ikke vil indebære nogen umiddelbar risiko for nogen af de målgrupper, vaccinen er bestemt til.
English: On 13 February 2006, the European Commission (EC) triggered the procedure under Article 20 of Regulation (EC) No 726/2004, after the CHMP expressed concerns on the low immunogenicity of the HepB component of HBVAXPRO.
Danish: Den 13. februar 2006 indledte Kommissionen proceduren i henhold til artikel 20 i forordning (EF) nr. 726/2004, efter at CHMP havde udtrykt betænkelighed vedrørende den lave immunogenicitet af HepB-komponenten i HBVAXPRO.
English: Revised SPCs and PLs provide updated information in relation to best use of the product considering latest clinical data.
Danish: Reviderede produktresuméer og indlægssedler skal indeholde ajourførte oplysninger vedrørende den bedste anvendelse af produktet under hensyntagen til de seneste kliniske oplysninger.
English: The CHMP debated the current lack of knowledge about the clinical significance of the findings and immune memory in general and agreed that these issues needed to be carefully explored before deciding on regulatory action.
Danish: CHMP drøftede den aktuelle manglende viden om resultaternes kliniske betydning og immunhukommelsen i almindelighed og vedtog, at disse spørgsmål, måtte undersøges nøje, før der blev truffet afgørelse om indgreb fra de kontrollerende myndigheder.
English: The MAH developed an upgraded manufacturing process to increase immunogenicity.
Danish: Indehaveren af markedsføringstilladelsen har udviklet en opgraderet fremstillingsproces, der skal øge immunogeniciteten.
English: In the studies conducted by the MAH to date with HBVAXPRO and Procomvax, seroprotective levels have been achieved in the large majority of vaccinees.
Danish: I de undersøgelser, som indehaveren af markedsføringstilladelsen til dato har gennemført med HBVAXPRO og Procomvax, er der opnået et beskyttende serumniveau hos langt størstedelen af de vaccinerede.
English: • In renal dialysis patients in whom insufficient antibody titre is achieved after boosting, the use of alternative hepatitis B vaccines should be considered.
Danish: • Hos de dialysepatienter, som ikke opnår tilstrækkelig antistoftiter efter boosting, bør brug af andre hepatitis B-vacciner overvejes.
English: The CHMP was requested to give an opinion as to whether the marketing authorisation for HBVAXPRO should be maintained, varied, suspended or withdrawn in the context of an Article 20 of Regulation (EC) No. 726/2004 procedure.
Danish: CHMP blev anmodet om at afgive en udtalelse om, hvorvidt markedsføringstilladelsen for HBVAXPRO burde opretholdes, ændres, suspenderes eller inddrages ved en procedure i henhold til artikel 20 i forordning (EF) nr. 726/2004.
English: • The recommendations for serologic testing, and administration of additional doses if needed, in immunocompromised patients, in non-responders of other high risk groups, and in the case of presumed exposure to hepatitis B, have been strengthened.
Danish: • Der er indført skærpede anbefalinger vedrørende serologisk testning og administration af supplerende doser efter behov hos immunkompromitterede patienter, ikke-responderende patienter i andre højrisikogrupper og ved formodet eksponering for hepatitis B.
English: On 26 May 2005, the CHMP agreed on the need to convene an Ad Hoc Expert Group Meeting on Hepatitis short and long-term protection afforded by recombinant Hepatitis B vaccines.
Danish: Den 26. maj 2005 vedtog CHMP at indkalde en ad hoc-ekspertgruppe vedrørende hepatitis til et møde vedrørende den langtids- og korttidsbeskyttelse, der ydes af rekombinante Hepatitis B-vacciner.
English: As there are currently no reports on increased numbers of Hepatitis B breakthrough cases after HBVAXPRO vaccination, considering that the EU is a low endemic region, no immediate safety signal could be identified by the CHMP.
Danish: Da der aktuelt ikke findes indberetninger om et stigende antal Hepatitis B-gennembrud efter vaccination med HBVAXPRO, og i betragtning af, at EU er et område med lav endemisk forekomst af sygdommen, har CHMP ikke fundet noget umiddelbart faresignal vedrørende sikkerheden.
English: As there is no in vitro or in vivo system suitable to predict acceptable immunogenicity in man, it is important to note at this stage that the C3H mouse model suggested by the MAH appears to be able to discriminate between Hepatitis B lots which are acceptable and those who are not.
Danish: Da der ikke findes noget in vitro eller in vivo system, der er egnet til at forudsige tilfredsstillende immunogenicitet hos mennesker, er det vigtigt, at man på dette trin noterer sig, at den C3H-musemodel, der foreslås af indehaveren af markedsføringstilladelsen, synes at kunne skelne mellem de Hepatitis B-lots, der er tilfredsstillende, og dem, der ikke er det.
English: The CHMP is of the Opinion that the Product Information of HBVAXPRO, should be varied in order to maintain the safe and effective clinical use for the following reasons:
Danish: CHMP finder, at produktoplysningerne for HBVAXPRO bør ændres af hensyn til fortsat sikker og effektiv klinisk anvendelse af følgende grunde:
English: The CHMP has recommended the variation of the Marketing Authorisations for HBVAXPRO in accordance with Article 5(2) of Regulation (EC) No. 726/2004.
Danish: har CHMP anbefalet ændring af markedsføringstilladelsen for HBVAXPRO i henhold til artikel 5, stk. 2, i forordning (EF) nr. 726/2004.
English: SCIENTIFIC CONCLUSIONS AND GROUNDS FOR THE VARIATION OF THE MARKETING AUTHORISATION OF HBVAXPRO PRESENTED BY THE EMEA
Danish: FAGLIGE KONKLUSIONER OG BEGRUNDELSE FOR ÆNDRING AF MARKEDSFØRINGSTILLADELSERNE FOR HBVAXPRO FREMLAGT AF EMEA
English: The results from these three trials with product manufactured in the current facility, confirm solid, reproducible performance based on these recent historical data and should also predict performance as expected in other populations as well.
Danish: Fra disse tre undersøgelser, der er udført med produkt fra det nuværende produktionsanlæg, har man nyere historiske resultater, der bekræfter en pålidelig og reproducerbar virkning, og som også skulle give grundlag for at forudsige den forventede virkning i andre populationer.
English: Notwithstanding, the new proposed model will have only predictive value once it has been fully validated and has shown to be able to discriminate batches of HBVAXPRO that have elicited a high vs. a low immune response during clinical trials.
Danish: Imidlertid vil den foreslåede nye model først have prædiktiv værdi, når den er fuldt valideret og er påvist at kunne skelne mellem de lots af HBVAXPRO, der har fremkaldt høj hhv. lav immunrespons under de kliniske forsøg.
English: The CHMP requested the MAH to conduct studies regarding neonates, infants, older adults, renal dialysis patients, dose ranging and a booster study with the current formulation and the process upgraded product to further ensure that the vaccine provides a sufficient level of long-term protection against Hepatitis B.
Danish: CHMP anmodede indehaveren af markedsføringstilladelsen om at udføre undersøgelser vedrørende nyfødte, spædbørn, ældre voksne, dialysepatienter, dosisfastlæggelse og en booster-undersøgelse med den aktuelle formulering og det proces-opgraderede produkt for at tilvejebringe yderligere sikkerhed for, at vaccinen giver tilstrækkelig langsigtet beskyttelse mod Hepatitis B.
English: • The CHMP identified that the decreased immunogeniticy of the HepB component released by the MAH seems to be due to variability in the production process for this component and that following extensive review of the manufacturing process the MAH has identified the current adjuvantation process as a potential root cause for decreased immunogenicity of the HepB vaccine component.
Danish: • CHMP fandt, at den nedsatte immunogenicitet af den HepB-komponent, der frigives af indehaveren af markedsføringstilladelsen, synes at skyldes variabilitet i produktionsprocessen for denne komponent, og at indehaveren af markedsføringstilladelsen efter en tilbundsgående gennemgang af produktionsprocessen har udpeget den nuværende adjuveringsproces som en mulig grundårsag til nedsat immunogenicitet af HepB-vaccinekomponenten.
English: In addition, a review of clinical performance as assessed by protection against disease as noted in the V121-018 trial supports the conclusion that the hepatitis B vaccines remain effective in decreasing hepatitis B infection and its serious sequelae.
Danish: En gennemgang af den kliniske virkning, vurderet på den opnåede beskyttelse mod sygdom som anført i V121-018-undersøgelsen, giver desuden støtte for den konklusion, at hepatitis B-vaccinerne fortsat er effektive til at reducere infektion med hepatitis B og de svære sequelae heraf.
English: Considering all points raised, including time lines required to fully explore all issues related to low HepB immunogenicity following vaccination with HBVAXPRO and further to the assessment of the data provided by the MAH, the CHMP concluded that the MA of HBVAXPRO should be varied in accordance with Article 5(1) of Regulation (EC) No. 726/2004.
Danish: I betragtning af alle de rejste punkter, herunder den nødvendige tid til fuldstændig undersøgelse af alle spørgsmål vedrørende for lav HepB-immunogenicitet efter vaccination med HBVAXPRO, og i fortsættelse af vurderingen af de oplysninger, der er fremlagt af indehaveren af markedsføringstilladelsen, konkluderede CHMP, at markedsføringstilladelsen for HBVAXPRO bør ændres i overensstemmelse med artikel 5, stk. 1, i forordning (EF) nr. 726/2004.
English: In their January 2006 plenary meeting, the CHMP confirmed their concerns regarding the decreasing immunogenicity of the recombinant Hep B component contained in HBVAXPRO and PROCOMVAX.
Danish: På plenarmødet i januar 2006 bekræftede CHMP sine betænkeligheder ved den aftagende immunogenicitet af den rekombinante Hep B-komponent i HBVAXPRO og PROCOMVAX.
English: • Considering the data on low immunogenicity available today, the CHMP identified the need for further studies to ensure long-term protection against Hepatitis B with the current vaccine in future.
Danish: • Ud fra de aktuelt foreliggende data om lav immunogenicitet fandt CHMP yderligere undersøgelser nødvendige for at sikre langtidsbeskyttelse mod Hepatitis B med den aktuelle vaccine fremover.
English: GROUNDS FOR THE VARIATION OF THE MARKETING AUTHORISATION OF HBVAXPRO
Danish: BEGRUNDELSE FOR ÆNDRING AF MARKEDSFØRINGSTILLADELSEN FOR HBVAXPRO
English: The CHMP reviewed all the technical and clinical data available for HBVAXPRO extensively.
Danish: CHMP har gennemgået alle de tekniske og kliniske oplysninger, der foreligger om HBVAXPRO.
English: Following the suspension of Hexavac due to reduced immunogenicity of the Hep B component in the vaccine, the MAH (Sanofi Pasteur MSD) was requested in September 2005 to provide further data and clarification on long-term immunological memory and protection against Hep B viral infection afforded by HBVAXPRO and PROCOMVAX, and the timelines of availability of further data.
Danish: Efter suspenderingen af Hexavac på grund af reduceret immunogenicitet af Hep B-komponenten i vaccinen blev indehaveren af markedsføringstilladelsen (Sanofi Pasteur MSD) i september 2005 anmodet om at fremlægge yderligere oplysninger og afklaring vedrørende den langsigtede immunologiske hukommelse og beskyttelse med Hep B-virusinfektion, der ydes af HBVAXPRO og PROCOMVAX, og tidsplaner for, hvornår yderligere oplysninger ville blive til rådighed.
English: In addition to the immunogenicity data generated in the past 5 years from clinical trials with the HBVAXPRO and PROCOMVAX data, the acceptable performance of these vaccines are supported from findings of surveillance for hepatitis B cases in the United States and New Zealand and from an analysis of the trend in vaccine failures reported to the MAH safety database.
Danish: Foruden af de immunogenicitetsdata, der de seneste 5 år er genereret i kliniske undersøgelser med HBVAXPRO og PROCOMVAX, bekræftes vaccinernes tilfredsstillende virkning af overvågningsresultater vedrørende hepatitis B i USA og New Zealand og af en trend-analyse af tilfælde af vaccinesvigt indberettet til sikkerhedsdatabasen hos indehaveren af markedsføringstilladelsen.
English: The CHMP agreed with the MAH that in 4 years time, in the absence of ongoing clinical studies of immunogenicity with the MAH's hepatitis B antigen, the MAH will conduct a study of vaccine immunogenicity no less frequently than every four years to confirm that experience with manufactured product remains current and that clinical performance meets expectations.
Danish: CHMP aftalte med indehaveren af markedsføringstilladelsen, at denne - hvis der om 4 år ikke er igangværende kliniske undersøgelser af immunogeniciteten med det anvendte hepatitis B-antigen - fremover mindst hvert fjerde år udfører en undersøgelse af vaccinens immunogenicitet til bekræftelse af, at erfaringerne med det fremstillede produkt fortsat er gyldige, og at den kliniske virkning opfylder forventningerne.
English: The CHMP expressed concerns that there is evidence of unpredictable variability in Hepatitis B antibody response following vaccination with Hexavac.
Danish: CHMP gav udtryk for betænkelighed ved tegnene på en uforudsigelig variabilitet i antistof-responsen over for Hepatitis B efter vaccination med Hexavac.
English: The interim outcome of a clinical trial with the ‘process upgraded' recombinant Hepatitis B batches confirms that the immunogenicity of the current HBVAXPRO vaccine is at the historic standard, and provides evidence for a consistent trend to higher GMTs with HBVAXPRO manufactured with the process modification.
Danish: Det foreløbige resultat af en klinisk undersøgelse med de "procesopgraderede" Hepatitis B-lots bekræfter, at immunogeniciteten af den nuværende HBVAXPRO-vaccine er af den tidligere standard, og giver vidnesbyrd om en ensartet tendens i retning af højere gennemsnitlige antistoftitre (GMT) med HBVAXPRO fremstillet med den ændrede proces.
English: HBVAXPRO is a vaccine inducing a specific humoral and cellular immune response against HBsAg, which results in an active immunisation against Hepatitis B virus infection.
Danish: HBVAXPRO er en vaccine, der inducerer specifik humoral og cellulær immunrespons mod HBsAg, hvilket resulterer i aktiv immunisering mod infektion med hepatitis B-virus.
English: In view of the lack of analytical tools to predict immunogenicity in man, the need for regular testing of recombinant HepB batches in clinical trials was considered, in order to ensure consistent high immunogenicity of HBVAXPRO produced in particular according to the new updated/improved process.
Danish: På baggrund af de manglende analytiske muligheder for at forudsige immunogeniciteten hos mennesker blev det overvejet, om rekombinante HepB-lots regelmæssigt bør testes i kliniske undersøgelser for at sikre vedholdende høj immunogenicitet af HBVAXPRO, specielt de lots, der er produceret med den nye opdaterede/forbedrede proces.
English: Although in some of the trials conducted in the past 5 years, the GMTs of the hepatitis B vaccines were lower than responses observed in the early 1990's, the clinical data generated by the sponsor in the trials described above, demonstrate consistent, high anti-HBs seroprotective rates, which is the established correlate of effectiveness.
Danish: Skønt der i visse af undersøgelserne fra de sidste fem år er opnået lavere antistoftiter med hepatitis Bvacciner end i begyndelsen af 1990'erne, viser de kliniske data, der er genereret af sponsoren i de ovenfor beskrevne undersøgelser, et ensartet højt beskyttelsesniveau af anti-HBs i serum, som er det anerkendte korrelat for virkning.
English: The CHMP also considered the commitments given by the MAH in response to CHMP's requests to meticulously control the performance of HBVAXPRO from now on in a broad array of appropriate clinical trials including all age and risk categories.
Danish: CHMP har desuden taget hensyn til de forpligtelser, som indehaveren af markedsføringstilladelsen har påtaget sig for at imødekomme CHMP's anmodninger om fremtidig minutiøs kontrol af virkningen af HBVAXPRO i en bred vifte af kliniske undersøgelser hos alle alders- og risikokategorier.
English: The CHMP agreed with the MAH on revised product information for all presentations of HBVAXPRO, reflecting advice and suggestions made during the procedure.
Danish: CHMP aftalte med indehaveren af markedsføringstilladelsen, at produktoplysningerne for alle pakningsformer af HBVAXPRO skal revideres, så de afspejler de anvisninger og forslag, der er fremsat under proceduren.
English: • The CHMP considered that the benefit/risk balance of HBVAXPRO concerning protection against hepatitis B virus infection caused by all known subtypes in all age categories considered at risk of exposure to hepatitis B virus remains favourable.
Danish: • CHMP fandt, at benefit/risk forholdet for HBVAXPRO fortsat er positivt til beskyttelse mod infektion med Hepatitis B virus forårsaget af alle kendte undertyper i alle aldersgrupper, som anses for at have en risiko for at blive eksponeret for hepatitis B virus,
English: Concerns were expressed on the low immunogenicity of the HepB component of Hexavac and the potential consequences on long-term protection against Hepatitis B infection and boostability post primary course of vaccination with this vaccine.
Danish: Der blev udtrykt betænkelig ved den ringe immunogenicitet af HepBkomponenten i Hexavac og de mulige konsekvenser for den langsigtede beskyttelse mod infektion med Hepatitis B og for muligheden af senere boosting, når den vaccinerede har gennemgået det første vaccinationsprogram med denne vaccine.
English: The active substance of HBVAXPRO, Hepatitis B (Recombinant) vaccine, is purified Hepatitis B virus surface antigen, recombinant (HBsAg).
Danish: Det aktive stof i HBVAXPRO, Hepatitis B (rekombinant) vaccine, er renset rekombinant overfladeantigen fra Hepatitis B virus (HBsAg).
English: HBVAXPRO is a monovalent vaccine developed for the active immunisation against Hepatitis B virus infection caused by all known subtypes in all age groups considered at risk of exposure to Hepatitis B virus.
Danish: HBVAXPRO er en monovalent vaccine til aktiv immunisering mod infektion med Hepatitis B virus forårsaget af alle kendte undertyper i alle aldersgrupper, der anses for at have risiko for at blive eksponeret for hepatitis B virus.
English: Due to the relatively high risk of infection, the group of infants born to Hepatitis B positive mothers represents the population, which would be most vulnerable to a possible insufficient immunogenicity of the vaccine.
Danish: Den mest følsomme population over for en eventuel utilstrækkelig immunogenicitet af vaccinen vil være spædbørn født af Hepatitis B-positive mødre, da de har en høj infektionsrisiko.
English: These trials were carried out in different risk groups and age categories, i.e. children born to Hepatitis B positive mothers, infants, healthy young adults and healthy subjects between 16-35 years of age.
Danish: De af CHMP gennemgåede oplysninger omfatter data fra syv undersøgelser med HBVAXPRO og Procomvax, hvoraf en er i gang på nuværende tidspunkt, Disse undersøgelser er udført hos forskellige risikogrupper og alderskategorier, dvs. børn født af Hepatitis B-positive mødre, spædbørn, raske unge, og raske i alderen 16-35 år.
English: From the quality point of view, there are no technical, analytical or animal tools able to predict immunogenicity of recombinant hepatitis B components in man. Analytical tools can be used as consistency criteria, but not as correlates for safety and efficacy (immunogenicity) of Hepatitis B batches produced at SPMSD.
Danish: Analytiske redskaber kan anvendes som kriterier for konsistens, men ikke som korrelater for sikkerhed og virkning (immunogenicitet) af Hepatitis B-lots produceret hos SPMSD.
English: Issues pertaining to the relatively low immunogenicity of the Hepatitis B (HepB) component contained in the vaccines containing the recombinant Hepatitis B component from SPMSD
Danish: Fordelene ved HBVAXPRO er, at den giver effektiv beskyttelse mod Hepatitis B i alle aldersgrupper og ikke indeholder thiomersal i det færdige Spørgsmålene vedrørende den relativt lave immunogenicitet af Hepatitis B-komponenten (HepB) i vacciner indeholdende den rekombinante Hepatitis B-komponent fra SPMSD
English: Strength Pharmaceutical Form
Danish: Særnavn Styrke Lægemiddelform