FrancophonIA/ELRC3.0 huggingface dataset:
English: Therefore, the Agency's view was that, as for Neulasta, the benefit of Udenyca outweighs the identified risk and it can be authorised for use in the EU.
Estonian: Seetõttu on amet arvamusel, et nagu ka Neulasta korral, ületab Udenyca kasulikkus sellega kaasnevad riskid ja et ravimi kasutamise võib ELis heaks kiita.
English: Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Udenyca have been included in the summary of product characteristics and the package leaflet.
Estonian: Udenyca ohutu ja efektiivse kasutamise soovitused ja ettevaatusmeetmed tervishoiutöötajatele ja patsientidele on lisatud ravimi omaduste kokkuvõttesse ja pakendi infolehele.
English: The European Medicines Agency decided that, in accordance with EU requirements for biosimilar medicines, Udenyca has a highly similar structure, purity and biological activity to Neulasta and is distributed in the body in the same way.
Estonian: Euroopa Ravimiamet otsustas, et vastavalt ELi nõuetele bioloogiliselt sarnaste ravimite kohta sarnaneb Udenyca struktuuri, puhtuse ja bioloogilise toime poolest Neulastaga ning et Udenyca jaotub organismis samamoodi.
English: It is given specifically to reduce the duration of neutropenia and prevent febrile neutropenia (when neutropenia is accompanied by fever).
Estonian: Seda kasutatakse eeskätt neutropeenia kestuse vähendamiseks ja febriilse neutropeenia (neutropeenia koos palavikuga) ennetamiseks.
English: The active substance in Udenyca, pegfilgrastim, consists of filgrastim, which is very similar to a human protein called granulocyte-colony-stimulating factor (G-CSF).
Estonian: Udenyca toimeaine pegfilgrastiim sisaldab filgrastiimi, mis on väga sarnane inimvalguga, mida nimetatakse granulotsüütide kolooniaid stimuleerivaks faktoriks (G-CSF).
English: Because Udenyca is a biosimilar medicine, the studies on effectiveness and safety of pegfilgrastim carried out with Neulasta do not all need to be repeated for Udenyca.
Estonian: Et Udenyca on bioloogiliselt sarnane ravim, ei pea Neulastaga tehtud pegfilgrastiimi efektiivsus- ja ohutusuuringuid Udenycaga kordama.
English: The most common side effect with Udenyca (which may affect more than 1 in 10 people) is pain in the bones.
Estonian: Udenyca kõige sagedam kõrvalnäht (võib esineda enam kui 1 patsiendil 10st) on luuvalu.
English: Udenyca is given as a single dose of 6 mg injected under the skin at least 24 hours after the end of each cycle of chemotherapy (treatment with cancer medicines).
Estonian: Udenycat manustatakse annuses 6 mg ühekordse nahaaluse süstena vähemalt 24 tundi pärast iga keemiaravitsükli (vähi ravimravi) lõppu.
English: For the full list of side effects and restrictions with Udenyca, see the package leaflet.
Estonian: Udenyca kohta teatatud kõrvalnähtude ja piirangute täielik loetelu on pakendi infolehel.
English: Studies have also shown that giving Udenyca produces similar levels of the active substance in the body to giving Neulasta.
Estonian: Uuringud on samuti tõendanud, et Udenyca tekitab organismis sarnase toimeainesisalduse kui Neulasta.
English: An overview of Udenyca and why it is authorised in the EU
Estonian: Ülevaade ravimist Udenyca ja ELis müügiloa väljastamise põhjendus
English: All these data were considered sufficient to conclude that Udenyca will behave in the same way as Neulasta in terms of effectiveness and safety in its approved uses.
Estonian: Nende piisavate andmete põhjal järeldati, et Udenyca efektiivsus ja ohutus on heakskiidetud näidustustel võrreldav Neulasta efektiivsuse ja ohutusega.
English: Laboratory studies comparing Udenyca with Neulasta have shown that the active substance in Udenyca is highly similar to that in Neulasta in terms of structure, purity and biological activity.
Estonian: Udenycat võrreldi Neulastaga laboriuuringutes, mis tõendasid, et Udenyca toimeaine on struktuuri, puhtuse ja bioloogilise toime poolest väga sarnane Neulasta toimeainega.
English: Udenyca is a ‘biosimilar medicine'.
Estonian: Udenyca on bioloogiliselt sarnane ravim.
English: Udenyca can only be obtained with a prescription and treatment should be started and supervised by a doctor who has experience in the treatment of cancer or blood disorders.
Estonian: Ravi peab algama ja toimuma vähi või verehäirete ravis kogenud arsti järelevalve all.
English: What benefits of Udenyca have been shown in studies?
Estonian: Milles seisneb uuringute põhjal Udenyca kasulikkus?
English: How does Udenyca work?
Estonian: Kuidas Udenyca toimib?
English: Udenyca is not intended for use in patients with the blood cancer chronic myeloid leukaemia or with myelodysplastic syndromes (conditions in large numbers of abnormal blood cells are produced, , which can develop into leukaemia).
Estonian: Udenyca ei ole ette nähtud kasutamiseks kroonilise müeloidleukeemia (teatud verevähi) või müelodüsplastiliste sündroomidega (haigusseisundid, mille korral patsiendi organismis tekib suurel hulgal ebanormaalseid vererakke, mille tagajärjel võib välja kujuneda leukeemia) patsientidel.
English: Udenyca is a medicine used in cancer patients to help with neutropenia (low levels of neutrophils, a type of white blood cell), which is a common side effect of cancer treatment and can leave patients vulnerable to infections.
Estonian: Udenyca on ravim, mida kasutatakse vähipatsientidel neutropeenia (neutrofiilide ehk teatud valgevereliblede vähesus) leevendamiseks; neutropeenia on vähiravi sage kõrvalnäht ning see võib suurendada patsientide vastuvõtlikkust infektsioonidele.
English: bone marrow to produce more white blood cells, increasing white blood cell counts and so treating neutropenia.
Estonian: Filgrastiim ergutab luuüdi tootma rohkem valgeliblesid ning see suurendab valgeliblede hulka ja ravib seeläbi neutropeeniat.
English: In Udenyca, filgrastim has been ‘pegylated' (attached to a chemical called polyethylene glycol).
Estonian: Udenycas on filgrastiim pegüleeritud (kinnitatud keemilise aine polüetüleenglükooli külge).
English: Why is Udenyca authorised in the EU?
Estonian: ELis Udenycale väljastatud müügiloa põhjendus
English: Overall summary of the scientific evaluation of Flutiform and associated names (see Annex I)
Estonian: Flutiformi ja sarnaste nimetuste (vt I lisa) teadusliku hindamise üldkokkuvõte
English: • Therefore the Committee concluded that the benefit-risk balance of Flutiform in the applied indications is favourable.
Estonian: • seetõttu järeldas komitee, et Flutiformi kasulikkuse ja riski suhe on taotletavatel näidustustel soodne.
English: The five pivotal Flutiform Phase III studies included approximately 2500 patients and the safety database includes over 1900 Flutiform-treated patients.
Estonian: Viies Flutiformi III faasi katseuuringus osales umbes 2500 patsienti ja ohutusteabe andmebaasi kanti üle 1900 Flutiformiga ravitud patsiendi.
English: Published sources indicate that these treatment differences would at worst remain static and at best improve in favour of Flutiform over the longer-term.
Estonian: Avaldatud allikate kohaselt võivad ravierinevused halvemal juhul jääda püsima ja paremal juhul paraneda pikemas perspektiivis Flutiformi kasuks.
English: The development programme also assessed the efficacy and safety of Flutiform administered either with or without a spacing device and investigated the efficacy and safety of Flutiform across relevant subgroups.
Estonian: Arendusprogrammis hinnati ka Flutiformi efektiivsust ja ohutust manustatuna vaheseadmega või ilma ning uuriti Flutiformi efektiivsust ja ohutust asjassepuutuvate alarühmade lõikes.
English: The clinical development programme for Flutiform was set up to evaluate efficacy and safety in the intended patient population.
Estonian: Flutiformi kliinilise arendamise programm töötati välja selleks, et hinnata ravimi efektiivsust ja ohutust sellel konkreetsel patsientide populatsioonil.
English: The inclusion of a second, lower dose of Flutiform (100µg/10µg) in the PD study was also instructive.
Estonian: Teise väiksema Flutiformi annuse (100 µg/10 µg) lisamine farmakodünaamika uuringusse oli samuti õpetlik.
English: Supportive studies compared the efficacy and safety of Flutiform with other combination therapies.
Estonian: Toetavates uuringutes võrreldi Flutiformi efektiivsust ja ohutust teiste kombinatsioonraviviisidega.
English: In both claimed indications the previously used inhaled corticosteroid (ICS) is replaced by the inhaled corticosteroid in Flutiform for which such proof is required.
Estonian: Mõlema taotletava näidustuse puhul asendatakse varem kasutatud inhaleeritavad kortikosteroidid (ICS) Flutiformina inhaleeritavate kortikosteroididega, mille puhul on selline tõendus vajalik.
English: the CHMP has recommended the granting of the marketing authorisation for which the summary of product characteristics, labelling and package leaflet remain as per the final versions achieved during the Coordination group procedure as mentioned in Annex III for Flutiform and associated names (see Annex I).
Estonian: Inimravimite komitee soovitas anda müügiloa, mille korral ravimi omaduste kokkuvõte, pakendi märgistus ja pakendi infoleht jäävad lõppversioonide kujule, milles lepiti kokku koordinatsioonirühma menetluse käigus ja mis on esitatud III lisas Flutiformi ja sarnaste nimetuste kohta (vt I lisa).
English: The pivotal clinical studies were designed to compare the efficacy and safety of Flutiform with its individual components administered separately and with its individual components administered together but inhaled from separate inhalers.
Estonian: Kliiniliste katseuuringute eesmärk oli võrrelda Flutiformi efektiivsust ja ohutust ravimi üksikkomponentidega, mida manustati eraldi või koos, kuid eraldi inhalaatoritega.
English: These data were generated from the five pivotal 8- to 12-week studies and demonstrate the protective benefit of Flutiform against exacerbations compared with fluticasone propionate monotherapy.
Estonian: Need andmed pärinevad viiest 8-12-nädalasest katseuuringust ja näitavad Flutiformi kaitsvat toimet ägenemiste vastu võrreldes flutikasoonpropionaadi monoteraapiaga.
English: Furthermore, the CHMP noted that the need to demonstrate either pharmacokinetic equivalence or therapeutic equivalence to a reference product is not a requirement for this development, which was submitted according to Directive 2001/83/EC, Article 10b fixed combination application - requiring complete administrative and complete quality, non-clinical and clinical data on the combination only; the specific combination of these two well known active substances, fluticasone propionate and formorerol fumarate, is new, and therefore equivalence/therapeutic equivalence does not have to be proven.
Estonian: Peale selle märkis inimravimite komitee, et kõnealusel juhul ei ole vajadust nõuda farmakokineetilise või terapeutilise samaväärsuse tõestamist võrdlusravimiga, sest direktiivi 2001/83/EÜ artiklil 10b kohane fikseeritud kombinatsiooni taotlus nõuab täielikke haldus- ja kvaliteedialaseid, mittekliinilisi ja kliinilisi andmeid ainult kombinatsiooni kohta; kõnealuse kahe tuntud toimeaine - flutikasoonpropionaadi ja formoteroolfumaraadi - kombinatsioon on aga uus ja seega ei ole vaja tõestada samaväärsust / terapeutilist samaväärsust.
English: Flutiform 50/5, 125/5 and 250/10 microgram pressurised inhalation, suspension is a new fixed-dose combination of two well-known active drug substances fluticasone propionate and formoterol fumarate.
Estonian: Flutiform 50/5, 125/5 ja 250/10 μg inhalatsiooniaerosool suspensioonina on kahe tuntud toimeaine flutikasoonpropionaadi ja formoteroolfumaraadi - uus fikseeritud annustega kombinatsioon.
English: Several endpoints which reflect these different facets of asthma control are modulated by long-acting β-agonists.
Estonian: mis peegeldavad astma kontrolli erinevaid tahke, moduleerivad just pikatoimelised β-agonistid.
English: Assessment of the pre-dose FEV1 data in the three specified studies demonstrated that in two of the three studies formoterol fumarate has no effect upon pre-dose FEV1 whilst in the third study there was some residual formoterol effect upon pre-dose FEV1 but it was insufficient to explain the magnitude of the predose FEV1 treatment effect difference between Flutiform and fluticasone propionate pMDI.
Estonian: Manustamiseelse FEV1 hindamine kolmes nimetatud uuringus näitas, et kahes uuringus kolmest ei mõjutanud formoteroolfumaraat manustamiseelset FEV1, samas kui kolmandas uuringus oli formoteroolil teatav residuaalne toime manustamiseelsele FEV1-le, kuid see ei olnud piisav, et seletada Flutiformi ja flutikasoonpropionaadi ühe toimeainega dosaatorinhalaatori manustamiseelse FEV1 ravitoime erinevust.
English: This provides further support for the clinical relevance of the effects seen with Flutiform.
Estonian: See toetab veelgi Flutiformi täheldatud toime kliinilist olulisust.
English: The question posed by CHMP implied that the 67% relative bioavailability of the fluticasone propionate component of Flutiform compared with GSK fluticasone propionate pMDI may translate to a lesser inhaled corticosteroid effect and that this lesser effect would be best evaluated in a 6- to 12-month exacerbations study.
Estonian: Inimravimite komitee esitatud küsimuses anti mõista, et Flutiformi flutikasoonpropionaadi komponendi 67% suhtelist biosaadavust võrreldes GSK flutikasoonpropionaadi ühe toimeainega dosaatorinhalaatoriga võib tõlgendada kui inhaleeritud kortikosteroidi väiksemat toimet, mida on sobivam hinnata 6-12-kuulises ägenemise uuringus.
English: This hypothesis has in turn led to concerns regarding the duration of the Applicant's 8 to 12 week studies.
Estonian: See hüpotees tekitas omakorda kahtlusi, kas taotleja uuring ei olnud liiga lühike ( 812-nädalat).
English: The CHMP was of the opinion that these findings suggest that the PK data from study FLT1501 do not reflect pulmonary deposition accurately and therefore in this study are not a valid surrogate for clinical efficacy of Flutiform.
Estonian: Neid tulemusi arvesse võttes asus inimravimite komitee seisukohale, et uuringu FLT1501 farmakokineetilised andmed ei peegelda täpselt ravimi ladestumist kopsus ja seega ei ole selle uuringu tulemused Flutiformi kliinilise efektiivsuse sobiv asendusnäitaja.
English: • In the pharmacokinetic data presented systemic exposure of fluticasone was lower (67%) following Flutiform inhalation than following the concurrent inhalation of fluticasone and formoterol from monoproduct pMDIs.
Estonian: • farmakokineetilised andmed näitavad, et flutikasooni süsteemne ekspositsioon on pärast Flutiformi inhaleerimist väiksem (67%) võrreldes samaaegse flutikasooni ja formoterooli manustamisega ühte toimeainet sisaldavast dosaatorinhalaatorist.
English: These findings should be taken together with the results that show that the clinical effects of Flutiform are comparable with the clinical effects of GSK fluticasone propionate and Novartis formoterol fumarate given concomitantly.
Estonian: Neid tulemusi tuleb analüüsida koos tulemustega, mis näitavad, et Flutiformi kliiniline toime on võrreldav koos manustatud GSK flutikasoonpropionaadi ja Novartise formoteroolfumaraadi kliinilise toimega.
English: Committee was also of the opinion that the corticosteroid effects seen with Flutiform are no less than those seen with GSK fluticasone propionate pMDI and that formoterol fumarate does not appreciably “mask” any lesser corticosteroid effect.
Estonian: Komitee oli samuti arvamusel, et Flutiformi kortikosteroidi toime ei ole väiksem kui GSK flutikasoonpropionaadi ühe toimeainega dosaatorinhalaatoril ja et formoteroolfumaraat ei varja väiksemat kortikosteroidi toimet märgatavalt.
English: These endpoints were demonstrably inhaled cortocosteroid-driven and/or inhaled corticosteroid dose-responsive and all provided rigorous statistical evidence that the inhaled corticosteroid effects of Flutiform were not less than those of fluticasone propionate + formoterol fumarate.
Estonian: Need näitajad põhinesid silmnähtavalt inhaleeritaval kortikosteroidil ja/või olid inhaleeritava kortikosteroidi annuse suhtes tundlikud ning pakkusid ranget statistilist tõendusmaterjali, et Flutiformi inhaleeritava kortikosteroidi toime ei ole nõrgem kui flutikasoonpropionaadi ja formoteroolfumaraadi kombinatsiooni oma.
English: The PK study (Study FLT1501) which has given rise to concerns was conducted to evaluate the comparative safety of Flutiform when compared with the marketed monoproduct pMDIs.
Estonian: Küsimusi tõstatanud farmakokineetiline uuring (FLT1501) viidi läbi selleks, et hinnata Flutiformi ohutust võrreldes ühte toimeainet sisaldavate turul saadaolevate dosaatorinhalaatoritega.
English: However, the specific formulation of a fixed-dose combination of these two well known active substances, fluticasone propionate and formoterol fumarate, is new.
Estonian: Samas on nende kahe tuntud toimeaine - flutikasoonpropionaadi ja formoteroolfumaraadifikseeritud annusega kombinatsiooni ravimvorm uus.
English: Turning to the available data in the Applicant's studies, for the “Step-up” comparison the odds of “any” exacerbation were 33% higher in fluticasone propionate- than Flutiform-treated patients (p=0.019) whilst the annual exacerbation rate was 49% higher in fluticasone propionate- than Flutiform-treated patients (p=0.004).
Estonian: Mis puudutab taotleja uuringutest saadud andmeid, siis oli lisaravi võrdluse puhul mis tahes ägenemise tõenäosus flutikasoonpropionaadi rühmas 33% suurem kui Flutiformiga ravitud patsientidel (p=0,019) ning aastane ägenemiste määr oli flutikasoonpropionaadi rühmas 49% suurem kui Flutiformiga ravitud patsientidel (p=0,004).
English: Literature data indicate that even if the PK data accurately reflect comparative pulmonary drug deposition for Flutiform versus GSK fluticasone propionate pMDI, such differences are not of clinical relevance.
Estonian: Kirjandusest nähtub, et isegi kui farmakokineetilised andmed peegeldavad täpselt, kuidas ravim ladestub kopsus Flutiformiga ning GSK flutikasoonpropionaati sisaldava ühe toimeainega dosaatorinhalaatoriga manustamisel, ei ole need erinevused kliiniliselt olulised.
English: In conclusion, given the long-term predictive value of FEV1, given the static nature of FEV1 after 8 to 12 weeks of treatment, and given the pattern of the FEV1 data observed in the five pivotal studies, the CHMP considers there to be no reason to anticipate that the long-term exacerbation risk with Flutiform may exceed that with fluticasone propionate alone (the “Step-up” indication) or fluticasone propionate in combination with formoterol fumarate (the “Switch” indication).
Estonian: Kokkuvõtteks leiab inimravimite komitee, et FEV1 pikaajalist prognoosiväärtust, FEV1 statistilist olemust 8-12-nädalase ravi järel ja viies katseuuringus täheldatud FEV1 arengut arvestades ei ole põhjust eeldada, et pikaajaline ägenemisoht Flutiformiga ületab flutikasoonpropionaadi monoteraapia oma (lisaravi näidustus) või flutikasoonpropionaadi ja formoteroolfumaraadi kombinatsiooni oma (ülemineku näidustus).
English: Turning to the data in the Applicant's clinical studies: For the “Step-up” indication both pre-dose and post-dose FEV1 effects at 8 to 12 weeks were significantly greater with Flutiform than with fluticasone propionate; for the “Switch” indication both pre-dose and post-dose FEV1 effects numerically favoured Flutiform over fluticasone propionate + formoterol fumarate (in both Per Protocol and Intention-to-Treat population comparisons).
Estonian: Taotleja kliiniliste uuringute andmetest ilmnes, et lisaravi näidustusel olid nii manustamiseelsed kui ka manustamisjärgsed FEV1 toimed pärast 8-12-nädalast ravi Flutiformiga oluliselt suuremad kui flutikasoonpropionaadiga; ülemineku näidustusel olid nii manustamiseelsed kui ka manustamisjärgsed FEV1 toimed arvuliselt Flutiformi kasuks võrreldes flutikasoonpropionaadi ja formoteroolfumaraadi kombinatsiooniga (nii protokollijärgse kui ka ravikavatsusega populatsiooni võrdluses).
English: The apparent lower systemic availability of fluticasone propionate in Flutiform compared with GSK fluticasone propionate pMDI would not appear to result in a lesser clinical effect.
Estonian: Flutiformis sisalduva flutikasoonpropionaadi väidetav väiksem süsteemne biosaadavus võrreldes GSK flutikasoonpropionaadi ühe toimeainega dosaatorinhalaatoriga ei tähenda väiksemat kliinilist toimet.
English: The CHMP noted that the differences of the magnitude observed between Flutiform and GSK fluticasone propionate in Study FLT1501 (67% relative bioavailability) are within the same range of variance as observed within patients (from inhalation to inhalation), between different batches of the same product and between different inhalers containing the same or more than one of the same active substances and are without adverse clinical consequences, and therefore are likely to be clinically irrelevant.
Estonian: Inimravimite komitee märkis, et uuringus FLT1501 täheldatud Flutiformi ja GSK flutikasoonpropionaatravimi erinevused (suhteline biosaadavus 67%) jäävad samasse erinevuste vahemikku, mida on täheldatud eri patsientide (inhalatsioonide lõikes), sama toote erinevate partiide ning sama või mitut samasugust toimeainet sisaldavate erinevate inhalaatorite puhul.
English: With regard to the “Step-up” indication, again the CHMP accepted the discussions presented by the Applicant and was of the view that the clinical effects of Flutiform in respect of asthma control are superior to the clinical effects of GSK fluticasone propionate administered alone.
Estonian: Seoses lisaravi näidustusega nõustus inimravimite komitee taotleja mõttekäiguga ja leidis, et Flutiformi kliiniline toime seoses astma kontrolliga on suurem kui eraldi manustatud GSK flutikasoonpropionaadi kliiniline toime.
English: The data presented in respect of exacerbations demonstrate an increased protective benefit of Flutiform compared with GSK fluticasone propionate administered alone - the odds of any exacerbation occurring were 33% higher and the annual exacerbation rate was 49% higher in patients receiving GSK fluticasone propionate than in patients receiving Flutiform, p=0.019 and p=0.004, respectively.
Estonian: Ägenemiste andmed näitavad Flutiformi suuremat kaitsvat toimet võrreldes eraldi manustatud GSK flutikasoonpropionaadiga: patsientidel, kellele manustati GSK flutikasoonpropionaati, oli ägenemise tõenäosus 33% ja aastane ägenemiste määr 49% kõrgem kui patsientidel, kellele manustati Flutiformi (vastavalt p=0,019 ja p=0,004).
English: The relative bioavailability of fluticasone propionate at steady state was 67% following Flutiform administration compared with GSK fluticasone propionate pMDI.
Estonian: Flutikasoonpropionaadi suhteline biosaadavus Flutiformi manustamise järel oli püsikontsentratsioonil 67% võrreldes GSK flutikasoonpropionaadi manustamisega ühte toimeainet sisaldava dosaatorinhalaatoriga.
English: An annual exacerbation rate ratio of 0.98, i.e. very close to unity for the comparison of Flutiform 500µg/20µg versus fluticasone propionate 500µg + formoterol fumarate 24µg was therefore suggestive of non-inferiority but was not statistically definitive.
Estonian: Aastaste ägenemiste määr oli 0,98 (s.t väga lähedal 1-le) Flutiformi 500 µg/20 µg vs. 500 µg flutikasoonpropionaadi ja 24 µg formoteroolfumaraadi kombinatsiooni võrdluses ja viitas seetõttu samaväärsusele, kuigi see näitaja ei olnud statistiliselt lõplik.
English: With regard to the “Switch” therapy, the CHMP accepted the discussions presented by the Applicant and was of the view that the clinical effects of Flutiform in respect of asthma control and exacerbation risk are comparable with/similar to the clinical effects of GSK fluticasone propionate and Novartis formoterol fumarate given concomitantly.
Estonian: Ülemineku näidustusel nõustus inimravimite komitee taotleja mõttekäiguga ja leidis, et Flutiformi kliiniline toime seoses astma kontrolli ja ägenemisohuga on võrreldav/sarnane koos manustatud GSK flutikasoonpropionaadi ja Novartise formoteroolfumaraadi kliinilise toimega.