FrancophonIA/ELRC3.0 huggingface dataset:
English: In addition, a K70E substitution in HIV-1 RT has been selected by tenofovir and results in low-level reduced susceptibility to abacavir, emtricitabine, tenofovir and lamivudine.
Danish: Desuden er en K70E-substitution i hiv 1-RT blevet selekteret af tenofovir, og det forårsager nedsat følsomhed for abacavir, emtricitabin, tenofovir og lamivudin på lavt niveau.
English: The antiviral activity of tenofovir against laboratory and clinical isolates of HIV-1 was assessed in lymphoblastoid cell lines, primary monocyte/macrophage cells and peripheral blood lymphocytes.
Danish: Den antivirale aktivitet af tenofovir over for isolater af hiv 1 fra laboratoriet og klinikken blev vurderet i lymfoblastoide cellelinjer, primære monocyt-/makrofage celler og lymfocytter i det perifere blod.
English: • The active substances are emtricitabine, rilpivirine and tenofovir disoproxil.
Danish: • Aktive stoffer: emtricitabin, rilpivirin og tenofovirdisoproxil.
English: 1 This interaction study has been performed with a dose higher than the recommended dose for rilpivirine hydrochloride assessing the maximal effect on the co-administered medicinal product.
Danish: 1 Dette interaktionsstudie er blevet udført med en dosis af rilpivirinhydrochlorid, der er højere end den anbefalede for at vurdere den maksimale virkning på det samtidigt administrerede lægemiddel.
English: By baseline CD4+ cell count (x 106 cells/L)
Danish: Ved baseline CD4+-celletal (x 106 celler/l)
English: Sofosbuvir/Emtricitabine
Danish: Sofosbuvir/emtricitabin
English: No dose adjustment is required for rilpivirine hydrochloride in patients with mild or moderate hepatic impairment (CPT Score A or B).
Danish: En dosisjustering er ikke nødvendig for rilpivirinhydrochlorid hos patienter med let eller moderat nedsat leverfunktion (CPT score A eller B).
English: Eviplera should not be administered concomitantly with other medicinal products containing emtricitabine, tenofovir disoproxil or tenofovir alafenamide.
Danish: Eviplera bør det ikke indgives samtidig med andre lægemidler, som indeholder emtricitabin, tenofovirdisoproxil eller tenofoviralafenamid.
English: The virologic failure rate in patients treated with emtricitabine/tenofovir disoproxil + rilpivirine at week 48 and week 96 was 9.5% and 11.5% respectively, and 4.2% and 5.1% in the emtricitabine/tenofovir disoproxil + efavirenz arm.
Danish: Hyppigheden af virologisk svigt hos patienter i behandling med emtricitabin/ tenofovirdisoproxil + rilpivirin ved uge 48 og ved uge 96 var hhv. 9,5 % og 11,5 %, mens den var hhv. 4,2 % og 5,1 % i emtricitabin/tenofovirdisoproxil + efavirenz-armen.
English: Contents of the pack and other information What Eviplera contains
Danish: Pakningsstørrelser og yderligere oplysninger Eviplera indeholder:
English: There were no new safety findings compared with the known safety profile of rilpivirine in HIV-1 infected adults (see sections 4.2, 4.4 and 5.2).
Danish: Der var ingen nye sikkerhedsfund i forhold til den kendte sikkerhedsprofil for rilpivirin hos hiv1-inficerede voksne (se pkt.
English: proximal renal tubulopathy including Fanconi syndrome3, increased creatinine3, proteinuria3
Danish: Nyrer og urinveje Ikke almindelig: proksimal renal tubulopati, herunder Fanconis syndrom3, øget kreatinin3, proteinuri3
English: • rilpivirine
Danish: • rilpivirin
English: 3 This interaction study has been performed with a dose higher than the recommended dose for rilpivirine hydrochloride assessing the maximal effect on the co-administered medicinal product.
Danish: 3 Dette interaktionsstudie er blevet udført med en dosis af rilpivirinhydrochlorid, der er højere end den anbefalede, for at vurdere den maksimale virkning på det samtidigt administrerede lægemiddel.
English: Relevant examples are cytomegalovirus retinitis, generalised and/or focal mycobacterial infections, and Pneumocystis jirovecii pneumonia.
Danish: Relevante eksempler er cytomegalovirus-retinitis, generaliserede og/eller fokale mykobakterielle infektioner og Pneumocystis jirovecii-pneumoni Alle inflammatoriske symptomer bør vurderes og behandling påbegyndes efter behov.
English: If Eviplera is discontinued in patients co-infected with HIV and hepatitis B virus (HBV), these patients should be closely monitored for evidence of exacerbation of hepatitis (see section 4.4).
Danish: Hvis Eviplera seponeres hos patienter, der samtidig er inficeret med hiv og hepatitis B-virus (HBV), skal disse patienter monitoreres tæt for tegn på eksacerbation af hepatitis (se pkt.
English: As rilpivirine is highly bound to plasma proteins, it is unlikely that it will be significantly removed by haemodialysis or peritoneal dialysis (see section 4.9).
Danish: Da rilpivirin i høj grad er bundet til plasmaproteiner er det usandsynligt, at det fjernes betydeligt ved hæmodialyse eller peritonealdialyse (se pkt.
English: Cases of severe skin reactions with systemic symptoms have been reported during post-marketing experience with Eviplera, including but not limited to rashes accompanied by fever, blisters, conjunctivitis, angioedema, elevated liver function tests, and/or eosinophilia.
Danish: Tilfælde med alvorlige hudreaktioner med systemiske symptomer er blevet rapporteret efter markedsføring af Eviplera, herunder, men ikke begrænset til, udslæt ledsaget af feber, blærer, konjunktivitis, angioødem, forhøjede leverfunktionsprøver og/eller eosinofili.
English: Eviplera is indicated for the treatment of adults infected with human immunodeficiency virus type 1 (HIV-1) without known mutations associated with resistance to the non-nucleoside reverse transcriptase inhibitor (NNRTI) class, tenofovir or emtricitabine, and with a viral load ≤ 100,000
Danish: Eviplera er indiceret til behandling af voksne, som er inficeret med humant immundefektvirus type 1 (hiv 1) uden kendte mutationer associeret med resistens over for non-nukleosid revers transkriptasehæmmer-klassen (NNRTI), tenofovir eller emtricitabin og med en virusbelastning på ≤ 100.000 hiv 1-rna-kopier/ml (se pkt.
English: Rilpivirine hydrochloride at the recommended dose of 25 mg once daily is not associated with a clinically relevant effect on QTc.
Danish: Rilpivirinhydrochlorid ved den anbefalede dosis på 25 mg én gang dagligt er ikke forbundet med en klinisk relevant virkning på QTc.
English: The pharmacokinetics of tenofovir has been studied in patients with hepatic impairment and no dose adjustment is required in these patients.
Danish: Tenofovirs farmakokinetik er undersøgt hos patienter med nedsat leverfunktion, og hos disse patienter er en dosisjustering ikke nødvendig.
English: At supratherapeutic doses (75 mg and 300 mg once daily), rilpivirine has been associated with prolongation of the QTc interval of the electrocardiogram (ECG) (see sections 4.5 and 5.1).
Danish: Ved supraterapeutiske doser (75 mg og 300 mg én gang dagligt) er rilpivirin blevet forbundet med forlængelse af QTc-intervallet på elektrokardiogrammet (EKG) (se pkt.
English: In patients with BL VL1 ≤ 100,000 copies/mL (n = 22)
Danish: Hos patienter med virusbelastning ved baseline ≤ 100.000 kopier/ml (n = 22)
English: Eviplera should be used with caution in patients with moderate hepatic impairment.
Danish: Eviplera bør anvendes med forsigtighed hos patienter med moderat nedsat leverfunktion.
English: Other medicines and Eviplera Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
Danish: Fortæl altid lægen eller apotekspersonalet, hvis De tager anden medicin eller har gjort det for nylig.
English: • antacids (aluminium/magnesium hydroxide or calcium carbonate)
Danish: • syreneutraliserende medicin (aluminium-/magnesiumhydroxid eller calciumcarbonat)
English: The increased exposure of tenofovir could potentiate adverse reactions associated with tenofovir disoproxil, including renal disorders.
Danish: Den forøgede tenofovireksponering kan forstærke effekten af bivirkninger ved tenofovirdisoproxil, herunder nyresygdomme.
English: 8 This adverse reaction was identified through post-marketing surveillance for tenofovir disoproxil but not observed in randomised controlled clinical studies or the expanded access program for tenofovir disoproxil.
Danish: 8 Denne bivirkning blev identificeret under sikkerhedsovervågningen efter markedsføring for tenofovirdisoproxil, men den blev ikke observeret i randomiserede, kontrollerede kliniske studier eller i programmet for forlænget adgang til tenofovirdisoproxil.
English: Co-administration of tenofovir disoproxil and didanosine results in a 40-60% increase in systemic exposure to didanosine that may increase the risk of didanosinerelated adverse reactions.
Danish: Samtidig administration af tenofovirdisoproxil og didanosin resulterer i en 40-60 % forhøjelse i systemisk eksponering for didanosin, hvilket kan forøge risikoen for didanosinrelaterede bivirkninger.
English: Then take the next dose as usual.
Danish: Tag altid tabletten sammen med mad, Derefter tages den næste dosis som sædvanligt.
English: Pregelatinised maize starch
Danish: Prægelatineret majsstivelse
English: Where discontinuation of therapy with one of the components of Eviplera is indicated or where dose modification is necessary, separate preparations of emtricitabine, rilpivirine hydrochloride and tenofovir disoproxil are available.
Danish: Hvor der er indikation for en seponering af behandling med en af komponenterne af Eviplera, eller hvor en dosismodifikation er nødvendig, er separate formuleringer af emtricitabin, rilpivirinhydrochlorid og tenofovirdisoproxil tilgængelige.
English: In treatment-naïve patients, the most frequently reported adverse reactions considered possibly or probably related to rilpivirine hydrochloride and emtricitabine/tenofovir disoproxil were nausea (9%), dizziness (8%), abnormal dreams (8%), headache (6%), diarrhoea (5%) and insomnia (5%) (pooled data from the Phase III clinical studies C209 and C215, see section 5.1).
Danish: Hos behandlingsnaive patienter var de hyppigst indberettede bivirkninger, som blev anset for at have en mulig eller sandsynlig forbindelse til rilpivirinhydrochlorid og emtricitabin/tenofovirdisoproxil, kvalme (9 %), svimmelhed (8 %), unormale drømme (8 %), hovedpine (6 %), diarré (5 %) og insomni (5 %) (samlede data fra fase III kliniske studier C209 og C215, se pkt.
English: Among those patients who developed resistance to rilpivirine, 4/7 patients with baseline viral load ≤ 100,000 copies/mL and 28/30 patients with baseline viral load > 100,000 copies/mL had cross-resistance to other NNRTIs.
Danish: Blandt de patienter, der udviklede resistens over for rilpivirin, havde 4/7 patienter med baseline virusbelastning ≤ 100.000 kopier/ml og 28/30 patienter med baseline virusbelastning > 100.000 kopier/ml krydsresistens over for andre NNRTI'er.
English: anaemia1, 4
Danish: asteni1, 3
English: The efficacy, safety, and pharmacokinetics of switching from efavirenz/emtricitabine/tenofovir disoproxil STR to Eviplera STR were evaluated in an open-label study in virologically suppressed HIV-1 infected adults.
Danish: Virkningen, sikkerheden og farmakokinetikken ved skift fra efavirenz/emtricitabin/tenofovirdisoproxil (single tablet regimen - STR) til Eviplera STR blev evalueret i et open-label studie hos virologisk supprimerede hiv 1-inficerede voksne.
English: In patients receiving tenofovir disoproxil, rare events of renal impairment, renal failure and uncommon events of proximal renal tubulopathy (including Fanconi syndrome) sometimes leading to bone abnormalities (infrequently contributing to fractures) have been reported.
Danish: Hos patienter, der behandles med tenofovirdisoproxil, er der rapporteret sjældne tilfælde af nedsat nyrefunktion, nyresvigt og ikke almindeligt forekommende tilfælde af proksimal renal tubulopati (herunder Fanconis syndrom), som nogle gange kan medføre knogleabnormiteter (i sjældne tilfælde er det rapporteret som medvirkende årsag til frakturer).
English: Take it at least 2 hours before or at least 4 hours after Eviplera.
Danish: Tag det mindst 2 timer før eller mindst 4 timer efter Eviplera.
English: Patients with a baseline viral load > 100,000 HIV-1 RNA copies/mL who experienced virologic failure exhibited a higher rate of treatment-emergent resistance to the NNRTI class.
Danish: Patienter med en virusbelastning ved baseline på > 100.000 hiv 1-rnakopier/ml, som oplevede virologisk svigt, udviste en større hyppighed af resistens over for NNRTI under behandlingen.
English: Through week 48, no emergent resistance developed in the 2 patients who failed virologically among patients who switched to Eviplera from efavirenz/emtricitabine/tenofovir disoproxil (0 of 49 patients).
Danish: Til og med uge 48 udviklede de 2 patienter, som havde virologisk svigt blandt de patienter, som skiftede til Eviplera fra efavirenz/emtricitabin/tenofovirdisoproxil (0 ud af 49 patienter), ikke resistens under behandlingen.
English: • any signs of inflammation or infection
Danish: • ethvert tegn på betændelse eller infektion
English: Take it at least 12 hours before or at least 4 hours after Eviplera.
Danish: Tag det mindst 12 timer før eller mindst 4 timer efter Eviplera.
English: Methadone (60-100 mg once daily, individualised dose)/Rilpivirine
Danish: Methadon (60-100 mg én gang dagligt, individualiseret dosis)/Rilpivirin
English: The K65R and also the K70E substitution result in reduced susceptibility to abacavir, didanosine, lamivudine, emtricitabine, and tenofovir, but retain sensitivity to zidovudine.
Danish: K65R- samt K70E-substitutionen resulterer i nedsat følsomhed for abacavir, didanosin, lamivudin, emtricitabin og tenofovir, men bibeholder følsomhed for zidovudin.
English: Patients with HIV and hepatitis B or C virus co-infection
Danish: Patienter med hiv, som samtidig er inficerede med hepatitis B- eller C-virus
English: More patients who failed virologically on rilpivirine than who failed virologically on efavirenz developed lamivudine/emtricitabine associated resistance (see section 5.1).
Danish: Flere patienter, som oplevede virologisk svigt under behandling med rilpivirin, end patienter, som oplevede virologisk svigt under behandling med efavirenz, udviklede lamivudin/emtricitabin-associeret resistens (se pkt.
English: In a clinical study rilpivirine did not significantly affect the pharmacokinetics of digoxin.
Danish: Rilpivirin påvirkede ikke digoxins farmakokinetik signifikant i et klinisk studie.
English: There are a limited amount of data (less than 300 pregnancy outcomes) from the use of rilpivirine in pregnant women (see sections 4.4, 5.1 and 5.2).
Danish: Der er ingen eller utilstrækkelige data (mindre end 300 gravide forsøgspersoner) fra anvendelse af rilpivirin til gravide kvinder (se pkt.
English: Eviplera is a treatment for Human Immunodeficiency Virus (HIV) infection in adults aged
Danish: Eviplera anvendes til behandling af infektion med humant immundefektvirus (hiv) hos voksne i alderen 18 år og derover.
English: In the cumulative week 96 pooled resistance analysis for patients receiving rilpivirine in combination with emtricitabine/tenofovir disoproxil, a greater risk of virologic failure for patients in the rilpivirine arm was observed within the first 48 weeks of these studies (11.5% in the rilpivirine arm and 4.2% in the efavirenz arm) while low rates of virologic failure, similar between the treatment arms, were observed from the week 48 to week 96 analysis (15 patients or 2.7% in the rilpivirine arm and 14 patients or 2.6% in the efavirenz arm).
Danish: I den kumulative samlede resistensanalyse ved uge 96 for patienter, der fik rilpivirin i kombination med emtricitabin/tenofovirdisoproxil, blev der observeret en større risiko for virologisk svigt for patienterne i rilpivirin-armen i løbet af de første 48 uger af disse studier (11,5 % i rilpivirinarmen og 4,2 % i efavirenz-armen), mens der blev observeret lave hyppigheder af virologisk svigt, som var sammenlignelige i de to behandlingsarme, fra analysen ved uge 48 til uge 96 (15 patienter eller 2,7 % i rilpivirin-armen og 14 patienter eller 2,6 % i efavirenz-armen).
English: Eviplera should not be co-administered with the following medicinal products as significant decreases in rilpivirine plasma concentrations may occur (due to cytochrome P450 [CYP]3A enzyme induction or gastric pH increase), which may result in loss of therapeutic effect of Eviplera:
Danish: Eviplera bør ikke administreres samtidigt med de følgende lægemidler, da der kan forekomme signifikante reduktioner i plasmakoncentrationen af rilpivirin (på grund af cytokrom P450 [CYP]3A enzyminduktion eller forhøjelse af pH-værdien i ventriklen), hvilket kan resultere i tab af terapeutisk virkning af Eviplera:
English: Other NNRTIs It is not recommended to co-administer Eviplera with other NNRTIs.
Danish: Andre NNRTI'er Samtidig administration af Eviplera og andre NNRTI'er frarådes.
English: Eviplera contains lactose monohydrate.
Danish: Eviplera indeholder lactosemonohydrat.
English: Through week 24, two patients who switched to Eviplera at baseline (2 of 317 patients, 0.6%) and one patient who maintained their ritonavir-boosted PI-based regimen [Stayed on Baseline Regimen (SBR) arm] (1 of 159 patients, 0.6%) developed genotypic and/or phenotypic resistance to study drugs.
Danish: Til og med uge 24 udviklede to patienter, som skiftede til Eviplera ved baseline (2 ud af 317 patienter, 0,6 %), og én patient, som forblev på det ritonavir-boostede PI-baserede program [forblev på baselineprogram-arm (Stayed on Baseline Regimen (SBR)] (1 ud af 159 patienter, 0,6 %), genotype- og/eller fænotype-resistens over for forsøgsmedicinen.
English: Tenofovir disoproxil should be avoided in patients with HIV-1 harbouring the K65R mutation.
Danish: Tenofovirdisoproxil bør undgås hos tidligere antiretroviralbehandlede patienter med hiv 1 med stammer, som har K65R-mutationer.
English: Through week 96, fewer patients in the rilpivirine arm with baseline viral load ≤ 100,000 copies/mL had emerging resistance-associated substitutions and/or phenotypic resistance to rilpivirine (7/288) than patients with baseline viral load > 100,000 copies/mL (30/262).
Danish: Til og med uge 96 oplevede færre patienter i rilpivirin-armen med baseline virusbelastning ≤ 100.000 kopier/ml en fremkomst i resistensassocierede substitutioner og/eller fænotype-resistens over for rilpivirin (7/288) end patienter med baseline virusbelastning > 100.000 kopier/ml (30/262).
English: A dual energy X ray absorptiometry (DXA) substudy for both the Phase III studies (C209 and C215) investigated the effect of rilpivirine as compared with control, overall and by background regimen on changes in whole body bone mineral density (BMD) and bone mineral content (BMC) at week 48 and week 96.
Danish: Et delstudie med Dual Energy X-ray Absorptiometry (DXA) for begge fase III-studier (C209 og C215) evaluerede virkningen af rilpivirin sammenlignet med kontrollen, samlet og pr. baggrundsprogram, på ændringer i helkrops-knoglemineraltætheden (BMD) og knoglemineralindholdet (BMC) ved uge 48 og uge 96.
English: • emtricitabine
Danish: • emtricitabin
English: At week 96 the mean changes in CD4+ cell count from baseline were +226 x 106 cells/L and +222 x 106 cells/L for the rilpivirine and efavirenz treatment arms, respectively, of patients receiving the emtricitabine/tenofovir disoproxil background regimen.
Danish: Ved uge 96 var de gennemsnitlige ændringer i CD4+-celletallet fra baseline +226 x 106 celler/l og +222 x 106 celler/l for hhv. behandlingsarmen med rilpivirin og efavirenz for patienter, der fik et baggrundsprogram med emtricitabin/tenofovirdisoproxil.
English: Adverse reaction Metabolism and nutrition disorders Very common: increased total cholesterol (fasted)2, increased LDL-cholesterol (fasted)2, hypophosphataemia3, 5
Danish: forhøjet totalt kolesterol (fastende)2, forhøjet LDL-kolesterol (fastende)2, hypophosphatæmi3, 5
English: Renal failure, renal impairment, elevated creatinine, hypophosphataemia and proximal tubulopathy (including Fanconi syndrome) have been reported with the use of tenofovir disoproxil in clinical practice (see section 4.8).
Danish: Der er rapporteret nyresvigt, nedsat nyrefunktion, forhøjet kreatinin, hypophosphatæmi og proksimal tubulopati (herunder Fanconis syndrom) ved brug af tenofovirdisoproxil i klinisk praksis (se pkt.
English: Eviplera should not be administered concomitantly with other medicinal products containing emtricitabine, tenofovir disoproxil, tenofovir alafenamide, or other cytidine analogues, such as lamivudine (see section 4.5).
Danish: Eviplera bør ikke indgives samtidig med andre lægemidler, som indeholder emtricitabin, tenofovirdisoproxil, tenofoviralafenamid eller andre cytidinanaloger som lamivudin (se pkt.
English: Cmin: NC Ethinylestradiol:
Danish: Cmin: N/A Ethinylestradiol:
English: In the pooled analysis for C209 and C215 of patients who received a background regimen of emtricitabine/tenofovir disoproxil, demographic and baseline characteristics were balanced between the rilpivirine and efavirenz arm. Table 4 displays selected demographic and baseline disease characteristics.
Danish: I den samlede analyse for C209 og C215 med patienter, der fik et baggrundsprogram med emtricitabin/tenofovir disoproxil, blev demografiske og baselinekarakteristika balanceret mellem rilpivirin- og efavirenz-armen.
English: Discontinuations due to adverse events were higher in the efavirenz arm at week 96 than in the rilpivirine arm.
Danish: Ved uge 96 var seponering på grund af uønskede hændelser hyppigere i efavirenz-armen end i rilpivirin-armen.
English: Rilpivirine also demonstrated antiviral activity against a broad panel of HIV-1 group M (subtype A, B, C, D, F, G, H) primary isolates with EC50 values ranging from 0.07 to 1.01 nM (0.03 to 0.37 ng/mL) and group O primary isolates with EC50 values ranging from 2.88 to 8.45 nM (1.06 to 3.10 ng/mL).
Danish: Rilpivirin viste også antiviral aktivitet mod et bredt panel af hiv 1 gruppe M (undertype A, B, C, D, F, G, H) primære isolater med EC50-værdier i intervallet fra 0,07 til 1,01 nM (0,03 til 0,37 ng/ml) og gruppe O primære isolater med EC50-værdier i intervallet fra 2,88 til 8,45 nM (1,06 til 3,10 ng/ml).
English: Eviplera should be used with caution when co-administered with a medicinal product with a known risk of Torsade de Pointes.
Danish: Eviplera bør anvendes med forsigtighed, hvis det administreres samtidigt med et lægemiddel med en kendt risiko for torsades de pointes.
English: In combination studies of tenofovir with NRTIs (abacavir, didanosine, emtricitabine, lamivudine, stavudine, and zidovudine), NNRTIs (delavirdine, efavirenz, nevirapine, and rilpivirine), and PIs (amprenavir, indinavir, nelfinavir, ritonavir, and saquinavir), additive to synergistic effects were observed.
Danish: I kombinationsstudier af tenofovir sammen med NRTI'er (abacavir, didanosin, emtricitabin, lamivudin, stavudin og zidovudin), NNRTI'er (delavirdin, efavirenz, nevirapin og rilpivirin) og PI'er (amprenavir, indinavir, nelfinavir, ritonavir og saquinavir) blev der observeret additive til synergistiske virkninger.
English: Ethinylestradiol (0.035 mg once daily)/Rilpivirine
Danish: Ethinylestradiol (0,035 mg én gang dagligt)/ Rilpivirin
English: The most commonly observed resistanceassociated mutations that emerged included L100I, K101E, V108I, E138K, V179F, Y181C, H221Y, F227C and M230I.
Danish: De hyppigst observerede resistensassocierede mutationer, der fremkom, omfattede L100I, K101E, V108I, E138K, V179F, Y181C, H221Y, F227C og M230I.
English: Use of Eviplera should be avoided with concurrent or recent use of a nephrotoxic medicinal product (see section 4.5).
Danish: Anvendelse af Eviplera skal undgås ved samtidig eller nylig anvendelse af et nefrotoksisk lægemiddel (se pkt.