FrancophonIA/ELRC3.0 huggingface dataset:
English: • Patients with wild-type tumours who received Vectibix alone had no disease progression for an average of 16 weeks in a study of 463 patients, compared with 8 weeks in those who did not receive Vectibix and only had supportive care.
Croatian: • Tijekom ispitivanja koje je obuhvatilo 463 bolesnika, oni oboljeli od tumora divljeg tipa koji su primali samo lijek Vectibix u prosjeku su živjeli 16 tjedana bez pogoršanje bolesti, a 8 tjedana oni koji nisu primali Vectibix, već samo potporno liječenje.
English: • Around 73% of patients given Vectibix plus FOLFIRI and 78% of those given Vectibix with FOLFOX had some reduction in signs of cancer in a study of 80 previously untreated patients.
Croatian: • Tijekom ispitivanja provedenog među 80 bolesnika koji nisu prethodno liječeni, u otprilike 73 % bolesnika koji su primali Vectibix i protokol FOLFIRI te u 78 % onih koji su primali Vectibix i protokol FOLFOX došlo je do određenog smanjenja znakova raka.
English: • Around 59% of patients who received Vectibix plus FOLFIRI in a study of 154 previously untreated had some reduction in signs of cancer.
Croatian: • Tijekom ispitivanja provedenog među 154 bolesnika koji nisu prethodno liječeni, u otprilike 59 % bolesnika koji su primali Vectibix i protokol FOLFIRI došlo je do određenog smanjenja znakova raka.
English: • Patients given Vectibix in combination with FOLFIRI lived for 16.2 months in a study of 1,186 previously treated patients compared with 13.9 months in patients receiving FOLFIRI alone.
Croatian: • Tijekom ispitivanja provedenog među 1 186 prethodno liječenih bolesnika, oni koji su primali Vectibix u kombinaciji s protokolom FOLFIRI živjeli su 16,2 mjeseca, dok su bolesnici koji su primali samo FOLFIRI živjeli 13,9 mjeseci.
English: For the full list of side effects of Vectibix, see the package leaflet.
Croatian: Potpuni popis zabilježenih nuspojava povezanih s lijekom Vectibix potražite u uputi o lijeku.
English: Whereas,
Croatian: Budući da,
English: Benefit/risk balance
Croatian: Ravnoteža koristi i rizika
English: Grounds for PRAC recommendation
Croatian: Osnove preporuke PRAC-a
English: Key elements for a direct healthcare professional communication were agreed, together with the timelines for distribution.
Croatian: Dogovoreni su ključni elementi za neposrednu komunikaciju sa zdravstvenim djelatnicima, kao i vremenske skale za distribuciju.
English: • The PRAC also concluded that there was need for further risk minimisation measures such as information to healthcare professionals.
Croatian: • PRAC je također zaključio da postoji potreba za daljnjim mjerama za smanjivanje rizika, poput informiranja zdravstvenih djelatnika.
English: This review was conducted by the Pharmacovigilance Risk Assessment Committee (PRAC).
Croatian: Pregled je provelo Povjerenstvo za ocjenu rizika na području farmakovigilancije (PRAC).
English: These are appropriately reflected in the product information.
Croatian: Isti su na odgovarajući način navedeni u informacijama o lijeku.
English: Major vascular events were increased by about one third by a coxib (rate ratio [RR] 1.37, 95% confidence interval [CI] 1.14-1.66; p=0.0009) or diclofenac (1.41, 1.12-1.78; p=0.0036), mainly due to an increase in major coronary events (coxibs: 1.76, 1.31-2.37; p=0.0001; diclofenac: 1.70, 1.19-2.41; p=0.0032).
Croatian: Koksib (omjer stope [RR] 1,37, 95% interval pouzdanosti[CI] 1.14-1.66; p=0.0009) ili diklofenak (1.41, 1.12-1.78; p=0.0036) povećali su rizik od velikih kardiovaskularnih događaja za otprilike jednu trećinu, uglavnom zbog povećanja u velikim kardiovaskularnim rizicima (koksibi: 1.76, 1.31-2.37; p=0.0001; diklofenak: 1.70, 1.192.41; p=0.0032).
English: With regards to cardiovascular risks, the PRAC noted that the initial signal from the MEDAL programme was confirmed by the meta-analyses of randomised clinical trials conducted by Trelle et al (2011) and Chen and Ashcroft (2007).
Croatian: S obzirom na kardiovaskularne rizike, PRAC je zaključio da je prvobitni signal programa MEDAL potvrđen meta analizama randomiziranih kliničkih istraživanja provedenih od strane Trelle et al (2011. godine) te Chen i Ashcroft (2007. godine).
English: Risk minimisation measures (in the form of contraindications and warnings in the product information) were implemented at the time for Cox-2 inhibitors.
Croatian: Mjere smanjivanja rizika (u obliku kontraindikacija i upozorenja u informacijama o lijeku) provedene su u tom trenutku za inhibitore Cox-2.
English: Some studies also report an association with lower doses.
Croatian: Pojedina ispitivanja prijavila su i povezanost s manjim dozama.
English: The PRAC concluded that diclofenac is effective in reducing inflammation and pain.
Croatian: PRAC je zaključio da je diklofenak djelotvoran za smanjivanje upale i boli.
English: Furthermore, a proactive communication of these new measures through a direct healthcare professional communication (DHPC) was recommended.
Croatian: Uz to, preporuča se i proaktivna komunikacija ovih mjera putem neposredne komunikacije sa zdravstvenim djelatnicima (pismom zdravstvenim djelatnicima).
English: 1 For more details on the MEDAL programme, including its components, please refer to the assessment report for the review conducted in 2006 at http://www.ema.europa.eu/docs/en_GB/document_library/Report/2010/01/WC500054344.pdf.
Croatian: Za više informacija o programu MEDAL, uključujući i komponente, pročitajte izvješće o ocjeni za pregled proveden 2006. godine koje je dostupno na internetskoj stranici http://www.ema.europa.eu/docs/en_GB/document_library/Report/2010/01/WC500054344.pdf.
English: In 2006 it was concluded that a small increase in the absolute risk of thrombotic events could not be excluded for NSAIDs as a class, especially when used at high-doses and long-term therapy, although the risk was considered to be higher for the selective cyclooxygenase-2 (Cox-2) inhibitors (also known as coxibs) compared to NSAIDs.
Croatian: 2006. godine zaključeno je da se malo povećanje apsolutnog rizika od trombotičkog događaja ne može isključiti za NSAR lijekove kao klasu, posebice ako se koriste u velikim dozama i za dugoročne terapije, iako je smatrano da je rizik za inhibitore selektivne ciklooksigenaze-2 (Cox-2) (poznate i pod nazivom koksibi) veći u odnosu na NSAR lijekove.
English: • The PRAC considered the procedure under Article 31 of Directive 2001/83/EC resulting from pharmacovigilance data, for diclofenac containing medicinal products (systemic formulations).
Croatian: • PRAC je razmotrio postupak naveden u članku 31. Direktive 2001/83/EZ koji rezultira iz podataka za područje farmakovigilancije za lijekove koji sadrže diklofenak (sistemne formulacije).
English: Diclofenac is a non-steroidal anti-inflammatory drug (NSAID).
Croatian: Diklofenak je nestereoidan protuupalni lijek (NSAR).
English: The data available today do not allow conclusion on the specific mechanisms underlying the cardiovascular thrombotic risks of diclofenac, although several studies have explored different options and it can be noted that is unlikely that one single mechanism would explain the risk.
Croatian: Podaci dostupni danas ne dozvoljavaju zaključak o specifičnim mehanizmima koji su u podlozi kardiovaskularnih trombotičkih rizika povezanih s diklofenakom, iako je nekoliko studija istražilo različite opcije i može se zaključiti da je neizgledno da jedan mehanizam može objasniti rizik.
English: • The PRAC considered that diclofenac containing medicinal products are effective in their approved indications.
Croatian: • PRAC smatra da su lijekovi koji sadrže diklofenak djelotvorni za svoje odobrene indikacije.
English: The PRAC acknowledged the conclusions of previous reviews with regards to the cardiovascular safety of diclofenac.
Croatian: PRAC je potvrdio zaključke prethodnih pregleda u svezi s kardiovaskularnom sigurnošću diklofenaka.
English: Another evaluation conducted by the CHMP in 20122 considered all available published evidence to date from meta-analysis of clinical trials and observational studies, and also epidemiological studies.
Croatian: U drugoj evaluaciji koju je proveo CHMP 2012.2 godine razmotreni su svi do tog trenutka dostupni objavljeni dokazi iz meta analiza kliničkih istraživanja i opservacijskih ispitivanja, kao i iz epidemioloških ispitivanja.
English: Recognised risks associated with NSAID treatment in general, and with diclofenac treatment in particular, include serious gastrointestinal effects including PUB (perforation, ulcer, bleeding), cardio-renal effects, hepatic effects and skin reactions (including Stevens Johnson syndrome and toxic epidermal necrolysis).
Croatian: Poznati rizici povezani s liječenjem NSAR lijekovima općenito te diklofenakom posebice, uključuju ozbiljne gastrointestinalne posljedice, uključujući perforaciju, čir, krvarenje, srčano renalne posljedice, hepatičke posljedice i kožne reakcije (uključujući Stevens-Johnsonov sindrom i toksično epidermalnu nekrozu).
English: The PRAC considered that the recommendation for update of the product information should be applicable to all medicinal products containing diclofenac (systemic formulations), regardless of dose.
Croatian: PRAC smatra da se preporuka za ažuriranje informacije o lijeku mora primijeniti na sve lijekove koji sadrže diklofenak (sistemne formulacije), bez obzira na dozu.
English: The data available (in particular data from the MEDAL1 programme) suggested that the risk of arterial thrombotic events with diclofenac was similar to that for coxibs, but firm conclusions could not be drawn and further epidemiological studies were needed to obtain additional data.
Croatian: Dostupni podaci (posebice podaci programa MEDAL1) pretpostavljaju da je rizik od arterijsko trombotičkih događaja s diklofenakom jednak riziku za koksibe, no nisu mogli biti doneseni čvrsti zaključci, te su bile potrebna daljnja epidemiološka istraživanja kako bi se prikupili dodatni podaci.
English: Therefore in accordance with Articles 31 and 32 of Directive 2001/83/EC, the PRAC recommends the variation of the marketing authorisations for all medicinal products referred to in Annex I and for which the amendments to the product information are set out in annex III of the recommendation.
Croatian: Slijedom navedenog i u skladu sa člancima 31. i 32. Direktive 2001/83/EZ, PRAC preporuča izmjenu odobrenja za stavljanje lijeka u promet za sve lijekove navedene u Dodatku I, te za koje su dopune informacija o lijeku navedene u Dodatku III preporuke.
English: Schjerning Olsen et al (2011) provided data on risks in relation to duration of exposure and found that the risks associated with diclofenac were very similar to those of coxibs at all time points.
Croatian: Schjerning Olsen et al (2011. godine) prikupili su podatke o rizicima povezanima s trajanjem izlaganja lijeku, te su utvrdili da su rizici povezani s diklofenakom vrlo slični rizicima povezanima s koksibima u svim vremenskim točkama.
English: It was observed that these are similar to those of selective Cox-2 inhibitors.
Croatian: Uočeno je da su ovi rizici slični rizicima povezanima sa selektivnim inhibitorima Cox-2.
English: Evidence available from a new meta-analysis of randomised clinical trials conducted by an independent research group was included in the review.
Croatian: U pregled su uključeni dokazi dostupni iz nove meta analize randomiziranih kliničkih istraživanja provedenih od strane nezavisne istraživačke grupe.
English: In addition, patients with certain cardiovascular risk factors (such as hypertension, hyperlipidaemia, diabetes mellitus or smoking) should only use diclofenac after careful consideration and therefore the warnings should also be updated to reflect this.
Croatian: Nadalje, bolesnici s određenim faktorima kardiovaskularnog rizika (poput hipertenzije, hiperlipidemije, dijabetes melitusa ili pušenja) smiju koristiti diklofenak samo nakon pažljivog razmatranja te stoga upozorenja moraju biti ažurirana kako bi obuhvaćala isto.
English: NSAIDs, such as diclofenac, are indicated in the relief of all grades of pain and inflammation associated with a wide range of conditions, including arthritic conditions, acute musculo-skeletal disorders and other painful conditions resulting from trauma.
Croatian: NSAR lijekovi, poput diklofenaka, indicirani su za ublažavanje svih stupnjeva boli i upala povezanih sa širokim spektrom stanja, uključujući artritična stanja, akutne mišićnokoštane poremećaje i ostala bolna stanja uzrokovana traumama.
English: The study by Krum et al 2012, a post hoc analysis of the MEDAL trial, showed that there was no significant differential effect between etoricoxib and diclofenac in relation to cardiovascular events, except for confirmed congestive heart failure.
Croatian: Ispitivanje koje je proveo Krum et al 2012. godine jest post hoc analiza ispitivanja MEDAL i pokazalo je da ne postoje značajne diferencijalne razlike između etorikoksiba i diklofenaka s obzirom na kardiovaskularne događaje, izuzev u slučaju potvrđene zastojne srčane insufijencije.
English: A new review was considered necessary and was initiated to address the cardiovascular safety concerns for diclofenac and their impact on the benefit-risk balance of diclofenac containing medicinal products (systemic formulations).
Croatian: Zaključeno je da je novi pregled neophodan, te je isti započet kako bi se riješila pitanja kardiovaskularne sigurnosti za diklofenak i njegov utjecaj na ravnotežu koristi i rizika lijekova koji sadrže diklofenak (sistemnu formulaciju).
English: Moreover, the general rule that NSAIDs should be used at the lowest dose for the shortest duration possible should be consistently implemented in the posology section of the product information.
Croatian: Nadalje, opće pravilo glasi da se NSAR lijekovi moraju koristiti u najmanjim dozama tijekom najkraćeg mogućeg razdoblja te se isto treba dosljedno primijeniti u odlomku o pozologiji u informacijama o lijeku.
English: Results of the ‘safety of non-steroidal anti-inflammatory drugs' (SOS) research project funded by the European Commission under the Seventh Framework Programme were considered in the review that concluded that available evidence regarding diclofenac seemed to consistently point towards a less favourable cardiovascular risk profile compared to other NSAIDs, and similar risks as those of Cox-2 inhibitors.
Croatian: Rezultati istraživačkog projekta „sigurnosti nestereoidnih protuupalnih lijekova” (SOS) financiranog od strane Europske komisije pod Sedmim okvirnim programom razmotreni su u pregledu kojim je zaključeno kako dostupni dokazi u svezi s diklofenakom kao da konzistentno ukazuju na manje povoljan profil kardiovaskularnog rizika u usporedbi s drugim NSAR lijekovima, te na slične rizike kao u slučaju inhibitora Cox-2.
English: Considering that an increased cardiovascular risk with diclofenac is observed, and this appears similar to that of selective Cox-2 inhibitors, it therefore follows that any risk minimisation in place for Cox-2 inhibitors with respect to cardiovascular risk should also apply to diclofenac.
Croatian: Ako se uzme u obzir da je uočen povećan kardiovaskularni rizik s diklofenakom, koji se čini sličan riziku povezanom sa selektivnim inhibitorom Cox-2, može se zaključiti da se svako smanjivanje rizika za inhibitore Cox-2 s obzirom na kardiovaskularni rizik treba, također, primijeniti na diklofenak.
English: Although the data point towards a dose dependent effect on thrombotic risk associated with the use of diclofenac, particularly at high dose, it is difficult to establish a clear cut-off dose above which the risks become significantly increased.
Croatian: Iako podaci ukazuju da učinak na trombotički rizik, koji je povezan s uporabom diklofenaka, ovisi o dozi, i to posebice u slučaju većih doza, teško je utvrditi jasnu krajnju jačinu doze nakon koje se rizik značajno povećava.
English: Based on the available data to date, the PRAC therefore concluded that the cardiovascular thrombotic risk cannot be excluded across all doses of diclofenac, especially in patients with pre-existing co-morbidities.
Croatian: Stoga je PRAC zaključio da se na temelju do danas dostupnih podataka kardiovaskularan trombotički rizik ne može isključiti u svim dozama diklofenaka, a posebice u bolesnika s već postojećim komorbiditetima.
English: Diclofenac containing medicinal products (systemic formulations) are available as tablets, capsules for oral administration, suppositories for rectal administration and solutions for intravenous or intramuscular injection.
Croatian: Lijekovi koji sadrže diklofenak (sistemne formulacije) dostupni su u obliku tableta, kapsula za oralno uzimanje, čepića za rektalno uzimanje i kao otopina za intravenozno ili intramuskularno ubrizgavanje.
English: • The PRAC considered the totality of the data available in relation to the cardiovascular safety of diclofenac containing medicinal products, acknowledging the conclusions from previous reviews by the CHMP, the submissions by marketing authorisation holders in writing and at an oral explanation, and emerging data from independent researchers.
Croatian: • PRAC je razmotrio ukupnost podataka dostupnih u svezi s kardiovaskularnom sigurnošću lijekova koji sadrže diklofenak, potvrđujući zaključke prethodnih kritičnih pregleda od strane CHMP-a, pisane podneske i usmena pojašnjenja od strane nositelja odobrenja za stavljanje lijeka u promet, te nadolazeće podatke nezavisnih istraživača.
English: An increased risk with diclofenac was also observed in the SOS nested-cases control studies across all databases and for both myocardial infarction and ischaemic stroke.
Croatian: Uočen je povećan rizik povezan s diklofenakom i u ugnježdenim istraživanjima slučajeva i kontrola za SOS, i to u svim bazama podataka kao i za infarkt miokarda i ishemijski moždani udar.
English: The CMDh, having considered the PRAC recommendation dated 13 June 2013 pursuant to Article 107k(1) and (2) of Directive 2001/83/EC, reached a position on the variation of the marketing authorisations of diclofenac containing medicinal products for which the amendments to the product information are set out in annex III.
Croatian: Nakon što je razmotrio preporuku PRAC-a od dana 13. lipnja 2013. godine u skladu sa člankom 107.k. (1.) i (2.) Direktive 2001/83/EZ, CMDh donio je svoje mišljenje o izmjeni odobrenja za stavljanje lijeka u promet za sve lijekove koji sadrže diklofenak i za koje su dopune informacija o lijeku navedene u Dodatku III.
English: The PRAC therefore recommended an amendment to the product information for diclofenac to include an updated contraindication in patients with established congestive heart failure (NYHA II-IV), ischemic heart disease, peripheral arterial disease and/or cerebrovascular disease.
Croatian: Stoga je PRAC preporučio dopunu informacija o lijeku za diklofenak kako bi se uključile ažurirane kontraindikacije u bolesnika s utvrđenom zastojnom srčanom insufijencijom (NYHA IIIV), ishemijskom srčanom bolešću, perifernom arterijskom bolešću i/ili cerebrovaskularnom bolešću.
English: Meta-analyses of observational data and individual observational studies also consistently indicated that diclofenac is associated with a similar level of risk as Cox-2 inhibitors.
Croatian: Meta analize opservacijskih podataka i individualnih opservacijskih ispitivanja, također, kontinuirano ukazuju da je diklofenak povezan sa sličnom razinom rizika kao i inhibitori Cox-2.
English: The CMDh, having considered the PRAC recommendation dated 13 June 2013 with regards to diclofenac containing medicinal products (systemic formulations), agrees with the recommendation therein as stated below:
Croatian: Nakon razmatranja preporuke Povjerenstva za ocjenu rizika na području farmakovigilancije (skraćeno: PRAC) dana 13. lipnja 2013. godine s obzirom na lijekove koji sadrže diklofenak (sistemne formulacije), CMDh je suglasan s tamo navedenom preporukom PRAC-a kako je niže navedeno:
English: • The PRAC considered that with regards to the arterial thrombotic risks of diclofenac, the data available to date from randomised clinical trials, observational studies and individual epidemiological studies, including meta-analysis thereof, allow the conclusion that diclofenac is associated with increased cardiovascular risks.
Croatian: • PRAC je zaključio da podaci dostupni do danas iz randomiziranih kliničkih istraživanja, opservacijskih ispitivanja i pojedinačnih epidemioloških ispitivanja, uključujući i meta analizu istih, omogućuju donošenje zaključka da je diklofenak povezan s povećanjem kardiovaskularnih rizika.
English: The study, which looked at more than 600 randomised clinical trials, concluded that the vascular risks of high dose diclofenac are comparable to Cox-2 inhibitors.
Croatian: U ispitivanju koje je obuhvatilo više od 600 randomiziranih kliničkih istraživanja zaključeno je da je vaskularan rizik od visoke doze diklofenaka usporediv s rizikom povezanim s inhibitorima Cox-2.
English: Overall summary of the scientific evaluation of diclofenac containing medicinal products (systemic formulations) (see Annex I)
Croatian: Cjelokupan sažetak znanstvene ocjene lijekova koji sadrže diklofenak (sistemne formulacije) (vidjeti Dodatak I)
English: The PRAC concluded that the benefit-risk balance for diclofenac containing medicinal products (systemic formulations) remains favourable subject to the agreed restrictions, warnings, other changes to the product information and additional risk minimisation measures, in the form of a communication letter.
Croatian: PRAC je zaključio da ravnoteža koristi i rizika za lijekove koji sadrže diklofenak (sistemne formulacije) ostaje pozitivna i predmetom je dogovorenih ograničenja, upozorenja, ostalih promjena u informacijama o lijeku i dodatnih mjera za minimiziranje rizika u obliku pisma.
English: The available information on the dose effect of diclofenac is limited.
Croatian: Ograničene su dostupne informacije o djelovanju doze.
English: Having noted all of the above, the PRAC concluded that the benefit-risk balance for diclofenac containing medicinal products (systemic formulations) remains favourable subject to the agreed restrictions, warnings, other changes to the product information and additional risk minimisation measures, in the form of a DHPC letter.
Croatian: Napominjući prethodno navedeno, PRAC je zaključio da ravnoteža koristi i rizika za lijekove koji sadrže diklofenak (sistemne formulacije) ostaje pozitivna i predmetom je dogovorenih ograničenja, upozorenja, ostalih promjena u informacijama o lijeku i dodatnih mjera za minimiziranje rizika u obliku pisma upućenog zdravstvenim djelatnicima.
English: Epidemiological and clinical trial data on the cardiovascular risks of NSAIDs, including diclofenac, were previously reviewed by the Committee for Medicinal Products for Human Use (CHMP).
Croatian: Povjerenstvo za lijekove za primjenu kod ljudi (CHMP) prethodno je pregledalo podatke epidemiološkog i kliničkog istraživanja o kardiovaskularnim rizicima NSAR lijekova, uključujući i diklofenak.
English: For more information on the review conducted in 2012, please refer to the assessment report for the procedure at http://www.ema.europa.eu/docs/en_GB/document_library/Report/2012/11/WC500134717.pdf compared to other NSAIDs and that the risk with diclofenac is similar to that of coxibs.
Croatian: Za više informacija o pregledu provedenom 2012. godine pročitajte izvješće o ocjeni postupka dostupno na internetskoj stranici http://www.ema.europa.eu/docs/en_GB/document_library/Report/2012/11/WC500134717.pdf
English: Data provided by the MAHs in writing and at an oral explanation and relevant data made available by independent researchers were also considered.
Croatian: U obzir su uzeti podaci koje su dostavili pisanim putem i usmenim pojašnjenjem nositelji odobrenja za stavljanje lijeka u promet, te relevantni podaci učinjeni dostupnima od strane nezavisnih istraživača.