FrancophonIA/ELRC3.0 huggingface dataset:
English: Ontruzant may be prescribed in combination with the chemotherapy medicine paclitaxel or docetaxel as first treatment for metastatic breast cancer or it may be prescribed alone if other treatments have proved unsuccessful.
Croatian: Ontruzant može biti propisan u kombinaciji s kemoterapijskim lijekovima paklitakselom ili docetakselom u prvoj liniji liječenja metastatskog raka dojke ili može biti propisan sam ako su se drugi oblici liječenja pokazali neuspješnima.
English: In the joint analysis of the NSABP B-31 and NCCTG N9831 studies, EBC was limited to women with operable breast cancer at high risk, defined as HER2-positive and axillary lymph node positive or HER2 positive and lymph node negative with high-risk features (tumour size >1 cm and ER negative or tumour size >2 cm, regardless of hormonal status).
Croatian: U skupnoj analizi ispitivanja NSABP B-31 i NCCTG N9831, rani rak dojke je bio ograničen isključivo na žene s operabilnim rakom dojke visokog rizika, definiranim kao HER2-pozitivan s pozitivnim aksilarnim limfnim čvorovima ili HER2-pozitivan s negativnim aksilarnim limfnim čvorovima sa značajkama visokog rizika (veličina tumora >1 cm i ER-negativan ili veličina tumora >2 cm, bez obzira na hormonski status).
English: Trastuzumab is designed to bind selectively to an antigen called human epidermal growth factor receptor 2 (HER2).
Croatian: Trastuzumab je napravljen da se selektivno veže na antigen koji se naziva receptor humanog epidermalnog faktora rasta 2 (HER2).
English: IHC is recommended as the first testing modality and in cases where HER2 gene amplification status is also required, either a silver-enhanced in situ hybridization (SISH) or a FISH technique must be applied.
Croatian: IHC se preporučuje kao prvi način testiranja, a u slučajevima kod kojih je potreban i status HER2 genske amplifikacije treba primijeniti ili in situ hibridizaciju srebrom
English: Risk factors associated with interstitial lung disease include prior or concomitant therapy with other anti-neoplastic therapies known to be associated with it such as taxanes, gemcitabine, vinorelbine and radiation therapy.
Croatian: Čimbenici rizika za intersticijsku bolest pluća uključuju prethodnu ili istodobnu terapiju drugim antineoplastičnim lijekovima koje se povezuje s intersticijskom bolesti pluća, kao što su to taksani, gemcitabin, vinorelbin i terapija zračenjem.
English: This condition may be harmful to your baby in the womb and has been associated with the lungs not developing fully resulting in fetal death.
Croatian: Vašem djetetu u maternici i povezuje se sa smrću ploda zbog nepotpunog razvoja pluća.
English: In the pivotal metastatic trials of intravenous trastuzumab, the incidence of cardiac dysfunction varied between 9% and 12% when it was combined with paclitaxel compared with 1%-4% for paclitaxel alone.
Croatian: U ključnim ispitivanjima intravenskog trastuzumaba u metastatskoj bolesti, incidencija disfunkcije srca kretala se između 9% i 12% kod primjene u kombinaciji s paklitakselom, u usporedbi s
English: A final analysis was performed after a median follow-up of 8 years, which showed that 1-year trastuzumab treatment is associated with a 24% risk reduction compared to observation only (HR=0.76, 95% CI 0.67, 0.86).
Croatian: Završna analiza provedena nakon medijana praćenja od 8 godina pokazala je smanjenje rizika od 24% u skupini liječenoj trastuzumabom tijekom 1 godine u usporedbi usporedbi sa samo opservacijom (HR=0,76, 95% CI 0,67; 0,86).
English: In this final analysis, extending trastuzumab treatment for a duration of two years did not show additional benefit over treatment for 1 year [DFS HR in the intent to treat (ITT) population of 2 years versus 1 year=0.99 (95% CI: 0.87, 1.13), p-value=0.90 and OS HR=0.98 (0.83, 1.15); p-value=0.78].
Croatian: U toj završnoj analizi, produljenje liječenja trastuzumabom na dvije godine nije pokazalo dodatne korisne učinke u odnosu na jednogodišnje liječenje [omjer hazarda za preživljenje bez simptoma bolesti (DFS HR) u populaciji koju se namjeravalo liječiti (ITT) tijekom 2 godine naspram 1 godine = 0,99 (95% CI: 0,87; 1,13), p-vrijednost = 0,90 i omjer hazarda za ukupno preživljenje (OS HR) = 0,98 (0,83; 1,15); p-vrijednost = 0,78].
English: (L/day)
Croatian: (l na dan)
English: Trastuzumab plus docetaxel4 N=110
Croatian: Trastuzumab s docetakselom4 N=110
English: Ontruzant is a powder for concentrate for solution for intravenous infusion, which is supplied in a glass vial with a rubber stopper containing either 150 mg or 420 mg of trastuzumab.
Croatian: Ontruzant je prašak za koncentrat za otopinu za intravensku infuziju, dostupan u staklenoj bočici s gumenim čepom te sadrži ili 150 mg ili 420 mg trastuzumaba.
English: In the final population PK model, in addition to primary tumour type, body-weight, serum aspartate aminotransferase and albumin were identified as statistically significant covariates affecting the exposure of trastuzumab.
Croatian: U konačnom populacijskom farmakokinetičkom modelu, kao statistički značajne kovarijante koje utječu na izloženost trastuzumabu identificirane su, uz primarnu vrstu tumora, i tjelesna težina te razina aspartat aminotransferaze i albumina u serumu.
English: From a microbiological point of view, the reconstituted solution and Ontruzant infusion solution should be used immediately.
Croatian: S mikrobiološkog stajališta, rekonstituiranu otopinu i infuzijsku otopinu lijeka Ontruzant potrebno je odmah primijeniti.
English: The infusion may be resumed when symptoms abate.
Croatian: Infuziju se može nastaviti nakon povlačenja simptoma.
English: Trastuzumab has also been used in combination with paclitaxel or docetaxel for the treatment of patients who have not received chemotherapy for their metastatic disease.
Croatian: Trastuzumab je također primjenjivan u kombinaciji s paklitakselom ili docetakselom u liječenju bolesnika koji nisu primali kemoterapiju za metastatsku bolest.
English: The data suggest that beneficial effects were greater among those patients with higher levels of overexpression of HER2 (3+).
Croatian: Podaci upućuju na to da je povoljan učinak bio izraženiji u bolesnika s većim stupnjem povećane ekspresije HER2 (3+).
English: • abnormally low oxygen levels in the blood
Croatian: • akutno sužavanje dišnih puteva • abnormalno niske razine kisika u krvi
English: 1) Using a sterile syringe, slowly inject the appropriate volume (as noted above) of water for injections in the vial containing the lyophilised Ontruzant, directing the stream into the lyophilised cake.
Croatian: 1) Sterilnom štrcaljkom polako ubrizgajte odgovarajući volumen (kao što je gore navedeno) vode za injekcije u bočicu koja sadrži liofilizirani Ontruzant, usmjeravajući mlaz u liofilizirani kolačić.
English: Faint ⁄ barely perceptible membranous reactivity in ≥10% of tumour cells; cells are reactive only in part of their membrane
Croatian: Vrlo slaba/jedva primjetna membranska reaktivnost u ≥10% tumorskih stanica; stanice su reaktivne samo u dijelu membrane
English: Mechanism of action Trastuzumab binds with high affinity and specificity to sub-domain IV, a juxta-membrane region of HER2's extracellular domain.
Croatian: Trastuzumab se visokim afinitetom i specifičnošću veže za poddomenu IV jukstamembranske regije ekstracelularne domene HER2.
English: Ontruzant in combination with capecitabine or 5-fluorouracil and cisplatin is indicated for the treatment of adult patients with HER2 positive metastatic adenocarcinoma of the stomach or gastro-oesophageal junction who have not received prior anti-cancer treatment for their metastatic disease.
Croatian: Ontruzant je u kombinaciji s kapecitabinom ili 5-fluorouracilom i cisplatinom indiciran u liječenju odraslih bolesnika s HER2 pozitivnim metastatskim adenokarcinomom želuca ili gastroezofagealnog spoja, koji nisu prethodno primali kemoterapiju za metastatsku bolest.
English: If the patient has missed a dose of Ontruzant by more than one week, a re-loading dose of Ontruzant should be administered over approximately 90 minutes (weekly regimen: 4 mg/kg; three-weekly regimen: 8 mg/kg) as soon as possible.
Croatian: Ako je bolesnik propustio primiti dozu lijeka Ontruzant za više od tjedan dana, potrebno je što prije ponoviti udarnu dozu lijeka Ontruzant u infuziji trajanja približno 90 minuta (tjedni ciklusi: 4 mg/kg; trotjedni ciklusi: 8 mg/kg).
English: In 3 pivotal clinical trials of adjuvant trastuzumab given in combination with chemotherapy, the incidence of grade 3/4 cardiac dysfunction (specifically symptomatic Congestive Heart Failure) was similar in patients who were administered chemotherapy alone (i.e. did not receive trastuzumab) and in patients who were administered trastuzumab sequentially after a taxane (0.3-0.4%).
Croatian: incidencija disfunkcije srca stupnja 3/4 (osobito simptomatsko kongestivno zatajenje srca) bila je slična u bolesnika koji su primili samo kemoterapiju (tj. nisu primili trastuzumab) i u bolesnika koji su primili trastuzumab nakon taksana (0,3-0,4%).
English: Do not use with glucose-containing solutions.
Croatian: Ne smiju se koristiti otopine koje sadrže glukozu.
English: There were no restrictions on the relative timing of trastuzumab and anastrozole at administration (for dose, see the SmPC for anastrozole or other aromatase inhibitors).
Croatian: Nije bilo ograničenja u odnosu na vrijeme primjene trastuzumaba i anastrozola (za dozu vidjeti Sažetak opisa svojstava lijeka za anastrozol ili ostale inhibitore aromataze).
English: Ontruzant may have a minor influence on the ability to drive or use machines (see section 4.8).
Croatian: 4.7 Utjecaj na sposobnost upravljanja vozilima i rada sa strojevima Ontruzant može imati manji utjecaj na sposobnost upravljanja vozilima i rada sa strojevima (vidjeti dio 4.8).
English: Only patients with a large amount of HER2 will be treated with Ontruzant.
Croatian: Lijekom Ontruzant će biti liječeni samo bolesnici s visokom razinom HER2.
English: The efficacy of trastuzumab in combination with paclitaxel in patients who did not receive prior adjuvant anthracyclines has not been studied.
Croatian: Nije ispitana djelotvornost trastuzumaba u kombinaciji s paklitakselom u bolesnika koji prethodno nisu primili adjuvantnu terapiju antraciklinima.
English: The extracellular domain of the receptor (ECD, p105) can be shed into the blood stream and measured in serum samples.
Croatian: p105) može se otpustiti u krvotok i mjeriti u uzorcima seruma.
English: More patients treated with trastuzumab and paclitaxel progressed in the central nervous system than those treated with paclitaxel alone (12.6% versus 6.5%; p=0.377).
Croatian: Pojava metastaza u središnjem živčanom sustavu bila je češća u bolesnica liječenih trastuzumabom i paklitakselom u odnosu na one liječene samo paklitakselom (12,6% naspram 6,5%; p=0,377).
English: Paclitaxel2 N=77
Croatian: Paklitaksel2 N=77
English: Patients who had previously received anthracycline-based adjuvant chemotherapy were treated with paclitaxel (175 mg/m2 infused over 3 hours) with or without trastuzumab.
Croatian: Bolesnici koji su prethodno primali antraciklinsku adjuvantnu kemoterapiju liječeni su paklitakselom (175 mg/m² u trosatnoj infuziji) u kombinaciji s trastuzumabom ili bez njega.
English: Patients classified as staining 2+ or 3+ were included, while those staining 0 or 1+ were excluded.
Croatian: Bolesnici s tumorima intenziteta obojenja od 2+ do 3+ uključeni su u ispitivanje, a oni s 0 do 1+ nisu.
English: If symptomatic cardiac failure develops during trastuzumab therapy, it should be treated with standard medicinal products for CHF.
Croatian: Ako se tijekom terapije trastuzumabom razvije simptomatsko zatajenje srca, potrebno je primijeniti standardne lijekove za kongestivno zatajenje srca.
English: Studies of HER2-positivity rates in gastric cancer (GC) using immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) or chromogenic in situ hybridization (CISH) have shown that there is a broad variation of HER2-positivity ranging from 6.8% to 34.0% for IHC and 7.1% to 42.6% for FISH.
Croatian: Ispitivanja stupnja ekspresije HER2 u bolesnika s rakom želuca uporabom imunohistokemije (IHC) i fluorescentne in situ hibridizacije (FISH) ili kromogene in situ hibridizacije (CISH) pokazala su veliku varijabilnost ekspresije HER2 u rasponu od 6,8% do 34,0% kod IHC-a i od
English: For instructions on reconstitution of Ontruzant intravenous formulation before administration, see section 6.6.
Croatian: Za upute o rekonstituciji intravenske formulacije lijeka Ontruzant prije primjene vidjeti dio 6.6. 4.3 Kontraindikacije
English: As a weekly regimen (initial loading dose of 4 mg/kg followed by 2 mg/kg every week) concomitantly with paclitaxel following chemotherapy with doxorubicin and cyclophosphamide.
Croatian: U tjednim ciklusima (početna udarna doza od 4 mg/kg nakon koje se nastavlja dozom od 2 mg/kg svakog tjedna) primjenjuje se istodobno s paklitakselom nakon kemoterapije doksorubicinom i ciklofosfamidom.
English: Most patients who developed CHF or asymptomatic cardiac dysfunction in pivotal trials improved with standard CHF treatment consisting of an angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) and a beta-blocker.
Croatian: U većine bolesnika u ključnim kliničkim ispitivanjima u kojih se razvilo kongestivno zatajenje srca ili asimptomatska disfunkcija srca, stanje se poboljšalo primjenom standardnog liječenja kongestivnog zatajenja srca inhibitorom angiotenzin-konvertirajućeg enzima (ACE inhibitorom) ili blokatorom angiotenzinskih receptora i beta-blokatorom.
English: In the neoadjuvant setting, the experience of concurrent administration of trastuzumab and low-dose anthracycline regimen is limited (see section 4.4).
Croatian: U neoadjuvantnom liječenju, iskustvo s istodobnom primjenom trastuzumaba i niske doze antraciklina je ograničeno (vidjeti dio 4.4).
English: - capecitabine - 1000 mg/m2 orally twice daily for 14 days every 3 weeks for 6 cycles (evening of day 1 to morning of day 15 of each cycle)
Croatian: - kapecitabin - 1000 mg/m² peroralno, dvaput dnevno tijekom 14 dana, svaka 3 tjedna u 6 ciklusa (od večeri 1. dana do jutra 15. dana svakog ciklusa)
English: In the pivotal trial MO16432, trastuzumab was administered concurrently with neoadjuvant chemotherapy containing three cycles of doxorubicin (cumulative dose 180 mg/m2).
Croatian: U tom ključnom kliničkom ispitivanju MO16432, trastuzumab se primjenjivao istodobno s neoadjuvantnom kemoterapijom koja se sastojala od tri ciklusa doksorubicina (kumulativna doza 180 mg/m2).
English: Patients with HER2+ tumours were randomised to receive either neoadjuvant chemotherapy concurrently with neoadjuvant-adjuvant trastuzumab, or neoadjuvant chemotherapy alone.
Croatian: Bolesnici s HER2+ tumorima randomizirani su da primaju bilo neoadjuvantnu kemoterapiju istodobno s neoadjuvantnim-adjuvantnim trastuzumabom ili samo neoadjuvantnu kemoterapiju.
English: In the post-marketing setting, cases of fetal renal growth and/or function impairment in association with oligohydramnios, some associated with fatal pulmonary hypoplasia of the fetus, have been reported in pregnant women receiving trastuzumab.
Croatian: U razdoblju nakon stavljanja lijeka u promet, u trudnica koje su primale trastuzumab prijavljeni su slučajevi narušenog rasta i/ili funkcije bubrega kod fetusa povezani s oligohidramnionom, od kojih su neki bili povezani sa smrtonosnom plućnom hipoplazijom u fetusa.
English: Administration in combination with an aromatase inhibitor In the pivotal trial (BO16216) trastuzumab and anastrozole were administered from day 1.
Croatian: U ključnom kliničkom ispitivanju (BO16216) trastuzumab i anastrozol primjenjivani su od prvoga dana.
English: In the BCIRG 006 study HER2 positive, EBC was defined as either lymph node positive or high-risk node negative patients with no (pN0) lymph node involvement, and at least 1 of the following factors: tumour size greater than 2 cm, estrogen receptor and progesterone receptor negative, histological and/or nuclear grade 2-3, or age <35 years).
Croatian: U ispitivanju BCIRG 006 HER2-pozitivni rani rak dojke bio je definiran bilo kao tumor s pozitivnim limfnim čvorovima ili visokorizični tumor s negativnim limfnim čvorovima (pN0) te barem jednim od sljedećih čimbenika: tumor veći od 2 cm, negativni estrogenski i progesteronski receptori, histološki i/ili nuklearni gradus 2 do 3 ili dob <35 godina).
English: Patients who receive anthracyclines after stopping trastuzumab may possibly be at increased risk of cardiac dysfunction.
Croatian: U bolesnika koji nakon prestanka liječenja trastuzumabom primaju antracikline može postojati povećan rizik od disfunkcije srca.
English: Pharmacokinetic data from Study H4613g/GO01305 in patients with metastatic or locally advanced inoperable HER2-positive cancer suggested that trastuzumab had no impact on the PK of carboplatin.
Croatian: Farmakokinetički podaci iz ispitivanja H4613g/GO01305 u bolesnika s metastatskim ili lokalno uznapredovalim inoperabilnim HER2-pozitivnim rakom ukazali su na to da trastuzumab nije utjecao na farmakokinetiku karboplatina.
English: No reactivity or membranous reactivity in <10% of tumour cells
Croatian: Nema reaktivnosti ili membranske reaktivnosti u <10% tumorskih stanica
English: The efficacy results from Study MO16432 are summarized in Table 12.
Croatian: Podaci o djelotvornosti liječenja iz ispitivanja MO16432 sažeto su prikazani u tablici 12.
English: If LVEF has not improved, or has declined further, or if symptomatic congestive heart failure (CHF) has developed, discontinuation of Ontruzant should be strongly considered, unless the benefits for the individual patient are deemed to outweigh the risks.
Croatian: Ako se LVEF ne poboljša ili se još više smanji, ili ako se razvije simptomatsko kongestivno zatajenje srca, potrebno je ozbiljno razmotriti mogućnost prekida liječenja lijekom Ontruzant, osim u slučaju kada koristi za pojedinog bolesnika nadmašuju rizike.
English: All candidates for treatment with trastuzumab, but especially those with prior anthracycline and cyclophosphamide (AC) exposure, should undergo baseline cardiac assessment including history and physical examination, electrocardiogram (ECG), echocardiogram, and/or multigated acquisition (MUGA) scan or magnetic resonance imaging.
Croatian: Svi bolesnici koji su kandidati za liječenje trastuzumabom, a osobito oni prethodno liječeni antraciklinima i ciklofosfamidom (AC protokol), prije početka liječenja moraju obaviti kardiološki pregled koji uključuje uzimanje anamneze i fizikalni pregled, elektrokardiogram (EKG), ultrazvuk srca i/ili radionuklidnu ventrikulografiju (MUGA) ili magnetsku rezonanciju.
English: Congestive heart failure (NYHA Class II-IV) is a common adverse reaction associated with the use of trastuzumab and has been associated with a fatal outcome (see section 4.4).
Croatian: Kongestivno zatajenje srca (NYHA klase II-IV) česta je nuspojava povezana s primjenom trastuzumaba, ponekad povezana i sa smrtnim ishodom (vidjeti dio 4.4).
English: Trastuzumab plus paclitaxel2 N=68
Croatian: Trastuzumab s paklitakselom2 N=68
English: AC→P (95%
Croatian: AC→P (95% CI)
English: Ontruzant 420 mg powder for concentrate for solution for infusion One vial contains 420 mg of trastuzumab, a humanised IgG1 monoclonal antibody produced by mammalian (Chinese hamster ovary) cell suspension culture and purified by several chromatography steps including specific viral inactivation and removal procedures.
Croatian: Ontruzant 420 mg prašak za koncentrat za otopinu za infuziju Jedna bočica sadrži 420 mg trastuzumaba, humaniziranog IgG1 monoklonskog protutijela proizvedenog u kulturi stanica sisavaca u suspenziji (stanice jajnika kineskog hrčka) i pročišćenog kromatografijom u nekoliko koraka uključujući specifične postupke inaktivacije i uklanjanja virusa.
English: The appropriate amount of solution should be withdrawn from the vial and added to a polyvinylchloride, polyethylene or polypropylene infusion bag containing 250 mL of 0.9% sodium chloride solution.
Croatian: Odgovarajuću količinu otopine potrebno je izvući iz bočice i dodati u infuzijsku vrećicu od polivinilklorida, polietilena ili polipropilena koja sadrži 250 ml otopine 0,9%-tnog natrijevog klorida.
English: However, trastuzumab plus docetaxel was efficacious in patients whether or not they had received prior adjuvant anthracyclines.
Croatian: Kombinacija trastuzumaba i docetaksela bila je, međutim, učinkovita bez obzira na to jesu li bolesnici prethodno primali adjuvantnu antraciklinsku terapiju.
English: Patients assigned to receive trastuzumab were given an initial loading dose of 8 mg/kg, followed by 6 mg/kg every three weeks for either one or two years.
Croatian: Trastuzumab je u pogodnih bolesnika primjenjivan u početnoj udarnoj dozi od 8 mg/kg, a zatim u dozi od 6 mg/kg svaka tri tjedna u trajanju od jedne ili dvije godine.
English: Trastuzumab plus paclitaxel3 N=32
Croatian: Trastuzumab s paklitakselom3 N=32
English: 1Blood pressure decreased
Croatian: 1sniženi krvni tlak
English: The non-linear elimination parameter values were 8.81 mg/day for the maximum elimination rate (Vmax) and 8.92 µg/mL for the Michaelis-Menten constant (Km) for the MBC, EBC, and AGC patients.
Croatian: Vrijednosti parametara nelinearne eliminacije bile su 8,81 mg na dan za maksimalnu brzinu eliminacije (Vmax) i 8,92 µg/ml za Michaelis-Mentenovu konstantu (Km) u bolesnika s metastatskim rakom dojke, ranim rakom dojke i uznapredovalim rakom želuca.
English: Ontruzant should only be used in patients with metastatic or early breast cancer whose tumours have either HER2 overexpression or HER2 gene amplification as determined by an accurate and validated assay (see sections 4.4 and 5.1).
Croatian: Ontruzant se smije davati samo onim bolesnicima s metastatskim ili ranim rakom dojke čije tumorske stanice pokazuju povećanu ekspresiju HER2 ili HER2 gensku amplifikaciju što je potvrđeno preciznom i validiranom metodom (vidjeti dijelove 4.4 i 5.1).
English: In the NSABP B-31 and NCCTG N9831 studies trastuzumab was administered in combination with paclitaxel, following AC chemotherapy.
Croatian: U sklopu ispitivanja NSABP B-31 i NCCTG N9831, trastuzumab je primjenjivan u kombinaciji s paklitakselom nakon AC kemoterapije.
English: Early breast cancer in the HERA trial was limited to operable, primary, invasive adenocarcinoma of the breast, with axillary nodes positive or axillary nodes negative if tumours at least 1 cm in diameter.
Croatian: HERceptin Adjuvant) bio je ograničen isključivo na operabilni, primarni, invazivni adenokarcinom dojke, s pozitivnim ili negativnim aksilarnim čvorovima ako je promjer tumora iznosio najmanje 1 cm.
English: Hazard ratio versus observation
Croatian: Omjer hazarda naspram opservacije
English: • You should use effective contraception during treatment with Ontruzant and for at least 7 months after treatment has ended.
Croatian: • Tijekom liječenja lijekom Ontruzant i najmanje 7 mjeseci nakon završetka liječenja morate koristiti učinkovitu kontracepciju.
English: QUALITATIVE AND QUANTITATIVE COMPOSITION Ontruzant 150 mg powder for concentrate for solution for infusion One vial contains 150 mg of trastuzumab, a humanised IgG1 monoclonal antibody produced by mammalian (Chinese hamster ovary) cell suspension culture and purified by several chromatography steps including specific viral inactivation and removal procedures.
Croatian: KVALITATIVNI I KVANTITATIVNI SASTAV Ontruzant 150 mg prašak za koncentrat za otopinu za infuziju Jedna bočica sadrži 150 mg trastuzumaba, humaniziranog IgG1 monoklonskog protutijela proizvedenog u kulturi stanica sisavaca u suspenziji (stanice jajnika kineskog hrčka) i pročišćenog kromatografijom u nekoliko koraka uključujući specifične postupke inaktivacije i uklanjanja virusa.