FrancophonIA/ELRC3.0 huggingface dataset:
English: This cytotoxicity is proper to various iron complexes nevertheless the effect is related to the stability of the complex and therefore of the
Slovenian: Ta citotoksičnost je značilna za različne komplekse železa, vendar pa je njen učinek povezan s stabilnostjo kompleksa in se zato za oblogo uporablja ogljikov hidrat.
English: The main safety data which were used in the CHMP assessment and conclusions were post-marketing data for all complexes.
Slovenian: Glavni podatki o varnosti, ki jih je CHMP uporabil v svoji oceni in zaključkih, so bili podatki iz obdobja, ko je bilo zdravilo na trgu, za vse komplekse.
English: Nevertheless, there was one grade IV (cardiac arrest) reported in Fishbane and colleagues (1996) publication and a total of fifteen hypersensitivity (7.3%) mainly grade II-III, reported in HD population (Haddad et al, 2009), all occurring during the test dose.
Slovenian: Vendar so v publikaciji Fishbane in sodelavci (1996) zabeležili eno reakcijo stopnje IV (zastoj srca) ter skupno petnajst preobčutljivostnih reakcij (7,3 %), v glavnem stopnje II−III, pri populaciji z visokim odmerkom (Haddad in sod., 2009), pri čemer so se vse pojavile med testnim odmerkom.
English: All these patients recovered after product withdrawal.
Slovenian: Vsi ti bolniki so si po odtegnitvi zdravila opomogli.
English: For reports classified as grade III, the most commonly reported term was “anaphylactic shock” and the outcome of these cases was either recovered, not recovered (1 case only) or unknown (8 cases).
Slovenian: Pri poročilih, razvrščenih kot stopnja III, so najpogosteje poročali o „anafilaktičnem šoku“ in bolniki so si po njem opomogli ali ne (samo 1 primer) ali podatki o tem niso znani (8 primerov).
English: As part of the risk minimisation measures the CHMP considered there was a need to ensure that all relevant information for the safe use of these products should be applied across authorised products and therefore agreed on the wording for all relevant sections dealing with the risk of hypersensitivity reactions including the sections on pregnancy.
Slovenian: Kot del ukrepov za zmanjšanje tveganja je CHMP menil, da je treba zagotoviti, da se pri vseh odobrenih zdravilih navedejo vse pomembne informacije o varni uporabi teh zdravil, zato je določil besedila za vsa poglavja, ki obravnavajo tveganje za preobčutljivostne reakcije, vključno s poglavji o nosečnosti.
English: The iron complexes involved in this procedure are iron gluconate (sodium ferric gluconate), iron sucrose, iron dextran, iron carboxymaltose, and iron (III) isomaltoside 1000.
Slovenian: Kompleksi železa, vključeni v tem postopku, so železov glukonat (natrijev železov glukonat), železov saharat, železov dekstran, železova karboksimaltoza in železov (III) izomaltozid 1000.
English: The MAH reported that 25 events were related to ferrix carboxymaltose (20 grade I, 2 grade II, 2 grade III and 1 grade IV), 2 events were unlikely related to ferrix carboxymaltose (1 grade II and 1 grade IV), 9 events were not related to ferrix carboxymaltose (6 grade I, 1 grade II and 2 grade III).
Slovenian: Imetnik dovoljenja za promet z zdravilom je zabeležil, da je bilo 25 dogodkov povezanih z železovo karboksimaltozo (20 stopnje I, 2 stopnje II, 2 stopnje III in 1 stopnje IV), 2 dogodka najverjetneje nista bila povezana z železovo karboksimaltozo (1 stopnje II in 1 stopnje IV), 9 dogodkov pa ni bilo povezanih z železovo karboksimaltozo (6 stopnje I, 1 stopnje II in 2 stopnje III).
English: Since the time of authorisation until 29 February 2012, a total of 587 case reports have been received yielding an ADR reporting rate of 0.003 % (which corresponds to 1093 case reports for 100,000 patients-days).
Slovenian: Od izdaje dovoljenja do 29. februarja 2012 je bilo predloženih skupno 587 poročil o posameznih primerih, kar je povzročilo 0,003-odstotno stopnjo poročanja o neželenih učinkih (kar ustreza 1 093 poročilom o posameznih primerih za 100 000 bolnikov-dni).
English: There are only three completed studies involving iron (III) isomaltoside 1000 and eleven are still ongoing.
Slovenian: Zaključene so le tri študije z železovim (III) izomaltozidom 1000, enajst pa jih še poteka.
English: Three patients experienced allergic reactions leading to product discontinuation.
Slovenian: Pri treh bolnikih so zabeležili alergijske reakcije, zaradi katerih je bilo jemanje zdravila prekinjeno.
English: According to the Ring and Messmer classification reports twenty patients recovered without sequelae and one case (Grade I, 1 patient) was ongoing at time of last follow-up.
Slovenian: V skladu s klasifikacijo Ring in Messmer so poročali o dvajsetih bolnikih, ki so okrevali brez posledic, in o enem primeru (stopnja I, 1 bolnik) v teku v času zadnjega sledenja.
English: A total of 317 cases of hypersensitivity were identified from the MAH database, which occurred in 13,824,369 patient years (cut-off date 31 December 2011).
Slovenian: V zbirki podatkov imetnika dovoljenja za promet z zdravilom je bilo identificiranih skupno 317 primerov preobčutljivosti, do katere je prišlo pri 13 824 369 bolnikov-let (presečni datum je 31. december 2011).
English: It might be of interest to note, that these patients had penicillin allergy and latex allergy, respectively.
Slovenian: Morda je primerno zabeležiti, da je imel prvi bolnik alergijo na penicilin, drugi pa alergijo na lateks.
English: The latter should also be included in the risk management plan, highlighting the risks and warnings of hypersensitivity reactions.
Slovenian: Gradivo naj bo vključeno tudi v načrt za obvladovanje tveganja, v njem pa naj bodo izpostavljena tveganja in opozorila glede preobčutljivostnih reakcij.
English: In most publications the majority of anaphylactoid reactions reported with LMWID were classified as grade I-II of severity according to Ring and Messmer classification.
Slovenian: V večini publikacij so večino anafilaktoidnih reakcij, o katerih so poročali pri LMWID, razvrstili kot resnost stopnje I−II po klasifikaciji Ring in Messmer.
English: The CHMP endorsed a Dear healthcare professional communication (DHPC), to communicate the outcome of the present review.
Slovenian: CHMP je odobril neposredno obvestilo zdravstvenim delavcem (DHPC), da se jim sporoči izid tega pregleda.
English: A total of 13,134 patients have been included in 29 MAH sponsored Phase 1 to 3 studies in different therapeutic areas (nephrology, gynaecology, gastroenterology, neurology, cardiology and iron deficiency anaemia), of which 6,608 have received ferric carboxymaltose and compared with those receiving other parenteral irons.
Slovenian: V 29 študij od 1. do 3. faze na različnih terapevtskih področjih (nefrologija, ginekologija, gastroenterologija, nevrologija, kardiologija in anemija zaradi pomanjkanja železa), ki jih je sponzoriral imetnik dovoljenja za promet z zdravilom, je bilo vključenih skupno 13 134 bolnikov, od katerih jih je 6 608 prejelo železovo karboksimaltozo, primerjali pa so jih z bolniki, ki so prejemali druga parenteralna železa.
English: This risk was particularly of concern with low molecular-weight iron-dextran (LMWID) containing products, particularly in pregnant women for whom uterine hypertonia was observed.
Slovenian: Tveganje je bilo zlasti zaskrbljujoče pri zdravilih, ki vsebujejo železov dekstran z nizko molekulsko maso (low molecular-weight iron-dextran − LMWID), zlasti pri nosečnicah z opaženo hipertonijo maternice.
English: In 2011 the French medicines agency (ANSM) had concerns with regards to the risk of hypersensitivity reactions of intravenous iron containing products indicated in iron deficiency situations when the oral route is insufficient or poorly tolerated especially in chronic kidney disease (CKD) patients (haemodialysis), but also in pre- or post-operative situations, or in case of intestinal absorption disorders.
Slovenian: Francoska agencija za zdravila (ANSM) je leta 2011 izrazila zadržke glede tveganja za preobčutljivostne reakcije intravenskih zdravil, ki vsebujejo železo, indiciranih za zdravljenje pomanjkanja železa, kadar peroralna pot ni zadostna ali v primeru slabega prenašanja, zlasti pri bolnikih s kronično boleznijo ledvic (na hemodializi), ter tudi v situacijah pred operacijami ali po operacijah in v primeru motenj absorpcije v črevesju.
English: The majority of hypersensitivity associated events (15.1%) occurred between 1 hour and 24 hours after treatment with iron sucrose, closely followed by hypersensitivity associated events which occurred between 5 and 30 minutes (13.9%)
Slovenian: Večina dogodkov, povezanih s preobčutljivostjo (15,1 %), se je pojavila od 1 ure do 24 ur po zdravljenju z železovim saharidom, čemur so tesno sledili dogodki, povezani s preobčutljivostjo, ki so se pojavili med 5 in 30 minutami (13,9 %).
English: Patients with known allergies and with immune or inflammatory conditions (e.g. systemic lupus erythematosus, rheumatoid arthritis) may enhance their risk when given these products as their condition may worsen unless it is deemed that the benefit outweighs the risks for these patients.
Slovenian: Pri bolnikih z znanimi alergijami in imunskimi ali vnetnimi boleznimi (npr. sistemski eritematozni lupus, revmatoidni artritis) se lahko pri prejemu teh zdravil tveganje za preobčutljivost poveča, saj se lahko njihovo stanje poslabša, razen v primeru, ko so pri teh bolnikih koristi večje od z njimi povezanih tveganj.
English: All patients recovered from the hypersensitivity event.
Slovenian: Vsi bolniki so po preobčutljivostnem dogodku okrevali.
English: As of 29 February 2012 a total of 26 case reports regarding hypersensitivity have been received yielding an ADR reporting rate of 0.02 %.
Slovenian: Od 29. februarja 2012 je bil prejetih skupno 26 poročil o posameznih primerih preobčutljivosti, kar je povzročilo 0,02-odstotno stopnjo poročanja o neželenih učinkih.
English: Regarding allergic reactions, a total of 846 cases / 1524 ADRs/AEs were identified of which approximately half cases were serious and half were non-serious.
Slovenian: V zvezi z alergijskimi reakcijami so identificirali skupno 846 primerov neželenih reakcij od 1 524 primerov neželenih dogodkov, od katerih je bila približno polovica resnih, polovica pa ne.
English: Only a few preclinical studies with low molecular weight iron dextrans (LMWID), iron(III) isomaltoside 1000 have been carried out and only studies with safety findings relevant to immunogenicity were referenced in the data submission by the MAHs.
Slovenian: Izvedenih je bilo le nekaj predkliničnih študij z železovimi dekstransi z nizko molekulsko maso (LMWID) in železovim (III) izomaltozidom 1000, v podatkih, ki so jih predložili imetniki dovoljenj za promet z zdravili, pa so bile navedene samo študije z ugotovitvami o varnosti, pomembnimi za imunogenost.
English: In these patients, intravenous iron products should only be used if the benefit is clearly judged to outweigh the potential risk.
Slovenian: Pri teh bolnikih se lahko intravenska zdravila, ki vsebujejo železo, daje samo, kadar so po skrbnem premisleku njihove koristi večje od potencialnega tveganja;
English: Furthermore the CHMP requested that a PASS will be conducted to further evaluate the safety concern of the hypersensitivity reactions, as well as adequate educational materials to be developed for patients and prescribers.
Slovenian: Nadalje je CHMP zahteval, da se izvede PASS, namenjen nadaljnji oceni zadržkov glede varnosti v zvezi s preobčutljivostnimi reakcijami, ter izdela ustrezno izobraževalno gradivo za bolnike in zdravnike, ki predpisujejo zdravilo;
English: A higher incidence of total adverse events (AEs) per patient and exposure within LMWID compared to iron sucrose group was identified but no difference between iron sucrose and iron gluconate (Ganguli et al 2008) in CKD population was observed.
Slovenian: Zabeležili so večjo pojavnost vseh neželenih dogodkov na bolnika in izpostavljenost znotraj LMWID v primerjavi s skupino z železovim saharatom, vendar pri populaciji s kronično boleznijo ledvic niso zabeležili nobene razlike med železovim saharatom in železovim glukonatom (Ganguli in sod.
English: According to the Ring & Messmer algorithm, 15 non-serious cases were all coded as either Grade I or II cases.
Slovenian: V skladu z algoritmom Ring in Messmer je bilo vseh 15 primerov, ki niso bili resni, razvrščenih kot stopnja I ali II.
English: This supports the conclusion that in patients with known allergies and with immune or inflammatory conditions (e.g. systemic lupus erythematosus, rheumatoid arthritis) the risk of hypersensitivity reactions is enhanced.
Slovenian: To podpira zaključek, da je pri bolnikih z znanimi alergijami ter imunskimi ali vnetnimi stanji (npr. sistemski eritematozni lupus, revmatoidni artritis) tveganje za preobčutljivostne reakcije povečano.
English: Pregnant women were among the cases with hypersensitivity reactions.
Slovenian: Med primere s preobčutljivostnimi reakcijami so spadale tudi nosečnice.
English: One study showed that slow administration of sodium ferric gluconate resulted in less allergic reactions than if this was done during a shorter period of time.
Slovenian: V eni študiji so ugotovili, da se je pri počasnem dajanju natrijevega železovega glukonata pojavilo manj alergijskih reakcij kot pri hitrejšem dajanju.
English: According to the Ring and Messmer classification, three cases were classified as grade II anaphylactoid reactions and one case as grade III.
Slovenian: Po klasifikaciji Ring in Messmer so bili trije primeri razvrščeni kot stopnja II anafilaktoidnih reakcij in eden kot stopnja III.
English: The MAHs were requested by the CHMP to provide a detailed analysis classified according to Ring and Messmer for the purpose of the review of the risk of allergic reactions.
Slovenian: CHMP je imetnike dovoljenj za promet z zdravili pozval, da predložijo podrobno analizo z razvrstitvijo po definiciji Ring in Messmer, za namene pregleda tveganja alergijskih reakcij.
English: Between the 20 patients who presented an anaphylactic reaction grade IV, 35% (7/20) patients had a medical history of hypersensitivity reactions.
Slovenian: Od 20 bolnikov, pri katerih so zabeležili anafilaktično reakcijo stopnje IV, je imelo 35 % (7/20) bolnikov preobčutljivostne reakcije v anamnezi.
English: When classifying all cases that were not reported as immune reactions, according to CTCAE approximately 20% were classified as grade III.
Slovenian: Pri razvrščanju vseh primerov, ki niso bili zabeleženi kot imunske reakcije, jih je bilo v skladu s CTCAE približno 20 % razvrščenih kot stopnja III. Velike večine primerov ni bilo mogoče oceniti kot potencialno resnih alergijskih reakcij.
English: For ferric carboxymaltose as well as iron sucrose in animal studies in guinea pigs that had been administered immune serum containing iron-dextran antibodies, a clear skin reaction after the administration of dextran was observed (positive control).
Slovenian: Za železovo karboksimaltozo in železov saharat so pri študijah na morskih prašičkih, ki so prejeli imunski serum, ki je vseboval protitelesa železovega dekstrana, zabeležili očitno kožno reakcijo po dajanju dekstrana (pozitivna kontrola).
English: Only the cases in which sodium ferric gluconate was given parenterally were taken into account.
Slovenian: Upoštevali so samo primere, pri katerih so natrijev železov glukonat dajali parenteralno.
English: Iron gluconate (sodium ferric gluconate)
Slovenian: Železov glukonat (natrijev železov glukonat)
English: All cases within this SOC have been classified according to the Ring and Messmer classification.
Slovenian: Vsi primeri znotraj tega organskega sistema so bili razvrščeni skladno s klasifikacijo Ring in Messmer.
English: One patient with previous allergies and severe complications NOS after administration of dextran, received an overdose of sodium ferric gluconate and died from an acute myocardial infarction the day of sodium ferric gluconate infusion.
Slovenian: En bolnik s prejšnjimi alergijami in resnimi zapleti po dajanju dekstrana, ki niso vezani na posamezni organ, je prejel prevelik odmerek natrijevega železovega glukonata in umrl zaradi akutnega miokardnega infarkta na dan infundiranja natrijevega železovega glukonata.
English: For iron gluconate (sodium ferric gluconate) an overview of the toxicology program performed between 1970's and 1996 to support the registration of sodium ferric gluconate complex was submitted.
Slovenian: V podporo registraciji kompleksa natrijevega železovega glukonata je bil za železov glukonat (natrijev železov glukonat) predložen povzetek toksikološkega programa, izvedenega med 70. leti 20. stoletja in letom 1996.
English: The Committee considered that the risk of hypersensitivity is increased in patients with known allergies (including drug allergies) and in patients with immune or inflammatory conditions (e.g. systemic lupus erythematosus, rheumatoid arthritis) as well as in patients with a history of severe asthma, eczema or other atopic allergy.
Slovenian: • Odbor je menil, da je tveganje za preobčutljivost večje pri bolnikih z znanimi alergijami (vključno z alergijami na zdravila), pri bolnikih z imunskimi ali vnetnimi boleznimi (npr. sistemski eritematozni lupus, revmatoidni artritis) in pri bolnikih z resno astmo, ekcemom ali drugo atopijsko alergijo v anamnezi.
English: Furthermore the PRAC requested that the protocol of a Post-Authorisation Safety Study (PASS) should be submitted within the risk management plan submission, to better characterize the safety concerns for the hypersensitivity reactions.
Slovenian: PRAC je nadalje zahteval, da se v okviru načrta za obvladovanje tveganja predloži protokol študije varnosti zdravila v obdobju trženja (PASS), namenjen boljši opredelitvi zadržkov glede varnosti v zvezi s preobčutljivostnimi reakcijami.
English: Iron (III)-hydroxide dextran complex
Slovenian: Kompleks železovega (III)-hidroksid dekstrana
English: Furthermore, only three patients with serious adverse events related to intravenous sodium ferric gluconate have been described.
Slovenian: Nadalje so pri samo treh bolnikih zabeležili resne neželene učinke, povezane z intravenskim natrijevim železovim glukonatom.
English: This reaction occurred in a patient with a history of multiple drug allergies including anaphylaxis to iron dextran.
Slovenian: Ta reakcija se je pojavila pri bolniku z več alergijami na zdravila v anamnezi, vključno z anafilakso na železov dekstran.
English: Only 1 patient experienced an aggravation of symptoms at the sodium ferric gluconate re-introduction: minor skin reaction at infusion site then hypotension, syncope, nausea and vomiting at the 2nd administration.
Slovenian: Samo pri 1 bolniku se je po ponovni uvedbi natrijevega železovega glukonata pojavilo poslabšanje simptomov: manjša kožna reakcija na mestu infundiranja, pri 2. dajanju pa hipotenzija, sinkopa, navzeja in bruhanje.
English: In addition the CHMP requested the MAHs to submit annual cumulative reviews of hypersensitivity case reports, all fatal cases and all pregnancy cases, together with usage data yearly.
Slovenian: Poleg tega je CHMP imetnike dovoljenj za promet z zdravili pozval, da skupaj z letnimi podatki o uporabi predložijo letne kumulativne preglede poročil o primerih preobčutljivosti, vse smrtne primere in vse primere nosečnosti.
English: Two ADRs have been included in the analysis of allergic reactions according to the Ring and Messmer classification from the analysed or completed studies.
Slovenian: V analizo alergijskih reakcij po klasifikaciji Ring in Messmer sta bili vključeni dve neželeni reakciji iz analiziranih ali zaključenih študij.
English: Post marketing experience
Slovenian: Izkušnje po dajanju zdravila na trg
English: The Committee in addition stressed that the intravenous iron products should only be administered when staff trained to evaluate and manage anaphylactic/anaphylactoid reactions as well as resuscitation facilities are immediately available.
Slovenian: • Odbor je prav tako izpostavil, da je treba intravenska zdravila, ki vsebujejo železo, dajati, kadar so takoj na voljo zdravstveno osebje z izkušnjami v ocenjevanju in obvladovanju anafilaktičnih/anafilaktoidnih reakcij ter pripomočki za oživljanje.
English: The vast majority of these concerned patients in chronic kidney disease (CKD) and treatment in patients undergoing chronic haemodialysis (HD).
Slovenian: Velika večina je vključevala bolnike s kronično boleznijo ledvic in bolnike na kronični hemodializi.
English: No consistent pattern or predictive dose appears and the higher individual doses do not appear to be correlated with increased frequency or severity of events.
Slovenian: Zdi se, da ni doslednega vzorca ali predvidljivega odmerka, višji posamezni odmerki pa niso povezani s povečano pogostnostjo ali resnostjo dogodkov.
English: The MAHs also should amend their risk management plan, provide a protocol of a PASS within the risk management plan submission to characterise the safety concerns on the hypersensitivity reactions and also provide educational material for prescribers and patients.
Slovenian: Imetniki dovoljenj za promet z zdravili morajo prav tako dopolniti načrte za obvladovanje tveganja, v okviru načrta za obvladovanje tveganja predložiti protokol študije PASS, v katerem bodo opredeljeni zadržki glede varnosti v zvezi s preobčutljivostnimi reakcijami, ter zagotoviti izobraževalno gradivo za zdravnike, ki predpisujejo zdravilo, in za bolnike.
English: Patients should be closely monitored for signs of hypersensitivity during and for at least 30 minutes after each administration of an intravenous iron product.
Slovenian: Bolnike je treba skrbno spremljati za znake preobčutljivosti med dajanjem intravenskega železa in vsaj še 30 minut po njem;
English: Thus, four cases of allergic reactions possibly related to iron (III) isomaltoside 1000 have been found in the trials.
Slovenian: V preskušanjih so tako zabeležili štiri primere alergijskih reakcij, potencialno povezanih z železovim (III) izomaltozidom 1000.
English: The Committee considered that in view of the currently available safety data in order to maintain a favourable benefit-risk balance, these intravenous iron containing medicinal products should be contraindicated in patients with history of hypersensitivity reactions to the active substance or any of the excipients of these products, as well as to patients who experienced allergic reactions to other parenteral iron containing products.
Slovenian: • Odbor je menil, da je treba glede na trenutno razpoložljive podatke o varnosti ta intravenska zdravila, ki vsebujejo železo, kontraindicirati pri bolnikih s preobčutljivostmi reakcijami na zdravilno učinkovino ali katero koli pomožno snov v teh zdravilih v anamnezi in pri bolnikih, ki so imeli alergijske reakcije na druga parenteralna zdravila, ki vsebujejo železo, da se ohrani ugodno razmerje med tveganji in koristmi.
English: The majority of hypersensitivity associated AEs (26.1%) occurred between 5 to 30 minutes after treatment with ferric carboxymaltose, closely followed by hypersensitivity associated AEs which occurred during the infusion/injection (15.9%).
Slovenian: Večina preobčutljivosti, povezanih z neželenimi dogodki (26,1 %), se je pojavila od 5 do 30 minut po zdravljenju z železovo karboksimaltozo, čemur je tesno sledila preobčutljivost, povezana z neželenimi dogodki, do katere je prišlo med infundiranjem/injiciranjem (15,9 %).
English: In addition in vitro reactivity of various marketed intravenous iron preparations towards anti-dextran antibodies was tested in a reverse radial immunodiffusion assays.
Slovenian: Poleg tega so v povratnih analizah radialne imunodifuzije preskusili in vitro reaktivnost različnih intravenskih pripravkov na trgu, ki vsebujejo železo, v primerjavi s protitelesi proti dekstranu.
English: Cytotoxicity of various iron complexes has been documented in the literature.
Slovenian: V literaturi so zabeležili citotoksičnost različnih kompleksov železa.