FrancophonIA/ELRC3.0 huggingface dataset:
English: The effect of hepatic impairment on the single-dose pharmacokinetics of ceritinib (750 mg under fasted conditions) was evaluated in subjects with mild (Child-Pugh class A; N=8), moderate (ChildPugh class B; N=7), or severe (Child-Pugh class C; N=7) hepatic impairment and in 8 healthy subjects with normal hepatic function.
Croatian: Učinak oštećenja jetre na farmakokinetiku jednokratne doze ceritiniba (750 mg natašte) bio je procijenjen u ispitanika s blagim (Child-Pugh klasa A; N = 8), umjerenim (Child-Pugh klasa B; N = 7) ili teškim (Child-Pugh klasa C; N = 7) oštećenjem jetre i u 8 zdravih ispitanika s normalnom jetrenom funkcijom.
English: Heart rate less than 60 beats per minutes (bpm)
Croatian: Srčana frekvencija niža od 60 otkucaja u minuti b
English: Number of events, n (%) Median, months (95% CI) HR (95% CI)
Croatian: Broj događaja, n (%) Medijan, mjeseci (95% CI) HR (95% CI)
English: No patients required dose reduction or discontinuation of Zykadia due to diarrhoea, nausea or vomiting (see section 4.8).
Croatian: Nijedan bolesnik nije zahtijevao smanjenje doze ili trajni prekid primjene Zykadie zbog proljeva, mučnine ili povraćanja (vidjeti dio 4.8).
English: The active substance of Zykadia is ceritinib.
Croatian: Djelatna tvar Zykadie je ceritinib.
English: If it is not possible to avoid concomitant use with strong CYP3A inhibitors (including, but not limited to, ritonavir, saquinavir, telithromycin, ketoconazole, itraconazole, voriconazole, posaconazole and nefazodone), reduce the ceritinib dose by approximately one third, rounded to the nearest multiple of the 150 mg dosage strength.
Croatian: Ako nije moguće izbjeći istodobnu primjenu sa snažnim CYP3A inhibitorima (uključujući, između ostaloga, ritonavir, sakvinavir, telitromicin, ketokonazol, itrakonazol, vorikonazol, posakonazol i nefazodon), potrebno je smanjiti dozu ceritiniba za otprilike jednu trećinu, zaokruženo na najbliži višekratnik jačine doze od 150 mg.
English: Table 1 summarises recommendations for dose interruption, reduction or discontinuation of Zykadia in the management of selected ADRs.
Croatian: Tablica 1 sadrži sažetak preporuka za privremeni prekid, smanjenje doze ili trajni prekid primjene Zykadie u zbrinjavanju odabranih nuspojava.
English: The tablets should be administered orally once daily with food at the same time every day.
Croatian: Tablete se trebaju uzimati peroralno jedanput na dan uz hranu, svakoga dana u isto vrijeme.
English: However, based on available data, ceritinib elimination via the kidney is negligible.
Croatian: Međutim, na temelju dostupnih podataka, eliminacija ceritiniba putem bubrega je zanemariva.
English: 23.9 (16.6, NE)
Croatian: 23,9 (16,6; NP)
English: The geometric mean AUCinf (unbound AUCinf) of ceritinib was increased by 66% (108%) in subjects with severe hepatic impairment compared to subjects with normal hepatic function (see section 4.2).
Croatian: Geometrijska srednja vrijednost AUCinf (nevezani AUCinf) ceritiniba bila je povećana za 66% (108%) u ispitanika s teškim oštećenjem jetre u usporedbi s ispitanicima s normalnom jetrenom funkcijom (vidjeti dio 4.2).
English: The median PFS by BIRC using RECIST 1.1 was longer in the ceritinib arm compared to the chemotherapy arm in both subgroups of patients with brain metastases and without brain metastases.
Croatian: Medijan PFS-a prema BIRC-u uz korištenje kriterija RECIST 1.1 bio je dulji u ceritinib skupini nego u kemoterapijskoj skupini u obje podskupine bolesnika s metastazama na mozgu i bez njih.
English: Study A2201 involved 140 patients who had been previously treated with 1-3 lines of cytotoxic chemotherapy followed by treatment with crizotinib, and who had then progressed on crizotinib.
Croatian: Ispitivanje A2201 uključivalo je 140 bolesnika koji su prethodno bili liječeni s 1-3 linije citotoksične kemoterapije, a nakon toga krizotinibom, i koji su zatim imali progresiju na krizotinibu.
English: Severe diarrhoea, nausea or vomiting
Croatian: Teški proljev, mučnina ili povraćanje
English: Use of Zykadia in patients with congenital long QT syndrome should be avoided.
Croatian: Primjenu Zykadie u bolesnika s kongenitalnim sindromom produljenog QT intervala treba izbjegavati.
English: Table 2 shows the frequency category of ADRs reported for Zykadia in patients treated at a dose of 750 mg fasted (N=925) in seven clinical studies.
Croatian: Tablica 2 prikazuje kategoriju učestalosti nuspojava prijavljenih uz Zykadiu u bolesnika liječenih dozom od 750 mg natašte (N=925) u sedam kliničkih ispitivanja.
English: Gastrointestinal toxicity was observed in both species characterised by body weight loss, decreased food consumption, emesis (monkey), diarrhoea and, at high doses, by histopathological lesions including erosion, mucosal inflammation and foamy macrophages in the duodenal crypts and submucosa.
Croatian: Gastrointestinalna toksičnost bila je uočena u obje vrste i karakterizirana gubitkom tjelesne težine, smanjenim unosom hrane, emezom (majmuni), proljevom te, pri višim dozama, histopatološkim lezijama koje su uključivale eroziju, upalu sluznice i pjenaste makrofage u duodenalnim kriptama i submukozi.
English: Other side effects are listed below.
Croatian: Ostale nuspojave navedene su u nastavku.
English: Zykadia should be withheld in patients who develop QTc >500 msec on at least two separate ECGs until recovery to baseline or a QTc ≤480 msec, then reinitiated with dose reduced by 150 mg (see sections 4.2, 4.8 and 5.2).
Croatian: Primjena Zykadie mora se privremeno prekinuti u bolesnika u kojih se razvije QTc >500 msek na najmanje dva zasebna EKG-a, do oporavka na početnu vrijednost ili na QTc ≤480 msek, a zatim ponovno započeti primjenu dozom smanjenom za 150 mg (vidjeti dijelove 4.2, 4.8 i 5.2).
English: Caution should be exercised with concomitant use of P-gp inducers.
Croatian: Potreban je oprez kod istodobne primjene P-gp induktora.
English: Adverse drug reactions (ADRs) described below reflect exposure to Zykadia 750 mg once daily fasted in 925 patients with ALK-positive advanced NSCLC across a pool of seven clinical studies including two randomised, active-controlled, phase 3 studies (studies A2301 and A2303).
Croatian: Nuspojave opisane u nastavku odražavaju izloženost Zykadii od 750 mg uzetoj jedanput dnevno natašte u 925 bolesnika s ALK-pozitivnim uznapredovalim NSCLC-om u skupu od sedam kliničkih ispitivanja koja uključuju i dva randomizirana, ispitivanja faze 3 s aktivnom kontrolom (ispitivanja A2301 i A2303).
English: The Eastern Cooperative Oncology Group (ECOG) performance status was 0/1/2 in 37.0%/56.4%/6.4% of patients, and 32.2% had brain metastasis at baseline.
Croatian: Eastern Cooperative Oncology Group, ECOG) bilo je 0/1/2 u, redom, 37,0%/56,4%/6,4% bolesnika, a 32,2% imalo je metastaze na mozgu na početku.
English: ALT or AST elevation >3 times ULN with concurrent total bilirubin elevation >2 times ULN (in the absence of cholestasis or haemolysis)
Croatian: Povišenje ALT-a ili AST-a >3 puta GGN uz istodobno povišenje ukupnog bilirubina >2 puta GGN (u odsutnosti kolestaze ili hemolize)
English: When ceritinib is co-administered with other medicinal products, the Summary of Product Characteristics (SmPC) for the other product must be consulted for the recommendations regarding co-administration with CYP3A4 inhibitors.
Croatian: Kada se ceritinib primjenjuje istodobno s drugim lijekovima, potrebno je pogledati Sažetak opisa svojstava lijeka (SmPC) tih drugih lijekova vezano uz preporuke kod istodobne primjene s CYP3A4 inhibitorima.
English: Skin and subcutaneous tissue disorders Rash j
Croatian: Poremećaji kože i potkožnog tkiva Osip j
English: Abnormal results of blood tests to check liver function (high levels of enzymes called alanine aminotransferase and/or aspartate aminotransferase and/or gamma glutamyltransferase and/or blood alkaline phosphatase, high levels of bilirubin) Abdominal pain
Croatian: Poremećeni rezultati krvnih pretraga za provjeru jetrene funkcije (visoke razine enzima koji se zovu alanin aminotransferaza i/ili aspartat aminotransferaza i/ili gama glutamiltransferaza i/ili alkalna fosfataza u krvi, visoke razine bilirubina) Bol u trbuhu
English: CYP3A and CYP2C9 substrates
Croatian: CYP3A i CYP2C9 supstrati
English: Ceritinib 450 mg with food (N=41)
Croatian: Ceritinib 450 mg uz hranu (N=41)
English: Packs containing 40, 90 or 150 (3 packs of 50) hard capsules.
Croatian: Pakiranja sadrže 40, 90 ili 150 (3 pakiranja po 50) tvrdih kapsula.
English: Based on a population pharmacokinetic analysis of 345 patients with mild renal impairment (CLcr 60 to <90 ml/min), 82 patients with moderate renal impairment (CLcr 30 to <60 ml/min) and 546 patients with normal renal function (≥90 ml/min), ceritinib exposures were similar in patients with mild and moderate renal impairment and normal renal function, suggesting that no dose adjustment is necessary in patients with mild to moderate renal impairment.
Croatian: Na temelju populacijske farmakokinetičke analize 345 bolesnika s blagim oštećenjem bubrega (CLcr 60 do <90 ml/min), 82 bolesnika s umjerenim oštećenjem bubrega (CLcr 30 do <60 ml/min) te 546 bolesnika s normalnom bubrežnom funkcijom (≥90 ml/min), izloženosti ceritinibu bile su slične u bolesnika s blagim i umjerenim oštećenjem bubrega i normalnom bubrežnom funkcijom, što ukazuje na to da nije potrebno prilagođavanje doze u bolesnika s blagim do umjerenim oštećenjem bubrega.
English: If you vomit after you swallow the Zykadia capsules, do not take any more capsules until your next scheduled dose.
Croatian: Ako povratite nakon što progutate Zykadia kapsule, nemojte uzimati nove kapsule do sljedeće doze po rasporedu.
English: Serial ECGs were collected following a single dose and at steady-state to evaluate the effect of ceritinib on the QT interval in 925 patients treated with Zykadia 750 mg once daily fasted.
Croatian: Serijski EKG-ovi bili su prikupljeni nakon jednokratne doze te u stanju dinamičke ravnoteže da bi se ocijenio učinak ceritiniba na QT interval u 925 bolesnika liječenih Zykadiom 750 mg jedanput dnevno natašte.
English: Patients should be managed as recommended in sections 4.2 and 4.4.
Croatian: Bolesnike je potrebno zbrinjavati kako je preporučeno u dijelovima 4.2 i 4.4.
English: Seventy-three (73) patients received docetaxel and 40 received pemetrexed.
Croatian: Sedamdeset tri (73) bolesnika primalo je docetaksel, a 40 je primalo pemetreksed.
English: Across the seven clinical studies, 9.7% of patients treated with ceritinib had events of QT prolongation (any grade), including grade 3 or 4 events in 2.1% of patients.
Croatian: U sedam kliničkih ispitivanja, 9,7% bolesnika liječenih ceritinibom imalo je događaje produljenja QT-a (bilo kojeg stupnja), uključujući događaje stupnja 3 ili 4 u 2,1% bolesnika.
English: Diarrhoea, nausea, or vomiting occurred in 74.2% of 89 patients treated with Zykadia at the recommended dose of 450 mg taken with food in a dose optimisation study and were mainly grade 1 events (49.4%).
Croatian: Proljev, mučnina ili povraćanje javili su se u 74,2% od 89 bolesnika liječenih Zykadiom pri preporučenoj dozi od 450 mg uzetoj uz hranu u ispitivanju optimizacije doze i bili su većinom događaji stupnja 1 (49,4%).
English: Vomiting e
Croatian: Povraćanje e
English: The maximum recommended dose of Zykadia is 450 mg taken orally once daily with food (see section 4.2).
Croatian: Maksimalna preporučena doza Zykadie je 450 mg uzeta peroralno jedanput dnevno uz hranu (vidjeti dio 4.2).
English: Single arm studies X2101 and A2201
Croatian: Ispitivanja X2101 i A2201 s po jednom skupinom
English: Vision disorder (vision impairment, vision blurred, photopsia, vitreous floaters, visual acuity reduced, accommodation disorder, presbyopia)
Croatian: Poremećaj vida (oštećenje vida, zamagljeni vid, fotopsija, opaciteti u staklovini, smanjena vidna oštrina, poremećaj akomodacije, prezbiopija)
English: Avoid concomitant use of strong CYP3A inhibitors during treatment with Zykadia (see section 4.5).
Croatian: Potrebno je izbjegavati istodobnu primjenu snažnih CYP3A inhibitora tijekom liječenja Zykadiom (vidjeti dio 4.5).
English: Patients should be monitored for lipase and amylase elevations prior to the start of Zykadia treatment and periodically thereafter as clinically indicated (see sections 4.2 and 4.8).
Croatian: Bolesnike treba pratiti radi povišenja lipaze i/ili amilaze prije početka liječenja Zykadiom te periodički nakon toga prema kliničkim indikacijama (vidjeti dijelove 4.2 i 4.8).
English: Following single oral doses of ceritinib under fasted conditions, the geometric mean apparent plasma terminal half-life (T½) of ceritinib ranged from 31 to 41 hours in patients over the 400 to 750 mg dose range.
Croatian: Nakon jednokratnih peroralnih doza ceritiniba natašte, geometrijska srednja vrijednost prividnog terminalnog poluvijeka ceritiniba u plazmi (T½) bila je u rasponu od 31 do 41 sata u bolesnika koji su primali doze u rasponu od 400 do 750 mg.
English: Increases to grade 3 or 4 ALT elevations were observed in 25% of patients receiving ceritinib.
Croatian: Povišenja ALT-a stupnja 3 ili 4 su uočena u 25% bolesnika koji primaju ceritinib.
English: Pneumonitis (interstitial lung disease, pneumonitis)
Croatian: Pneumonitis (intersticijska bolest pluća, pneumonitis)
English: The use of concomitant medicinal products associated with bradycardia should be carefully evaluated.
Croatian: Potrebno je pažljivo ocijeniti istodobnu primjenu drugih lijekova povezanih s bradikardijom.
English: Patients who develop symptomatic bradycardia should be managed as recommended in sections 4.2 and 4.4.
Croatian: Bolesnike u kojih se razvije simptomatska bradikardija potrebno je zbrinjavati prema preporukama iz dijelova 4.2 i 4.4.
English: You must use a highly effective method of birth control during treatment with Zykadia and for 3 months after stopping treatment.
Croatian: Morate koristiti vrlo učinkovitu metodu kontrole začeća tijekom liječenja Zykadiom te tri mjeseca nakon prestanka liječenja.
English: Caution should be exercised with concomitant use of BCRP substrates (e.g. rosuvastatin, topotecan, sulfasalazine) and P-gp substrates (digoxin, dabigatran, colchicine, pravastatin) and ADRs carefully monitored.
Croatian: Potreban je oprez pri istodobnoj primjeni s BCRP supstratima (npr. rosuvastatin, topotekan, sulfasalazin) i P-gp supstratima (digoksin, dabigatran, kolhicin, pravastatin) te se nuspojave na lijek moraju oprezno pratiti.
English: If you experience any of the following side effects, tell your doctor or pharmacist immediately: Chest pain or discomfort, changes in your heartbeat (fast or slow), light-headedness, fainting, dizziness, blue discoloration of your lips, shortness of breath, swelling of your lower limbs or skin (potential signs or symptoms of heart problems) New or worsening cough with or without mucus, fever, chest pain, trouble breathing or shortness of breath (potential signs of lung problems) Tiredness, itchy skin, yellowing of your skin or the whites of your eyes, nausea (feeling sick) or vomiting, decreased appetite, pain on the right side of your abdomen (belly), dark or brown urine, bleeding or bruising more easily than normal (potential signs or symptoms of liver problems)
Croatian: Ako primijetite bilo koju od sljedećih nuspojava, odmah se obratite svom liječniku ili ljekarniku: Bol ili nelagoda u prsnom košu, promjene u otkucajima srca (ubrzani ili usporeni), ošamućenost, nesvjestica, omaglica, plave usnice, nedostatak zraka, oticanje donjih udova ili kože (potencijalni znakovi ili simptomi problema sa srcem) Novi ili pogoršani kašalj sa sluzi ili bez nje, vrućica, bol u prsnom košu, poteškoće s disanjem ili nedostatak zraka (potencijalni znakovi problema s plućima) Umor, svrbež kože, žutilo kože ili bjeloočnica, mučnina ili povraćanje, smanjeni apetit, bol na desnoj strani abdomena (trbuha), tamna ili smeđa mokraća, krvarenje ili stvaranje modrica lakše nego što je normalno (potencijalni znakovi ili simptomi problema s jetrom)
English: The ECOG performance status was 0/1/2 in 46.3%/47.6%/6.1% of patients respectively, and 58.0% had brain metastasis at baseline.
Croatian: Funkcionalno stanje prema ECOG-u bilo je 0/1/2 redom u 46,3%/47,6%/6,1% bolesnika, a 58,0% imalo je metastaze na mozgu na početku ispitivanja.
English: It is used to treat adults with advanced stages of a form of lung cancer called non-small cell lung cancer (NSCLC).
Croatian: Koristi se za liječenje odraslih osoba s uznapredovalim stadijima određene vrste raka pluća koji se zove rak pluća nemalih stanica (engl. nonsmall cell lung cancer, NSCLC).
English: There are no available data on patients over 85 years of age.
Croatian: Nema dostupnih podataka o bolesnicima starijima od 85 godina.
English: Other potential causes of ILD/pneumonitis should be excluded (see sections 4.2 and 4.4).
Croatian: Potrebno je isključiti druge potencijalne uzroke IBP-a/pneumonitisa (vidjeti dijelove 4.2 i 4.4).
English: After single oral administration of ceritinib in patients, plasma exposure to ceritinib, as represented by Cmax and AUClast, increased dose-proportionally over the 50 to 750 mg dose range under fasted conditions.
Croatian: Nakon jednokratne peroralne primjene ceritiniba u bolesnika, izloženost plazme ceritinibu, predstavljena vrijednostima Cmax i AUClast, povećala se proporcionalno dozi u rasponu doze od 50 do 750 mg natašte.
English: In vitro studies demonstrated that CYP3A was the major enzyme involved in the metabolic clearance of ceritinib.
Croatian: In vitro ispitivanja pokazala su da je CYP3A glavni enzim uključen u metabolički klirens ceritiniba.
English: Liver laboratory test abnormalities (alanine aminotransferase increased, aspartate aminotransferase increased, gamma-glutamyltransferase increased, blood bilirubin increased, transaminases increased, hepatic enzyme increased, liver function test abnormal, liver function test increased, blood alkaline phosphatase increased)
Croatian: Poremećaji na laboratorijskim pretragama jetre (povišena alanin aminotransferaza, povišena aspartat aminotransferaza, povišena gama-glutamiltransferaza, povišeni bilirubin u krvi, povišene transaminaze, povišeni jetreni enzimi, poremećeni test jetrene funkcije, povišene vrijednosti na testu jetrene funkcije, povišena alkalna fosfataza u krvi)
English: The frequency of selected gastrointestinal ADRs (diarrhoea, nausea and vomiting) are based on patients treated with a dose of 450 mg once-daily with food (N=89).
Croatian: Učestalost odabranih gastrointestinalnih nuspojava (proljev, mučnina i povraćanje) je temeljena na bolesnicima liječenima dozom od 450 mg jedanput dnevno uz hranu (N=89).
English: Cases of pancreatitis have been reported in patients treated with ceritinib (see section 4.8).
Croatian: U bolesnika liječenih ceritinibom prijavljeni su slučajevi pankreatitisa (vidjeti dio 4.8).
English: Severe, life-threatening, or fatal interstitial lung disease (ILD)/pneumonitis have been observed in patients treated with ceritinib.
Croatian: Teška, po život opasna ili smrtonosna intersticijska bolest pluća (IBP)/pneumonitis uočeni su u bolesnika liječenih ceritinibom.
English: The PFS benefit of Zykadia was consistent across various subgroups including age, gender, race, smoking class, ECOG performance status, and presence of brain metastases or prior response to crizotinib.
Croatian: Korist Zykadie za PFS bila je dosljedna u različitim podskupinama uključujući podskupine prema dobi, spolu, rasi, pušačkim navikama, funkcionalnom stanju po ECOG-u, prisutnosti metastaza na mozgu ili prethodnom odgovoru na krizotinib.
English: If you vomit after you swallow the Zykadia tablets, do not take any more tablets until your next scheduled dose.
Croatian: Ako povratite nakon što progutate Zykadia tablete, nemojte uzimati nove tablete do sljedeće doze po rasporedu.
English: Light blue, round, biconvex film-coated tablet with bevelled edges, without score, debossed with “NVR” on one side and “ZY1” on the other side.
Croatian: Svijetlo plava, okrugla, bikonveksna filmom obložena tableta sa zaobljenim rubovima, bez ureza, s utisnutom oznakom „NVR“ na jednoj strani i „ZY1“ na drugoj strani.
English: Caution should be exercised with concomitant use of CYP2A6 and CYP2E1 substrates and ADRs carefully monitored.
Croatian: Potreban je oprez kod istodobne primjene CYP2A6 i CYP2E1 supstrata te pažljivo praćenje nuspojava.
English: A total of 81 previously untreated patients with ALK-positive locally advanced or metastatic NSCLC were randomised to receive Zykadia 450 mg once daily with food (N=41) or Zykadia 750 mg once daily under fasted conditions (N=40).
Croatian: Ukupno 81 prethodno neliječeni bolesnik s ALK-pozitivnim lokalno uznapredovalim ili metastatskim NSCLC-om bio je randomiziran u skupinu koja je primala Zykadiu od 450 mg jedanput dnevno uz hranu (N=41) ili Zykadiu od 750 mg jedanput dnevno natašte (N=40).
English: Grade 3-4 ADRs with an incidence of ≥5% in patients treated with Zykadia 750 mg fasted were liver laboratory test abnormalities, fatigue, vomiting, hyperglycaemia, nausea and diarrhoea.
Croatian: Nuspojave stupnja 3-4 s incidencijom ≥5% u bolesnika liječenih Zykadiom od 750 mg natašte bile su abnormalnosti na laboratorijskim pretragama jetre, umor, povraćanje, hiperglikemija, mučnina i proljev.
English: Chemotherapy (N=187)
Croatian: Kemoterapija (N=187)
English: The recommended dose of Zykadia is 450 mg taken orally once daily with food at the same time each day.
Croatian: Preporučena doza Zykadie je 450 mg koja se uzima peroralno jedanput na dan uz hranu, svakoga dana u isto vrijeme.
English: No dose adjustment is necessary in patients with mild or moderate hepatic impairment (see section 4.2).
Croatian: Nije potrebno prilagođavanje doze u bolesnika s blagim ili umjerenim oštećenjem jetre (vidjeti dio 4.2).
English: Monitoring of fasting serum glucose is required prior to the start of ceritinib treatment and periodically thereafter as clinically indicated.
Croatian: Potrebno je praćenje glukoze u serumu natašte prije početka liječenja ceritinibom te periodički nakon toga prema kliničkim indikacijama.
English: Pericarditis (pericardial effusion, pericarditis)
Croatian: Perikarditis (perikardijalni izljev, perikarditis)
English: Co-administration of ceritinib with substrates primarily metabolised by CYP2C9 or CYP2C9 substrates known to have narrow therapeutic indices (e.g. phenytoin and warfarin) should be avoided.
Croatian: Potrebno je izbjegavati istodobnu primjenu ceritiniba sa supstratima koji se primarno metaboliziraju putem CYP2C9 ili CYP2C9 supstratima za koje se zna da imaju uski terapijski indeks (npr. fenitoin i varfarin).
English: Permanently discontinue Zykadia if no contributing concomitant medicinal product is identified.
Croatian: Trajno prekinuti primjenu Zykadie ako se ne identificira nijedan istodobno primijenjeni lijek koji doprinosi bradikardiji.
English: Based on in vitro data, ceritinib is predicted to inhibit intestinal P-gp and BCRP at clinically relevant concentrations.
Croatian: Na temelju in vitro podataka, za ceritinib se predviđa da inhibira crijevni P-gp i BCRP pri klinički značajnim koncentracijama.
English: A dedicated study to evaluate the effect of gastric acid-reducing agents on the bioavailability of ceritinib under steady state has not been conducted.
Croatian: Posebno ispitivanje za ocjenjivanje učinka tvari koje smanjuju lučenje želučane kiseline na bioraspoloživost ceritiniba u stanju dinamičke ravnoteže nije provedeno.
English: Ceritinib demonstrates pH-dependent solubility and becomes poorly soluble as pH increases in vitro.
Croatian: Ceritinib ima topivost ovisnu o pH i postaje slabo topiv kada se pH povećava in vitro.
English: What to do if you forget to take a dose depends on how long it is until your next dose.
Croatian: Ako ste zaboravili uzeti Zykadiu Što trebate učiniti ako ste zaboravili uzeti dozu ovisi o tome kada je predviđena Vaša sljedeća doza.