FrancophonIA/ELRC3.0 huggingface dataset:
English: STATEMENT OF ACTIVE SUBSTANCE(S) One capsule contains 39.8 mg of pancreas powder of porcine origin including the following enzymatic activities: lipolytic activity:
Danish: Enzepi 5.000 enheder, enterokapsler, hårde En kapsel indeholder 39,8 mg pancreas-pulver af porcin oprindelse med følgende enzymatiske aktivitet: lipaseaktivitet: amylaseaktivitet: proteaseaktivitet:
English: 2 Co-ordination group for mutual recognition and decentralised procedures - human
Danish: 2 Koordinationsgruppen vedrørende gensidig anerkendelse og decentral procedure - lægemidler til mennesker
English: 1 Following the outcome of an Article 31 referral procedure on tolperisone-containing medicinal products, for which a Commission decision was adopted in January 2013.
Danish: 1 I henhold til resultatet af en artikel i 31-indbringelsesprocedure for lægemidler indeholdende tolperison, for hvilke der blev vedtaget en kommissionsbeslutning i januar 2013.
English: • The Committee considered the notification of the referral triggered by Hungary under Article 29(4) of Directive 2001/83/EC where Germany raised objections that were considered to be a potential serious risk to public health;
Danish: • Udvalget behandlede den indbringelse, der var indledt af Ungarn i henhold til artikel 29, stk. 4, i direktiv 2000/83/EF, under hvilken Tyskland rejste indvendinger, som blev anset for at være en potentiel alvorlig risiko for den offentlige sundhed,
English: During the CMDh2 referral procedure that followed the mutual recognition procedure (MRP), no consensus could be reached as the objecting member state maintained its objection, which was thought to represent a potential serious risk to public health.
Danish: Ved den indbringelsesprocedure for CMDh2, der efterfulgte den gensidige anerkendelsesprocedure, var det ikke muligt at nå til enighed, da den indsigende medlemsstat fastholdt sin indsigelse, som blev anset for at udgøre en potentiel alvorlig risiko for den offentlige sundhed.
English: The CMDh therefore referred the matter to the CHMP through an Art 29(4) referral procedure.
Danish: CMDh indbragte derfor sagen for CHMP ved en artikel 29, stk. 4-indbringelsesprocedure.
English: The active substance of Merisone is tolperisone hydrochloride, which is a centrally acting muscle relaxant indicated for the symptomatic treatment of post-stroke spasticity in adults.
Danish: Det aktive stof i Merisone er tolperisonhydrochlorid, som er et muskelafslappende middel, der er indiceret til symptomatisk behandling af postapoplektisk spasticitet hos voksne.
English: • The Committee reviewed the responses submitted by the applicant to address the issues raised with regard to the bioequivalence of Merisone with respect to the reference medicinal product;
Danish: • udvalget gennemgik ansøgerens besvarelse af de rejste spørgsmål om bioækvivalensen af Merisone med referencelægemidlet,
English: The marketing authorisation application (MAA) for Merisone was submitted under Article 10(1) of Directive 2001/83/EC (i.e. a generic application), vis-à-vis the reference medicinal product Mydeton (Gedeon Richter Plc).
Danish: Ansøgningen om markedsføringstilladelse for Merisone blev indgivet i henhold til artikel 10, stk. 1, i direktiv 2001/83/EF (dvs. en generisk ansøgning) med Mydeton (Gedeon Richter Plc) som referencelægemiddel.
English: Since the effect of these excipients would be diluted in the presence of food, it was considered unlikely that excipients such as mannitol would be larger in fed conditions compared to fasting conditions, given that the effect of mannitol is based on its osmotic effect.
Danish: Da virkningen af disse hjælpestoffer vil blive udtyndet ved tilstedeværelse af føde, blev det fundet usandsynligt, at hjælpestoffer såsom mannitol ville have større betydning under postprandiale end under fastende betingelser, da virkningen af mannitol skyldes dets osmotiske effekt.
English: The CHMP has recommended the granting of the marketing authorisation for which the summary of product characteristics, labelling and package leaflet remain as per the final versions achieved during the Coordination group, for Merisone and associated names (see Annex I).
Danish: anbefalede CHMP udstedelse af markedsføringstilladelsen, for hvilken produktresuméet, etiketteringen og indlægssedlen er uændrede svarende til den endelige version, der er fastlagt ved behandlingen i koordinationsgruppen for Merisone og relaterede navne (se bilag I).
English: Therefore it was considered that fasting bioequivalence studies are expected to be more sensitive to detect formulation differences.
Danish: Fastende bioækvivalensundersøgelser måtte derfor forventes at være mere følsomme over for forskelle betinget af formuleringen.
English: • Therefore, the Committee concluded by majority that the bioequivalence studies conducted in the fasting state give sufficient evidence to conclude on the bioequivalence also in the fed state since Merisone contains a highly soluble and highly permeable active substance, and pharmacokinetic principles and convincing experimental evidence suggest that the food effect of this active substance is formulation independent.
Danish: • udvalget konkluderede derfor ved en flertalsafgørelse, at de udførte fastende bioækvivalensundersøgelser giver tilstrækkelig evidens til at drage konklusioner om bioækvivalens også i postprandial tilstand, eftersom Merisone indeholder et højopløseligt og højpermeabelt aktivt stof, og eftersom farmakokinetiske principper og overbevisende eksperimentel evidens viser, at effekten af fødeindtagelse for tolperison er uafhængig af formuleringen,
English: The objecting concerned member state (CMS) was of the view that a similar extent of the food effect that was shown for the two different products referred to above, does not have to hold true for this generic formulation since it has not been proven that the food effect is a characteristic of the active substance and not a formulation related factor.
Danish: Den indsigende berørte medlemsstat fandt, at den lighed, der er påvist mellem de to forskellige ovennævnte produkter hvad angår omfanget af effekten af fødeindtagelse, ikke nødvendigvis gør sig gældende for denne generiske formulering, da det ikke er påvist, at virkningen af fødeindtagelse er en egenskab ved det aktive stof og ikke en formuleringsbetinget faktor.
English: The majority of the CHMP members agreed that in vivo dissolution differences between formulations are likely to be less apparent and more difficult to observe in fed conditions since gastric emptying time is longer in the fed state than in the fasting state.
Danish: Størstedelen af CHMP's medlemmer fandt, at forskelle mellem formuleringers in vivo-opløselighed normalt er mindre fremtrædende og vanskeligere at iagttage under postprandiale betingelser, da den gastriske tømningstid er længere i postprandial end i fastende tilstand.
English: Because the within-subject coefficient of variation is higher than 30%, the applicant was of the view that according to the current bioequivalence guideline extended limits could have been used to show bioequivalence, which would have been in this case 71.25%
Danish: Da variationskoefficienten for den intraindividuelle variation er over 30 %, mente ansøgeren, at der i henhold til de gældende retningslinjer for bioækvivalensundersøgelser kunne have været påvist bioækvivalens med udvidede grænser, i dette tilfælde 71,25 %-140,35 %.
English: Furthermore it was argued that serious concerns remained as to whether the test product in this case (that is advised to be taken concomitantly with food), would be bioequivalent under fed conditions, given that the results of the bioequivalence studies under fasted conditions were borderline.
Danish: Desuden blev det fremført, at der tilbagestod alvorlige betænkeligheder med hensyn til, om testproduktet (som anvises at skulle indtages sammen med et måltid) i dette tilfælde er bioækvivalent under postprandiale betingelser, i betragtning af, at resultaterne af bioækvivalensundersøgelserne i fastende tilstand lå på grænsen.
English: Taking into account that the MAH had submitted data which showed that tolperisone is a highly soluble and highly permeable active substance, neither solubility nor dissolution was considered to be a limiting factor in terms of in vivo absorption.
Danish: I betragtning af, at markedsføringstilladelsesindehaverne havde forelagt data, der viste, at tolperison er højopløseligt og meget permeerende, kan hverken opløselighed eller opløsning anses for at være en begrænsende faktor for in vivo-absorptionen.
English: The information that was introduced in the SmPC of tolperisone was based on two well-designed studies conducted with different formulations of tablets, which showed that compared to the fasting state, fat-rich food increases the bioavailability of tolperisone by about
Danish: De oplysninger, der blev indført i produktresuméet for tolperison, byggede på to veltilrettelagte undersøgelser med forskellige tabletformuleringer, som viste, at et fedtrigt måltid øger biotilgængeligheden af tolperison med ca. 100 % i forhold til fastende tilstand.
English: As there is no evidence that the food-effect is formulation dependent and the formulation is a conventional one, some of the PKWP members considered that a bioequivalence study in the fasting state was acceptable in this case.
Danish: Da der ikke er evidens for, at effekten af fødeindtagelse er formuleringsafhængig, og da formuleringen er konventionel, kunne nogle medlemmer af PKWP acceptere en fastende bioækvivalensundersøgelse i dette tilfælde.
English: Bioequivalence was demonstrated with regard to the primary pharmacokinetic parameters, i.e. AUC and Cmax, in the study with the 150 mg tablet, as the 90% CIs were within the required 80-125% limits.
Danish: For de primære farmakokinetiske parametre, dvs. AUC og Cmax, blev der påvist bioækvivalens af 150 mg tabletten, idet 90 % sikkerhedsintervallet lå inden for de foreskrevne grænser 80-125 %.
English: Since the summary of product characteristics (SmPC) of the reference medicinal product did not make any recommendations regarding food and did not mention a food effect, the MAA that was submitted for Merisone included two bioequivalence studies with 50 and 150 mg tolperisone film-coated tablets conducted under fasting conditions with 52 volunteers each.
Danish: Da produktresuméet for referencelægemidlet ikke indeholdt anbefalinger om fødeindtagelse og ikke omtalte en effekt af fødeindtagelse, indeholdt ansøgningen om markedsføringstilladelse for Merisone to bioækvivalensundersøgelser, der blev udført med filmovertrukne tabletter med tolperison, 50 og 150 mg, begge med 52 forsøgspersoner under fastende betingelser.
English: Although the results of the bioequivalence studies were considered to be borderline by the objecting CMS, the applicant argued that the second bioequivalence study was a replicate design study where it was shown that tolperisone is a highly variable drug - the within-subject variability of the reference medicinal product Cmax was 46.99%.
Danish: Skønt den indsigende medlemsstat anså resultaterne af bioækvivalensundersøgelserne for at være på grænsen, fremførte ansøgeren, at designet af den anden bioækvivalensundersøgelse var en gentagelse, og at undersøgelsen viste, at tolperison er omfattet af stor variation - den intraindividuelle variabilitet af Cmax for referencelægemidlet var 46,99 %.
English: As there is no evidence that the food-effect is formulation dependent, the majority of the CHMP concluded that the bioequivalence studies conducted in the fasting state, which is considered to be the most sensitive condition, would give sufficient evidence to conclude on the bioequivalence in both the fasting and fed states in this particular case.
Danish: Da der ikke er evidens for, at virkningen af fødeindtagelse afhænger af formuleringen, konkluderede et flertal i CHMP, at bioækvivalensundersøgelser i fastende tilstand (som anses for den mest følsomme betingelse) i dette tilfælde er tilstrækkelig evidens som grundlag for en konklusion om bioækvivalens i både fastende og postprandial tilstand.
English: Therefore the objecting member state was of the view that the two bioequivalence submitted with the 50 and 150mg tolperisone tablets under fasting conditions were not sufficient, and that bioequivalence should be demonstrated under fed conditions.
Danish: Den indsigende medlemsstat fandt derfor, at de to bioækvivalensundersøgelser, der var forelagt med 50 og 150 mg tolperison tabletter i fastende tilstand, var utilstrækkelige, og at der burde påvises bioækvivalens under postprandiale betingelser.
English: The applicant highlighted that, at the time the bioequivalence studies were performed, the summary of product characteristics (SmPC) of the reference medicinal product did not make any recommendations regarding food and did not mention that the food effect was significant.
Danish: Ansøgeren fremhævede, at på tidspunktet for udførelsen af bioækvivalensundersøgelserne indeholdt produktresumeet for referencelægemidlet ingen anbefalinger om fødeindtagelse eller omtale af betydningen heraf.
English: Taking into account all the evidence and arguments presented, the majority of the CHMP noted that that bioequivalence had been demonstrated in the fasting state for tolperisone, which is highly soluble and highly permeable active substance, demonstrating high within-subject variability.
Danish: Under hensyn til al den fremførte evidens og argumentation konstaterede et flertal af udvalgets medlemmer, at der var påvist fastende bioækvivalens for tolperison, som er højopløseligt og højpermeabelt og udviser stor intraindividuel variation.
English: In the study with the 50 mg tablet, bioequivalence was not demonstrated as the upper limit of the Cmax was outside the upper band, i.e.
Danish: I undersøgelsen med 50 mgtabletten blev der ikke påvist bioækvivalens, da den øvre grænse for Cmax var 125,49 %, dvs. uden for den foreskrevne værdi.
English: The CHMP also noted that the excipients mannitol and betaine found in the product subject to the referral but not in the reference medicinal product, had no effect on the bioequivalence of these products in fasting state.
Danish: CHMP bemærkede også, at hjælpestofferne mannitol og betain, som fandtes i produktet omfattet af indbringelsen, men ikke i referencelægemidlet, var uden indflydelse på bioækvivalensen af disse produkter ved fastende indtagelse.
English: The CHMP noted that the excipients mannitol and betaine found in the product subject to the referral but not in the reference medicinal product, had no effect on the bioequivalence of these products in fasting state.
Danish: CHMP bemærkede at hjælpestofferne mannitol og betain, der fandtes i produktet omfattet af indbringelsen, men ikke i referencelægemidlet, var uden indflydelse på den fastende bioækvivalens af disse produkter.
English: The Pharmacokinetics Working Party (PKWP) was also consulted to seek their view on whether there is any scientific reasoning that tolperisone (classified as a highly variable drug as the within-subject variability of the Cmax of the reference medicinal product was 46.99%) may have the option of showing bioequivalence in either the fasted or fed state.
Danish: Derudover blev arbejdsgruppen vedrørende farmakokinetik (PKWP) anmodet om at udtale sig om en eventuel videnskabelig begrundelse for at forvente bioækvivalens i enten fastende eller postprandial tilstand af tolperison (der klassificeres som et stærkt variabelt lægemiddel, da den intraindividuelle variabilitet af Cmax for referencelægemidlet var 46,99 %).
English: Therefore based on the results of the submitted bioequivalence studies, the CHMP members agreed that Merisone 50 and 150 mg tablets are bioequivalent to the reference medicinal product Mydeton 50 and 150-mg tablets (Gedeon Richter Plc) under fasting conditions.
Danish: På grundlag af de forelagte bioækvivalensundersøgelse fandt CHMP's medlemmer derfor, at tabletterne med tolperison, 50 og 150 mg ved fastende indtagelse er bioækvivalente med referencelægemidlet Mydeton, tabletter, 50 og 150 mg (Gedeon Richter Plc).
English: • The Committee was of the view that results of the submitted bioequivalence studies showed that Merisone 50 and 150 mg tablets was bioequivalent to the reference medicinal product Mydeton 50 and 150-mg tablets under fasting conditions;
Danish: • udvalget fandt, at de forelagte bioækvivalensundersøgelse viste, at Merisone, tabletter, 50 og 150 mg, under fastende betingelser var bioækvivalente med referencelægemidlet Mydeton, tabletter, 50 og 150 mg,
English: Other PKWP members were of the view that a fed study would not have been required only if the effects of food were known to be solely hepatic, which however was considered to be insufficiently supported, and since the food effect for tolperisone was considered to be significantly high, a study in a fed state should have been performed.
Danish: Andre medlemmer af PKWP var den opfattelse, at en postprandial undersøgelse kun var overflødig, hvis virkningen af fødeindtagelse udelukkende var hepatisk, hvilket der imidlertid ikke fandtes at være tilstrækkeligt grundlag for.
English: However more recently the effect of food on the bioavailability of tolperisone has been established to be significant and was reflected accordingly in the SmPC of the reference medicinal product at the time of submission of the MAA subject to this referral1.
Danish: Dette fremgik af produktresuméet for referencelægemidlet på ansøgningstidspunktet for den markedsføringstilladelse, som denne indbringelse vedrører1.
English: Tell your doctor if you become pregnant during treatment.
Danish: Fortæl det til din læge, hvis du bliver gravid under behandlingen.
English: The frequencies are defined as:
Danish: Hyppighederne defineres som:
English: Treatment usually starts with a low dose.
Danish: • Behandlingen starter normalt med en lav dosis.
English: Protein binding of rivastigmine is approximately 40 %.
Danish: Proteinbinding af rivastigmin er ca. 40 %.
English: Your doctor will tell you what dose of Rivastigmine Teva to take.
Danish: Din læge vil fortælle dig, hvilken dosis Rivastigmin Teva du skal tage.
English: Mean change at 24 weeks ± SD
Danish: Gennemsnitsændring ved 24 uger ± SD
English: The other ingredients are:
Danish: Øvrige indholdsstoffer er:
English: Your doctor will slowly increase your dose depending on how you respond to the treatment.
Danish: • Din læge vil gradvist øge din dosis afhængigt af, hvordan du reagerer på behandlingen.
English: The MAH must ensure that the system of pharmacovigilance presented in Module 1.8.1. of the Marketing Authorisation Application, is in place and functioning before and whilst the product is on the market.
Danish: Indehaveren af markedsføringstilladelsen skal sikre, at pharmacovigilance-systemetunder modul 1.8.1. i ansøgningen om markedsføringstilladelsen, er i orden og fungerer inden og mens produktet er på markedet.
English: Adverse reactions in Table 1 are listed according to MedDRA system organ class and frequency category.
Danish: Bivirkningerne i tabel 1 er ordnet ifølge MedDRA-systemorganklasser og frekvenskategorier.
English: Last Observation Carried Forward
Danish: Sidste udførte observation (Last Observation Carried Forward)
English: Most cases of accidental overdose have not been associated with any clinical signs or symptoms and almost all of the patients concerned continued rivastigmine treatment.
Danish: De fleste tilfælde af tilfældig overdosering har ikke været forbundet med kliniske tegn eller symptomer, og næsten alle de pågældende patienter fortsatte behandlingen med rivastigmin.
English: Patients with Clinically Significant Response (%) Intent to Treat
Danish: Patienter med klinisk signifikant respons (%) Behandlingsintention (Intent to Treat)
English: To benefit from your medicine, take it every day.
Danish: • Du skal tage medicinen hver dag for at få gavn af den.
English: Do not use Rivastigmine Teva after the expiry date that is stated on the carton.
Danish: Brug ikke Rivastigmin Teva efter den udløbsdato, der står på pakningen.
English: These events led to the discontinuation of rivastigmine in some cases (e.g. discontinuations due to tremor 1.7 % on rivastigmine vs 0 % on placebo).
Danish: Disse hændelser førte til seponering af rivastigmin i nogle tilfælde (f.eks. seponering grundet tremor 1,7 % på rivastigmin versus 0 % på placebo).
English: In case of severe vomiting associated with rivastigmine treatment, appropriate dose adjustments as recommended in section 4.2 must be made.
Danish: I tilfælde af alvorlig opkastning, der er associeret med rivastigmin-behandling, skal der foretages passende dosisjustering som anbefalet i afsnit 4.2.
English: ADAS-Cog Placebo Patients without visual hallucinations
Danish: ADAS-Cog Placebo Patienter uden visuelle hallucinationer
English: If you find you have forgotten to take your dose of Rivastigmine Teva, wait and take the next dose at the usual time.
Danish: Hvis du finder ud af, at du har glemt at tage en dosis Rivastigmin Teva, skal du blot vente og tage næste dosis på det sædvanlige tidspunkt.
English: The use of Rivastigmine Teva in children and adolescents (age below 18 years) is not recommended.
Danish: Rivastigmin Teva må ikke anvendes til børn og unge (under 18 år).
English: However, Rivastigmine Teva may be used in this patient population and close monitoring is necessary.
Danish: Rivastigmin Teva kan imidlertid anvendes hos denne patientpopulation, men det er nødvendigt at følge patienterne tæt.
English: Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu
Danish: Yderligere information om dette lægemiddel er tilgængelig på Det europæiske Lægemiddelagenturs (EMAs) hjemmeside http://www.ema.europa.eu
English: 2 Mean data shown for convenience, categorical analysis performed using van Elteren test ITT: Intent-To-Treat; RDO: Retrieved Drop Outs; LOCF: Last Observation Carried Forward
Danish: 2 Middeldata vist for belejlighed, kategorisk analyse, der blev udført ved brug af van Elteren-test ITT: Intent-To-Treat; RDO: Retrieved Drop Outs; LOCF: Last Observation Carried Forward.
English: The active substance is rivastigmine
Danish: Aktivt stof er rivastigmin.
English: If you have not taken Rivastigmine Teva for several days, do not take the next dose until you have talked to your doctor.
Danish: Hvis du ikke har taget Rivastigmin Teva i flere dage, må du ikke tage den næste dosis, før du har talt med din læge.
English: At least 4 points improvement on ADAS-Cog with no worsening on CIBIC-Plus and PDS *p<0.05, **p<0.01, ***p<0.001
Danish: Mindst 4-pointsforbedring af ADAS-Cog med ingen forværring af CIBIC-Plus og PDS *p<0,05, **p<0,01, ***p<0,001
English: These include the ADAS-Cog (a performance based measure of cognition), the CIBIC-Plus (a comprehensive global assessment of the patient by the physician incorporating caregiver input), and the PDS (a caregiver-rated assessment of the activities of daily living including personal hygiene, feeding, dressing, household chores such as shopping, retention of ability to orient oneself to surroundings as well as involvement in activities relating to finances, etc.).
Danish: Disse omfatter ADAS-Cog (en præstationsbaseret måling af kognition), CIBICPlus (en omfattende global vurdering af patienten, der dannes af den behandlende læge med input fra den omsorgsgivende person) og PDS (den omsorgsgivende persons vurdering af dagligdagsaktiviteter, som indbefatter personlig hygiejne, fødeindtagelse, påklædning, husføring som indkøb, opretholdelse af evner så som at orientere sig i forhold til omgivelserne og involvere sig i økonomiske anliggender og så videre).
English: TEVA UK Ltd Brampton Road, Hampden Park, Eastbourne, East Sussex, BN22 9AG United Kingdom
Danish: TEVA UK Ltd Brampton Road, Hampden Park, Eastbourne, East Sussex, BN22 9AG England