FrancophonIA/ELRC3.0 huggingface dataset:
English: As additional risk minimisation measures, the PSUR submission cycle will be shortened to an annual submission and the monitoring of the effectiveness of the risk minimisation measures will be conducted through a drug utilisation study.
Slovenian: V okviru dodatnih ukrepov za zmanjševanje tveganja se bo cikel predložitve PSUR skrajšal na letno oddajo, spremljanje učinkovitosti ukrepov za zmanjševanje tveganja pa se bo izvedlo v obliki študije o uporabi zdravila.
English: In addition to serious infections, other important potential safety risks include a higher incidence of death observed in some studies in groups treated with dexrazoxane plus chemotherapy compared to those treated with chemotherapy alone, and evidence of possible interference with anthracycline efficacy.
Slovenian: Poleg resnih okužb so druga pomembna morebitna varnostna tveganja večja pojavnost smrtnih primerov v določenih študijah v skupinah, zdravljenih s kombinacijo deksrazoksana in kemoterapije, v primerjavi z bolniki, zdravljenimi samo s kemoterapijo, in dokaz morebitne interference z učinkovitostjo antraciklina.
English: This was also the view of the SAG Oncology and the CHMP therefore recommended that the ratio of dexrazoxane to doxorubicin should be reduced from 20:1 to 10:1.
Slovenian: S tem se je strinjala znanstveno-svetovalna skupina za onkologijo, zato je CHMP priporočil zmanjšanje razmerja med deksrazoksanom in doksorubicinom iz 20 : 1 na 10 : 1.
English: The CHMP further advised that dexrazoxane should not be used in combination with adjuvant breast cancer therapy or chemotherapy intended as curative.
Slovenian: CHMP je dodatno opozoril, da se deksrazoksan ne sme uporabljati v kombinaciji z adjuvantnim zdravljenjem raka dojke ali kemoterapijo z namenom zdravljenja.
English: Following the consultation of the Scientific Advisory Group (SAG) on oncology, the CHMP agreed that the therapeutic indication should be restricted to adult breast cancer patients who had received a prior cumulative dose of 300 mg/m2 of doxorubicin or a prior cumulative dose of 540 mg/m2 of epirubicin when further anthracycline treatment is required.
Slovenian: Po posvetovanju z znanstveno-svetovalno skupino (SAG) za onkologijo se je CHMP strinjal, da je treba terapevtske indikacije omejiti na odrasle bolnike z rakom dojke, ki so predhodno prejeli kumulativni odmerek doksorubicina 300 mg/m2 ali kumulativni odmerek epirubicina 540 mg/m2 in potrebujejo dodatno zdravljenje z antraciklini.
English: In addition, considering the observed risks, including myelosuppression and excess early mortality reported in placebo-controlled US studies employing a dexrazoxane:doxorubicin dose ratio of 20:1, the CHMP considered that a reduction in the dexrazoxane dose is expected to have a favourable effect on dose-related safety issues.
Slovenian: Poleg tega je CHMP ob upoštevanju ugotovljenega tveganja, vključno z mielosupresijo in čezmerno zgodnjo smrtnostjo, o katerih so poročali v ameriških s placebom nadzorovanih študijah z razmerjem odmerkov med deksrazoksanom in doksorubicinom 20 : 1, menil, da se pričakuje, da bo imelo zmanjšanje odmerka deksrazoksana ugoden učinek na vprašanja glede varnosti odmerka.
English: AML was also identified as an uncommonly reported adverse reaction.
Slovenian: Kot občasen neželeni učinek je bila ugotovljena tudi AML.
English: • The Committee considered that the benefit-risk balance of dexrazoxane for the prevention of anthracycline (doxorubicin and epirubicin)-induced cardiotoxicity remains favourable in adult patients with advanced and/or metastatic breast cancer who have received a minimum prior cumulative dose of anthracyclines; therefore the CHMP recommended a restriction of the indication accordingly.
Slovenian: • Odbor je menil, da razmerje med tveganji in koristmi deksrazoksana za preprečevanje kardiotoksičnosti, povzročene z antraciklini (doksrubicinom in epirubicinom), ostaja pozitivno pri odraslih bolnikih z napredovalim in/ali metastatskim rakom dojke, ki so že prejeli najmanjši kumulativni odmerek antraciklinov, zato je priporočil ustrezno omejitev indikacije.
English: The dose ratio of dexrazoxane to epirubicin remained unchanged at 10:1.
Slovenian: Razmerje odmerkov med deksrazoksanom in epirubicinom je ostalo nespremenjeno, tj. 10 : 1.
English: In addition there were concerns regarding the potential carcinogenic/leukaemogenic risk of dexrazoxane, which is a known cytotoxic agent with topoisomerase II inhibition activity.
Slovenian: Poleg tega so se pojavili zadržki glede morebitnega tveganja kancerogenega/levkemogenega delovanja deksrazoksana, ki je znano citotoksično sredstvo, ki zavira topoizomerazo II.
English: SCIENTIFIC CONCLUSIONS AND GROUNDS FOR AMENDMENT OF THE SUMMARY OF PRODUCT CHARACTERISTICS AND PACKAGE LEAFLET PRESENTED BY THE EMA
Slovenian: ZNANSTVENI ZAKLJUČKI IN PODLAGA ZA DOPOLNILO POVZETKA GLAVNIH ZNAČILNOSTI ZDRAVILA IN NAVODILA ZA UPORABO, KI JIH JE PREDSTAVILA EVROPSKA AGENCIJA ZA ZDRAVILA
English: Dexrazoxane is indicated in combination with anthracycline chemotherapy, and the risk of myelosuppressive effects may be additive to those of chemotherapy, which increases the risk of developing serious infections.
Slovenian: Deksrazoksan je indiciran v kombinaciji z antraciklinsko kemoterapijo, tveganje mielosupresivnih učinkov pa lahko prispeva k učinkom kemoterapije, kar poveča tveganje pojava resnih okužb.
English: In particular, three open randomised studies conducted in the EU and the US and two placebo controlled studies conducted in the US showed that dexrazoxane significantly reduced the incidence of cardiac events (primarily a fall in left ventricular ejection fraction - LVEF) in breast cancer patients treated with doxorubicin.
Slovenian: Zlasti so tri odprte randomizirane študije, opravljene v EU in ZDA, ter dve s placebom nadzorovani študiji, opravljeni v ZDA, pokazale, da je deksrazoksan bistveno zmanjšal pojavnost srčnih dogodkov (zlasti upad iztisnega deleža levega prekata - LVEF) pri bolnikih z rakom dojke, zdravljenih z doksorubicinom.
English: The fact that clinical trials of razoxane (a racemic mixture of S(+)dexrazoxane and R(-) levrazoxane) were suspended due to safety concerns related to AML added to the concerns.
Slovenian: Zadržke je okrepilo dejstvo, da so bila klinična preskušanja razoksana (racemna zmes S(+)deksrazoksana in R(-) levrazoksana) zaustavljena zaradi varnostnih zadržkov v zvezi z AML.
English: The role of dexrazoxane in preventing epirubicin cardiotoxicity was also investigated in clinical studies which reported a reduction in the incidence of cardiac events (primarily a fall in LVEF) in patients treated with dexrazoxane and epirubicin compared with epirubicin alone.
Slovenian: Vlogo deksrazoksana pri preprečevanju kardiotoksičnosti epirubicina so raziskovali tudi v kliničnih študijah, v katerih so poročali o zmanjšani pojavnosti srčnih dogodkov (predvsem upadu LVEF) pri bolnikih, zdravljenih z deksrazoksanom in epirubicinom, v primerjavi z epirubicinom kot samostojnim zdravilom.
English: During the evaluation of a periodic safety update report (PSUR), concerns were raised regarding an increase risk of second malignancies neoplasms (SMN), in particular acute myelogenous leukaemia (AML)/myelodyspastic syndrome (MDS) and solid tumours in paediatric patients observed in studies reported in the literature.
Slovenian: Med vrednotenjem z zadnjimi podatki dopolnjenega rednega poročila o varnosti zdravila (PSUR) so se pojavili zadržki glede povečanega tveganja sekundarnih malignih novotvorb, zlasti akutne mielogene levkemije (AML)/mielodisplastičnega sindroma (MDS) in čvrstih tumorjev pri pediatričnih bolnikih, ki so jih opazovali v študijah iz literature.
English: A significantly increased risk of other toxicities compared to controls were also reported in the study in paediatric patients with Hodgkin's disease and included grade 4 neutropenia, grade 3/4 thrombocytopenia, grade 3/4 sepsis and grade 3/4 pulmonary toxicity.
Slovenian: O bistveno večjem tveganju drugih toksičnosti v primerjavi s kontrolami so poročali tudi v študiji pri pediatričnih bolnikih s Hodgkinovo boleznijo, in sicer o nevtropeniji 4. stopnje, trombocitopeniji 3/4.
English: An increased risk of myelosuppression and infection was also observed in paediatric patients.
Slovenian: Pri pediatričnih bolnikih so ugotovili tudi povečano tveganje mielosupresije in okužbe.
English: Dexrazoxane efficacy in the prevention of anthracycline cardiotoxicity is supported by available clinical trial data.
Slovenian: Razpoložljivi podatki iz kliničnih preskušanj podpirajo učinkovitost deksrazoksana pri preprečevanju kardiotoksičnosti antraciklina.
English: Two large randomised open studies in childhood Hodgkin's disease and acute lymphoblastic leukaemia (ALL) reported a three-fold increase in the incidence of second primary malignancies (particularly AML and MDS) in dexrazoxane treated patients compared with controls.
Slovenian: V dveh velikih randomiziranih odprtih študijah otroške Hodgkinove bolezni in akutne limfoblastne levkemije (ALL) so poročali o trikrat večji pojavnosti drugih primarnih malignih tvorb (zlasti AML in MDS) pri bolnikih, zdravljenih z deksrazoksanom, v primerjavi s kontrolami.
English: the CHMP recommends the variation to the terms of the marketing authorisation of dexrazoxanecontaining medicinal products (see Annex I), for which the relevant sections of the summary of product characteristics and package leaflet are set out in Annex III.
Slovenian: Odbor priporoča spremembo pogojev dovoljenja za promet z zdravili, ki vsebujejo deksrazoksan (glejte Dodatek I), katerih zadevna poglavja povzetka glavnih značilnosti zdravila in navodila za uporabo so navedena v Dodatku III. CHMP priporoča tudi pogoje dovoljenj za promet z zdravili, kot so navedeni v Dodatku IV.
English: Regarding use of dexrazoxane in paediatric patients, available data on the efficacy of dexrazoxane was considered very limited by the CHMP, as only one adequately sized randomised study which used troponin T as a surrogate endpoint is available.
Slovenian: CHMP je v zvezi z uporabo deksrazoksana pri pediatričnih bolnikih menil, da je razpoložljivih podatkov o učinkovitosti deksrazoksana zelo malo ter da je na voljo le ena primerno velika randomizirana študija, v kateri so kot nadomestno končno točko uporabili troponin T. Čeprav so v zgodnjem poročilu ugotovili pomemben učinek na ravni troponina T, v posodobljeni analizi po petletnem spremljanju mediane niso dokazali klinične koristi.
English: Grounds for amendment of the summary of product characteristics and package leaflet
Slovenian: Podlaga za dopolnilo povzetka glavnih značilnosti zdravila in navodila za uporabo
English: You should specifically tell your doctor if you take:
Slovenian: Zdravnika zlasti obvestite, če jemljete:
English: What you need to know before you take [X] Other medicines and [X]
Slovenian: Kaj morate vedeti, preden boste vzeli zdravilo [X] Druga zdravila in zdravilo [X]
English: - anti-retroviral medicines (medicines to treat HIV infections).
Slovenian: - protiretrovirusna zdravila (zdravila za zdravljenje okužbe z virusom HIV).
English: Adopted at the 13-16 May 2019 PRAC
Slovenian: Sprejeto na seji odbora PRAC med 13. in 16. majem 2019
English: There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.
Slovenian: Poročali so o dolgotrajni spolni disfunkciji, pri kateri so se simptomi nadaljevali kljub prekinitvi zdravljenja s SSRI/SNRI.
English: Rare: spots in front of eyes, glaucoma, double vision, light hurts eye, blood in the eye, unequal sized pupils, vision abnormal, tear problem
Slovenian: Redki: pike pred očmi, glavkom, dvojni vid, boleče oči zaradi svetlobe, kri v očesu, zenice neenake velikosti, nenormalen vid, težave s solzenjem
English: 2 Desvenlafaxine; duloxetine; milnacipran; venlafaxine
Slovenian: 2 Desvenlafaksin; duloksetin; milnacipran; venlafaksin.
English: Not known: partial loss of vision
Slovenian: Neznana pogostnost: delna izguba vida
English: Sertraline - Maculopathy (EPITT no 19341)
Slovenian: Sertralin - makulopatija (št. EPITT 19341)
English: Not known: maculopathy
Slovenian: Neznana pogostnost: makulopatija
English: Medicines like [Invented name] (so called SSRIs/SNRIs) may cause symptoms of sexual dysfunction (see section 4).
Slovenian: Zdravila, kot je zdravilo [izmišljeno ime] (t. i. SSRI/SNRI), lahko povzročijo simptome spolne disfunkcije (glejte poglavje 4).
English: Pantoprazole - Colitis microscopic (EPITT no 19342)
Slovenian: Pantoprazol - mikroskopski kolitis (št. EPITT 19342)
English: Serotonin and noradrenaline reuptake inhibitors (SNRI)2; selective serotonin reuptake inhibitors (SSRI)3 4 - Persistent sexual dysfunction after drug withdrawal (EPITT no 19277)
Slovenian: Zaviralci ponovnega privzema serotonina in noradrenalina (SNRI)2; selektivni zaviralci ponovnega privzema serotonina (SSRI)3 4 - trajna spolna disfunkcija po prekinitvi zdravila (št. EPITT 19277)
English: Clopidogrel; clopidogrel, acetylsalicylic acid - Interaction with boosted antiviral human immunodeficiency virus (HIV) therapy leading to insufficient inhibition of platelet aggregation (EPITT no 19325)
Slovenian: Klopidogrel; klopidogrel, acetilsalicilna kislinainterakcija z okrepljenim protiretrovirusnim zdravljenjem okužbe z virusom humane imunske pomanjkljivosti (HIV), ki privede do nezadostnega zavrtja agregacije trombocitov (št. EPITT 19325)
English: Inflammation in the large bowel, that causes persistent watery diarrhoea
Slovenian: Neznana pogostnost: vnetje v debelem črevesu, ki povzroča dolgotrajno vodeno drisko
English: Undesirable effects Eye disorders
Slovenian: Preglednica z neželenimi učinki Bolezni prebavil
English: Interaction with other medicinal products and other forms of interaction A significantly lower exposure to clopidogrel active metabolite and reduced platelet inhibition have been demonstrated in HIV-infected patients treated with ritonavir- or cobicistat-boosted anti-retroviral therapies (ART).
Slovenian: Medsebojno delovanje z drugimi zdravili in druge oblike interakcij Pri bolnikih, okuženih z virusom HIV, ki se zdravijo s protiretrovirusnim zdravljenjem, okrepljenim z ritonavirjem ali kobicistatom, so dokazali pomembno zmanjšano izpostavljenost aktivnemu presnovku klopidogrela in zmanjšano zaviranje trombocitov.
English: Undesirable effects Tabulated list of adverse reactions Gastrointestinal disorders Frequency not known: Microscopic colitis
Slovenian: Neznana pogostnost: mikroskopski kolitis
English: 3 Citalopram; escitalopram; fluoxetine; fluvoxamine; paroxetine; sertraline 4 Clomipramine and vortioxetine were part of the signal assessment but are not concerned by the recommendation to update the product information.
Slovenian: 4 Klomipramin in vortioksetin sta bila del ocenjevanja signala, vendar ju priporočilo za posodobitev informacij o zdravilu ne zadeva.
English: PRESENT DECISION:
Slovenian: SEDANJA ODLOČBA
English: It follows from the above:
Slovenian: Iz zgoraj navedenega sledi:
English: BACKGROUND:
Slovenian: OZADJE
English: Moreover, the relevance of new information was discussed in the meeting.
Slovenian: Na sestanku je bil poleg tega obravnavan tudi pomen novih informacij.
English: • This disagreement was also observed in the Standing Committee meeting of 20 January 2008.
Slovenian: • to nasprotovanje je bilo opaziti tudi na sestanku Stalnega odbora 20. januarja 2008.
English: The Standing Committee for Medicinal Products for Human Use discussed the matter on 20 January 2008.
Slovenian: Stalni odbor za zdravila za ljudi je zadevo obravnaval 20. januarja 2008.
English: The CHMP could not reach a majority for the adoption of the opinion with the same recommendations.
Slovenian: CHMP ni mogel doseči večine za sprejetje mnenja z enakimi priporočili.
English: ANNEX V DETAILED EXPLANATION OF THE REASONS FOR THE ADDITIONAL CONDITIONS AND RESTRICTIONS TO THE CHMP OPINION
Slovenian: DODATEK V PODROBNA RAZLAGA VZROKOV ZA DODATNE POGOJE IN OMEJITVE GLEDE MNENJA CHMP
English: The majority view within the CHMP sustained such maintenance when the committee adopted its opinion of 20 September 2007 and it appears adequate to follow this majority view.
Slovenian: Večina v CHMP je podprla takšno ohranitev, ko je odbor 20. septembra 2007 sprejel mnenje, in zdi se ustrezno, da se temu večinskemu mnenju sledi.
English: The European Commission considers it appropriate to maintain the marketing authorisation for medicinal products containing nimesulide.
Slovenian: Evropska komisija meni, da je ohranitev dovoljenj za promet za zdravila, ki vsebujejo nimesulid, primerna.
English: The restriction of the indication in the summary of the product characteristics should ensure that this prescription practice is followed in all Member States where the product is authorised.
Slovenian: Omejitev indikacij v povzetku značilnosti proizvoda mora zagotoviti, da se takšno predpisovanje zdravila izvaja v vseh državah članicah, v katerih je proizvod dovoljen.
English: The use of nimesulide in second line treatment is already recommended in some Member States via prescription guidelines.
Slovenian: Uporaba nimesulida v sekundarnem zdravljenju se v nekateri državah članicah že priporoča v smernicah za predpisovanje zdravil.
English: These relate in particular to restrictions to the indications (with a limitation to second line treatment) and to conditions of use and prescription practices.
Slovenian: To je zlasti povezano z omejitvami glede indikacij (z omejitvijo glede sekundarnega zdravljenja) ter pogoji uporabe in načini predpisovanja zdravil.
English: However, in view of the severity of the adverse events, these measures should in the Commission's perspective be further intensified by (1) limiting the prescription of nimesulide to second line treatment and by (2) introducing a clear obligation upon the marketing authorisation holder to inform healthcare professionals of the safety risks associated with this product.
Slovenian: Toda glede na resnost neželenih učinkov je treba po mnenju Komisije te ukrepe nadalje okrepiti z (1) omejevanjem predpisovanja nimesulida v sekundarnem zdravljenju in z (2) uvajanjem jasne obveznosti imetnika dovoljenja za promet z zdravilom, da zdravstvene delavce obvesti glede tveganj za varnost, povezanih s tem proizvodom.
English: The opinion adopted by the Committee for Medicinal Products for Human Use on 20 September 2007 recommended the maintenance of the national marketing authorisations for nimesulide-containing medicinal products with the introduction of several risk minimisation measures (limitation of the maximum duration of treatment, safety warnings in the product information, additional safety studies).
Slovenian: V mnenju, ki ga je 20. septembra 2007 sprejel Stalni odbor za zdravila za ljudi, je priporočena ohranitev nacionalnih dovoljenj za promet za zdravila, ki vsebujejo nimesulid, z uvedbo več ukrepov za zmanjševanje tveganj (omejitev najdaljšega trajanja zdravljenja, varnostna opozorila v informacijah o proizvodu, dodatne študije o varnosti).
English: It also appeared from the discussions that certain Member States were applying at national level measures not reflected in the harmonised product information and intended to further reduce the risks associated with nimesulide.
Slovenian: Razprave so pokazale, da so nekatere države članice na nacionalni ravni uporabljale ukrepe, ki jih usklajene informacije o proizvodu ne odražajo in ki so bili namenjeni nadaljnjemu zmanjševanju tveganj, povezanih z nimesulidom.
English: In view of this situation, the Commission chairman decided not to submit the draft decision to a vote by the Standing Committee during the meeting but to refer the matter to the CHMP for further examination of any new reports of suspected hepatotoxicity related to nimesulide and identification and consideration of existing national measures, such as guidelines or recommendations, in relation to the use of nimesulide with a view to recommending necessary risk minimisation measures.
Slovenian: Glede na navedene okoliščine se je predsednik Komisije odločil, da Stalnemu odboru ne bo posredoval osnutka Odločbe Komisije v odločanje med sestankom, temveč bo predložil zadevo CHMP za nadaljnjo proučitev kakršnih koli poročil o sumu jetrne toksičnosti, povezane z nimesulidom, ter za ugotavljanje in pregled obstoječih nacionalnih ukrepov, kot so smernice ali priporočila, v zvezi z uporabo nimesulida, da se priporočijo potrebni ukrepi za zmanjšanje tveganja.
English: It was furthermore noted that alternative products also present some risks, namely of gastrointestinal bleeding.
Slovenian: Opozorjeno je bilo tudi, da tudi drugi proizvodi povzročajo tveganje, zlasti krvavitev iz prebavil.
English: • On the other hand, the switching from nimesulide to other Non-Steroidal Anti-inflamatory drugs may lead to an increase of gastrointestinal toxicity occurrences.
Slovenian: • po drugi strani lahko prehod z nimesulida na druga nesteroidna protivnetna zdravila povzroči povečanje gastrointestinalne toksičnosti.
English: The relevant sections of the Summary of Product Characteristics and Package Leaflet of systemic formulations of nimesulide and of the Conditions of the Marketing Authorisation are amended as set out in Annexes III and IV of this Decision.
Slovenian: Ustrezni oddelki Povzetka glavnih značilnosti zdravila in Navodila za uporabo za zdravila za sistemsko uporabo, ki vsebujejo nimesulid, ter Pogoji dovoljenj za promet z zdravilom so spremenjeni, kot je določeno v Dodatkih III in IV te odločbe.
English: These additional measures should contribute to minimising the risks associated with the use of nimesulide whilst awaiting the results of the Article 31 referral.
Slovenian: Ti dodatni ukrepi morajo prispevati k zmanjševanju tveganj, povezanih z uporabo nimesulida, dokler ne bodo na voljo rezultati postopka iz člena 31.
English: • There are divergent views within the CHMP on the assessment of whether this risk may be addressed through risk minimisation measures allowing maintenance of the products on the market or whether the risk is such that the authorisation should be revoked.
Slovenian: • v CHMP obstajajo nasprotna mnenja o oceni, ali bi se to tveganje lahko odpravilo z ukrepi zmanjševanja tveganja ob ohranitvi proizvodov na trgu ali če je to tveganje takšno, da bi bilo treba dovoljenja ukiniti,
English: By letter dated 26 June 2008, the Chairman of the CHMP has informed the Commission that following the assessment of the new additional reports and consideration of other risk minimisation measures, the assessment report was updated with the new factual information and a CHMP opinion containing the same recommendations as the September opinion was put to a vote in the CHMP.
Slovenian: Z dopisom z dne 26. junija 2008 je predsednik CHMP obvestil Komisijo, da se je poročilo o oceni po oceni novih dodatnih poročil in ob upoštevanju drugih ukrepov za zmanjševanje tveganja posodobilo z novimi dejstvi, o mnenju CHMP, ki zajema enaka priporočila kot septembrsko mnenje, pa se je glasovalo v CHMP.
English: The restriction of the indication to second line treatment is intended to ensure that nimesulide is not used as a routine pain killer where other treatment options which present a reduced hepatotoxic risk are available.
Slovenian: Z omejitvijo indikacij za sekundarno zdravljenje se želi zagotoviti, da se nimesulid ne uporablja kot rutinsko zdravilo proti bolečinam, če so na voljo druge možnosti zdravljenja z manjšim hepatotoksičnim tveganjem.
English: The risk minimisation measures proposed by the CHMP shall also be introduced as it is uncontested that the maintenance of the product in the market has to be accompanied by measures aiming at lowering the possibility of adverse events.
Slovenian: Prav tako se vključijo tudi ukrepi za zmanjševanje tveganja, ki jih predlaga CHMP, saj je neizpodbitno, da mora ohranjanje proizvoda na trgu spremljati ukrep za zmanjšanje možnosti neželenih učinkov.