FrancophonIA/ELRC3.0 huggingface dataset:
English: ‘Autoimmune' means that the disease is caused by the immune system (the body's natural defences) attacking the body's own cells.
Estonian: „Autoimmuunne“ tähendab, et haigust põhjustab immuunsüsteem (organismi looduslikud kaitsemehhanismid), mis ründab organismi enda rakke.
English: The European Medicines Agency decided that MabThera's benefits are greater than its risks and recommended that it be given marketing authorisation.
Estonian: Euroopa Ravimiamet otsustas, et MabThera kasulikkus on suurem kui sellega kaasnevad riskid, ja soovitas anda ravimi müügiloa.
English: These patients are also to receive an alert card, which they are to carry at all times, instructing them to contact their doctor immediately if they experience symptoms of infection.
Estonian: Nendele patsientidele antakse ka hoiatuskaart, mida nad peavad kogu aeg kaasas kandma ja milles neil soovitatakse infektsiooni sümptomite ilmnemisel otsekohe arsti poole pöörduda.
English: As for all medicines, data on the use of MabThera are continuously monitored.
Estonian: Nagu kõigi ravimite puhul, tehakse MabThera kasutamise kohta pidevat järelevalvet.
English: A second study in 117 patients looked at the proportion of patients whose condition came back within 28 months.
Estonian: Veel ühes uuringus, milles osales 117 patsienti, vaadeldi nende patsientide osakaalu, kellel taastekkis haigus 28 kuu jooksul.
English: All doctors administering MabThera under the skin will also receive educational material to minimise the risk of improper use or errors.
Estonian: Kõik MabTherat naha alla süstivad arstid saavad samuti teabematerjali, et minimeerida ravimi ebaõige kasutamise või vigade riski.
English: Why is MabThera authorised in the EU?
Estonian: Miks MabThera ELis heaks kiideti?
English: What is MabThera and what is it used for?
Estonian: Mis on MabThera ja milleks seda kasutatakse?
English: Before each infusion or injection, the patient should be given an antihistamine (to prevent allergic reactions) and an anti-pyretic (a medicine for fever).
Estonian: Enne iga infusiooni või süsti peab patsient saama antihistamiinikumi (allergiareaktsioonide ennetamiseks) ja palavikuvastast ravimit.
English: Side effects reported with MabThera are carefully evaluated and any necessary action taken to protect patients.
Estonian: MabThera kõrvalnähte hinnatakse hoolikalt ja patsientide kaitseks võetakse vajalikke meetmeid.
English: MabThera is a medicine used to treat the following blood cancers and inflammatory conditions:
Estonian: MabThera on ravim, mida kasutatakse järgmiste verevähkide ja põletikuhaiguste raviks:
English: MabThera (rituximab)
Estonian: MabThera (rituksimaab)
English: For more information about using MabThera, see the package leaflet or contact your doctor or pharmacist.
Estonian: Lisateavet MabThera kasutamise kohta saate pakendi infolehelt või küsige oma arstilt või apteekrilt.
English: Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of MabThera have also been included in the summary of product characteristics and the package leaflet.
Estonian: MabThera ohutu ja efektiivse kasutamise soovitused ja ettevaatusmeetmed tervishoiutöötajatele ja patsientidele on samuti lisatud ravimi omaduste kokkuvõttesse ja pakendi infolehele.
English: The company that markets MabThera will also submit reports from a study on the effectiveness of MabThera in previously diagnosed pemphigus vulgaris patients and on the long-term effects of the medicine on the progression of the disease.
Estonian: Samuti esitab MabThera turustaja aruanded MabThera efektiivsuse uuringust varem diagnoosimata hariliku villtõvega patsientidel ning ravimi pikaajalise toime kohta haiguse progresseerumisele.
English: Depending on the condition it is used to treat, MabThera may be given on its own, or with chemotherapy, methotrexate or a corticosteroid.
Estonian: Olenevalt ravitavast seisundist võib MabTherat manustada ainuravimina, koos keemiaravi, metotreksaadi või kortikosteroidiga.
English: A maintenance study in previously untreated patients showed the likelihood for the disease to get worse was reduced by 50% for patients who received MabThera.
Estonian: Varem ravimata patsientide säilitusravi uuring tõendas, et haiguse süvenemise tõenäosus vähenes MabTherat kasutanud patsientidel 50% võrra.
English: MabThera must not be used in people who are hypersensitive (allergic) to rituximab, mouse proteins or any of the other ingredients or in patients with a severe infection or a severely weakened immune system.
Estonian: MabTherat ei tohi kasutada patsiendid, kes on rituksimaabi, hiirevalkude või selle ravimi mis tahes muu koostisaine suhtes ülitundlikud (allergilised), ega patsiendid, kellel on raske infektsioon või oluliselt nõrgenenud immuunsüsteem.
English: Following 2 years of treatment, 90% of patients treated with MabThera and shortterm (up to 6 months) prednisone were in complete remission (meaning that skin and mucosa had healed and there were no new or old lesions) after stopping prednisone for 2 months or more, compared with 28% of patients treated with prednisone alone.
Estonian: Pärast 2 raviaastat oli MabTheraga ja lühikest aega (kuni 6 kuud) prednisooniga ravitud patsientidest neid, kellel oli pärast prednisoonravi vähemalt 2 kuuks lõpetamist täielik remissioon (nahk ja limaskestad olid paranenud ning uusi ega vanu kahjustusi ei esinenud), 90% ja ainult prednisooniga ravitutest 28%.
English: Some results from the main studies on the benefits of MabThera are described below:
Estonian: MabThera kasulikkuse põhiuuringute tulemused on muu hulgas järgmised.
English: The most common side effects with MabThera intravenous infusions are reactions related to the infusion (such as fever, chills and shivering) while most common serious side effects are infusion reactions, infections and heart-related problems.
Estonian: MabThera veeniinfusiooni kõige sagedamad kõrvalnähud on infusioonireaktsioonid (nt palavik, külmavärinad ja värisemine); kõige sagedamad rasked kõrvalnähud on infusioonireaktsioonid, infektsioonid ja südameprobleemid.
English: What is the risk associated with MabThera?
Estonian: Mis riskid MabTheraga kaasnevad?
English: How does MabThera work?
Estonian: Kuidas MabThera toimib?
English: In GPA and MPA, destroying the B-lymphocytes lowers the production of antibodies thought to play an important role in attacking the blood vessels and causing inflammation.
Estonian: Polüangiidiga granulomatoosi ja mikroskoopilise polüangiidi korral vähendab B-lümfotsüütide hävitamine selliste antikehade teket, millel arvatakse olevat oluline roll veresoonte ründamisel ja põletiku põhjustamisel.
English: The formulation injected under the skin must also not be used in patients who are allergic to a substance called hyaluronidase.
Estonian: Lisaks ei tohi nahaaluse süsti ravimvormi kasutada patsiendid, kes on allergilised hüaluronidaasi suhtes.
English: Studies show MabThera to be effective in treating all the conditions for which it is approved.
Estonian: Uuringud tõendavad MabThera efektiivsust kõigi seisundite korral, mille raviks on MabThera heaks kiidetud.
English: How is MabThera used?
Estonian: Kuidas MabTherat kasutatakse?
English: The active substance in MabThera, rituximab, is a monoclonal antibody designed to recognise and attach to a protein called CD20 present on the surface of B-lymphocytes.
Estonian: MabThera toimeaine rituksimaab on monoklonaalne antikeha, mis tunneb ära B-lümfotsüütide pinnal oleva valgu CD20 ja seondub sellega.
English: MabThera contains the active substance rituximab.
Estonian: MabThera sisaldab toimeainena rituksimaabi.
English: • In a study of 90 patients newly diagnosed with pemphigus, rituximab in combination with prednisone (a corticosteroid) was shown to be more effective than prednisone alone at clearing skin lesions.
Estonian: • Uuringus, milles osales 90 esmakordselt diagnoositud pemfigusega patsienti, oli rituksimaab kombinatsioonis prednisooniga (teatud kortikosteroid) nahakahjustuste parandamisel efektiivsem kui prednisoon eraldi kasutatuna.
English: The company marketing MabThera will provide doctors and patients using the medicine for rheumatoid arthritis, GPA, MPA or pemphigus with educational material on the risk of infection including of a rare severe infection known as progressive multifocal leukoencephalopathy (PML).
Estonian: MabThera turustaja varustab ravimit reumatoidartriidi, polüangiidiga granulomatoosi, mikroskoopilise polüangiidi või pemfiguse raviks kasutavad arstid ja patsiendid infektsiooniriski teabematerjaliga, milles selgitatakse ka raske harvikinfektsiooni progresseeruva multifokaalse leukoentsefalopaatia (PML) riski.
English: • follicular lymphoma and diffuse large B cell non-Hodgkin's lymphoma (two types of non-Hodgkin's lymphoma, a blood cancer);
Estonian: • follikulaarlümfoom ja difuusne mitte-Hodgkini B-suurrakklümfoom (teatud verevähi, mitte-Hodgkini lümfoomi kaks vormi);
English: For the full list of side effects of MabThera, see the package leaflet.
Estonian: MabThera kohta teatatud kõrvalnähtude täielik loetelu on pakendi infolehel.
English: • moderate to severe pemphigus vulgaris, an autoimmune disease characterised by widespread blistering and erosion of the skin and mucous membranes (the linings of internal organs).
Estonian: • keskmine kuni raske harilik villtõbi ehk pemfigus, autoimmuunne haigus, millele on iseloomulik ulatuslik villide ja erosioonide teke nahal ja limaskestadel (siseelundite sisepinnal).
English: Patients with rheumatoid arthritis, GPA, MPA or pemphigus must not receive MabThera if they have severe heart problems.
Estonian: Reumatoidartriidi, polüangiidiga granulomatoosi, mikroskoopilise polüangiidi või pemfigusega patsiendid ei tohi kasutada MabTherat raskete südameprobleemide korral.
English: What benefits of MabThera have been shown in studies?
Estonian: Milles seisneb uuringute põhjal MabThera kasulikkus?
English: • In a study of 517 patients with rheumatoid arthritis, MabThera was more effective than placebo: 51% of the patients receiving MabThera had an improvement in symptoms, compared with 18% of the patients receiving placebo.
Estonian: • Reumatoidartriidiga patsientide uuringus, milles osales 517 patsienti, oli MabThera platseebost efektiivsem: patsiente, kelle sümptomid leevenesid, oli MabTherat saanute seas 51% ning platseebot saanute seas 18%.
English: When rituximab attaches to CD20, it causes the death of B-lymphocytes, which helps in lymphoma and CLL (where B-lymphocytes have become cancerous) and in rheumatoid arthritis (where B-lymphocytes are involved in joint inflammation).
Estonian: Rituksimaabi seondumisel valguga CD20 B-lümfotsüüdid hävivad, mis aitab ravida lümfoomi ja kroonilist lümfotsüütleukeemiat (B-lümfotsüüdid on muutunud pahaloomuliseks) ja reumatoidartriiti (B-lümfotsüüdid osalevad liigesepõletikus).
English: • chronic lymphocytic leukaemia (CLL, another blood cancer affecting white blood cells);
Estonian: • krooniline lümfotsüütleukeemia (CLL; samuti verevähk, mis mõjutab teatud valgeliblesidlümfotsüüte);
English: The study showed that only 5% of patients treated with MabThera had a relapse, compared with 29% of patients treated with azathioprine (another medicine used to treat GPA and MPA).
Estonian: Uuring tõendas, et MabTheraga ravitud patsientidest oli patsiente, kellel haigus taas halvenes, ainult 5%, ning asatiopriiniga (samuti polüangiidiga granulomatoosi ja mikroskoopilise polüangiidi ravim) ravitute seas 29%.
English: Similar side effects are seen when MabThera is injected under the skin, with the exception of reactions around the injections site (pain, swelling and rash), which occur more frequently with the skin injections.
Estonian: Sarnased kõrvalnähud esinevad ka MabThera nahaalusel süstimisel; süstekoha reaktsioone (valu, turse ja lööve) esineb nahaaluste süstide korral sagedamini.
English: Patients with blood cancers can switch to an injection given under the skin after they have received one full dose of the infusion.
Estonian: Verevähiga patsientidel võib pärast ühe täisannuse manustamist infusiooniga üle minna nahaalustele süstidele.
English: • severe rheumatoid arthritis (an inflammatory condition of the joints);
Estonian: • raske reumatoidartriit (teatud liigesepõletik);
English: • In a studies of MabThera given on its own (203 patients), 48% of the patients with follicular lymphoma who had failed previous treatment responded to MabThera.
Estonian: • MabThera ainuravimina kasutamise uuringutes, milles osales 203 patsienti, oli follikulaarlümfoomiga patsiente, kellel varasem ravi oli ebaõnnestunud, kuid tekkis ravivastus MabTheraga, 48%.
English: In addition, the medicine should be given under the close supervision of an experienced healthcare professional and in an environment where facilities for resuscitating patients are immediately available.
Estonian: MabTherat tohib manustada üksnes kogenud tervishoiutöötaja järelevalve all ja patsientide kohese elustamisvõimalusega haiglakeskkonnas.
English: • In a study of 198 patients with GPA or MPA, 64% of patients given MabThera were in complete remission after six months, compared with 55% given cyclophosphamide, a comparator medicine.
Estonian: • Polüangiidiga granulomatoosi või mikroskoopilise polüangiidiga patsientide uuringus, milles osales 198 patsienti, oli patsiente, kellel tekkis 6 kuu jooksul täielik remissioon, MabTherat saanutest 64% ja võrdlusravimit tsüklofosfamiidi saanutest 55%.
English: • In a follicular lymphoma study involving 322 patients, patients receiving MabThera in addition to chemotherapy lived for an average of 25.9 months without the disease coming back, compared with 6.7 months in those receiving chemotherapy alone.
Estonian: • Follikulaarlümfoomi uuringus, milles osales 322 patsienti, elasid patsiendid, kes said lisaks keemiaravile MabTherat, ilma haiguse taastekketa keskmiselt 25,9 kuud ja üksnes keemiaravi saanud patsiendid 6,7 kuud.
English: An overview of MabThera and why it is authorised in the EU
Estonian: Ülevaade ravimist MabThera ja ELis müügiloa väljastamise põhjendus
English: • two inflammatory conditions of blood vessels known as granulomatosis with polyangiitis (GPA or
Estonian: • kaks veresoonte põletikuhaigust - polüangiidiga granulomatoos (GPA ehk Wegeneri granulomatoos) ja mikroskoopiline polüangiit (MPA);
English: MabThera is given as an infusion (drip) into a vein.
Estonian: MabTherat manustatakse veeniinfusioonina.
English: • In a study of 399 patients with diffuse large B-cell lymphoma, patients adding MabThera to chemotherapy lived for an average of 35 months without the disease getting worse or the need for a change in treatment, compared with 13 months in those receiving chemotherapy alone.
Estonian: • Difuusse B-suurrakklümfoomiga patsientide uuringus, milles osales 399 patsienti, elasid patsiendid, kes said lisaks keemiaravile ka MabTherat, ilma haiguse süvenemiseta või ravi muutmise vajaduseta keskmiselt 35 kuud ja ainult keemiaravi saanud patsiendid 13 kuud.
English: In patients whose disease had come back after previous treatment, those receiving MabThera lived for 30.6 months without their disease getting worse, compared with 20.6 months in those receiving chemotherapy alone.
Estonian: Pärast varasemat ravi taastekkinud haigusega patsientidel oli progresseerumiseta elumus MabTherat saanutel 30,6 kuud ja üksnes keemiaravi saanutel 20,6 kuud.
English: MabThera is available as a concentrate that is made up into the solution for infusion and as a readymade solution for the injection under the skin.
Estonian: MabTherat turustatakse infusioonilahuse kontsentraadina ja nahaaluse süsti valmislahusena.
English: • In a maintenance study in patients whose follicular lymphoma had come back after previous treatment, patients who received MabThera alone lived for an average of 42.2 months without the disease getting worse, compared with 14.3 months in patients who did not receive the medicine.
Estonian: • Varasema ravi järel taastekkinud follikulaarlümfoomiga patsientide säilitusravi uuringus oli progresseerumiseta elumus (kui kaua patsiendid elasid haiguse süvenemiseta) MabTherat ainuravimina saanute uuringurühmas keskmiselt 42,2 kuud ja seda ravimit mittesaanute uuringurühmas 14,3 kuud.
English: • In a study of 817 patients with CLL, patients who had not been treated before lived for an average of 39.8 months without their disease getting worse when they received MabThera in addition to chemotherapy, compared with 32.2 months in patients receiving chemotherapy alone.
Estonian: • Kroonilise lümfotsüütleukeemiaga patsientide uuringus, milles osales 817 patsienti, oli varem ravimata patsientide progresseerumiseta elumus keemiaravile lisaks MabTherat saanute uuringurühmas keskmiselt 39,8 kuud ja ainult keemiaravi saanute uuringurühmas 32,2 kuud.
English: The Member States' competent authorities will continue to keep the product under regular review.
Estonian: Liikmesriikide pädevad asutused jätkavad ravimi regulaarset kontrollimist.
English: The final opinion was converted into a Decision by the European Commission on 14 July 2008.
Estonian: Lõplik arvamus kinnitati Euroopa Komisjoni otsusena 14. juulil 2008.
English: The tablets have to be taken orally once daily for up to 10 days, depending on the indication.
Estonian: Tablette peab võtma suu kaudu üks kord ööpäevas kuni 10 päeva, sõltuvalt näidustusest.
English: Written explanations were provided by the Marketing Authorisation Holders (MAH) on 18 January 2008 and 27 February 2008.
Estonian: Müügiloa hoidjad esitasid kirjalikud selgitused 18. jaanuaril 2008 ja 27. veebruaril 2008.
English: In clinical trials the tablets have been studied for up to 14 days treatment.
Estonian: Kliinilistes uuringutes uuriti tablettide kasutamist kuni 14-päevase ravi jooksul.
English: ∗ Notes: the information given in this document and its annexes reflects only the CHMP opinion dated 19 March 2008.
Estonian: ∗ Märkus: käesoleva dokumendi ja selle lisade teave kajastab ainult inimravimite komitee 19. märtsi 2008 arvamust.
English: On 19 March 2008, the CHMP recommended the variation to the Marketing Authorisations to include this indication.
Estonian: 19. märtsil 2008 soovitas inimravimikomitee muuta müügiluba, et lisada see näidustus.
English: The arbitration procedure was discussed by the CHMP at its plenary meeting in November 2007 and a Rapporteur (Dr Harald Enzmann) and Co-Rapporteur (Dr. Pieter Neels) were appointed.
Estonian: Inimravimite komitee arutas vahekohtumenetlust 2007. a novembri plenaaristungil, määrates ettekandja (dr Harald Enzmann) ja kaasettekandja (dr Pieter Neels).
English: Actira was initially approved in June 1999.
Estonian: Actirale anti müügiluba esimest korda 1999. aasta juunis.
English: COMMITTEE FOR MEDICINAL PRODUCTS FOR HUMAN USE (CHMP) OPINION FOLLOWING AN ARTICLE 6 (12) REFERRAL Actira and associated names International non-proprietary name (INN): moxifloxacin BACKGROUND INFORMATION *
Estonian: INIMRAVIMITE KOMITEE ARVAMUS PÄRAST ARTIKLI 6 LÕIKE 12 ALUSEL TEHTUD ESILDIST Actira ja sarnased nimetused Rahvusvaheline mittekaubanduslik nimetus (INN): moksifloksatsiin TAUSTTEAVE*
English: Actira film-coated tablets contain 400 mg moxifloxacin as hydrochloride.
Estonian: Actira õhukese polümeerikattega tabletid sisaldavad 400 mg moksifloksatsiini hüdrokloriidina.
English: At the end of the mutual recognition procedure there was a discrepancy between different EU Member States regarding the wording of the indication that should adequately reflect the clinical data submitted by the company, and an official referral for arbitration according to Article 6(12) of Commission Regulation EC No 1084/2003, as amended, was notified by Belgium to the CHMP on 19 October
Estonian: Vastastikuse tunnustamise menetluse lõppedes esines eri liikmesriikide vahel lahknevusi ettevõtte esitatud kliinilistele andmetele üheselt vastava näidustuse sõnastuse osas ning 19. oktoobril 2007 teatas Belgia sellest inimravimite komiteele komisjoni muudetud määruse (EÜ) nr 1084/2003 artikli 6 lõike 12 kohase ametliku esildisega vahekohtumenetluse alustamiseks.
English: The Referral procedure was initiated on 15 November with the adoption of a CHMP List of Questions to be addressed by the MAHs.
Estonian: Esildismenetlust alustati 15. novembril müügiloa hoidjatele esitatavate küsimuste loetelu kinnitamisega.
English: The list of product names concerned is given in Annex I. The scientific conclusions are provided in Annex II, together with the amended product information in Annex III.
Estonian: Asjaomaste ravimite nimekiri on esitatud I lisas, teaduslikud järeldused II lisas ning ravimi omaduste muudetud kokkuvõte III lisas.
English: In terms of safety the longer treatment duration, the risk of effects on cartilage in young patients and the risk of QT-prolongation were of concern.
Estonian: Ohutuse osas tekitasid probleeme asjaolud, et ravikestuse pikenedes suureneb kõhrekahjustuste risk noortel patsientidel ning QT-vahemiku pikenemise risk.
English: In view of the data provided on efficacy and safety, the benefit/risk of the proposed extended indication “mild to moderate pelvic inflammatory disease” was therefore considered to be positive by the CHMP as the initially proposed wording was adequately revised to reflect the current knowledge.
Estonian: Efektiivsuse ja ohutuse andmetele tuginedes leidis inimravimikomitee, et kasulikkuse ja riski suhe on kavandatud täiendava näidustuse „väikevaagna kerge kuni mõõduka põletikulise haiguse ravi“ korral positiivne, sest algset sõnastust muudeti asjakohaselt nii, et see kajastaks praegust teavet.
English: This Referral procedure relates to a request for arbitration concerning a type II variation for a new indication to include treatment of mild to moderate pelvic inflammatory disease (PID), i.e. infections of upper genital tract, including salpingitis and endometritis.
Estonian: Käesolev esildismenetlus on seotud II tüüpi muudatuse tegemise taotlusega uue näidustuse lisamiseks - väikevaagna kerge kuni mõõduka põletikulise haiguse, st ülemiste suguteede põletike, sh munajuhapõletiku (salpingiidi) ja endometriidi ravi.
English: The main unresolved areas of concern identified by Belgium were in terms of efficacy the emergence of moxifloxacin-resistant strains of N. gonorrhoeae and the feasibility of the treatment in the proposed indication in clinical practice.
Estonian: [B1]Belgia tuvastatud peamine probleem efektiivsuse osas oli moksifloksatsiinile resistentsete N. gonorrhoeae tüvede esinemine ja selle näidustuse ravi võimalikkus kliinilises praktikas.
English: It is approved for the treatment of the following bacterial infections if they are caused by bacteria susceptible to moxifloxacin: acute exacerbation of chronic bronchitis; community acquired pneumonia, except severe cases; acute bacterial sinusitis (adequately diagnosed).
Estonian: Ravim on heaks kiidetud moksifloksatsiinile tundlike bakterite poolt põhjustatud järgmiste bakteriaalsete infektsioonide raviks: kroonilise bronhiidi ägenemine; keskkonnatekkene kopsupõletik, v.a rasked juhud; äge bakteriaalne sinusiit (adekvaatselt diagnoositud).
English: The CHMP considered that moxifloxacin cannot be used in the setting of PID in empirical monotherapy due to the increasing incidence of fluoroquinolone-resistant N. gonorrhoeae, unless a resistant strain can be excluded.
Estonian: Inimravimikomitee otsustas, et moksifloksatsiini ei ole võimalik kasutada väikevaagna põletikulise haiguse korral empiirilise monoteraapiana fluorokinoloonile resistentsete N. gonorrhoeae suureneva esinemissageduse tõttu, välja arvatud juhul, kui resistentse tüve esinemine on välistatud.
English: Moxifloxacin should therefore be given in combination with another appropriate antibacterial agent (e.g. a cephalosporin) for the treatment of mild to moderate PID, unless moxifloxacin-resistant N. gonorrhoeae can be excluded.
Estonian: Sel põhjusel tuleb moksifloksatsiini väikevaagna kerge kuni mõõduka põletikulise haiguse raviks manustada koos teise sobiva antibakteriaalse ravimiga (nt tsefalosporiiin), välja arvatud juhul, kui moksifloksatsiinile resistentse N. gonorrhoeae esinemine on välistatud.