FrancophonIA/ELRC3.0 huggingface dataset:
English: The uncertainties relating to the mechanisms of action implying the vasoconstriction of pulmonary vasculature (which is inverse to the beneficial effect of LTOT on pulmonary arterial pressure) was noted by the PRAC.
Danish: PRAC bemærkede, at der er usikkerhed omkring virkningsmekanismen bestående i vasokonstriktion af lungevaskulaturen (som er omvendt i forhold til den gavnlige virkning af langtidsoxygenterapi på lungearterietrykket).
English: The PRAC therefore concluded that the benefit-risk balance of almitrine containing medicinal products for oral administration is not favourable.
Danish: PRAC konkluderede derfor, at benefit/risk-forholdet for lægemidler indeholdende almitrin til oral anvendelse ikke er positivt.
English: This included data from the Member States and published literature data which became available since the original marketing authorisations and the MAH's response.
Danish: Heri indgik data fra medlemsstaterne og publicerede data, der blev tilgængelige efter de oprindelige markedsføringsgodkendelser, samt besvarelsen fra indehaveren af markedsføringstilladelsen.
English: • The PRAC therefore concluded, in view of the available data, that the risks of serious peripheral neuropathy and weight loss adverse reactions associated with the use of almitrine-containing medicinal products for oral administration in the treatment of respiratory failure with hypoxemia related to obstructive bronchitis outweigh the limited benefits.
Danish: • På grundlag af de foreliggende data konkluderede PRAC derfor, at risiciene for alvorlige bivirkninger i form af perifer neuropati og vægttab overstiger de begrænsede fordele ved anvendelse af orale lægemidler indeholdende almitrin til behandling af respirationsinsufficiens med hypoksæmi ved obstruktiv bronkitis.
English: • Digestive events (nausea, burning sensation and sensation of epigastric heaviness, dyspepsia),
Danish: • hændelser relateret til fordøjelsessystemet (kvalme, halsbrand, epigastrisk tyngdefornemmelse, dyspepsi)
English: Respir Dis 1986; 69(Suppl 146):685-693 (PE10387)
Danish: Eur J Respir Dis 1986; 69(Suppl 146):685-693 (PE10387)
English: • The PRAC considered, based on the assessment of the impact of risk minimisation measures already implemented (reduction of the dose and implementation of a sequential treatment scheme) and on the published literature, that the additional risk minimisation measures proposed by the Marketing Authorisation Holder and discussed during the assessment would not be able to adequately reduce the risks of serious adverse reactions to a clinically acceptable level.
Danish: • På grundlag af en vurdering af virkningen af de gennemførte risikominimeringsforanstaltninger (dosisreduktion og indførelse af en sekventiel behandlingsplan) og af den publicerede litteratur fandt udvalget, at de risikominimeringsforanstaltninger, der påtænkes af indehaveren af markedsføringstilladelsen, ikke vil kunne mindske risiciene for alvorlige bivirkninger til et klinisk acceptabelt niveau.
English: Long-term use of almitrine bismesylate is currently recommended at a dose level of 50 to 100 mg per day with limitation of the dose at 50 mg per day in patients with body weight less than 50 kg. After 3-month treatment, maintenance therapy of the sequential type is recommended: a 1-month interval for every 2 months treatment.
Danish: Til langvarig anvendelse af almitrinbismesylat anbefales på nuværende tidspunkt et dosisniveau på 50-100 mg dagligt og begrænsning af dosis til 50 mg dagligt hos patienter med legemsvægt under 50 kg.
English: Further risk minimisation measures such as additional amendments to the product information (restriction of the indication and contra-indications), communication material (dear Health Care Professional Communication) and restricted prescription were also considered during the discussions.
Danish: Under drøftelserne overvejede desuden supplerende risikominimeringsforanstaltninger såsom yderligere ændringer af produktinformationen (indskrænkning af indikationen samt kontraindikationer), kommunikationsmateriale (direkte meddelelse til sundhedspersoner) og begrænset ordination.
English: • The PRAC considered the totality of the data available for almitrine containing products for oral administration in relation to the risk of peripheral neuropathy and weight loss.
Danish: • PRAC gennemgik samtlige foreliggende data for produkter indeholdende almitrin vedrørende risikoen for perifer neuropati og vægttab.
English: Further risk minimisation measures, as proposed by the MAH, such as additional amendments to the product information (restriction of the indication and contra-indications), communication material (dear Health Care Professional Communication) and restricted prescription (restriction to one month for pneumologists and hospital's use) were also considered during the discussions.
Danish: Under drøftelserne overvejede desuden yderligere risikominimeringsforanstaltninger, der blev foreslået af indehaveren af markedsføringstilladelsen, såsom yderligere ændringer af produktinformationen (indskrænkning af indikationen samt kontraindikationer), kommunikationsmateriale (direkte meddelelse til sundhedspersoner) og begrænset recept (begrænsning til en måned for lungespecialister og hospitalsanvendelse).
English: Bardsley P.A., Howard P., De-Backer W., Vermeire P., Mairesse M., Ledent C., Radermecker M., Bury T., Ansquer J.. Two years treatment with Almitrine bismesylate in patients with hypoxic chronic obstructive airways disease.
Danish: 4 Bardsley P.A., Howard P., De-Backer W., Vermeire P., Mairesse M., Ledent C., Radermecker M., Bury T., Ansquer J.. Two years treatment with almitrin bismesylate in patients with hypoxic chronic obstructive airways disease.
English: Despite sequential doses regimen and amendments in the SmPC, the PRAC noted serious cases of neuropathy and weight loss continued to be reported, including some cases with positive rechallenge, and leading sometimes to sequelae.
Danish: Trods et sekventielt dosisregime og ændringer af produktresuméet konstaterede PRAC, at der fortsat blev indberettet alvorlige tilfælde af neuropati og vægttab, herunder tilfælde med positiv reeksponering, og undertiden med sequelae.
English: Based on the published literature and post marketing data, the PRAC is of the view that the risk minimisation measures proposed by the MAH would not be able to adequately reduce the risks of serious adverse reactions to a clinically acceptable level: any additional communication on risks of neuropathies and weight loss, already well known to prescribers, would not contribute to a safer use of the product.
Danish: På baggrund af den publicerede litteratur og undersøgelser efter markedsføring er PRAC af den opfattelse, at de af markedsføringstilladelsesindehaveren foreslåede risikominimeringsforanstaltninger ikke vil kunne reducere risiciene for alvorlige bivirkninger til et klinisk acceptabelt niveau: Risiciene for neuropati og vægttab er i forvejen velkendt af de ordinerende læger, og eventuel yderligere information herom vil ikke bidrage til sikrere anvendelse af produktet.
English: Overall, based on the available published data and data from spontaneous reports, the PRAC considers that almitrine use is associated with serious cases of peripheral neuropathy, some with positive rechallenge, and weight loss.
Danish: På grundlag af de foreliggende publicerede data og data fra spontane indberetninger finder PRAC, at anvendelse af almitrin er forbundet med alvorlige tilfælde af perifer neuropati, nogle ved positiv
English: During the assessment, the MAH confirmed that all the available data have been provided and that they will not be able to provide any further data to demonstrate the clinical benefit of oral almitrine in in the management of chronic hypoxemia in COPD.
Danish: Under vurderingen bekræftede indehaveren af markedsføringstilladelsen at have fremlagt alle foreliggende data og at være ude af stand til at fremlægge yderligere data til påvisning af den kliniske fordel ved oralt almitrin til behandling af kronisk hypoksæmi ved KOL.
English: The PRAC is of the view that the risk minimisation measures proposed by the MAH would not be able to adequately reduce the risks of serious adverse reactions to a clinically acceptable level: any additional communication on risks of neuropathies and weight loss, already well known to prescribers, would not contribute to a safer use of the product.
Danish: PRAC er af den opfattelse, at de af markedsføringstilladelsesindehaveren foreslåede risikominimeringsforanstaltninger ikke vil kunne mindske risiciene for alvorlige bivirkninger til et klinisk acceptabelt niveau: Risiciene for neuropati og vægttab er i forvejen velkendt af de ordinerende læger, og eventuel yderligere information herom vil ikke bidrage til sikrere anvendelse af produktet.
English: Among the clinical studies in Chronic Obstructive Pulmonary Disease (COPD) patients, only those with more than 30 patients treated with therapeutic doses of almitrine for at least 3-month were selected for an efficacy and safety overview.
Danish: Til gennemgangen af virkning og sikkerhed udvalgtes kun de kliniske undersøgelser ved kronisk obstruktiv lungesygdom (KOL), hvor mere end 30 patienter var blevet behandlet med terapeutiske doser af almitrin i mindst tre måneder.
English: Further to the review of the available efficacy data, including data which became available since the initial marketing authorisation, the PRAC concluded that the available data only showed very limited efficacy of oral almitrine in its approved indications which does not translate in evidence of a benefit for patients in the current context of the therapeutic strategy and knowledge acquired in respiratory diseases.
Danish: Efter gennemgang af de foreliggende data om virkning, herunder data der blev tilgængelige efter den oprindelige markedsføringsgodkendelse, konkluderede PRAC, at almitrin ved oral anvendelse til de godkendte indikationer kun har en meget begrænset virkning, som ikke er ensbetydende med for en fordel for patienterne i sammenhæng med den nuværende behandlingsstrategi og viden om luftvejssygdomme.
English: Almitrine bismesylate is indicated in patients with respiratory failure with hypoxemia related to obstructive bronchitis.
Danish: Almitrinbismesylat er indiceret til respirationsinsufficiens med hypoksæmi ved obstruktiv bronkitis.
English: • The PRAC took into account the MAH's position that all the available data have been provided and that there was no possibility to provide additional data for the demonstration of the clinical benefit of oral almitrine in chronic obstructive pulmonary disease (COPD).
Danish: • PRAC tog til efterretning markedsføringstilladelsesindehaverens erklæring om, at alle foreliggende data er fremlagt, og at det ikke er muligt at fremlægge yderligere data til påvisning af den kliniske fordel ved oralt almitrin til behandling af kronisk obstruktiv lungesygdom (KOL).
English: Based on the above, the PRAC considered that the available efficacy data, including data which became available since the initial marketing authorisation, showed only very limited efficacy of oral almitrine in its approved indications which does not translate in evidence of a benefit for patients in the current context of the therapeutic strategy and knowledge acquired in respiratory diseases.
Danish: På ovenstående grundlag fandt PRAC, at de foreliggende data om virkning, herunder data, der blev tilgængelige efter den oprindelige markedsføringsgodkendelse, viste, at almitrin ved oral anvendelse til de godkendte indikationer har en meget begrænset virkning, som ikke kan betragtes som evidens for en fordel for patienterne i sammenhæng med den nuværende behandlingsstrategi og viden om luftvejssygdomme.
English: Ansquer J.C., Bertrand A., Blaive B., Charpin J., Chretien J., Decroix G., Kalb J.C., Lissac J., Michel F.B., Morere P., Paramelle B., Pariente R., Perrin-Fayolle M., Rochemaure J., Sadoul P., Voisin C. The therapeutic value and acceptability of Vectarion 50 mg coated tablets (Almitrine bismesylate) at the dose of 100 mg per day.
Danish: 1 Ansquer J.C., Bertrand A., Blaive B., Charpin J., Chretien J., Decroix G., Kalb J.C., Lissac J., Michel F.B., Morere P., Paramelle B., Pariente R., Perrin-Fayolle M., Rochemaure J., Sadoul P., Voisin C. The therapeutic value and acceptability of Vectarion 50 mg coated tablets (almitrin bismesylate) at the dose of 100 mg per day.
English: 5 Gonzales-Ruiz J.M., Villamor-Leon J., Garcia-Satue J.L., Sanchez-Agudo L., Calatrava J.M., Carreras J..
Danish: 5 Gonzales-Ruiz J.M., Villamor-Leon J., Garcia-Satue J.L., Sanchez-Agudo L., Calatrava J.M., Carreras J.. Treatment of chronic respiratory failure by almitrin bismesylate.
English: The PRAC, as a consequence, concluded that pursuant to Article 116 of Directive 2001/83/EC the risk-benefit balance for almitrine containing products for oral administration is not favourable.
Danish: PRAC konkluderede derfor, at risk/benefit-forholdet for orale produkter indeholdende almitrin ikke er positivt i henhold til artikel 116 i direktiv 2001/83/EF.
English: The CMDh, having considered the PRAC recommendation dated 16 May 2013 with regards to the Almitrine containing medicinal products for oral use, agrees with the recommendation therein as stated below:
Danish: CMDh (koordinationsgruppen vedrørende gensidig anerkendelse og decentraliserede procedurer (human)) har gennemgået PRAC's (Udvalget for Risikovurdering inden for Lægemiddelvurdering) anbefaling af 16. maj 2013 for lægemidler indeholdende almitrin til oral anvendelse, og CMDh kan tilslutte sig anbefalingen, således som det fremgår af følgende:
English: 2003 ; 70 : 275-283 (PE32001) Nowak D., Wywiol A., Magnussen H.. Almitrine in the treatment of chronic obstructive pulmonary disease with hypoxemia - a multicentre clinical study comparing two dosages.
Danish: Nowak D., Wywiol A., Magnussen H.. almitrin in the treatment of chronic obstructive pulmonary disease with hypoxemia - a multicentre clinical study comparing two dosages.
English: In addition, the benefit claimed by the MAH that long-term oxygen therapy can be delayed with almitrine is not substantiated by supporting data.
Danish: Der er desuden ingen data til støtte for den af markedsføringstilladelsesindehaveren påberåbte fordel, at langtidsoxygenterapi kan forsinkes med almitrin.
English: Risk minimisation measures (reduction of the dose and implementation of a sequential treatment scheme ) were implemented since the initial marketing authorisation.
Danish: Siden den oprindelige markedsføringsgodkendelse er der indført dosisreduktion og en sekventiel behandlingsplan som risikominimeringsforanstaltninger.
English: • Central nervous events (sleep disorders such as insomnia, drowsiness, agitation, anxiety, palpitations, dizziness) Based on the available publications of clinical studies with sequential treatment scheme891011 (i.e. two months of treatment followed by one month treatment interruption), the rate of withdrawal remained predominant in the almitrine groups as compared to placebo groups in the majority of the publications.
Danish: I størstedelen af de foreliggende publicerede kliniske undersøgelser med sekventiel behandlingsplan891011 (dvs. to måneders behandling efterfulgt af én måneds behandlingspause) var andelen af udtrædelser i almitrin-grupperne større end i placebogruppern
English: Whereas,
Danish: e.
English: • The PRAC considered that the available efficacy data, including data which became available since the initial marketing authorisation, showed only very limited clinical efficacy of almitrine in its approved indications.
Danish: • PRAC fandt, at de foreliggende data kun viser meget begrænset klinisk virkning af almitrin ved de godkendte indikationer.
English: Effects of Almitrine bismesylate on arterial blood gases in patients with chronic obstructive pulmonary disease and moderate Hypoxaemia: A Multicentre, Randomised, Double-Blind, Placebo- Controlled Study.Resp.
Danish: Gorecka D., Sliwinski P, Palasiewicz G, Pachocki R., Zielinski J.. Effects of almitrin bismesylate on arterial blood gases in patients with chronic obstructive pulmonary disease and moderate Hypoxaemia: A Multicentre, Randomised, Double-Blind, Placebo- Controlled Study.Resp.
English: Pneumology 1998 Mar;52(3):121-7 (PE24412) Weitzenblum E., Arnaud F., Bignon J., Boutin C., Brune J., Castaing Y., Courty G., Derenne J.P., Duroux P., Freour P., Muir J.F., Paramelle B., Philip-Joet F., Poirier R., Pouget J., Senant J., Tonnel A.. Sequential administration of a reduced dose of Almitrine in patients with chronic obstrutive lung disease.
Danish: Weitzenblum E., Arnaud F., Bignon J., Boutin C., Brune J., Castaing Y., Courty G., Derenne J.P., Duroux P., Freour P., Muir J.F., Paramelle B., Philip-Joet F., Poirier R., Pouget J., Senant J., Tonnel A.. Sequential administration of a reduced dose of almitrin in patients with chronic obstrutive lung disease.
English: Long-term Almitrine bismesylate treatment in patients with chronic bronchitis and emphysema: a multicentre double-blind placebo controlled study.
Danish: almitrin bismesylate: a long-term placebo- controlled double-blind study in COAD.
English: • The PRAC considered that the use of oral almitrine is associated with serious adverse peripheral neuropathy and weight loss reactions sometimes with sequelae.
Danish: • PRAC fandt, at oral anvendelse at almitrin er forbundet med alvorlige reaktioner i form af perifer neuropati og vægttab, undertiden med sequelae.
English: The CMDh, having considered the PRAC recommendation dated 16 May 2013 pursuant to Article 107k(1) and (2) of Directive 2001/83/EC, reached an agreement on the revocation of the marketing authorisations of almitrine containing products for oral use.
Danish: CMDh nåede til enighed om tilbagekaldelse af markedsføringstilladelserne for lægemidler indeholdende almitrin til oral anvendelse efter gennemgang af PRAC's anbefaling af 16. maj 2013 i medfør af artikel 107, stk. 1 og 2, i direktiv 2001/83/EF.
English: The PRAC considered that the use of oral almitrine is associated with serious adverse peripheral neuropathy and weight loss reactions sometimes with sequelae.
Danish: PRAC fandt, at oral anvendelse at almitrin er forbundet med alvorlige reaktioner i form af perifer neuropati og vægttab, undertiden med sequelae.
English: The PRAC took in account the MAH's position.
Danish: PRAC tog markedsføringstilladelsesindehaverens erklæring til efterretning.
English: Based on the above the PRAC considered that the use of oral almitrine is associated with serious adverse peripheral neuropathy and weight loss reactions sometimes with sequelae.
Danish: På ovenstående grundlag fandt PRAC, at oral anvendelse at almitrin er forbundet med alvorlige reaktioner i form af perifer neuropati og vægttab, undertiden med sequelae.
English: No published data focusing on the proper mechanism of almitrine in the occurrence of those adverse events was provided by the MAH.
Danish: Indehaveren af markedsføringstilladelsen fremlagde ingen publicerede data vedrørende selve mekanismen af almitrin i disse bivirkninger.
English: Important weight losses and peripheral neuropathies which can potentially not recover or lead to sequelae, are still reported with almitrine despite risk minimisation measures in place for several years.
Danish: Trods flere års anvendelse af risikominimeringsforanstaltninger indberettes der i forbindelse med almitrin fortsat om betydelige vægttab og perifere neuropatier, som potentielt ikke restitueres eller medfører sequelae.
English: It is available as tablets (200 mg; 400 mg).
Danish: Det fås som tabletter (200 mg, 400 mg).
English: This was switched to a full marketing authorisation on 1 July 2013.
Danish: Den blev ændret til en fuldstændig markedsføringstilladelse den 1. juli 2013.
English: Votrient should be taken with water but without food, at least one hour before or two hours after a meal.
Danish: Votrient skal tages med vand, men ikke med mad, mindst én time før eller to timer efter indtagelse af et måltid.
English: The European Commission granted a conditional marketing authorisation valid throughout the European Union for Votrient on 14 June 2010.
Danish: Europa-Kommissionen udstedte en betinget markedsføringstilladelse med gyldighed i hele Den Europæiske Union for Votrient den 14. juni 2010.
English: This document is a summary of the European Public Assessment Report (EPAR) for Votrient.
Danish: Dette dokument er et sammendrag af den europæiske offentlige vurderingsrapport (EPAR) for Votrient.
English: The full EPAR for Votrient can be found can be found on the Agency's website: ema.europa.eu/Find medicine/Human medicines/European public assessment reports.
Danish: Den fuldstændige EPAR for Votrient findes på agenturets websted under: ema.europa.eu/Find medicine/Human medicines/European public assessment reports.
English: Other information about Votrient:
Danish: Andre oplysninger om Votrient:
English: ‘Advanced' means that the cancer has started to spread;
Danish: "Fremskredent" betyder, at kræften er begyndt at sprede sig
English: In all of the studies, the main measure of effectiveness was progression-free survival (how long the patients lived without their disease getting worse).
Danish: I alle undersøgelserne blev virkningen hovedsagelig målt på den progressionsfrie overlevelse (hvor lang tid patienterne levede, uden at deres sygdom forværredes).
English: In patients with moderate liver problems the dose should be reduced to 200 mg once a day.
Danish: Til patienter med moderate leverproblemer bør dosis reduceres til 200 mg én gang dagligt.
English: By blocking these enzymes, Votrient can reduce the growth and spread of the cancer.
Danish: Ved at blokere disse enzymer kan Votrient mindske kræftcellernes vækst og spredning.
English: The recommended dose is 800 mg once a day, but this may need to be reduced if the patient has side effects.
Danish: Den anbefalede dosis er 800 mg én gang dagligt, men denne dosis skal muligvis reduceres, hvis patienten oplever bivirkninger.
English: The safety profile of Votrient is considered acceptable and generally manageable.
Danish: Votrients sikkerhedsprofil vurderes acceptabel og generelt overskuelig.
English: Votrient is not recommended in patients with severe liver problems.
Danish: Votrient anbefales ikke til patienter med svære leverproblemer.
English: EPAR summary for the public pazopanib
Danish: EPAR - Sammendrag for offentligheden pazopanib
English: Votrient is used to treat adults with the following types of cancer:
Danish: Votrient anvendes til behandling af voksne med følgende kræftformer:
English: It explains how the Committee for Medicinal Products for Human Use (CHMP) assessed the medicine to reach its opinion in favour of granting a marketing authorisation and its recommendations on the conditions of use for Votrient.
Danish: Det forklarer, hvordan Udvalget for Lægemidler til Mennesker (CHMP) vurderede lægemidlet og nåede frem til sin udtalelse til fordel for udstedelse af en markedsføringstilladelse og til sine anbefalinger om anvendelsesbetingelserne for Votrient.
English: For more information about treatment with Votrient, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.
Danish: Hvis du ønsker yderligere oplysninger om behandling med Votrient, kan du læse indlægssedlen (også en del af denne EPAR) eller kontakte din læge eller dit apotek.