FrancophonIA/ELRC3.0 huggingface dataset:
English: The non-renal part of the elimination of cladribine (approximately 50%) consists of negligible hepatic metabolism and of extensive intracellular distribution and trapping of the active cladribine principle (Cd-ATP) within the targeted intracellular compartment (i.e. the lymphocytes) and subsequent elimination of intracellular Cd-ATP according to the life-cycle and elimination pathways of these cells.
Croatian: Dio eliminacije kladribina koji se ne odvija putem bubrega (približno 50%) sastoji se od zanemarivog jetrenog metabolizma i opsežne unutarstanične distribucije te zadržavanja aktivnog oblika kladribina (Cd-ATP) unutar ciljnog unutarstaničnog odjeljka (tj. limfocita) i naknadne eliminacije unutarstaničnog Cd-ATP-a sukladno životnom ciklusu i putevima eliminacije u tim stanicama.
English: Before initiation of treatment both in year 1 and year 2, women of childbearing potential and males who could potentially father a child should be counselled regarding the potential for serious risk to the foetus and the need for effective contraception.
Croatian: Prije početka liječenja i u 1. godini i u 2. godini, žene reproduktivne dobi i muškarce koji bi mogli začeti dijete potrebno je savjetovati o mogućnosti ozbiljnog rizika za fetus i potrebi za učinkovitom kontracepcijom.
English: Each treatment course consists of 2 treatment weeks, one at the beginning of the first month and one at the beginning of the second month of the respective treatment year.
Croatian: Jedan ciklus liječenja sastoji se od 2 tjedna liječenja, jednog na početku prvog mjeseca i jednog na početku drugog mjeseca dotične godine liječenja.
English: - dilazep, nifedipine, nimodipine, reserpine, cilostazol or sulindac (used to treat the heart, high blood pressure, vascular conditions or inflammation), or eltrombopag (used to treat conditions associated with bleeding).
Croatian: - dilazepom, nifedipinom, nimodipinom, rezerpinom, cilostazolom ili sulindakom (primjenjuju se za liječenje srca, visokog krvnog tlaka, krvožilnih stanja ili upale) te eltrombopagom (primjenjuje se za liječenje stanja povezanih s krvarenjem).
English: The potential consequences of P-gp induction on the bioavailability of cladribine have not been formally studied.
Croatian: Moguće posljedice indukcije P-gp-a na bioraspoloživost kladribina nisu formalno ispitane.
English: Oral herpes, dermatomal herpes zoster.
Croatian: oralni herpes, herpes zoster koji zahvaća dermatome.
English: Discontinuation of MAVENCLAD may need to be considered.
Croatian: Možda će biti potrebno razmotriti prekid primjene lijeka MAVENCLAD.
English: Because of the potential for serious adverse reactions in breast-fed infants, breast-feeding is contraindicated during treatment with MAVENCLAD and for 1 week after the last dose (see section 4.3).
Croatian: Zbog mogućnosti ozbiljnih nuspojava u dojene dojenčadi, dojenje je kontraindicirano tijekom liječenja lijekom MAVENCLAD i 1 tjedan nakon zadnje doze (vidjeti dio 4.3).
English: However, a baseline magnetic resonance imaging (MRI) should be performed before initiating MAVENCLAD (usually within 3 months).
Croatian: Međutim, prije uvođenja lijeka MAVENCLAD potrebno je napraviti početno snimanje magnetskom rezonancijom (MR) (obično unutar 3 mjeseca).
English: In vitro studies indicate that cladribine is a substrate of the equilibrative nucleoside (ENT1) and concentrative nucleoside (CNT3) transport proteins.
Croatian: In vitro ispitivanja pokazuju da je kladribin supstrat jednog ekvilibrativnog (ENT1) i jednog koncentrativnog (CNT3) nukleozidnog prijenosnog proteina.
English: 100 to <110
Croatian: 100 do < 110
English: As cladribine interferes with DNA synthesis, adverse effects on human gametogenesis could be expected (see section 5.3).
Croatian: Budući da kladribin ometa sintezu DNK, mogu se očekivati štetni učinci na gametogenezu u ljudi (vidjeti dio 5.3).
English: Across clinical studies, data with the proposed cumulative dose of 3.5 mg/kg body weight show a gradual improvement in the median lymphocyte counts back to the normal range at week 84 from the first dose of cladribine (approximately 30 weeks after the last dose of cladribine).
Croatian: U kliničkim ispitivanjima, podaci o predloženoj kumulativnoj dozi od 3,5 mg/kg tjelesne težine pokazuju postupno poboljšanje medijana broja limfocita sve do normalnog raspona u 84. tjednu nakon prve doze kladribina (približno 30 tjedana nakon zadnje doze kladribina).
English: In vitro, intra- versus extracellular accumulation ratios were found to be around 30 to 40 already 1 hour after cladribine exposure.
Croatian: In vitro je otkriveno da je omjer unutarstaničnog naspram izvanstaničnog nakupljanja oko 30 do 40 već nakon 1 sata izloženosti kladribinu.
English: In addition, the cladribine 3.5 mg/kg treatment group was statistically significantly superior to placebo with regard to number and relative reduction of T1 Gd+ lesions, active T2 lesions and combined unique lesions as demonstrated in brain MRI over the entire 96 weeks of the study.
Croatian: Osim toga, terapijska skupina koja je primila kladribin u dozi od 3,5 mg/kg bila je statistički značajno superiornija skupini koja je primila placebo s obzirom na broj i relativno smanjenje T1 Gd+ lezija, aktivnih T2 lezija i kombiniranih jedinstvenih lezija kako je dokazano MR snimkama mozga tijekom svih 96 tjedana ispitivanja.
English: Keep this medicine out of the sight and reach of children.
Croatian: Čuvati izvan pogleda i dohvata djece.
English: However, a post-hoc analysis of a mixed cohort including CLARITY and ONWARD patients, defined by a baseline EDSS score of ≥3.5 as a proxy for secondary progressive MS, showed a similar reduction in annualised relapse rate compared to patients with an EDSS score below 3.
Croatian: Međutim, post hoc analiza miješane kohorte koja je uključila bolesnike iz ispitivanja CLARITY i ONWARD, definirane početnim EDSS rezultatom ≥ 3,5 koji se koristio kao zamjena za sekundarno progresivni MS, pokazala je slično smanjenje anualizirane stope relapsa u usporedbi s bolesnicima s EDSS rezultatom manjim od 3.
English: • The Prescriber Guide
Croatian: • Vodič za propisivače lijeka
English: See below for a step-by-step guide on how to handle the package and to take the MAVENCLAD tablets.
Croatian: Niže u vodiču kroz korake uzimanja pročitajte kako rukovati pakiranjem i uzimati MAVENCLAD tablete.
English: Duration of a treatment week
Croatian: Trajanje tjedna liječenja
English: Other target organs after longer administration (14 cycles) of cladribine to monkeys by subcutaneous route were the kidneys (karyomegaly of renal tubular epithelium), adrenals (cortex atrophy and decreased vacuolation), gastrointestinal tract (mucosa atrophy) and testes.
Croatian: Ostali ciljni organi nakon dulje primjene (14 ciklusa) kladribina majmunima supkutanim putem bili su bubrezi (kariomegalija epitela bubrežnih tubula), nadbubrežne žlijezde (atrofija kore i smanjena vakuolizacija), probavni trakt (atrofija sluznice) i testisi.
English: MAVENCLAD does not affect your ability to drive or use machines.
Croatian: MAVENCLAD ne utječe na sposobnost upravljanja vozilima i rada na strojevima.
English: However, considering cladribine genotoxicity, male-mediated effects related to potential genetic alteration of differentiating sperm cells cannot be excluded.
Croatian: Međutim, s obzirom na genotoksičnost kladribina, ne mogu se isključiti učinci posredovani preko mužjaka, a povezani s mogućom genetskom promjenom u stanicama sperme tijekom diferencijacije.
English: Pick up carton with the opening instructions facing up.
Croatian: Uzmite kutiju tako da je strana s uputama za otvaranje okrenuta prema gore.
English: An infection commonly seen with MAVENCLAD is shingles.
Croatian: Infekcija koja se obično opaža uz MAVENCLAD je herpes zoster.
English: Therefore, MAVENCLAD is contraindicated in these patients (see section 4.3).
Croatian: Stoga je MAVENCLAD kontraindiciran u ovih bolesnika (vidjeti dio 4.3).
English: In the analyses of the CLARITY data, a consistent treatment effect on relapses was observed with the annualised relapse rate ranging from 0.16 to 0.18 in the cladribine groups and 0.47 to 0.50 in the placebo group (p <0.0001).
Croatian: U analizama podataka iz ispitivanja CLARITY, opažen je dosljedan terapijski učinak na relapse, uz anualiziranu stopu relapsa u rasponu od 0,16 do 0,18 u skupinama koje su primale kladribin i 0,47 do 0,50 u skupini koja je primala placebo (p < 0,0001).
English: In clinical studies, 20% to 25% of the patients treated with a cumulative dose of cladribine 3.5 mg/kg over 2 years as monotherapy developed transient grade 3 or 4 lymphopenia.
Croatian: U kliničkim ispitivanjima, 20 % do 25 % bolesnika liječenih kumulativnom dozom kladribina od 3,5 mg/kg tijekom 2 godine u monoterapiji razvilo je prolaznu limfopeniju 3. ili 4. stupnja.
English: The dephosphorylation and deactivation of Cd-AMP is catalysed by cytoplasmic 5'-NTase.
Croatian: Defosforilaciju i deaktivaciju Cd-AMP-a katalizira citoplazmatska 5'-NTaza.
English: As cladribine interferes with DNA synthesis, adverse effects on human gametogenesis could be expected.
Croatian: Budući da kladribin ometa sintezu DNK, mogu se očekivati štetni učinci na gametogenezu u ljudi.
English: A possible decrease in cladribine exposure should be considered if potent BCRP (e.g. corticosteroids) or P-gp (e.g. rifampicin, St. John's Wort) transporter inducers are co-administered.
Croatian: Potrebno je razmotriti moguće smanjenje izloženosti kladribinu ako se istodobno primjenjuju jaki induktori prijenosnika BCRP (npr. kortikosteroidi) ili P-gp (npr. rifampicin, gospina trava).
English: A drug interaction study in MS patients showed that the bioavailability of 10 mg oral cladribine was not altered when co-administered with pantoprazole.
Croatian: Ispitivanje interakcije lijekova u bolesnika s MS-om pokazalo je da bioraspoloživost peroralnog kladribina u dozi od 10 mg nije bila izmijenjena kad se primjenjivao istodobno s pantoprazolom.
English: MINIMUM PARTICULARS TO APPEAR ON BLISTERS CARDBOARD WALLET
Croatian: PODACI KOJE MORA NAJMANJE SADRŽAVATI BLISTER KARTONSKI OVITAK
English: The largest proportion of patients with grade 3 or 4 lymphopenia was seen 2 months after the first cladribine dose in each year (4.0% and 11.3% of patients with grade 3 lymphopenia in year 1 and year 2, 0% and 0.4% of patients with grade 4 lymphopenia in year 1 and year 2).
Croatian: Najveći udio bolesnika s limfopenijom 3. ili 4. stupnja bio je opažen 2 mjeseca nakon prve doze kladribina u svakoj godini (4,0 % i 11,3 % bolesnika s limfopenijom 3. stupnja u 1. odnosno 2. godini te 0 % i 0,4 % bolesnika s limfopenijom 4. stupnja u 1. odnosno 2. godini).
English: 3 Pull out tray until it stops
Croatian: 3 Izvlačite pliticu dok se ne zaustavi.
English: INFORMATION IN BRAILLE mavenclad
Croatian: 16. PODACI NA BRAILLEOVOM PISMU mavenclad
English: MAVENCLAD is contraindicated in pregnant women (see section 4.3).
Croatian: MAVENCLAD je kontraindiciran u trudnica (vidjeti dio 4.3).
English: Inhibition of BCRP in the gastrointestinal tract may increase the oral bioavailability and systemic exposure of cladribine.
Croatian: Inhibicija BCRP-a u probavnom traktu može povećati bioraspoloživost peroralnog kladribina i sistemsku izloženost kladribinu.
English: Before initiation of treatment both in year 1 and year 2, women of childbearing potential and males who could potentially father a child should be counselled regarding the potential for serious risk to the foetus and the need for effective contraception (see section 4.6).
Croatian: Prije početka liječenja i u 1. godini i u 2. godini, žene reproduktivne dobi i muškarce koji bi mogli začeti dijete potrebno je savjetovati o mogućnosti ozbiljnog rizika za fetus i potrebi za učinkovitom kontracepcijom (vidjeti dio 4.6).
English: If you miss a dose and you remember on the same day you were supposed to take it
Croatian: Ako ste zaboravili uzeti MAVENCLAD Ako propustite dozu i sjetite se istog dana da ste je trebali uzeti
English: • In the short-term carcinogenicity study in Tg rasH2 mice, no cladribine-related increase in incidence of lymphoproliferative disorders or other tumour types was seen at any dose tested up to 30 mg/kg per day (equivalent to approximately 25-fold the expected human exposure in AUC in patients taking the maximum daily dose of 20 mg cladribine).
Croatian: • U kratkotrajnom ispitivanju kancerogenosti u Tg rasH2 miševa, nije bilo opaženo povećanje incidencije limfoproliferativnih poremećaja ili drugih vrsta tumora povezano s kladribinom pri ispitanim dozama do 30 mg/kg na dan (odgovara približno 25 puta većoj izloženosti od očekivane izloženosti (AUC) kod ljudi u bolesnika koji uzimaju maksimalnu dnevnu dozu od 20 mg kladribina).
English: In vitro studies showed negligible transporter-mediated uptake of cladribine into human hepatocytes.
Croatian: In vitro ispitivanja pokazala su zanemariv ulazak kladribina u ljudske hepatocite posredovan prijenosnicima.
English: The incidence of herpes zoster was higher during the period of grade 3 or 4 lymphopenia (<500 to 200 cells/mm³ or <200 cells/mm³) compared to the time when the patients were not experiencing grade 3 or 4 lymphopenia (see section 4.4).
Croatian: Incidencija herpes zostera bila je viša tijekom razdoblja limfopenije 3. ili 4. stupnja (< 500 do 200 stanica/mm³ ili < 200 stanica/mm³) u usporedbi s razdobljem kad bolesnici nisu imali limfopeniju 3. ili 4. stupnja (vidjeti dio 4.4).
English: Administration of 10 mg cladribine resulted in a cladribine mean Cmax in the range of 22 to 29 ng/mL and corresponding mean AUC in the range of 80 to 101 ng•h/mL (arithmetic means from various studies).
Croatian: Primjena 10 mg kladribina rezultirala je srednjom vrijednošću Cmax kladribina u rasponu od 22 do 29 ng/ml te odgovarajućom srednjom vrijednošću AUC u rasponu od 80 do 101 ng•h/ml (aritmetičke srednje vrijednosti iz raznih ispitivanja).
English: When administered with a high-fat meal, cladribine absorption was delayed (median Tmax 1.5 h, range 1 to 3 h) and Cmax was reduced by 29% (based on geometric mean), while AUC was unchanged.
Croatian: Kad se primjenjivao s obrokom bogatim mastima, apsorpcija kladribina bila je usporena (medijan Tmax 1,5 h, raspon od 1 do 3 h), a Cmax je bio snižen za 29 % (na temelju geometrijske srednje vrijednosti),
English: 1st treatment week 1 or 2 tablets daily for 4 or 5 days, mid April
Croatian: 1. tjedan liječenja 1 ili 2 tablete dnevno tijekom 4 ili 5 dana, sredinom travnja
English: Fructose intolerance
Croatian: Nepodnošenje fruktoze
English: Total number of tablets per treatment week
Croatian: Ukupni broj tableta po tjednu liječenja
English: Acute short-term therapy with systemic corticosteroids can be administered during cladribine treatment.
Croatian: Tijekom liječenja kladribinom može se primijeniti akutna kratkotrajna terapija sistemskim kortikosteroidima.
English: A high DCK to 5'-NTase ratio favours the accumulation of Cd-ATP, making lymphocytes particularly susceptible to cell death.
Croatian: Visoki omjer DCK i 5'-NTaze pogoduje nakupljanju Cd-ATP-a, što limfocite čini osobito osjetljivima na staničnu smrt.
English: Adverse reactions described in the list below are derived from pooled data from clinical studies in MS in which oral cladribine was used as monotherapy at a cumulative dose of 3.5 mg/kg.
Croatian: Nuspojave opisane u niže navedenom popisu utvrđene su na temelju objedinjenih podataka iz kliničkih ispitivanja MS-a u kojima se peroralni kladribin primjenjivao kao monoterapija u kumulativnoj dozi od 3,5 mg/kg.
English: - Push your tablet(s) through the blister and swallow immediately.
Croatian: - Potisnite tabletu (tablete) iz blistera i odmah je progutajte.
English: There is evidence that cladribine can also cause direct caspase-dependent and -independent apoptosis via the release of cytochrome c and apoptosis-inducing factor into the cytosol of non-dividing cells.
Croatian: Postoje dokazi da kladribin također može uzrokovati izravnu apoptozu, i onu koja ovisi i onu koja ne ovisi o kaspazi, putem oslobađanja citokroma c i čimbenika indukcije apoptoze u citosol stanica koje se ne dijele.
English: The role of hepatic function for the elimination of cladribine is considered negligible.
Croatian: Smatra se da funkcija jetre ima zanemarivu ulogu u eliminaciji kladribina.
English: Potent BCRP and P-gp transporter inducers
Croatian: Jaki induktori prijenosnika BCRP i P-gp
English: In clinical studies and long-term follow-up of patients treated with a cumulative dose of 3.5 mg/kg oral cladribine, events of malignancies were observed more frequently in cladribine-treated patients (10 events in 3,414 patient-years [0.29 events per 100 patient-years]) compared to patients who received placebo (3 events in 2,022 patient-years [0.15 events per 100 patient-years]) (see section 4.4).
Croatian: U kliničkim ispitivanjima i tijekom dugotrajnog praćenja bolesnika liječenih kumulativnom dozom peroralnog kladribina od 3,5 mg/kg opaženo je da se zloćudne bolesti događaju češće u bolesnika liječenih kladribinom (10 događaja na 3414 bolesnik-godina [0,29 događaja na 100 bolesnik-godina]) u usporedbi s bolesnicima koji su primali placebo (3 događaja na 2022 bolesnik-godine [0,15 događaja na 100 bolesnik-godina]) (vidjeti dio 4.4).
English: Immunosuppressive medicinal products
Croatian: Imunosupresivni lijekovi
English: Across studies, the largest proportion of patients with grade 3 or 4 lymphopenia (<500 to 200 cells/mm³ or <200 cells/mm³) was seen 2 months after the first cladribine dose in each year, indicating a time gap between cladribine plasma concentrations and the maximum haematological effect.
Croatian: U ispitivanjima je najveći udio bolesnika s limfopenijom 3. ili 4. stupnja (< 500 do 200 stanica/mm³ ili < 200 stanica/mm³) bio opažen 2 mjeseca nakon prve doze kladribina u svakoj godini, što ukazuje na vremenski raskorak između koncentracije kladribina u plazmi i maksimalnog hematološkog učinka.
English: Patients randomised to the 5.25 mg/kg cumulative dose received additional treatment at weeks 9 and 13 of the first year.
Croatian: Bolesnici randomizirani u skupinu koja je primila 5,25 mg/kg kumulativne doze primili su dodatno liječenje u 9. i 13. tjednu prve godine.
English: Table 2 MAVENCLAD 10 mg tablets per week day Total number of tablets per week
Croatian: Tablica 2 MAVENCLAD 10 mg tablete po danu u tjednu
English: There is limited experience with overdose of MAVENCLAD.
Croatian: Iskustvo s predoziranjem lijekom MAVENCLAD je ograničeno.
English: HIV infection, active tuberculosis and active hepatitis must be excluded before initiation of cladribine (see section 4.3).
Croatian: Prije uvođenja kladribina moraju se isključiti HIV-infekcija, aktivna tuberkuloza i aktivni hepatitis (vidjeti dio 4.3).
English: - Ensure your hands are dry before picking up your tablet(s).
Croatian: - Pazite da su Vam ruke suhe prije nego što dodirnete tabletu (tablete).
English: Patients taking cladribine compared to the placebo treatment group had 86% relative reduction in the mean number of T1 Gd+ lesions (adjusted mean number for cladribine 3.5 mg/kg, and placebo groups were 0.12 and 0.91, respectively), 73% relative reduction in the mean number of active T2 lesions (adjusted mean number for cladribine 3.5 mg/kg, and placebo groups were 0.38 and 1.43, respectively) and 74% relative reduction in the mean number of combined unique lesions per patient per scan (adjusted mean number for cladribine 3.5 mg/kg, and placebo groups were 0.43 and 1.72, respectively) (p <0.001 across all 3 MRI outcomes).
Croatian: Bolesnici koji su uzimali kladribin imali su, u usporedbi sa skupinom koja je primala placebo, 86 %-tno relativno smanjenje srednje vrijednosti broja T1 Gd+ lezija (prilagođena srednja vrijednost broja za skupinu koja je primila kladribin u dozi od 3,5 mg/kg i skupinu koja je primila placebo iznosila je 0,12 odnosno 0,91), 73 %-tno relativno smanjenje srednje vrijednosti broja aktivnih T2 lezija (prilagođena srednja vrijednost broja za skupinu koja je primila kladribin u dozi od 3,5 mg/kg i skupinu koja je primila placebo iznosila je 0,38 odnosno 1,43) te 74 %-tno relativno smanjenje srednje vrijednosti broja kombiniranih jedinstvenih lezija po bolesniku po snimci (prilagođena srednja vrijednost broja za skupinu koja je primila kladribin u dozi od 3,5 mg/kg i skupinu koja je primila placebo iznosila je 0,43 odnosno 1,72) (p <0,001 za sva 3 MR ishoda).
English: It is currently unknown whether cladribine may reduce the effectiveness of systemically acting hormonal contraceptives.
Croatian: Trenutno nije poznato može li kladribin smanjiti učinkovitost hormonskih kontraceptiva sa sistemskim djelovanjem.
English: Therefore, screening for latent infections, in particular tuberculosis and hepatitis B and C, must be performed prior to initiation of therapy in year 1 and year 2.
Croatian: Stoga se prije početka terapije, i u 1. godini i u 2. godini, mora provesti probir na latentne infekcije, osobito tuberkulozu te hepatitis B i C.
English: When switching from another MS medicinal product, a baseline MRI should be performed (see subsection 'Infections' above).
Croatian: Prilikom prebacivanja s nekog drugog lijeka za MS, potrebno je napraviti početni MR (vidi odlomak „Infekcije“ gore).
English: - rifampicin (used to treat certain types of infection), St. John's wort (used to treat depression) or corticosteroids (used to suppress inflammation).
Croatian: - rifampicinom (primjenjuje se za liječenje određenih vrsta infekcije), gospinom travom (primjenjuje se za liječenje depresije) ili kortikosteroidima (primjenjuju se za smanjivanje upale).
English: Very rare:
Croatian: Često:
English: You need a second method of contraception during MAVENCLAD treatment and for at least 4 weeks after the last dose.
Croatian: Potrebna Vam je i druga metoda kontracepcije tijekom liječenja lijekom MAVENCLAD te još najmanje 4 tjedna nakon zadnje doze.
English: Potent ENT1, CNT3 and BCRP transporter inhibitors
Croatian: Jaki inhibitori prijenosnika ENT1, CNT3 i BCRP
English: • In the long-term carcinogenicity study in mice, the highest dose used was 10 mg/kg, which was seen to be genotoxic in the mouse micronucleus study (equivalent to approximately 16-fold the expected human exposure in AUC in patients taking the maximum daily dose of 20 mg cladribine).
Croatian: • U dugotrajnom ispitivanju kancerogenosti u miševa najviša primijenjena doza bila je 10 mg/kg, koja se pokazala genotoksičnom u ispitivanju mikronukleusa u miševa (odgovara izloženosti približno 16 puta većoj od očekivane izloženosti (AUC) kod ljudi u bolesnika koji su uzimali maksimalne dnevne doze od 20 mg kladribina).
English: You will have blood tests before you start treatment to check that you can take MAVENCLAD.
Croatian: Prije nego što započnete s liječenjem, provest će se krvne pretrage da se provjeri možete li uzimati MAVENCLAD.
English: Patients with relapsing-remitting MS receiving cladribine 3.5 mg/kg showed statistically significantly improvements in the annualised relapse rate, proportion of patients relapse-free over 96 weeks, proportion of patients free of sustained disability over 96 weeks and time to 3-month EDSS progression compared to patients on placebo (see Table 3).
Croatian: Bolesnici s relapsno-remitirajućim MS-om koji su primili kladribin u dozi od 3,5 mg/kg pokazali su statistički značajno poboljšanje u anualiziranoj stopi relapsa, udjelu bolesnika bez relapsa tijekom 96 tjedana, udjelu bolesnika bez postojane onesposobljenosti tijekom 96 tjedana i vremenu do 3-mjesečne progresije onesposobljenosti prema EDSS-u u usporedbi s bolesnicima koji su primili placebo (vidjeti tablicu 3).
English: Cladribine pharmacokinetics were studied following oral and intravenous administration in MS patients and patients with malignancies, and in in vitro systems.
Croatian: Farmakokinetika kladribina ispitivala se nakon peroralne i intravenske primjene u bolesnika s MS-om i bolesnika sa zloćudnim bolestima te u in vitro sustavima.
English: In resting cells cladribine causes DNA single-strand breaks, rapid nicotinamide adenine dinucleotide consumption, ATP depletion and cell death.
Croatian: U stanicama koje miruju, kladribin uzrokuje prekide u jednostrukom lancu DNK, brzu potrošnju nikotinamid adenin dinukleotida, depleciju ATP-a i smrt stanice.