FrancophonIA/ELRC3.0 huggingface dataset:
English: The paediatric population for which the product is approved is intended to be the overall paediatric population without excluding infants and toddlers.
Slovenian: Predvideno je, da pediatrična populacija, za katero je zdravilo odobreno, vključuje splošno pediatrično populacijo, brez izključevanja dojenčkov in malčkov.
English: BDP nebuliser (nBDP) suspension products are authorised in five EU member states including France, Germany, Greece, Ireland and Italy under different invented names: Sanasthmax, Becloneb, Beclospin, Clenil.
Slovenian: Zdravila v obliki suspenzije za nebulator BDP (nBDP) imajo dovoljenje za promet v petih državah članicah EU: v Franciji, Nemčiji, Grčiji, Italiji in na Irskem, in sicer pod različnimi izmišljenimi imeni: Sanasthmax, Becloneb, Beclospin in Clenil.
English: Taking into account the available data and guidelines the CHMP agreed that there should not be a lower age limit recognising that there is a possible need of beclometasone below 6 months of age.
Slovenian: Ob upoštevanju razpoložljivih podatkov in smernic se je odbor CHMP strinjal, da spodnje starostne meje ne sme biti, s čimer je priznal morebitno potrebo po beklometazonu pri dojenčkih, mlajših od
English: Whereas
Slovenian: Resist.
English: Due to the difficulty to set a lower age limit for the treatment of asthma/wheezing condition in the paediatric population, the CHMP considered more appropriate to leave it open.
Slovenian: Ker je nižjo starostno mejo za zdravljenje astme/sopenja pri pediatrični populaciji težko postaviti, je odbor CHMP menil, da jo je bolje pustiti odprto.
English: Asthma and wheezing
Slovenian: Astma in sopenje
English: Based on a review of the available data, the CHMP considered that both once daily and twice daily dose regimens are acceptable.
Slovenian: Dajanje enkrat dnevno v primerjavi z dajanjem dvakrat dnevno Na podlagi pregleda razpoložljivih podatkov je odbor CHMP menil, da sta sprejemljiva oba režima odmerjanja, enkrat dnevno in dvakrat dnevno.
English: Section 4.2 - Posology and method of administration Maximum daily dose
Slovenian: Poglavje 4.2 - Odmerjanje in način uporabe Največji dnevni odmerek
English: Overall, the CHMP agreed on the final indication wording "treatment of wheezing in children up to 5 years of age".
Slovenian: Na splošno se je odbor CHMP strinjal s končnim besedilom za indikacijo, „zdravljenje sopenja pri otrocih, starih do 5 let“.
English: Most wheezing in preschool children (<5 years of age) is associated with viral upper respiratory tract infections, which recur frequently in this age group.
Slovenian: Večina primerov sopenja pri predšolskih otrocih (< 5 let) je povezana z okužbami zgornjih dihal, ki se pri tej starostni skupini pogosto pojavljajo.
English: Changes introduced in the SmPC were consistently reflected in the labelling where relevant, however most sections were left to be completed nationally.
Slovenian: Spremembe, ki so jih uvedli v povzetek glavnih značilnosti zdravila, so bile dosledno vključene v označevanje, kjer je bilo to ustrezno, vendar je bilo treba večino poglavij dopolniti na nacionalni ravni.
English: The studies in allergic rhinitis were actually carried out using intranasal spray.
Slovenian: Študije alergijskega rinitisa so bile dejansko izvedene z uporabo intranazalnega pršila.
English: The CHMP also agreed that there is a need to give adequate information in the PI on the risk of long-term exposure in children below the age of 5 years.
Slovenian: Odbor CHMP se je tudi strinjal, da je treba v informacijah o zdravilu podati zadostne informacije glede tveganja dolgotrajne izpostavljenosti otrok, mlajših od 5 let.
English: Beclomethasone dipropionate is currently indicated in children in all EU member states where the product is authorised.
Slovenian: Beklometazon dipropionat je trenutno indiciran pri otrocih v vseh državah članicah EU, v katerih je zdravilo pridobilo dovoljenje za promet.
English: • The committee agreed on a harmonised product information for Clenil and associated names.
Slovenian: • odbor se je strinjal z usklajenimi informacijami o zdravilu Clenil in povezanih imenih.
English: In the clinical managing of asthma, patient adherence to long-term inhaled therapy is of extreme importance and the possibility of a once daily administration should not be precluded.
Slovenian: Pri kliničnem urejanju astme je bolnikovo sodelovanje pri dolgoročnem zdravljenju z inhalacijskimi zdravili izjemno pomembno in možnost dajanja enkrat dnevno ne sme biti onemogočena.
English: A confident diagnosis of asthma in children < 5 years of age is difficult, because episodic respiratory symptoms such as wheezing and cough are also common in children without asthma, particularly in those 0-2 years old.
Slovenian: Postavljanje prepričljive diagnoze astme pri otrocih, starih < 5 let, je težavno, saj so občasni respiratorni simptomi, kot sta sopenje in kašelj, pogosti tudi pri otrocih brez astme, še posebno pri tistih, starih od nič do dve leti.
English: It is acknowledged that the scientific evidence on the benefit of nBDP in the treatment of recurrent wheezing in pre-schooler is limited (the only supportive scientific evidence comes from Papi and colleagues (2009) in which methodological bias is noted); however, high standard studies, as per today criteria, are not expected to be available for nBDP to support indication that has been granted in Italy many years ago.
Slovenian: Priznava se, da so znanstveni dokazi o koristih zdravila nBDP pri zdravljenju ponavljajočega se sopenja pri predšolskih otrocih omejeni (edini podporni znanstveni dokazi prihajajo iz študije, ki so jo izvedli Papi in sodelavci (2009), v kateri pa je opažena metodološka pristranskost); vendar ni pričakovati, da bi bile za zdravilo nBDP na voljo študije, izvedene po visokih standardih v skladu z današnjimi merili, ki bi podpirale indikacijo, odobreno v Italiji pred mnogo leti.
English: Sections 6.3 (shelf life), 6.4 (special precautions for storage) 6.5 (nature and contents of container) and 6.6 (Special precautions for disposal and other handling) have been updated in line with the recommendation for multi-use of the 800 ug ampoule.
Slovenian: Poglavja 6.3 (Rok uporabnosti), 6.4 (Posebna navodila za shranjevanje) 6.5 (Vrsta ovojnine in vsebina) in 6.6 (Posebni varnostni ukrepi za odstranjevanje in ravnanje z zdravilom) so posodobljena tako, da so v skladu s priporočili za uporabo 800-mikrogramske ampule na več načinov.
English: The most supportive evidence for the treatment of recurrent wheezing children (Papi et al., 2009)2 enrolled children aged 1-4 years.
Slovenian: Dokazi, ki so najbolj podpirali zdravljenje ponavljajočega se sopenja pri otrocih (Papi idr., 2009)2, so bili pridobljeni pri otrocih, starih od enega do štirih let.
English: Clenil (and associated names) monodose was first approved through national procedure in Italy in 1991, then was approved through national procedures in France, while in Ireland, Germany and Greece through Mutual Recognition procedure with Ireland as Reference Member State.
Slovenian: Zdravilo Clenil (in povezana imena) v enkratnem odmerku je dovoljenje za promet najprej pridobilo v Italiji leta 1991 po nacionalnem postopku, nato je po nacionalnih postopkih pridobilo dovoljenje za promet v Franciji, po postopku z medsebojnim priznavanjem pa je dovoljenje za promet pridobilo na Irskem, v Nemčiji in Grčiji, pri čemer je bila v vlogi referenčne države članice Irska.
English: The MAH proposed harmonised dosing recommendations based on the doses studied in clinical trials and in line with GINA guidelines.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predlagal usklajena priporočila za odmerjanje na osnovi odmerkov, ki so jih preučevali v kliničnih preskušanjih, in v skladu s smernicami GINA.
English: Following the negative position of the CHMP on the broad indication, the MAH proposed a narrowed one "symptomatic treatment of recurrent wheezing in preschool children" that was agreed with some changes.
Slovenian: Potem ko je odbor CHMP izrazil negativno stališče o splošnih indikacijah, je imetnik dovoljenja za promet z zdravilom predlagal ožjo indikacijo, tj. „simptomatsko zdravljenje ponavljajočega se sopenja pri predšolskih otrocih“, s katero se je odbor strinjal, a z nekaj spremembami.
English: This indication of the maintenance treatment of asthma when the use of pressurised or dry powder inhalers is unsatisfactory or inappropriate is currently approved in all five member states where the product is authorised.
Slovenian: Indikacija za vzdrževalno zdravljenje astme, kadar je uporaba inhalatorjev pod tlakom ali s praškom nezadovoljiva ali neustrezna, je trenutno odobrena v vseh petih državah članicah, v katerih imajo zdravila dovoljenje za promet.
English: Beclometasone dipropionate (BDP) is a glucocorticoid and a prodrug of the active metabolite, beclometasone-17-monopropionate.
Slovenian: Beklometazon dipropionat (BDP) je glukokortikoid in predzdravilo aktivnega presnovka, beklometazon-17-monopropionata.
English: • The committee considered the divergences identified in the notification for Clenil and associated names, as well as the remaining sections of the product information.
Slovenian: • odbor je obravnaval razlike, prepoznane v obvestilu za zdravilo Clenil in povezana imena, ter preostala poglavja informacij o zdravilu;
English: Overall summary of the scientific evaluation by the CHMP
Slovenian: Splošni povzetek znanstvenega vrednotenja odbora CHMP Vzdrževalno zdravljenje astme
English: The CHMP considered that the inclusion of the brand nebulisers in section SmPC 4.2 was not acceptable as the data to support this were not available.
Slovenian: Odbor CHMP je menil, da vključitev nebulatorjev določene blagovne znamke v poglavje 4.2 povzetka glavnih značilnosti zdravila ni sprejemljiva, saj podatki, ki bi to podpirali, niso na voljo.
English: Pre-schoolers with recurrent wheezing are at high risk of developing asthma during school age; in this population asthma and wheezing do not always overlap and deciding when recurrent wheezing is the initial presentation of asthma is difficult.
Slovenian: Pri predšolskih otrocih s ponavljajočim se sopenjem obstaja visoko tveganje za razvoj astme v šolskem obdobju; v tej populaciji se astma in sopenje ne prekrivata vedno, odločanje o tem, ali je ponavljajoče se sopenje začetek astme, pa je težavno.
English: Cain et al. ‘European Position Paper on Rhinosinusitis and Nasal Polyps' 2012; Update on the management of chronic rhinosinusitis.
Slovenian: Cain idr., „European Position Paper on Rhinosinusitis and Nasal Polyps“ (Evropski dokument o stališču o rinosinuzitisu in nosnih polipih), 2012; Update on the management of chronic rhinosinusitis (Najnovejši podatki o obvladovanju kroničnega rinosinuzitisa), 2013; Infect Drug
English: According to the most recent guidelines4, the use of corticosteroids is recommended for mild-moderate rhinitis via intranasal route.
Slovenian: Glede na najnovejše smernice4 je uporaba kortikosteroidov po intranazalni poti priporočljiva za blag ali zmeren rinitis.
English: The CHMP concluded that for asthma treatment no indication of duration of therapy should be reported in the SmPC; the duration of treatment should be based on clinical judgement on the basis on the severity and frequency of symptoms and patient conditions on a case-by-case basis.
Slovenian: Odbor CHMP je sklenil, da v povzetku glavnih značilnosti zdravila ne sme biti navedena nobena indikacija za trajanje zdravljenja astme; trajanje zdravljenja mora temeljiti na klinični presoji glede na resnost in pogostnost simptomov in bolnikovih stanj za vsak primer posebej.
English: On review of all available data including post marketing safety data the CHMP concluded that a maximum of 3200 ug daily dose of BDP in adults and adolescents, which is in line with the current recommendation in Germany, Ireland and Greece and of a maximum of 1600 ug daily dose in children, which is in line with the current recommendation in France, is acceptable.
Slovenian: CHMP sklenil, da sta dnevni odmerek BDP pri odraslih in mladostnikih, ki znaša največ 3 200 ug in je v skladu s trenutnim priporočilom v Nemčiji, na Irskem in v Grčiji, ter dnevni odmerek pri otrocih, ki znaša največ 1 600 ug in je v skladu s trenutnim priporočilom v Franciji, sprejemljiva.
English: Finally, recent evidence reports that distribution of topical solution to the unoperated sinuses is limited, with nebulization being also ineffective with <3% sinus penetration.
Slovenian: Poleg tega najnovejši dokazi kažejo, da je porazdelitev raztopine za topikalno uporabo v neoperiranih sinusih omejena, pri čemer je neučinkovita tudi nebulizacija, saj je pri njej prodiranje v sinuse manjše od 3 %.
English: More importantly, ICS therapy is always patient-tailored and closely monitored by the physician in terms of symptom controls, thus precluding the occurring of prolonged unsatisfactory symptom control because of once-daily administration.
Slovenian: Še pomembneje je, da je zdravljenje z IKS vedno prilagojeno posameznemu bolniku in ga z vidika nadzora nad simptomi skrbno spremlja zdravnik, zato zaradi dajanja enkrat dnevno ne more priti do dolgotrajnega nezadostnega nadzora nad simptomi.
English: In France nBDP is indicated as anti-inflammatory treatment of severe persistent asthma in children.
Slovenian: V Franciji je zdravilo nBDP indicirano za protivnetno zdravljenje hude trajne astme pri otrocih.
English: For the recurrent wheezing indication in young children, the CHMP concluded that if no treatment benefit of is observed within 2-3 months, Clenil should be discontinued.
Slovenian: Za indikacijo ponavljajočega se sopenja pri mlajših otrocih je odbor CHMP sklenil, da je treba zdravljenje z zdravilom Clenil prekiniti, če v obdobju od dveh do treh mesecev ni opaženih nobenih koristi zdravljenja.
English: The CHMP agreed with the indication "in the maintenance treatment of asthma" in line with the available scientific evidence and guideline recommendations where inhaled corticosteroids are considered the firstline treatment when a diagnosis of asthma has been done and nebulizers are recommended when the use of other hand-held inhalers is not appropriate.
Slovenian: Odbor CHMP se je strinjal z indikacijo „za vzdrževalno zdravljenje astme“ v skladu z razpoložljivimi znanstvenimi dokazi in priporočili smernic, kadar po postavitvi diagnoze astme velja, da so inhalacijski kortikosteroidi prva izbira zdravljenja, nebulatorji pa so priporočeni, kadar uporaba drugih ročnih inhalatorjev ni ustrezna.
English: In Ireland, Germany and Greece nBDP is indicated in both adults and children for the treatment of bronchial asthma where use of a pressurised or dry powder inhaler is unsatisfactory or inappropriate.
Slovenian: Na Irskem, v Nemčiji in v Grčiji je zdravilo nBDP indicirano za zdravljenje bronhialne astme pri odraslih in otrocih, kadar je uporaba inhalatorjev pod tlakom ali s praškom nezadovoljiva ali neustrezna.
English: Indeed, the CHMP noted that restricting the indication to only "asthma" might lead to an under-treatment of children < 5 years of age with recurrent wheezing without any other apparent risk factors for asthma.
Slovenian: Odbor CHMP je dejansko ugotovil, da bi omejitev indikacije izključno na „astmo“ lahko vodila k pomanjkljivemu zdravljenju otrok, starih < 5 let, pri katerih se pojavlja ponavljajoče se sopenje, ne pa tudi drugi očitni dejavniki tveganja za astmo.
English: The evidence provided by the MAH in support of this indication consisted of 4 studies, only one of which is a randomised clinical trial (Profita et al., 2013)3.
Slovenian: sestavljajo 4 študije, od katerih je le ena randomizirano klinično preskušanje (Profita idr., 2013)3.
English: In addition, the duration of treatment of recurrent wheezing should not exceed 3 months, unless diagnosis of asthma is confirmed to avoid an unnecessary long-term exposure.
Slovenian: Poleg tega zaradi preprečevanja nepotrebne dolgotrajne izpostavljenosti zdravljenje ponavljajočega se sopenja ne sme trajati dlje od treh mesecev, razen če je potrjena diagnoza astme.
English: Other respiratory conditions with the narrowing of the airways in the lungs (bronchostenotic condition)
Slovenian: Druge bolezni dihal, pri katerih so zožene dihalne poti v pljučih (stanje bronhostenoze)
English: The MAH stated that nebulisation is able to deliver drugs to paranasal sinuses while nasal sprays are not.
Slovenian: Imetnik dovoljenja za promet z zdravilom je navedel, da lahko nebulizacija dovede zdravila v paranazalne sinuse, nosna pršila pa jih ne morejo.
English: Clenil is currently indicated for the treatment of other respiratory conditions with the narrowing of the airways in the lungs (bronchostenotic condition) in Italy.
Slovenian: Zdravilo Clenil je v Italiji trenutno indicirano za zdravljenje drugih bolezni dihal, pri katerih so zožene dihalne poti v pljučih (stanje bronhostenoze).
English: Paediatric age range
Slovenian: Starostni razpon pediatrične populacije
English: In GINA guideline, low dose ICS (controller treatment) is recommended as the preferred initial treatment to control asthma in children 5 years and younger.
Slovenian: so IKS v nizkem odmerku (zdravljenje za nadzor bolezni) priporočljivi kot prednostno začetno zdravljenje za nadzor astme pri otrocih, starih do vključno 5 let.
English: In fact, pharmaceutical formulations for nebulization are intended for asthma treatment as they deliver particles with particle size distribution less than 5 microns that can reach lower airways using facial masks; the fact that a nebuliser suspension administered through the facial mask is not suitable for administration to the nasal cavity is also proven by the cited article by Profita and colleagues where no differences were observed between the nBDP provided by facial mask and the placebo group for symptom score of rhinitis.
Slovenian: Pravzaprav so farmacevtske formulacije za nebulizacijo namenjene zdravljenju astme, saj zagotavljajo vnos delcev, katerih porazdelitev velikosti znaša manj kot 5 mikronov in ki lahko prek obraznih mask dosežejo spodnja dihala; dejstvo, da suspenzija za nebulator za dajanje prek obrazne maske ni primerna za dajanje v nosno votlino, je prav tako dokazano v citiranem članku avtorjev
English: • The committee reviewed the totality of the data submitted by the MAH in support of the proposed harmonisation of the product information.
Slovenian: • odbor je pregledal vse podatke, ki jih je v podporo predlagani uskladitvi informacij o zdravilu predložil imetnik dovoljenja za promet z zdravilom;
English: As regards the indication in wheezing, the term “preschool” as proposed by the MAH was not considered as informative by the CHMP and not in line with the SmPC guideline.
Slovenian: V zvezi z indikacijo za sopenje je odbor CHMP menil, da izraz „predšolski“, ki ga je predlagal imetnik dovoljenja za promet z zdravilom, ni informativen in ni v skladu s smernico o povzetku glavnih značilnosti zdravila.
English: The cumulative prevalence of wheeze is almost 50% at the age of 6 years.
Slovenian: Skupna prevalenca sopenja pri starosti 6 let znaša skoraj
English: Sections 4.3 Contraindications to 5.3 Preclinical safety data have been harmonised to include the relevant available information, or amend wording according to the attest QRD template.
Slovenian: Druga poglavja povzetka glavnih značilnosti zdravila Poglavja od poglavja 4.3 Kontraindikacije do poglavja 5.3 Predklinični podatki o varnosti so usklajena tako, da vključujejo ustrezne razpoložljive informacije ali pa je besedilo v njih spremenjeno v skladu z najnovejšo predlogo za pregled kakovosti dokumentov.
English: The evidence and argumentation provided by the MAH on the beneficial effect of nBDP in the treatment of the broad proposed indications (bronchostenotic condition as initial one, inflammatory disorders of the respiratory tract in particular associated with wheezing as second one) was considered by the CHMP unsatisfactory in identifying the medical need and the target population (lack of adequately designed and sized trials).
Slovenian: Odbor CHMP je ocenil, da dokazi in utemeljitve koristi zdravila nBDP pri zdravljenju splošnih predlaganih indikacij (stanja bronhostenoze kot začetne indikacije ter vnetnih bolezni dihal, še posebno v povezavi s sopenjem, kot druge indikacije), ki jih je predložil imetnik dovoljenja za promet z zdravilom, nezadovoljivo prepoznavajo zdravstvene potrebe in ciljno populacijo (pomanjkanje ustrezno zasnovanih in ustrezno obsežnih preskušanj).
English: In conclusion, the CHMP considered that the available evidence does not support the proposed indications in "allergic and idiopathic rhinitis, inflammatory and allergic affections of the nasal cavities and of the rhino-pharyngeal tract" for nBDP.
Slovenian: Sklepno mnenje odbora CHMP je bilo, da razpoložljivi dokazi ne podpirajo predlaganih indikacij zdravila nBDP za „alergijski in idiopatski rinitis ter vnetne in alergijske reakcije nosnih votlin in nosno-žrelnega predela“.
English: As such reference is not made to a brand rather to a “jet nebuliser” in the product information.
Slovenian: Zato v informacijah o zdravilu ni sklicev na blagovno znamko, ampak na „nebulator na stisnjen zrak“.
English: Allergic and idiopathic rhinitis, inflammatory and allergic affections of the nasal cavities and of the rhinopharyngeal tract
Slovenian: Alergijski in idiopatski rinitis, vnetne in alergijske reakcije nosnih votlin in nosno-žrelnega predela
English: In Italy nBDP is currently indicated in both adults and children for the treatment of asthma, and other respiratory conditions with the narrowing of the airways in the lungs (brochostenotic condition), specifically when the use of pressurised or dry powder inhalers is unsatisfactory or inappropriate.
Slovenian: V Italiji je zdravilo nBDP trenutno indicirano za zdravljenje astme in drugih bolezni dihal, pri katerih so zožene dihalne poti v pljučih (stanja bronhostenoze), pri odraslih in otrocih, še posebno, kadar je uporaba inhalatorjev pod tlakom ali s praškom nezadovoljiva ali neustrezna.
English: 2 Papi A. et al., ‘Regular vs prn nebulized treatment in wheeze preschool children'.
Slovenian: idr., „Regular vs prn nebulized treatment in wheeze preschool children“ (Zdravljenje sopenja pri predšolskih otrocih: primerjava med običajnim zdravljenjem z nebulatorji in zdravljenjem z nebulatorji po potrebi).
English: The MAH proposed to revise the SmPC section 4.2 to include more detailed information on the nebuliser systems.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predlagal spremembo poglavja 4.2 povzetka glavnih značilnosti zdravila, da bi vključevalo podrobnejše informacije o nebulatorskih sistemih.
English: Section 1, (name of the medicial product) Sections 2 (qualitative and quantitative composition), 6.1 (list of excipients), and 6.2 (incompatibilities) have been updated with minor changes to be in line with QRD template.
Slovenian: Poglavja 1 (Ime zdravila), 2 (Kakovostna in količinska sestava), 6.1 (Seznam pomožnih snovi) in 6.2
English: The nBDP indication in wheezing would allow paediatricians to treat young children suffering from recurring wheezing when a clear asthma diagnosis is not achievable, in line with GINA guideline1.
Slovenian: Pediatrom bi v skladu s smernico GINA1 indikacija zdravila nBDP za sopenje omogočala zdravljenje mlajših otrok, pri katerih se pojavlja ponavljajoče se sopenje, kadar jasne diagnoze astme ni mogoče postaviti.
English: • the product information proposed by the Marketing Authorisation Holders has been assessed based on the documentation submitted and the scientific discussion within the Committee,
Slovenian: • odbor je na podlagi predložene dokumentacije in znanstvene razprave v odboru ocenil informacije o zdravilu, ki so jih predlagali imetniki dovoljenj za promet z zdravili;
English: Beclometasone dipropionate exerts local anti-inflammatory action in the control of bronchial asthma.
Slovenian: Beklometazon dipropionat pri nadzoru bronhialne astme deluje lokalno protivnetno.