FrancophonIA/ELRC3.0 huggingface dataset:
English: However, it is unlikely that whole blood concentrations of temsirolimus after intravenous administration of temsirolimus will inhibit the metabolic clearance of concomitant medicinal products that are substrates of CYP2C9, CYP2C8, CYP2B6 or CYP2E1.
Croatian: Međutim, nije vjerojatno da će koncentracije temsirolimusa u punoj krvi nakon intravenske primjene temsirolimusa inhibirati metabolički klirens istodobno primijenjenih lijekova koji su supstrati CYP2C9, CYP2C8, CYP2B6 ili CYP2E1.
English: if the number of platelet (a type of blood cell that helps to clot blood) has decreased.
Croatian: - ako se smanjio broj krvnih pločica (vrsta krvnih stanica koje pomažu u zgrušavanju krvi).
English: During in vitro temsirolimus metabolism studies, sirolimus, seco-temsirolimus and seco-sirolimus were observed; additional metabolic pathways were hydroxylation, reduction and demethylation.
Croatian: Tijekom in vitro ispitivanja metabolizma temsirolimusa, opaženi su sirolimus, seko-temsirolimus i seko-sirolimus; dodatni metabolički putevi bili su hidroksilacija, redukcija i demetilacija.
English: RCC clinical trial 2
Croatian: RCC kliničko ispitivanje 2
English: In male rats, decreased fertility and partly reversible reductions in sperm counts were reported (see section 5.3).
Croatian: U mužjaka štakora zabilježene su smanjena plodnost i djelomično reverzibilno smanjenje broja spermija (vidjeti dio 5.3).
English: Men with partners of childbearing potential should use medically acceptable contraception while receiving Torisel (see section 5.3).
Croatian: Muškarci čije partnerice su u reproduktivnoj dobi moraju koristiti medicinski prihvatljivu kontracepciju dok primaju Torisel (vidjeti dio 5.3).
English: The use of live vaccines should be avoided during treatment with temsirolimus.
Croatian: Primjenu živih cjepiva treba izbjegavati tijekom liječenja temsirolimusom.
English: This medicine contains ethanol (alcohol), equivalent to 17.6 ml beer, 7.3 ml wine per 25 mg dose.
Croatian: Ovaj lijek sadrži etanol (alkohol) u količini koja odgovara 17,6 ml piva ili 7,3 ml vina po dozi od 25 mg.
English: These symptoms might be caused by a bleeding in the brain.
Croatian: Ovi simptomi mogu biti uzrokovani krvarenjem u mozak.
English: Reductions in testicular weights and/or histological lesions (e.g., tubular atrophy and tubular giant cells) were observed in mice, rats, and monkeys.
Croatian: Smanjena težina testisa i/ili histološke lezije testisa (npr. tubularna atrofija i tubularne divovske stanice) opažene su u miševa, štakora i majmuna.
English: a Based on log-rank test stratified by prior nephrectomy and region.
Croatian: Na temelju log-rank testa stratificirani prema prethodnoj nefrektomiji i regiji.
English: Patients should be given intravenous diphenhydramine 25 mg to 50 mg (or similar antihistamine) approximately 30 minutes before the start of each dose of temsirolimus (see section 4.4).
Croatian: Bolesnicima treba dati intravenski difenhidramin (ili slični antihistaminik) u dozi od 25 mg do 50 mg približno 30 minuta prije početka svake doze temsirolimusa (vidjeti dio 4.4).
English: An in-line polyethersulfone filter with a pore size of not greater than 5 microns is recommended for administration to avoid the possibility of particles bigger than 5 microns being infused.
Croatian: Za primjenu se preporučuje ugrađeni unutarnji polietersulfonski filtar s veličinom pora ne većom od 5 mikrona, kako bi se izbjegla mogućnost infuzije čestica koje su veće od 5 mikrona.
English: At the discretion of the physician, treatment may be resumed after the administration of an H1-receptor antagonist (diphenhydramine or similar antihistamine) and a H2-receptor antagonist (intravenous famotidine 20 mg or intravenous ranitidine 50 mg) approximately 30 minutes before restarting the temsirolimus infusion.
Croatian: S liječenjem se može nastaviti prema prosudbi liječnika nakon primjene antagonista H1-receptora (difenhidramina ili sličnog antihistaminika) i antagonista H2-receptora (intravenskog famotidina u dozi 20 mg ili intravenskog ranitidina u dozi od 50 mg) približno 30 minuta prije ponovnog početka infuzije temsirolimusa.
English: Table 2: Adverse reactions reported in post-marketing setting System Organ class
Croatian: Tablica 2: Nuspojave zabilježene nakon stavljanja lijeka u promet
English: • Torisel, when diluted, contains polysorbate 80, and therefore appropriate administration materials must be used.
Croatian: • Torisel, kad se razrijedi, sadrži polisorbat 80 te se stoga moraju koristiti odgovarajući materijali za primjenu.
English: The use of both an in-line and end-filter is not recommended.
Croatian: Ne preporučuje se uporaba oba filtra, tj. i ugrađenog i završnog.
English: If a suspected reaction is not manageable with dose delays, then temsirolimus may be reduced by 5 mg/week decrements.
Croatian: Ako se sumnjiva reakcija ne može riješiti odgađanjem primjene, onda se doza temsirolimusa može snižavati za 5 mg tjedno.
English: Inhibition of mTOR activity results in a G1 growth delay at nanomolar concentrations and growth arrest at micromolar concentrations in treated tumour cells resulting from selective disruption of translation of cell cycle regulatory proteins, such as D-type cyclins, c-myc, and ornithine decarboxylase.
Croatian: Inhibicija aktivnosti mTOR rezultira odgodom rasta izloženih tumorskih stanica u G1 fazi kad se temsirolimus daje u nanomolarnim koncentracijama i zaustavljanjem rasta kad se daje u mikromolarnim koncentracijama, što je posljedica selektivnog prekida translacije proteina koji reguliraju stanični ciklus, kao što su ciklini tipa D, c-myc i ornitin dekarboksilaza.
English: During handling and preparation of admixtures, Torisel should be protected from excessive room light and sunlight.
Croatian: Tijekom rukovanja i pripreme mješavina, Torisel treba zaštiti od prejake umjetne ili sunčeve svjetlosti.
English: Intracerebral bleeding
Croatian: Intracerebralno krvarenje
English: The known association of temsirolimus with hyperlipaemia may predispose to myocardial infarction.
Croatian: Poznata povezanost temsirolimusa s hiperlipemijom može predisponirati za infarkt miokarda.
English: In the 25 mg arm (n = 36), all patients had metastatic disease; 4 (11%) had no prior chemo- or immunotherapy; 17 (47%) had one prior treatment, and 15 (42%) had 2 or more prior treatments for RCC. Twenty-seven (27, 75%) had undergone a nephrectomy.
Croatian: U skupini koja je primala 25 mg (n = 36), svi bolesnici imali su metastatsku bolest; 4 (11%) prethodno nije primalo ni kemoterapiju niti imunoterapiju; 17 (47%) je prethodno primilo jedno liječenje, a 15 (42%) je prethodno primilo 2 ili više liječenja RCC-a.
English: Summary of efficacy results in temsirolimus MCL clinical trial
Croatian: Sažetak rezultata djelotvornosti temsirolimusa u MCL kliničkom ispitivanju
English: Torisel may increase the risk of problems with wound healing.
Croatian: Torisel može povećati rizik od problema s cijeljenjem rane.
English: In reproduction toxicity studies in animals, decreased fertility and partly reversible reductions in sperm counts were reported in male rats.
Croatian: U ispitivanjima reproduktivne toksičnosti u životinja, smanjena plodnost i djelomično reverzibilno smanjenje broja spermija zabilježeni su u mužjaka štakora.
English: In contrast, exposure to sirolimus was commensurately reduced in paediatric patients, such that the net exposure as measured by the sum of temsirolimus and sirolimus AUCs (AUCsum) was comparable to that for adults.
Croatian: Nasuprot tome, izloženost sirolimusu bila je razmjerno smanjena u pedijatrijskih bolesnika, tako da je neto izloženost mjerena zbrojem vrijednosti AUC za temsirolimus i sirolimus (AUCsum) bila usporediva s onom u odraslih.
English: There is no relevant use of temsirolimus in the paediatric population for the indications of RCC and MCL.
Croatian: Pedijatrijska populacija Nema relevantne primjene temsirolimusa u pedijatrijskoj populaciji u indikacijama RCC-a i MCL-a.
English: Torisel 30 mg concentrate must not be added directly to aqueous infusion solutions.
Croatian: Torisel 30 mg koncentrat ne smije se dodati izravno u vodene otopine za infuziju.
English: In an in vitro study, temsirolimus inhibited the transport of P-glycoprotein (P-gp) substrates with an IC50 value of 2 µM.
Croatian: U jednom in vitro ispitivanju, temsirolimus je inhibirao transport supstrata P-glikoproteina (P-gp) uz vrijednost IC50 od 2 µM.
English: Patients with central nervous system (CNS) tumours (primary CNS tumours or metastases) and/or receiving anticoagulation therapy may be at an increased risk of developing intracerebral bleeding (including fatal outcomes) while receiving therapy with temsirolimus.
Croatian: U bolesnika s tumorima središnjeg živčanog sustava (SŽS) (primarni tumori SŽS-a ili metastaze) i/ili onih koji primaju antikoagulantnu terapiju može postojati povećan rizik od intracerebralnog krvarenja (uključujući smrtni ishod) za vrijeme primanja terapije temsirolimusom.
English: Angioneurotic oedema-type reactions have been reported in some patients who received temsirolimus and ACE-inhibitors concomitantly.
Croatian: Prijavljene su reakcije tipa angioneurotskog edema u nekih bolesnika koji su istodobno primili temsirolimus i ACE-inhibitore.
English: Treatment with Torisel should continue until you are no longer benefiting from therapy or until unacceptable side effects occur.
Croatian: Liječenje Toriselom treba nastaviti sve dok više nemate koristi od terapije ili dok ne nastanu neprihvatljive nuspojave.
English: Torisel is indicated for the treatment of adult patients with relapsed and/or refractory mantle cell lymphoma (MCL) (see section 5.1).
Croatian: Torisel je indiciran za liječenje odraslih bolesnika s relapsom i/ili refraktornim limfomom plaštenih stanica (engl. mantle cell lymphoma, MCL) (vidjeti dio 5.1).
English: One vial of 1.2 ml concentrate.
Croatian: Jedna bočica s 1,2 ml koncentrata.
English: No clinically significant effect is anticipated when temsirolimus is co-administered with agents that are metabolised by CYP2D6.
Croatian: Ne očekuje se klinički značajan učinak kada se temsirolimus primijenjuje istodobno s lijekovima koji se metaboliziraju putem CYP2D6.
English: Via Franco Gorgone Zona Industriale 95100 Catania Italy
Croatian: Wyeth Lederle S.r.l. Via Franco Gorgone Zona Industriale 95100 Catania Italija
English: Objective response rateb % (95% CI)
Croatian: Stopa objektivnog odgovora % (95% CI)
English: Therefore, caution is advised during concomitant administration of temsirolimus at a dose of 175 mg with medicinal products that are metabolised predominantly via CYP3A4/5 and that have a narrow therapeutic index.
Croatian: Stoga se savjetuje oprez tijekom istodobne primjene temsirolimusa u dozi od 175 mg s lijekovima koji se prvenstveno metaboliziraju putem CYP3A4/5 i koji imaju uzak terapijski indeks.
English: if you have or have had inflammation of the lungs.
Croatian: - ako imate ili ste imali upalu pluća.
English: Tell your doctor if you are taking blood thinning medicines or have any bleeding or bruising while you are on Torisel.
Croatian: Obavijestite liječnika ako uzimate lijekove za razrjeđivanje krvi ili imate krvarenje ili modrice dok se liječite Toriselom.
English: Temsirolimus is a selective inhibitor of mTOR (mammalian target of rapamycin).
Croatian: Temsirolimus je selektivni inhibitor mTOR (ciljna molekula rapamicina u sisavaca).
English: Temsirolimus should not be used in the paediatric population for the treatment of neuroblastoma, rhabdomyosarcoma or high-grade glioma, because of efficacy concerns based on the available data (see section 5.1).
Croatian: Temsirolimus se ne smije primjenjivati u pedijatrijske populacije za liječenje neuroblastoma, rabdomiosarkoma ili glioma visokog stupnja, zbog upitne djelotvornosti na temelju dostupnih podataka (vidjeti dio 5.1).
English: Men with partners of childbearing potential should use medically acceptable contraception while receiving Torisel.
Croatian: Muškarci čije su partnerice u reproduktivnoj dobi trebaju koristiti medicinski prihvatljivu kontracepciju dok primaju Torisel.
English: Treatment with Torisel should continue until the patient is no longer clinically benefiting from therapy or until unacceptable toxicity occurs.
Croatian: Terapiju Toriselom potrebno je nastaviti sve dok bolesnik više nema kliničke koristi od terapije ili do pojave neprihvatljive toksičnosti.
English: In an open-label, dose-escalation Phase 1 study in 110 subjects with advanced malignancies and either normal or impaired hepatic function, concentrations of temsirolimus and its metabolite sirolimus were increased in patients with elevated aspartate aminotransferase (AST) or bilirubin levels.
Croatian: U fazi I otvorenog ispitivanja povišenja doze u 110 ispitanika s uznapredovalom zloćudnom bolešću i normalnom ili oštećenom funkcijom jetre, koncentracije temsirolimusa i njegovog metabolita sirolimusa bile su povećane u bolesnika s povišenim razinama aspartat aminotransferaze (AST) ili bilirubina.
English: One hundred eleven (111) patients were randomly assigned in a 1:1:1 ratio to receive 25 mg, 75 mg, or 250 mg intravenous temsirolimus weekly.
Croatian: Stotinu i jedanaest (111) bolesnika bilo je nasumično raspodijeljeno u omjeru 1:1:1 u skupine koje su primale 25 mg, 75 mg ili 250 mg intravenskog temsirolimusa na tjedan.
English: There is no specific treatment for temsirolimus overdose.
Croatian: Nema posebnog liječenja predoziranja temsirolimusom.
English: Diarrhoea with mixed cell inflammation of the caecum or colon was observed in monkeys and was associated with an inflammatory response, and may have been due to a disruption of the normal intestinal flora.
Croatian: Proljev s upalom cekuma ili debelog crijeva s miješanim upalnim stanicama opažen je u majmuna i povezan s upalnim odgovorom, a može biti posljedica narušene normalne crijevne flore.
English: • Withdraw 1.8 ml of the supplied solvent.
Croatian: • Izvucite 1,8 ml priloženog otapala.
English: In reproduction studies in animals, temsirolimus caused embryo/foetotoxicity that was manifested as mortality and reduced foetal weights (with associated delays in skeletal ossification) in rats and rabbits.
Croatian: U ispitivanjima reproduktivne toksičnosti u životinja, temsirolimus je prouzročio embriotoksičnost/fetotoksičnost koja se očitovala kao mortalitet i smanjena tjelesna težina fetusa (s povezanom kasnom skeletnom osifikacijom) u štakora i kunića.
English: Patients were stratified for prior nephrectomy status within 3 geographic regions and were randomly assigned (1:1:1) to receive IFN-α alone (n = 207), temsirolimus alone (25 mg weekly; n = 209), or the combination of IFN-α and temsirolimus (n = 210).
Croatian: Bolesnici su bili stratificirani prema prethodnom nefrektomijskom statusu unutar 3 geografske regije i bili su nasumično raspodijeljeni (1:1:1) u skupine koje su primale samo IFN-α (n = 207), samo temsirolimus (25 mg tjedno; n = 209) ili kombinaciju IFN-α i temsirolimusa (n = 210).
English: Temsirolimus binds to an intracellular protein (FKBP-12), and the protein/temsirolimus complex binds and inhibits the activity of mTOR that controls cell division.
Croatian: Temsirolimus se veže za unutarstanični protein (FKBP-12), a kompleks protein/temsirolimus veže se za mTOR koji kontrolira diobu stanice i inhibira njegovo djelovanje.
English: However, in vitro studies in human liver microsomes followed by physiologically-based pharmacokinetic modelling indicate that the blood concentrations achieved after a 175 mg dose of temsirolimus most likely leads to relevant inhibition of CYP3A4/5 (see section 5.2).
Croatian: Međutim, in vitro ispitivanja na mikrosomima ljudske jetre, popraćena farmakokinetičkim fiziološkim modelima, su ukazala da je koncentracija u krvi postignuta nakon doze temsirolimusa od 175 mg najvjerojatnije dovela do značajne inhibicije CYP3A4/5 (vidjeti dio 5.2).
English: You should also tell your doctor straight away: if you have cough, chest pain, difficulties in breathing.
Croatian: Također odmah morate obavijestiti liječnika: - ako razvijete kašalj, bol u prsištu i otežano disanje.
English: Torisel, when diluted, contains polysorbate 80, which is known to increase the rate of di-(2-ethylhexyl) phthalate extraction (DEHP) from polyvinyl chloride (PVC).
Croatian: Nakon razrjeđivanja, Torisel sadrži polisorbat 80 za koji se zna da povećava stopu ekstrakcije di-(2-etilheksil) ftalata (DEHP) iz polivinilklorida (PVC).
English: Biphasic dose response of cell growth inhibition was observed.
Croatian: Opažen je bifazični odgovor inhibicije staničnog rasta s obzirom na dozu.
English: • Mix the solvent and the concentrate well by inversion of the vial.
Croatian: • Dobro pomiješajte koncentrat i otapalo okretanjem bočice.
English: For patients with MCL, it is recommended that coadministration of CYP3A4/5 inducers should be avoided due to the higher dose of temsirolimus (see section 4.5).
Croatian: U bolesnika s MCL-om preporučuje se izbjegavati istodobnu primjenu induktora CYP3A4/5 zato što primaju više doze temsirolimusa (vidjeti dio 4.5).
English: RCC clinical trial 1
Croatian: RCC kliničko ispitivanje 1
English: Temsirolimus was not genotoxic in a battery of in vitro (bacterial reverse mutation in Salmonella typhimurium and Escherichia coli, forward mutation in mouse lymphoma cells, and chromosome aberrations in Chinese hamster ovary cells) and in vivo (mouse micronucleus) assays.
Croatian: Temsirolimus nije bio genotoksičan u bateriji testova in vitro (reverzna mutacija u bakterija Salmonella typhimurium i Escherichia coli, mutacija naprijed u stanicama mišjeg limfoma te kromosomske aberacije u stanicama jajnika kineskog hrčka) i in vivo (mikronukleusni test na mišjim stanicama).
English: Opportunistic infections such as PCP should be considered in the differential diagnosis.
Croatian: Oportunističke infekcije poput pneumonije uzrokovane s Pneumocystis jirovecii treba uzeti u obzir kod diferencijalne dijagnoze.
English: Increased alanine aminotransferase a: One fatal case b: One pleural effusion fatal event occurred in the low-dose (175/25 mg) arm of the MCL study *Most NCI-CTC Grade 3 and above reactions observed in clinical trials of temsirolimus for MCL ** Most NCI-CTC all grades reactions observed in clinical trials of temsirolimus for MCL *** All NCI-CTC Grade 1 and 2 reactions observed in clinical trials of temsirolimus for MCL ****Interstitial lung disease is defined by a cluster of related Preferred Terms: interstitial lung disease (n = 6), pneumonitisa (n = 7), alveolitis (n = 1), alveolitis allergic (n = 1), pulmonary fibrosis (n = 1)
Croatian: često povišena alanin aminotransferaza a: Jedan smrtni slučaj b: Jedan smrtonosni slučaj pleuralnog izljeva dogodio se u skupini koja je primala nisku dozu (175/25 mg) lijeka u ispitivanju MCL *Većina reakcija 3. ili višeg stupnja prema NCI-CTC opaženih u kliničkim ispitivanjima temsirolimusa za MCL ** Većina reakcija svih stupnjeva prema NCI-CTC opaženih u kliničkim ispitivanjima za MCL *** Sve reakcije 1. i 2. stupnja prema NCI-CTC opažene u kliničkim ispitivanjima za MCL ****Intersticijska bolest pluća je definirana kao skupina s njom povezanih preporučenih izraza: intersticijska bolest pluća (n = 6), pneumonitis a (n = 7), alveolitis (n = 1), alergijski alveolitis (n = 1), plućna fibroza (n = 1) i eozinofilna pneumonija (n = 0).
English: Torisel may increase blood glucose levels and worsen diabetes mellitus.
Croatian: - Torisel može povisiti razinu glukoze u krvi i pogoršati šećernu bolest.
English: The anti-tumour effect of temsirolimus, therefore, may also in part stem from its ability to depress levels of HIF and VEGF in the tumour or tumour microenvironment, thereby impairing vessel development.
Croatian: Stoga antitumorski učinak temsirolimusa može djelomično potjecati i iz njegove sposobnosti da potisne razine HIF i VEGF u tumorima ili tumorskom mikrookruženju te tako ometa stvaranje krvnih žila.
English: PVC bags and medical devices must not be used for the administration of preparations containing polysorbate 80, because polysorbate 80 leaches DEHP from PVC.
Croatian: Vrećice i medicinski proizvodi od PVC-a ne smiju se upotrebljavati za primjenu pripravaka koji sadrže polisorbat 80, zato što polisorbat 80 izvlači DEHP iz PVC-a.
English: Monitoring of complete blood count is recommended prior to initiating temsirolimus therapy and peridically thereafter.
Croatian: Preporučuje se praćenje kompletne krvne slike prije početka terapije temsirolimusom te periodično nakon toga.
English: Medicinal product subject to restricted medical prescription (See Annex I: Summary of Product Characteristics, section 4.2).
Croatian: Lijek se izdaje na ograničeni recept (vidjeti Prilog I.: Sažetak opisa svojstava lijeka, dio 4.2.).
English: A benefit-risk assessment should be done prior to the continuation of temsirolimus therapy in patients with severe or life-threatening reactions.
Croatian: Procjenu koristi i rizika potrebno je napraviti prije nastavka terapije temsirolimusom u bolesnika s teškim ili životno opasnim reakcijama.
English: Temsirolimus and sirolimus pharmacokinetics have been investigated in an open-label, dose-escalation study in 110 patients with advanced malignancies and either normal or impaired hepatic function.
Croatian: Farmakokinetika temsirolimusa i sirolimusa ispitana je u otvorenom ispitivanju povećanja doze u 110 bolesnika s uznapredovalim zloćudnim bolestima i normalnom ili oštećenom funkcijom jetre.
English: Following administration of a single 25 mg intravenous dose of temsirolimus in patients with cancer, mean Cmax in whole blood was 585 ng/ml (coefficient of variation [CV] = 14%), and mean AUC in blood was 1627 ng•h/ml (CV = 26%).
Croatian: Nakon primjene jednokratne intravenske doze temsirolimusa od 25 mg u bolesnika s rakom, srednja vrijednost Cmax u punoj krvi bila je 585 ng/ml (koeficijent varijacije [CV] = 14%), a srednja vrijednost AUC u krvi bila je 1627 ng•h/ml (CV = 26%).
English: The following effects were reported in mice and/or rats in the carcinogenicity studies conducted: granulocytic leukaemia, lymphoma, hepatocellular adenoma and carcinoma, and testicular adenoma.
Croatian: Sljedeći učinci bili su zabilježeni u miševa i/ili štakora u provedenim ispitivanjima kancerogenosti: granulocitna leukemija, limfom, hepatocelularni adenom i karcinom te testikularni adenom.
English: Patients on temsirolimus who develop thrombocytopenia may be at increased risk of bleeding events, including epistaxis (see section 4.8).
Croatian: Bolesnici koji primaju temsirolimus i razviju trombocitopeniju mogu biti pod povišenim rizikom od krvarenja, uključujući epistaksu (vidjeti dio 4.8).
English: Temsirolimus is a selective inhibitor of the enzyme mTOR (mammalian target of rapamycin) that blocks tumour cell growth and division.
Croatian: Temsirolimus je selektivni inhibitor enzima mTOR (ciljne molekule u sisavaca za rapamicin) koji blokira rast i dijeljenje tumorskih stanica.
English: After first dilution of the concentrate with 1.8 ml of the supplied solvent, the concentrate-solvent mixture contains 35% volume ethanol (alcohol), i.e., up to 0.693 g per 25 mg dose of temsirolimus, equivalent to 17.6 ml beer or 7.3 ml wine per dose.
Croatian: Nakon što se koncentrat prvi put razrijedi pomoću 1,8 ml priloženog otapala, mješavina koncentrata i otapala sadrži 35 vol % etanola (alkohola), tj. do 0,693 g na 25 mg doze temsirolimusa, što odgovara 17,6 ml piva ili 7,3 ml vina po dozi.
English: Side effects may be more pronounced with the higher dose of 175 mg per week during initial treatment for mantle cell lymphoma.
Croatian: Nuspojave mogu biti izraženije uz primjenu više doze od 175 mg na tjedan tijekom početnog liječenja limfoma plaštenih stanica.