FrancophonIA/ELRC3.0 huggingface dataset:
English: The use of Epoetin alfa HEXAL in patients scheduled for major elective orthopaedic surgery and not participating in an autologous blood predonation programme is contraindicated in patients with severe coronary, peripheral arterial, carotid or cerebral vascular disease, including patients with recent myocardial infarction or cerebral vascular accident.
Croatian: Primjena Epoetin alfa HEXALa u bolesnika u kojih se planira veliki elektivni ortopedski kirurški zahvat i koji ne sudjeluju u programu autologne predonacije krvi je kontraindicirana ako imaju tešku bolest koronarnih arterija, perifernih arterija, karotida ili cerebralnu vaskularnu bolest, uključujući bolesnike s nedavnim infarktom miokarda ili cerebrovaskularnim incidentom.
English: Depress the plunger slowly and evenly until the entire dose has been given and the plunger cannot be depressed any further.
Croatian: Polako i jednolično potiskujte klip sve dok ne primijenite cijelu dozu, a klip se ne može dalje potisnuti.
English: Patients should be monitored closely to ensure that the lowest approved dose of erythropoiesis-stimulating agent (ESA) is used to provide adequate control of the symptoms of anaemia.
Croatian: Bolesnike treba pažljivo pratiti kako bi se osigurala primjena najniže odobrene doze lijeka za stimulaciju eritropoeze (engl. erythropoiesis-stimulating agent, ESA) koja pruža odgovarajuću kontrolu simptoma anemije.
English: How to store Epoetin alfa HEXAL Contents of the pack and other information
Croatian: Kako čuvati Epoetin alfa HEXAL Sadržaj pakiranja i druge informacije
English: In that stratum, 20/40 (50%) subjects without prior transfusions demonstrated erythroid response during the first 24 weeks, compared with 7/31 (22.6%) subjects with prior transfusions (two subjects with prior transfusion reached primary endpoint based on reduction of RBC units transfused by an absolute number of at least 4 units every 8 weeks compared to the 8 weeks prior to baseline).
Croatian: U tom stratumu, 20/40 (50 %) ispitanika bez prethodnih transfuzija pokazalo je eritroidni odgovor tijekom prva 24 tjedna, u usporedbi sa 7/31 (22,6 %) ispitanika s prijašnjim transfuzijama (dva ispitanika s prijašnjom transfuzijom dosegla su primarnu mjeru ishoda na temelju smanjenja transfundiranih jedinica crvenih krvnih stanica za apsolutni broj od najmanje 4 jedinice svakih 8 tjedana u usporedbi s 8 tjedana prije početka liječenja).
English: Once the haemoglobin level is < 11 g/dL the dose can be restarted on the same dosing step or one dosing step down based on physician judgement.
Croatian: Kada razina hemoglobina padne na < 11 g/dl epoetin alfa se može ponovno početi primjenjivati uz dozu iz istog koraka u doziranju ili dozu iz jednog koraka niže, na temelju fizičke procjene.
English: • if you are due to have major elective orthopaedic surgery (such as hip or knee surgery), and you:
Croatian: • ako se pripremate za veliki elektivni ortopedski kirurški zahvat (kao što je operacija kuka ili koljena) i: • imate tešku bolest srca
English: Caution should be exercised with escalation of Epoetin alfa HEXAL doses in patients with chronic renal failure since high cumulative epoetin doses may be associated with an increased risk of mortality, serious cardiovascular and cerebrovascular events.
Croatian: Potreban je oprez pri povećavanju doza Epoetin alfa HEXALa u bolesnika s kroničnim zatajenjem bubrega, budući da visoke kumulativne doze epoetina mogu biti povezane s povećanim rizikom od smrtnosti, ozbiljnih kardiovaskularnih i cerebrovaskularnih događaja.
English: The percentage of subjects who were transfused in the epoetin alfa group decreased from 51.8% in the 8 weeks prior to baseline to 24.7% between weeks 16 and 24, compared to the placebo group which had an increase in transfusion rate from 48.9% to 54.1% over the same time periods.
Croatian: Postotak ispitanika koji su primili transfuziju u skupini liječenoj epoetinom alfa smanjio se s 51,8 % dobivenih za 8 tjedana prije početka liječenja na 24,7% dobivenih između tjedana 16 i 24, u usporedbi sa skupinom koja je primala placebo, a koja je imala povećanje u stopi transfuzije s 48,9 % na 54,1 % u istom razdoblju.
English: After injecting the liquid, remove the needle while maintaining pressure on the plunger and then let go of your skin.
Croatian: Nakon ubrizgavanja tekućine, izvucite iglu zadržavajući cijelo vrijeme pritisak na klip i potom pustite nabor kože.
English: A randomised prospective trial evaluated 1,432 anaemic chronic renal failure patients who were not undergoing dialysis.
Croatian: Randomiziranim prospektivnim ispitivanjem procijenjena su 1432 anemična bolesnika s kroničnim zatajenjem bubrega koji nisu bili na dijalizi.
English: In a double-blind, placebo-controlled, multicentre, quality of life study in CRF patients on haemodialysis, clinically and statistically significant improvement was shown in the patients treated with epoetin alfa compared to the placebo group when measuring fatigue, physical symptoms, relationships and depression (Kidney Disease Questionnaire) after six months of therapy.
Croatian: U dvostruko slijepom, placebom kontroliranom, multicentričnom ispitivanju kvalitete života u bolesnika s KZB na hemodijalizi dokazano je klinički i statistički značajno poboljšanje u bolesnika liječenih epoetinom alfa u usporedbi sa skupinom koja je primala placebo kad su se mjerili umor, tjelesni simptomi, odnosi i depresija (Upitnikom za oboljele od bubrežnih bolesti) nakon šest mjeseci terapije.
English: Epoetin alfa HEXAL can reduce the need for a blood transfusion in these patients.
Croatian: Epoetin alfa HEXAL može smanjiti potrebu za transfuzijom krvi u tih bolesnika.
English: - increased risk of death when administered to achieve a haemoglobin concentration level of 12 g/dL (7.5 mmol/L) in patients with active malignant disease receiving neither chemotherapy nor radiation therapy.
Croatian: - povećan rizik od smrti, kada se primjenjivao s ciljem postizanja vrijednosti koncentracije hemoglobina od 12 g/dl (7,5 mmol/l) u bolesnika s aktivnom malignom bolešću koji nisu primali ni kemoterapiju niti terapiju zračenjem.
English: Included were 228 epoetin alfa-treated CRF subjects in 4 chronic renal failure studies (2 studies in pre-dialysis [N = 131 exposed CRF subjects] and 2 in dialysis [N = 97 exposed CRF subjects]; 1,404 exposed cancer subjects in 16 studies of anaemia due to chemotherapy; 147 exposed subjects in 2 studies for autologous blood donation; 213 exposed subjects in 1 study in the perisurgical period, and 102 exposed subjects in 2 MDS studies.
Croatian: Uključeno je 228 ispitanika s kroničnim zatajenjem bubrega (KZB) liječenih epoetinom alfa u 4 ispitivanja kroničnog zatajenja bubrega (2 ispitivanja na ispitanicima prije dijalize [N = 131 izložen ispitanik s KZB] i 2 na ispitanicima na dijalizi [N = 97 izloženih ispitanika s KZB]); 1404 izložena ispitanika s rakom u 16 ispitivanja anemije zbog kemoterapije; 147 izloženih ispitanika u 2 ispitivanja doniranja autologne krvi; 213 izloženih ispitanika u 1 ispitivanju u perioperacijskom razdoblju i 102 izložena ispitanika u 2 ispitivanja MDS-a.
English: In 2 studies with extended interval dosing of epoetin alfa (3 times per week, once weekly, once every 2 weeks, and once every 4 weeks) some patients with longer dosing intervals did not maintain adequate haemoglobin levels and reached protocol-defined haemoglobin withdrawal criteria (0% in once weekly, 3.7% in once-every-2-weeks, and 3.3% in the once-every-4-weeks groups).
Croatian: U 2 ispitivanja s produljenim intervalom doziranja epoetina alfa (3 puta tjedno, jednom tjedno, jednom u 2 tjedna i jednom u 4 tjedna) neki bolesnici s duljim intervalom doziranja nisu održali odgovarajuće razine hemoglobina i dosegli protokolom definirane kriterije za izlazak iz ispitivanja na temelju hemoglobina (0 % u skupini koja je primala epoetina alfa jednom tjedno, 3,7 % u skupini koja ga je primala jednom u 2 tjedna i 3,3 % u skupini koja ga je primala jednom u 4 tjedna).
English: The incidence of bone marrow fibrosis was not increased in a study of haemodialysis patients who were treated with epoetin alfa for 3 years compared to a matched control group of dialysis patients who had not been treated with epoetin alfa.
Croatian: Incidencija fibroze koštane srži nije bila povišena u ispitivanju bolesnika na hemodijalizi koji su 3 godine bili liječeni epoetinom alfa u usporedbi s odgovarajućom kontrolnom skupinom bolesnika na dijalizi, koji nisu bili liječeni epoetinom alfa.
English: In female adult patients with metastatic breast cancer, subcutaneous co-administration of 40,000 IU/mL epoetin alfa with trastuzumab 6 mg/kg had no effect on the pharmacokinetics of trastuzumab.
Croatian: U odraslih bolesnica s metastatskim rakom dojke, istovremena supkutana primjena 40 000 IU/ml epoetina alfa sa 6 mg/kg trastuzumaba nije utjecala na farmakokinetiku trastuzumaba.
English: Available evidence suggests patients with haematological malignancies and solid tumours respond equivalently to epoetin alfa therapy, and that patients with or without tumour infiltration of the bone marrow respond equivalently to epoetin alfa therapy.
Croatian: Dostupni dokazi upućuju na to da bolesnici s hematološkim zloćudnim bolestima i solidnim tumorima jednako odgovaraju na terapiju epoetinom alfa te da bolesnici sa ili bez tumorske infiltracije koštane srži jednako odgovaraju na terapiju epoetinom alfa.
English: In patients developing sudden lack of efficacy defined by a decrease in haemoglobin (1 to 2 g/dL or 0.62 to 1.25 mmol/L per month) with increased need for transfusions, a reticulocyte count should be obtained and typical causes of non-response (e.g. iron, folate or vitamin B12 deficiency, aluminium intoxication, infection or inflammation, blood loss, haemolysis and bone marrow fibrosis of any origin) should be investigated.
Croatian: U bolesnika u kojih se iznenada razvije nedostatak djelotvornosti, definirane sniženjem vrijednosti hemoglobina (1 do 2 g/dl ili 0,62 do 1,25 mmol/l na mjesec) uz povećanu potrebu za transfuzijama, potrebno je odrediti broj retikulocita i ispitati tipične uzroke izostanka odgovora (npr. nedostatak željeza, folata ili vitamina B12, intoksikacija aluminijem, infekcija ili upala, gubitak krvi, hemoliza i fibroza koštane srži bilo kojeg porijekla).
English: Precautions to be taken before handling or administering the medicinal product.
Croatian: Potreban je oprez pri rukovanju ili primjeni lijeka.
English: 1 Common in dialysis 2 Includes arterial and venous, fatal and non fatal events, such as deep venous thrombosis, pulmonary emboli, retinal thrombosis, arterial thrombosis (including myocardial infarction), cerebrovascular accidents (including cerebral infarction and cerebral haemorrhage) transient ischaemic attacks, and shunt thrombosis (including dialysis equipment) and thrombosis within arteriovenous shunt aneurisms 3 Addressed in the subsection below and/or in section 4.4
Croatian: 2 Uključuje arterijske i venske događaje sa smrtnim ishodom i bez njega, kao što su duboka venska tromboza, plućna embolija, tromboza retinalne vene, arterijska tromboza (uključujući infarkt miokarda), cerebrovaskularni incidenti (uključujući moždani udar i moždano krvarenje), tranzitorne ishemijske atake i tromboza arteriovenskog spoja (uključujući opremu za dijalizu) te tromboza u aneurizmama arteriovenskog spoja 3 Opisano u odlomku ispod i/ili u dijelu 4.4
English: Epoetin alfa HEXAL can reduce the need for a blood transfusion.
Croatian: Epoetin alfa HEXAL može smanjiti potrebu za transfuzijom krvi.
English: In order to ensure optimum response to epoetin alfa, adequate iron stores should be assured and iron supplementation should be administered if necessary (see section 4.2):
Croatian: Kako bi se osigurao optimalan odgovor na epoetin alfa, treba osigurati odgovarajuće zalihe željeza te, ako je potrebno, uvesti nadomjestak željeza (vidjeti dio 4.2):
English: This regresses during the course of continued therapy.
Croatian: To se povlači s nastavkom liječenja.
English: In the open-label study there was no difference in overall survival between patients treated with recombinant human erythropoietin and controls.
Croatian: U otvorenom ispitivanju nije bilo razlike u ukupnom preživljenju između bolesnika liječenih rekombinantnim humanim eritropoetinom i kontrolnih ispitanika.
English: Hypertensive crisis3
Croatian: često hipertenzivna kriza3
English: Stop using Epoetin alfa HEXAL if you develop these symptoms and contact your doctor or seek medical attention immediately.
Croatian: Prestanite primjenjivati lijek Epoetin alfa HEXAL u slučaju nastanka tih simptoma i odmah se obratite svojem liječniku ili potražite medicinsku pomoć.
English: Epoetin alfa HEXAL may be given by injection:
Croatian: Epoetin alfa HEXAL se može dati injekcijom:
English: Hypertensive crisis with encephalopathy and seizures, requiring the immediate attention of a physician and intensive medical care, have occurred also during epoetin alfa treatment in patients with previously normal or low blood pressure.
Croatian: Hipertenzivne krize s encefalopatijom i napadajima, koje su zahtijevale hitnu liječničku pomoć i intenzivno liječenje, nastale su i tijekom liječenja epoetinom alfa u bolesnika s prethodno normalnim ili niskim krvnim tlakom.
English: The role of ESAs on tumour progression or reduced progression-free survival cannot be excluded.
Croatian: Uloga lijekova za stimulaciju eritropoeze u progresiji tumora ili smanjenom preživljenju bez progresije bolesti ne može se isključiti.
English: Epoetin alfa HEXAL is indicated in adults in a predonation programme to increase the yield of autologous blood.
Croatian: Epoetin alfa HEXAL je indiciran u odraslih u predonacijskom programu za povećanje količine autologne krvi.
English: Prolonged vigorous shaking may damage the product.
Croatian: Duže snažno protresanje može oštetiti lijek.
English: Solution for injection in a pre-filled syringe (injection) Clear, colourless solution
Croatian: Otopina za injekciju u napunjenoj štrcaljki (injekcija) Bistra, bezbojna otopina
English: The desired haemoglobin concentration range was 9.6 to 11.2 g/dL.
Croatian: Željeni raspon koncentracije hemoglobina bio je 9,6 do 11,2 g/dl.
English: Treatment should only be given to patients with moderate anaemia (haemoglobin [Hb] concentration range between 10 to 13 g/dL [6.2 to 8.1 mmol/L], no iron deficiency), if blood saving procedures are not available or insufficient when the scheduled major elective surgery requires a large volume of blood (4 or more units of blood for females or 5 or more units for males).
Croatian: Lijek se smije davati samo bolesnicima s umjerenom anemijom (koncentracije hemoglobina [Hb] u rasponu između 10 i 13 g/dl [6,2-8,1 mmol/l], bez nedostatka željeza), ako postupci pohrane krvi nisu dostupni ili su nedostatni, kada je za planirani veliki elektivni kirurški zahvat potreban veliki volumen krvi (4 ili više jedinica krvi za žene ili 5 ili više jedinica za muškarce).
English: Following intravenous administration of epoetin alfa in subjects with chronic renal failure, the volume of distribution ranged from 57-107 mL/kg after single dosing (12 IU/kg) to 4264 mL/kg after multiple dosing (48-192 IU/kg), respectively.
Croatian: Nakon intravenske primjene epoetina alfa u ispitanika s kroničnim zatajenjem bubrega, volumen distribucije je bio u rasponu 57-107 ml/kg nakon jednokratne doze (12 IU/kg), odnosno 42-64 ml/kg nakon višestrukih doza (48-192 IU/kg).
English: Epoetin alfa has been shown to stimulate red blood cell production in order to augment autologous blood collection, and to limit the decline in haemoglobin in adult patients scheduled for major elective surgery who are not expected to predeposit their complete perioperative blood needs.
Croatian: Dokazano je da epoetin alfa stimulira stvaranje crvenih krvnih stanica kako bi se povećala količna prikupljene autologne krvi i da ograničava pad hemoglobina u odraslih bolesnika predviđenih za veliki elektivni kirurški zahvat koji ne trebaju prethodno pohraniti potrebnu količinu krvi za perioperacijsko razdoblje.
English: • epileptic seizures or fits;
Croatian: • epileptičkih napadaja;
English: The recommended dose is Epoetin alfa HEXAL 600 IU/kg, administered subcutaneously weekly for three weeks (days -21, -14 and -7) prior to surgery and on the day of surgery (day 0).
Croatian: Preporučena doza Epoetin alfa HEXALa je 600 IU/kg, koja se primjenjuje supkutano svakog tjedna tijekom tri tjedna (dani -21, -14 i -7) prije kirurškog zahvata i na sam dan kirurškog zahvata (dan 0).
English: Where intravenous access is not readily available (patients not yet undergoing dialysis and peritoneal dialysis patients) Epoetin alfa HEXAL may be administered as a subcutaneous injection.
Croatian: Kada intravenski pristup nije lako dostupan (bolesnici koji još nisu na dijalizi i bolesnici na peritonealnoj dijalizi), Epoetin alfa HEXAL se može primijeniti supkutanom injekcijom.
English: The half-life for the subcutaneous route is estimated to be approximately 24 hours in healthy subjects.
Croatian: Poluvijek kod supkutanog puta primjene procjenjuje se na približno 24 sata u zdravih ispitanika.
English: The studies either recruited patients who were being treated with chemotherapy (two studies) or used patient populations in which ESAs are not indicated: anaemia in patients with cancer not receiving chemotherapy, and head and neck cancer patients receiving radiotherapy.
Croatian: Ispitivanja su uključila ili bolesnike koji su bili liječeni kemoterapijom (dva ispitivanja) ili populacije bolesnika u kojih lijekovi za stimulaciju eritropoeze nisu bili indicirani: anemija u onkoloških bolesnika koji ne primaju kemoterapiju i bolesnika s rakom glave i vrata koji primaju terapiju zračenjem.
English: Use should be restricted to patients with moderate anaemia (e.g. haemoglobin concentration range between 10 to 13 g/dL or 6.2 to 8.1 mmol/L) who do not have an autologous predonation programme available and with expected moderate blood loss (900 to 1,800 mL).
Croatian: Primjena mora biti ograničena na bolesnike s umjerenom anemijom (npr. koncentracije hemoglobina u rasponu između 10 i 13 g/dl ili 6,2 i 8,1 mmol/l) kojima nije dostupan program autologne predonacije i u kojih se očekuje umjereni gubitak krvi (900 do 1800 ml).
English: *Pack size of 1, 4 or 6 pre-filled syringe(s) with or without a needle safety guard.
Croatian: *Veličina pakiranja od 1, 4 ili 6 napunjenih štrcaljki sa ili bez zaštitnog mehanizma za iglu.
English: If epoetin alfa is given concomitantly with cyclosporin, blood levels of cyclosporin should be monitored and the dose of cyclosporin adjusted as the haematocrit rises.
Croatian: Ako se epoetin alfa daje istodobno s ciklosporinom, treba nadzirati razine ciklosporina u krvi i prilagoditi dozu ciklosporina prema rastu hematokrita.
English: The effect of epoetin alfa in facilitating autologous blood donation in patients with low haematocrits (≤ 39% and no underlying anaemia due to iron deficiency) scheduled for major orthopaedic surgery was evaluated in a double-blind, placebo-controlled study conducted in 204 patients, and a single-blind placebo controlled study in 55 patients.
Croatian: Učinak epoetina alfa na olakšavanje donacije autologne krvi u bolesnika s niskim hematokritom (≤ 39 % i bez podležeće anemije zbog nedostatka željeza) predviđenih za veliki ortopedski kirurški zahvat ocijenjen je u dvostruko slijepom, placebom kontroliranom ispitivanju provedenom na 204 bolesnika i jednostruko slijepom, placebom kontroliranom ispitivanju na 55 bolesnika.
English: Lek Pharmaceuticals d.d.
Croatian: Lek Pharmaceuticals d.d. Kolodvorska 27
English: If you are given a product in this group other than Epoetin alfa HEXAL during your treatment, speak to your doctor or pharmacist before using it.
Croatian: Ako za vrijeme liječenja dobijete neki drugi lijek iz ove skupine koji nije Epoetin alfa HEXAL, razgovarajte o tome sa svojim liječnikom ili ljekarnikom prije nego što ga uzmete.
English: Epoetin alfa 600 IU/kg (administered intravenously or subcutaneously once weekly) has been evaluated in a randomised, double-blind, placebo-controlled, 16-week study and in a randomised, controlled, open-label, 20-week study in anaemic paediatric patients receiving myelosuppressive chemotherapy for the treatment of various childhood non-myeloid malignancies.
Croatian: Epoetin alfa 600 IU/kg (primijenjen intravenski ili supkutano jedanput tjedno) bio je ocijenjen u jednom randomiziranom, dvostruko slijepom, placebom kontroliranom 16-tjednom ispitivanju i jednom randomiziranom, kontroliranom, otvorenom 20-tjednom ispitivanju u anemičnih pedijatrijskih bolesnika koji su primali mijelosupresivnu kemoterapiju za liječenje različitih nemijeloidnih zloćudnih bolesti dječje dobi.
English: The most frequent adverse drug reaction during treatment with epoetin alfa is a dose-dependent increase in blood pressure or aggravation of existing hypertension.
Croatian: Sažetak sigurnosnog profila Najčešća nuspojava na lijek tijekom liječenja epoetinom alfa je o dozi ovisno povišenje krvnog tlaka ili pogoršanje postojeće hipertenzije.
English: What you need to know before you use Epoetin alfa HEXAL
Croatian: Što morate znati prije nego počnete primjenjivati Epoetin alfa HEXAL
English: A major cardiovascular event (death, myocardial infarction, stroke or hospitalisation for congestive heart failure) occurred among 125 (18%) of the 715 patients in the higher haemoglobin group compared to 97 (14%) among the 717 patients in the lower haemoglobin group (hazard ratio [HR] 1.3, 95% CI: 1.0, 1.7, p = 0.03).
Croatian: Veliki kardiovaskularni događaj (smrt, infarkt miokarda, moždani udar ili hospitalizacija zbog kongestivnog zatajenja srca) nastao je u 125 (18 %) od 715 bolesnika u skupini s višom razinom hemoglobina u usporedbi s 97 (14 %) od 717 bolesnika u skupini s nižom razinom hemoglobina (omjer hazarda [HR] 1,3; 95 % CI: 1,0; 1,7; p = 0,03).
English: Epoetin alfa HEXAL should be administered by the intravenous route.
Croatian: Epoetin alfa HEXAL treba primjenjivati intravenskim putem.
English: The desired haemoglobin concentration level in two studies was > 13 g/dL (8.1 mmol/L); in the remaining three studies it was 12 to 14 g/dL (7.5 to 8.7 mmol/L).
Croatian: Željena razina koncentracije hemoglobina u dva ispitivanja bila je > 13 g/dl (8,1 mmol/l); u preostala tri ispitivanja bila je 12 do 14 g/dl (7,5 do 8,7 mmol/l).
English: • after the expiry date on the label and outer carton
Croatian: • nakon isteka roka valjanosti na naljepnici i vanjskom pakiranju
English: • Respiratory tract congestion, such as stuffy nose and sore throat, has been reported in patients with kidney disease not yet on dialysis.
Croatian: • Kongestija dišnih puteva poput začepljenog nosa i bolnog grla prijavljena je u bolesnika s bolešću bubrega koji još nisu na dijalizi.
English: A tendency towards increased risk estimates for all-cause mortality, cardiovascular and cerebrovascular events associated with higher cumulative ESA doses independent of the diabetes or dialysis status was observed (see section 4.2 and section 4.4).
Croatian: Uočena je tendencija povećanja procijenjenog rizika od smrtnosti bilo kojeg uzroka, te rizika od kardiovaskularnih i cerebrovaskularnih događaja povezanih s višim kumulativnim dozama lijeka za stimulaciju eritropoeze neovisno o prisutnosti šećerne bolesti ili statusu dijalize (vidjeti dio 4.2 i 4.4).
English: Erythroid response was defined according to International Working Group (IWG) 2006 criteria as a haemoglobin increase ≥ 1.5 g/dL from baseline or a reduction of RBC units transfused by an absolute number of at least 4 units every 8 weeks compared to the 8 weeks prior to baseline, and a response duration of at least 8 weeks.
Croatian: International Working Group, IWG) iz 2006. kao povećanje hemoglobina ≥ 1,5 g/dl od početne vrijednosti ili smanjenje transfundiranih jedinica crvenih krvnih stanica za apsolutni broj od najmanje 4 jedinice svakih 8 tjedana u usporedbi s onim za 8 tjedana prije početka liječenja i trajanje odgovora od najmanje 8 tjedana.