natgillin/translations-raw huggingface dataset:
I et af de 3 pivotale studier, hvor en median opfølgningstid på 5,5 år var tilgængelig (BCIRG 006), blev der observeret en kontinuerlig stigning i det samlede antal af symptomatiske kardielle eller LVEF hændelser hos patienter, som fik trastuzumab administreret samtidig med et taxan efter antracyklinbehandling, på op til 2,37 %, sammenlignet med ca. 1 % i de to komparatorarme (antracyklin plus cyclophosphamid efterfulgt af taxan; taxan, carboplatin og trastuzumab).
In one of the 3 pivotal studies conducted in which a median follow-up of 5.5 years was available (BCIRG 006) a continuous increase in the cumulative rate of symptomatic cardiac or LVEF events was observed in patients who were administered trastuzumab concurrently with a taxane following anthracycline therapy up to 2.37% compared to approximately 1% in the two comparator arms (anthracycline plus cyclophosphamide followed by taxane and taxane, carboplatin and trastuzumab).
• infektion i blodet
• blood infection
Der er ingen tilgængelige resultater, der sammenligner virkningen af trastuzumab, administreret med kemoterapi i den adjuverende behandling, med virkningen i den neoadjuverende-adjuverende behandling.
So far, no results are available which compare the efficacy of trastuzumab administered with chemotherapy in the adjuvant setting with that obtained in the neo-adjuvant/adjuvant setting.
Hos patienter med tidlig brystkræft, som er egnede til neoadjuverende-adjuverende behandling, bør KANJINTI kun bruges samtidig med antracykliner hos kemoterapi-naive patienter og kun i regimer med lave antracyklindoser dvs. maksimale kumulative doser af doxorubicin 180 mg/m2 eller epirubicin 360 mg/m2.
In patients with EBC eligible for neoadjuvant-adjuvant treatment, KANJINTI should be used concurrently with anthracyclines only in chemotherapy-naive patients and only with low-dose anthracycline regimens i.e. maximum cumulative doses of doxorubicin 180 mg/m2 or epirubicin 360 mg/m2.
Patienter, som får antracykliner efter ophør af KANJINTI-behandling, kan muligvis have øget risiko for kardiel dysfunktion.
Patients who receive anthracyclines after stopping KANJINTI may possibly be at increased risk of cardiac dysfunction.
Alle kandidater til behandling med KANJINTI, men specielt de som tidligere har fået antracykliner og cyclophosphamid (AC), skal have foretaget en kardiel vurdering ved baseline, inklusive anamnese og objektiv undersøgelse, elektrokardiogram (ekg), ekkokardiografi, og/eller MUGA-scanning eller magnetisk resonansscanning.
All candidates for treatment with KANJINTI, but especially those with prior anthracycline and cyclophosphamide (AC) exposure, should undergo baseline cardiac assessment including history and physical examination, electrocardiogram (ECG), echocardiogram, and/or multigated acquisition (MUGA) scan or magnetic resonance imaging.
Ved et fald i LVEF på ≥ 10 point fra baseline OG til under 50 %, bør behandlingen seponeres, og en ny LVEF-måling udføres inden for ca. 3 uger.
If LVEF percentage drops ≥ 10 points from baseline AND to below 50%, treatment should be suspended and a repeat LVEF assessment performed within approximately 3 weeks.
Se produktresuméet for paclitaxel, docetaxel eller aromatasehæmmer for information om reduktion af dosis eller udsættelse af behandlingen.
Refer to the SmPC for paclitaxel, docetaxel or aromatase inhibitor for information on dose reduction or delays.
+Hypoksi
+Hypoxia
Efterfølgende vedligeholdelsesdoser af KANJINTI (henholdsvis ugentligt doseringsregime: 2 mg/kg; 3-ugers doseringsregime: 6 mg/kg) bør administreres 7 eller 21 dage senere i henhold til henholdsvis ugentlige eller 3-ugers doseringsregimer.
Subsequent KANJINTI maintenance doses (weekly regimen: 2 mg/kg; three-weekly regimen 6 mg/kg respectively) should be administered 7 days or 21 days later according to the weekly or three-weekly schedules respectively.
Patienter med metastatisk brystkræft og tidlig brystkræft havde sammenlignelige farmakokinetiske parametre (f.eks. clearance, distributionsvolumen for det centrale kompartment (Vc)) og populations-forudsagte steady-state eksponeringer (Cmin, Cmax og AUC).
MBC and EBC patients had similar PK parameters (e.g. clearance (CL), the central compartment volume (Vc)) and population-predicted steady-state exposures (Cmin, Cmax and AUC).
- i kombination med neoadjuverende kemoterapi efterfulgt af adjuverende KANJINTI-behandling for lokalt avanceret (herunder inflammatorisk) sygdom eller tumorer > 2 cm i diameter (se pkt.
- in combination with neoadjuvant chemotherapy followed by adjuvant KANJINTI therapy, for locally advanced (including inflammatory) disease or tumours > 2 cm in diameter (see sections 4.4 and 5.1).
Risikofaktorer for interstitiel lungesygdom omfatter tidligere eller samtidig behandling med andre anti-neoplastiske stoffer, som er kendt for at være forbundet med interstitiel lungesygdom, såsom taxaner, gemcitabin, vinorelbin og strålebehandling.
Risk factors associated with interstitial lung disease include prior or concomitant therapy with other antineoplastic therapies known to be associated with it such as taxanes, gemcitabine, vinorelbine and radiation therapy.
Renal hypoplasi
Renal hypoplasia
Det skal du vide, før du får KANJINTI
What you need to know before you are given KANJINTI
Sygdomsfri overlevelse Antal patienter med en hændelse (%)
Disease-free survival No. patients with event (%)
Patienter med metastatisk brystkræft, som tidligere har fået antracykliner, er også i risikogruppe for kardiel dysfunktion ved KANJINTI-behandling, selvom risikoen er lavere end ved samtidig brug af KANJINTI og antracykliner.
Patients with MBC who have previously received anthracyclines are also at risk of cardiac dysfunction with KANJINTI treatment, although the risk is lower than with concurrent use of KANJINTI and anthracyclines.
Hvis patienten har vedvarende nedsat venstre ventrikelfunktion, men forbliver asymptomatisk, bør lægen overveje at seponere KANJINTI, hvis der ikke ses nogen klinisk fordel.
If patients have a continued decrease in left ventricular function, but remain asymptomatic, the physician should consider discontinuing therapy if no clinical benefit of KANJINTI therapy has been seen.
Parenterale lægemidler skal inspiceres visuelt for partikler og misfarvning inden administration.
Parenteral medicinal products should be inspected visually for particulate matter and discolouration prior to administration.
Trastuzumab er et rekombinant humant IgG1 monoklonalt antistof mod den humane epidermale vækstfaktorreceptor 2 (HER2).
Trastuzumab is a recombinant humanised IgG1 monoclonal antibody against the human epidermal growth factor receptor 2 (HER2).
I den neoadjuverende-adjuverende behandling var studie MO16432, et multicenter randomiseret studie, designet til at undersøge den kliniske virkning af samtidig administration af trastuzumab og neoadjuverende kemoterapi inkluderende både et antracyklin og et taxan, efterfulgt af adjuverende trastuzumab til en total behandlingsvarighed på 1 år.
In the neoadjuvant-adjuvant treatment setting, study MO16432, a multicentre randomised trial, was designed to investigate the clinical efficacy of concurrent administration of trastuzumab with neoadjuvant chemotherapy including both an anthracycline and a taxane, followed by adjuvant trastuzumab, up to a total treatment duration of 1 year.
Patienter med tidlig brystkræft bør behandles med KANJINTI i 1 år, eller indtil sygdommen recidiverer afhængigt af, hvad der forekommer først; forlængelse af behandling af tidlig brystkræft udover et år anbefales ikke (se pkt.
Patients with EBC should be treated with KANJINTI for 1 year or until disease recurrence, whichever occurs first; extending treatment in EBC beyond one year is not recommended (see section 5.1).
En svag/lige akkurat synlig membranøs reaktivitet i ≥ 10 % af tumorcellerne; cellerne er kun reaktive i dele af deres membran
Faint/barely perceptible membranous reactivity in ≥ 10% of tumour cells; cells are reactive only in part of their membrane
Hvis patienten undlader en dosis af KANJINTI i mere end en uge, bør der administreres en ny støddosis af KANJINTI over ca. 90 minutter (ugentligt doseringsregime: 4 mg/kg; 3-ugers doseringsregime: 8 mg/kg) så hurtigt som muligt.
If the patient has missed a dose of KANJINTI by more than one week, a re-loading dose of KANJINTI should be administered over approximately 90 minutes (weekly regimen: 4 mg/kg; three-weekly regimen: 8 mg/kg) as soon as possible.
KANJINTI hætteglas
KANJINTI vial
Trastuzumab er også blevet anvendt i kombination med paclitaxel eller docetaxel til behandling af patienter, som ikke har fået kemoterapi for deres metastatiske sygdom.
Trastuzumab has also been used in combination with paclitaxel or docetaxel for the treatment of patients who have not received chemotherapy for their metastatic disease.
Primær tumor type
Primary tumour type
En endelig analyse blev udført efter en median opfølgning på 8 år, hvilket viste, at 1 års trastuzumab-behandling er associeret med 24 % risikoreduktion sammenlignet med observation alene (hazard ratio = 0,76; 95 % konfidensinterval: 0,67-0,86).
A final analysis was performed after a median follow-up of 8 years, which showed that 1 year trastuzumab treatment is associated with a 24% risk reduction compared to observation only (HR = 0.76, 95% CI 0.67, 0.86).
• smerter, hævelse, rødme eller snurren i hænder og/eller fødder
• pain, swelling, redness or tingling of hands and/or feet
De er meget almindelige (kan forekomme hos flere end 1 ud af 10 patienter).
These are very common (may affect more than 1 in 10 people).
Der må ikke anvendes glukoseopløsninger (se pkt.
Do not use with glucose-containing solutions (see section 6.2).
Kombinationsbehandling med trastuzumab og anastrozol Trastuzumab er blevet undersøgt i kombination med anastrozol ved 1. linjebehandling af metastatisk brystkræft hos HER2-positive, hormon-receptor-positive (dvs. østrogen-receptor og/eller progesteron-receptor) postmenopausale patienter.
Combination treatment with trastuzumab and anastrozole Trastuzumab has been studied in combination with anastrozole for first line treatment of MBC in HER2 overexpressing, hormone-receptor (i.e. oestrogen-receptor (ER) and/or progesterone-receptor (PR)) positive postmenopausal patients.
Den testmetode for overekspression af HER2, som blev brugt til at bestemme patienternes egnethed i det pivotale studie med trastuzumab-monoterapi og i de kliniske studier med trastuzumab plus paclitaxel, anvendte immunhistokemisk farvning for HER2 af fikseret materiale fra brysttumorer ved hjælp af de murine monoklonale antistoffer CB11 og 4D5.
The test method for HER2 overexpression used to determine eligibility of patients in the pivotal trastuzumab monotherapy and trastuzumab plus paclitaxel clinical trials employed immunohistochemical staining for HER2 of fixed material from breast tumours using the murine monoclonal antibodies CB11 and 4D5.
I et efterfølgende studie med prospektiv monitorering af hjertefunktionen var incidensen af symptomatisk kongestiv hjerteinsufficiens 2,2 % hos patienter, der fik trastuzumab og docetaxel, sammenlignet med 0 % hos patienter, der fik doxetaxel alene.
In a subsequent trial with prospective monitoring of cardiac function, the incidence of symptomatic CHF was 2.2% in patients receiving trastuzumab and docetaxel, compared with 0% in patients receiving docetaxel alone.
eller - intravenøs docetaxel - 75 mg/m2 som intravenøs-infusion over 1 time, administreret hver 3. uge i 6 serier (dag 2 i serie 1, derefter dag 1 i hver af de efterfølgende serier) som blev efterfulgt af: - carboplatin - ved tilsigtet AUC = 6 mg/ml/min administreret som intravenøs infusion over
or - intravenous docetaxel - 75 mg/m2 as an intravenous infusion over 1 hour, given every 3 weeks for 6 cycles (day 2 of cycle 1, then day 1 of each subsequent cycle) which was followed by: - carboplatin - at target AUC = 6 mg/mL/min administered by intravenous infusion over
Farmakokinetiske data fra studie H4613g/GO01305 tydede på, at carboplatin ikke påvirkede trastuzumabs farmakokinetik.
Pharmacokinetic data from Study H4613g/GO01305 suggested that carboplatin had no impact on the PK of trastuzumab.
Trastuzumab kan have en mindre påvirkning på evnen til at føre motorkøretøj og betjene maskiner (se pkt.
Trastuzumab may have a minor influence on the ability to drive or use machines (see section 4.8).
Antineoplastiske stoffers påvirkning af trastuzumabs farmakokinetik
Effect of antineoplastic agents on trastuzumab pharmacokinetics
Disse bivirkninger er set hos patienter, som behandles med trastuzumab alene eller i kombination med paclitaxel eller docetaxel, specielt efter kemoterapi indeholdende antracyklin (doxorubicin eller epirubicin).
These events have been observed in patients receiving trastuzumab therapy alone or in combination with paclitaxel or docetaxel, particularly following anthracycline (doxorubicin or epirubicin) containing chemotherapy.
Generelt anses SISH eller FISH for at være positive, hvis forholdet mellem antallet af HER2-genkopier per tumorcelle og antallet af kromosom 17-kopier er større end eller lig med 2.
In general, SISH or FISH is considered positive if the ratio of the HER2 gene copy number per tumour cell to the chromosome 17 copy number is greater than or equal to 2.
Der var ingen tidsmæssige restriktioner for administrationen af trastuzumab og anastrozol (se dosis i produktresuméet for anastrazol eller andre aromatasehæmmere).
There were no restrictions on the relative timing of trastuzumab and anastrozole at administration (for dose, see the SmPC for anastrozole or other aromatase inhibitors).
KANJINTI er kun beregnet til intravenøs anvendelse.
KANJINTI is for intravenous use only.
Pulmonal hypoplasi
Pulmonary hypoplasia
+Bronkospasmer
+Bronchospasm
Det er vist in vitro, at trastuzumab-medieret ADCC fortrinsvis virker på cancerceller med overekspression af HER2 sammenlignet med celler, som ikke har overekspression af HER2.
In vitro, trastuzumab-mediated ADCC has been shown to be preferentially exerted on HER2 overexpressing cancer cells compared with cancer cells that do not overexpress HER2.
- i kombination med en aromatasehæmmer til behandling af postmenopausale patienter med hormon-receptor-positiv metastatisk brystkræft, der ikke tidligere er blevet behandlet med trastuzumab.
- in combination with an aromatase inhibitor for the treatment of postmenopausal patients with hormone-receptor positive MBC, not previously treated with trastuzumab.
I 3 pivotale kliniske studier, hvor adjuverende trastuzumab blev administreret i kombination med kemoterapi, var hyppigheden af kardiel dysfunktion af grad 3/4 (især symptomatisk kongestiv hjerteinsufficiens) tilsvarende hos patienter, der fik administreret kemoterapi alene (dvs. som ikke fik trastuzumab), som hos patienter, der fik trastuzumab sekventielt til taxan (0,3-0,4 %).
In 3 pivotal clinical trials of adjuvant trastuzumab given in combination with chemotherapy, the incidence of grade 3/4 cardiac dysfunction (specifically symptomatic congestive heart failure) was similar in patients who were administered chemotherapy alone (i.e. did not receive trastuzumab) and in patients who were administered trastuzumab sequentially to a taxane (0.3-0.4%).
KANJINTI intravenøs formulering er ikke beregnet til subkutan administration og må kun administreres ved intravenøs infusion.
KANJINTI intravenous formulation is not intended for subcutaneous administration and should be administered via an intravenous infusion only.
Ingen reaktivitet eller membranøs reaktivitet i nogen tumorcelle
No reactivity or membranous reactivity in any tumour cell
I BCIRG 006-studiet havde 213/1.075 patienter i DCarbH (TCH)-armen, 221/1.074 patienter i AC→DH (AC→TH)-armen og 217/1.073 patienter i AC→D (AC→T)-armen en Karnofsky performance status ≤ 90 (enten 80 eller 90).
In study BCIRG 006, 213/1075 patients in the DCarbH (TCH) arm, 221/1074 patients in the AC→DH (AC→TH) arm, and 217/1073 in the AC→D (AC→T) arm had a Karnofsky performance status ≤ 90 (either 80 or 90).
Kardiogent shock
Cardiogenic shock
Behandling med AC→PH resulterede i en statistisk signifikant forbedring af samlet overlevelse sammenlignet med AC→P (stratificeret hazard ratio = 0,64; 95 % konfidensinterval = 0,55-0,74; log-rank p-værdi < 0,0001).
Treatment with AC→PH resulted in a statistically significant improvement in OS compared with AC→P (stratified HR = 0.64; 95% CI [0.55, 0.74]; log-rank p-value < 0.0001).
+Lungeinfiltrater
+Lung infiltration
- Studie BO16348 var designet til at sammenligne 1 og 2-års trastuzumab-behandling hver 3. uge versus observation hos patienter med HER2-positiv tidlig brystkræft efter operation, standard-kemoterapi og strålebehandling (hvis indiceret).
- Study BO16348 was designed to compare one and two years of three-weekly trastuzumab treatment versus observation in patients with HER2 positive EBC following surgery, established chemotherapy and radiotherapy (if applicable).
For at undgå fejlmedicinering er det også vigtigt at kontrollere hætteglassets etiket for at sikre, at det præparat, som klargøres og gives, er KANJINTI (trastuzumab) og ikke trastuzumabemtansin.
In order to prevent medication errors it is important to check the vial labels to ensure that the medicine being prepared and given is KANJINTI (trastuzumab) and not trastuzumab emtansine.
I det neoadjuverende-adjuverende studie af tidlig brystkræft (BO22227) udviklede 10,1 % (30/296) af de patienter, der blev behandlet med intravenøs trastuzumab, antistoffer mod trastuzumab ved en median opfølgningstid på mere end 70 måneder.
In the neoadjuvant-adjuvant EBC study (BO22227), at a median follow-up exceeding 70 months, 10.1% (30/296) of patients treated with trastuzumab intravenous developed antibodies against trastuzumab.
+ Angiver bivirkninger, som er blevet rapporteret i forbindelse med en letal udgang.
+ Denotes adverse reactions that have been reported in association with a fatal outcome.
150 mg trastuzumab, som skal opløses i 7,2 ml vand til injektionsvæsker, eller
• 150 mg trastuzumab that has to be dissolved in 7.2 mL of water for injection, or
Kvinder i den fertile alder skal rådes til at bruge sikker prævention under behandlingen med KANJINTI og i 7 måneder efter afslutning af behandlingen (se pkt.
Women of childbearing potential should be advised to use effective contraception during treatment with KANJINTI and for 7 months after treatment has concluded (see section 5.2).
Samlet CLinterval fra Cmax,ss til Cmin,ss
Total CL range from Cmax,ss to Cmin,ss
De ikke-lineære eliminations-parametre var 8,81 mg/dag for den maksimale eliminationshastighed (Vmax) og 8,92 mikrogram/ml for Michaelis-Menten kontanten (Km) hos patienter med metastatisk brystkræft, tidlig brystkræft eller fremskreden ventrikelkræft.
The non-linear elimination parameter values were 8.81 mg/day for the maximum elimination rate (Vmax) and 8.92 μg/mL for the Michaelis-Menten constant (Km) for the MBC, EBC, and AGC patients.
Hvis venstre ventrikel ejektionsfraktion (LVEF) falder ≥ 10 point fra baseline OG til under 50 %, skal behandlingen afbrydes, og LVEF-vurdering gentages inden for ca. 3 uger.
If left ventricular ejection fraction (LVEF) percentage drops ≥ 10 points from baseline AND to below 50%, treatment should be suspended and a repeat LVEF assessment performed within approximately
Post-hoc eksplorativ analyse med sygdomsfri overlevelse og symptomatiske kardielle hændelser længerevarende opfølgning** hazard ratio 95 % CI A: doxorubicin; C: cyclophosphamid; P: paclitaxel; D: docetaxel; Carb: carboplatin; H: trastuzumab; CI = konfidensinterval * På tidspunktet for den endelige analyse af sygdomsfri overlevelse.
Post-hoc exploratory analysis with DFS and symptomatic cardiac events Long term follow-up** Hazard ratios (95% CI) A: doxorubicin; C: cyclophosphamide; P: paclitaxel; D: docetaxel; Carb: carboplatin; H: trastuzumab CI = confidence interval * At the time of the definitive analysis of DFS.
1) Anvend en steril sprøjte og injicer langsomt den beregnede mængde (som angivet ovenfor) sterilt vand til injektionsvæsker i hætteglasset, som indeholder det frysetørrede KANJINTI, idet strålen rettes mod det frysetørrede kompakte pulver.
1) Using a sterile syringe, slowly inject the appropriate volume (as noted above) of sterile water for injections in the vial containing the lyophilised KANJINTI, directing the stream into the lyophilised cake.
I studie BO16348 var incidensen af svær kongestiv hjerteinsufficiens (NYHA-klasse III & IV) efter 1 års trastuzumab-behandling 0,8 % efter en median opfølgning på 8 år, og hyppigheden af let symptomatisk og asymptomatisk dysfunktion af venstre ventrikel var 4,6 %.
In study BO16348, after a median follow-up of 8 years the incidence of severe CHF (NYHA class III & IV) in the trastuzumab 1 year treatment arm was 0.8%, and the rate of mild symptomatic and asymptomatic left ventricular dysfunction was 4.6%.
Hvis du har metastatisk mavekræft
If you have metastatic gastric cancer
Reproduktionsstudier er blevet udført på cynomolgusaber med doser, der er op til 25 gange højere end den humane ugentlige vedligeholdelsesdosis på 2 mg/kg intravenøst formuleret trastuzumab, og har ikke vist tegn på nedsat fertilitet eller skader på fostret.
Reproduction studies have been conducted in cynomolgus monkeys at doses up to 25 times that of the weekly human maintenance dose of 2 mg/kg trastuzumab intravenous formulation and have revealed no evidence of impaired fertility or harm to the foetus.
Vend forsigtigt posen op og ned for at blande opløsningen og for at undgå skumdannelse.
The bag should be gently inverted to mix the solution in order to avoid foaming.
Bivirkningerne præsenteres efter faldende alvorlighed inden for hver hyppighedsgruppering.
Within each frequency grouping, adverse reactions are presented in order of decreasing seriousness.
Der var en sammenhæng mellem niveauerne af shed-antigen og serum-aspartat-aminotransferase; en del af shed-antigenets indvirkning på clearance kan muligvis forklares ud fra serum-aspartat-aminotransferase niveauet.
There was a correlation between shed antigen and SGOT/AST levels; part of the impact of shed antigen on clearance may have been explained by SGOT/AST levels.
For at forebygge fejlmedicinering er det vigtigt at kontrollere hætteglassets etiket for at sikre, at det lægemiddel, der klargøres og administreres, er KANJINTI (trastuzumab) og ikke trastuzumabemtansin.
In order to prevent medication errors it is important to check the vial labels to ensure that the medicinal product being prepared and administered is KANJINTI (trastuzumab) and not trastuzumab emtansine.
Hyperhydrose
Hyperhydrosis
KANJINTI er, i kombination med capecitabin eller 5-fluoruracil og cisplatin, indiceret til behandling af voksne patienter med HER2-positivt metastatisk adenokarcinom i ventriklen eller den gastro-øsofageale overgang, som ikke tidligere har fået anticancer-behandling for deres metastatiske sygdom.
KANJINTI in combination with capecitabine or 5-fluorouracil and cisplatin is indicated for the treatment of adult patients with HER2 positive metastatic adenocarcinoma of the stomach or gastroesophageal junction who have not received prior anti-cancer treatment for their metastatic disease.
A: doxorubicin; C: cyclophosphamid; P: paclitaxel; H: trastuzumab; CI = konfidensinterval
A: doxorubicin; C: cyclophosphamide; P: paclitaxel; H: trastuzumab
Ingen reaktivitet eller membranøs reaktivitet i < 10 % af tumorcellerne
No reactivity or membranous reactivity in < 10% of tumour cells
Ved neoadjuverende behandling er erfaringen med samtidig administration af trastuzumab og et lav-dosis antracyklin-regime begrænset (se pkt.
In the neoadjuvant setting, the experience of concurrent administration of trastuzumab and low dose anthracycline regimen is limited (see section 4.4).
Trastuzumabs påvirkning af andre antineoplastiske stoffers farmakokinetik
Effect of trastuzumab on the pharmacokinetics of other antineoplastic agents