natgillin/translations-raw huggingface dataset:
Der blev observeret en øget forekomst af en skeletvariation hos rotter (øget forekomst af et ribben ved den syvende halshvirvel) ved ≥ 100 mg/kg/dag.
An increased incidence of a skeletal variation (increased incidence of a rib present at the seventh cervical vertebra) at ≥100 mg/kg/day was observed in rats.
Studiets primære endepunkt var investigatorvurderet progressionsfri overlevelse (PFS) i henhold til RECIST 1.1.
The primary endpoint of the study was investigator-assessed PFS evaluated according to RECIST 1.1.
Virkninger af palbociclib på andre lægemidlers farmakokinetik
Effects of palbociclib on the pharmacokinetics of other medicinal products
Palbociclib var føtotoksisk hos drægtige dyr.
Palbociclib was foetotoxic in pregnant animals.
Palbociclib er en svag, tidsafhængig CYP3A-hæmmer ved steady state efter daglig dosering af 125 mg.
Palbociclib is a weak, time-dependent inhibitor of CYP3A following daily 125 mg dosing at steady state.
Hos patienter med svært nedsat leverfunktion (Child-Pughklasse C), er den anbefalede dosis af IBRANCE 75 mg en gang dagligt i henhold til doseringsplan 3/1 (se pkt.
For patients with severe hepatic impairment (Child-Pugh class C), the recommended dose of IBRANCE is 75 mg once daily on Schedule 3/1 (see sections 4.4 and 5.2).
Der sås ingen klar tendens i den gennemsnitlige fu af palbociclib i humant plasma in vivo ved forværret nyrefunktion.
There was no obvious trend in the mean palbociclib fu in human plasma in vivo with worsening renal function.
Palbociclibs virkning på QT-intervallet korrigeret for hjertefrekvens (QTc) blev evalueret hos 77 patienter med fremskreden brystkræft ved hjælp af tidsparrede ændringer i elektrokardiogrammet (EKG), der evaluerede ændringer i forhold til baseline og tilsvarende farmakokinetiske data.
The effect of palbociclib on the QT interval corrected for heart rate (QTc) interval was evaluated using time matched electrocardiogram (ECG) evaluating the change from baseline and corresponding pharmacokinetic data in 77 patients with advanced breast cancer.
Palbociclib er en reversibel hæmmer af cyclinafhængig kinase 4 og 6, som begge er involverede i reguleringen af cellecyklussen.
Palbociclib is a reversible inhibitor of cyclin-dependent kinases 4 and 6, which are both involved in regulating the cell cycle.
IBRANCE er indiceret til behandling af hormonreceptor (HR)-positiv, human epidermal vækstfaktorreceptor 2 (HER2)-negativ lokalt fremskreden eller metastatisk brystkræft: - i kombination med en aromatasehæmmer; - i kombination med fulvestrant hos kvinder, som forudgående har fået endokrin terapi (se pkt.
IBRANCE is indicated for the treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative locally advanced or metastatic breast cancer: - in combination with an aromatase inhibitor; - in combination with fulvestrant in women who have received prior endocrine therapy (see section 5.1).
Reversibilitet af virkningerne på glucose-homøostase, bugspytkirtel, øjne, nyrer og knogle blev ikke påvist efter en 12-ugers periode uden dosering, men der blev observeret delvis til fuld reversering af virkningerne på blod-lymfesystemet og på hanlige forplantningsorganer, tænder og fedtvæv.
The reversibility of the effects on glucose homeostasis, pancreas, eye, kidney, and bone was not established following a 12-week nondosing period, whereas partial to full reversal of effects on the haematolymphopoietic and male reproductive systems, teeth, and adipose tissue was observed.
Kvinder i den fertile alder og deres mandlige partnere skal anvende en højeffektiv præventionsmetode under behandling med IBRANCE (se pkt.
Women of childbearing potential or their male partners must use a highly effective method of contraception while taking IBRANCE (see section 4.6).
In vitro-studier med humane hepatocytter, lever-cytosol og S9-fraktioner og rekombinant sulfotransferase-(SULT) enzymer viste, at palbociclib hovedsageligt metaboliseres af CYP3A og SULT2A1.
In vitro studies with human hepatocytes, liver cytosolic and S9 fractions, and recombinant sulphotransferase (SULT) enzymes indicated that CYP3A and SULT2A1 are mainly involved in the metabolism of palbociclib.
IBRANCE bør derfor indtages med mad og helst i forbindelse med et måltid (se pkt.
Therefore, IBRANCE should be taken with food, preferably a meal (see sections 4.2 and 5.2).
Kvinder i den fertile alder, som får dette lægemiddel, eller deres mandlige partnere, skal anvende en sikker præventionsmetode (fx dobbelt barriere) under behandlingen og i mindst 3 uger eller 14 uger efter endt behandling for henholdsvis kvinder og mænd (se pkt.
Females of childbearing potential who are receiving this medicinal product, or their male partners should use adequate contraceptive methods (e.g., double-barrier contraception) during therapy and for at least 3 weeks or 14 weeks after completing therapy for females and males, respectively (see section 4.5).
Den observerede hazard ratio (HR) var 0,576 (95 % CI: 0,46-0,72) til fordel for palbociclib plus letrozol med en p-værdi på < 0,000001 (1-sidet stratificeret log-rank test).
The observed hazard ratio (HR) was 0.576 (95% confidence interval [CI]: 0.46, 0.72) in favour of palbociclib plus letrozole, with a stratified log-rank test 1-sided p-value of <0.000001.
De hyppigste (≥ 20 %) bivirkninger af enhver grad, der er rapporteret hos patienter, som fik palbociclib i randomiserede kliniske studier, var neutropeni, infektioner, leukopeni, træthed, kvalme, stomatitis, anæmi, diarré, alopeci og trombocytopeni.
The most common (≥20%) adverse reactions of any grade reported in patients receiving palbociclib in randomised clinical studies were neutropenia, infections, leukopenia, fatigue, nausea, stomatitis, anaemia, diarrhoea, alopecia and thrombocytopenia.
• Lopinavir, indinavir, nelfinavir, ritonavir, telaprevir og saquinavir, som anvendes til behandling af hiv-infektion og AIDS.
• Lopinavir, indinavir, nelfinavir, ritonavir, telaprevir, and saquinavir used to treat HIV
Sekundære endepunkter*
Secondary efficacy endpoints
• Kinidin, som normalt anvendes til behandling af problemer med hjerterytmen.
• Quinidine generally used to treat heart rhythm problems.
• Enzalutamid til behandling af prostatakræft.
• Enzalutamide to treat prostate cancer.
Data fra et farmakokinetisk studie med forsøgspersoner med varierende grader af nyrefunktion indikerer, at total palbociclib eksponering (AUCinf) forøgedes med henholdsvis 39 %, 42 % og 31 % ved let (60 ml/min<CrCl<90 ml/min), moderat (30 ml/min<CrCl<60 ml/min) og svært (CrCl<30 ml/min) nedsat nyrefunktion i forhold til forsøgspersoner med normal (CrCl<90 ml/min) nyrefunktion.
Data from a pharmacokinetic trial in subjects with varying degrees of renal function indicate that total palbociclib exposure (AUCinf) increased by 39%, 42%, and 31% with mild (60 mL/min≤CrCl<90 mL/min), moderate (30 mL/min≤CrCl <60 mL/min), and severe (CrCl <30 mL/min) renal impairment, respectively, relative to subjects with normal (CrCl ≥90 mL/min) renal function.
I tilfælde af overdosering af palbociclib kan der forekomme både gastrointestinal (fx kvalme, opkastning) og hæmatologisk toksicitet (fx neutropeni), og der bør gives generel understøttende behandling.
In the event of a palbociclib overdose, both gastrointestinal (e.g., nausea, vomiting) and haematological (e.g., neutropenia) toxicity may occur and general supportive care should be provided.
Via en aneugen mekanisme inducerede palbociclib mikronuklei i ovarieceller fra kinesiske hamstere in vitro og i knoglemarven hos hanrotter ved doser ≥ 100 mg/kg/dag.
Palbociclib induced micronuclei via an aneugenic mechanism in Chinese Hamster Ovary cells in vitro and in the bone marrow of male rats at doses ≥100 mg/kg/day.
Uden visceral sygdom
Non-visceral Disease
Hazard ratio (95 % CI) og 1-sidet p-værdi
Hazard ratio (95% CI) and 1-sided p-value
Dosis af følsomme CYP3A-substrater med et snævert terapeutisk indeks (f.eks. alfentanil, ciclosporin, dihydroergotamin, ergotamin, everolimus, fentanyl, pimozid, kinidin, sirolimus og tacrolimus) skal muligvis nedsættes ved samtidig administration af IBRANCE, eftersom IBRANCE kan øge deres eksponering.
The dose of sensitive CYP3A substrates with a narrow therapeutic index (e.g., alfentanil, cyclosporine, dihydroergotamine, ergotamine, everolimus, fentanyl, pimozide, quinidine, sirolimus, and tacrolimus) may need to be reduced when coadministered with IBRANCE as IBRANCE may increase their exposure.
Udsæt IBRANCE indtil bedring til grad ≤ 2 Genoptag med næste lavere dosis.
Withhold IBRANCE until recovery to Grade ≤2 Resume at next lower dose.
ANVENDELSESMÅDE OG ADMINISTRATIONSVEJ(E)
METHOD AND ROUTE(S) OF ADMINISTRATION Oral use.
• Åndenød eller stakåndethed
• difficulty breathing or shortness of breath
Palbociclib AUCinf og Cmax steg med 21 % og 38 %, når det blev givet med fedtholdig mad sammenlignet med, når palbociclib blev givet i fastende tilstand (over natten), med 12 % og 27 %, når det blev givet med fedtfattig mad, og med 13 % og 24 %, når mad med moderat fedtindhold blev givet 1 time før og 2 timer efter dosering af palbociclib.
Compared to palbociclib given under overnight fasted conditions, the AUCinf and Cmax of palbociclib increased by 21% and 38% when given with high-fat food, by 12% and 27% when given with low-fat food, and by 13% and 24% when moderate-fat food was given 1 hour before and 2 hours after palbociclib dosing.
Skema 5 viser de laboratorieafvigelser, der blev observeret i puljede datasæt fra 3 randomiserede studier.
Table 5 reports the laboratory abnormalities observed in pooled datasets from 3 randomised studies.
Palbociclib-relaterede neoplastiske fund hos rotter omfattede en øget forekomst af mikroglialcelletumorer i det centrale nervesystem hos hanrotter ved 30 mg/kg/dag; der var ingen neoplastiske fund hos hunrotter ved enhver dosis på op til 200 mg/kg/dag.
Palbociclib-related neoplastic finding in rats included an increased incidence of microglial cell tumours in the central nervous system of males at 30 mg/kg/day; there were no neoplastic findings in female rats at any dose up to 200 mg/kg/day.
Kapslens længde er 18,0 ± 0,3 mm.
The capsule length is 18.0 ± 0.3 mm.
Herudover viste en populationsfarmakokinetisk analyse af 183 patienter med fremskreden kræft, hvoraf 40 patienter havde let nedsat leverfunktion baseret på National Cancer Institute (NCI)-klassificeringen (total-bilirubin ≤ øverste grænse for normal (ULN) og aspartat aminotransferase (ASAT) > ULN eller total-bilirubin > 1,0 til1,5 × (ULN) og enhver ASAT), at let nedsat leverfunktion ingen indvirkning har på palbociclibs farmakokinetik (PK).
In addition, based on a population pharmacokinetic analysis that included 183 patients with advanced cancer, where 40 patients had mild hepatic impairment based on National Cancer Institute (NCI) classification (total bilirubin ≤ Upper Limit of Normal (ULN) and Aspartate Aminotransferase (AST) > ULN, or total bilirubin >1.0 to 1.5 × ULN and any AST), mild hepatic impairment had no effect on the pharmacokinetics of palbociclib.
Kvinder i den fertile alder/prævention
Women of childbearing potential/Contraception
Trods disse fund på forplantningsorganer hos hanrotter var der ingen påvirkning af parring eller fertilitet hos hanrotter ved forventede eksponeringsniveauer på 13 gange den kliniske humane eksponering baseret på AUC.
Despite these male reproductive organ findings, there were no effects on mating or fertility in male rats at projected exposure levels 13 times human clinical exposure based on AUC.
Ibrance 75 mg, 100 mg og 125 mg fås i blisterpakninger med 21 eller 63 hårde kapsler og plastbeholder med 21 hårde kapsler.
IBRANCE 75 mg, 100 mg, and 125 mg are available in blister packs of 21 or 63 hard capsules and in plastic bottles of 21 hard capsules.
Baseret på in vitro-data kan palbociclib hæmme genoptagelses-transportøren, organisk-kationtransportør OCT1 og derved muligvis øge eksponeringen for lægemidler, der er substrater for dette transportprotein (fx metformin).
Based on in vitro data, palbociclib may inhibit the uptake transporter organic cationic transporter OCT1 and then may increase the exposure of medical product substrates of this transporter (e.g., metformin).
Samtidig brug af potente CYP3A-hæmmere, herunder, men ikke begrænset til clarithromycin, indinavir, itraconazol, ketoconazol, lopinavir/ritonavir, nefazodon, nelfinavir, posaconazol, saquinavir, telaprevir, telithromycin, voriconazol og grapefrugt eller grapefrugtjuice, bør undgås (se pkt.
The concomitant use of strong CYP3A inhibitors including, but not limited to: clarithromycin, indinavir, itraconazole, ketoconazole, lopinavir/ritonavir, nefazodone, nelfinavir, posaconazole, saquinavir, telaprevir, telithromycin, voriconazole, and grapefruit or grapefruit juice, should be avoided (see sections 4.2 and 4.4).
Palbociclibs farmakokinetik er ikke blevet undersøgt hos patienter som har behov for hæmodialyse.
The pharmacokinetics of palbociclib have not been studied in patients requiring haemodialysis.
Derfor kan samtidig administration af palbociclib og lægemidler, som er substrater for P-gp (fx digoxin, dabigatran, colchicin) eller BCRP (fx pravastatin, rosuvastatin, sulfasalazin), medføre øget virkning og øgede bivirkninger af disse lægemidler.
Therefore, administration of palbociclib with medicinal products that are substrates of P-gp (e.g., digoxin, dabigatran, colchicine) or BCRP (e.g., pravastatin, rosuvastatin, sulfasalazine) may increase their therapeutic effect and adverse reactions.
Tamoxifens indvirkning på eksponeringen for palbociclib
Effect of tamoxifen on palbociclib exposure
Laboratorieafvigelser, der blev observet i puljede datasæt fra 3 randomiserede studier (N=872)
Laboratory abnormalities observed in pooled dataset from 3 randomised studies (N=872)
Skema 8 - Effektdata - PALOMA-3 (investigatorvurderet, intent-to-treat-population)
Efficacy results - PALOMA-3 study (investigator assessment, intent-to-treat population)
PAL=palbociclib; LET=letrozol; PCB=placebo.
PAL=palbociclib; LET=letrozole; PCB=placebo.
Endelig samlet overlevelse (OS) (13. april 2018 som skæringsdato) Antal hændelser (%) Median [måneder (95 % CI)] Hazard ratio (95% CI) og p-værdi p=0,0429
Final overall survival (OS) (13 April 2018 cutoff) Number of events (%) Median [months (95% CI)] Hazard ratio (95% CI) and p-value†
Kapslens længde er 19,4 ± 0,3 mm.
The capsule length is 19.4 ± 0.3 mm.
De hyppigste (≥ 2 %) bivirkninger grad ≥ 3 var neutropeni, leukopeni, infektioner, anæmi, forhøjet aspartataminotransferase (ASAT), træthed og forhøjet alaninaminotransferase (ALAT).
The most common (≥2%) Grade ≥3 adverse reactions of palbociclib were neutropenia, leukopenia, infections, anaemia, aspartate aminotransferase (AST) increased, fatigue, and alanine aminotransferase (ALT) increased.
Bivirkninger baseret på puljede datasæt fra 3 randomiserede studier (N = 872) Systemorganklasse
Adverse reactions based on pooled dataset from 3 randomised studies (N=872)
Kaplan-Meier-kurver over progressionsfri overlevelse (investigatorvurderet, intent-to-treat-population) - PALOMA-3 studiet (23. oktober 2015 som skæringsdato)
Kaplan-Meier plot of progression-free survival (investigator assessment, intent-to-treat population) - PALOMA-3 study (23 October 2015 cutoff)
• Carbamazepin og phenytoin, som anvendes til at stoppe krampeanfald.
• Carbamazepine and phenytoin, used to stop seizures or fits.
Kapselskal: gelatine, rød jernoxid (E172), gul jernoxid (E172), titandioxid (E171).
Capsule shell: gelatin, red iron oxide (E172), yellow iron oxide (E172), titanium dioxide (E171).
Printblæk: shellak, titandioxid (E171), ammoniumhydroxid (28% opløsnig), propylenglycol, simeticon (se afsnit 2).
Printing ink: shellac, titanium dioxide (E171), ammonium hydroxide (28% solution), propylene glycol, simeticone (see section 2 “IBRANCE contains lactose”).
Anbefalet dosisjustering og håndtering af IBRANCE - Ikke-hæmatologiske bivirkninger CTCAE-grad
IBRANCE dose modification and management - Non-haematological toxicities CTCAE Grade
Mænd bør derfor overveje at få opbevaret sæd i en sædbank, inden de tager IBRANCE.
Therefore, men may consider sperm preservation before taking IBRANCE.
Der blev også observeret en reduktion i risiko for sygdomsprogression eller død i palbociclib plus letrozolarmen hos 512 patienter med tumor testet positiv for Rb-proteinekspression ved immunhistokemi (IHC) (HR 0,543 [95 % CI: 0,433; 0,681], mPFS 27,4 måneder versus 13,7 måneder).
Similarly, a reduction in the risk of disease progression or death in the palbociclib plus letrozole arm was observed in 512 patients whose tumour tested positive for Rb protein expression by immunohistochemistry (IHC) (HR of 0.543 [95% CI: 0.433, 0.681], mPFS 27.4 months versus 13.7 months).
Følgende lægemidler kan øge risikoen for bivirkninger, når de gives samtidig med IBRANCE:
The following medicines may have increased risk of side effects when given with IBRANCE:
Den gennemsnitlige fraktion af ubundet (fu) palbociclib i humant plasma in vivo forøgedes i takt med forværret leverfunktion.
The mean fraction unbound (fu) of palbociclib in human plasma in vivo increased incrementally with worsening hepatic function.
Data fra et farmakokinetisk studie med forsøgspersoner med varierende grader af leverfunktion indikerer, at eksponering for ubundet palbociclib (ubundet AUCinf) faldt med 17 % hos forsøgspersoner med let nedsat leverfunktion (Child-Pugh-klasse A) og forøgedes med henholdsvis 34 % og 77 % hos forsøgspersoner med moderat (Child-Pugh-klasse B) og svært (Child-Pugh-klasse C) nedsat leverfunktion sammenlignet med forsøgspersoner med normal leverfunktion.
Data from a pharmacokinetic trial in subjects with varying degrees of hepatic function indicate that palbociclib unbound exposure (unbound AUCinf) decreased by 17% in subjects with mild hepatic impairment (Child-Pugh class A), and increased by 34% and 77% in subjects with moderate (Child-Pugh class B) and severe (Child-Pugh class C) hepatic impairment, respectively, relative to subjects with normal hepatic function.
Palbociclib påvirkede ikke parring eller fertilitet hos hunrotter uanset den testede dosis på op til 300 mg/kg/dag (ca. 3 gange den humane kliniske eksponering baseret på AUC), og der blev ikke observeret negative virkninger på hunlige forplantningsorganer i toksicitetsstudier med gentagen indgift på op til 300 mg/kg/dag hos hunrotter og 3 mg/kg/dag hos hunde (henholdsvis ca. 5 og 3 gange den humane kliniske eksponering baseret på AUC).
Palbociclib did not affect mating or fertility in female rats at any dose tested up to 300 mg/kg/day (approximately 3 times human clinical exposure based on AUC), and no adverse effects were observed in female reproductive tissues in repeat-dose toxicity studies up to 300 mg/kg/day in the rat and 3 mg/kg/day in the dog (approximately 5 and 3 times human clinical exposure based on AUC, respectively).
Data fra et lægemiddelinteraktionsstudie med raske mandlige forsøgspersoner viste, at eksponeringen for palbociclib var den samme, når en enkelt dosis palbociclib blev administreret samtidigt med flere doser tamoxifen, som når palbociclib blev administreret alene.
Data from a DDI study in healthy male subjects indicated that palbociclib exposures were comparable when a single dose of palbociclib was coadministered with multiple doses of tamoxifen and when palbociclib was given alone.
Det skal du vide, før du begynder at tage IBRANCE
What you need to know before you take IBRANCE
Administration af flere doser palbociclib sammen med midazolam øgede midazolam AUCinfog Cmax med henholdsvis 61 % og 37 % sammenlignet med administration af midazolam alene.
Coadministration of multiple doses of palbociclib with midazolam increased the midazolam AUCinf and Cmax values by 61% and 37%, respectively, as compared with administration of midazolam alone.
Inden administration af IBRANCE anbefales et absolut neutrofiltal (ANC) ≥ 1.000/mm og trombocyttal ≥ 50.000/mm3.
Absolute neutrophil counts (ANC) of ≥1000/mm3 and platelet counts of ≥50,000/mm3 are recommended to receive IBRANCE.
Shellack
Shellac
Herudover viste en populationsfarmakokinetisk analyse af 183 patienter med fremskreden kræft, hvoraf 73 patienter havde let nedsat nyrefunktion og 29 patienter havde moderat nedsat nyrefunktion, at let og moderat nedsat nyrefunktion ingen indvirkning har på PK for palbociclib.
In addition, based on a population pharmacokinetic analysis that included 183 patients with advanced cancer, where 73 patients had mild renal impairment and 29 patients had moderate renal impairment, mild and moderate renal impairment had no effect on the pharmacokinetics of palbociclib.
Hazard ratio ((95 % CI) og p-værdi)
Hazard ratio [(95% CI) and p-value]
I alt 521 præ-, peri- og postmenopausale kvinder, hvor sygdommen havde progredieret ved eller inden for 12 måneder efter afslutning af adjuverende endokrin terapi eller ved eller inden for 1 måned efter forudgående endokrin terapi for fremskreden sygdom, blev randomiseret i forholdet 2:1 til palbociclib plus fulvestrant eller placebo plus fulvestrant og stratificeret iht.
A total of 521 pre/peri- and postmenopausal women who had progressed on or within 12 months from completion of adjuvant endocrine therapy or on or within 1 month from prior endocrine therapy for advanced disease, were randomised 2:1 to palbociclib plus fulvestrant or placebo plus fulvestrant and stratified by documented sensitivity to prior hormonal therapy, menopausal status at study entry (pre/peri- versus postmenopausal), and presence of visceral metastases.
Progressionsfri overlevelese baseret på investigators vurdering Antal hændelser (%) Median PFS (måneder (95 % CI))
Progression-Free Survival by Investigator Assessment Number of events (%) Median PFS [months (95% CI)]
Palbociclib var ikke karcinogent hos transgene mus ved doser på op til 60 mg/kg/dag (No Observed Effect Level [NOEL], ca. 11 gange den kliniske humane eksponering baseret på AUC).
Palbociclib was negative for carcinogenicity in transgenic mice at doses up to 60 mg/kg/day (No Observed Effect Level [NOEL] approximately 11 times human clinical exposure based on AUC).
Skema 4 viser bivirkningerne fra det puljede datasæt fra tre randomiserede studier.
Table 4 reports the adverse reactions from the pooled dataset of 3 randomised studies.
Se produktresuméet for fulvestrant for yderligere oplysninger.
Please refer to the Summary of Product Characteristics of fulvestrant.
Behandling af præ- og perimenopausale kvinder med kombinationen palbociclib plus en aromatasehæmmer skal altid kombineres med en LHRH-agonist (se pkt.
Treatment of pre/perimenopausal women with the combination of palbociclib plus an aromatase inhibitor should always be combined with an LHRH agonist (see section 4.4).
Afbryd straks behandlingen med Ibrance hos patienter, der har nye eller forværrende symptomer og mistanke om ILS/pneumonitis, og vurder patienten.
In patients who have new or worsening respiratory symptoms and are suspected to have developed ILD/pneumonitis, interrupt IBRANCE immediately and evaluate the patient.
Patienter med fremskreden symptomatisk visceral spredning med risiko for livstruende komplikationer på kort sigt (herunder patienter med massive ukontrollerede effusioner (pleural, perikardial, peritoneal), pulmonal lymfangitis og mere end 50 % leverinvolvering) var ikke egnede til inklusion i studiet.
Patients with advanced symptomatic, visceral spread, that were at risk of life-threatening complications in the short term (including patients with massive uncontrolled effusions [pleural, pericardial, peritoneal], pulmonary lymphangitis, and over 50% liver involvement), were not eligible for enrolment into the study.
IBRANCE indeholder: - Aktivt stof: palbociclib.
What IBRANCE contains - The active substance is palbociclib.