natgillin/translations-raw huggingface dataset:
Sikkerhedsoplysninger vedrørende myelosuppression, infektioner, samlet VOD og VOD efter HSCT samt dødsfald, som er kendte bivirkninger af MYLOTARG (se pkt.
Safety information on myelosuppression, infections, VOD overall and VOD post-HSCT, and death, which are known adverse events for MYLOTARG (see section 4.8 and Table 7), was obtained from literature.
Medianen for hændelsesfri overlevelse var 17,3 måneder (95 % CI: 13,4-30,0) i MYLOTARG-armen sammenlignet med 9,5 måneder (95 % CI: 8,1-12,0) i DA-armen alene; hazardratio (HR) 0,562 (95 % CI: 0,415-0,762); dobbeltsidet p=0,0002 med log-rank test.
Median EFS was 17.3 months (95% CI: 13.4, 30.0) in the MYLOTARG arm versus 9.5 months (95% CI: 8.1, 12.0) in the DA alone arm; hazard ratio (HR) 0.562 (95% CI: 0.415, 0.762); 2-sided p=0.0002 by log-rank test. Efficacy data from ALFA-0701 study are summarised in Table 8, and the Kaplan-Meier plot for EFS is shown in Figure 1.
Grad 4 blødning/hæmoragiske reaktioner blev indberettet for 4 (3,1 %) patienter (gastrointestinal blødning, blødning og lungealveolarblødning (2 patienter)).
Grade 4 bleeding/haemorrhagic reactions were reported in 4 (3.1%) patients (gastrointestinal haemorrhage, haemorrhage, and pulmonary alveolar haemorrhage [2 patients]).
MYLOTARG indeholder det aktive stof gemtuzumab ozogamicin, et lægemiddel mod kræft.
MYLOTARG contains the active substance gemtuzumab ozogamicin, an anticancer medicine, which is made up of a monoclonal antibody linked to a substance intended to kill cancer cells.
Virkning på rotters lever, nyre, hanrotters reproduktive organer og abers lymfevæv (ved ca. 18 gange større hos rotter og 36 gange større hos aber end human klinisk eksponering efter tredje humane dosis på 3 mg/m baseret på AUC) var ikke reversibel.
Effects on liver, kidney and male reproductive organs in rats, and on lymphoid tissues in monkeys (approximately 18 times for rats, and 36 times for monkeys, the human clinical exposure after the third human dose of 3 mg/m2 based on AUC168) were not reversible.
3 mg/m2/dosis (op til højst et hætteglas af 5 mg) på dag 3, 6, og 9
3 mg/m2/dose (up to a maximum of one 5 mg vial) on Days 3, 6, and 9
3 mg/m2/dosis (op til højst et hætteglas af 5 mg) på dag 1
3 mg/m2/dose (up to a maximum of one 5 mg vial) on Day 1
Dette gælder også håndkøbsmedicin og naturlægemidler.
This includes medicines obtained without a prescription and herbal medicines.
Konsolideringsforløb 2
Consolidation Course 2a,b
• Lad hætteglasset nå stuetemperatur (under 25 °C) inden rekonstitution i ca. 5 minutter.
• Prior to reconstitution, allow the vial to reach room temperature (below 25°C) for approximately 5 minutes.
• Smerter i øverste højre side af maven, unormal stor lever og/ eller ophobning af væske i bughulen forbundet med blodpropper i leveren (Budd-Chiaris syndrom).
• Budd-Chiari syndrome, which includes pain in the upper right part of the belly, an abnormally large liver, and/or accumulation of fluid in the belly associated with blood clots in the liver.
Under induktionsfasen havde 121 (92,4 %) og 118 (90,1 %) patienter dokumenteret restitution af neutrofiltal til ANC på henholdsvis 500/mm 3 og 1.000/mm 3.
During the induction phase, 121 (92.4%) and 118 (90.1%) patients had a documented neutrophil recovery to ANC of 500/mm3 and 1,000/mm3, respectively.
I kombinationsbehandlingsstudiets kontrolarm blev VOD også indberettet hos 2 patienter, som fik gemtuzumab ozogamicin som opfølgningsterapi efter tilbagefald af AML efter kemoterapibehandling.
VOD was also reported in 2 patients who received MYLOTARG as a follow-up therapy following relapse of AML after chemotherapy treatment in the control arm of the combination therapy study.
Kvinder i den fertile alder eller mænd med kvindelige partnere i den fertile alder skal rådes til at anvende 2 effektive kontraceptionsmetoder under behandlingen med MYLOTARG og i mindst 7 måneder (for kvinder) eller 4 måneder (for mænd) efter den sidste dosis.
Women of childbearing potential, or partners of females of childbearing potential should be advised to use 2 methods of effective contraception during treatment with MYLOTARG for at least 7 months (females) or 4 months (males) after the last dose.
Kvinder i den fertile alder/kontraception til mænd og kvinder Kvinder i den fertile alder skal rådes til at undgå at blive gravide, mens de får MYLOTARG.
Women of childbearing potential should be advised to avoid becoming pregnant while receiving MYLOTARG.
Abdominalsmerter omfatter følgende indberettede FT'er: mavesmerter, smerter i lavere abdomen, smerter i øvre abdomen, ubehag i abdomen og ømhed i abdomen.
o. Abdominal pain includes the following reported PTs: Abdominal pain, Abdominal pain lower, Abdominal pain upper, Abdominal discomfort, and Abdominal tenderness.
Hvis opløsningen ikke anvendes straks, kan den opbevares ved stuetemperatur (under 25°C) i op til 6 timer.
If not used immediately, store at room temperature (below 25°C) for up to 6 hours.
Pancytopeni omfatter følgende indberettede FT'er: Pancytopeni og knoglemarvssvigt.
f. Pancytopenia includes the following reported PTs: Pancytopenia and Bone marrow failure.
• Symptomer på forstørret lever, smerter i øverste højre side af maven, gulfarvning af huden og det hvide i øjnene, ophobning af væske i bughulen, vægtøgning, unormale levertest (venookklusiv leversygdom)
• Liver venoocclusive disease (VOD), which includes signs of enlarged liver, pain in the upper right belly, yellowing of the skin and the whites of the eyes, accumulation of fluid in the abdomen, weight gain, abnormal liver blood tests
Forkortelser: AML= akut myeloid leukæmi; CI=konfidenceinterval; EFS= hændelsesfri overlevelse; ELN=European LeukaemiaNet; mITT=modificeret intent-to-treat; n=antal; N=antal.
Abbreviations: AML =acute myeloid leukaemia; CI=confidence interval; EFS=event-free survival; ELN=European LeukaemiaNet; mIT T =modified intent-to-treat; n=number; N=number; NE=not estimable.
Skema 10.
Table 10.
Myelosuppressi on
Myelosuppression
Lægemiddelinteraktioner
Interactions with other medicinal products
Det anbefales at bruge infusionsslanger fremstillet af PVC (med eller uden DEHP) eller polyætylen.
Infusion lines made of PVC (DEHP- or non-DEHP-containing), or polyethylene are recommended.
I kombinationsbehandlingsstudiet oplevede 102 (77,9 %) patienter med de novo AML behandlet med fraktionerede doser gemtuzumab ozogamicin kombineret med kemoterapi (N=131) alvorlige (grad ≥3) infektioner af alle årsager.
In the combination therapy study, in patients with de novo AML treated with fractionated doses of gemtuzumab ozogamicin in combination with chemotherapy (N=131), 102 (77.9%) patients experienced all causality severe (Grade ≥ 3) infections.
3 inden for 14 dage efter konsolideringsforløbets planlagte startdato: Bør MYLOTARG ikke genstartes, og konsolideringsterapien bør kun bestå af DNR og AraC.
• If platelet count recovers to < 100,000/mm3 and ≥ 50,000/mm3 within 14 days following the planned start date of the consolidation course: MYLOTARG should not be re-introduced and consolidation therapy should consist of DNR and AraC only.
Der er set TLS i kliniske studier (se pkt.
In clinical studies, TLS was reported (see section 4.8).
Under konsolideringsfase 1 af behandlingen havde 94 (96,9 %) patienter forbedret neutrofiltallet til 500/mm 3, og 91 (94 %) patienter forbedrede tallet til
In the consolidation 1 phase of therapy, 94 (96.9%) patients had neutrophil recovery to counts of 500/mm3, and 91 (94%) patients recovered to counts of 1,000/mm3.
Kvinder i den fertile alder eller mænd med kvindelige partnere i den fertile alder skal rådes til at anvende 2 effektive kontraceptionsmetoder under behandlingen med MYLOTARG og i mindst 7 måneder (for kvinder) eller 4 måneder (for mænd) efter sidste dosis (se pkt.
Women of childbearing potential, or partners of females of childbearing potential should be advised to use 2 methods of effective contraception during treatment with MYLOTARG for at least 7 months (females) or 4 months (males) after the last dose (see section 4.6).
MYLOTARG er et pulver til koncentrat til infusionsvæske, opløsning.
MYLOTARG is a powder for concentrate for solution for infusion.
Sådan administreres MYLOTARG
How to store MYLOTARG
Den rekonstituerede og fortyndede opløsning skal indgives intravenøst ved infusion over en 2-timers periode under tæt klinisk overvågning, herunder puls, blodtryk og temperatur.
2-hour period under close clinical monitoring, including pulse, blood pressure, and temperature.
In vitro viste N-acetyl-gamma-calicheamicin dimethylhydrazid og gemtuzumab ozogamicin et lavt potentiale for at hæmme aktiviteten af CYP1A2, CYP2A6 (udelukkende testet med gemtuzumab ozogamicin), CYP2B6, CYP2C8, CYP2C9, CYP2C19, CYP2D6 og CYP3A4/5 ved klinisk relevante koncentrationer.
In vitro, N-acetyl gamma calicheamicin dimethyl hydrazide and gemtuzumab ozogamicin had a low potential to inhibit the activities of CYP1A2, CYP2A6 (tested only using gemtuzumab ozogamicin), CYP2B6, CYP2C8, CYP2C9, CYP2C19, CYP2D6, and CYP3A4/5 at clinically relevant concentrations.
Der sås skadelige virkninger på hunlige reproduktionsorganer og øjne hos aber i 12-ugers studiet (henholdsvis ca. 193 og 322 gange human klinisk eksponering efter tredje humane dosis på 3 mg/m2 baseret på
Effects on female reproductive organs and the eye in monkeys were adverse in the 12-week study (approximately 193 and 322 times, respectively, the human clinical exposure after the third human dose of 3 mg/m2 based on AUC168).
Leukopeni omfatter følgende indberettede FT'er: Leukopeni og nedsat antal hvide blodlegemer.
e. Leukopenia includes the following reported PTs: Leukopenia and White blood cell count decreased.
Respons defineret som CR+CRp.
d. 2-sided p-value from the log-rank test. e. Response defined as CR+CRp.
Skema 9.
Table 9.
Infektion omfatter sepsis og bakteriæmi (25,6 %), svampeinfektion (10,5 %), nedre luftvejsinfektion (13 %), øvre luftvejsinfektion (4,3%), bakterieinfektion (3,6 %), virusinfektion (24,2%), gastrointestinal infektion (3,3 %), hudinfektion (7,9 %) og andre infektioner (19,5 %).
(13.0%), Upper respiratory tract infection (4.3%), Bacterial infection (3.6%), Viral infection (24.2%), Gastrointestinal infection (3.3%), Skin infection (7.9%), and Other infections (19.5%).
MYLOTARG 5 mg pulver til koncentrat til infusionsvæske, opløsning gemtuzumab ozogamicin
MYLOTARG 5 mg powder for concentrate for solution for infusion gemtuzumab ozogamicin
Der blev fundet påvirkning af hanlige reproduktionsorganer (testikler, bitestikler, sædblærer) hos aber ved ca. 66 gange den humane kliniske eksponering efter den tredje humane dosis på 3 mg/m
Male reproductive effects (testes, epididymides, seminal vesicles) in monkeys were observed at approximately 66 times the human clinical exposure after the third dose of 3 mg/m2).
Efter rekonstitution til en koncentration på 1 mg/ml, som beskrevet, er det muligt at udtage 4,5 mg (4,5 ml).
When reconstituted to a 1 mg/mL concentration as directed, the extractable content of the vial is 4.5 mg (4.5 mL).
3 mg/m2/dosis (op til højst et hætteglas af 5 mg) på dag 1, 4, og 7
3 mg/m2/dose (up to a maximum of one 5 mg vial) on Days 1, 4, and 7
Kvinder skal bruge 2 sikre præventionsmidler under behandlingen og i mindst 7 måneder efter sidste dosis.
Men must use 2 methods of effective contraception during treatment and for at least 4 months after the last dose of treatment.
Infusionsrelaterede reaktioner (herunder anafylaksi) Der er blevet indberettet infusionsrelaterede reaktioner i kliniske studier, herunder anafylaksi (se pkt.
In clinical studies infusion related reactions, including anaphylaxis were reported (see section 4.8).
Der er observeret virkning på reproduktionsorganer hos hunaber i 12-ugers studiet (ovarie-, salpinx-, uterus- og cervixatrofi, ved ca. 193 gange den humane kliniske eksponering efter den tredje humane dosis på 3 mg/m
Effects on the reproductive tract of female monkeys were observed in the 12-week study (atrophy of the ovary, oviduct, uterus, and cervix; approximately 193 times the human clinical exposure after the third dose of 3 mg/m2).
• Hvis den rekonstituerede opløsning ikke kan anvendes med det samme, kan den opbevares i det oprindelige hætteglas i op til 6 timer i køleskab (2 °C - 8 °C) og ikke over 3 timer ved stuetemperatur (under 25 °C).
• If the reconstituted solution cannot be used immediately, it may be stored in the original vial for up to 6 hours in a refrigerator (2°C-8°C) with not more than 3 hours at room temperature (below 25°C).
• Hvirvl glasset forsigtigt for at fremme opløsning.
• Gently swirl the vial to aid dissolution.
Risikodifference [95 % CI] p-værdi
Risk difference [95% CI]f p-valueg
Hvert hætteglas pulver til koncentrat til infusionsvæske, opløsning indeholder 5 mg gemtuzumab ozogamicin.
Each vial of powder for concentrate for solution for infusion contains 5 mg gemtuzumab ozogamicin.
Veno-okklusiv leversygdom omfatter følgende indberettede FT'er: veno-okklusiv sygdom og veno-okklusiv leversygdom t.
c. Venoocclusive liver disease includes the following reported PTs: Venoocclusive disease and Venoocclusive liver disease*.
Gennemsnitstiden for restitution af trombocyttal til 50.000/mm 3 og 100.000/mm 3 var henholdsvis 36,5 og 43 dage.
The median times to platelet recovery to counts of 50,000/mm3 and 100,000/mm3 were 36.5 and 43 days, respectively.
Gennemsnitstiden for bedring af neutrofiltallene til ANC på 500/mm 3 og 1.000/mm 3 var henholdsvis 21 og 25 dage.
The median times to neutrophil recovery to ANC of 500/mm3 and 1,000/mm3 were 21 and 25 days, respectively.
til dag 5
5 years
Lymfopeni omfatter følgende indberettede FT'er: Lymfopeni og nedsat lymfocyttal.
g. Lymphopenia includes the following reported PTs: Lymphopenia and Lymphocyte count decreased.
Takykardi omfatter følgende indberettede FT'er: Takykardi, sinustakykardi, forhøjet hjertefrekvens# samt supraventrikulær takykardi#.
j. Tachycardia includes the following reported PTs: Tachycardia, Sinus tachycardia, Heart rate increased#, and
Disse blev faslagt til at være bivirkninger.
All of these TEAEs were determined to be adverse drug reactions.
1 g/m2/hver 12. time på dag 1 til dag 4
1 g/m2/every 12 hours on Day 1 to Day 4
Infektioner og parasitære sygdomme Meget almindelig Infektion
Infections and infestations Very common Infection*a
3 45 dage efter starten på behandling af responderende patienter (CR og delvis hæmatologisk restitution (CRp)), forekom hos 22 (20,4 %) af patienterne.
Thrombocytopenia with platelet counts < 50,000/mm3 persisting 45 days after the start of therapy for responding patients (CR and incomplete platelet recovery [CRp]) occurred in 22 (20.4%) of patients.
MYLOTARGs sikkerhed og virkning hos pædiatriske patienter med recidiverende eller refraktær AML er ikke klarlagt (se pkt.
The safety and efficacy of MYLOTARG in paediatric patients with relapsed or refractory AML has not been established (see sections 4.1 and 4.2).
1 g/m2/hver 12. time på dag 1 til dag 3
1 g/m2/every 12 hours on Day 1 to Day 3
Vedvarende trombocytopeni (Trombocytter < 100.000/mm
Persistent thrombocytopenia (Platelets < 100,000/mm3 at the planned start date of the consolidation course)
In vitro viste N-acetyl-gamma-calicheamicin dimethylhydrazid og gemtuzumab ozogamicin lavt potentiale for at hæmme aktiviteten af UGT1A1, UGT1A4, UGT1A6, UGT1A9 og UGT2B7 ved klinisk relevante koncentrationer.
In vitro, N-acetyl gamma calicheamicin dimethyl hydrazide had a low potential to inhibit the activities of UGT1A1, UGT1A4, UGT1A6, UGT1A9, and UGT2B7 at clinically relevant concentrations.
Stomatitis omfatter følgende FT'er: slimhindeinflammation, orofaryngeale smerter, stomatitis, mundsår, mundsmerter, mundslimhindeblærer, aftøs stomatitis, sår på tungen, glossodyni, erytem på mundslimhinden, tungebetændelse og tungeblærer q.
p. Stomatitis includes the following reported PTs: Mucosal inflammation, Oropharyngeal pain, Stomatitis, Mouth ulceration, Oral pain, Oral mucosal blistering, Aphthous stomatitis, Tongue ulceration, Glossodynia, Oral mucosal erythema, Glossitis#, and Oropharyngeal blistering#.
Der blev ikke observeret præ-neoplastiske eller neoplastiske læsioner hos aber ved op til ca. 115 gange human klinisk eksponering efter den tredje humane dosis på 3 mg/m baseret på
There were no preneoplastic or neoplastic lesions observed in monkeys up to approximately 115 times the human clinical exposure after the third human dose of 3 mg/m2 based on AUC168).
In vitro havde N-acetyl-gamma-calicheamicin dimethylhydrazid og gemtuzumab ozogamicin lavt potentiale for at fremme CYP1A2-, CYP2B6- og CYP3A4-aktivitet ved klinisk relevante koncentrationer.
In vitro, N-acetyl gamma calicheamicin dimethyl hydrazide and gemtuzumab ozogamicin had a low potential to induce the activities of CYP1A2, CYP2B6, and CYP3A4 at clinically relevant concentrations.
Neutropenisk colitis Lever og galdeveje Meget almindelig Forhøjede transaminaser Hyperbilirubinæmi Almindelig
Hepatobiliary disorders Very common Transaminases increasedq Hyperbilirubinaemiar
MYLOTARG 5 mg pulver til koncentrat til infusionsvæske, opløsning
MYLOTARG 5 mg powder for concentrate for solution for infusion
Det indeholder 5 mg gemtuzumab ozogamicin.
Each vial contains 5 mg of gemtuzumab ozogamicin.
9/l eller mere i perifert blod uden transfusion, anbefales op til to konsolideringsforløb med intravenøs DNR (60 mg/m på én dag (første forløb) eller 2 dage (andet forløb) i kombination med intravenøs AraC (1 g/m 2 pr. 12 timer, indgivet over 2 timer op til maksimaldosen på et hætteglas a 5 mg på dag 1).
For patients experiencing a complete remission (CR) following induction, defined as fewer than 5% blasts in a normocellular marrow and an absolute neutrophil count (ANC) of more than 1.0 × 109 cells/L with a platelet count of 100 × 109/L or more in the peripheral blood in the absence of transfusion, up to 2 consolidation courses of intravenous DNR (60 mg/m2 for 1 day [first course] or 2 days [second course]) in combination with intravenous AraC (1 g/m2 per 12 hours, infused over 2 hours on Day 1 to Day 4) with intravenous MYLOTARG (3 mg/m2/dose infused over 2 hours up to a maximum dose of one 5 mg vial on Day 1) are recommended.
Andre lægemidlers virkning på gemtuzumab ozogamicin N-acetyl-gamma-calicheamicin dimethylhydrazid metaboliseres in vitro primært via non-enzymatisk reduktion.
In vitro, N-acetyl gamma calicheamicin dimethyl hydrazide is primarily metabolised via nonenzymatic reduction.
Baseret på en analyse af potentielle risikofaktorer hos voksne patienter, der fik MYLOTARG som monoterapi, var der hos patienter, som fik en HSCT før eksponering for gemtuzumab ozogamicin, 2,6 gange større sandsynlighed (95 % CI: 1,448-4,769) for at udvikle VOD sammenlignet med patienter, som ikke fik HSCT før gemtuzumab ozogamicin-behandling.
Based on an analysis of potential risk factors, adult patients who received MYLOTARG as monotherapy, patients who had received an HSCT prior to gemtuzumab ozogamicin exposure were 2.6 times more likely (95% CI: 1.448, 4.769) to develop VOD compared to patients without HSCT prior to treatment with gemtuzumab ozogamicin; patients who had received an HSCT following treatment with gemtuzumab ozogamicin were 2.9 times more likely (95% CI: 1.502, 5.636) to develop VOD compared to patients without HSCT following treatment with gemtuzumab ozogamicin; and patients who had moderate/severe hepatic impairment at baseline were 8.7 times more likely (95% CI: 1.879, 39.862) to develop VOD compared to patients without moderate/severe hepatic impairment at baseline.
Infusion med MYLOTARG bør udføres under tæt klinisk overvågning, inkl.
Infusion of MYLOTARG should be performed under close clinical monitoring, including pulse, blood pressure, and temperature.
• har eller har haft leverproblemer: MYLOTARG kan under eller efter behandlingen, forårsage en potentiel livstruende tilstand hvor blodårerne i leveren beskadiges og blokeres af blodpropper.
• have or ever had liver problems: MYLOTARG may cause, during or after treatment, a potentially life-threatening condition called hepatic venoocclusive disease, in which the blood vessels in the liver become damaged and obstructed by blood clots which may include fluid retention, rapid weight gain, increased liver size (which may be painful), and ascites (excessive accumulation of fluid in the abdominal cavity).
Under induktionsfasen havde 109 (83,2 %) og 99 (75,6 %) patienter restitution af trombocyttal til henholdsvis 50.000/mm 3 og 100.000/mm 3.
During the induction phase, 109 (83.2%) and 99 (75.6%) patients had platelet recovery to counts of 50,000/mm3 and 100,000/mm3, respectively.
Efter rekonstitution indeholder hvert hætteglas 1 mg/ml gemtuzumab ozogamicin.
After reconstitution each vial contains 1 mg/mL gemtuzumab ozogamicin.
Antal hændelser, n (%) Median EFS i måneder [95 % CI]
Number of events, n (%) Median RFS in months [95% CI]a
Budd-Chiaris syndrom Hud og subkutane væv Meget almindelig
Skin and subcutaneous tissue disorders Very common Rashu
Trombocytopeni omfatter følgende FT'er: Nedsat antal trombocytter og trombocytopeni*.
b. Thrombocytopenia includes the following reported PTs: Platelet count decreased and Thrombocytopenia*.
Brug af anden medicin sammen med MYLOTARG Fortæl lægen eller sundhedspersonalet, hvis du tager anden medicin for nylig har taget anden medicin eller planlægger at tage anden medicin.
Tell your doctor or nurse if you are taking, have recently taken, or might take any other medicines.
Gennemsnitstiden for bedring af trombocyttallene til 50.000/mm 3 og 100.000/mm 3 var henholdsvis 32 og 35 dage.
The median times to platelet recovery to counts of 50,000/mm3 and 100,000/mm3 were 32 and 35 days, respectively.
Hos patienter med hyperleukocytisk AML bør leukoreduktion med hydroxyurea eller leukaferese overvejes for at reducere antallet af perifere hvide blodlegemer til under 30.000/mm
In patients with hyperleukocytic AML, leukoreduction should be considered with hydroxyurea or leukapheresis to reduce the peripheral WBC count to below 30,000/mm3 prior to administration of MYLOTARG to reduce the risk of inducing TLS (see section 4.2).
Neutropeni Anæmi Leukopeni
Febrile neutropenia
Virkning på co-administrerede kemoterapeutiske midler Baseret på farmakokinetiske (PK) populationsanalyser forventes det ikke, at kombinationen med gemtuzumab ozogamicin og hydroxyurea, DNR og AraC vil forårsage klinisk meningsfulde PKændringer af disse stoffer.
Based on population pharmacokinetic (PK) analyses, the combination of gemtuzumab ozogamicin with DNR and AraC is not predicted to cause clinically meaningful changes in the PK of these agents.
Hvis den rekonstituerede opløsning ikke kan anvendes med det samme, kan den opbevares i det oprindelige hætteglas i op til 18 timer i køleskab (2 °C - 8 °C) efter anbrud og ikke over 6 timer ved stuetemperatur (under 25 °C).
If the product cannot be used immediately, the diluted solution may be stored up to 18 hours in a refrigerator (2°C-8°C) from the time of initial vial puncture with not more than 6 hours at room temperature (below 25°C).
35 mg/m 2/dag på dag 1 til dag 2
35 mg/m2/day on Day 1 to Day 2
I et randomiseret studie (COG AAML0531), der evaluerede standard kemoterapi alene eller kombineret med MYLOTARG hos 1.063 nyligt diagnosticerede børn med AML (93,7 % af patienterne var <18 år) og unge (6,3 % af patienterne), hvor gennemsnitsalderen var 8,9 år (interval: 029 år).
In a randomised study (COG AAML0531) that evaluated standard chemotherapy alone or combined with MYLOTARG in 1,063 newly diagnosed children with AML (93.7% of patients < 18 years of age), and young adults (6.3% of patients); mean age was 8.9 years (range: 0-29 years), patients with de novo AML were randomly assigned to either standard 5-course chemotherapy alone or to the same chemotherapy with 2 doses of MYLOTARG (3 mg/m2/dose) administered once in induction Course 1 and once in intensification Course 2.
Under konsolideringsfase 2 havde 80 (97,6 %) og 70 (85,4 %) patienter restitution af trombocyttal til henholdsvis 50.000/mm 3 og 100.000/mm 3.
During the consolidation 2 phase, 80 (97.6%) and 70 (85.4%) patients had a platelet recovery to counts of 50,000/mm3 and 100,000/mm3, respectively.
Ikke-fraktioneret MYLOTARG
Non-fractionatedb MYLO TARG