natgillin/translations-raw huggingface dataset:
Ontruzant er indiceret til behandling af voksne patienter med HER2-positiv metastatisk brystkræft (MBC): 
Ontruzant is indicated for the treatment of adult patients with HER2 positive metastatic breast cancer (MBC):
Sygdomsfri overlevelse Antal patienter med hændelse (%) 
Disease-free survival No. patients with event (%)
Påvisning af HER2-overekspression eller HER2-genamplifikation 
Detection of HER2 overexpression or HER2 gene amplification
Virkningsresultaterne fra BO16348-studiet efter en median opfølgning på 12 måneder* og 8 år** er sammenfattet i tabel 6: 
The efficacy results from the BO16348 trial following 12 months* and 8 years** median follow-up are summarized in Table 6:
Trastuzumab er et rekombinant humaniseret 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).
Kombinationsbehandling med trastuzumab og anastrozol Trastuzumab er blevet undersøgt i kombination med anastrozol til førstelinjebehandling af MBC hos hormonreceptor (d.v.s. østrogenreceptor (ER) og/eller progesteronreceptor (PR))-positive postmenopausale patienter med HER2-overekspression. 
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. estrogen-receptor (ER) and/or progesterone-receptor (PR)) positive postmenopausal patients.
- capecitabin - 1000 mg/m2 oralt to gange dagligt i 14 dage hver 3. uge i 6 cyklusser (aften på dag 1 til morgen på dag 15 af hver cyklus) 
- capecitabine - 1000 mg/m2 orally twice daily for 14 days every 3 weeks for 6 cycles (evening of day 1 to morning of day 15 of each cycle)
Infusionen kan fortsættes, når symptomerne er bedret. 
The infusion may be continued after the symptoms improve.
Patienter, der får antracykliner, efter de er stoppet med trastuzumab, kan muligvis have øget risiko for kardiel dysfunktion. 
Patients who receive anthracyclines after stopping trastuzumab may possibly be at increased risk of cardiac dysfunction.
i kombination med neoadjuverende kemoterapi efterfulgt af adjuverende Ontruzant-terapi til lokalt fremskreden (herunder inflammatorisk) sygdom eller tumorer > 2 cm i diameter (se pkt. 
in combination with neoadjuvant chemotherapy followed by adjuvant Ontruzant therapy, for locally advanced (including inflammatory) disease or tumours >2 cm in diameter (see sections 4.4 and 5.1).
Generelt anses FISH for positiv, hvis forholdet mellem antallet af HER2-genkopier pr. tumorcelle og antallet af kromosom 17-kopier er større end eller lig med 2, eller hvis der er mere end 4 kopier af HER2-genet pr. tumorcelle, hvis der ikke anvendes en kromosom 17-kontrol. 
In general, 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, or if there are more than 4 copies of the HER2 gene per tumour cell if no chromosome 17 control is used.
Endvidere er trastuzumab en potent mediator af antistofafhængig cellemedieret cytotoksicitet (ADCC). 
Additionally, trastuzumab is a potent mediator of antibody-dependent cell-mediated cytotoxicity (ADCC).
Post-hoc eksplorativ analyse med DFS og symptomatiske kardielle hændelser Langtidsopfølgning** 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 DFS. 
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.
- Studie BO16348 var designet til at sammenligne 1 og 2 års behandling med trastuzumab hver 3. uge versus observation hos patienter med HER2-positiv EBC 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).
Administration i kombination med paclitaxel eller docetaxel I de pivotale studier (H0648g, M77001) blev paclitaxel eller docetaxel administreret dagen efter den første dosis af trastuzumab (for dosis se produktresuméet for paclitaxel eller docetaxel) og umiddelbart efter de efterfølgende doser af trastuzumab, hvis den forudgående dosis af trastuzumab var veltolereret. 
Administration in combination with paclitaxel or docetaxel In the pivotal trials (H0648g, M77001), paclitaxel or docetaxel was administered the day following the first dose of trastuzumab (for dose, see the Summary of Product Characteristics (SmPC) for paclitaxel or docetaxel) and immediately after the subsequent doses of trastuzumab if the preceding dose of trastuzumab was well tolerated.
MARKEDSFØRINGSTILLADELSESNUMMER (-NUMRE) EU/1/17/1241/001 
MARKETING AUTHORISATION NUMBER(S) EU/1/17/1241/001
Alle kandidater til behandling med trastuzumab, men især de der tidligere har været eksponeret for antracyklin og cyclophosphamid (AC), skal have foretaget en kardiel vurdering ved baseline, herunder anamnese og objektiv undersøgelse, elektrokardiogram (EKG), ekkokardiogram og/eller MUGA (multigated acquisition)-scanning eller MR (magnetisk resonans)-scanning. 
All candidates for treatment with trastuzumab, 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.
Der var ingen tidsmæssige restriktioner for administrationen af trastuzumab og anastrozol (for dosis se produktresuméet for anastrozol 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).
Hvert hætteglas indeholder enten: - 150 mg trastuzumab, som skal opløses i 7,2 ml vand til injektionsvæsker, eller - 420 mg trastuzumab, som skal opløses i 20 ml vand til injektionsvæsker. 
Each vial contains either: 150 mg trastuzumab that has to be dissolved in 7.2 mL of water for injection, or 420 mg trastuzumab that has to be dissolved in 20 mL of water for injection.
Selvom antallet af tilfælde, som opfylder Cairo-Bishop kriterierne og som blev identificeret ved søgning i sikkerhedsdatabesen var lave, så tilsluttes det, at trastuzumab ikke kan udelukkes som bidragende faktor til tumorlyse syndrom. 
Although the number of cases identified by a search of the safety database and meeting the CairoBishop criteria for diagnosis was low, it is endorsed that a contributing factor of trastuzumab to tumour lysis syndrome (TLS) could not be excluded.
I den neoadjuverende-adjuverende behandling var studie MO16432, et randomiseret multicenterstudie, designet til at undersøge den kliniske virkning af samtidig administration af trastuzumab og neoadjuverende kemoterapi, herunder både et antracyklin og et taxan, efterfulgt af adjuverende trastuzumab, op 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.
Farmakoterapeutisk klassifikation: Antineoplastiske midler, monoklonale antistoffer, ATC-kode: L01XC03 
Pharmacotherapeutic group: Antineoplastic agents, monoclonal antibodies, ATC code: L01XC03 Ontruzant is a biosimilar medicinal product.
Brug ikke Ontruzant, hvis du bemærker partikler eller misfarvning inden brug. 
Do not use Ontruzant if you notice any particulate matter or discoloration prior to administration.
I BCIRG 006-studiet blev HER2-positiv EBC defineret som enten lymfeknudepositive eller lymfeknudenegative højrisikopatienter uden (pN0) lymfeknudeinddragelse og mindst 1 af følgende faktorer: tumorstørrelse over 2 cm, østrogenreceptor- og progesteronreceptornegativ, histologisk og/eller nuklear grad 2-3 eller alder < 35 år. 
In the BCIRG 006 study HER2 positive, EBC was defined as either lymph node positive or high-risk node negative patients with no (pN0) lymph node involvement, and at least 1 of the following factors: tumour size greater than 2 cm, estrogen receptor and progesterone receptor negative, histological and/or nuclear grade 2-3, or age <35 years).
• doxorubicin 60 mg/m2 og paclitaxel 150 mg/m2 administreret hver 3. uge i 3 cyklusser efterfulgt af paclitaxel 175 mg/m2 administreret hver 3. uge i 4 cyklusser, 
• Doxorubicin 60 mg/m2 and paclitaxel 150 mg/m2, administered 3-weekly for 3 cycles, which was followed by Paclitaxel 175 mg/m2 administered 3-weekly for 4 cycles,
En HER2-test er obligatorisk før initiering af terapi (se pkt. 
HER2 testing is mandatory prior to initiation of therapy (see sections 4.4 and 5.1).
Ontruzant er et pulver til koncentrat til intravenøs infusionsvæske, opløsning, som bliver leveret i et hætteglas af glas med en gummiprop, der indeholder enten 150 mg eller 420 mg trastuzumab. 
Ontruzant is a powder for concentrate for solution for intravenous infusion, which is supplied in a glass vial with a rubber stopper containing either 150 mg or 420 mg of trastuzumab.
Risikofaktorer i forbindelse med interstitiel lungesygdom omfatter tidligere eller samtidig behandling med andre antineoplastiske terapier, der er kendt for at være forbundet med denne sygdom, såsom taxaner, gemcitabin, vinorelbin og stråleterapi. 
Risk factors associated with interstitial lung disease include prior or concomitant therapy with other anti-neoplastic therapies known to be associated with it such as taxanes, gemcitabine, vinorelbine and radiation therapy.
Lineær clearance var 0,136 l/dag ved MBC, 0,112 l/dag ved EBC og 0,176 l/dag ved fremskreden ventrikelkræft. 
Linear clearance was 0.136 L/day for MBC, 0.112 L/day for EBC and 0.176 L/day for AGC.
Under en Ontruzant-infusion kan der forekomme kulderystelser, feber og andre influenzalignende symptomer. 
During an Ontruzant infusion, chills, fever and other flu like symptoms may occur.
I den samlede analyse af NSABP B-31- og NCCTG N9831-studierne var EBC begrænset til kvinder med operabel brystkræft med høj risiko defineret som HER2-positiv og aksillær lymfeknudepositiv eller HER2-positiv og lymfeknudenegativ med højrisikoegenskaber (tumorstørrelse > 1 cm og ER-negativ eller tumorstørrelse > 2 cm uanset hormonstatus). 
In the joint analysis of the NSABP B-31 and NCCTG N9831 studies, EBC was limited to women with operable breast cancer at high risk, defined as HER2-positive and axillary lymph node positive or HER2 positive and lymph node negative with high-risk features (tumour size >1 cm and ER negative or tumour size >2 cm, regardless of hormonal status).
Disse symptomer er meget almindelige (kan forekomme hos mere end 1 ud af 10 personer). 
These are very common (may affect more than 1 in 10 people).
MARKEDSFØRINGSTILLADELSESNUMMER (-NUMRE) EU/1/17/1241/002 
MARKETING AUTHORISATION NUMBER(S) EU/1/17/1241/002
efter operation, kemoterapi (neoadjuverende eller adjuverende) og strålebehandling (hvis indiceret) (se pkt. 
following surgery, chemotherapy (neoadjuvant or adjuvant) and radiotherapy (if applicable) (see section 5.1).
Forekomsten af febril neutropeni, leukopeni, anæmi, trombocytopeni og neutropeni er meget almindelig. 
Febrile neutropenia, leukopenia, anaemia, thrombocytopenia and neutropenia occurred very commonly.
• hvis du har haft hjertesvigt, kranspulsåresygdom, hjerteklapsygdom (hjertemislyd), forhøjet blodtryk, eller hvis du tager eller har taget medicin mod forhøjet blodtryk. 
• you have had heart failure, coronary artery disease, heart valve disease (heart murmurs), high blood pressure, taken any high blood pressure medicine or are currently taking any high blood pressure medicine.
Kontakt lægen, apotekspersonalet eller sundhedspersonalet, før du får Ontruzant: 
Talk to your doctor, pharmacist or nurse before you are given Ontruzant if:
Volumen af det centrale kompartment var 2,62 l hos patienter med MBC og EBC og 3,63 l hos patienter med fremskreden ventrikelkræft. 
The central compartment volume was 2.62 L for patients with MBC and EBC and 3.63 L for patients with AGC.
Disse bivirkninger er observeret hos patienter, der behandles med trastuzumab alene eller i kombination med paclitaxel eller docetaxel, især 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.
Der må ikke anvendes glucoseholdige opløsninger (se pkt. 
Do not use with glucose-containing solutions (see section 6.2).
For at forhindre medicineringsfejl er det vigtigt at kontrollere etiketten på hætteglasset for at sikre, at lægemidlet, der klargøres og administreres, er Ontruzant (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 Ontruzant (trastuzumab) and not trastuzumab emtansine.
I 3 kliniske pivotale studier med adjuverende trastuzumab givet i kombination med kemoterapi var forekomsten af grad 3/4 kardiel dysfunktion (specifikt symptomatisk CHF) tilsvarende hos patienter, der fik administreret kemoterapi alene (d.v.s. ikke fik trastuzumab), og hos patienter, der fik administreret trastuzumab sekventielt efter et 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 after a taxane (0.3-0.4%).
Efterfølgende vedligeholdelsesdoser af Ontruzant (ugentligt regime: 2 mg/kg, 3-ugers regime 6 mg/kg) skal administreres 7 dage eller 21 dage senere i henhold til planerne for administration henholdsvis ugentligt eller hver 3. uge. 
Subsequent Ontruzant 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.
Der er ikke udført dedikerede farmakokinetiske studier hos ældre og hos personer med nedsat nyreeller leverfunktion. 
Dedicated pharmacokinetic studies in the elderly and those with renal or hepatic impairment have not been carried out.
Generelt anses SISH eller FISH for positiv, hvis forholdet mellem antallet af HER2-genkopier pr. 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.
Antracyklinbaseret terapi skal så vidt muligt undgås i op til 7 måneder, efter behandling med trastuzumab er stoppet. 
If possible, physicians should avoid anthracycline-based therapy for up to 7 months after stopping trastuzumab.
efter adjuverende kemoterapi med doxorubicin og cyclophosphamid i kombination med paclitaxel eller docetaxel. 
following adjuvant chemotherapy with doxorubicin and cyclophosphamide, in combination with paclitaxel or docetaxel.
Ontruzant i kombination med capecitabin eller 5-fluoruracil og cisplatin er indiceret til behandling af voksne patienter med HER2-positivt metastatisk adenokarcinom i ventriklen eller den gastroøsofageale overgang, som ikke tidligere har fået anticancerbehandling for deres metastatiske sygdom. 
Ontruzant 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 gastro-oesophageal junction who have not received prior anti-cancer treatment for their metastatic disease.
I et regime med ugentlig administration er den initiale støddosis 4 mg/kg efterfulgt af 2 mg/kg hver uge samtidig med paclitaxel efter kemoterapi med doxorubicin og cyclophosphamid. 
As a weekly regimen (initial loading dose of 4 mg/kg followed by 2 mg/kg every week) concomitantly with paclitaxel following chemotherapy with doxorubicin and cyclophosphamide.
Der er rapporteret svære pulmonale hændelser ved anvendelse af trastuzumab efter markedsføring (se pkt. 
Severe pulmonary events have been reported with the use of trastuzumab in the post-marketing setting (see section 4.8).
Tidlig brystkræft i HERA-studiet var begrænset til operabelt, primært, invasivt adenokarcinom i brystet med positive aksillære lymfeknuder eller negative aksillære lymfeknuder, hvis tumorerne var mindst 1 cm i diameter. 
Early breast cancer in the HERA trial was limited to operable, primary, invasive adenocarcinoma of the breast, with axillary nodes positive or axillary nodes negative if tumours at least 1 cm in diameter.
Trastuzumab og antracykliner bør ikke anvendes i kombination som adjuverende behandling. 
Trastuzumab and anthracyclines should not be given concurrently in combination in the adjuvant treatment setting.
I det neoadjuverende-adjuverende studie af tidlig brystkræft (BO22227) udviklede 10,1 % (30/296) af patienterne 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 intravenous trastuzumab developed antibodies against trastuzumab.
For at undgå fejlmedicinering er det også vigtigt at kontrollere hætteglassets etiket for at sikre, at det lægemiddel, som klargøres og gives, er Ontruzant (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 Ontruzant (trastuzumab) and not trastuzumab emtansine.
Parenterale opløsninger skal inspiceres visuelt for partikler og misfarvning før administration. 
Parenteral solutions should be inspected visually for particulates and discoloration prior to administration.
I studie BO16348 var forekomsten af svær CHF (NYHA-klasse III & IV) i armen med 1-års-trastuzumab-behandling efter en median opfølgning på 8 år 0,8 %, og hyppigheden af let symptomatisk og asymptomatisk venstre ventrikulær dysfunktion 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%.
Som følge heraf har trastuzumab både i in vitro-analyser og hos dyr vist sig at hæmme proliferationen af humane tumorceller med overekspression af HER2. 
As a result, trastuzumab has been shown, in both in vitro assays and in animals, to inhibit the proliferation of human tumour cells that overexpress HER2.
Hyppigheden af progression i leveren var signifikant reduceret hos patienter behandlet med kombinationen af trastuzumab og paclitaxel sammenlignet med paclitaxel alene (21,8 % versus 45,7 %, p = 0,004). 
The frequency of progression in the liver was significantly reduced in patients treated with the combination of trastuzumab and paclitaxel, compared to paclitaxel alone (21.8% versus 45.7%;
Den testmetode for HER2-overekspression, der blev anvendt til bestemmelse af patienternes egnethed i det kliniske pivotale studie med trastuzumab-monoterapi og i kliniske studier med trastuzumab plus paclitaxel, benyttede immunhistokemisk farvning for HER2 af fikseret materiale fra brysttumorer ved anvendelse 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.
Plan for administration hver 3. uge og ugentligt 
Three-weekly and weekly schedule
Svære anafylaktiske reaktioner, der kræver øjeblikkelig yderligere intervention, kan forekomme sædvanligvis under enten den første eller anden infusion af trastuzumab (se pkt. 
Severe anaphylactic reactions requiring immediate additional intervention can occur usually during either the first or second infusion of trastuzumab (see section 4.4) and have been associated with a fatal outcome.
Hvis patienten har undladt en dosis af Ontruzant i én uge eller mindre, skal den sædvanlige vedligeholdelsesdosis (ugentligt regime: 2 mg/kg, 3-ugers regime: 6 mg/kg) administreres så hurtigt som muligt. 
If the patient has missed a dose of Ontruzant by one week or less, then the usual maintenance dose (weekly regimen: 2 mg/kg; three-weekly regimen: 6 mg/kg) should be administered as soon as possible.
De opdaterede DFS-analyseresultater (stratificeret HR = 0,61; 95 % CI: 0,54-0,69) viste en lignende gavnlig virkning på DFS sammenlignet med den endelige primære DFS-analyse på trods af de 24,8 % patienter i AC→P-armen, der skiftede til trastuzumab. 
The updated DFS analysis results (stratified HR = 0.61; 95% CI [0.54, 0.69]) showed a similar DFS benefit compared to the definitive primary DFS analysis, despite the 24.8% patients in the AC→P arm who crossed over to receive trastuzumab.
Trastuzumab har været anvendt i kliniske studier som monoterapi til patienter med MBC, der har tumorer med overekspression af HER2, og som ikke har responderet på et eller flere kemoterapiregimer for deres metastatiske sygdom (trastuzumab alene). 
Trastuzumab has been used in clinical trials as monotherapy for patients with MBC who have tumours that overexpress HER2 and who have failed one or more chemotherapy regimens for their metastatic disease (trastuzumab alone).
Cirkulerende shed HER2-ECD (ekstracellulært domæne af HER2) De eksplorative analyser af kovarianter med information fra kun en undergruppe af patienter tydede på, at patienter med et højere niveau af shed HER2-ECD havde en hurtigere ikke-lineær clearance (lavere Km) (p < 0,001). 
The exploratory analyses of covariates with information in only a subset of patients suggested that patients with greater shed HER2-ECD level had faster nonlinear clearance (lower Km) (P<0.001).
Ugentlig dosering ved metastatisk brystkræft Virkningsresultaterne fra studierne med monoterapi og kombinationsterapi er sammenfattet i tabel 4: 
Weekly dosing in metastatic breast cancer The efficacy results from the monotherapy and combination therapy studies are summarised in Table 4:
Fulde instruktioner i analysemetode og resultattolkning kan findes i produktinformationsbrochuren, der er vedlagt de anvendte HER2-testanalyser. 
Full instructions on assay performance and results interpretation should be taken from the product information leaflet provided with the HER2 testing assays used.
Patienter er egnet til trastuzumab-behandling, hvis de viser potent HER2-overekspression som beskrevet ved en 3+ score ved IHC eller et positivt FISH- eller CISH-resultat. 
Patients are eligible for trastuzumab treatment if they show strong HER2 overexpression as described by a 3+ score by IHC or a positive FISH or CISH result.
Smerter i ekstremitet 
Pain in extremity
Det anbefalede scoringssystem til evaluering af IHC-farvningsmønstrene er som anført i tabel 2: 
The recommended scoring system to evaluate the IHC staining patterns is as stated in Table 2: