natgillin/translations-raw huggingface dataset:
The pharmacokinetics of trastuzumab were evaluated in a population pharmacokinetic model analysis using pooled data from 1,582 subjects, including patients with HER2 positive MBC, EBC, AGC or other tumour types, and healthy volunteers, in 18 Phase I, II and III trials receiving intravenous trastuzumab.
Farmakokinetika trastuzumaba ocjenjivala se u analizi populacijskog farmakokinetičkog modela, u kojoj su se koristili objedinjeni podaci prikupljeni u 1582 ispitanika, uključujući bolesnike s HER2 pozitivnim metastatskim rakom dojke, ranim rakom dojke, uznapredovalim rakom želuca ili drugim vrstama tumora te zdrave dobrovoljce koji su primali intravensku formulaciju trastuzumaba u 18 ispitivanja faze I, II i III.
All candidates for treatment with Trazimera, 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.
Svi bolesnici koji su kandidati za liječenje lijekom Trazimera, osobito oni prethodno liječeni antraciklinima i ciklofosfamidom (AC protokol), prije početka liječenja moraju obaviti osnovni kardiološki pregled koji uključuje uzimanje anamneze, fizikalni pregled, elektrokardiogram (EKG), ultrazvuk srca i/ili radionuklidnu ventrikulografiju (MUGA) ili magnetsku rezonanciju.
Linear clearance was 0.136 L/day for MBC, 0.112 L/day for EBC and 0.176 L/day for AGC.
Linearni klirens iznosio je 0,136 l/dan za metastatski rak dojke, 0,112 l/dan za rani rak dojke i 0,176 l/dan za uznapredovali rak želuca.
Cardiac assessments, as performed at baseline, should be repeated every 3 months during treatment and every 6 months following discontinuation of treatment until 24 months from the last administration of Trazimera.
Kardiološke preglede, istovjetne onom obavljenom u sklopu početne procjene, potrebno je ponavljati svaka 3 mjeseca tijekom liječenja te svakih 6 mjeseci nakon završetka liječenja do 24 mjeseca od posljednje primjene lijeka Trazimera.
Slight foaming of the product upon reconstitution is not unusual.
Nakon rekonstitucije pripravak se može lagano zapjeniti što nije neobično.
One vial contains 420 mg of trastuzumab, a humanised IgG1 monoclonal antibody produced by mammalian (Chinese hamster ovary) cell suspension culture and purified by chromatography including specific viral inactivation and removal procedures.
Jedna bočica sadrži 420 mg trastuzumaba, humaniziranog IgG1 monoklonskog protutijela proizvedenog u kulturi stanica sisavaca u suspenziji (stanice jajnika kineskog hrčka) i pročišćenog kromatografijom uključujući specifičnu inaktivaciju virusa i postupke uklanjanja.
If the patient has missed a dose of Trazimera 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.
Ako je bolesnik propustio primiti dozu lijeka Trazimera za tjedan dana ili manje, nužno je što prije primijeniti uobičajenu dozu održavanja (tjedni ciklusi: 2 mg/kg; trotjedni ciklusi: 6 mg/kg).
• You should use effective contraception during treatment with Trazimera and for at least 7 months after treatment has ended.
• Tijekom liječenja lijekom Trazimera i najmanje 7 mjeseci nakon završetka liječenja potrebno je koristiti učinkovitu kontracepciju.
Congestive heart failure (NYHA Class II-IV) is a common adverse reaction associated with the use of trastuzumab and has been associated with a fatal outcome (see section 4.4).
Kongestivno zatajenje srca (NYHA klase II - IV) česta je nuspojava primjene trastuzumaba, ponekad povezana i sa smrtnim ishodom (vidjeti dio 4.4).
• Hypersensitivity to trastuzumab, murine proteins, or to any of the excipients listed in section
• Preosjetljivost na trastuzumab, mišje proteine ili neku od pomoćnih tvari navedenih u dijelu 6.1.
Trazimera intravenous formulation is not for subcutaneous use and should be given as an intravenous infusion only.
Lijek Trazimera u intravenskoj formulaciji nije namijenjen za supkutanu primjenu i smije se primijeniti isključivo intravenskom infuzijom.
Single doses of trastuzumab alone greater than 10 mg/kg have not been administered in the clinical trials; a maintenance dose of 10 mg/kg q3w following a loading dose of 8 mg/kg has been studied in a clinical trial with metastatic gastric cancer patients.
Nisu ispitivane pojedinačne doze trastuzumaba veće od 10 mg/kg; doza održavanja od 10 mg/kg svaka 3 tjedna nakon udarne doze od 8 mg/kg ispitivana je u kliničkom ispitivanju u bolesnika s metastatskim rakom želuca.
One vial contains 150 mg trastuzumab.
Jedna bočica sadrži 150 mg trastuzumaba.
which was followed by: - carboplatin - at target AUC=6 mg/mL/min administered by intravenous infusion over
• karboplatin - s ciljnom AUC=6 mg/ml/min, primijenjen u intravenskoj infuziji tijekom 30 - 60
• abnormal or impaired blood clotting
• abnormalno ili poremećeno zgrušavanje krvi anafilaktičke reakcije
Studies of HER2-positivity rates in gastric cancer (GC) using immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) or chromogenic in situ hybridization (CISH) have shown that there is a broad variation of HER2-positivity ranging from 6.8% to 34.0% for IHC
Ispitivanja stupnja ekspresije HER2 u bolesnika s rakom želuca uporabom imunohistokemije (IHC) i fluorescentne in-situ hibridizacije (FISH) ili kromogene in-situ hibridizacije (CISH) pokazala su veliku varijabilnost ekspresije HER2 u rasponu od 6,8% do 34,0% kod IHC-a i od 7,1% do 42,6% kod FISH-a.
An updated RMP should be submitted: • At the request of the European Medicines Agency.
• na zahtjev Europske agencije za lijekove;
Only patients with a large amount of HER2 will be treated with Trazimera.
Lijekom Trazimera će biti liječeni samo bolesnici s visokom razinom HER2.
Trazimera is indicated for the treatment of adult patients with HER2 positive early breast cancer.
Lijek Trazimera je indiciran u liječenju odraslih bolesnika s HER2 pozitivnim ranim rakom dojke:
Causing excessive foaming during reconstitution or shaking the reconstituted Trazimera may result in problems with the amount of Trazimera that can be withdrawn from the vial.
Stvaranje prevelike pjene tijekom rekonstitucije ili protresanje rekonstituiranog lijeka Trazimera može uzrokovati poteškoće s izvlačenjem odgovarajuće količine lijeka Trazimera iz bočice.
Trastuzumab plus paclitaxel
Trastuzumab s paklitakselom
- intravenous paclitaxel - 80 mg/m 2 as a continuous intravenous infusion, given every week for
- intravenski paklitaksel - 80 mg/m 2 u kontinuiranoj intravenskoj infuziji, jednom tjedno tijekom
A: doxorubicin; C: cyclophosphamide; P: paclitaxel; H: trastuzumab
A: doksorubicin; C: ciklofosfamid; P: paklitaksel; H: trastuzumab
The appropriate amount of solution should be withdrawn from the vial and added to an infusion bag or bottle containing 250 mL of sodium chloride 9 mg/mL (0.9%) solution.
Odgovarajuću količinu otopine potrebno je izvući iz bočice i dodati u infuzijsku vrećicu ili bocu koja sadrži 250 ml 0,9 %-tne (9 mg/ml) otopine natrijeva klorida.
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.
U pivotalnim kliničkim ispitivanjima (H0648g, M77001) paklitaksel ili docetaksel primjenjivan je dan nakon prve doze trastuzumaba (za dozu vidjeti sažetak opisa svojstava lijeka za paklitaksel ili docetaksel) i neposredno nakon sljedećih doza trastuzumaba ako je bolesnik prethodnu dozu trastuzumaba dobro podnio.
Česká Republika Pfizer, spol.
Česká Republika Pfizer, spol. s r.o.
Symptoms may include kidney problems (weakness, shortness of breath, fatigue and confusion), heart problems (fluttering of the heart of a faster or slower heartbeat), seizures, vomiting or diarrhoea, and tingling in the mouth, hands or feet.
Simptomi mogu uključivati bubrežne tegobe (slabost, nedostatak zraka, umor i smetenost), srčane tegobe (lepršanje srca te ubrzani ili usporeni otkucaji srca), napadaje, povraćanje ili proljev te trnce u ustima, šakama ili stopalima.
Subsequent Trazimera 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.
Sljedeću dozu održavanja lijeka Trazimera (tjedni ciklusi: 2 mg/kg; trotjedni ciklusi: 6 mg/kg) treba primijeniti 7 dana nakon toga ako bolesnik prima tjedni raspored doziranja, odnosno 21 dan nakon toga ako prima trotjedni raspored doziranja.
Table 5 Efficacy Results from the Non-Comparative Monotherapy and Combination Therapy Studies
Tablica 5 Rezultati djelotvornosti iz nekomparativnih ispitivanja monoterapije i kombinirane terapije Parametar
If LVEF has not improved, or declined further, or symptomatic CHF has developed, discontinuation of trastuzumab should be strongly considered, unless the benefits for the individual patient are deemed to outweigh the risks.
Ako se LVEF ne poboljša ili se još više smanji, ili ako se razvije simptomatsko kongestivno zatajenje srca, potrebno je ozbiljno razmotriti mogućnost prekida terapije trastuzumabom, osim u slučaju kada koristi za pojedinog bolesnika nadmašuju rizike.
No disease-free survival (DFS) benefit was noticed in this subgroup of patients (hazard ratio=1.16, 95% CI [0.73, 1.83] for DCarbH (TCH) versus AC→D (AC→T); hazard ratio 0.97, 95% CI [0.60, 1.55] for AC→DH (AC→TH) versus AC→D).
Nije primijećena prednost u pogledu preživljenja bez bolesti u toj podskupini bolesnica (omjer hazarda=1,16; 95 % CI [0,73; 1,83] za skupinu DCarbH (TCH), naspram AC→D (AC→T); omjer hazarda od 0,97; 95 % CI [0,60; 1,55] za AC→DH (AC→TH) naspram AC→D).
The recommended initial loading dose is 4 mg/kg body weight.
Preporučena početna udarna doza iznosi 4 mg/kg tjelesne težine.
How to store Trazimera
Kako čuvati lijek Trazimera
In an exploratory subgroup analysis performed in the TOGA (BO18255) trial there was no apparent benefit on overall survival with the addition of trastuzumab in patients with ECOG PS 2 at baseline [HR 0.96 (95% CI 0.51-1.79)], non measurable [HR 1.78 (95% CI 0.87-3.66)] and locally advanced disease [HR 1.20 (95% CI 0.29-4.97)].
U eksplorativnoj analizi podskupina provedenoj u ispitivanju ToGA (BO18255) nije bilo vidljive koristi u ukupnom preživljenju od uključivanja trastuzumaba u terapiju bolesnika s ECOG 2 statusom na početku liječenja [HR 0,96 (95 % CI 0,51-1,79)], u bolesnika s nemjerljivom [HR 1,78 (95 % CI 0,87-3,66)] i lokalno uznapredovalom bolešću [HR 1,20 (95 % CI 0,29-4,97)].
Time to Disease Progression, Median months
Preživljenje bez napredovanja bolesti, medijan u mjesecima Vrijeme do progresije bolesti, medijan u mjesecima
- in combination with paclitaxel for the treatment of those patients who have not received chemotherapy for their metastatic disease and for whom an anthracycline is not suitable.
• u kombinaciji s paklitakselom u liječenju bolesnika koji prethodno nisu primali kemoterapiju za metastatsku bolest i onih koji nisu pogodni za liječenje antraciklinom
At 8 years, the diseasefree survival rate was estimated to be 77.2% (95% CI: 75.4, 79.1) in the AC→PH arm, an absolute benefit of 11.8% compared with the AC→P arm.
Nakon 8 godina, procijenjena stopa preživljenja bez bolesti iznosila je 77,2 % (95 % CI: 75,4; 79,1) u skupini liječenoj AC→PH kemoterapijom, što ukazuje na apsolutnu korist od 11,8 % u usporedbi s liječenjem AC→P kemoterapijom.
In patients with EBC eligible for neoadjuvant-adjuvant treatment, Trazimera 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
U bolesnika s ranim rakom dojke koji zadovoljavaju uvjete za neoadjuvantno-adjuvantno liječenje, Trazimera se smije davati istodobno s antraciklinima isključivo u bolesnika koji prije nisu primali kemoterapiju i samo uz protokole s niskim dozama antraciklina, tj. onih s najvećom kumulativnom dozom doksorubicina od 180 mg/m2 ili epirubicina od 360 mg/m
Median duration of long term follow-up for the Joint Analysis clinical studies was 8.3 years (range: 0.1 to 12.1) for the AC→PH arm and 7.9 years (range: 0.0 to 12.2) for the AC→P arm; Median duration of long term follow-up for the BCIRG 006 study was 10.3 years in both the AC→D arm (range: 0.0 to 12.6) arm and the DCarbH arm (range: 0.0 to 13.1), and was 10.4 years (range: 0.0 to 12.7) in the AC→DH arm
8,3 godine (raspon: od 0,1 do 12,1) u skupini koja je primala AC→PH kemoterapiju te 7,9 godina (raspon: od 0,0 do 12,2) u skupini koja je primala AC→P kemoterapiju; medijan trajanja dugoročnog praćenja za ispitivanje BCIRG 006 iznosio je 10,3 godine i u skupini koja je primala AC→D (raspon: od 0,0 do 12,6) i u onoj koja je primala DCarbH kemoterapiju (raspon: od 0,0 do 13,1), dok je u skupini koja je primala AC→DH
Chemo only (n=116)
(n=116)
L-histidine hydrochloride monohydrate, L-histidine, polysorbate 20, sucrose.
L-histidinklorid hidrat, L-histidin, polisorbat 20, saharoza.
Causing excessive foaming during reconstitution or shaking the reconstituted solution may result in problems with the amount of Trazimera that can be withdrawn from the vial.
Stvaranje prevelike pjene tijekom rekonstitucije ili prejako protresanje rekonstituirane otopine može uzrokovati poteškoće s izvlačenjem odgovarajuće količine lijeka Trazimera iz bočice.
Observation N=1693
N=1693
The appropriate amount of solution should be withdrawn from the vial and added to a polyvinylchloride, polyethylene, polypropylene or ethylene vinyl acetate infusion bag, or a glass infusion bottle containing 250 mL of sodium chloride 9 mg/mL (0.9%) solution.
Odgovarajuću količinu otopine potrebno je izvući iz bočice i dodati u polivinilkloridnu, polietilensku, polipropilensku ili etilenvinilacetatnu infuzijsku vrećicu, odnosno staklenu bocu za infuziju, koja sadrži 250 ml 0,9 %-tne (9 mg/ml) otopine natrijeva klorida.
Once the infusion is prepared it should be administered immediately.
Pripremljenu otopinu za infuziju potrebno je odmah primijeniti.
Comparison of PK results from two Phase II studies (BO15935 and M77004) and one Phase III study (H0648g) in which patients were treated concomitantly with trastuzumab and paclitaxel and two Phase II studies in which trastuzumab was administered as monotherapy (W016229 and MO16982), in women with HER2-positive MBC indicates that individual and mean trastuzumab trough serum concentrations varied within and across studies but there was no clear effect of the concomitant administration of paclitaxel on the pharmacokinetics of trastuzumab.
Usporedbom farmakokinetičkih rezultata iz dvaju ispitivanja faze II (BO15935 i M77004), jednoga ispitivanja faze III (H0648g) u kojemu su bolesnice istodobno liječene trastuzumabom i paklitakselom te dvaju ispitivanja faze II u kojima je trastuzumab primjenjivan u monoterapiji (W016229 i MO16982) u žena s HER2-pozitivnim metastatskim rakom dojke, utvrđeno je da pojedinačne i srednje najniže koncentracije trastuzumaba u serumu variraju unutar svakoga ispitivanja i između svih ispitivanja, ali nije utvrđen jasan učinak istodobne primjene paklitaksela na farmakokinetiku trastuzumaba.
At 8 years, the survival rate was estimated to be 86.9% in the AC→PH arm and 79.4% in the AC→P arm, an absolute benefit of 7.4% (95% CI 4.9%, 10.0%).
Procijenjena stopa preživljenja nakon 8 godina iznosila je 86,9 % u skupini liječenoj AC→PH kemoterapijom te 79,4 % u skupini koja je primala AC→P kemoterapiju, što ukazuje na apsolutnu korist od 7,4 % (95 % CI 4,9 %; 10,0 %).
The recommended initial loading dose is 8 mg/kg body weight.
Preporučena početna udarna doza iznosi 8 mg/kg tjelesne težine.
or - intravenous 5-fluorouracil - 800 mg/m 2/day as a continuous intravenous infusion over 5 days, given every 3 weeks for 6 cycles (days 1 to 5 of each cycle)
• intravenski 5-fluorouracil - 800 mg/m 2/dnevno u kontinuiranoj intravenskoj infuziji tijekom 5 dana, svaka 3 tjedna u 6 ciklusa (od 1. do 5. dana svakog ciklusa).
Detection of HER2 overexpression or HER2 gene amplification in breast cancer Trastuzumab should only be used in patients whose tumours have HER2 overexpression or HER2 gene amplification as determined by an accurate and validated assay.
Određivanje povećane ekspresije HER2 ili genske amplifikacije HER2 kod raka dojke Trastuzumab se smije primjenjivati samo u onih bolesnika s tumorima čije stanice pokazuju povećanu ekspresiju HER2 ili HER2 gensku amplifikaciju utvrđenu preciznom i validiranom metodom.
If patients have been treated concurrently with a full course of low-dose anthracyclines and Trazimera in the neoadjuvant setting, no additional cytotoxic chemotherapy should be given after surgery.
Ako su bolesnici u sklopu neoadjuvantnog liječenja istodobno primali antracikline u niskim dozama i lijek Trazimera, nakon operacije ne smiju primati nikakvu drugu citotoksičnu kemoterapiju.
Hormone receptor positive patients must also have failed hormonal therapy, unless patients are unsuitable for these treatments.
U bolesnika s pozitivnim hormonskim receptorima indiciran je u slučaju progresije na provedenu hormonsku terapiju, što ne vrijedi za bolesnike koji nisu bili pogodni za hormonsko liječenje.
Median Survival (months) (95% CI)
Medijan preživljenja (mjeseci) (95% CI)
Pharmacokinetic data from studies BO15935 and M77004 in women with HER2-positive MBC suggested that exposure to paclitaxel and doxorubicin (and their major metabolites 6-α hydroxylpaclitaxel, POH, and doxorubicinol, DOL) was not altered in the presence of trastuzumab (8 mg/kg or 4 mg/kg intravenous loading dose followed by 6 mg/kg q3w or 2 mg/kg q1w intravenous dose, respectively).
Farmakokinetički podaci iz ispitivanja BO15935 i M77004 u žena s HER2-pozitivnim metastatskim rakom dojke ukazali su da prisutnost trastuzumaba (intravenska udarna doza od 8 mg/kg odnosno 4 mg/kg, nakon koje slijedi intravenska doza od 6 mg/kg svaka 3 tjedna odnosno 2 mg/kg jedanput tjedno) nije promijenila izloženost paklitakselu i doksorubicinu (i njihovim glavnim metabolitima 6-α hidroksil-paklitakselu, POH, i doksorubicinolu, DOL).
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%;
Učestalost pojave metastaza u jetri bila je značajno smanjena u bolesnica liječenih kombinacijom trastuzumaba i paklitaksela u usporedbi sa samim paklitakselom (21,8 % naspram 45,7 %; p=0,004).
The population predicted PK exposure values (median with 5th - 95th Percentiles) and PK parameter values at clinically relevant concentrations (Cmax and Cmin) for MBC, EBC and AGC patients treated with the approved q1w and q3w dosing regimens are shown in Table 14 (Cycle 1), Table 15 (steady-state), and Table 16 (PK parameters).
Vrijednosti farmakokinetičke izloženosti predviđene za populaciju (medijan i 5. do 95. percentil) i vrijednosti farmakokinetičkih parametara pri klinički značajnim koncentracijama (Cmax i Cmin) za bolesnike s metastatskim rakom dojke, ranim rakom dojke i uznapredovalim rakom želuca koji se liječe odobrenim režimima doziranja jedanput na tjedan i jedanput svaka 3 tjedna prikazane su u nastavku, u Tablici 14 (1. ciklus), Tablici 15 (stanje dinamičke ravnoteže) i Tablici 16 (farmakokinetički parametri).
Patients who receive anthracyclines after stopping trastuzumab may possibly be at increased risk of cardiac dysfunction.
U bolesnika koji nakon prestanka liječenja trastuzumabom počnu uzimati antracikline postoji povećan rizik disfunkcije srca.
Tél: + 33 (0)1 58 07 34 40
Tel: + 33 (0)1 58 07 34 40
After a median follow-up of 12 months, the hazard ratio (HR) for disease free survival (DFS) was 0.54 (95% CI 0.44, 0.67) which translates into an absolute benefit, in terms of a 2-year disease-free survival rate, of 7.6 percentage points (85.8% versus 78.2%) in favour of the trastuzumab arm.
Nakon medijana praćenja od 12 mjeseci, omjer hazarda (engl. hazard ratio, HR) za preživljenje bez simptoma bolesti (engl. disease-free survival, DFS) iznosio je 0,54 (95 % CI 0,44; 0,67), što znači da je apsolutno povoljan u smislu dvogodišnjeg preživljenja bez simptoma bolesti s razlikom od 7,6 postotnih bodova (85,8 % naspram 78,2 %) u korist skupine liječene trastuzumabom.
Common: may affect up to 1 in 10 people
Česte: mogu se javiti u manje od 1 na 10 osoba
In the BCIRG 006 study for the primary endpoint, DFS, the hazard ratio translates into an absolute benefit, in terms of 3-year disease-free survival rate estimates of 5.8 percentage points (86.7% versus 80.9%) in favour of the AC→DH (trastuzumab) arm and 4.6 percentage points (85.5% versus 80.9%) in favour of the DCarbH (trastuzumab) arm compared to AC→D.
Za primarnu mjeru ishoda ispitivanja BCIRG 006, preživljenje bez bolesti, omjer hazarda apsolutno je povoljan u smislu trogodišnjeg preživljenja bez bolesti s razlikom od 5,8 postotnih bodova (86,7 % naspram 80,9 %) u korist AC→DH skupine (trastuzumab) i 4,6 postotnih bodova (85,5 % naspram 80,9 %) u korist DCarbH skupine (trastuzumab) u usporedbi s AC→D skupinom.
• Doxorubicin 60 mg/m 2 and paclitaxel 150 mg/m 2, administered 3-weekly for 3 cycles,
• doksorubicin 60 mg/m 2 plus paklitaksel 150 mg/m 2, svaka 3 tjedna u 3 ciklusa,
- The other ingredient(s) are L-histidine hydrochloride monohydrate, L-histidine, sucrose, polysorbate 20.
Drugi sastojci su L-histidinklorid hidrat, L-histidin, saharoza, polisorbat 20.
Other infusion-related symptoms are: feeling sick (nausea), vomiting, pain, increased muscle tension and shaking, headache, dizziness, breathing difficulties, wheezing, high or low blood pressure, heart rhythm disturbances (palpitations, heart fluttering or irregular heart beat), swelling of the face and lips, rash and feeling tired.
mučnina, povraćanje, bol, povećana napetost mišića i drhtanje, glavobolja, omaglica, otežano disanje, piskanje, visok ili nizak krvni tlak, poremećaji srčanog ritma (osjećaj lupanja srca, lepršanje srca ili nepravilni otkucaji srca), oticanje lica i usana, osip i umor.
Trazimera should be carefully handled during reconstitution.
Tijekom rekonstitucije, lijekom Trazimera treba rukovati oprezno.
Infusion reactions, allergic-like reactions and hypersensitivity It is estimated that approximately 40% of patients who are treated with trastuzumab will experience some form of infusion-related reaction.
Procjenjuje se da će otprilike 40 % bolesnika u tijeku liječenja trastuzumabom razviti neki oblik infuzijske reakcije.
The median overall survival for the high HER2 expressing group was 11.8 months versus 16 months, HR 0.65 (95% CI 0.51-0.83) and the median progression free survival was 5.5 months versus 7.6 months, HR 0.64 (95% CI 0.510.79) for FP versus FP + H, respectively.
Medijan ukupnog preživljenja u skupini s visokom ekspresijom proteina HER2 iznosio je 11,8 mjeseci naspram 16 mjeseci, omjer hazarda (HR) bio je 0,65 (95 % CI 0,51-0,83), dok je medijan preživljenja bez napredovanja bolesti iznosio 5,5 mjeseci naspram 7,6 mjeseci, HR 0,64 (95 % CI 0,51-0,79).
Strong complete, basolateral or lateral membranous reactivity in ≥10% of tumour cells
Jaka, potpuna, bazolateralna ili lateralna membranska reaktivnost u ≥ 10% tumorskih stanica
Overall Survival, Median months Progression-Free Survival, Median months
Ukupno preživljenje, medijan u mjesecima
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.
I TAKOĐER na manje od 50%, terapiju je potrebno prekinuti i ponoviti procjenu LVEF-a unutar otprilike 3 tjedna.
• failure of the lungs of the baby to develop in the womb
• neuspjeli razvoj pluća djeteta u maternici
Ear and labyrinth disorders Deafness
Poremećaji uha i labirinta gluhoća manje često