natgillin/translations-raw huggingface dataset:
Table 8: ‘Blood bilirubin increased' events observed in Asian patients from the phase 3 study HPC3005 versus the pooled phase 3 studies C208, C216 and HPC3007 receiving simeprevir or placebo in combination with peginterferon alfa and ribavirin (first 12 weeks of treatment) Blood bilirubin increased
Tablica 8: Događaji ‘povišenog bilirubina u krvi' zabilježeni u bolesnika azijatskog porijekla iz ispitivanja faze 3 HPC3005 naspram objedinjenih ispitivanja faze 3 C208, C216 i HPC3007 koji su primali simeprevir ili placebo u kombinaciji s peginterferonom alfa i ribavirinom (prvih 12 tjedana liječenja) Povišen bilirubin u krvi
Description of selected adverse reactions
Opis odabranih nuspojava Osip i pruritus
Simvastatin 40 mg simvastatin AUC 1.51 (1.32-1.73) ↑ simvastatin Cmax 1.46 (1.17-1.82) ↑ simvastatin Cmin not studied simvastatin acid AUC 1.88 (1.63-2.17) ↑ simvastatin acid Cmax 3.03 (2.49-3.69) ↑ simvastatin acid Cmin not studied
Simvastatin 40 mg simvastatin AUC 1,51 (1,32-1,73) ↑ simvastatin Cmax 1,46 (1,17-1,82) ↑ simvastatin Cmin nije ispitano simvastatin acid AUC 1,88 (1,63-2,17) ↑ simvastatin acid Cmax 3,03 (2,49-3,69) ↑ simvastatin acid Cmin nije ispitano
Patients co-infected with HIV-1
Bolesnici istovremeno inficirani HIVom-1
Mean (SE) change in HCV RNA at day 7/8 (log10 IU/mL)
Srednja vrijednost promjene (standardna pogreška, engl. standard error, SE) HCV RNK na 7./8. dan (log10 IU/mL)
DXM AUC 1.08 (0.87-1.35) ↑ DXM Cmax 1.21 (0.93-1.57) ↑ DXM Cmin not studied dextrorphan AUC 1.09 (1.03-1.15) ↔ dextrorphan Cmax 1.03 (0.93-1.15) ↔ dextrorphan Cmin not studied
DXM AUC 1,08 (0,87-1,35) ↑ DXM Cmax 1,21 (0,93-1,57) ↑ DXM Cmin nije ispitano dekstrorfan AUC 1,09 (1,03-1,15) ↔ dekstrorfan Cmax 1,03 (0,93-1,15) ↔ dekstrorfan Cmin nije ispitano
> 1.5 to ≤ 2.0 x ULN 15 (5.2%)
> 1,5 do ≤ 2,0 x GGN 15 (5,2%)
Pre-treatment testing for NS3 Q80K polymorphism in patients infected with HCV genotype 1a OLYSIO in combination with sofosbuvir
Ispitivanje na NS3 Q80K polimorfizam koje prethodi liječenju u bolesnika inficiranih HCV-om genotipa 1a
Atorvastatin 40 mg atorvastatin AUC 2.12 (1.72-2.62) ↑ atorvastatin Cmax 1.70 (1.42-2.04) ↑ atorvastatin Cmin not studied 2-OH-atorvastatin AUC 2.29 (2.08-2.52) ↑ 2-OH-atorvastatin Cmax 1.98 (1.70-2.31) ↑ 2-OH-atorvastatin Cmin not studied
Atorvastatin 40 mg atorvastatin AUC 2,12 (1,72-2,62) ↑ atorvastatin Cmax 1,70 (1,42-2,04) ↑ atorvastatin Cmin nije ispitano 2-OH-atorvastatin AUC 2,29 (2,08-2,52) ↑ 2-OH-atorvastatin Cmax 1,98 (1,70-2,31) ↑ 2-OH-atorvastatin Cmin nije ispitano
Table 7: Treatment-emergent laboratory abnormalities observed at a higher incidence in patients receiving simeprevir in combination with peginterferon alfa and ribavirin (pooled phase 3 studies C208, C216 and HPC3007; first 12 weeks of treatments)
Tablica 7: Poremećaji laboratorijskih nalaza koji su nastali tijekom liječenja uočeni u većoj incidenciji kod bolesnika koji su primali simeprevir u kombinaciji s peginterferonom alfa i ribavirinom (objedinjena ispitivanja faze 3 C208, C216 i HPC3007; tijekom prvih 12 tjedana liječenja) Laboratorijski parametar
75% had no cirrhosis (METAVIR fibrosis score F0-3) and 25% had cirrhosis (METAVIR fibrosis score F4); 78% had HCV genotype 1a of which 45% carried Q80K at baseline, and 22% had HCV genotype 1b; 86% had non-CC IL28B alleles (CT or TT); 76% were prior null responders to peginterferon alfa and ribavirin, and 24% were treatment-naïve.
F4); 78% imalo je HCV genotipe 1a od kojih je 45% nosilo Q80K na početku, i 22% je imalo HCV genotip 1b; 86% imalo je ne-CC IL28B alele (CT ili TT); 76% su bili bolesnici bez prethodnog odgovora na peginterferon alfa i ribavirin, te 24%
Table 13: Treatment outcome in HCV genotype 1 infected patients receiving 12 weeks simeprevir + sofosbuvir (studies HPC3017 and HPC3018) Treatment outcome
Tablica 13: Ishod liječenja u bolesnika inficiranih HCV genotipom 1 koji su primali 12 tjedana simeprevir + sofosbuvir (ispitivanja HPC3017 i HPC3018)
- carbamazepine, oxcarbazepine, phenobarbital or phenytoin to prevent seizures - astemizole or terfenadine to treat allergies - itraconazole, fluconazole, ketoconazole, posaconazole or voriconazole (when taken by mouth or given by injection) to treat fungal infections - rifabutin, rifampicin or rifapentine to treat infections like tuberculosis - amlodipine, bepridil, diltiazem, felodipine, nicardipine, nifedipine, nisoldipine or verapamil
- itrakonazol, flukonazol, ketokonazol, posakonazol ili vorikonazol (kada se uzimaju kroz usta ili se primjenjuju injekcijom) za liječenje gljivičnih infekcija - rifabutin, rifampicin ili rifapentin za liječenje infekcija poput tuberkuloze
1 Viral relapse rates are calculated with a denominator of patients with undetectable (or unconfirmed detectable) HCV RNA at actual EOT.
1 Stope virološkog relapsa izračunate su uz nazivnik koji predstavlja broj bolesnika s nedetektabilnom (ili nepotvrđenom detektabilnom) HCV RNK pri stvarnom kraju liječenja.
Treatment Outcome simeprevir + peginterferon + ribavirin N = 521 % (n/N)
Ishod liječenja simeprevir + peginterferon + ribavirin N = 521 % (n/N)
Oral: midazolam AUC 1.45 (1.35-1.57) ↑ midazolam Cmax 1.31 (1.19-1.45) ↑ midazolam Cmin not studied
Peroralno: midazolam AUC 1,45 (1,35-1,57) ↑ midazolam Cmax 1,31 (1,19-1,45) ↑ midazolam Cmin nije ispitano
100 mg patient individualised dose4
Doza individualizirana prema bolesniku4
The most frequently reported adverse reactions (incidence ≥ 5% following 12 or 24 weeks of treatment) were rash, pruritus, constipation and photosensitivity reaction (see section 4.4).
Najčešće prijavljene nuspojave (incidencija ≥ 5% nakon 12 ili 24 tjedna liječenja) bile su osip,
Effect of baseline HCV polymorphisms on treatment response Analyses were conducted to explore the association between naturally-occurring baseline NS3/4A amino acid substitutions (polymorphisms) and treatment outcome.
Provedene su analize radi istraživanja povezanosti između početnih NS3/4A supstitucija aminokiselina (polimorfizmi) koje se prirodno pojavljuju i ishoda liječenja.
Prior partial responders Prior null responders Viral relapse4
Bolesnici s prethodnim djelomičnim odgovorom Bolesnici bez prethodnog odgovora Virološki relaps4
nelfinavir, nevirapine, ritonavir, saquinavir or tipranavir to treat HIV infection - atorvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin or simvastatin to lower cholesterol levels - ciclosporin, sirolimus or tacrolimus to lower immune response or prevent organ transplant failures - sildenafil or tadalafil to treat ‘pulmonary arterial hypertension' - midazolam or triazolam (when taken by mouth) to help you sleep or for anxiety
- atorvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin ili simvastatin za snižavanje razine kolesterola - ciklosporin, sirolimus ili takrolimus za snižavanje imunološkog odgovora ili za sprječavanje neuspjeha kod transplantacije organa
How OLYSIO works
Kako OLYSIO djeluje
The following side effects may happen with OLYSIO when used in combination with sofosbuvir: Common: may affect up to 1 in 10 people: - itching of the skin - skin rash* - constipation - being sensitive to sunlight (photosensitivity) - increased ‘bilirubin' levels in your blood (bilirubin is a pigment made by the liver).
Sljedeće nuspojave mogu se javiti uz OLYSIO kada se uzima u kombinaciji sa sofosbuvirom: Često: mogu se javiti u do 1 na 10 osoba: - svrbež kože - kožni osip* - zatvor
It is not recommended to co-administer OLYSIO with cobicistat-containing medicinal products.
Ne preporučuje se istovremeno primjenjivati OLYSIO s lijekovima koji sadrže kobicistat.
0.25 mg digoxin AUC 1.39 (1.16-1.67) ↑ digoxin Cmax 1.31 (1.14-1.51) ↑ digoxin Cmin not studied
ANTIARITMICI Digoksin 0,25 mg digoksin AUC 1,39 (1,16-1,67) ↑ digoksin Cmax 1,31 (1,14-1,51) ↑ digoksin Cmin nije ispitano
Press edge of pocket
Pritisnite rub džepića
NAME OF THE MEDICINAL PRODUCT OLYSIO 150 mg hard capsules
NAZIV LIJEKA OLYSIO 150 mg tvrde kapsule
Ritonavir1 100 mg twice daily simeprevir AUC 7.18 (5.63-9.15) ↑ simeprevir Cmax 4.70 (3.84-5.76) ↑ simeprevir Cmin 14.35 (10.29-20.01) ↑
100 mg dva puta na dan simeprevir AUC 7,18 (5,63-9,15) ↑ simeprevir Cmax 4,70 (3,84-5,76) ↑ simeprevir Cmin 14,35 (10,29-20,01) ↑
Table 15: Treatment outcome in HCV genotype 1 infected patients with cirrhosis receiving 12 or 24 weeks simeprevir + sofosbuvir, with or without ribavirin (study HPC2002) Treatment outcome
Tablica 15: Ishod liječenja u bolesnika inficirnaih HCV genotipom 1 s cirozom koji su primali 12 ili 24 tjedna simeprevir + sofosbuvir, s ili bez ribavirina (ispitivanje HPC2002)
ciclosporin AUC 1.19 (1.13-1.26) ↑ ciclosporin Cmax 1.16 (1.07-1.26) ↑ ciclosporin Cmin not studied simeprevir AUC 5.81 (3.56-9.48) ↑5 simeprevir Cmax 4.74 (3.12-7.18) ↑5 simeprevir Cmin not studied5
ciklosporin AUC 1,19 (1,13-1,26) ↑ ciklosporin Cmax 1,16 (1,07-1,26) ↑ ciklosporin Cmin nije ispitano simeprevir AUC 5,81 (3,56-9,48) ↑5 simeprevir Cmax 4,74 (3,12-7,18) ↑5 simeprevir Cmin nije ispitano5
Prior relapsers Prior partial responders Prior null responders
s prethodnim relapsom s prethodnim djelomičnim odgovorom bez prethodnog odgovora
Genotype 4, treatment-naïve or treatment-experienced2, with compensated cirrhosis or without cirrhosis patients without cirrhosis: 8 or 12 weeks SMV + sofosbuvir; patients with cirrhosis:
Genotip 4, prethodno neliječeni ili prethodno liječeni 2, s kompenziranom cirozom ili bez ciroze bolesnici bez ciroze: 8 ili 12 tjedana SMV + sofosbuvir; bolesnici s cirozom: 12 tjedana SMV + sofosbuvir
Phase 3)
3. stupanj
During the first 12 weeks of treatment, the most frequently reported adverse reactions (incidence ≥ 5%) were nausea, rash, pruritus, dyspnoea, blood bilirubin increase and photosensitivity reaction (see section 4.4).
osip, pruritus, dispneja, povišen bilirubin u krvi i reakcije fotoosjetljivosti (vidjeti dio 4.4).
(CYP3A4 enzyme induction [etravirine or nevirapine] or inhibition [delavirdine])
Očekuju se promijenjene koncentracije simeprevira u plazmi. (indukcija enzima CYP3A4 [etravirin ili nevirapin] ili inhibicija [delavirdin])
Table 6: Treatment-emergent laboratory abnormalities in amylase and lipase in patients receiving 12 or 24 weeks of simeprevir in combination with sofosbuvir (12 weeks: pooled studies HPC2002, HPC3017 and HPC3018; 24 weeks: study HPC2002) Laboratory parameter WHO toxicity range1 12 weeks simeprevir +
Tablica 6: Poremećaji laboratorijskih nalaza amilaze i lipaze koji su proizašli iz liječenja u bolesnika koji su primali 12 ili 24 tjedna simeprevir u kombinaciji sa sofosbuvirom (12 tjedana: objedinjena ispitivanja HPC2002, HPC3017 i HPC3018; 24 tjedna: ispitivanje HPC2002)
In study HPC2002, rash (grouped term) was reported in 10.7% of patients receiving 12 weeks of simeprevir and sofosbuvir without ribavirin versus 20.4% of patients receiving 12 weeks of simeprevir and sofosbuvir with ribavirin.
U ispitivanju HPC2002, osip (grupni izraz) je bio prijavljen u 10,7% bolesnika koji su primali 12 tjedana simeprevira i sofosbuvira bez ribavirina naspram 20,4% bolesnika koji su primali 12 tjedana simeprevira i sofosbuvira s ribavirinom.
≥ 1.1 to ≤ 1.5 x ULN 13 (4.5%)
≥ 1,1 do ≤ 1,5 x GGN 13 (4,5%)
800/100 mg once daily darunavir AUC 1.18 (1.11-1.25) ↑ darunavir Cmax 1.04 (0.99-1.10) ↔ darunavir Cmin 1.31 (1.13-1.52) ↑ ritonavir AUC 1.32 (1.25-1.40) ↑ ritonavir Cmax 1.23 (1.14-1.32) ↑ ritonavir Cmin 1.44 (1.30-1.61) ↑ simeprevir AUC 2.59 (2.15-3.11) ↑* simeprevir Cmax 1.79 (1.55-2.06) ↑* simeprevir Cmin 4.58 (3.54-5.92) ↑*
800/100 mg jedanput na dan darunavir AUC 1,18 (1,11-1,25) ↑ darunavir Cmax 1,04 (0,99-1,10) ↔ darunavir Cmin 1,31 (1,13-1,52) ↑ ritonavir AUC 1,32 (1,25-1,40) ↑ ritonavir Cmax 1,23 (1,14-1,32) ↑ ritonavir Cmin 1,44 (1,30-1,61) ↑ simeprevir AUC 2,59 (2,15-3,11) ↑* simeprevir Cmax 1,79 (1,55-2,06) ↑* simeprevir Cmin 4,58 (3,54-5,92) ↑*
Female patients of childbearing potential and male patients with female partners of childbearing potential must use an effective form of contraception during treatment with ribavirin and after completion of ribavirin treatment for a duration as specified in the Summary of Product Characteristics for ribavirin.
moraju koristiti učinkovitu metodu kontracepcije tijekom liječenja ribavirinom i nakon završetka liječenja ribavirinom toliko dugo koliko je navedeno u sažetku opisa svojstava lijeka za ribavirin.
The safety profile of OLYSIO 150 mg in combination with peginterferon alfa and ribavirin in a phase 3 study conducted in Asian patients in China and South-Korea is comparable to non-Asian patients from a pooled phase 3 population from global studies, except for higher frequencies for ‘blood bilirubin increased' events (see table 8).
Sigurnosni profil lijeka OLYSIO 150 mg u kombinaciji s peginterferonom alfa i ribavirinom u ispitivanju faze 3 provedenom na bolesnicima azijatskog porijekla u Kini i Južnoj Koreji može se usporediti s onim u bolesnika koji nisu azijatskog porijekla iz objedinjenih globalnih ispitivanja faze 3,
> 2.5 to ≤ 5.0 x ULN
> 2,5 do ≤ 5,0 x GGN
1 When considering OLYSIO combination treatment with peginterferon alfa and ribavirin in HCV genotype 1a patients,
1 Kada se razmatra kombinirano liječenje lijekom OLYSIO s peginterferonom alfa i ribavirinom u bolesnika s HCV
OLYSIO is not recommended in patients with moderate or severe hepatic impairment (Child-Pugh class B or C) (see sections 4.2, 4.8 and 5.2).
Lijek OLYSIO se ne preporučuje u bolesnika s umjerenim ili teškim oštećenjem jetre (Child-Pugh stadij B ili C) (vidjeti dijelove 4.2, 4.8 i 5.2).
Data from an ongoing, long-term follow-up study (study HPC3002) in patients who did not achieve SVR with a simeprevir-based regimen in a previous phase 2 study showed that in 70% (16/23) of these patients emerging mutations were no longer detected after a median follow-up of 88 weeks (range 47-147 weeks).
70% (16/23) tih bolesnika, nastale mutacije više nije bilo moguće detektirati nakon medijana praćenja od 88 tjedana (raspon 47-147 tjedana).
> 2.0 to ≤ 5.0 x ULN 13 (4.5%)
> 2,0 do ≤ 5,0 x GGN 13 (4,5%)
1 In HCV genotype 1a infected patients with cirrhosis, testing for the presence of the Q80K polymorphism may be considered prior to initiation of therapy with OLYSIO in combination with sofosbuvir (see section 4.4).
1 U bolesnika s infekcijom HCV genotipom 1a s cirozom može se prije početka liječenja s lijekom OLYSIO u kombinaciji sa sofosbuvirom uzeti u obzir ispitivanje prisutnosti Q80K polimorfizma (vidjeti dio 4.4).
2 Treatment-experienced to prior treatment with peginterferon and ribavirin.
2 Prethodno iskustvo liječenja s peginterferonom i ribavirinom.
ANTICOAGULANTS Warfarin and other vitamin K antagonists warfarin 10 mg:
varfarin 10 mg:
Chemistry
FARMACEUTSKI
All grades Grade 3
Objedinjena ispitivanja faze 3
1 Treatment-experienced to prior treatment with peginterferon and ribavirin.
1 Prethodno iskustvo liječenja s peginterferonom i ribavirinom.
Plasma Cmax and AUC of simeprevir were similar during co-administration of simeprevir with peginterferon alfa and ribavirin compared with administration of simeprevir alone.
simeprevira u plazmi bili su slični tijekom istovremene primjene simeprevira s peginterferonom alfa i ribavirinom u usporedbi sa primjenom samo simeprevira.
HCV geno/subtype and presence of Q80K polymorphism in HCV genotype 1a Genotype 1a with Q80K without Q80K
HCV geno/podtip i prisutnost Q80K polimorfizma u HCV genotipu 1a Genotip 1a s Q80K bez Q80K
Sofosbuvir2 400 mg once daily sofosbuvir AUC 3.16 (2.25-4.44) ↑ sofosbuvir Cmax 1.91 (1.26-2.90) ↑ sofosbuvir Cmin not studied GS-331007 AUC 1.09 (0.87-1.37) ↔ GS-331007 Cmax 0.69 (0.52-0.93) ↓ GS-331007 Cmin not studied simeprevir AUC 0.94 (0.67-1.33) ↔ simeprevir Cmax 0.96 (0.71-1.30) ↔ simeprevir Cmin not studied
400 mg jedanput na dan sofosbuvir AUC 3,16 (2,25-4,44) ↑ sofosbuvir Cmax 1,91 (1,26-2,90) ↑ sofosbuvir Cmin nije ispitano GS-331007 AUC 1,09 (0,87-1,37) ↔ GS-331007 Cmax 0,69 (0,52-0,93) ↓ GS-331007 Cmin nije ispitano simeprevir AUC 0,94 (0,67-1,33) ↔ simeprevir Cmax 0,96 (0,71-1,30) ↔ simeprevir Cmin nije ispitano
testing for NS3 Q80K polymorphism should be performed before starting treatment (see section 4.4).
genotipom 1a, prije početka liječenja treba provesti ispitivanje na NS3 Q80K polimorfizam (vidjeti dio 4.4).
Genotype 1, prior relapsers2, with compensated cirrhosis or without cirrhosis
Genotip 1, s prethodnim relapsom2, s kompenziranom cirozom ili bez ciroze
tacrolimus AUC 0.83 (0.59-1.16) ↓ tacrolimus Cmax 0.76 (0.65-0.90) ↓ tacrolimus Cmin not studied simeprevir AUC 1.85 (1.18-2.91) ↑6 simeprevir Cmax 1.79 (1.22-2.62) ↑6 simeprevir Cmin not studied6
takrolimus AUC 0,83 (0,59-1,16) ↓ takrolimus Cmax 0,76 (0,65-0,90) ↓ takrolimus Cmin nije ispitano simeprevir AUC 1,85 (1,18-2,91) ↑6 simeprevir Cmax 1,79 (1,22-2,62) ↑6 simeprevir Cmin nije ispitano6
Patients had compensated liver disease (including cirrhosis), HCV RNA of at least 10,000 IU/ml, and liver histopathology consistent with CHC (if available).
10 000 IU/ml i histopatologiju jetre u skladu s kroničnim hepatitisom C (ukoliko je dostupna).
ANTIDEPRESSANTS Escitalopram 10 mg once daily escitalopram AUC 1.00 (0.97-1.03) ↔ escitalopram Cmax 1.03 (0.99-1.07) ↔ escitalopram Cmin 1.00 (0.95-1.05) ↔ simeprevir AUC 0.75 (0.68-0.83) ↓ simeprevir Cmax 0.80 (0.71-0.89) ↓ simeprevir Cmin 0.68 (0.59-0.79) ↓
Escitalopram 10 mg jedanput na dan escitalopram AUC 1,00 (0,97-1,03) ↔ escitalopram Cmax 1,03 (0,99-1,07) ↔ escitalopram Cmin 1,00 (0,95-1,05) ↔ simeprevir AUC 0,75 (0,68-0,83) ↓ simeprevir Cmax 0,80 (0,71-0,89) ↓ simeprevir Cmin 0,68 (0,59-0,79) ↓
600 mg once daily efavirenz AUC 0.90 (0.85-0.95) ↔ efavirenz Cmax 0.97 (0.89-1.06) ↔ efavirenz Cmin 0.87 (0.81-0.93) ↔ simeprevir AUC 0.29 (0.26-0.33) ↓ simeprevir Cmax 0.49 (0.44-0.54) ↓ simeprevir Cmin 0.09 (0.08-0.12) ↓
600 mg jedanput na dan efavirenz AUC 0,90 (0,85-0,95) ↔ efavirenz Cmax 0,97 (0,89-1,06) ↔ efavirenz Cmin 0,87 (0,81-0,93) ↔ simeprevir AUC 0,29 (0,26-0,33) ↓ simeprevir Cmax 0,49 (0,44-0,54) ↓ simeprevir Cmin 0,09 (0,08-0,12) ↓
OLYSIO is not recommended for patients with moderate or severe hepatic impairment (Child-Pugh class B or C) (see sections 4.4 and 5.2).
Lijek OLYSIO se ne preporučuje za bolesnike s umjerenim ili teškim oštećenjem jetre (Child-Pugh stadij B ili C) (vidjeti dijelove 4.4 i 5.2).
Sustained virologic response (SVR) was the primary endpoint in all studies and was defined as HCV RNA less than the lower limit of quantification (LLOQ) detectable or undetectable 12 weeks (SVR12) or 24 weeks (SVR24) after the planned end of treatment (studies C206, C208, C212, C216, HPC2002, HPC3007 and HPC3011) or after the actual end of treatment (studies HPC2014, HPC3017, HPC3018 and HPC3021) (LLOQ of 25 IU/ml and limit of detection of 15 IU/ml, except in studies HPC2014 and HPC3021 where LLOQ and limit of detection were 15 IU/ml).
Održani virološki odgovor (engl. sustained virologic response, SVR) bio je primarna mjera ishoda u svim ispitivanjima i bio je definiran kao HCV RNA manja od donje granice kvantifikacije (engl. lower limit of quantification, LLOQ) detektabilne ili nedetektabilne 12 tjedana (SVR12) ili 24 tjedna (SVR24) nakon planiranog završetka liječenja (ispitivanja C206, C208, C212, C216, HPC2002,
Erythromycin 500 mg three times a day erythromycin AUC 1.90 (1.53-2.36) ↑ erythromycin Cmax 1.59 (1.23-2.05) ↑ erythromycin Cmin 3.08 (2.54-3.73) ↑ simeprevir AUC 7.47 (6.41-8.70) ↑ simeprevir Cmax 4.53 (3.91-5.25) ↑ simeprevir Cmin 12.74 (10.19-15.93) ↑
Eritromicin 500 mg tri puta na dan eritromicin AUC 1,90 (1,53-2,36) ↑ eritromicin Cmax 1,59 (1,23-2,05) ↑ eritromicin Cmin 3,08 (2,54-3,73) ↑ simeprevir AUC 7,47 (6,41-8,70) ↑ simeprevir Cmax 4,53 (3,91-5,25) ↑ simeprevir Cmin 12,74 (10,19-15,93) ↑
Ledipasvir 30 mg once daily ledipasvir AUC 1.92 (1.77-2.07) ↑ ledipasvir Cmax 1.81 (1.69-2.94) ↑ ledipasvir Cmin not studied simeprevir AUC 2.69 (2.44-2.96) ↑ simeprevir Cmax 2.61 (2.34-2.86) ↑ simeprevir Cmin not studied
Ledipasvir 30 mg jedanput na dan ledipasvir AUC 1,92 (1,77-2,07) ↑ ledipasvir Cmax 1,81 (1,69-2,94) ↑ ledipasvir Cmin nije ispitano simeprevir AUC 2,69 (2,44-2,96) ↑ simeprevir Cmax 2,61 (2,34-2,86) ↑ simeprevir Cmin nije ispitano
> 2.50 to ≤ 5.00 x ULN
> 2,50 do ≤ 5,00 x GGN
Common: may affect up to 1 in 10 people: - increased ‘bilirubin' levels in your blood (bilirubin is a pigment made by the liver)* - being sensitive to sunlight (photosensitivity) - constipation.
Često: mogu se javiti u do 1 na 10 osoba: - povišene razine “bilirubina“ u Vašoj krvi (bilirubin je pigment kojeg stvara jetra)* - osjetljivost na sunčevu svjetlost (fotoosjetljivost) - zatvor. * U kliničkom ispitivanju na bolesnicima azijatskog porijekla iz Kine i Južne Koreje, prijavljene su povišene razine “bilirubina“ u krvi u više od 1 na 10 ljudi (vrlo često).
(OATP1B1 transporter and/or CYP3A4 enzyme inhibition)
(inhibicija prijenosnika OATP1B1 i/ili enzima CYP3A4)
NAME OF THE MEDICINAL PRODUCT OLYSIO 150 mg capsules simeprevir
NAZIV LIJEKA OLYSIO 150 mg kapsule simeprevir
0.035 mg once daily/ 1 mg once daily ethinylestradiol AUC 1.12 (1.05-1.20) ↔ ethinylestradiol Cmax 1.18 (1.09-1.27) ↑ ethinylestradiol Cmin 1.00 (0.89-1.13) ↔ norethindrone AUC 1.15 (1.08-1.22) ↔ norethindrone Cmax 1.06 (0.99-1.14) ↔ norethindrone Cmin 1.24 (1.13-1.35) ↑
1 mg jedanput na dan etinilestradiol AUC 1,12 (1,05-1,20) ↔ etinilestradiol Cmax 1,18 (1,09-1,27) ↑ etinilestradiol Cmin 1,00 (0,89-1,13) ↔ noretindron AUC 1,15 (1,08-1,22) ↔ noretindron Cmax 1,06 (0,99-1,14) ↔ noretindron Cmin 1,24 (1,13-1,35) ↑
> 1.5 to ≤ 2.5 x ULN
> 1,5 do ≤ 2,5 x GGN
Rilpivirine 25 mg once daily rilpivirine AUC 1.12 (1.05-1.19) ↔ rilpivirine Cmax 1.04 (0.95-1.13) ↔ rilpivirine Cmin 1.25 (1.16-1.35) ↑ simeprevir AUC 1.06 (0.94-1.19) ↔ simeprevir Cmax 1.10 (0.97-1.26) ↑ simeprevir Cmin 0.96 (0.83-1.11) ↔
Rilpivirin 25 mg jedanput na dan rilpivirin AUC 1,12 (1,05-1,19) ↔ rilpivirin Cmax 1,04 (0,95-1,13) ↔ rilpivirin Cmin 1,25 (1,16-1,35) ↑ simeprevir AUC 1,06 (0,94-1,19) ↔ simeprevir Cmax 1,10 (0,97-1,26) ↑ simeprevir Cmin 0,96 (0,83-1,11) ↔
400 mg twice a day raltegravir AUC 1.08 (0.85-1.38) ↑ raltegravir Cmax 1.03 (0.78-1.36) ↔ raltegravir Cmin 1.14 (0.97-1.36) ↑ simeprevir AUC 0.89 (0.81-0.98) ↔ simeprevir Cmax 0.93 (0.85-1.02) ↔ simeprevir Cmin 0.86 (0.75-0.98) ↓
400 mg dva puta na dan raltegravir AUC 1,08 (0,85-1,38) ↑ raltegravir Cmax 1,03 (0,78-1,36) ↔ raltegravir Cmin 1,14 (0,97-1,36) ↑ simeprevir AUC 0,89 (0,81-0,98) ↔ simeprevir Cmax 0,93 (0,85-1,02) ↔ simeprevir Cmin 0,86 (0,75-0,98) ↓
patients, with compensated cirrhosis or without cirrhosis treatment-naïve patients or prior relapsers: 12 weeks SMV + peg-IFN-alfa + RBV, followed by 12 or 36 weeks peg-IFN-alfa + RBV3; prior non-responder patients (partial and null responders): 12 weeks SMV + peg-IFN-alfa + RBV, followed by 36 weeks peg-IFN-alfa + RBV
36 tjedana peg-IFN-alfa + RBV3; bolesnici koji prethodno nisu odgovorili na liječenje (s djelomičnim odgovorom ili bez odgovora): 12 tjedana SMV + peg-IFN-alfa + RBV, nakon čega je slijedilo 36 tjedana peg-IFN-alfa + RBV
24 weeks OLYSIO + sofosbuvir or 12 weeks OLYSIO + sofosbuvir + ribavirin2
+ sofosbuvir + ribavirin2 12 tjedana OLYSIO
(OATP1B1/3 transporter and/or CYP3A4 enzyme inhibition)
(inhibicija prijenosnika OATP1B1/3 i/ili enzima CYP3A4)
OLYSIO is not recommended in patients with moderate or severe hepatic impairment (Child-Pugh class B or C) (see sections 4.2 and 4.4).
Lijek OLYSIO se ne preporučuje u bolesnika s umjerenim ili teškim oštećenjem jetre (Child-Pugh stadij B ili C) (vidjeti dijelove 4.2 i 4.4).
Rifampicin1 600 mg once daily rifampicin AUC 1.00 (0.93-1.08) ↔ rifampicin Cmax 0.92 (0.80-1.07) ↔ rifampicin Cmin not studied 25-desacetyl-rifampicin AUC 1.24 (1.13-1.36) ↑ 25-desacetyl-rifampicin Cmax 1.08 (0.98-1.19) ↔ 25-desacetyl-rifampicin Cmin not studied simeprevir AUC 0.52 (0.41-0.67) ↓ simeprevir Cmax 1.31 (1.03-1.66) ↑ simeprevir Cmin 0.08 (0.06-0.11) ↓
600 mg jedanput na dan rifampicin AUC 1,00 (0,93-1,08) ↔ rifampicin Cmax 0,92 (0,80-1,07) ↔ rifampicin Cmin nije ispitano 25-dezacetil-rifampicin AUC 1,24 (1,13-1,36) ↑ 25-dezacetil-rifampicin Cmax 1,08 (0,98-1,19) ↔ 25-dezacetil-rifampicin Cmin nije ispitano simeprevir AUC 0,52 (0,41-0,67) ↓ simeprevir Cmax 1,31 (1,03-1,66) ↑ simeprevir Cmin 0,08 (0,06-0,11) ↓