natgillin/translations-raw huggingface dataset:
In one of the 3 pivotal studies conducted in which a median follow-up of 5.5 years was available (BCIRG 006) a continuous increase in the cumulative rate of symptomatic cardiac or LVEF events was observed in patients who were administered trastuzumab concurrently with a taxane following anthracycline therapy up to 2.37% compared to approximately 1% in the two comparator arms (anthracycline plus cyclophosphamide followed by taxane and taxane, carboplatin and trastuzumab). 
U jednom od 3 provedena pivotalna ispitivanja s medijanom vremena praćenja od 5,5 godina (BCIRG006), u bolesnica koje su nakon anatraciklinske terapije trastuzumabom primale istodobno s taksanima, zabilježen je kontinuirani porast kumulativne stope simptomatskih srčanih događaja ili događaja povezanih s LVEF-om; do 2,37% u odnosu na oko 1% u dvije usporedne skupine (antraciklin plus ciklofosfamid uz nastavak liječenja taksanima te kombinacija taksana, karboplatina i trastuzumaba).
If patients have a continued decrease in left ventricular function, but remain asymptomatic, the physician should consider discontinuing therapy if no clinical benefit of KANJINTI therapy has been seen. 
Ako se u bolesnika primijeti kontinuirano smanjenje funkcije lijeve klijetke, koje ostaje asimptomatsko, potrebno je razmotriti prekid terapije lijekom KANJINTI ako ona nije polučila nikakvu kliničku korist.
KANJINTI 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 gastroesophageal junction who have not received prior anti-cancer treatment for their metastatic disease. 
KANJINTI je u kombinaciji s kapecitabinom ili 5-fluorouracilom i cisplatinom indiciran u liječenju odraslih bolesnika s HER2 pozitivnim metastatskim adenokarcinomom želuca ili gastroezofagealnog spoja, koji nisu prethodno primali kemoterapiju za metastatsku bolest.
If LVEF has not improved, or has declined further, or symptomatic congestive heart failure (CHF) has developed, discontinuation of KANJINTI 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 (CHF), potrebno je ozbiljno razmotriti mogućnost prekida liječenja lijekom KANJINTI, osim u slučaju kada koristi za pojedinog bolesnika nadmašuju rizike.
Progression free survival was doubled in the trastuzumab plus anastrozole arm compared to anastrozole (4.8 months versus 2.4 months). 
Preživljenje bez progresije bolesti udvostručeno je u skupini koja je primala trastuzumab u kombinaciji s anastrozolom u odnosu na skupinu koja je primala samo anastrozol (4,8 mjeseci naspram 2,4 mjeseca).
Anaphylactoid reactions have been observed in isolated cases. 
U izoliranim su slučajevima primijećene anafilaktoidne reakcije.
After aseptic dilution in polyvinylchloride, polyethylene or polypropylene bags containing sodium chloride 9 mg/mL (0.9%) solution for injection, chemical and physical stability of KANJINTI has been demonstrated for up to 30 days at 2°C - 8°C, and subsequently for 24 hours at temperatures not exceeding 30°C. 
Nakon aseptičkog razrjeđivanja u polivinilkloridnoj, polietilenskoj ili polipropilenskoj vrećici koja sadrži otopinu 9 mg/ml (0,9 %) natrijevog klorida za injekciju, kemijska i fizička stabilnost lijeka KANJINTI dokazana je do 30 dana na temperaturi 2°C - 8°C i zatim 24 sata na temperaturama ispod 30°C.
(µg.day/mL) 
(µg.dan/ml)
Biopsy specimen - staining pattern HER2 overexpression assessment 
Bioptat - karakteristika obojenja Objašnjenje povećane ekspresije HER2
Administration as an intravenous push or bolus is prohibited. 
Primjena u obliku intravenske injekcije ili bolusa je zabranjena.
Paclitaxel, in combination with trastuzumab, was administered as follows: - intravenous paclitaxel - 80 mg/m2 as a continuous intravenous infusion, given every week for 
Paklitaksel je u kombinaciji s trastuzumabom primjenjivan na sljedeći način: - intravenski paklitaksel - 80 mg/m2 u kontinuiranoj intravenskoj infuziji, jednom tjedno tijekom
Severe pulmonary events have been reported with the use of trastuzumab in the post-marketing setting (see section 4.8). 
Teške plućne reakcije pri primjeni trastuzumaba zabilježene su u razdoblju nakon stavljanja lijeka u promet (vidjeti dio 4.8).
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. oestrogen-receptor (ER) and/or progesterone-receptor (PR)) positive postmenopausal patients. 
Kombinirano liječenje trastuzumabom i anastrozolom Trastuzumab je ispitivan u kombinaciji s anastrozolom u prvoj liniji liječenja postmenopauzalnih bolesnica s metastatskim rakom dojke pozitivnim na povećanu ekspresiju HER2 i hormonske receptore (tj. estrogenske (ER) i/ili progesteronske receptore (PR)).
Treatment with AC→PH resulted in a statistically significant improvement in OS compared with AC→P (stratified HR = 0.64; 95% CI [0.55, 0.74]; log-rank p-value < 0.0001). 
Liječenje AC→PH kemoterapijom dovelo je do statistički značajnog poboljšanja ukupnog preživljenja u usporedbi s liječenjem AC→P kemoterapijom (stratificirani omjer hazarda = 0,64; 95% CI [0,55; 0,74]; log-rang p-vrijednost < 0,0001).
Only patients with a large amount of HER2 will be treated with KANJINTI. 
Lijekom KANJINTI će biti liječeni samo bolesnici s visokom razinom HER2.
No reactivity or membranous reactivity in < 10% of tumour cells 
Nema reaktivnosti ili membranske reaktivnosti u < 10% tumorskih stanica
• cisplatin - 80 mg/m2 every 3 weeks for 6 cycles on day 1 of each cycle. 
- cisplatin - 80 mg/m2 svaka 3 tjedna u 6 ciklusa, 1. dan svakog ciklusa.
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). 
Nije bilo ograničenja vezanih za vrijeme primjene trastuzumaba i anastrozola (za dozu vidjeti Sažetak opisa svojstava lijeka za anastrozol ili ostale inhibitore aromataze).
If the patient has missed a dose of KANJINTI by more than one week, a re-loading dose of KANJINTI should be administered over approximately 90 minutes (weekly regimen: 4 mg/kg; three-weekly regimen: 8 mg/kg) as soon as possible. 
Ako je bolesnik propustio primiti dozu lijeka KANJINTI za više od tjedan dana, potrebno je što prije ponoviti udarnu dozu lijeka KANJINTI u infuziji trajanja približno 90 minuta (tjedni ciklusi: 4 mg/kg; trotjedni ciklusi: 8 mg/kg).
infection of lungs pain in the arms and/or legs lung disorders itchy rash back pain sleepiness (somnolence) 
astma plućna infekcija bol u rukama i/ili nogama plućni poremećaji osip koji svrbi bol u leđima pospanost (izrazita pospanost)
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 kod primjene trastuzumaba, ponekad povezana i sa smrtnim ishodom (vidjeti dio 4.4).
In study MO16432, trastuzumab (8 mg/kg loading dose, followed by 6 mg/kg maintenance every 3 weeks) was administered concurrently with 10 cycles of neoadjuvant chemotherapy as follows: 
U ispitivanju MO16432, trastuzumab (udarna doza od 8 mg/kg, zatim doza održavanja od 6 mg/kg svaka 3 tjedna) je davan istodobno s 10 ciklusa neoadjuvantne kemoterapije, kako slijedi:
No reactivity or membranous reactivity in any tumour cell 
Nema reaktivnosti ili membranske reaktivnosti ni u jednoj tumorskoj stanici
The efficacy of trastuzumab in combination with paclitaxel in patients who did not receive prior adjuvant anthracyclines has not been studied. 
Nije ispitana djelotvornost trastuzumaba u kombinaciji s paklitakselom u bolesnica koje prethodno nisu primile adjuvantnu terapiju antraciklinima.
Despite the cross-over to trastuzumab in the control arm, the addition of trastuzumab to paclitaxel chemotherapy resulted in a 52% decrease in the risk of disease recurrence. 
Unatoč prijelazu na liječenje trastuzumabom u kontrolnoj skupini, dodavanje trastuzumaba kemoterapiji paklitakselom rezultiralo je smanjenjem rizika od ponovne pojave bolesti za 52%.
EBC is defined as non-metastatic primary invasive carcinoma of the breast. 
Rani rak dojke definira se kao primarni invazivni karcinom dojke bez metastaza.
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. 
Post-hoc eksplorativna analiza s preživljenjem bez bolesti i simptomatskim srčanim događajima Dugoročno praćenje** Omjeri hazarda (95% CI) A: doksorubicin, C: ciklofosfamid, P: paklitaksel, D: docetaksel, Carb: karboplatin, H: trastuzumab CI = interval pouzdanosti * U trenutku konačne analize preživljenja bez bolesti.
It is important to check the product labels to ensure that the correct formulation is being given as prescribed. 
Važno je provjeriti podatke na pakiranju lijeka kako bi se osiguralo da bolesnik primi odgovarajući oblik lijeka koji mu je propisan.
From a microbiological point of view, the reconstituted solution and KANJINTI infusion solution should be used immediately. 
S mikrobiološkog stajališta, rekonstituiranu otopinu i infuzijsku otopinu lijeka KANJINTI potrebno je odmah primijeniti.
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. 
U sklopu neoadjuvantnog-adjuvantnog liječenja, multicentrično, randomizirano ispitivanje MO16432 osmišljeno je da ispita kliničku djelotvornost istodobne primjene trastuzumaba s neoadjuvantnom kemoterapijom, koja je uključivala i antraciklin i taksan, nakon čega je slijedilo adjuvantno liječenje trastuzumabom do ukupno 1 godine liječenja.
The data suggest that beneficial effects were greater among those patients with higher levels of overexpression of HER2 (3+). 
Podaci upućuju na to da je povoljan učinak bio izraženiji u bolesnica s većim stupnjem povećane ekspresije HER2 (3+).
In the BCIRG 006 study trastuzumab was administered either in combination with docetaxel, following AC chemotherapy (AC→DH) or in combination with docetaxel and carboplatin (DCarbH). 
U sklopu ispitivanja BCIRG 006 trastuzumab je primjenjivan u kombinaciji s docetakselom nakon AC kemoterapije (AC→DH) ili u kombinaciji s docetakselom i karboplatinom (DCarbH).
The majority of the deaths were due to events related to the underlying cancer. 
Većina smrtnih slučajeva bila je posljedica komplikacija postojećeg tumora.
KANJINTI should only be used in patients with metastatic or early breast cancer whose tumours have either HER2 overexpression or HER2 gene amplification as determined by an accurate and validated assay (see sections 4.4 and 5.1). 
KANJINTI treba davati samo onim bolesnicima s metastatskim ili ranim rakom dojke čije tumorske stanice pokazuju povećanu ekspresiju HER2 ili HER2 gensku amplifikaciju što je potvrđeno preciznom i validiranom metodom (vidjeti dijelove 4.4 i 5.1).
Patients with HER2+ tumours were randomised to receive either neoadjuvant chemotherapy concurrently with neoadjuvant-adjuvant trastuzumab, or neoadjuvant chemotherapy alone. 
Bolesnice s HER2+ tumorima randomizirane su da primaju bilo neoadjuvantnu kemoterapiju istodobno s neoadjuvantnim-adjuvantnim trastuzumabom ili samo neoadjuvantnu kemoterapiju.
Administration in combination with an aromatase inhibitor In the pivotal trial (BO16216) trastuzumab and anastrozole were administered from day 1. 
U pivotalnom kliničkom ispitivanju (BO16216) trastuzumab i anastrozol primjenjivani su od prvoga dana.
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, oestrogen receptor and progesterone receptor negative, histological and/or nuclear grade 2-3, or age < 35 years). 
U ispitivanju BCIRG 006 HER2 pozitivni rani rak dojke bio je definiran bilo kao tumor s pozitivnim limfnim čvorovima ili visokorizični tumor s negativnim limfnim čvorovima te barem jednim od sljedećih čimbenika: tumor veći od 2 cm, negativni estrogenski i progesteronski receptori, histološki i/ili nuklearni gradus 2 do 3 ili dob < 35 godina.
Pharmacokinetic data from Study H4613g/GO01305 in patients with metastatic or locally advanced inoperable HER2-positive cancer suggested that trastuzumab had no impact on the PK of carboplatin. 
Farmakokinetički podaci iz ispitivanja H4613g/GO01305 u bolesnika s metastatskim ili lokalno uznapredovalim inoperabilnim HER2 pozitivnim rakom ukazali su da trastuzumab nije utjecao na farmakokinetiku karboplatina.
• pain, swelling, redness or tingling of hands and/or feet 
• bol, oticanje, crvenilo ili trnci u šakama i/ili stopalima
More patients treated with trastuzumab and paclitaxel progressed in the central nervous system than those treated with paclitaxel alone (12.6% versus 6.5%; p = 0.377). 
Pojava metastaza u središnjem živčanom sustavu bila je češća u bolesnica liječenih trastuzumabom i paklitakselom u odnosu na one liječene samo paklitakselom (12,6% naspram 6,5%; p = 0,377).
The risk of neutropenia may be slightly increased when trastuzumab is administered with docetaxel following anthracycline therapy. 
Rizik od pojave neutropenije neznatno je veći kada se trastuzumab primjenjuje s docetakselom nakon terapije antraciklinima.
The non-linear elimination parameter values were 8.81 mg/day for the maximum elimination rate (Vmax) and 8.92 μg/mL for the Michaelis-Menten constant (Km) for the MBC, EBC, and AGC patients. 
Vrijednosti parametara nelinearne eliminacije bile su 8,81 mg/dan za maksimalnu brzinu eliminacije (Vmax) i 8,92 µg/ml za Michaelis-Mentenovu konstantu (Km) u bolesnika s metastatskim rakom dojke, ranim rakom dojke i uznapredovalim rakom želuca.
Median duration of follow-up was 1.8 years in the AC→P arm and 2.0 years in the AC→PH arm ** 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 
Medijan trajanja praćenja iznosio je 1,8 godina u skupini koja je primala AC→P kemoterapiju i 2,0 godine u skupini koja je primala AC→PH kemoterapiju ** Medijan trajanja dugoročnog praćenja za klinička ispitivanja obuhvaćena zajedničkom analizom iznosio je 8,3 godine (raspon: 0,1 do 12,1) u skupini koja je primala AC→PH kemoterapiju te 7,9 godina (raspon: 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: 0,0 do 12,6) i u onoj koja je primala DCarbH kemoterapiju (raspon: 0,0 do 13,1), dok je u skupini koja je primala AC→DH kemoterapiju iznosio 10,4 godine (raspon: 0,0 - 12,7)
CLINICAL PARTICULARS 4.1 Therapeutic indications Breast cancer Metastatic breast cancer KANJINTI is indicated for the treatment of adult patients with HER2 positive metastatic breast cancer (MBC): - as monotherapy for the treatment of those patients who have received at least two chemotherapy regimens for their metastatic disease. 
KLINIČKI PODACI 4.1 Terapijske indikacije Rak dojke Metastatski rak dojke KANJINTI je indiciran u liječenju odraslih bolesnika s HER2 pozitivnim metastatskim rakom dojke: - kao monoterapija u liječenju bolesnika koji su prošli najmanje dvije linije kemoterapije za metastatsku bolest.
• abnormal development of the kidneys of the baby in the womb 
• abnormalni djetetov razvoj bubrega u maternici
Cardiac dysfunction 
Disfunkcija srca
The pre-planned final analysis of OS from the joint analysis of studies NSABP B-31 and NCCTG N9831 was performed when 707 deaths had occurred (median follow-up 8.3 years in the AC→PH group). 
Unaprijed planirana konačna analiza ukupnog preživljenja iz skupne analize ispitivanja NSABP B-31 i NCCTG N9831 provedena je nakon 707 smrtnih slučajeva (medijan praćenja od 8,3 godine u skupini koja je primala AC→PH kemoterapiju).
In the post-marketing setting, cases of foetal renal growth and/or function impairment in association with oligohydramnios, some associated with fatal pulmonary hypoplasia of the foetus, have been reported in pregnant women receiving trastuzumab. 
U razdoblju nakon stavljanja lijeka u promet, u trudnica koje su primale trastuzumab prijavljeni su slučajevi narušenog rasta i/ili funkcije bubrega kod fetusa povezani s oligohidramnionom, od kojih su neki bili povezani s fatalnom pulmonalnom hipoplazijom fetusa.
In the pivotal trial BO22227, trastuzumab was administered concurrently with neoadjuvant chemotherapy that contained four cycles of epirubicin (cumulative dose 300 mg/m2); at a median follow-up exceeding 70 months, the incidence of cardiac failure/congestive cardiac failure was 0.3% in the trastuzumab intravenous arm. 
U pivotalnom ispitivanju BO22227, trastuzumab se primjenjivao istodobno s neoadjuvantnom kemoterapijom koja se sastojala od četiri ciklusa epirubicina (kumulativna doza: 300 mg/m2); nakon medijana praćenja od više od 70 mjeseci, incidencija zatajenja srca/kongestivnog zatajenja srca iznosila je 0,3% u skupini koja je primala trastuzumab za intravensku primjenu.
In this final analysis, extending trastuzumab treatment for a duration of two years did not show additional benefit over treatment for 1 year [DFS HR in the intent to treat (ITT) population of 2 years versus 1 year = 0.99 (95% CI 0.87, 1.13), p-value = 0.90 and OS HR = 0.98 (0.83, 1.15); p-value = 0.78]. 
U toj završnoj analizi produljenje liječenja trastuzumabom na dvije godine nije pokazalo dodatne korisne učinke u odnosu na jednogodišnje liječenje [omjer hazarda za preživljenje bez simptoma bolesti (DFS HR) u populaciji koju se namjeravalo liječiti (ITT) tijekom 2 godine naspram 1 godine = 0,99 (95% CI: 0,87; 1,13), p-vrijednost = 0,90 i omjer hazarda za ukupno preživljenje (OS HR) = 0,98 (0,83; 1,15); p-vrijednost = 0,78].
- 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). 
- Ispitivanje BO16348 s ciljem usporedbe liječenja trastuzumabom u trotjednim ciklusima tijekom jedne i dvije godine i opservacije u bolesnica s HER2 pozitivnim tumorom dojke u ranom stadiju nakon kirurškog zahvata, završene kemoterapije i radioterapije (ako su provedeni).
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. 
SISH ili FISH se smatra pozitivnim ako je omjer broja genskih kopija HER2 po tumorskoj stanici i broja kopija kromosoma 17 veći ili jednak 2.
Patients assigned to receive trastuzumab were given an initial loading dose of 8 mg/kg, followed by 6 mg/kg every three weeks for either one or two years. 
Trastuzumab je u pogodnih bolesnica primjenjivan u početnoj udarnoj dozi od 8 mg/kg, a zatim u dozi od 6 mg/kg svaka tri tjedna u trajanju od jedne ili dvije godine.
This helps your medicine work as well as it can. 
Na taj se način omogućuje najbolje djelovanje lijeka.
Patients with MBC who have previously received anthracyclines are also at risk of cardiac dysfunction with KANJINTI treatment, although the risk is lower than with concurrent use of KANJINTI and anthracyclines. 
U bolesnika s metastatskim rakom dojke koji su prethodno primali antracikline je također povećan rizik od disfunkcije srca pri liječenju lijekom KANJINTI, premda je on manji od rizika u bolesnika koji istodobno primaju KANJINTI i antracikline.
• You have metastatic breast cancer (breast cancer that has spread beyond the original tumour) with high levels of HER2. 
• bolujete od metastatskog raka dojke (tumora dojke koji se proširio izvan dojke) s visokom razinom proteina HER2.
The powder is a white to pale yellow pellet. 
Prašak čine bijele do blijedožute pelete.
• anaphylactic reactions 
• anafilaktičke reakcije
Studies indicate that breast cancer patients whose tumours overexpress HER2 have a shortened disease-free survival compared to patients whose tumours do not overexpress HER2. 
Ispitivanja su pokazala da bolesnici s rakom dojke čije tumorske stanice pokazuju povećanu ekspresiju HER2 imaju kraće vrijeme preživljenja bez simptoma bolesti nego bolesnici s tumorom koji nemaju povećanu ekspresiju HER2.
All candidates for treatment with KANJINTI, 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 KANJINTI, 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.
Patients classified as staining 2+ or 3+ were included, while those staining 0 or 1+ were excluded. 
Bolesnice s tumorima intenziteta obojenja od 2+ do 3+ uključene su u ispitivanje, a one s 0 do 1+ nisu.
- intravenous docetaxel - 100 mg/m2 as an intravenous infusion over 1 hour, given every 3 weeks for 4 cycles (day 2 of first docetaxel cycle, then day 1 of each subsequent cycle) 
- intravenski docetaksel - 100 mg/m2 u intravenskoj infuziji tijekom 1 sata, svaka 3 tjedna u 4 ciklusa (2. dan 1. ciklusa docetaksela, a potom 1. dan svakog sljedećeg ciklusa)
+Lung infiltration 
+plućni infiltrat nepoznato
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%; p = 0.004). 
Učestalost pojave metastaza u jetri bila je znatno smanjena u bolesnica liječenih kombinacijom trastuzumaba i paklitaksela u usporedbi sa samim paklitakselom (21,8% naspram 45,7%; p = 0,004).
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 trastuzumab intravenously. 
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.
Linear clearance was 0.136 L/day for MBC, 0.112 L/day for EBC and 0.176 L/day for 
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.
+Pulmonary fibrosis 
+plućna fibroza nepoznato
MBC and EBC patients had similar PK parameters (e.g. clearance (CL), the central compartment volume (Vc)) and population-predicted steady-state exposures (Cmin, Cmax and AUC). 
Bolesnici s metastatskim rakom dojke i ranim rakom dojke imali su slične farmakokinetičke parametre (npr. klirens, volumen središnjeg odjeljka [Vc]) i razine izloženosti u stanju dinamičke ravnoteže (Cmin, Cmax i AUC) predviđene za tu populaciju.