natgillin/translations-raw huggingface dataset:
A total of 521 pre/peri- and postmenopausal women who had progressed on or within 12 months from completion of adjuvant endocrine therapy or on or within 1 month from prior endocrine therapy for advanced disease, were randomised 2:1 to palbociclib plus fulvestrant or placebo plus fulvestrant and stratified by documented sensitivity to prior hormonal therapy, menopausal status at study entry (pre/peri- versus postmenopausal), and presence of visceral metastases. 
Ukupno 521 pre/peri i postmenopauzalna žena čija je bolest napredovala tijekom ili unutar 12 mjeseci od dovršetka adjuvantne endokrine terapije, ili tijekom ili unutar 1 mjesec od prethodne endokrine terapije za uznapredovalu bolest, bile su randomizirane u omjeru 2:1 na palbociklib i fulvestrant ili placebo i fulvestrant i stratificirane dokazanom osjetljivošću na prethodnu hormonsku terapiju, menopauzalni status pri ulasku u ispitivanje (pre/peri naspram postmenopauzalnih) i prisutnost visceralnih metastaza.
The adverse reactions are listed by system organ class and frequency category. 
Nuspojave su navedene prema klasifikaciji organskih sustava i kategoriji učestalosti.
DDI studies of palbociclib with oral contraceptives have not been conducted (see section 4.6). 
Ispitivanja interakcija između palbocikliba i oralnih kontraceptiva nisu provedena (vidjeti dio 4.6).
In the event of a palbociclib overdose, both gastrointestinal (e.g., nausea, vomiting) and haematological (e.g., neutropenia) toxicity may occur and general supportive care should be provided. 
U slučaju predoziranja palbociklibom mogu se javiti i gastrointestinalna (primjerice mučnina, povraćanje) i hematološka toksičnost (primjerice neutropenija) te se mora osigurati opća suportivna skrb.
PAL=palbociclib; LET=letrozole; PCB=placebo. 
PAL=palbociklib; LET=letrozol; PCB=placebo
Palbociclib is a weak, time-dependent inhibitor of CYP3A following daily 125 mg dosing at steady state. 
Palbociklib je slabi, o vremenu ovisan inhibitor CYP3A nakon dnevne doze od 125 mg u stanju dinamičke ravnoteže.
Secondary endpoint results are based on confirmed and unconfirmed responses according to RECIST 1.1. 
Rezultati sekundarne mjere ishoda temelje se na potvrđenim i nepotvrđenim odgovorima u skladu s kriterijima RECIST 1.1.
Permanent discontinuation due to an adverse reaction occurred in 5.2% of patients receiving IBRANCE in randomised clinical studies regardless of the combination. 
Trajni prekid zbog bilo koje nuspojave dogodio se u 5,2 % bolesnica koje su primale IBRANCE u randomiziranim kliničkim ispitivanjima neovisno o kombinaciji.
At the time of the updated analyses, the median time from randomisation to second subsequent therapy was 38.8 months in the palbociclib + letrozole arm and 28.8 months in the placebo + letrozole arm, HR 0.73 (95% CI: 0.58, 0.91). 
U vrijeme ažuriranih analiza, medijan vremena od randomizacije do druge sljedeće terapije je bio 38,8 mjeseci u skupini na kombinaciji palbociklib i letrozol te 28,8 mjeseci u skupini na kombinaciji placebo i letrozol, HR 0,73 (95% CI: 0,58; 0,91).
No dose adjustment of IBRANCE is required for patients with mild or moderate hepatic impairment (Child-Pugh classes A and B). 
Nije potrebna prilagodba doze lijeka IBRANCE u bolesnica s blagim ili umjerenim oštećenjem jetre (Child-Pugh stadiji A i B).
Effects of other medicinal products on the pharmacokinetics of palbociclib 
Učinci drugih lijekova na farmakokinetiku palbocikliba
In addition, based on a population pharmacokinetic analysis that included 183 patients with advanced cancer, where 73 patients had mild renal impairment and 29 patients had moderate renal impairment, mild and moderate renal impairment had no effect on the pharmacokinetics of palbociclib. 
Nadalje, na temelju populacijskefarmakokinetičke analize koja je uključivala 183 bolesnika s uznapredovalim rakom gdje je 73 bolesnika imalo blago oštećenje bubrega i 29 bolesnika umjereno oštećenje bubrega, blago i umjereno oštećenje bubrega nije imalo učinka na farmakokinetiku palbocikliba.
IBRANCE is not recommended during pregnancy and in women of childbearing potential not using contraception. 
tijekom trudnoće niti u žena reproduktivne dobi koje ne koriste kontracepciju.
In vivo, palbociclib is a weak, time-dependent inhibitor of CYP3A. 
In vivo je palbociklib slabi, i o vremenu ovisni inhibitor CYP3.
The safety and efficacy of IBRANCE in children and adolescents <18 years of age have not been established. 
Sigurnost i djelotvornost lijeka IBRANCE u djece i adolescenata u dobi
A reduction in the risk of disease progression or death in the palbociclib plus fulvestrant arm was observed in all individual patient subgroups defined by stratification factors and baseline characteristics. 
Smanjenje rizika od progresije bolesti ili smrti u skupini koja je primala palbociklib i fulvestrant uočeno je u svih pojedinačnih skupina bolesnica definiranih faktorima stratifikacije i početnim karakteristikama.
Efficacy results in patients with visceral or non-visceral disease from PALOMA-2 study (intent-to-treat population; 31-May-2017 cutoff date) Visceral Disease 
Rezultati djelotvornosti u bolesnica s visceralnom i bez visceralne bolesti iz ispitivanja PALOMA-2 (populacija predviđena za liječenje; zaključni datum prikupljanja podataka od 31. svibnja 2017.) Visceralna bolest
A reduction in the risk of disease progression or death in favour of the palbociclib plus letrozole arm was observed in all individual patient subgroups defined by stratification factors and baseline characteristics in the primary and in the updated analysis. 
Smanjenje rizika od progresije bolesti ili smrti u u korist skupine koja je primala palbociklib i letrozol uočeno je u svih pojedinačnih skupina bolesnica definiranih faktorima stratifikacije i početnim karakteristikama u primarnoj i ažuriranoj analizi.
This was evident for pre/perimenopausal women (HR of 0.46 [95% CI: 0.28, 0.75]) and postmenopausal women (HR of 0.52 [95% CI: 0.40, 0.66]) and patients with visceral site of metastatic disease (HR of 0.50 [95% CI: 0.38, 0.65]) and non-visceral site of metastatic disease (HR of 0.48 [95% CI: 0.33, 0.71]). 
To je bilo očito za žene u pre/perimenopauzi (HR od 0,46 [95 % CI: 0,28 - 0,75]), i žene u postmenopauzi (HR od 0,52 [95 % CI: 0,40 - 0,66]) i bolesnice s visceralnim mjestom metastatske bolesti (HR od 0,50 [95 % CI: 0,38 - 0,65]), i bez visceralnog sijela metastatske bolesti (HR od 0,48 [95 % CI: 0,33 - 0,71]).
Crossover between treatment arms was not allowed. 
Prelazak iz jedne skupine za liječenje u drugu nije bio dozvoljen.
The following medicines may have increased risk of side effects when given with IBRANCE: 
Sljedeći lijekovi mogu povećati rizik od nuspojava kada se daju skupa s lijekom IBRANCE:
No dose adjustments are required for moderate CYP3A inducers (see section 4.4). 
Nisu potrebne prilagodbe doze za umjerene CYP3A induktore (vidjeti dio 4.4).
- The other ingredients are: Capsule content: microcrystalline cellulose, lactose monohydrate, sodium starch glycolate type A, colloidal anhydrous silica, magnesium stearate. 
- Drugi sastojci su: Sadržaj kapsule: mikrokristalična celuloza, laktoza hidrat, natrijev škroboglikolat vrsta A, koloidni silicijev dioksid, magnezijev stearat.
• Colchicine used to treat gout. 
• kolhicin, koji se koristi za liječenje gihta.
Data from a DDI study in healthy male subjects indicated that palbociclib exposures were comparable when a single dose of palbociclib was coadministered with multiple doses of tamoxifen and when palbociclib was given alone. 
Podaci iz ispitivanja interakcija između lijekova u muških, zdravih ispitanika ukazuju da su izlaganja palbociklibu bila usporediva kada se pojedinačna doza palbocikliba istodobno primijenila s višestrukim dozama tamoksifena i kada se palbociklib davao sam.
IBRANCE is indicated for the treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative locally advanced or metastatic breast cancer: - in combination with an aromatase inhibitor; - in combination with fulvestrant in women who have received prior endocrine therapy (see section 5.1). 
IBRANCE je indiciran za liječenje lokalno uznapredovalog ili metastatskog raka dojke pozitivnog na hormonski receptor (HR), negativnog na receptor humanog epidermalnog faktora rasta 2 (HER2): - u kombinaciji s inhibitorom aromataze - u kombinaciji s fulvestrantom u žena koje su primile prethodnu endokrinu terapiju (vidjeti dio
No dose adjustments are required for coadministration of palbociclib with moderate CYP3A inducers (see section 4.5). 
Nisu potrebne prilagodbe doze za istodobnu primjenu palbocikliba s umjerenim induktorima CYP3A (vidjeti dio 4.5).
IBRANCE plus fulvestrant (N=206) 
IBRANCE i fulvestrant (N=206)
Palbociclib in combination with fulvestrant in pre/perimenopausal women has only been studied in combination with an LHRH agonist. 
Palbociklib u kombinaciji s fulvestrantom u pre/perimenopauzalnih žena je ispitivan samo u kombinaciji s LHRH agonistom.
The most common (≥20%) adverse reactions of any grade reported in patients receiving palbociclib in randomised clinical studies were neutropenia, infections, leukopenia, fatigue, nausea, stomatitis, anaemia, diarrhoea, alopecia and thrombocytopenia. 
Najčešće (≥ 20 %) nuspojave bilo kojeg stupnja prijavljene u bolesnica koje su primale palbociklib u randomiziranim kliničkim ispitivanjima bile su neutropenija, infekcije, leukopenija, umor, mučnina, stomatitis, anemija, proljev, alopecija i trombocitopenija.
ALT=alanine aminotransferase; AST=aspartate aminotransferase; ILD=interstitial lung disease; N/n=number of patients; N/A=not applicable. 
AST - aspartat aminotransferaza; ALT - alanin aminotransferaza; N - broj bolesnika; N/P - nije primjenjivo.
Data from a pharmacokinetic trial in subjects with varying degrees of hepatic function indicate that palbociclib unbound exposure (unbound AUCinf) decreased by 17% in subjects with mild hepatic impairment (Child-Pugh class A), and increased by 34% and 77% in subjects with moderate (Child-Pugh class B) and severe (Child-Pugh class C) hepatic impairment, respectively, relative to subjects with normal hepatic function. 
Podaci dobiveni farmakokinetičkim ispitivanjem provedenim na ispitanicima s različitim stupnjevima funkcije jetre pokazuju da se izloženost nevezanom palbociklibu (nevezani AUCinf) smanjila za 17% u ispitanika s blagim oštećenjem jetre (Child-Pugh stadij A) te povećala za 34% odnosno 77%, u ispitanika s umjerenim (Child Pugh stadij B) i teškim (Child-Pugh stadij C) oštećenjem jetre, u usporedbi s ispitanicima s normalnom funkcijom jetre.
Similarly, a reduction in the risk of disease progression or death in the palbociclib plus letrozole arm was observed in 512 patients whose tumour tested positive for Rb protein expression by immunohistochemistry (IHC) (HR of 0.543 [95% CI: 0.433, 0.681], mPFS 27.4 months versus 13.7 months). 
Slično tome, smanjenje rizika od progresije bolesti ili smrti u skupini koja je primala palbociklib i letrozol primijećeno je u 512 bolesnica čiji je tumor imunohistokemijskim testiranjem (IHC) bio pozitivan na Rb protein (HR od 0,543 [95% CI: 0,433; 0,681], mPFS 27,4 mjeseca naspram 13,7 mjeseci).
Drug-drug interaction between palbociclib and oral contraceptives 
Interakcije između palbocikliba i oralnih kontraceptiva
Palbociclib-related findings in the testis, epididymis, prostate, and seminal vesicle included decreased organ weight, atrophy or degeneration, hypospermia, intratubular cellular debris, lower sperm motility and density, and decreased secretion. 
Nalazi povezani s palbociklibom u testisima, epididimisu, prostati i sjemenoj vrećici uključivali su smanjenu težinu organa, atrofiju ili degeneraciju, hipospermiju, intratubularni stanični otpad, slabiju pokretljivost spermija i gustoću te smanjeno izlučivanje.
Palbociclib did not affect mating or fertility in female rats at any dose tested up to 300 mg/kg/day (approximately 3 times human clinical exposure based on AUC), and no adverse effects were observed in female reproductive tissues in repeat-dose toxicity studies up to 300 mg/kg/day in the rat and 3 mg/kg/day in the dog (approximately 5 and 3 times human clinical exposure based on AUC, respectively). 
Palbociklib nije utjecao na parenje ili plodnost u ženki štakora pri bilo kojoj dozi ispitanoj do 300 mg/kg/dan (približno 3 puta većoj izloženosti od kliničkog izlaganja ljudi na temelju AUC) i bez nuspojava uočenih kod ženskih reproduktivnih tkiva u ispitivanjima toksičnosti ponovljene doze do 300 mg/kg/dan kod štakora i 3 mg/kg/dan u pasa (približno 5 odnosno 3 puta veće od izlaganja ljudi u kliničkom okruženju na temelju AUC).
Capsule content 
Sadržaj kapsule
Coadministration of multiple doses of palbociclib with midazolam increased the midazolam AUCinf and Cmax values by 61% and 37%, respectively, as compared with administration of midazolam alone. 
Istodobna primjena višestrukih doza palbocikliba s midazolamom povećala je vrijednosti AUCinf i Cmax midazolama za 61%, odnosno 37% u usporedbi s primjenom samog midazolama.
A total of 666 postmenopausal women were randomised 2:1 to the palbociclib plus letrozole arm or placebo plus letrozole arm and were stratified by site of disease (visceral versus nonvisceral), disease-free interval from the end of (neo)adjuvant treatment to disease recurrence (de novo metastatic versus 12 months versus >12 months), and by the type of prior (neo)adjuvant anticancer therapies (prior hormonal therapy versus no prior hormonal therapy). 
Ukupno 666 žena u postmenopauzi je bilo randomizirano u omjeru 2:1 u skupinu palbociklib i letrozol ili u skupinu placebo i letrozol, i bile su stratificirane po sijelu bolesti (visceralne u odnosu na nevisceralne), intervalu bez bolesti od kraja (neo) adjuvantnog liječenja do ponovne pojave bolesti (de novo metastatski naspram  12 mjeseci naspram > 12 mjeseci), i po tipu prethodne (neo) adjuvantne antineoplastične terapije (prethodna hormonska terapija naspram one bez prethodne hormonske terapije).
The mean fraction unbound (fu) of palbociclib in human plasma in vivo increased incrementally with worsening hepatic function. 
Srednja vrijednost nevezane frakcije (fu) palbocikliba u ljudskoj plazmi in vivo postepeno se povećavala kako se funkcija jetre pogoršavala.
Ibrance plus Letrozole or Fulvestrant 
Ibrance u kombinaciji s letrozolom ili fulvestrantom
Data from a clinical study in patients with breast cancer showed that there was no clinically relevant drug interaction between palbociclib and fulvestrant when the two medicinal products were coadministered. 
Podaci iz kliničkog ispitivanja u bolesnica s rakom dojke pokazali su da nema klinički značajnih interakcija između palbocikliba i fulvestranta kada se dva lijeka primjenjuju istodobno.
Grade 3 
Stupanj 3
When coadministered with palbociclib, the aromatase inhibitor should be administered according to the dose schedule reported in the Summary of Product Characteristics. 
Prilikom istodobne primjene s palbociklibom, inhibitor aromataze potrebno je primjenjivati prema rasporedu doziranja navedenom u njegovom sažetku opisa svojstava lijeka.
Patients with advanced symptomatic, visceral spread, that were at risk of life-threatening complications in the short term (including patients with massive uncontrolled effusions [pleural, pericardial, peritoneal], pulmonary lymphangitis, and over 50% liver involvement), were not eligible for enrolment into the study. 
Bolesnice s uznapredovalom simptomatskom, visceralno raširenom bolešću koje su bile životno ugrožene komplikacijama u kratkom roku (uključujući bolesnice s opsežnim nekontroliranim izljevima (plućnim, perikardijalnim, peritonealnim), pulmonarnim limfangitisom i preko 50% zahvaćenom jetrom), nisu bile pogodne za uključivanjeu ispitivanje.
Addition of palbociclib to fulvestrant resulted in a symptom benefit by significantly delaying time-to-deterioration in pain symptom compared with placebo plus fulvestrant (median 8.0 months versus 2.8 months; HR of 0.64 [95% CI: 0.49, 0.85]; p<0.001). 
Dodavanje palbocikliba fulvestrantu rezultiralo je u koristi povezanoj sa simptomima značajno odgađajući vrijeme do pogoršanja simptoma boli u usporedbi s placebom i fulvestrantom (medijan 8,0 mjeseci naspram 2,8 mjeseci) HR = 0,642 [95 % CI 0,487, 0,846]; p < 0,001).
Patients with advanced/metastatic, symptomatic, visceral spread, that were at risk of life-threatening complications in the short term (including patients with massive uncontrolled effusions [pleural, pericardial, peritoneal], pulmonary lymphangitis, and over 50% liver involvement), were not eligible for enrolment into the study. 
Bolesnice s uznapredovalom/metastatskom, simptomatskom visceralno raširenom bolešću koje su bile životno ugrožene komplikacijama u kratkom roku (uključujući bolesnice sa velikim nekontroliranim izljevima (plućnim, perikardijalnim, peritonealnim), pulmonarnim limfangitisom i preko 50% zahvaćenom jetrom), nisu bile pogodne za uključivanje u ispitivanje.
Monitor patients for pulmonary symptoms indicative of ILD/pneumonitis (e.g. hypoxia, cough, dyspnoea). 
Potrebno je pratiti bolesnike zbog moguće pojave plućnih simptoma koji ukazuju na IBP/pneumonitis (npr. hipoksija, kašalj, dispneja).
Table 5 reports the laboratory abnormalities observed in pooled datasets from 3 randomised studies. 
Tablici 5 prikazana su odstupanja u laboratorijskim nalazima zabilježene u objedinjenim podacima prikupljenim iz 3 randomizirana ispitivanja.
The overall safety profile of IBRANCE is based on pooled data from 872 patients who received palbociclib in combination with endocrine therapy (N=527 in combination with letrozole and N=345 in combination with fulvestrant) in randomised clinical studies in HR-positive, HER2-negative advanced or metastatic breast cancer. 
Ukupni sigurnosni profil lijeka IBRANCE temelji se na objedinjenim podacima od 872 bolesnice s HR pozitivnim, HER2 negativnim, uznapredovalim ili metastatskim rakom dojke koje su primale palbociklib u kombinaciji s endokrinom terapijom (N=527 u kombinaciji s letrozolom i N=345 u kombinaciji s fulvestrantom) u randomiziranim kliničkim ispitivanjima.
The observed hazard ratio (HR) was 0.576 (95% confidence interval [CI]: 0.46, 0.72) in favour of palbociclib plus letrozole, with a stratified log-rank test 1-sided p-value of <0.000001. 
Hazard Ratio) iznosio je 0,576 (95% CI: 0,463 - 0,718) u prilog palbocikliba i letrozola, s p-vrijednošću 1-stranog stratificiranog log-rank testa od < 0,000001.
• Carbamazepine and phenytoin, used to stop seizures or fits. 
• karbamazepin i fenitoin, koji se koriste za prekid napadaja.
Absolute neutrophil counts (ANC) of ≥1000/mm3 and platelet counts of ≥50,000/mm3 are recommended to receive IBRANCE. 
Za primanje lijeka IBRANCE preporučuje se apsolutni broj neutrofila (ABN) ≥ 1000/mm i broj trombocita ≥ 50 000/mm
4.5 Interaction with other medicinal products and other forms of interaction Palbociclib is primarily metabolised by CYP3A and sulphotransferase (SULT) enzyme SULT2A1. 
Palbociklib se prvenstveno metabolizira putem CYP3A i sulfotransferaze (SULT) enzima SULT2A1.
Patients were well matched for baseline demographics and prognostic characteristics between the palbociclib plus fulvestrant arm and the placebo plus fulvestrant arm. 
Bolesnice su bile dobro uparene prema početnim vrijednostima demografskih i prognostičkih karakteristika između skupine koja je primala palbociklib fulvestrant i skupine koja je primala placebo fulvestrant.
IBRANCE 100 mg hard capsules EU/1/16/1147/003 
IBRANCE 100 mg tvrde kapsule EU/1/16/1147/003
IBRANCE 125 mg hard capsules EU/1/16/1147/005 
IBRANCE 125 mg tvrde kapsule EU/1/16/1147/005
What you need to know before you take IBRANCE 3. 
Što morate znati prije nego počnete uzimati IBRANCE 3. Kako uzimati IBRANCE 4. Moguće nuspojave
The efficacy of palbociclib in combination with letrozole versus letrozole plus placebo was evaluated in an international, randomised, double-blind, placebo-controlled, parallel-group, multicentre study conducted in women with ER-positive, HER2-negative locally advanced breast cancer not amenable to resection or radiation therapy with curative intent or metastatic breast cancer who had not received prior systemic treatment for their advanced disease. 
Djelotvornost palbocikliba u kombinaciji s letrozolom naspram letrozola i placeba procijenjena je u međunarodnom, randomiziranom, dvostruko slijepom, placebom kontroliranom multicentričnom ispitivanju paralelnih skupina u žena s ER-pozitivnim, HER2-negativnoim lokalno uznapredovalim rakom dojke koji nije bio pogodan za resekciju ili radioterapiju u svrhu postizanja izlječenja, ili s metastatskim rakom dojke, a koje nisu primile prethodno sistemsko liječenje za svoju uznapredovalu bolest.
The Kaplan-Meier curves for PFS based on the updated cutoff date of 31 May 2017 are displayed in Figure 1 below. 
Kaplan-Meierove krivulje preživljenja bez progresije bolesti temeljene na ažuriranom zaključnom datumu prikupljanja podataka od 31. svibnja 2017. prikazane su u nastavku na slici 1.
Simeticone 
Simetikon
Peak palbociclib exposure (Cmax) was increased by 17%, 12%, and 15% for mild, moderate, and severe renal impairment, respectively, relative to subjects with normal renal function. 
Vršna izloženost palbociklibu (Cmax) povećala se za 17%, 12% odnosno 15% u slučaju blagog, umjerenog i teškog oštećenja bubrega, u usporedbi s ispitanicima s normalnom funkcijom bubrega.
Grade 3: ANC 500 - <1000/mm3; Grade 4: ANC <500/mm3. 
3; stupanj 2: ABN 1000 - < 1500/mm stupanj 3: ABN 500- 1000/mm 3; stupanj 4: ABN < 500/mm
g Stomatitis includes the following PTs: Aphthous stomatitis, Cheilitis, Glossitis, Glossodynia, Mouth ulceration, Mucosal inflammation, Oral pain, Oropharyngeal discomfort, Oropharyngeal pain, Stomatitis. 
Stomatitis uključuje sljedeće preporučene pojmove: Aftozni stomatitis, heilitis, glositis, glosodinija, ulceracije usta, upala sluznice, bol u ustima, orofaringealna nelagoda, orofaringealna bol, stomatitis.
Use of preparations containing St. John's Wort (see section 4.5). 
Uporaba lijekova koji sadrže gospinu travu (vidjeti dio 4.5).
Updated Analysis (31 May 2017 Cutoff) 
Ažurirana analiza (Zaključni datum je 31. svibnja 2017.)
63 hard capsules 
21 tvrda kapsula
Palbociclib was negative for carcinogenicity in transgenic mice at doses up to 60 mg/kg/day (No Observed Effect Level [NOEL] approximately 11 times human clinical exposure based on AUC). 
Palbociklib se nije pokazao kao kancerogen u transgeničnih miševa u dozama do 60 mg/kg/dan (razina pri kojoj nije uočen učinak koja je približno 11 puta veća od izloženosti ljudi u kliničkim uvjetima na temelju AUC).
Printing ink 
Tinta za označivanje
Data from the drug-drug interaction (DDI) evaluation portion of a clinical study in patients with breast cancer showed that there was no drug interaction between palbociclib and letrozole when the 2 medicinal products were coadministered. 
Podaci iz procjene interakcije između lijekova koja je dio kliničkog ispitivanja u bolesnica s rakom dojke pokazali su da nema interakcija između palbocikliba i letrozola kada se dva lijeka primjenjuju istodobno.
Reduced foetal body weights were observed at a maternally toxic dose of 300 mg/kg/day in rats (3 times human clinical exposure based on AUC), and an increased incidence of skeletal variations, including small phalanges in the forelimb was observed at a maternally toxic dose of 20 mg/kg/day in rabbits (4 times human clinical exposure based on AUC). 
Uočeno je smanjenje tjelesne težine pri toksičnim dozama za majku od 300 mg/kg/dan u štakora (3 puta veća doza od izlaganja ljudi u kliničkim uvjetima na temelju AUC) te pojačane incidencije promjena u kosturu, uključujući male falange u prednjem udu pri dozi toksičnoj za majku od 20 mg/kg/dan u kunića (4 puta veće doze od izloženosti ljudi u kliničkim uvjetima na temelju AUC).