natgillin/translations-raw huggingface dataset:
sanofi-aventis groupe 54, rue La Boétie 75008 Paris France
sanofi-aventis groupe 54, rue La Boétie 75008 Paris Francija
In the pivotal MCRC study, anaemia, nausea, vomiting, constipation, alopecia, increased alkaline phosphatase, and hyperbilirubinaemia occurred in ≥ 20 % of patients.
V ključni študiji mKRR so se anemija, navzea, bruhanje, zaprtost, alopecija, zvišanje alkalne fosfataze in hiperbilirubinemija pojavili pri ≥ 20 % bolnikov.
If the bleeding is severe, your doctor will stop your treatment with ZALTRAP.
Če je krvavitev huda, bo zdravnik prekinil vaše zdravljenje z zdravilom ZALTRAP.
Aflibercept is produced by recombinant DNA technology in a Chinese hamster ovary (CHO) K-1 mammalian expression system.
Aflibercept je pridobljen s tehnologijo rekombinantne DNA na ekspresijskem sistemu sesalcev K-1 iz jajčnikov kitajskega hrčka (CHO).
Overall efficacy results for the ZALTRAP/FOLFIRI regimen versus the placebo/FOLFIRI regimen are summarised in Figure 1 and Table 2.
Celotne rezultate učinkovitosti sheme ZALTRAP/FOLFIRI v primerjavi s shemo placebom/FOLFIRI prikazujeta slika 1 in preglednica 2.
The incidence of diarrhoea, dizziness, asthenia, weight decrease, and dehydration was increased by ≥5% in elderly compared to younger patients.
Incidenca driske, omotice, astenije, zmanjšanja telesne mase in dehidracije je bila pri starejših za ≥ 5 % večja kot pri mlajših.
Thrombotic and embolic events
Trombotični in embolični dogodki
The side effects listed below were seen when ZALTRAP was given together with chemotherapy.
Spodaj naštete neželene učinke so opazili med uporabo zdravila ZALTRAP skupaj s kemoterapijo.
Do not use ZALTRAP if you notice particles or discolouration of the medicine in the vial or infusion bag.
Zdravila ZALTRAP ne smete uporabiti, če v viali ali vrečki za infundiranje opazite delce ali spremenjeno barvo zdravila.
• change of the voice, e.g. developing a hoarse voice
• sprememba glasu npr. hripavost
Contact your doctor and dentist immediately during and after treatment with ZALTRAP if you experience any problems with your mouth or teeth such as loose teeth, pain or swelling, or non-healing of sores or discharge, as these could be signs of osteonecrosis of the jaw.
Zdravnika in zobozdravnika morate obvestiti med ali po zdravljenju z zdravilom ZALTRAP takoj, če pride do kakršnih koli težav v ustih oziroma z zobmi, na primer do majanja zoba, bolečin ali otekline, neceljenja ran ali vnetja, saj so to lahko znaki stanja, ki ga imenujemo osteonekroza čeljustnic.
• A side effect which affects your nervous system (called ‘posterior reversible encephalopathy syndrome' or PRES): Uncommon (may affect up to 1 in 100 people) - signs may include headache, sight changes, feeling confused or fits with or without high blood pressure.
• Neželen učinek, ki prizadene živčevje (imenujemo ga tudi "sindrom posteriorne reverzibilne encefalopatije" ali, s tujo kratico, PRES): občasno (pojavi se lahko pri največ 1 od 100 oseb)Med znaki so lahko glavobol, spremembe vida, občutek zmedenosti ali napadi krčev, z visokim krvnim tlakom ali brez njega.
Sanofi-aventis Deutschland GmbH Industriepark Höchst D-65926 Frankfurt am Main Germany
Sanofi-aventis Deutschland GmbH Industriepark Höchst D-65926 Frankfurt am Main Nemčija
In the event of a severe hypersensitivity reaction (including bronchospasm, dyspnoea, angioedema, and anaphylaxis), aflibercept should be discontinued and appropriate medical measures should be administered (see section 4.2).
V primeru hude preobčutljivostne reakcije (vključno z bronhospazmom, dispnejo, angioedemom in anafilaksijo) je treba zdravljenje z afliberceptom prekiniti in ustrezno medicinsko ukrepati (glejte poglavje 4.2).
The tumour needs nutrients and oxygen from blood in order to grow.
Rakavo tkivo za rast potrebuje hranilne snovi in kisik iz krvi.
The most commonly observed adverse reactions at these doses were similar to those observed at the therapeutic dose.
Najpogosteje opaženi neželeni učinki, ki so jih opazili med uporabo teh odmerkov, so bili podobni kot med uporabo terapevtskega odmerka.
• Diarrhoea and dehydration: Very common (may affect more than 1 in 10 people) for diarrhoea and Common (may affect up to 1 in 10 people) for dehydration - severe diarrhoea and being sick (vomiting) can cause you to lose too much body fluid (called ‘dehydration') and body salts (electrolytes).
• Driska in dehidracija: zelo pogosto (pojavi se lahko pri več kot 1 od 10 oseb) driska in pogosto (pojavi se lahko pri največ 1 od 10 oseb) dehidracija - Huda driska in slabost (bruhanje) lahko povzročita prekomerno izgubo telesnih tekočin (to imenujemo "dehidracija") in telesnih soli (elektrolitov).
Grade 3 hypertension (requiring adjustment in existing anti-hypertensive therapy or treatment with more than one medicinal product) was reported in 1.5 % of patients treated with the placebo/FOLFIRI regimen and 19.1 % of patients treated with the ZALTRAP/FOLFIRI regimen.
Hipertenzija 3. stopnje (ki je zahtevala prilagoditev obstoječega antihipertenzivnega zdravljenja ali zdravljenje z več kot enim zdravilom) je bila opisana pri 1,5 % prejemnikov sheme placebo/FOLFIRI in pri 19,1 % prejemnikov sheme ZALTRAP/FOLFIRI.
Among those patients treated with the ZALTRAP/FOLFIRI regimen developing grade 3-4 hypertension, 54 % had onset during the first two cycles of treatment (see section 4.4).
Med tistimi prejemniki sheme ZALTRAP/FOLFIRI, ki se jim je razvila hipertenzija 3. do 4. stopnje, se je pri 54 % pojavila v prvih dveh ciklusih zdravljenja (glejte poglavje 4.4).
Of the 1,226 patients randomised in the study, the median age was 61 years, 58.6 % were male, 97.8 % had a baseline ECOG performance status (PS) of 0 or 1, and 2.2 % had a baseline ECOG performance status (PS) of 2.
Pri 1226 v študiji randomiziranih bolnikih je bila mediana starost 61 let, 58,6 % je bilo moških, 97,8 % jih je imelo izhodiščno stanje zmogljivosti po ECOG 0 ali 1 in 2,2 % jih je imelo izhodiščno stanje zmogljivosti po ECOG 2.
Sanofi-Aventis Deutschland GmbH Industriepark Hoechst 65926 Frankfurt am Main Germany
Sanofi-Aventis Deutschland GmbH Industriepark Hoechst 65926 Frankfurt am Main Nemčija
In a population pharmacokinetic analysis with data from 1,507 patients with various types of advanced malignancies receiving ZALTRAP with or without chemotherapy, 63 patients with mild hepatic impairment (total bilirubin > 1.0 x - 1.5 x ULN and any AST) and 5 patients with moderate hepatic impairment (total bilirubin > 1.5 x - 3 x ULN and any AST) were treated with ZALTRAP.
Populacijska farmakokinetična analiza je zajela podatke 1507 bolnikov z različnimi vrstami napredovalih malignomov, ki so prejemali zdravilo ZALTRAP s kemoterapijo ali brez nje; med temi bolniki je zdravilo ZALTRAP prejemalo 63 bolnikov z blago okvaro jeter (celokupni bilirubin > 1,0- do 1,5-kratna ZNM in kateri koli AST) in 5 bolnikov z zmerno okvaro jeter (celokupni bilirubin > 1,5- do 3-kratna ZNM in kateri koli AST).
A numerically lower treatment effect on OS with the ZALTRAP/FOLFIRI regimen was reported for patients with prior bevacizumab as compared to patients without prior bevacizumab exposure, with no evidence of heterogeneity in treatment effect (non significant interaction test).
S shemo ZALTRAP/FOLFIRI je bil pri bolnikih, predhodno zdravljenih z bevacizumabom, opisan številsko manjši učinek zdravljenja na celokupno preživetje kot pri bolnikih, ki predhodno niso prejemali bevacizumaba; heterogenosti v učinku zdravljenja niso ugotovili (test interakcije ni bil značilen).
• Wounds which heal slowly or not at all: Uncommon (may affect up to 1 in 100 people) - this is when a scar has trouble healing or staying closed, or if a healed wound re-opens.
• Rane, ki se celijo počasi ali se sploh ne celijo: občasno (pojavijo se lahko pri največ 1 od 100 oseb) - rana se težko celi, težko ostane zaprta, ali pa se zaceljena rana znova odpre.
Weekly/every two weeks intravenous administration of aflibercept to cynomolgus monkeys for up to 6 months resulted in changes in the bone (effects on growth plate and the axial and appendicular skeleton), nasal cavity, kidney, ovary, and adrenal gland.
Pri opicah cynomolgus je intravenska uporaba aflibercepta vsak teden ali vsaka dva tedna v obdobju do 6 mesecev povzročila spremembe v kosteh (vpliv na rastno ploščico ter na aksialno in apendikularno okostje), nosni votlini, ledvicah, jajčnikih in nadledvični žlezi.
Of the 611 patients treated with the ZALTRAP/FOLFIRI regimen in the pivotal study of MCRC patients, 172 (28.2 %) were aged ≥ 65 and < 75 and 33 (5.4 %) were age ≥ 75.
Od 611 bolnikov, zdravljenih s shemo ZALTRAP/FOLFIRI v ključni študiji pri bolnikih z mKRR, je bilo 172 (28,2 %) starih od ≥ 65 do < 75 let, 33 (5,4 %) pa je bilo starih ≥ 75 let.
Approximately 10 % of patients (10.4 % and 9.8 % of patients treated with the placebo/FOLFIRI and ZALTRAP/FOLFIRI regimens, respectively) received prior oxaliplatin-based adjuvant chemotherapy and progressed on or within 6 months of completion of adjuvant chemotherapy.
Približno 10 % bolnikov (10,4 % prejemnikov sheme placebo/FOLFIRI in 9,8 % prejemnikov sheme ZALTRAP/FOLFIRI) je predhodno prejemalo adjuvantno kemoterapijo na osnovi oksaliplatina, bolezen pa jim je napredovala med adjuvantno kemoterapijo ali v 6 mesecih po njenem koncu.
In patients, ZALTRAP is administered at the dose of 4 mg/kg intravenously every two weeks for which there is an excess of circulating free aflibercept compared to VEGF-bound aflibercept.
Pri bolnikih se zdravilo ZALTRAP uporablja v odmerku 4 mg/kg intravensko vsaka dva tedna; pri tem obstaja v obtoku presežek prostega aflibercepta v primerjavi z afliberceptom, vezanim na VEGF.
• Inspect the ZALTRAP vial visually prior to use.
• Vialo z zdravilom ZALTRAP morate pred uporabo pregledati.
• polyethylene lined PVC
• s polietilenom prevlečenega PVC
Zaltrap may reduce the number of white cells in your blood and your doctor will monitor your white blood cell count and may give you additional medicines to increase it.
• če imate premajhno število belih krvnih celic; zdravilo ZALTRAP lahko zmanjša število belih krvnih celic zato vam bo zdravnik kontroliral število belih krvnih celic in vam bo morda predpisal dodatna zdravila za povečanje njihovega števila.
PFS (based on tumour assessment by the IRC): Significance threshold is set to 0.0001
b Preživetje brez napredovanja (na podlagi ocene tumorja, ki jo je opravil IRC): meja značilnosti je postavljena na 0,0001. c Celokupni delež objektivnega odziva po IRC
• you have severe or long-lasting diarrhoea, feel sick (nausea) or are being sick (vomiting) - these could cause severe loss of body fluids (called ‘dehydration').
• če imate hudo ali dolgotrajno drisko, siljenje na bruhanje ali bruhanje - to lahko povzroči hudo izgubo telesnih tekočin (imenovano "dehidracija").
200 mg / 8 ml 1 vial
200 mg/8 ml 1 viala
For additional toxicities related to irinotecan, 5-FU, or folinic acid, refer to the current respective summary of product characteristics.
Glede toksičnih učinkov, povezanih z irinotekanom, 5-FU ali folinsko kislino, glejte veljavne povzetke glavnih značilnosti teh zdravil.
The FOLFIRI regimen to be used is irinotecan 180 mg/m intravenous infusion over 90 minutes and folinic acid (dl racemic) 400 mg/m² intravenous infusion over 2 hours at the same time on day 1 using a Y-line, followed by 5-fluorouracil (5-FU) 400 mg / m² intravenous bolus, followed by 5-FU 2400 mg / m² continuous intravenous infusion over 46 hours.
Shema FOLFIRI, ki jo je treba uporabiti, obsega 90-minutno intravensko infuzijo 180 mg/m2 irinotekana in 2-urno intravensko infuzijo 400 mg/m2 folinske kisline (dl-racemat) hkrati 1. dan po Y-liniji; sledi intravenski bolus 400 mg/m2 5-fluorouracila (5-FU) in nato stalna intravenska infuzija 2400 mg/m2 5-FU v teku 46 ur.
A total of 1,226 patients were randomised (1:1) to receive either ZALTRAP (N = 612; 4 mg/kg as a 1 hour intravenous infusion on day 1) or placebo (N = 614), in combination with 5-fluouracil plus irinotecan [FOLFIRI: irinotecan 180 mg/m intravenous infusion over 90 minutes and folinic acid (dl racemic) 400 mg/m² intravenous infusion over 2 hours at the same time on day 1 using a Y-line, followed by 5-FU 400 mg/m² intravenous bolus, followed by 5-FU 2,400 mg /m² continuous intravenous infusion over 46-hours].
Skupaj 1226 bolnikov so v razmerju 1:1 randomizirali bodisi na prejemanje zdravila ZALTRAP (n = 612, 4 mg/kg v 1-urni intravenski infuziji 1. dan) bodisi placeba (n = 614), v kombinaciji s 5-fluouracilom in irinotekanom [FOLFIRI: irinotekan 180 mg/m2 v 90-minutni intravenski infuziji ter folinska kislina (dl-racemat) 400 mg/m2 v 2-urni intravenski infuziji hkrati 1. dan po Y-liniji, nato pa 5-FU 400 mg/m2 v intravenskem bolusu, ki mu sledi 5-FU 2400 mg/m2 v stalni intravenski infuziji v teku 46 ur].
• pain in the mouth or throat
• bolečine v ustih in žrelu
• Protein in the urine (also called ‘proteinuria'): Very common (may affect more than 1 in 10 people) - this is very commonly seen in tests.
• Beljakovine v urinu (to imenujemo tudi "proteinurija"): zelo pogosto (pojavijo se lahko pri več kot 1 od 10 oseb) - To je zelo pogost izvid pri preiskavah.
OS in ITT population excluding patients who progressed during or within 6 months of adjuvant therapy demonstrated an HR (95 % CI) of 0.78 (0.68 to 0.90) [median OS (95 % CI) with Placebo/FOLFIRI 11.9 months (10.88 to 13.01) and with ZALTRAP/FOLFIRI 13.8 months (12.68 to 15.44)]
a Določeno z IVRS b OS v populaciji ZNZ (izključujoč bolnike, ki so napredovali med adjuvantnim zdravljenjem ali v 6 mesecih po njem) je pokazalo razmerje ogroženosti (95 % IZ) 0,78 (od 0,68 do 0,90) [mediano celokupno preživetje (95 % IZ) s placebo/FOLFIRI 11,9 meseca (10,88 do 13,01) in z ZALTRAP/FOLFIRI 13,8 meseca (12,68 do 15,44)]
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Imetnik dovoljenja za promet sanofi-aventis groupe 54, rue La Boétie 75008 Paris Francija
In sexually mature male cynomolgus monkeys a decrease in sperm motility and an increase in incidence of morphological abnormalities of spermatozoa were observed.
Pri spolno zrelih opičjih samcih cynomolgus so ugotovili zmanjšanje gibljivosti semenčic in večjo incidenco morfoloških nepravilnosti semenčic.
• Connections or passageways inside the body between internal organs and skin or other tissues (also called ‘fistula'): Common (may affect up to 1 in 10 people) - these abnormal tube-like connections or passageways can form for example, between the gut and your skin.
• Povezave znotraj telesa med notranjimi organi in kožo ali drugimi tkivi (to imenujemo tudi "fistula"): pogosto (pojavijo se lahko pri največ 1 od 10 oseb) - Te nenormalne cevaste povezave lahko nastanejo na primer med črevesom in kožo.
Pre-treatment with corticosteroids and/or antihistamines may be considered in subsequent cycles (see section 4.2).
V nadaljnjih ciklusih pride v poštev predhodna uporaba kortikosteroidov in/ali antihistaminikov (glejte poglavje 4.2).
Treatment assignment was stratified by the ECOG performance status (0 versus 1 versus 2) and according to prior therapy with bevacizumab (yes or no).
Razvrstitev na zdravljenje je bila stratificirana glede na stanje zmogljivosti po ECOG (0 v primerjavi z 1 v primerjavi z 2) in glede na predhodno zdravljenje z bevacizumabom (da ali ne).
If blood pressure is not controlled, it may cause stroke, heart and kidney problems.
Neobvladan visok krvni tlak lahko povzroči možgansko kap ali težave s srcem ali ledvicami.
Caution should be exercised when Zaltrap and intravenous bisphosphonates are administered concurrently or sequentially.
Previdnost je potrebna, kadar se zdravilo Zaltrap in intravenski difosfonati dajejo sočasno ali zaporedno.
In other studies, PRES was reported in patients treated with aflibercept as monotherapy and in combination with other chemotherapies (see section 4.8).
V drugih študijah pa je bil PRES opisan pri bolnikih, ki so aflibercept prejemali v monoterapiji in v kombinaciji z drugimi kemoterapijami (glejte poglavje 4.8).
Infections occurred at a higher frequency in patients receiving the ZALTRAP/FOLFIRI regimen (46.2 %, all grades; 12.3 %, grade 3-4) than in patients receiving the placebo/FOLFIRI regimen (32.7%, all grades; 6.9 %, grade 3-4), including urinary tract infection, nasopharyngitis, upper respiratory tract infection, pneumonia, catheter site infection, and tooth infection.
Okužbe so bile med prejemniki sheme ZALTRAP/FOLFIRI pogostejše (46,2 % okužbe vseh stopenj, 12,3 % okužbe 3. do 4. stopnje) kot med prejemniki sheme placebo/FOLFIRI režim (32,7 % vseh stopenj, 6,9 % 3. do 4. stopnje); med okužbami so bile okužba sečil, nazofaringitis, okužba zgornjih dihal, pljučnica, okužba na mestu katetra in okužba zoba.
Proteinuria should be monitored by urine dipstick analysis and/or urinary protein creatinine ratio (UPCR) for the development or worsening of proteinuria before each aflibercept administration.
Proteinurijo je treba pred vsako uporabo aflibercepta kontrolirati z urinskimi testnimi trakovi in/ali z razmerjem urinskih beljakovin in kreatinina (UPCR - urinary protein creatinine ratio), da bi odkrili njen pojav ali poslabšanje.
In sexually mature female cynomolgus monkeys inhibition of ovarian function and follicular development was evidenced.
Pri spolno zrelih opičjih samicah cynomolgus so ugotovili zavrtje delovanja jajčnikov in razvoja foliklov.
ZALTRAP is given by a drip (infusion) into one of your veins (‘intra-venous') to treat advanced cancers of the colon or rectum.
Zdravilo ZALTRAP se daje s kapalno (infuzijo) v eno od ven ("intravenska uporaba") za zdravljenje napredovalega raka debelega črevesa in danke.
Adverse reactions and laboratory abnormalities reported in patients treated with the ZALTRAP/FOLFIRI regimen compared to patients treated with the placebo/FOLFIRI regimen are listed in Table 1 according to MedDRA system organ class and frequency categories.
Neželeni učinki in laboratorijske nepravilnosti, opisani pri prejemnikih sheme ZALTRAP/FOLFIRI v primerjavi s prejemniki sheme placebo/FOLFIRI, so našteti v preglednici 1 po organskih sistemih MedDRA in kategorijah pogostnosti.
Caution should be exercised when treating patients with history of clinically significant cardiovascular disease such as coronary artery disease, or congestive heart failure with ZALTRAP.
V primeru uporabe zdravila ZALTRAP pri bolnikih z anamnezo klinično pomembne kardiovaskularne bolezni (npr. bolezni koronarnih arterij ali kongestivnega srčnega popuščanja) je potrebna previdnost.
ZALTRAP must not be administered as an intravitreal injection (see sections 4.3 and 4.4).
Zdravila ZALTRAP se ne sme uporabiti kot intravitrealne injekcije (glejte poglavji 4.3 in 4.4).
The most common reported form of bleeding was minor (grade 1-2) epistaxis occurring in 27.7 % of patients treated with the ZALTRAP/FOLFIRI regimen.
Najpogostejša opisana vrsta krvavitev je bila manjša (1. do 2. stopnja) epistaksa, ki se je pojavila pri 27,7 % prejemnikov sheme ZALTRAP/FOLFIRI.
There are no data regarding the administration of aflibercept in patients with severe hepatic impairment.
Podatkov o uporabi aflibercepta pri bolnikih s hudo okvaro jeter ni.
ZALTRAP may affect male and female fertility.
Zdravilo ZALTRAP lahko neugodno vpliva na plodnost moških in žensk.
For contraindications related to FOLFIRI components (irinotecan, 5-FU, and folinic acid), refer to the current respective summary of product characteristics.
Za kontraindikacije zdravil v kombinaciji FOLFIRI (irinotekan, 5-FU in folinska kislina) glejte veljavne povzetke glavnih značilnosti teh zdravil.
In case of recurrent medically significant or severe hypertension, despite optimal treatment, aflibercept should be suspended until the hypertension is controlled and the aflibercept dose should be reduced to 2 mg/kg for subsequent cycles.
Ob ponovitvi medicinsko signifikantne ali hude hipertenzije, ki se pojavi kljub optimalnemu zdravljenju, je treba zdravljenjez afliberceptom prekiniti, dokler ni hipertenzija urejena, odmerek aflibercepta pa je treba v naslednjih ciklusih zmanjšati na 2 mg/kg.
• kidney problem with an increase in creatinine (a marker of kidney function)
• spremenjeno delovanje ledvic z zvišanjem kreatinina (kazalo delovanja ledvic)
If this should happen to you, your doctor will stop your treatment with ZALTRAP.
Če se vam to zgodi, bo zdravnik prekinil vaše zdravljenje z zdravilom ZALTRAP.
Treatment with corticosteroids and/or antihistamines can be used as clinically indicated.
Uporabiti je mogoče kortikosteroide in/ali antihistaminike, kot je klinično indicirano.
Number of death events, n (%) Median overall survival (95 % CI) (months)
OS Število smrtnih dogodkov, n (%) Mediano celokupno preživetje (95 % IZ) (meseci)
This population pharmacokinetic analysis revealed no clinically meaningful differences in clearance or systemic exposure (AUC) of free aflibercept in patients with moderate and mild renal impairment at the 4 mg/kg dose of ZALTRAP as compared to the overall population studied.
Ta populacijska farmakokinetična analiza pri bolnikih z zmerno in blago okvaro ledvic ob uporabi odmerka 4 mg/kg zdravila ZALTRAP ni odkrila klinično pomembnih razlik v očistku ali sistemski izpostavljenosti (AUC) prostemu afliberceptu v primerjavi s celotno preučevano populacijo.
• Cardiac failure and ejection fraction decreased
• srčnega popuščanja in zmanjšanega iztisnega deleža
Due to hyperosmolality (1000 mOsmol / kg) of the ZALTRAP concentrate, undiluted ZALTRAP concentrate must not be administered as an intravenous push or bolus.
Zaradi hiperosmolalnosti (1000 mOsmol/kg) koncentrata zdravila ZALTRAP se nerazredčenega koncentrata ne sme uporabljati intravensko s potiskom ali v bolusu.
Osteonecrosis of the jaw (ONJ) Cases of ONJ have been reported in cancer patients treated with Zaltrap, several of whom had received prior or concomitant treatment with intravenous bisphosphonates, for which ONJ is an identified risk.
O osteonekrozi čeljustnic so poročali pri bolnikih z rakom, zdravljenih z zdravilom Zaltrap, od katerih se jih je več predhodno ali sočasno zdravilo z intravenskimi difosfonati, za katere je osteonekroza čeljustnic ugotovljeno tveganje.
Patients with ECOG performance status ≥ 2 or having significant co-morbidities may be at greater risk for a poor clinical outcome and should be carefully monitored for early clinical deterioration.
Bolnike z zmogljivostjo določeno po lestvici ECOG ≥ 2 oz. bolnike s pomembnimi sočasnimi boleznimi, je treba skrbno spremljati, da bi lahko zgodaj ugotovili poslabšanje kliničnega stanja.
Uncommon (may affect up to 1 in 100 people)
Občasni (pojavijo se lahko pri do 1 od 100 oseb)
In case of recurrent medically significant or severe hypertension, despite optimal treatment, ZALTRAP should be suspended until the hypertension is controlled and the dose reduced to 2 mg / kg for subsequent cycles.
V primeru ponovitve medicinsko signifikantne ali hude hipertenzije, ki se pojavi kljub optimalnemu zdavljenju, je treba zdravljenje z zdravilom ZALTRAP prekiniti, dokler ni hipertenzija urejena, odmerek v naslednjih ciklusih pa zmanjšati na 2 mg/kg.
Neutropenia and neutropenic complications
Nevtropenija in nevtropenični zapleti
ZALTRAP will be given with other chemotherapy medicines including ‘5-fluorouracil', ‘folinic acid', and ‘irinotecan'.
Zdravilo ZALTRAP boste dobivali skupaj z drugimi zdravili za kemoterapijo; med takšnimi so "5-fluorouracil", "folinska kislina" in "irinotekan".