natgillin/translations-raw huggingface dataset:
Do not stop using this medicine without talking to your doctor first.
Če ste prenehali uporabljati zdravilo KANJINTI Ne prenehajte uporabljati tega zdravila brez posvetovanja z zdravnikom.
Parenteral medicinal products should be inspected visually for particulate matter and discolouration prior to administration.
Parenteralne raztopine je potrebno vizualno pregledati na prisotnost delcev in obarvanost pred dajanjem zdravila.
• pain, swelling, redness or tingling of hands and/or feet
• bolečina, oteklina, rdečina ali zbadanje v rokah in/ali nogah
A volume overage of 5% ensures that the labelled dose of 420 mg can be withdrawn from each vial.
5-% presežek volumna omogoča, da je na ovojnini naveden odmerek 420 mg res možno odvzeti iz viale.
At 8 years, the survival rate was estimated to be 86.9% in the AC→PH arm and 79.4% in the AC→P arm, an absolute benefit of 7.4% (95% CI 4.9%, 10.0%).
Po 8 letih je bil delež celokupnega preživetja ocenjen na 86,9 % v skupini AC → PH in 79,4 % v skupini AC → P, z absolutno koristjo 7,4 % (95 % IZ 4,9 %, 10 %).
Not known
neznano
Signs and symptoms of cardiac dysfunction such as dyspnoea, orthopnoea, increased cough, pulmonary oedema, S3 gallop, or reduced ventricular ejection fraction, have been observed in patients treated with trastuzumab (see section 4.4).
Znake in simptome motenj v delovanju srca, kot so dispneja, ortopneja, povečan kašelj, pljučni edem, galop S3 ali zmanjšan ventrikularni srčni iztis, so opazili pri bolnikih, zdravljenih s trastuzumabom (glejte poglavje 4.4).
4 mg/kg + 2 mg/kg qw
4 mg/kg + 2 mg/kg na teden
1Blood pressure decreased
1znižanje krvnega tlaka zelo pogosto
Instructions for aseptic dilution of the reconstituted solution
Navodila za aseptično redčenje rekonstituirane raztopine
However, capecitabine itself showed higher concentrations and a longer half-life when combined with trastuzumab.
Koncentracije samega kapecitabina pa so bile ob sočasni uporabi trastuzumaba višje, prav tako se je podaljšal razpolovni čas.
• abnormal heart rhythm
• nenormalen srčni ritem
The test method for HER2 overexpression used to determine eligibility of patients in the pivotal trastuzumab monotherapy and trastuzumab plus paclitaxel clinical trials employed immunohistochemical staining for HER2 of fixed material from breast tumours using the murine monoclonal antibodies CB11 and 4D5.
Testna metoda za določanje čezmerno izraženega HER2, s katero ugotovijo primernost bolnika, ki so jo uporabili v ključnih kliničnih preskušanjih monoterapije trastuzumaba in trastuzumaba z docetakselom, temelji na imunohistokemičnem barvanju HER2 v fiksiranih preparatih tumorjev dojk po uporabi murinih monoklonskih protiteles CB11 in 4D5.
If patients have been treated concurrently with a full course of low-dose anthracyclines and KANJINTI in the neoadjuvant setting, no additional cytotoxic chemotherapy should be given after surgery.
Če so se bolniki v neoadjuvantnem zdravljenju sočasno zdravili z majhnimi odmerki antraciklinov v celoti in zdravilom KANJINTI, potem jim po operaciji ne smemo dati dodatne citotoksične kemoterapije.
+Acute respiratory distress syndrome
+akutni respiratorni distresni sindrom (ARDS)
Do not breast-feed your baby during KANJINTI therapy and for 7 months after the last dose as KANJINTI may pass to your baby through your breast milk.
Med zdravljenjem z zdravilom KANJINTI in 7 mesecev po zadnjem odmerku ne smete dojiti, ker lahko zdravilo KANJINTI prehaja v materino mleko in s tem do vašega otroka.
A volume overage of 4% ensures that the labelled dose of 150 mg can be withdrawn from each vial.
4-% presežek volumna omogoča, da je na ovojnini naveden odmerek 150 mg res možno odvzeti iz viale.
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).
Zdravljenje z AC → PH je statistično značilno izboljšalo celokupno preživetje v primerjavi z AC → P (stratificirano razmerje ogroženosti 0,64; 95-% IZ [0,55; 0,74] p-vrednost log-rang < 0,0001).
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).
Zdravilo KANJINTI se uporablja le za bolnike z metastatskim ali zgodnjim rakom dojk, katerih tumorji imajo ali čezmerno izražen HER2 ali amplifikacijo gena HER2, določeno s točno in validirano metodo (glejte poglavji 4.4 in 5.1).
KANJINTI contains the active substance trastuzumab, which is a monoclonal antibody.
Zdravilo KANJINTI vsebuje učinkovino trastuzumab, ki je monoklonsko protitelo.
KANJINTI is indicated for the treatment of adult patients with HER2 positive early breast cancer (EBC):
Zdravilo KANJINTI je indicirano za zdravljenje odraslih bolnikov z zgodnjo obliko HER2pozitivnega raka dojk:
- in combination with an aromatase inhibitor for the treatment of postmenopausal patients with hormone-receptor positive MBC, not previously treated with trastuzumab.
- v kombinaciji z zaviralcem aromataze za zdravljenje bolnic v postmenopavzi z metastatsko obliko raka dojk s pozitivnimi hormonskimi receptorji, ki predhodno niso bile zdravljene s trastuzumabom.
You will be observed by a health care professional during the infusion and for at least six hours after the start of the first infusion and for two hours after the start of other infusions.
Med infuzijo in še najmanj šest ur po pričetku prve infuzije ter dve uri po začetku nadaljnjih infuzij boste pod nadzorom zdravstvenega osebja.
Single doses of trastuzumab alone greater than 10 mg/kg have not been administered in the clinical trials; a maintenance dose of 10 mg/kg q3w following a loading dose of 8 mg/kg has been studied in a clinical trial with MGC patients.
Enkratnih odmerkov trastuzumaba samega, večjih od 10 mg/kg, v kliničnih preskušanjih niso dajali; so pa v kliničnem preskušanju pri bolnikih z metastatskim rakom želodca preučevali vzdrževalni odmerek 10 mg/kg vsake tri tedne po polnitvenem odmerku 8 mg/kg.
Cardiac assessments, as performed at baseline, should be repeated every 3 months during treatment and every 6 months following discontinuation of treatment until 24 months from the last administration of KANJINTI.
Preglede srca, enake kot je bil osnovni, je treba med zdravljenjem ponoviti vsake 3 mesece in vsakih 6 mesecev po končanem zdravljenju do 24 mesecev po prejemu zadnjega odmerka zdravila KANJINTI.
These events have been observed in patients receiving trastuzumab therapy alone or in combination with paclitaxel or docetaxel, particularly following anthracycline (doxorubicin or epirubicin) containing chemotherapy.
Te neželene učinke so opazili pri bolnikih, ki so prejemali trastuzumab v monoterapiji ali v kombinaciji s paklitakselom ali docetakselom, zlasti po kemoterapiji z antraciklini (doksorubicinom ali epirubicinom).
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
Po mediani spremljanja 1,8 leta za bolnike v skupini AC → P in 2,0 leta za bolnike v skupini AC → PH. ** Mediana dolgoročnega spremljanja v skupni analizi kliničnih študij je bila 8,3 leta (razpon: 0,1-12,1) za bolnike v skupini AC -→ PH in 7,9 let (razpon: 0,0-12,2) za bolnike v skupini AC → P. Mediana dolgoročnega spremljanja v študiji BCIRG 006 je bila 10,3 leta za bolnike v skupinah AC → D (razpon: 0,0-12,6) in DcarbH (razpon: 0,0-13,1) ter 10,4 leta za bolnike v skupini AC → DH (razpon: 0,0-12,7).
HER2 overexpression should be detected using an immunohistochemistry (IHC)-based assessment of fixed tumour blocks (see section 4.4).
Čezmerno izražanje HER2 ugotavljamo z imunohistokemično (IHC) metodo fiksiranih tumorskih blokov (glejte poglavje 4.4).
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).
V preskušanju BCIRG 006 je bil HER2-pozitiven zgodnji rak dojk omejen bodisi na bolnike s pozitivnimi bezgavkami bodisi na bolnike z negativnimi bezgavkami z visokim tveganjem (brez prizadetih bezgavk (pN0) in z vsaj enim od naslednjih faktorjev: tumor, večji od 2 cm, negativni estrogenski in progesteronski receptorji, histološki in/ali jedrni gradus 2 do 3 ali starost < 35 let).
Clinically significant interactions between trastuzumab and the concomitant medicinal products used in clinical trials have not been observed.
V kliničnih preskušanjih niso opazili klinično pomembnega medsebojnega delovanja med trastuzumabom in zdravili, ki so jih bolniki jemali sočasno.
AC→DH (vs. AC→D) (BCIRG 006)
AC → DH (v primerjavi z AC → D) (BCIRG 006)
Trastuzumab is a recombinant humanised IgG1 monoclonal antibody against the human epidermal growth factor receptor 2 (HER2).
Trastuzumab je rekombinantno humanizirano IgG1 monoklonsko protitelo proti receptorjem humanega epidermalnega rastnega faktorja 2 (HER2).
White to pale yellow lyophilised powder.
Bel do rahlo rumen liofiliziran prašek.
Presented in Table 1 are adverse reactions that have been reported in association with the use of intravenous trastuzumab alone or in combination with chemotherapy in pivotal clinical trials and in the post-marketing setting.
V preglednici 1 so zajeti neželeni učinki, o katerih so poročali v povezavi z uporabo intravenske oblike trastuzumaba samega ali v kombinaciji s kemoterapijo v ključnih kliničnih preskušanjih ter v obdobju po prihodu zdravila na trg.
Early breast cancer (adjuvant setting)
Zgodnji rak dojk (adjuvantno zdravljenje)
• 420 mg trastuzumab that has to be dissolved in 20 mL of water for injection.
420 mg trastuzumaba, ki ga je treba raztopiti v 20 ml vode za injekcije.
• loss of appetite
• izguba teka (apetita)
Due to non-linear elimination, total clearance increased with decreasing concentration.
Zaradi nelinearnega izločanja se celotni očistek poveča z zmanjševanjem koncentracije, zato ni mogoče sklepati o konstantni vrednosti razpolovnega časa trastuzumaba.
• based on a loading dose of 8 mg trastuzumab/kg body weight, or a subsequent 3-weekly dose of 6 mg trastuzumab/kg body weight:
• za polnitveni odmerek 8 mg trastuzumaba/kg telesne mase ali za nadaljnje tritedenske odmerke 6 mg trastuzumaba/kg telesne mase s pomočjo formule:
The appropriate amount of solution should be withdrawn from the vial and added to an infusion bag containing 250 mL of sodium chloride 9 mg/mL (0.9%) solution for injection.
Primerno količino raztopine je treba odvzeti iz viale in dodati infuzijski vrečki, ki vsebuje 250 ml 9 mg/ml (0,9 %) natrijevega klorida raztopine za injiciranje.
Infusion-related reactions (IRRs) and hypersensitivity
Reakcije, povezane z infuzijo, in preobčutljivost
Subsequent KANJINTI maintenance doses (weekly regimen: 2 mg/kg; three-weekly regimen 6 mg/kg respectively) should be administered 7 days or 21 days later according to the weekly or three-weekly schedules respectively.
Nadaljnje vzdrževalne odmerke zdravila KANJINTI (tedenski režim: 2 mg/kg; 3-tedenski režim: 6 mg/kg) dajemo od 7 ali 21 dni zatem, odvisno od režima odmerjanja (tedenskega ali 3-tedenskega).
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).
V enem od treh ključnih preskušanj, v katerem je bila na voljo mediana časa sledenja 5,5 leta (BCIRG 006), so pri bolnikih, ki so trastuzumab prejeli sočasno s taksanom po antraciklinski terapiji, opazili stalno rast v kumulativnem deležu simptomatskih neželenih učinkov, povezanih s srcem, ali neželenih učinkov, povezanih z iztisnim deležem levega prekata (LVEF), do 2,37 %; v dveh primerjalnih skupinah (antraciklin in ciklofosfamid, ki jima je sledil taksan ali taksan, karboplatin in trastuzumab) pa je ta delež znašal približno 1 %.
The majority of patients experienced resolution of symptoms and subsequently received further infusions of trastuzumab.
Pri večini bolnikov so simptomi izzveneli in so z infundiranjem trastuzumaba nadaljevali.
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 zdravljenje s trastuzumabom in anastrozolom Trastuzumab so proučevali v kombinaciji z anastrozolom v prvi liniji zdravljenja metastatskega raka dojk pri bolnicah v postmenopavzi s čezmerno izraženim HER2 in pozitivnimi hormonskimi receptorji (estrogenski ali progesteronski receptorji ali oboje).
• inability to sleep (insomnia)
• nespečnost (insomnija)
This will then be reduced to a maintenance dose of 2 mg/kg body weight once weekly, beginning one week after the first dose.
To se nato zmanjša na vzdrževalni odmerek 2 mg/kg telesne mase enkrat na teden, ki se začne uporabljati en teden po prvem odmerku.
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:
V študiji MO16432 so trastuzumab (polnitveni odmerek 8 mg/kg, sledil je vzdrževalni odmerek 6 mg/kg vsake 3 tedne) dajali sočasno z 10 cikli neoadjuvantne kemoterapije, in sicer:
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).
Časovnih omejitev glede dajanja trastuzumaba in anastrozola ni bilo (za odmerjanje glejte Povzetek glavnih značilnosti zdravila za anastrozol ali druge zaviralce aromataz).
In the pivotal trial MO16432, trastuzumab was administered concurrently with neoadjuvant chemotherapy containing three cycles of doxorubicin (cumulative dose 180 mg/m2).
V ključnem preskušanju MO16432 so trastuzumab dajali sočasno z neoadjuvantno kemoterapijo, ki je vključevala tri cikle doksorubicina (kumulativni odmerek 180 mg/m2).
• swelling of the lining of the heart
• otekanje mrene, ki obdaja srce
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.
V obdobju po prihodu zdravila na trg so pri nosečnicah, ki so prejemale trastuzumab, poročali o primerih motenj v rasti plodovih ledvic in/ali njihovem delovanju, v povezavi z oligohidramnijem, od katerih so bili nekateri povezani s smrtno hipoplazijo pljuč pri plodu.
KANJINTI is for single-use only, as the product contains no preservatives.
Zdravilo KANJINTI je le za enkratno uporabo in ne vsebuje konzervansov.
In a population pharmacokinetic analysis, age and renal impairment were not shown to affect trastuzumab disposition.
Farmakokinetična analiza skupin ni pokazala vplivov starosti in ledvične okvare na razpoložljivost trastuzumaba.
• based on a loading dose of 4 mg trastuzumab/kg body weight, or a subsequent weekly dose of
• za polnitveni odmerek 4 mg trastuzumaba/kg telesne mase ali za nadaljnje tedenske odmerke
• The resulting solution contains approximately 21 mg/mL trastuzumab.
• Pripravljena raztopina vsebuje približno 21 mg/ml trastuzumaba.
PHARMACEUTICAL FORM AND CONTENTS Powder for concentrate for solution for infusion 1 vial
FARMACEVTSKA OBLIKA IN VSEBINA prašek za koncentrat za raztopino za infundiranje 1 viala
The appropriate amount of solution should be withdrawn from the vial and added to a polyvinylchloride, polyethylene or polypropylene infusion bag containing 250 mL of sodium chloride 9 mg/mL (0.9%) solution for injection.
Primerno količino raztopine je potrebno odvzeti iz viale in dodati polivinilkloridni, polietilenski ali polipropilenski infuzijski vrečki, ki vsebuje 250 ml 9 mg/ml (0,9 %) natrijevega klorida raztopine za injiciranje.
Post-hoc subgroup analyses indicate that positive treatment effects are limited to targeting tumours with higher levels of HER2 protein (IHC 2+/FISH+ or IHC 3+).
Rezultati post-hoc analiz podskupin kažejo, da zdravljenje tumorjev z višjimi koncentracijami HER2 proteina (IHC 2+/FISH+ ali IHC 3+) daje boljše rezultate.
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).
V študiji BCIRG 006 so trastuzumab dajali v kombinaciji z docetakselom po kemoterapiji z doksorubicinom in ciklofosfamidom (AC → DH) ali v kombinaciji z docetakselom in karboplatinom (DCarbH).
What KANJINTI looks like and contents of the pack KANJINTI is a powder for concentrate for solution for intravenous infusion, which is supplied in a glass vial with a rubber stopper containing either 150 mg or 420 mg of trastuzumab.
Izgled zdravila KANJINTI in vsebina pakiranja Zdravilo KANJINTI je prašek za koncentrat za raztopino za intravensko infundiranje, ki je na voljo v stekleni viali z gumijastim zamaškom, ki vsebuje ali 150 mg ali 420 mg trastuzumaba.
As a weekly regimen (initial loading dose of 4 mg/kg followed by 2 mg/kg every week) concomitantly with paclitaxel following chemotherapy with doxorubicin and cyclophosphamide.
Pri tedenskem režimu (polnitveni odmerek 4 mg/kg telesne mase, nato 2 mg/kg telesne mase vsak teden) se zdravilo KANJINTI daje sočasno s paklitakselom po kemoterapiji z doksorubicinom in ciklofosfamidom.
- in combination with adjuvant chemotherapy consisting of docetaxel and carboplatin.
- v kombinaciji z adjuvantno kemoterapijo z docetakselom in karboplatinom;
Determine the volume of the solution required:
Volumen raztopine, ki jo potrebujete, izračunate:
Breast cancer and gastric cancer
Rak dojk in rak želodca
KANJINTI may also be given once a week for metastatic breast cancer
Pri metastatskem raku dojk lahko zdravilo KANJINTI dajemo tudi enkrat na teden.
For patients with EBC, cardiac assessments, as performed at baseline, should be repeated every 3 months during treatment and every 6 months following discontinuation of treatment until 24 months from the last administration of KANJINTI.
Pri bolnikih z zgodnjim rakom dojk je treba pregled srca, kot je bil opravljen pred zdravljenjem, ponoviti vsake 3 mesece med zdravljenjem in vsakih 6 mesecev po končanem zdravljenju do 24 mesecev po zadnjem dajanju zdravila KANJINTI.
At 8 years, the disease-free survival rate was estimated to be 77.2% (95% CI: 75.4, 79.1) in the AC→PH arm, an absolute benefit of 11.8% compared with the AC→P arm.
Po 8 letih je bil delež preživetja brez bolezni ocenjen na 77,2 % (95-% IZ: 75,4; 79,1) v skupini AC → PH, kar predstavlja absolutno korist 11,8 % v primerjavi s skupino AC → P.
Injury, poisoning and procedural complications
Poškodbe in zastrupitve in zapleti pri posegih kontuzija pogosto
Administration in combination with paclitaxel or docetaxel In the pivotal trials (H0648g, M77001), paclitaxel or docetaxel was administered the day following the first dose of trastuzumab (for dose, see the Summary of Product Characteristics (SmPC) for paclitaxel or docetaxel) and immediately after the subsequent doses of trastuzumab if the preceding dose of trastuzumab was well tolerated.
Odmerjanje v kombinaciji s paklitakselom ali docetakselom V ključnih študijah (H0648g, M77001) so paklitaksel ali docetaksel dali en dan po polnitvenem odmerku trastuzumaba (za odmerek glejte Povzetek glavnih značilnosti zdravila za paklitaksel ali docetaksel) in takoj po nadaljnjih odmerkih trastuzumaba, če je bolnik predhoden odmerek trastuzumaba dobro prenašal.
In patients with EBC eligible for neoadjuvant-adjuvant treatment, KANJINTI should be used concurrently with anthracyclines only in chemotherapy-naive patients and only with low-dose anthracycline regimens i.e. maximum cumulative doses of doxorubicin 180 mg/m2 or epirubicin 360 mg/m2.
Pri bolnikih z zgodnjim rakom dojk, ki so primerni za neoadjuvantno-adjuvantno zdravljenje, se zdravilo KANJINTI uporablja sočasno z antraciklini le pri bolnikih, ki še niso bili zdravljeni s kemoterapijo, in to samo pri shemah z majhnimi odmerki antraciklinov (največji kumulativni odmerek doksorubicina 180 mg/m2 ali epirubicina 360 mg/m2).
The population predicted PK exposure values (median with 5th - 95th Percentiles) and PK parameter values at clinically relevant concentrations (Cmax and Cmin) for MBC, EBC and AGC patients treated with the approved q1w and q3w dosing regimens are shown in table 14 (cycle 1), table 15 (steadystate), and table 16 (PK parameters).
Farmakokinetične vrednosti izpostavljenosti, predvidene za populacijo (mediana s 5.-95. percentilom), in vrednosti farmakokinetičnih parametrov pri klinično pomembnih koncentracijah (Cmax in Cmin) za bolnike z MBC, EBC in AGC, zdravljene z odobrenim tedenskim in 3-tedenskim režimom odmerjanja, so prikazane v preglednici 14 (cikel 1), preglednici 15 (stanje dinamičnega ravnovesja) in preglednici 16 (farmakokinetični parametri).
For overall survival, the HR was 0.75 (95% CI 0.51-1.11) in the IHC 2+/FISH+ group and the HR was 0.58 (95% CI 0.41-0.81) in the IHC 3+/FISH+ group.
Razmerje ogroženosti za celokupno preživetje je bilo 0,75 (95-% interval zaupanja 0,51 do 1,11) v IHC 2+/FISH+ skupini, v IHC 3+/FISH+ skupini pa je razmerje ogroženosti bilo 0,58 (95-% interval zaupanja 0,41 do 0,81).
Comparison of PK results from two Phase II studies (BO15935 and M77004) and one Phase III study (H0648g) in which patients were treated concomitantly with trastuzumab and paclitaxel and two Phase II studies in which trastuzumab was administered as monotherapy (W016229 and MO16982), in women with HER2-positive MBC indicates that individual and mean trastuzumab trough serum concentrations varied within and across studies but there was no clear effect of the concomitant administration of paclitaxel on the pharmacokinetics of trastuzumab.
Primerjava farmakokinetičnih rezultatov iz dveh študij faze II (BO15935 in M77004) in ene študije faze III (H0648g), v kateri so bolnike sočasno zdravili s trastuzumabom in paklitakselom, ter dveh študij faze II, v katerih so dajali trastuzumab v monoterapiji (W016229 in MO16982) bolnicam s HER2-pozitivnim metastatskim rakom dojk, nakazuje, da so se posamezne in povprečne najnižje serumske koncentracije trastuzumaba razlikovalo znotraj študij in med njimi, jasnega vpliva sočasne aplikacije paklitaksela na farmakokinetiko trastuzumaba pa ni bilo.
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.
Pri bolnikih z metastatskim rakom dojk, ki so se predhodno zdravili z antraciklini, pri zdravljenju z zdravilom KANJINTI tveganje za motnje v delovanju srca še vedno obstaja, le da je manjše kot pri sočasni uporabi zdravila KANJINTI in antraciklinov.