natgillin/translations-raw huggingface dataset:
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 (začetni polnilni odmerek 4 mg/kg telesne mase, nato 2 mg/kg telesne mase vsak teden) sočasno s paklitakselom po kemoterapiji z doksorubicinom in ciklofosfamidom.
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.
V splošnem velja, da je rezultat metode SISH ali FISH pozitiven, če je razmerje med številom genskih kopij HER2 na tumorsko celico in številom kopij kromosoma 17 enako ali večje od 2.
• abnormal development of the kidneys of the baby in the womb
• nenormalen razvoj ledvic otroka v maternici.
AC→DH (vs. AC→D) (BCIRG 006)
AC→DH (proti AC→D) (BCIRG 006)
Early breast cancer in the HERA trial was limited to operable, primary, invasive adenocarcinoma of the breast, with axillary nodes positive or axillary nodes negative if tumours at least 1 cm in diameter.
Zgodnji rak dojke v preskušanju HERA (= HERceptin Adjuvant) je bil omejen na operabilni primarni invazivni adenokarcinom dojke s pozitivnimi aksilarnimi bezgavkami ali z negativnimi aksilarnimi bezgavkami, če so imeli tumorji premer najmanj 1 cm.
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.
Farmakokinetični podatki iz študije H4613g/GO01305 pri bolnikih z metastatskim ali lokalno napredovalim inoperabilnim HER2-pozitivnim rakom so nakazali, da trastuzumab ne vpliva na farmakokinetiko karboplatina.
Symptoms may include kidney problems (weakness, shortness of breath, fatigue and confusion), heart problems (fluttering of the heart or a faster or slower heartbeat), seizures, vomiting or diarrhoea and tingling in the mouth, hands or feet.
Simptomi lahko vključujejo težave z ledvicami (oslabelost, kratko sapo, utrujenost in zmedenost), težave s srcem (trepetanje srca ali hitrejše ali počasnejše bitje srca), krče, bruhanje ali drisko in mravljinčenje v ustih, dlaneh ali stopalih.
DCarbH (vs. AC→D) (BCIRG 006)
DCarbH (proti AC→D) (BCIRG 006)
System organ class
Organski system
Progression free survival was doubled in the trastuzumab plus anastrozole arm compared to anastrozole (4.8 months versus 2.4 months).
Preživetje brez napredovanja bolezni je bilo v skupini, ki je prejemala trastuzumab in anastrozol, dvakrat daljše kot v skupini, ki je jemala le anastrozol (4,8 meseca proti 2,4 meseca).
The administration of concomitant anastrozole did not appear to influence the pharmacokinetics of trastuzumab.
Sočasno dajanje anastrozola ni vplivalo na farmakokinetiko trastuzumaba.
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.
Bolniki, ki so bili določeni za prejemanje trastuzumaba, so prejeli začetni polnilni odmerek 8 mg/kg telesne mase, nato pa so prejemali eno ali dve leti 6 mg/kg telesne mase vsake tri tedne.
Table 13 Efficacy results from BO18225 Parameter
Rezultati učinkovitosti iz študije BO18225
Name and address of the manufacturer(s) of the biological active substance(s)
SPROŠČANJE SERIJ Ime in naslov izdelovalca (izdelovalcev) biološke učinkovine (učinkovin)
Pulmonary events
Pljučni dogodki
Causing excessive foaming during reconstitution or shaking the reconstituted Ontruzant may result in problems with the amount of Ontruzant that can be withdrawn from the vial.
Če med rekonstitucijo povzročite čezmerno penjenje ali stresate rekonstituirano raztopino, lahko nastanejo težave s količino zdravila Ontruzant, ki ga lahko odvzamete iz viale.
Subsequent Ontruzant 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 Ontruzant (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).
No reactivity or membranous reactivity in <10% of tumour cells
Brez reaktivnosti ali membranska reaktivnost v < 10 % tumorskih celic.
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 via an intravenous infusion.
Farmakokinetiko trastuzumaba so ocenjevali z analizo populacijskega farmakokinetičnega modela, uporabili so združene podatke 1.582 preiskovancev, vključno z bolniki s HER2-pozitivnim metastatskim rakom dojk (metastatic breast cancer - MBC), zgodnjim rakom dojk (early breast cancer - EBC), napredovalim rakom želodca (advanced gastric cancer - AGC) in drugimi vrstami tumorjev, in zdravimi preiskovanci, ki so v 18 preskušanjih 1., 2. in 3. faze prejemali trastuzumab v intravenskih infuzijah.
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 trastuzumab.
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 trastuzumaba.
For the primary endpoint, DFS, the addition of trastuzumab to paclitaxel chemotherapy resulted in a 52% decrease in the risk of disease recurrence.
Kar se tiče glavnega cilja, DFS, je dodatek trastuzumaba kemoterapiji s paklitakselom zmanjšal tveganje za ponovitev bolezni za 52 %.
- 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).
- Študija BO16348 je bila zasnovana za primerjavo enoletnega in dvoletnega zdravljenja s trastuzumabom (odmerjanjem na 3 tedne) z opazovanjem bolnikov z zgodnjo obliko HER2-pozitivnega raka dojk po operaciji, standardni kemoterapiji in radioterapiji (kar so uporabili).
Patients with history of myocardial infarction (MI), angina pectoris requiring medical treatment, history of or existing CHF (NYHA Class II-IV), LVEF of <55%, other cardiomyopathy, cardiac arrhythmia requiring medical treatment, clinically significant cardiac valvular disease, poorly controlled hypertension (hypertension controlled by standard medical treatment eligible), and haemodynamic effective pericardial effusion were excluded from adjuvant and neoadjuvant EBC pivotal trials with trastuzumab and therefore treatment cannot be recommended in such patients.
Bolniki z anamnezo miokardnega infarkta, angine pektoris, ki jo je treba zdraviti, anamnezo kongestivnega srčnega popuščanja ali prisotnim kongestivnim srčnim popuščanjem (NYHA razred IIIV), LVEF < 55 %, drugimi kardiomiopatijami, srčno aritmijo, ki jo je treba zdraviti, klinično pomembno boleznijo srčnih zaklopk, slabo uravnano hipertenzijo (bolniki s hipertenzijo, primerno uravnano s standardnim zdravljenjem, so bili vključeni) in hemodinamsko efektivno perikardialno efuzijo niso bili vključeni v adjuvantna in neoadjuvantna ključna preskušanja zgodnjega raka dojk s trastuzumabom.
Trastuzumab was administered weekly with chemotherapy and 3 weekly thereafter for a total of 52 weeks.
Trastuzumab so dajali enkrat na teden s kemoterapijo, potem pa enkrat na 3 tedne, skupaj 52 tednov.
Patients with HER2+ tumours were randomised to receive either neoadjuvant chemotherapy concurrently with neoadjuvant-adjuvant trastuzumab, or neoadjuvant chemotherapy alone.
Bolnike s HER2+ tumorji so randomizirali na prejemanje bodisi neoadjuvantne kemoterapije sočasno z neoadjuvantno-adjuvantnim trastuzumabom, bodisi samo na prejemanje neoadjuvantne kemoterapije.
Paclitaxel2 N=77
Paklitaksel2 N = 77
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 navedeni neželeni učinki, o katerih so poročali v povezavi z uporabo intravenskega trastuzumaba samega ali v kombinaciji s kemoterapijo v ključnih kliničnih preskušanjih in v obdobju trženja zdravila.
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, estrogen receptor and progesterone receptor negative, histological and/or nuclear grade 2-3, or age <35 years).
V študiji 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, histološka in/ali jedrna stopnja 2-3 ali starost < 35 let).
A: doxorubicin; C: cyclophosphamide; P: paclitaxel; H: trastuzumab
A: doksorubicin; C: ciklofosfamid; P: paklitaksel; H: trastuzumab.
In study BO16348, after a median follow-up of 8 years the incidence of severe CHF (NYHA Class III & IV) in the trastuzumab 1-year treatment arm was 0.8%, and the rate of mild symptomatic and asymptomatic left ventricular dysfunction was 4.6%.
Po medianem času spremljanja 8 let v študiji BO16348 je bila incidenca hudega kongestivnega srčnega popuščanja (NYHA razred III in IV) v skupini, ki se je eno leto zdravila s trastuzumabom, 0,8 %, delež blage simptomatske in asimptomatske disfunkcije levega prekata pa
MARKETING AUTHORISATION NUMBER(S) EU/1/17/1241/001
ŠTEVILKA(E) DOVOLJENJA (DOVOLJENJ) ZA PROMET EU/1/17/1241/001
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.
Vrednosti parametrov nelinearnega odstranjevanja pri bolnikih z MBC, EBC in AGC so bile 8,81 mg/dan za največjo hitrost odstranjevanja (Vmax) in 8,92 µg/ml za Michaelis-Mentenovo konstanto (Km).
• feeling weak and unwell
• šibkost in slabo počutje,
Ontruzant 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 gastro-oesophageal junction who have not received prior anti-cancer treatment for their metastatic disease.
Zdravilo Ontruzant je v kombinaciji s kapecitabinom ali 5-fluorouracilom in cisplatinom indicirano za zdravljenje odraslih bolnikov s HER2-pozitivnim metastatskim adenokarcinomom želodca ali gastroezofagealnega prehoda, ki še niso prejemali zdravil z delovanjem na novotvorbe za svojo metastatsko bolezen.
Any remaining reconstituted solution should be discarded.
Morebitno preostalo rekonstituirano raztopino zavrzite.
Patients who were previously untreated for HER2-positive inoperable locally advanced or recurrent and/or metastatic adenocarcinoma of the stomach or gastro-oesophageal junction not amenable to curative therapy were recruited to the trial.
V preskušanje so vključili bolnike, ki predhodno za HER2-pozitiven inoperabilen lokalno napredovali ali ponavljajoči se in/ali metastatski adenokarcinom želodca ali gastro-ezofagealnega prehoda niso bili zdravljeni ali primerni za zdravljenje.
MARKETING AUTHORISATION NUMBER(S) EU/1/17/1241/002
ŠTEVILKA(E) DOVOLJENJA (DOVOLJENJ) ZA PROMET EU/1/17/1241/002
as monotherapy for the treatment of those patients who have received at least two chemotherapy regimens for their metastatic disease.
kot monoterapija za zdravljenje tistih bolnikov, ki so za svojo metastatsko bolezen predhodno že prejemali najmanj dve liniji kemoterapije.
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].
Ta končna analiza podaljšanja zdravljenja s trastuzumabom ni pokazala dodatne koristi podaljšanja zdravljenja s trastuzumabom na dve leti v primerjavi z enoletnim zdravljenjem [DFS HR v populaciji, ki so jo nameravali zdraviti (ITT) pri dvoletnem zdravljenju v primerjavi z enoletnim zdravljenjem = 0,99 (95 % IZ: 0,87, 1,13), vrednost p = 0,90 in OS HR = 0,98 (0,83, 1,15); vrednost p = 0,78].
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.
Kljub prehodu na trastuzumab v kontrolni skupini je dodatek trastuzumaba kemoterapiji s paklitakselom zmanjšal tveganje recidiva bolezni za 52 %.
Effect of antineoplastic agents on trastuzumab pharmacokinetics
Vpliv zdravil z delovanjem na novotvorbe na farmakokinetiko trastuzumaba
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 dajali trastuzumab bodisi v kombinaciji z docetakselom po AC kemoterapiji (AC→DH) bodisi v kombinaciji z docetakselom in karboplatinom (DCarbH).
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%;
Pogostnost napredovanja v jetrih je bila značilno manjša pri bolnikih, zdravljenih s kombinacijo trastuzumaba in paklitaksela, v primerjavi s samim paklitakselom (21,8 % proti 45,7 %; p = 0,004).
Table 1 Undesirable effects reported with intravenous trastuzumab monotherapy or in combination with chemotherapy in pivotal clinical trials (N=8386) and in post-marketing
Neželeni učinki, o katerih so poročali pri intravenski monoterapiji s trastuzumabom ali v kombinaciji s kemoterapijo v ključnih kliničnih preskušanjih (N = 8386) in v obdobju trženja zdravila Organski system
As a result, trastuzumab has been shown, in both in vitro assays and in animals, to inhibit the proliferation of human tumour cells that overexpress HER2.
Zato trastuzumab tako v študijah in vitro kot pri živalih zavira delitev človeških tumorskih celic, ki čezmerno izražajo HER2.
Patients are eligible for trastuzumab treatment if they show strong HER2 overexpression as described by a 3+ score by IHC or a positive FISH or CISH result.
Bolniki so primerni za zdravljenje s trastuzumabom, če kažejo močno čezmerno izražanje HER2, ki ga dokazuje rezultat IHC 3+ ali pozitiven rezultat FISH ali CISH.
What Ontruzant looks like and contents of the pack
Izgled zdravila Ontruzant in vsebina pakiranja
In addition, cases of interstitial lung disease including lung infiltrates, acute respiratory distress syndrome, pneumonia, pneumonitis, pleural effusion, respiratory distress, acute pulmonary oedema and respiratory insufficiency have been reported.
Poleg tega so poročali tudi o primerih intersticijske bolezni pljuč, vključno s pljučnimi infiltrati, sindromu akutne dihalne stiske, pljučnici, pnevmonitisu, plevralnem izlivu, dihalni stiski, akutnem pljučnem edemu in insuficienci dihanja.
Taking into account the PRAC Assessment Report on the PSUR(s) for trastuzumab, the scientific conclusions of the CHMP are as follows:
Upoštevajoč poročilo Odbora za oceno tveganja na področju farmakovigilance (PRAC) o oceni rednih posodobljenih poročil o varnosti zdravila (PSUR) za trastuzumab je Odbor za zdravila za uporabo v humani medicini (CHMP) sprejel naslednje znanstvene zaključke:
Ontruzant 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 Ontruzant 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).
Body weight (kg) x dose (4 mg/kg for loading or 2 mg/kg for maintenance) 21 (mg/mL, concentration of reconstituted solution)
telesna masa (kg) x odmerek (4 mg/kg za polnilni ali 2 mg/kg za vzdrževalni odmerek) 21 (mg/ml, koncentracija rekonstituirane raztopine)
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).
Bolezen je napredovala v centralno živčevje pri več bolnikih, zdravljenih s trastuzumabom in paklitakselom, kot pri tistih, ki so bili zdravljeni samo s paklitakselom (12,6 % proti 6,5 %; p = 0,377).
HER2 over expression should be detected using an immunohistochemistry (IHC)-based assessment of fixed tumour blocks; HER2 gene amplification should be detected using in situ hybridisation using either SISH or FISH on fixed tumour blocks.
Čezmerno izražanje HER2 je treba odkrivati z imunohistokemično (IHC) metodo v fiksiranih blokih tumorja; gensko amplifikacijo HER2 je treba odkrivati z uporabo hibridizacije in situ bodisi s SISH ali FISH v fiksiranih blokih tumorja.
A study conducted in lactating Cynomolgus monkeys at doses 25 times that of the weekly human maintenance dose of 2 mg/kg trastuzumab intravenous formulation demonstrated that trastuzumab is secreted in the milk.
Izsledki študije, opravljene pri doječih opicah Cynomolgus z odmerki, 25-krat večjimi od tedenskega vzdrževalnega odmerka pri ljudeh, ki je 2 mg/kg trastuzumaba za intravensko uporabo, so pokazali, da se trastuzumab izloča v mleko.
In the post-marketing setting, cases of fetal renal growth and/or function impairment in association with oligohydramnios, some associated with fatal pulmonary hypoplasia of the fetus, have been reported in pregnant women receiving trastuzumab.
V obdobju trženja zdravila 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.
The product is not intended to be stored after reconstitution and dilution unless this has taken place under controlled and validated aseptic conditions.
razen če je to potekalo v kontroliranih in validiranih aseptičnih razmerah.
Ontruzant 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.
Zdravilo Ontruzant je prašek za koncentrat za raztopino za intravensko infundiranje, ki je na voljo v stekleni viali z gumijastim zamaškom, ki vsebuje 150 mg ali 420 mg trastuzumaba.
Administration in combination with an aromatase inhibitor In the pivotal trial (BO16216) trastuzumab and anastrozole were administered from day 1.
V ključni študiji (BO16216) so trastuzumab in anastrozol dajali od 1. dne naprej.
• If you are pregnant, think you may be pregnant or are planning to have a baby, ask your doctor, pharmacist or nurse for advice before taking this medicine.
Nosečnost • Če ste noseči, menite, da bi lahko bili noseči ali načrtujete zanositev, se posvetujte z zdravnikom,
Table 12 Efficacy results from MO16432
Rezultati učinkovitosti iz študije MO16432
Median TTP (months) (95%CI)
Mediani TTP (meseci) (95 % IZ)
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 pomenopavzi z metastatsko obliko raka dojk s pozitivnimi hormonskimi receptorji, ki predhodno niso bile zdravljene s trastuzumabom.
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 s trastuzumabom in terapije s trastuzumabom in paklitakselom, temelji na imunohistokemičnem obarvanju HER2 v fiksiranih preparatih tumorjev dojk z uporabo mišjih monoklonskih protiteles CB11 in 4D5.
Severe pulmonary events have been reported with the use of trastuzumab in the post-marketing setting (see section 4.8).
Pri uporabi trastuzumaba so v obdobju trženja zdravila poročali o resnih pljučnih dogodkih (glejte poglavje 4.8).
Trastuzumab plus paclitaxel3 N=32
Trastuzumab in paklitaksel3 N = 32
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 polnilnem odmerku trastuzumaba (za odmerek glejte Povzetek glavnih značilnosti zdravila (SmPC) za paklitaksel ali docetaksel) in takoj po nadaljnjih odmerkih trastuzumaba, če je bolnik predhodni odmerek trastuzumaba dobro prenesel.
Disease-free survival No. patients with event (%)
Preživetje brez bolezni število bolnikov z dogodkom (%)
There is no experience with overdose in human clinical trials.
V kliničnih preskušanjih pri ljudeh ni izkušenj s prevelikim odmerjanjem.
• dry eyes
• suhe oči,
In the final population PK model, in addition to primary tumour type, body-weight, serum aspartate aminotransferase and albumin were identified as statistically significant covariates affecting the exposure of trastuzumab.
V končnem populacijskem farmakokinetičnem modelu so bile kot statistično pomembne sospremenljivke, ki vplivajo na izpostavljenost trastuzumabu, poleg vrste primarnega tumorja še telesna masa, serumska aspartat-aminotransferaza in albumini.
Solutions of Ontruzant for intravenous infusion are physically and chemically stable in polyvinylchloride, polyethylene or polypropylene bags containing sodium chloride 9 mg/mL (0.9%) solution for injection for 24 hours at temperatures not exceeding 30°C.
Raztopine zdravila Ontruzant za intravensko infundiranje so fizikalno in kemijsko stabilne 24 ur pri temperaturah, ki ne presegajo 30 °C, v polivinilkloridnih, polietilenskih in polipropilenskih vrečkah, ki vsebujejo 9 mg/ml (0,9 %) raztopino natrijevega klorida za injiciranje.
Body weight (kg) x dose (8 mg/kg for loading or 6 mg/kg for maintenance) 21 (mg/mL, concentration of reconstituted solution)
telesna masa (kg) x odmerek (8 mg/kg za polnilni ali 6 mg/kg za vzdrževalni odmerek) 21 (mg/ml, koncentracija rekonstituirane raztopine)
Contents of the pack and other information
Shranjevanje zdravila Ontruzant Vsebina pakiranja in dodatne informacije
If LVEF has not improved, or declined further, or symptomatic CHF has developed, discontinuation of trastuzumab should be strongly considered, unless the benefits for the individual patient are deemed to outweigh the risks.
Če se LVEF ne izboljša ali pride do nadaljnjega zmanjšanja ali se razvije simptomatsko srčno popuščanje, je potreben resen razmislek o prekinitvi zdravljenja s trastuzumabom, razen če je korist za posamezno bolnika večja od tveganja.
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 odmerek glejte Povzetek glavnih značilnosti zdravila za anastrozol ali druge zaviralce aromataz).
The bag should be gently inverted to mix the solution in order to avoid foaming.
Zmešajte raztopino s previdnim obračanjem vrečke, da se izognete penjenju.