natgillin/translations-raw huggingface dataset:
The Agency's Committee for Medicinal Products for Human Use (CHMP) decided that Galafold's benefits are greater than its risks and recommended that it be approved for use in the EU.
Odbor za zdravila za uporabo v humani medicini (CHMP) pri agenciji je zaključil, da so koristi zdravila Galafold večje od z njim povezanih tveganj, in priporočil, da se odobri za uporabo v EU.
The summary of the opinion of the Committee for Orphan Medicinal Products for Galafold can be found on the Agency's website: ema.europa.eu/Find medicine/Human medicines/Rare disease designation.
Povzetek mnenja Odbora za zdravila sirote o zdravilu Galafold je na voljo na spletni strani agencije: ema.europa.eu/Find medicine/Human medicines/Rare disease designation.
A risk management plan has been developed to ensure that Galafold is used as safely as possible.
Za zagotovitev čim varnejše uporabe zdravila Galafold je bil pripravljen načrt obvladovanja tveganj.
Other information about Galafold
Druge informacije o zdravilu Galafold
It is not intended to provide practical advice on how to use Galafold.
Povzetek ni namenjen zagotavljanju praktičnih nasvetov o njegovi uporabi.
What are the risks associated with Galafold?
Kakšna tveganja so povezana z zdravilom Galafold?
The second study, in 60 patients, compared Galafold with the medicines agalsidase alfa or agalsidase beta, two treatments that replace the missing enzyme.
V drugi študiji s 60 bolniki so primerjali zdravilo Galafold z zdraviloma agalzidaza alfa in agalzidaza beta, ki nadomestita manjkajoči encim.
What benefits of Galafold have been shown in studies?
Kakšne koristi je zdravilo Galafold izkazalo v študijah?
Because the number of patients with Fabry disease is low, the disease is considered ‘rare' and Galafold was designated an ‘orphan medicine' (a medicine used in rare diseases) on 22 May 2006.
Ker je bolnikov s Fabryjevo boleznijo malo, velja ta bolezen za redko, zato je bilo zdravilo Galafold 22. maja 2006 določeno kot „zdravilo sirota“ (zdravilo za zdravljenje redkih bolezni).
This is a rare inherited disorder where patients have various mutations (changes) in the gene responsible for the production of an enzyme called alpha-galactosidase A, which normally breaks down a fatty substance called globotriaosylceramide (GL-3).
To je redka prirojena motnja, pri kateri imajo bolniki različne mutacije (spremembe) v genu, ki proizvaja encim, imenovan α-galaktozidaza A, ki običajno razgradi maščobno snov, znano kot globotriaozilceramid (GL-3).
Overall, Galafold was not found to be more effective than placebo at reducing GL-3 deposits; however, additional analyses including only patients with those genetic mutations that can be treated with Galafold showed that patients responded better to Galafold than to placebo after 6 months of treatment.
V splošnem ni bilo ugotovljeno, da bi bilo zdravilo Galafold pri zmanjševanju kopičenja GL-3 učinkovitejše kot placebo; vendar pa so dodatne analize, ki so vključevale le bolnike z genskimi mutacijami, ki se lahko zdravijo z zdravilom Galafold, pokazale, da so se bolniki po 6 mesecih zdravljenja na zdravilo Galafold odzvali bolje kot na placebo.
What is Galafold and what is it used for?
Kaj je zdravilo Galafold in za kaj se uporablja?
The CHMP also noted that Galafold is taken by mouth and this could be an advantage compared with other authorised treatments such as enzyme replacement which are given by infusion (drip) into a vein.
Odbor CHMP je prav tako opozoril, da se zdravilo Galafold jemlje peroralno, kar bi bila lahko prednost v primerjavi z ostalimi odobrenimi zdravili, kot je encimsko nadomestno zdravljenje, kjer se zdravilo daje z infundiranjem (kapljično infuzijo) v veno.
The first study, which compared Galafold with placebo (a dummy treatment) in 67 patients, looked at the proportion of patients who responded to treatment (defined as a reduction of at least 50% in GL-3 deposits in the kidneys).
Prva študija, kjer so primerjali zdravilo Galafold s placebom (zdravilom brez zdravilne učinkovine) pri 67 bolnikih, se je osredotočila na delež bolnikov, ki so se odzvali na zdravljenje (kar je opredeljeno kot zmanjšanje kopičenja GL-3 v ledvicah za vsaj 50 %).
Galafold is a medicine used to treat patients aged 16 years or over with Fabry disease.
Zdravilo Galafold se uporablja za zdravljenje bolnikov, starih 16 let ali več, s Fabryjevo boleznijo.
Based on this plan, safety information has been included in the summary of product characteristics and the package leaflet for Galafold, including the appropriate precautions to be followed by healthcare professionals and patients.
V skladu s tem načrtom so bile v povzetek glavnih značilnosti zdravila Galafold in navodilo za njegovo uporabo vključene informacije o varnosti, vključno s previdnostnimi ukrepi, ki jih morajo upoštevati zdravstveni delavci in bolniki.
Galafold can only be obtained with a prescription and treatment should only be started and supervised by a doctor who is experienced in the diagnosis and treatment of Fabry disease.
Izdaja zdravila Galafold je le na recept, zdravljenje pa lahko uvede in nadzoruje le zdravnik z izkušnjami z diagnosticiranjem in zdravljenjem Fabryjeve bolezni.
Why is Galafold approved?
Zakaj je bilo zdravilo Galafold odobreno?
The full EPAR for Galafold can be found on the Agency's website: ema.europa.eu/Find medicine/Human medicines/European public assessment reports.
Celotno evropsko javno poročilo o oceni zdravila (EPAR) za zdravilo Galafold je na voljo na spletni strani agencije: ema.europa.eu/Find medicine/Human medicines/European public assessment reports.
For the full list of all side effects and restrictions with Galafold, see the package leaflet.
Za celoten seznam neželenih učinkov in omejitev pri uporabi zdravila Galafold glejte navodilo za uporabo.
For more information about treatment with Galafold, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.
Za več informacij o zdravljenju z zdravilom Galafold preberite navodilo za uporabo (ki je prav tako del EPAR) ali se posvetujte z zdravnikom ali farmacevtom.
Regarding safety, Galafold was well-tolerated.
Kar se tiče varnosti, so bolniki zdravilo Galafold dobro prenašali.
The active substance in Galafold, migalastat, attaches to certain unstable forms of alpha-galactosidase A, stabilising the enzyme.
Zdravilna učinkovina zdravila Galafold, migalastat, se veže na določene nestabilne oblike αgalaktozidaze A in s tem stabilizira encim.
For practical information about using Galafold, patients should read the package leaflet or contact their doctor or pharmacist.
Za praktične informacije o uporabi zdravila Galafold naj bolniki preberejo navodilo za uporabo ali se posvetujejo z zdravnikom ali farmacevtom.
In this study, Galafold was found to be as effective as enzyme replacement in stabilising patients' kidney function.
V tej študiji se je zdravilo Galafold pri stabiliziranju delovanja ledvic bolnikov izkazalo za enako učinkovito kot encimsko nadomestno zdravljenje.
How is Galafold used?
Kako se zdravilo Galafold uporablja?
Galafold contains the active substance migalastat.
Vsebuje zdravilno učinkovino migalastat.
How does Galafold work?
Kako zdravilo Galafold deluje?
For more information, see the summary of product characteristics (also part of the EPAR).
Zdravilo Galafold se uporablja le pri bolnikih z določenimi mutacijami v genu α-galaktozidaza A. Za več informacij glejte povzetek glavnih značilnosti zdravila (ki je prav tako del EPAR).
CMDh agreement
Sporazum skupine CMDh
The PRAC also recommended that the treatment duration should be as short as possible.
Priporočil je tudi, naj bo zdravljenje čim krajše.
These amendments should be submitted within a Type IB variation.
Te spremembe je treba predložiti v okviru vloge za spremembo tipa IB.
• The Pharmacovigilance Risk Assessment Committee (PRAC) considered the procedure under Article 31 of Directive 2001/83/EC;
• Odbor za oceno tveganja na področju farmakovigilance (PRAC) je obravnaval postopek v skladu s členom 31 Direktive 2001/83/ES;
Hydroxyzine hydrochloride is a first generation antihistamine first authorised in the 1950s and available in 24 EEA member states.
Hidroksizinijev klorid je antihistaminik prve generacije, ki je bil prvič odobren v petdesetih letih prejšnjega stoletja in je na voljo v 24 državah članicah EGP.
The Hungarian competent authority considered it to be in the interest of the Union to refer the matter to the Pharmacovigilance Risk Assessment Committee (PRAC) under Article 31 of Directive 2001/83/EC.
Menil je, da je v interesu Unije, da zadevo napoti na Odbor za oceno tveganja na področju farmakovigilance (PRAC) v skladu s členom 31 Direktive 2001/83/ES.
The PRAC considered that the efficacy data did not raise any new concerns.
Menil je, da podatki o učinkovitosti niso vzbudili novih pomislekov.
The wording of Section 3 of the Package Leaflet was amended accordingly.
Besedilo poglavja 3 navodila za uporabo je bilo prav tako ustrezno spremenjeno.
In the context of the review, the PRAC consulted the EMA Paediatric Committee (PDCO) and the Geriatric Expert Group (GEG).
Odbor se je v okviru pregleda posvetoval z Odborom za pediatrijo (PDCO) in Strokovno skupino za geriatrijo (GEG) pri Evropski agenciji za zdravila.
For products with a paediatric formulation (syrup or oral solution), consideration should be given to making available an appropriate measuring device.
Pri zdravilih v farmacevtski obliki, namenjeni pediatrični populaciji (sirup ali peroralna raztopina), je treba razmisliti o tem, da bi priložili ustrezen odmerni pripomoček.
In addition, further changes to the product information were implemented, including a revision of the posology and a warning that use in the elderly is not recommended due to the anticholinergic effects.
Poleg tega je uvedel dodatne spremembe informacij o zdravilu, med drugim ponovni pregled odmerjanja in opozorilo, da uporaba pri starejših ni priporočljiva zaradi antiholinergičnih učinkov.
• The PRAC considered that the available efficacy data did not raise any new concerns;
• odbor PRAC je menil, da podatki o učinkovitosti niso vzbudili novih pomislekov;
On 7th March 2014, the Hungarian competent authority was informed of new data on the potential risk for developing QT interval prolongation and/or Torsades de Pointes after exposure to hydroxyzine.
Madžarski pristojni organ je bil 7. marca 2014 seznanjen z novimi podatki o možnem tveganju za razvoj podaljšanega intervala QT in/ali aritmije tipa Torsades de Pointes po izpostavljenosti hidroksizinu.
As the recommendation in children below 40 kg in weight is 2 mg/kg/day, the maximum daily dose in this population is 80 mg per day.
Priporočeni odmerek pri otrocih s telesno maso manj kot 40 kg znaša 2 mg/kg/dan, kar pomeni, da je največji dnevni odmerek pri tej populaciji 80 mg na dan.
The PRAC was requested to review the benefit-risk balance of hydroxyzinecontaining products, in particular giving consideration to their pro-arrhythmogenic potential in all authorised indications and target populations and to give its recommendation on whether any regulatory measures should be taken on the marketing authorisations.
Odbor so zaprosili, da pregleda razmerje med tveganji in koristmi zdravil, ki vsebujejo hidroksizin, zlasti ob upoštevanju možnega proaritmogenega učinka, pri vseh odobrenih indikacijah in ciljnih populacijah ter poda priporočilo o tem, ali je treba sprejeti kakršne koli regulativne ukrepe v zvezi z dovoljenji za promet z zdravilom.
The products are nationally authorised as prescription-only medicines, for use in a number of indications including the treatment of anxiety disorders, skin conditions (such as pruritus, dermatitis or urticaria) for preoperative sedation and for the treatment of sleep disorders.
Zdravila so bila odobrena po nacionalnih postopkih in se izdajajo le na recept za uporabo pri številnih indikacijah, med katerimi so zdravljenje anksioznih motenj in bolezni kože (na primer pruritusa, dermatitisa in urtikarije), predoperativna sedacija in zdravljenje motenj spanja.
• The PRAC considered that the available safety data confirms the potential risk of QT interval prolongation associated with the use of hydroxyzine;
• odbor PRAC je menil, da razpoložljivi podatki o varnosti potrjujejo možno tveganje za podaljšanje intervala QT, povezano z uporabo hidroksizina;
This is in line with the concept of the repolarisation reserve, which proposes that the concomitant action of multiple factors is required for the exhaustion of the repolarisation reserve, opening the way to the occurrence of cardiac electrophysiological disturbances.
To se ujema s konceptom repolarizacijske rezerve, za katerega naj bi bilo značilno, da je za izčrpanje repolarizacijske rezerve potrebno sočasno delovanje več dejavnikov, ki lahko posledično povzročijo pojav elektrofizioloških motenj srca.
Because 40 kg in weight is generally considered to be the weight of a child aged 12 years, the CMDh considered that based on the available pharmacokinetic data, the adult maximum daily dose of 100 mg per day would be considered appropriate also for children over 40 kg in weight.
Ker na splošno velja, da telesna masa 40 kg ustreza telesni masi otroka, starega 12 let, je skupina CMDh menila, da bi bil glede na razpoložljive farmakokinetične podatke največji dnevni odmerek 100 mg na dan za odrasle primeren tudi za otroke s telesno maso več kot 40 kg.
The CMDh, having considered the PRAC recommendation, agrees with the overall scientific conclusions by the PRAC and agrees that the marketing authorisations for hydroxyzine-containing medicinal products should be varied.
Po proučitvi priporočila odbora PRAC se je skupina CMDh strinjala z njegovimi splošnimi znanstvenimi zaključki in tudi s tem, da je treba dovoljenja za promet z zdravili, ki vsebujejo hidroksizin, spremeniti.
The risk did not differ between indications and no dose effect could be observed based on postmarketing data, despite pre-clinical data suggesting that hydroxyzine has a dose-dependent hERG inhibitory effect.
Tveganje se ni razlikovalo glede na indikacije in na podlagi podatkov iz obdobja trženja ni bilo mogoče opaziti povezave med odmerkom in učinkom, čeprav klinični podatki kažejo, da je zaviralni učinek hidroksizina na hERG odvisen od odmerka.
In addition, the CMDh agreed that when implementing the agreed changes to the product information, the MAHs should also revise the posology section as appropriate to introduce any changes consequential to the revised maximum daily dose recommendations.
Poleg tega se je skupina CMDh strinjala, da morajo imetniki dovoljenja za promet z zdravilom pri izvajanju dogovorjenih sprememb informacij o zdravilu ustrezno popraviti tudi poglavje o odmerjanju, da uvedejo vse morebitne spremembe, ki izhajajo iz popravljenih priporočil o največjem dnevnem odmerku.
The PRAC therefore recommended the variation to the terms of the marketing authorisation for the medicinal products referred to in Annex I and for which the relevant sections of the summary of product characteristics and package leaflet are set out in Annex III of the PRAC recommendation.
Odbor PRAC je zato priporočil spremembo pogojev dovoljenj za promet z zdravili, ki so navedena v Prilogi I, skladno z besedili ustreznih poglavij povzetka glavnih značilnosti zdravila in navodila za uporabo, opredeljenimi v Prilogi III k priporočilu odbora PRAC.
• The PRAC agreed on measures including a revision of the posology, contraindications in patients with a known acquired or congenital QT interval prolongation and patients with a known risk factor to QT interval prolongation, a warning that use in the elderly is not recommended due to the anticholinergic effect and a request to the MAHs to assess the effectiveness of the risk minimisation measures.
• odbor PRAC se je dogovoril o ukrepih, ki vključujejo ponovni pregled odmerjanja, kontraindikacije pri bolnikih z znanim pridobljenim ali prirojenim podaljšanim intervalom QT ter bolnikih z znanim dejavnikom tveganja za podaljšanje intervala QT, opozorilo, da uporaba pri starejših ni priporočljiva zaradi antiholinergičnih učinkov, in zahtevo, da imetniki dovoljenja za promet z zdravilom ocenijo učinkovitost ukrepov za zmanjšanje tveganja.
The PRAC also requested the MAHs to circulate a ‘Direct healthcare professional' communication (DHPC), assess the effectiveness of the risk minimisation measures and continue to monitor the risks of QT interval prolongation, Torsades de Pointes, ventricular arrhythmia, sudden death and cardiac arrest.
Prav tako je zahteval, da imetniki dovoljenja za promet z zdravilom pošljejo „neposredno obvestilo zdravstvenim delavcem“ (DHPC), ocenijo učinkovitost ukrepov za zmanjšanje tveganja in še naprej spremljajo tveganja za podaljšanje intervala QT, aritmijo tipa Torsades de Pointes, ventrikularno aritmijo, nenadno smrt in zastoj srca.
Based on the available non-clinical data, the PRAC concluded that hydroxyzine has the potential to block hERG channels and other types of cardiac channels, resulting in a potential risk of QT interval prolongation and cardiac arrhythmia events.
Na podlagi razpoložljivih predkliničnih podatkov je zaključil, da hidroksizin lahko blokira kanalčke hERG in druge vrste kanalčkov v srcu, zaradi česar lahko obstaja tveganje za podaljšanje intervala QT in dogodke, povezane s srčno aritmijo.
Annex II Scientific conclusions and grounds for variation to the terms of the marketing authorisations and detailed explanation of the scientific grounds for the differences from the PRAC recommendation
Znanstveni zaključki in podlaga za spremembo pogojev dovoljenj za promet z zdravilom ter podrobna obrazložitev znanstvene podlage za odstopanja od priporočila odbora PRAC
The PRAC considered that the potential risk of QT interval prolongation and Torsades de Pointes can be adequately minimised through appropriate risk minimisation measures targeting the identified risk factors and restricting the use of hydroxyzine, in particular in the atrisk populations.
Odbor PRAC je menil, da je možno tveganje za podaljšanje intervala QT in aritmijo tipa Torsades de Pointes mogoče zadovoljivo zmanjšati z ustreznimi ukrepi za zmanjšanje tveganja, ki bi bili usmerjeni na opredeljene dejavnike tveganja in bi omejili uporabo hidroksizina, zlasti pri populacijah s povečanim tveganjem.
A maximum daily dose of 100 mg was found to be efficacious and well-tolerated and the PRAC therefore recommended restricting the maximum daily dose to 100 mg per day in adults, with corresponding changes in the paediatric and elderly populations, based on pharmacokinetic data.
Ugotovljeno je bilo, da je največji dnevni odmerek 100 mg učinkovit in da ga bolniki dobro prenašajo, zato je odbor PRAC na podlagi farmakokinetičnih podatkov priporočil, da se največji dnevni odmerek pri odraslih omeji na 100 mg na dan, pri pediatrični in starejši populaciji pa ustrezno spremeni.
The PRAC, as a consequence, concluded that the benefit-risk balance of the hydroxyzinecontaining products identified in Annex I remains favourable, subject to the agreed amendments to the product information and additional pharmacovigilance activities and additional risk minimisation measures.
Posledično je odbor PRAC zaključil, da je razmerje med tveganji in koristmi zdravil, ki vsebujejo hidroksizin in so navedena v Prilogi I, še naprej ugodno če se upoštevajo dogovorjene spremembe informacij o zdravilu ter dodatne dejavnosti farmakovigilance in dodatni ukrepi za zmanjšanje tveganja.
• The PRAC reviewed the totality of the available data in relation to the potential risk for developing QT interval prolongation and/or Torsades de Pointes after exposure to hydroxyzine, including pre-clinical data, clinical efficacy and safety data and post-marketing safety data, the MAHs' submissions as well as reports from the Paediatric Committee and the Geriatric Expert Group;
• odbor PRAC je pregledal vse razpoložljive podatke v zvezi z možnim tveganjem za razvoj podaljšanega intervala QT in/ali aritmije tipa Torsades de Pointes po izpostavljenosti hidroksizinu, vključno s predkliničnimi podatki, kliničnimi podatki o učinkovitosti in varnosti ter podatki o varnosti iz obdobja trženja, dokumentacijo, ki so jo predložili imetniki dovoljenj za promet z zdravilom ter poročila Odbora za pediatrijo in Strokovne skupine za geriatrijo;
This potential risk was confirmed by clinical and post-marketing data, which also identified the at-risk population as consisting of patients with risk factors for QT interval prolongation, such as cardiac medical history, concomitant medications associated with QT interval prolongation and electrolyte imbalance.
Možno tveganje so potrdili klinični podatki in podatki iz obdobja trženja, ki so pokazali tudi, da populacijo s povečanim tveganjem sestavljajo bolniki z dejavniki tveganja za podaljšanje intervala QT, kot so bolezni srca v anamnezi, sočasna zdravila, povezana s podaljšanjem intervala QT, in neravnovesje elektrolitov.
The CMDh amended the product information accordingly, revising the wording of Section 4.2 of the SmPC as follows: “In adults and children over 40 kg in weight, the maximum daily dose is 100 mg per day” and clarifying the wording of the recommendation in children up to 40 kg in weight.
V skladu s tem je spremenila informacije o zdravilu, pri čemer je popravila besedilo poglavja 4.2 povzetka glavnih značilnosti zdravila na naslednji način: „Pri odraslih in otrocih s telesno maso več kot 40 kg je največji dnevni odmerek 100 mg na dan,“ in dodala pojasnilo k besedilu priporočila pri otrocih s telesno maso do 40 kg.
• The PRAC considered the known risk factors for QT interval prolongation and was of the opinion that the potential risk for QT interval prolongation can be adequately minimised by restricting the use of hydroxyzine, particularly in at-risk patient populations;
• odbor PRAC je proučil znane dejavnike tveganja za podaljšanje intervala QT in menil, da je možno tveganje za podaljšanje intervala QT mogoče zadovoljivo zmanjšati z omejitvijo uporabe hidroksizina, zlasti pri populacijah bolnikov s povečanim tveganjem;
The PRAC recommended that hydroxyzine should be contra-indicated in patients with a known acquired or congenital QT interval prolongation as well as in patients with a known risk factor to QT interval prolongation including a known cardiovascular disease, significant electrolytes imbalance (hypokalaemia, hypomagnesaemia), family history of sudden cardiac death, significant bradycardia, concomitant use with other drugs known to prolong the QT interval and/or induce Torsades de Pointes.
Poleg tega je priporočil, da je hidroksizin kontraindiciran pri bolnikih z znanim pridobljenim ali prirojenim podaljšanim intervalom QT ter pri tistih z znanimi dejavniki tveganja za podaljšanje intervala QT, med katerimi so znana bolezen srca in ožilja, znatno neravnovesje elektrolitov (hipokaliemija, hipomagneziemija), nenadna srčna smrt v družinski anamnezi, znatna bradikardija ter sočasna uporaba drugih zdravil, ki podaljšujejo interval QT in/ali povzročajo aritmijo tipa Torsades de Pointes.
The PRAC concluded that the benefit-risk of the hydroxyzine-containing products remains positive, provided that the agreed changes to the product information and the additional risk minimisation measures are implemented.
Odbor PRAC je zaključil, da je razmerje med tveganji in koristmi zdravil, ki vsebujejo hidroksizin, še naprej pozitivno, če se upoštevajo dogovorjene spremembe informacij o zdravilu in izvajajo dodatni ukrepi za zmanjšanje tveganja.
Overall conclusion and grounds for the variation to the Marketing Authorisations
Znanstveni zaključki in podlaga za začasni umik dovoljenj za promet z zdravilom
The PRAC reviewed all available data, including pre-clinical data, clinical efficacy and safety data and post-marketing safety data, as well as input from the PDCO and the GEG, in the context of its review of the potential risk for developing QT interval prolongation and Torsades de Pointes after exposure to hydroxyzine.
Odbor PRAC je v okviru pregleda možnega tveganja za razvoj podaljšanega intervala QT in aritmije tipa Torsades de Pointes po izpostavljenosti hidroksizinu pregledal vse razpoložljive podatke, vključno s predkliničnimi podatki, kliničnimi podatki o učinkovitosti in varnosti ter podatki o varnosti iz obdobja trženja, ter mnenje odbora PDCO in skupine GEG.