natgillin/translations-raw huggingface dataset:
The CHMP noted that the differences of the magnitude observed between Flutiform and GSK fluticasone propionate in Study FLT1501 (67% relative bioavailability) are within the same range of variance as observed within patients (from inhalation to inhalation), between different batches of the same product and between different inhalers containing the same or more than one of the same active substances and are without adverse clinical consequences, and therefore are likely to be clinically irrelevant.
Odbor CHMP je ugotovil, da so razlike v obsegu, opažene med zdraviloma Flutiform in flutikazon propionat GSK v študiji FLT1501 (67-odstotna relativna biološka razpoložljivost), v enakem razponu variance, kot so ga opazili med bolniki (od inhalacije do inhalacije), med različnimi serijami istega zdravila in med različnimi vdihovalniki, ki vsebujejo isto ali več istih zdravilnih učinkovin in nimajo škodljivih kliničnih posledic, zato ni verjetno, da bi bile klinično pomembne.
• In the pharmacokinetic data presented systemic exposure of fluticasone was lower (67%) following Flutiform inhalation than following the concurrent inhalation of fluticasone and formoterol from monoproduct pMDIs.
• je bila v predloženih farmakokinetičnih podatkih sistemska izpostavljenost flutikazonu po inhalaciji zdravila Flutiform manjša (67 %) kot po sočasni inhalaciji flutikazona in formoterola iz vdihovalnikov z monozdravilom.
The CHMP was of the view that clinical data generated over 6 to 12 months to further elucidate the level of asthma control and to further assess exacerbation rates seen with Flutiform compared with fluticasone propionate administered concomitantly with formoterol fumarate or administered alone, are not required.
Odbor CHMP je menil, da klinični podatki, pridobljeni v od 6 do 12 mesecih, ki bi dodatno pojasnili raven obvladovanja astme in dodatno ocenili stopnje poslabšanj, opaženih z zdravilom Flutiform v primerjavi s flutikazon propionatom, uporabljenim v kombinaciji s formoterol fumaratom ali samostojno, niso potrebni.
Assessment of the pre-dose FEV1 data in the three specified studies demonstrated that in two of the three studies formoterol fumarate has no effect upon pre-dose FEV1 whilst in the third study there was some residual formoterol effect upon pre-dose FEV1 but it was insufficient to explain the magnitude of the predose FEV1 treatment effect difference between Flutiform and fluticasone propionate pMDI.
Ocena podatkov o predodmernem FEV1 iz treh navedenih študij je pokazala, da v dveh od treh študij formoterol fumarat ni imel učinka na predodmerni FEV1, medtem ko je bilo v tretji študiji nekaj rezidualnega učinka formoterola na predodmerni FEV1, vendar je bil premajhen, da bi bilo z njim mogoče pojasniti obsežno razliko med učinkom zdravljenja na predodmerni FEV1 med zdravilom
Of the five pivotal studies submitted with this Marketing Authorisation Application three studies were designed such that they facilitate a rigorous, internally validated examination as to whether the long-acting β2 agonist formoterol fumarate “masks” deficient corticosteroid effects of Flutiform upon pre-dose FEV1.
Od petih ključnih študij, predloženih s to vlogo za pridobitev dovoljenja za promet z zdravilom, so bile tri študije zasnovane tako, da lahko olajšajo strogo, interno potrjeno raziskavo, ali β2-agonist z dolgotrajnim delovanjem, formoterol fumarat, „prikriva“ nezadostne učinke kortikosteroida v zdravilu Flutiform na predodmerni FEV1.
The CHMP was of the opinion that these findings suggest that the PK data from study FLT1501 do not reflect pulmonary deposition accurately and therefore in this study are not a valid surrogate for clinical efficacy of Flutiform.
Odbor CHMP je menil, da glede na ta odkritja farmakokinetični podatki iz študije FLT1501 ne odražajo pravilno odlaganja v pljučih, zato niso veljaven nadomestek za klinični učinek zdravila Flutiform.
In the frame of the referral under article 29(4), the Applicant was requested to respond to the following: “In the light of the available pharmacokinetic data showing a lower systemic exposure of the fluticasone propionate component of this fixed-dose combination product, there is concern that patients receiving this fixed-dose combination, whether for the 'substitution' indication or for the 'step-up' indication, may not experience the same level of efficacy in respect of long-term asthma control.
V okviru napotitve iz člena 29(4) je moral predlagatelj odgovoriti na naslednje: „Ob upoštevanju razpoložljivih farmakokinetičnih podatkov, ki kažejo manjšo sistemsko izpostavljenost komponenti flutikazon propionat v tem zdravilu s fiksno kombinacijo odmerkov, je skrb vzbujajoče, da učinkovitost pri bolnikih, ki dobivajo to kombinacijo fiksnih odmerkov, naj bo indikacija „nadomestno zdravljenje“
Literature data indicate that even if the PK data accurately reflect comparative pulmonary drug deposition for Flutiform versus GSK fluticasone propionate pMDI, such differences are not of clinical relevance.
Podatki iz literature kažejo, da tudi če farmakokinetični podatki natančno odražajo primerjalno odlaganje zdravila v pljuča za Flutiform in vdihovalnik s flutikazon propionatom GSK, te razlike niso klinično pomembne.
Committee was also of the opinion that the corticosteroid effects seen with Flutiform are no less than those seen with GSK fluticasone propionate pMDI and that formoterol fumarate does not appreciably “mask” any lesser corticosteroid effect.
Odbor je tudi izrazil mnenje, da učinki kortikosteroida, opaženi z zdravilom Flutiform, niso manjši od tistih z vdihovalnikom s flutikazon propionatom GSK in da formoterol fumarat v nobeni znatni meri ne „prikriva“ kakršnega koli manjšega učinka kortikosteroida.
The PK study (Study FLT1501) which has given rise to concerns was conducted to evaluate the comparative safety of Flutiform when compared with the marketed monoproduct pMDIs.
Farmakokinetično študijo (študijo FLT1501), ki je vzrok zaskrbljenosti, so izvedli z namenom vrednotenja primerjalne varnosti zdravila Flutiform v primerjavi z vdihovalniki, ki vsebujejo trženo monozdravilo.
In conclusion, given the long-term predictive value of FEV1, given the static nature of FEV1 after 8 to 12 weeks of treatment, and given the pattern of the FEV1 data observed in the five pivotal studies, the CHMP considers there to be no reason to anticipate that the long-term exacerbation risk with Flutiform may exceed that with fluticasone propionate alone (the “Step-up” indication) or fluticasone propionate in combination with formoterol fumarate (the “Switch” indication).
Glede na dolgoročno napovedno vrednost FEV1, statično naravo FEV1 po od 8 do 12 tednih zdravljenja in vzorec podatkov o FEV1, opaženih v petih ključnih študijah, odbor CHMP meni, da ni razloga za predvidevanje, da bi dolgoročno tveganje za poslabšanje z zdravilom Flutiform preseglo tveganje s samim flutikazon propionatom (indikacija „stopnjevanje zdravljenja“) ali flutikazon propionatom v kombinaciji s formoterol fumaratom (indikacija „prehod“).
Turning to the data in the Applicant's clinical studies: For the “Step-up” indication both pre-dose and post-dose FEV1 effects at 8 to 12 weeks were significantly greater with Flutiform than with fluticasone propionate; for the “Switch” indication both pre-dose and post-dose FEV1 effects numerically favoured Flutiform over fluticasone propionate + formoterol fumarate (in both Per Protocol and Intention-to-Treat population comparisons).
Kar zadeva podatke iz predlagateljevih kliničnih študij: pri indikaciji „stopnjevanje zdravljenja“ so bili učinki na predodmerni in poodmerni FEV1 po od 8 do 12 tednih precej večji z zdravilom Flutiform kot s flutikazon propionatom; pri indikaciji „prehod“ so bili učinki na pred- in poodmerni FEV1 numerično boljši z zdravilom Flutiform kot pri flutikazon propionatu + formoterol fumaratu (to velja za primerjavi populacije po protokolu in z namenom zdravljenja).
These endpoints were demonstrably inhaled cortocosteroid-driven and/or inhaled corticosteroid dose-responsive and all provided rigorous statistical evidence that the inhaled corticosteroid effects of Flutiform were not less than those of fluticasone propionate + formoterol fumarate.
Te končne točke je dokazano povzročil inhalacijski kortikosteroid oziroma so bile odvisne od odmerka inhalacijskega kortikosteroida ter so vse priskrbele natančne statistične dokaze, da učinki inhalacijskega kortikosteroida v zdravilu Flutiform niso bili manjši od kombinacije flutikazon propionat + formoterol fumarat.
The clinical development programme for Flutiform was set up to evaluate efficacy and safety in the intended patient population.
Za vrednotenje učinkovitosti in varnosti pri ciljni populaciji bolnikov je bil vzpostavljen klinični razvojni program za zdravilo Flutiform.
The apparent lower systemic availability of fluticasone propionate in Flutiform compared with GSK fluticasone propionate pMDI would not appear to result in a lesser clinical effect.
Kaže, da navidezna manjša sistemska razpoložljivost flutikazon propionata v zdravilu Flutiform v primerjavi z vdihovalnikom s flutikazon propionatom GSK ne povzroča manjšega kliničnega učinka.
Furthermore, the discordance between the PK and PD data for Flutiform suggests that the PK data do not accurately reflect comparative pulmonary deposition and are not a valid surrogate for clinical effect.
Poleg tega neskladje med farmakokinetičnimi in farmakodinamičnimi podatki za zdravilo Flutiform kaže, da farmakokinetični podatki ne odražajo pravilno primerjalnega odlaganja v pljuča in niso veljaven nadomestek za klinični učinek.
Flutiform 50/5, 125/5 and 250/10 microgram pressurised inhalation, suspension is a new fixed-dose combination of two well-known active drug substances fluticasone propionate and formoterol fumarate.
Splošni povzetek znanstvenega vrednotenja zdravila Flutiform in povezanih imen (glejte Prilogo I) Zdravilo Flutiform 50/5, 125/5 in 250/10 mikrogramov, inhalacijska raztopina pod tlakom, je nova kombinacija fiksnih odmerkov dveh znanih zdravilnih učinkovin, flutikazon propionata in formoterol fumarata.
The relative bioavailability of fluticasone propionate at steady state was 67% following Flutiform administration compared with GSK fluticasone propionate pMDI.
Relativna biološka razpoložljivost flutikazon propionata v stanju dinamičnega ravnovesja po aplikaciji zdravila Flutiform je bila 67 % v primerjavi z vdihovalnikom s flutikazon propionatom GSK.
With regard to the “Step-up” indication, again the CHMP accepted the discussions presented by the Applicant and was of the view that the clinical effects of Flutiform in respect of asthma control are superior to the clinical effects of GSK fluticasone propionate administered alone.
Tudi v zvezi z indikacijo „stopnjevanje zdravljenja“ je odbor CHMP sprejel razprave, ki jih je predložil predlagatelj, in je menil, da so klinični učinki zdravila Flutiform, kar zadeva obvladovanje astme, boljši od kliničnih učinkov flutikazon propionata GSK pri samostojni uporabi.
With regard to the “Switch” therapy, the CHMP accepted the discussions presented by the Applicant and was of the view that the clinical effects of Flutiform in respect of asthma control and exacerbation risk are comparable with/similar to the clinical effects of GSK fluticasone propionate and Novartis formoterol fumarate given concomitantly.
V zvezi z zdravljenjem „prehod“ je odbor CHMP sprejel razprave, ki jih je predložil predlagatelj, ter je menil, da so klinični učinki zdravila Flutiform, kar zadeva obvladovanje astme in tveganja za poslabšanje, primerljivi s kliničnimi učinki flutikazon propionata GSK in Novartis formoterol fumarata, kadar se uporabljata sočasno, oziroma so jim podobni.
Overall summary of the scientific evaluation of Flutiform and associated names (see Annex I)
pripravljene med postopkom Skupine za usklajevanje, kakor je navedeno v Prilogi III za zdravilo Flutiform in povezana imena (glejte Prilogo I).
The pre-dose FEV1 data in this study which were again a demonstrably inhaled corticosteroid-mediated effect provided no evidence of a lesser inhaled corticosteroid effect with Flutiform than seen with fluticasone propionate + formoterol fumarate.
Podatki o predodmernem FEV1 v tej študiji, ki so tudi dokazano pomenili učinek, povezan z inhalacijskim kortikosteroidom, ne dokazujejo manjšega učinka inhalacijskega kortikosteroida z zdravilom Flutiform, kot so ga opazili pri flutikazon propionatu + formoterol fumaratu.
Turning to the available data in the Applicant's studies, for the “Step-up” comparison the odds of “any” exacerbation were 33% higher in fluticasone propionate- than Flutiform-treated patients (p=0.019) whilst the annual exacerbation rate was 49% higher in fluticasone propionate- than Flutiform-treated patients (p=0.004).
Na podlagi razpoložljivih podatkov iz predlagateljevih študij je bila v primerjavi „stopnjevanje zdravljenja“ verjetnost „kakršnega koli“ poslabšanja za 33 % večja pri bolnikih, ki so dobivali flutikazon propionat, kot pri tistih, ki so dobivali zdravilo Flutiform (p = 0,019), medtem ko je bila letna stopnja poslabšanj za 49 % večja pri bolnikih, ki so dobivali flutikazon propionat, kot pri tistih,
Data submitted by the Applicant demonstrated that asthma control with Flutiform is superior to that with fluticasone propionate pMDI alone and that asthma control with Flutiform is similar to that with fluticasone propionate pMDI + formoterol fumarate pMDI.
Podatki, ki jih je predložil predlagatelj, kažejo, da je pri uporabi zdravila Flutiform obvladovanje astme boljše kot pri uporabi vdihovalnika s samim flutikazon propionatom in da je obvladovanje astme z zdravilom Flutiform podobno tistemu pri uporabi vdihovalnika s flutikazon propionatom +
Approximately 20 subjects in each arm of this parallel group study were administered Flutiform 500/20 (fluticasone propionate 500µg and formoterol fumarate 20µg) or GSK fluticasone propionate 500µg pMDI + Novartis formoterol fumarate 24µg pMDI.
Približno 20 oseb v vsakem kraku te študije z vzporednima skupinama je dobilo zdravilo Flutiform 500/20 (flutikazon propionat 500 µg in formoterol fumarat 20 µg) ali vdihovalnik s flutikazon propionatom GSK 500 µg + vdihovalnik z zdravilom Novartis formoterol fumarat 24 µg.
The clinical findings suggest that fluticasone propionate in Flutiform is non-inferior in respect of clinical effects to GSK fluticasone propionate.
Klinična odkritja kažejo, da flutikazon propionat v zdravilu Flutiform glede na klinične učinke ni slabši od flutikazon propionata GSK.
The data presented in respect of exacerbations demonstrate an increased protective benefit of Flutiform compared with GSK fluticasone propionate administered alone - the odds of any exacerbation occurring were 33% higher and the annual exacerbation rate was 49% higher in patients receiving GSK fluticasone propionate than in patients receiving Flutiform, p=0.019 and p=0.004, respectively.
Predloženi podatki, povezani s poslabšanji, kažejo večjo zaščitno korist zdravila Flutiform v primerjavi s samim flutikazon propionatom GSK - verjetnost za pojav kakršnega koli poslabšanja je bila za 33 % večja in letna stopnja poslabšanja je bila za 49 % večja pri bolnikih, ki so dobivali flutikazon propionat GSK,
This comparison showed that despite a lower relative fluticasone propionate bioavailability, the effect upon pre-dose FEV1 (which was demonstrably mediated by fluticasone propionate alone in Study FLT3503) was numerically greater with Flutiform 500µg/20µg than with GSK fluticasone propionate 500µg (either alone or in conjunction with Novartis formoterol fumarate 24µg).
Ta primerjava je pokazala, da je bil kljub manjši relativni biološki razpoložljivosti flutikazon propionata učinek na predodmerni forsirani ekspiracijski volumen (FEV1, ki ga je v študiji FLT3503 dokazano dosegel flutikazon propionat pri samostojni uporabi) številčno večji z zdravilom Flutiform 500 µg/20 µg kot s flutikazon propionatom GSK 500 µg (samim ali skupaj z Novartis formoterol fumaratom 24 µg).
Study FLT 3503 also included a comparison with a lower dose of Flutiform and effects seen with this lower dose of Flutiform (100µg/10µg) upon pre-dose FEV1 were similar to those seen with the high dose of GSK fluticasone propionate 500µg (administered both alone or in combination with formoterol fumarate 24µg).
Študija FLT3503 je vključevala tudi primerjavo z manjšim odmerkom zdravila in učinki tega manjšega odmerka zdravila Flutiform (100 µg/10 µg) na predodmerni FEV1 so bili podobni tistim pri velikem odmerku flutikazon propionata GSK 500 µg (samega ali v kombinaciji s formoterol fumaratom 24 µg).
the CHMP has recommended the granting of the marketing authorisation for which the summary of product characteristics, labelling and package leaflet remain as per the final versions achieved during the Coordination group procedure as mentioned in Annex III for Flutiform and associated names (see Annex I).
je odbor CHMP priporočil izdajo dovoljenja za promet z zdravilom, za katerega ostajajo povzetek glavnih značilnosti zdravila, označevanje in navodilo za uporabo enaki kot zadnje različice,
Effects with the low dose of Flutiform (100µg/10µg) upon pre-dose FEV1 were similar to those with the high dose of GSK fluticasone propionate 500µg (alone or in combination with formoterol fumarate 24µg).
(100 µg/10 µg) na predodmerni FEV1 so bili podobni tistim pri velikem odmerku flutikazon propionata GSK 500 µg (samega ali v kombinaciji s formoterol fumaratom 24 µg).
An annual exacerbation rate ratio of 0.98, i.e. very close to unity for the comparison of Flutiform 500µg/20µg versus fluticasone propionate 500µg + formoterol fumarate 24µg was therefore suggestive of non-inferiority but was not statistically definitive.
Razmerje letne stopnje poslabšanja 0,98, ki pomeni, da skoraj ni razlike med zdravljenjem z zdravilom Flutiform 500 µg/20 µg in flutikazon propionatom 500 µg + formoterol fumaratom 24 µg,
These PK and PD studies both included the same strengths/doses of Flutiform, GSK fluticasone propionate pMDI and Novartis formoterol fumarate pMDI, and all products in both studies were administered via the same spacing device, so allowing a valid comparison of PK and PD data.
Obe farmakokinetični in farmakodinamični študiji sta vključevali enake jakosti/odmerke zdravila Flutiform, vdihovalnikov s flutikazon propionatom GSK in vdihovalnikov z zdravilom Novartis formoterol fumarat.
With regard to the “Switch” indication, the proportion of patients experiencing exacerbations in the pivotal “Switch” study (Study FLT3503) was similar in Flutiform and fluticasone propionate + formoterol fumarate treated patients (36.4% and 35.3%, respectively) although this analysis lacked discriminative capacity as the proportion of fluticasone propionate monotherapy-treated patients experiencing exacerbations was similar (37.4%).
„prehod“ (študiji FLT3503) podoben pri bolnikih, ki so dobivali Flutiform, in pri tistih, ki so se zdravili s flutikazon propionatom + formoterol fumaratom (36,4 % oziroma 35,3 %).
These data were generated from the five pivotal 8- to 12-week studies and demonstrate the protective benefit of Flutiform against exacerbations compared with fluticasone propionate monotherapy.
12-tedenskih študij in kažejo, da je zdravilo Flutiform v primerjavi s samostojnim zdravljenjem s flutikazon propionatom koristno kot zaščita proti poslabšanjem.
In addition, the comparison of these PK data with PD data, Study FLT3503, shows that despite the lower relative bioavailability of fluticasone propionate in this new fixed-dose combination product the effect upon predose FEV1 (which was demonstrably mediated by fluticasone propionate alone in Study FLT3503) was numerically greater with Flutiform 500µg/20µg than with GSK fluticasone propionate 500µg (either administered alone or administered together with Novartis formoterol fumarate 24µg).
Poleg tega primerjava farmakokinetičnih podatkov s farmakodinamičnimi podatki iz študije FLT3503 kaže, da je bil kljub manjši relativni biološki razpoložljivosti flutikazon propionata v tej novi kombinaciji fiksnih odmerkov učinek na predodmerni forsirani ekspiracijski volumen FEV1 (ki ga je v študiji FLT3503
However, an analysis of annualised exacerbation rates in this study was able to differentiate the effects of high dose ICS-LABA (inhaled corticosteroid - long-acting β2 agonist) treatments (Flutiform 500µg/20µg and fluticasone propionate 500µg + formoterol fumarate 24µg) from low dose ICS-LABA treatment (fluticasone propionate 100µg/10µg) and fluticasone propionate 500µg monotherapy.
(inhalacijski kortikosteroid - β2-agonist z dolgotrajnim delovanjem) (Flutiform 500 µg/20 µg in flutikazon propionat 500 µg + formoterol fumarat 24 µg) od zdravljenja z majhnimi odmerki ICSLABA (flutikazon propionat 100 µg/10 µg) in samostojnega zdravljenja s flutikazon propionatom 500 µg.
propranolol, amlodipine).
propranolol, amlodipin).
Children aged less than 2 years.
Otroci, stari manj kot 2 leti.
See also section 2 under ‘Warnings and precautions'.
Glejte tudi poglavje 2 »Opozorila in previdnostni ukrepi«.
The effect should gradually disappear within a few days in most cases.
V večini primerov postopno izzveni v nekaj dneh.
- you have had, or plan to have any laser procedure on the skin of your face.
- ste imeli ali načrtujete kakršen koli laserski poseg na koži vašega obraza.
CEA and PSA were defined as follows:
CEA in PSA so bili določeni, kot sledi:
Both children were reported to have made a full recovery within 24 hours.
Oba otroka sta po poročilih v 24 urah povsem okrevala.
Success day 29
Uspeh na 29. dan
If your symptoms remain the same or improve only slightly, you may then gradually increase the amount of gel.
Če simptomi ostanejo enaki ali se le malo izboljšajo, lahko količino gela postopoma povečujete.
In some cases, symptoms may extend beyond the treatment area.
V določenih primerih se lahko simptomi pojavijo izven zdravljenega področja.
- you have problems with your heart or your blood circulation.
- imate težave s srcem ali krvnim obtokom.
Do not use Mirvaso: - if you are allergic to brimonidine or any of the other ingredients of this medicine (listed in section 6).
Ne uporabljajte zdravila Mirvaso: - če ste alergični na brimonidin ali katero koli sestavino tega zdravila (navedeno v poglavju 6).
The requirements for submission of periodic safety reports for this medicinal product are set out in the list of Union reference dates (EURD list) provided for under Article 107c(7) of Directive 2001/83/EC and any subsequently updates published on the European medicines web-portal.
Zahteve glede predložitve rednega posodobljenega poročila o varnosti zdravila za to zdravilo so določene v seznamu referenčnih datumov EU (seznamu EURD), opredeljenem v členu 107c(7) Direktive 2001/83/ES, in vseh kasnejših posodobitvah, objavljenih na evropskem spletnem portalu o zdravilih.
You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.
O neželenih učinkih lahko poročate tudi neposredno na nacionalni center za farmakovigilanco, ki je naveden v Prilogi V. S tem, ko poročate o neželenih učinkih, lahko prispevate k zagotovitvi več informacij o varnosti tega zdravila.
This is particularly important in children under the age of 2 years (see ‘Do not use Mirvaso').
To pa je še posebej pomembno pri otrocih, starih manj kot 2 leti (glejte poglavje „Ne uporabljajte zdravila Mirvaso“).
Repeated doses within the same 24 hour period could result in side effects, such as low blood pressure, drowsiness or sleepiness.
Ponavljajoči se odmerki v enakem 24-urnem obdobju bi lahko povzročili neželene učinke, kot je nizek krvni tlak, dremavost ali zaspanost.
Take the medicine pack with you, so the doctor knows what was swallowed.
Pakiranje zdravila vzemite s seboj, da bo zdravnik vedel, kaj ste zaužili.
Do not give this medicine to children and adolescents under the age of 18 years because the safety and efficacy has not been established for this age group.
Tega zdravila ne uporabljajte pri otrocih in mladostnikih, starih manj kot 18 let, ker varnost in učinkovitost nista bili ugotovljeni za to starostno skupino.
Pack size of 1 tube or 1 pump.
Velikost pakiranja 1 tuba ali 1 črpalka.