natgillin/translations-raw huggingface dataset:
In a clinical study in patients with metastatic CRPC, Xtandi (160 mg once daily) had no clinically relevant effect on the pharmacokinetics of intravenously administered docetaxel (75 mg/m2 by infusion every 3 weeks).
V klinični študiji pri bolnikih z metastatskim KORP zdravilo Xtandi (160 mg enkrat na dan) ni imelo nobenega klinično pomembnega učinka na farmakokinetiko intravensko uporabljenega docetaksela (75 mg/m2 z infuzijo vsake 3 tedne).
In addition to the observed improvement in overall survival, key secondary endpoints (PSA progression, radiographic progression-free survival, and time to first skeletal-related event) favoured enzalutamide and were statistically significant after adjusting for multiple testing.
Poleg opaženega izboljšanja celokupnega preživetja so bili v korist enzalutamida tudi ključni sekundarni opazovani dogodki (napredovanje PSA, preživetje brez radiografsko potrjenega napredovanja bolezni in čas do prvega z okostjem povezanega dogodka) in so bili statistično značilni po korekciji za večkratna testiranja.
- Xtandi is not for use in women.
Zdravilo Xtandi ni namenjeno za uporabo pri ženskah.
Seizures were reported in 4 in every 1,000 people taking Xtandi, and fewer than one in every 1,000 people taking placebo (see ‘Other medicines and Xtandi' below and section 4 ‘Possible side effects').
Napad krčev je bil opisan pri 4 od 1.000 bolnikov, ki so jemali zdravilo Xtandi in pri manj kot enem od 1.000 bolnikov, ki so jemali placebo (glejte podpoglavje "Druga zdravila in zdravilo Xtandi" spodaj ter poglavje 4, "Možni neželeni učinki").
In the active treatment arm, Xtandi was administered orally at a dose of 160 mg daily.
V kraku zdravljenja z učinkovino so zdravilo Xtandi dajali peroralno v odmerkih po 160 mg na dan.
39.6 (37.7, NR)
39,6 (37,7, ND)
Medicinal products with a narrow therapeutic range that are substrates for P-gp (e.g. colchicine, dabigatran etexilate, digoxin) should be used with caution when administered concomitantly with Xtandi and may require dose adjustment to maintain optimal plasma concentrations.
Zdravila z ozkim terapevtskim razponom, ki so substrati P-gp (npr. kolhicin, digabatran-eksilat, digoksin), je treba med sočasno uporabo z zdravilom Xtandi uporabljati previdno; potrebna je lahko prilagoditev odmerka za vzdrževanje optimalne koncentracije v plazmi.
What Xtandi looks like and contents of the pack
Izgled zdravila Xtandi in vsebina pakiranja
Other tumours, which are also potentially related to the primary pharmacology include fibroadenoma of mammary glands and benign thymoma of thymus in males, benign granulosa cell tumours of ovaries in females, and adenoma of pituitary pars distalis in both sexes.
Med drugimi tumorji, ki so prav tako lahko povezani s primarno farmakologijo, so fibroadenom mlečnih žlez in benigni timom timusa pri samcih, benigni tumorji granuloznih celic jajčnikov pri samicah in adenom distalnega dela hipofize pri obeh spolih.
Fifty-one percent (51%) of patients were on bisphosphonates at baseline.
Enainpetdeset odstotkov (51 %) bolnikov je ob izhodišču prejemalo difosfonate.
If Xtandi is co-administered with an anticoagulant metabolised by CYP2C9 (such as warfarin or acenocoumarol), additional International Normalised Ratio (INR) monitoring should be conducted (see section 4.5).
Če je zdravilo Xtandi uporabljeno sočasno z antikoagulantom, ki se presnavlja s CYP2C9 (npr. z varfarinom ali acenokumarolom), je treba izvajati dodatne kontrole mednarodno umerjenega razmerja (INR - International Normalised Ratio) (glejte poglavje 4.5).
In the 9785-CL-0403 (UPWARD) single-arm trial to assess incidence of seizure in patients with predisposing factors for seizure (whereof 1.6% had a history of seizures), 8 of 366 (2.2%) patients treated with enzalutamide experienced a seizure.
V 9785-CL-0403 (UPWARD) neprimerjalnem preskušanju z enim krakom za oceno pojavnosti konvulzij pri bolnikih s predispozicijskimi dejavniki za pojav konvulzij (od katerih je 1,6 % že imelo konvulzije v anamnezi) so se konvulzije pojavile pri 8 od 366 (2,2 %) bolnikov, zdravljenih z enzalutamidom.
In vitro data indicate that enzalutamide is not a substrate for OATP1B1, OATP1B3, or OCT1; and N-desmethyl enzalutamide is not a substrate for P-gp or BCRP.
Podatki in vitro kažejo, da enzalutamid ni substrat OATP1B1, OATP1B3 ali OCT1; in N-desmetil enzalutamid ni substrat za P-gp ali BCRP.
¥ As evaluated by narrow SMQs of ‘Convulsions' including convulsion, grand mal convulsion, complex partial seizures, partial seizures, and status epilepticus.
¥ Ovrednoteno z ozko standardno poizvedbo MedDRA (SMQ) "konvulzije", vključno s konvulzijami, konvulzijami grand mal, kompleksnimi parcialnimi napadi, parcialnimi napadi in epileptičnim statusom.
Enzalutamide is not a substrate of the efflux transporters P-gp or BCRP.
Enzalutamid ni substrat transporterjev P-gp ali BCRP.
The absolute difference in objective soft tissue response between enzalutamide and placebo arms was [53.9% (95% CI: 48.5, 59.1), p < 0.0001].
Absolutna razlika v objektivnem odzivu mehkega tkiva med krakoma z enzalutamidom in placebom je bila [53,9 % (95 % IZ: 48,5, 59,1), p < 0,0001].
Patients taking medicinal products that are substrates of CYP2B6, CYP3A4, CYP2C9, CYP2C19 or UGT1A1 should be evaluated for possible loss of pharmacological effects (or increase in effects in cases where active metabolites are formed) during the first month of enzalutamide treatment and dose adjustment should be considered as appropriate.
Pri bolnikih, zdravljenih z zdravili, ki so substrati CYP2B6, CYP3A4, CYP2C9, CYP2C19 ali UGT1A1, je treba prvi mesec zdravljenja z enzalutamidom spremljati možno zmanjšanje farmakoloških učinkov (ali povečanja takšnih učinkov v primeru nastanka aktivni presnovkov).
In controlled clinical studies, 13 patients (0.4%) experienced a seizure out of 3179 patients treated with a daily dose of 160 mg enzalutamide, whereas one patient (0.1%) receiving placebo and one patient (0.3%) receiving bicalutamide, experienced a seizure.
V nadzorovanih kliničnih študijah je 13 (0,4 %) od 3179 bolnikov, zdravljenih z dnevnim odmerkom enzalutamida 160 mg, doživelo konvulzije, medtem ko je konvulzije doživel en bolnik (0,1 %), ki je dobival placebo, in en bolnik (0,3 %), ki je prejemal bikalutamid.
The ECOG performance score was 0 - 1 in 91.5% of patients and 2 in 8.5% of patients; 28% had a mean Brief Pain Inventory score of ≥ 4 (mean of patient's reported worst pain over the previous 24 hours calculated for seven days prior to randomisation).
Stanje zmogljivosti po ECOG je bilo 0-1 pri 91,5 % bolnikov in 2 pri 8,5 % bolnikov; 28 % je imelo povprečno oceno na osnovi kratkega vprašalnika o bolečini (BPI - Brief Pain Inventory) ≥ 4 (povprečna vrednost bolnikove najhujše bolečine v predhodnih 24 urah, izračunana za sedem dni pred randomizacijo).
An increased half-life of enzalutamide has however been observed in patients with severe hepatic impairment (see sections 4.4 and 5.2).
Vseeno so pri bolnikih s hudo okvaro jeter opazili podaljšan razpolovni čas enzalutamida (glejte poglavji 4.4 in 5.2).
If you have a seizure during treatment: See your doctor as soon as possible.
Če doživite napad krčev med zdravljenjem: Nemudoma obiščite zdravnika.
The PROSPER study enrolled 1401 patients with asymptomatic, high-risk non-metastatic CRPC who continued on androgen deprivation therapy (ADT; defined as LHRH analogue or prior bilateral orchiectomy).
Študija PROSPER je zajela 1401 bolnika z asimptomatskim, nemetastatskim KORP z velikim tveganjem, ki so nadaljevali z zdravljenjem z odtegnitvijo androgenov (ADT, opredeljenim kot uporaba analoga LHRH ali predhodna obojestranska orhidektomija).
The radioactivity in the fetus decreased to 0.08 times the maximum concentration at 72 hours after administration.
V 72 urah po dajanju je bila radioaktivnost v plodu znižana na 0,08 kratnik maksimalne koncentracije.
This medicine contains 57.8 mg sorbitol (a type of sugar) per soft capsule.
Ena mehka kapsula tega zdravila vsebuje 57,8 mg sorbitola (vrsta sladkorja).
Study results also have shown that enzalutamide and/or its metabolites are transferred to infant rat tissues via milk and subsequently eliminated.
Rezultati študije so tudi pokazali, da se enzalutamid in/ali njegovi presnovki z mlekom prenesejo v tkiva mladičev podgan in se posledično izločijo.
Figure 5: Updated overall survival analysis by subgroup: Hazard ratio and 95% confidence interval in the PREVAIL study (intent-to-treat analysis)
Slika 5: Posodobljena analiza celokupnega preživetja po podskupinah: razmerje ogroženosti in 95 % interval zaupanja v študiji PREVAIL (analiza z-namenom-zdravljenja)
Patients were excluded with a previous history of seizure, a condition that might predispose them to seizure, or certain prior treatments for prostate cancer (i.e., chemotherapy, ketoconazole, abiraterone acetate, aminoglutethimide and/or enzalutamide).
Izključeni so bili bolniki, ki so imeli v anamnezi konvulzije, kakšno stanje, ki bi jim lahko povečalo nagnjenost h konvulzijam, ali so predhodno prejemali določena zdravila za zdravljenje raka prostate (tj. kemoterapijo, ketokonazol, abirateron-acetat, aminoglutetimid in/ali enzalutamid).
One hundred and eighteen (14%) enzalutamide-treated patients and 321 (40%) of placebo-treated patients had an event.
Dogodek je imelo sto osemnajst (14 %) bolnikov, zdravljenih z enzalutamidom, in 321 (40 %) bolnikov, ki so dobivali placebo.
9785-CL-0410 study (enzalutamide post abiraterone in patients with metastatic CRPC)
Študija 9785-CL-0410 (enzalutamid po abirateronu pri bolnikih z mKORP)
In vitro data indicate that enzalutamide may be an inhibitor of the efflux transporter P-gp.
Podatki in vitro kažejo, da enzalutamid morda zavira efluksni prenašalec P-gp.
Under conditions of clinical use, enzalutamide is a strong inducer of CYP3A4, a moderate inducer of CYP2C9 and CYP2C19, and has no clinically relevant effect on CYP2C8 (see section 4.5).
V pogojih klinične uporabe enzalutamid močno inducira CYP3A4, zmerno inducira CYP2C9 in CYP2C19 ter nima klinično pomembnega vpliva na CYP2C8 (glejte poglavje 4.5).
Patients with a previous history of seizure or a condition that might predispose to seizure and patients with moderate or severe pain from prostate cancer were excluded.
Bolniki s konvulzijami v anamnezi ali stanjem, zaradi katerega so nagnjeni h konvulzijam, in bolniki z zmerno ali hudo bolečino zaradi raka prostate, so bili izključeni.
It is not known if enzalutamide is present in human milk.
Ni znano, če se enzalutamid izloča v materino mleko.
Hazard Ratio is derived from a stratified proportional hazards model.
Razmerje ogroženosti je dobljeno na podlagi stratificiranega modela sorazmernih ogroženosti.
Metastasis-free survival (MFS) was the primary endpoint defined as the time from randomisation to radiographic progression or death within 112 days of treatment discontinuation without evidence of radiographic progression, whichever occurred first.
Primarni opazovani dogodek je bilo preživetje brez metastaz (MFS - metastasis-free survival), opredeljeno kot čas od randomizacije do radiografskega napredovanja bolezni ali smrti v 112 dneh po prenehanju zdravljenja, brez znakov radiografskega napredovanja bolezni, kar od tega se je zgodilo najprej.
The phase 3 studies excluded patients with recent myocardial infarction (in the past 6 months) or unstable angina (in the past 3 months), New York Heart Association Class (NYHA) III or IV heart failure except if Left Ventricular Ejection Fraction (LVEF) ≥ 45%, bradycardia or uncontrolled hypertension.
Študije 3. faze niso vključevale bolnikov z nedavnim miokardnim infarktom (v zadnjih 6 mesecih) ali nestabilno angino pektoris (v zadnjih 3 mesecih), srčnim popuščanjem v III. ali IV. razredu po klasifikaciji Newyorškega združenja za srce (NYHA - New York Heart Association), razen, če je bil iztis deleža levega prekata (LVEF) ≥ 45%, bradikardijo ali neurejeno hipertenzijo.
Prostate cancer is known to be androgen sensitive and responds to inhibition of androgen receptor signalling.
Znano je, da je rak prostate občutljiv za androgene in se odzove na zavrtje signaliziranja androgenskih receptorjev.
Xtandi should not be handled by persons other than the patient and his caregivers, and especially not by women who are or may become pregnant.
Z zdravilom Xtandi ne smejo rokovati nobene druge osebe razen bolnika in njegovih negovalcev, še zlasti ne ženske, ki so noseče ali bi lahko zanosile.
Median rPFS (radiologic progression free survival, the study´s primary endpoint) was 8.1 months (95% CI: 6.1, 8.3).
Mediano preživetje brez radiografsko potrjenega napredovanja bolezni (rPFS), ki je bilo primarni cilj študije, je bilo 8,1 meseca (95 % IZ: 6,1, 8,3).
Women who are or may become pregnant (see sections 4.6 and 6.6).
Nosečnice in ženske, ki bi lahko zanosile (glejte poglavji 4.6 in 6.6).
Eighty-one percent (81%) of patients had an ECOG performance status score of 0 and 19% patients had an ECOG performance status of 1.
Enainosemdeset odstotkov (81 %) bolnikov je imelo stanje zmogljivosti po ECOG 0 in 19 % bolnikov je imelo stanje zmogljivosti po ECOG 1.
Enzalutamide is a potent androgen receptor signalling inhibitor that blocks several steps in the androgen receptor signalling pathway.
Enzalutamid je močan zaviralec signaliziranja androgenskih receptorjev, ki blokira več korakov v poti signaliziranja androgenskih receptorjev.
The hazard ratio was 0.24 (95% CI: 0.14, 0.42) and the median time to a PFS event was not reached in the enzalutamide group versus 8.6 months in the bicalutamide group.
Razmerje ogroženosti je bilo 0,24 (95 % IZ: 0,14, 0,42); mediani čas do dogodka PFS v skupini z enzalutamidom ni bil dosežen, v skupini z bikalutamidom pa je bil 8,6 meseca.
• Calcium channel blockers (e.g. diltiazem, felodipine, nicardipine, nifedipine, verapamil)
• zaviralci kalcijevih kanalčkov (npr. diltiazem, felodipine, nikardipin, nifedipin, verapamil)
If patients must be co-administered a strong CYP2C8 inhibitor, the dose of enzalutamide should be reduced to 80 mg once daily.
Če mora bolnik sočasno dobivati močan zaviralec CYP2C8, je treba odmerek enzalutamida zmanjšati na 80 mg enkrat na dan.
Progression-free survival was defined as objective evidence of radiographic disease progression by independent central review, skeletal-related events, initiation of new antineoplastic therapy or death by any cause, whichever occurred first.
Preživetje brez napredovanja bolezni je bilo opredeljeno kot objektiven dokaz radiografskega napredovanja bolezni (na podlagi neodvisnega centralnega pregleda), skeletnih dogodkov, uvedbe novega antineoplastičnega zdravljenja ali smrti zaradi katerega koli vzroka, kar od tega se je zgodilo najprej.
PSA Response (defined as ≥ 50% decrease from baseline) was 22.4% (95% CI: 17.0, 28.6).
Odziv PSA (opredeljen kot zmanjšanje za ≥ 50 % od izhodišča) je bil 22,4 % (95 % IZ: 17,0, 28,6).
- If you are allergic to enzalutamide or any of the other ingredients of this medicine (listed in section 6).
Ne jemljite zdravila Xtandi: če ste alergični na enzalutamid ali katero koli sestavino tega zdravila (navedeno v poglavju 6).
* Spontaneous reports from post-marketing experience
* Spontana poročila po prihodu zdravila na trg.
If a patient misses a dose for a whole day, treatment should be resumed the following day with the usual daily dose.
Če pozabi vzeti odmerek ves dan, naj zdravljenje nadaljuje naslednji dan z običajnim dnevnim odmerkom.
Sixty-eight percent (68%) of patients had an ECOG performance status score of 0 and 32% patients had an ECOG performance status of 1.
Oseminšestdeset odstotkov (68 %) bolnikov je imelo oceno stanja zmogljivosti po ECOG 0 in 32 % bolnikov je imelo oceno stanja zmogljivosti po ECOG 1.
- Certain medicines used to treat asthma and other respiratory diseases (e.g. aminophylline, theophylline).
Določena zdravila za zdravljenje astme in drugih bolezni dihal (npr. aminofilin, teofilin).
Seizures were reported in 4 in every 1,000 people taking Xtandi, and in fewer than one in every 1,000 people taking placebo.
Napad krčev je bil opisan pri 4 od 1.000 bolnikov, ki so jemali zdravilo Xtandi, in pri manj kot enem od 1.000 bolnikov, ki so jemali placebo.
• Antiepileptics (e.g. carbamazepine, clonazepam, phenytoin, primidone, valproic acid)
• antiepileptiki (npr. karbamazepin, klonazepam, fenitoin, primidon, valprojska kislina)
Following oral administration of 14C-enzalutamide, 84.6% of the radioactivity is recovered by 77 days post dose: 71.0% is recovered in urine (primarily as the inactive metabolite, with trace amounts of enzalutamide and the active metabolite), and 13.6% is recovered in faeces (0.39% of dose as unchanged enzalutamide).
Po peroralni uporabi 14C-enzalutamida se 84,6 % radioaktivnosti izloči do 77. dne po odmerku: 71,0 % v urinu (v prvi vrsti kot neaktivni presnovek in le v sledeh kot enzalutamid in aktivni presnovek), 13,6 % pa v blatu (0,39 % odmerka kot nespremenjeni enzalutamid).
- Certain medicines for the treatment of pain (e.g. pethidine).
Določena zdravila za zdravljenje bolečin (npr. petidin).
In a single arm trial (9785-CL-0410) of patients previously treated with at least 24 weeks of abiraterone (plus prednisone), 22.4% had a ≥ 50% decrease from baseline in PSA levels.
V preskušanju z eno samo skupino (9785-CL-0410) pri bolnikih, ki so bili predhodno vsaj 24 tednov zdravljeni z abirateronom (in prednizonom) se je vrednost PSA zmanjšala za ≥ 50 % od izhodišča pri 22,4 % bolnikov.
Effect of food on enzalutamide exposures
Vpliv hrane na izpostavljenost enzalutamidu
Overall survival was evaluated at two prespecified interim analyses to date; the first at the time of final MFS (n = 165) [HR = 0.80 (95% CI: 0.58, 1.09), p = 0.1519], and the second interim analysis (n = 288) [HR = 0.83 (95% CI: 0.65, 1.06), p = 0.1344].
Celokupno preživetje je bilo do sedaj ocenjeno v dveh vnaprej določenih vmesnih analizah; prvič ob končnem MFS (n = 165) [ROg = 0,80 (95 % IZ: 0,58, 1,09), p = 0,1519], in druga vmesna analiza (n = 288) [ROg = 0,83 (95 % IZ: 0,65, 1,06), p = 0,1344].
Since androgen deprivation treatment may prolong the QT interval, the concomitant use of Xtandi with medicinal products known to prolong the QT interval or medicinal products able to induce Torsade de pointes such as class IA (e.g. quinidine, disopyramide) or class III (e.g. amiodarone, sotalol, dofetilide, ibutilide) antiarrhythmic medicinal products, methadone, moxifloxacin, antipsychotics, etc. should be carefully evaluated (see section 4.4).
Ker lahko zdravljenje z odtegnitvijo androgena podaljša interval QT, je potrebna natančna ocena pri sočasni uporabi zdravila Xtandi z zdravili, ki podaljšujejo interval QT ali z zdravili, ki lahko izzovejo Torsades de pointes, kot so antiartimiki razreda IA (npr. kinidin, dizopiramid) ali razreda III (npr. amiodaron, sotalol, dofetilid, ibutilid), metadon, moksifloksacin, antipsihotiki itd. (glejte poglavje 4.4).
Very common: hot flush, hypertension
Žilne bolezni zelo pogosti: vročinski oblivi, hipertenzija
Tabulated list of adverse reactions Adverse reactions observed during clinical studies are listed below by frequency category.
Neželeni učinki, ki so jih opazili v kliničnih študijah, so navedeni spodaj po kategoriji pogostnosti.
Potential for other medicinal products to affect enzalutamide exposures
Možnost vpliva drugih zdravil na izpostavljenost enzalutamidu
Xtandi contains sorbitol (E420).
Zdravilo Xtandi vsebuje sorbitol (E420).
Treatment with enzalutamide decreased the risk of FACT-P degradation by 37.5% compared with placebo (p < 0.0001).
Zdravljenje z enzalutamidom je zmanjšalo tveganje upada skupne ocene FACT-P za 37,5 % v primerjavi s placebom (p < 0,0001).
This medicine may cause harm to the unborn child or potential loss of pregnancy if taken by women who are pregnant (see sections 4.3, 5.3, and 6.6).
Če nosečnica vzame to zdravilo, lahko to škoduje nerojenemu otroku ali privede do morebitne prekinitve nosečnosti (glejte poglavja 4.3, 5.3 in 6.6).
An increased half-life of enzalutamide has been observed in patients with severe hepatic impairment, possibly related to increased tissue distribution.
Pri bolnikih s hudo okvaro jeter so opazili podaljšan razpolovni čas enzalutamida, ki je verjetno povezan s povečano porazdelitvijo v tkivih.
Consistent PFS benefit was observed across all pre-specified patient subgroups.
V vseh vnaprej opredeljenih podskupinah bolnikov so opažali stalno korist za PFS.
The most prominent of these were benign Leydig cell tumours, urothelium papilloma, and carcinoma of urinary bladder.
Najpomembnejši med njimi so bili benigni tumorji Leydigovih celic, papilom urotelija in karcinom sečnega mehurja.
The AUC of docetaxel decreased by 12% [geometric mean ratio (GMR) = 0.882 (90% CI: 0.767, 1.02)] while Cmax decreased by 4% [GMR = 0.963 (90% CI:
Vrednost AUC docetaksela se je zmanjšala za 12 % [razmerje geometričnih srednjih vrednosti (GMR, geometric mean ratio) = 0,882 (90 % IZ: 0,767, 1,02)], medtem ko se je vrednost Cmax zmanjšala za 4% [GMR = 0,963 (90 % IZ: 0,834, 1,11)].
Studies in rodents indicate that enzalutamide and its active metabolite can cross the blood brain barrier.
Študije na glodalcih kažejo, da enzalutamid in njegov aktivni presnovek prehajata skozi krvno-možgansko pregrado.
The proportion of enzalutamide-treated patients with measurable disease at baseline who had an objective soft tissue response was 58.8% (95% CI: 53.8, 63.7) compared with 5.0% (95% CI: 3.0, 7.7) of patients receiving placebo.
Delež bolnikov, zdravljenih z enzalutamidom, z merljivo boleznijo ob izhodišču, ki so imeli objektivni odziv mehkega tkiva, je bil 58,8 % (95 % IZ: 53,8, 63,7) v primerjavi s 5,0 % (95 % IZ: 3,0, 7,7) bolnikov, ki so dobivali placebo.
For the non-metastatic subgroup (N = 139) a total of 19 out of 70 (27.1%) patients treated with enzalutamide and 49 out of 69 (71.0%) patients treated with bicalutamide had PFS events (68 total events).
V podskupini brez metastaz (N = 139) je imelo dogodke PFS skupaj 19 od 70 (27,1 %) bolnikov, ki so prejemali enzalutamid, in 49 od 69 (71,0 %) bolnikov, ki so prejemali bikalutamid; skupno število dogodkov je bilo 68.
Deaths (%) Median survival (months) (95% CI)
Smrti (%) Mediano preživetje (meseci) (95 % IZ)
Baseline pain assessment was 0 - 1 (asymptomatic) in 67% of patients and 2 - 3 (mildly symptomatic) in 32% of patients as defined by the Brief Pain Inventory Short Form (worst pain over past 24 hours on a scale of 0 to 10).
Ocena bolečine ob izhodišču je bila 0-1 (asimptomatsko) pri 67 % bolnikov in 23 (blago simptomatsko) pri 32 % bolnikov, opredeljeno po skrajšanem vprašalniku BPI-SF (najhujša bolečina v zadnjih 24 urah na lestvici od 0 do 10).
The pharmacokinetics of enzalutamide were examined in subjects with baseline mild (N = 6), moderate (N = 8) or severe (N = 8) hepatic impairment (Child-Pugh Class A, B or C, respectively) and in 22 matched control subjects with normal hepatic function.
Farmakokinetiko enzalutamida so raziskali pri preiskovancih z izhodiščno blago (Child-Pugh A; n = 6), zmerno (Child-Pugh B; n = 8) ali hudo (Child-Pugh C; n = 8) okvaro jeter in 22 usklajenih primerjalnih preiskovancih z normalnim delovanjem jeter.
- If you are having sex with a woman who can become pregnant, use a condom and another effective birth control method, during treatment and for 3 months after treatment with this medicine.
Če imate spolne odnose z žensko, ki bi lahko zanosila, morate med zdravljenjem s tem zdravilom in še 3 mesece po zdravljenju pri spolnih odnosih uporabljati kondom in še eno učinkovito kontracepcijsko sredstvo.
• Cardiac glycosides (e.g. digoxin)
• srčni glikozidi (npr. digoksin)
Some urothelium papilloma and carcinoma of urinary bladder is expected in rats based on the horizontal structure of the rat urinary bladder, which can encounter concentrated urine and prolonged irritation from calculi.
Papilom urotelija in karcinom sečnega mehurja sta pričakovana pri podganah zaradi horizontalne strukture podganjega sečnega mehurja, kar lahko povzroči podaljšano lokalno draženje s koncentriranim urinom in kamni v urinu.