natgillin/translations-raw huggingface dataset:
Saroten must not be used in patients who are hypersensitive (allergic) to the medicine or any of its ingredients.
Zdravilo Saroten se ne sme uporabljati pri bolnikih, ki so preobčutljivi za (alergični na) zdravilo ali katero koli od sestavin zdravila.
Saroten is a medicine used to treat a variety of conditions in the EU, including depression and various depressive states, a number of disorders associated with chronic (long-term) pain including the prevention of migraine or recurring headaches, and for the treatment of nocturnal enuresis (bedwetting) in children.
Saroten je zdravilo, ki se uporablja za zdravljenje različnih bolezni v EU, vključno z zdravljenjem depresije in različnih depresivnih stanj, bolezni, povezanih s kronično (dolgotrajno) bolečino, vključno s preprečevanjem migrene in ponavljajočih se glavobolov, ter za zdravljenje nočne enureze (močenja postelje) pri otrocih.
While harmonising the use of Saroten in neuropathic pain and prevention of CTTH and migraine, the CHMP considered that Saroten should not be used for other forms of chronic pain.
Med usklajevanjem uporabe zdravila Saroten za zdravljenje nevropatske bolečine ter preprečevanje CTTH in migrene je odbor CHMP ugotovil, da se zdravilo Saroten ne sme uporabljati pri drugih oblikah kronične bolečine.
For the treatment of bedwetting the dose is given an hour to an hour-and-a-half before bedtime and a course of treatment should last for a maximum of 3 months.
Za zdravljenje močenja postelje se daje odmerek zdravila od ene ure do ene ure in pol pred spanjem, trajanje zdravljenja pa je največ 3 mesece.
This has led to divergences across Member States in the way the medicine can be used, as seen in the differences in the summaries of product characteristics (SmPCs), labelling and package leaflets in the countries where the medicine is marketed.
Zato je med državami članicami prišlo do razlik v načinu uporabe zdravila, kot je razvidno iz razlik v povzetkih glavnih značilnosti zdravila, označevanju in navodilih za uporabo v državah, kjer se zdravilo trži.
The CHMP harmonised other sections of the SmPC including the warnings and precautions relating to treatment (4.4), and recommendations not to use the medicine during pregnancy and to consider the risks and benefits of use during breast feeding (4.6).
Odbor CHMP je uskladil druga poglavja v povzetkih glavnih značilnosti zdravila, vključno z opozorili in previdnostnimi ukrepi (poglavje 4.4) ter priporočiloma, da se zdravilo ne sme uporabljati med nosečnostjo ter da se pretehtajo tveganja in koristi uporabe med dojenjem (poglavje 4.6).
For initial treatment in hospital patients, Saroten can also be given as an injection into a muscle or a drip (infusion) into a vein.
Za začetno zdravljenje pri bolnikih, ki se zdravijo v bolnišnici, se zdravilo Saroten lahko daje tudi z injiciranjem v mišico ali infundiranjem (kapalno infuzijo) v veno.
Saroten is available as modified-release capsules, tablets (including modifiedrelease tablets), and as a solution for injection.
Zdravilo Saroten je na voljo v obliki kapsul s prirejenim sproščanjem, tablet (vključno s tabletami s prirejenim sproščanjem) in raztopine za injiciranje.
Treatment for depression or chronic pain may take 2 to 4 weeks to start to work, and treatment for depression should be continued for up to 6 months after the patient gets better.
Pri zdravljenju depresije ali kronične bolezni lahko traja od 2 do 4 tedne, da zdravilo začne učinkovati.
Treatment is usually by mouth and the dose depends on the condition to be treated; as the strengths of the different tablets and capsules can vary, it is important to choose one that allows the right dose to be given.
Ker se jakosti različnih tablet in kapsul lahko razlikujejo, je treba izbrati tako jakost, da se zagotovi dajanje ustreznega odmerka.
Patients must not receive treatment with certain other medicines called monoamine oxidase inhibitors (MAOIs) at the same time as Saroten, and there should be a gap (usually of two weeks) between stopping one of these medicines and starting Saroten, or vice versa.
Narediti morajo premor (običajno dva tedna) od konca jemanja teh zdravil do začetka jemanja zdravila Saroten ali obratno.
These recommendations should be reflected in the product information and communicated to healthcare professionals via a dedicated letter.
Ta priporočila se morajo izražati v informacijah o zdravilu, zdravstvenim delavcem pa jih je treba sporočiti s posebnim dopisom.
These measures will be further reviewed as part of the ongoing Article 20 procedure.
Ti ukrepi bodo nadalje revidirani kot del potekajočega postopka v skladu s členom 20.
The PRAC concluded that the risks observed were unlikely to be due to bias.
Odbor PRAC je ugotovil, da je malo verjetno, da bi ugotovljena tveganja lahko pripisali pristranskosti.
Interim results of the REASSURE study report also a significant concomitant use with enzalutamide in clinical practice (22%).
V vmesnih rezultatih študije REASSURE se tudi poroča o tem, da je v klinični praksi precejšna (22 %) sočasna uporaba enzalutamida.
On 30 November 2017 the EC therefore triggered a procedure under Article 20 of Regulation (EC) No 726/2004 resulting from pharmacovigilance data, and requested the PRAC to assess the impact of the above concerns on the benefit-risk balance of Xofigo and to issue a recommendation on whether the marketing authorisation of this product should be maintained, varied, suspended or revoked.
Zato je Evropska komisija 30. novembra 2017 na podlagi farmakovigilančnih podatkov začela postopek v skladu s členom 20 Uredbe (ES) št. 726/2004 in odbor PRAC prosila, naj oceni vpliv navedenih pomislekov na razmerje med tveganji in koristmi zdravila Xofigo ter izda priporočilo o tem, ali naj se dovoljenje za promet s tem zdravilom ohrani, spremeni, začasno odvzame ali ukine.
• The PRAC considered the procedure under Article 20 of Regulation (EC) No 726/2004 resulting from pharmacovigilance data, in particular regarding the need for provisional measures in accordance with Article 20(3) of Regulation (EC) No 726/2004 for Xofigo (radium Ra223 dichloride) and taking into account the grounds set out in Articles 116 of Directive 2001/83/EC.
• odbor PRAC je upošteval postopek iz člena 20 Uredbe (ES) št. 726/2004, ki je bil v zvezi z zdravilom Xofigo ([223Ra]radijev diklorid) začet na podlagi farmakovigilančnih podatkov, zlasti zaradi potrebe po uvedbi začasnih ukrepov v skladu s členom 20(3) Uredbe (ES) št. 726/2004, in ob upoštevanju razlogov iz člena 116 Direktive 2001/83/ES.
• Further to the review of the preliminary analyses available, the underlying mechanism for the increased risks of fracture and mortality observed in ERA 233, and therefore the potential impact of these findings in the authorised indication, remain uncertain.
• Na podlagi pregleda predhodne analize, ki je na voljo, ostaja nejasen osnovni mehanizem za večje tveganje zlomov in smrtnosti, ugotovljen v študiji ERA 223, ter s tem morebitni učinek teh ugotovitev pri odobreni indikaciji.
The PRAC also considered data from the pivotal clinical trial ALSYMPCA which supported the marketing authorisation of Xofigo, as well as data from other completed and ongoing studies which became available since the marketing authorisation.
Proučil je tudi podatke iz osrednjega kliničnega preskušanja ALSYMPCA, s katerim se je podprlo dovoljenje za promet z zdravilom Xofigo, ter podatke iz drugih zaključenih in začetih študij, ki so bili na voljo od začetka veljave dovoljenja za promet.
The Committee, as a consequence, recommends the variation to the terms of the marketing authorisation for Xofigo (radium Ra223 dichloride).
Odbor posledično priporoča spremembo pogojev dovoljenja za promet z zdravilom Xofigo ([223Ra]radijev diklorid).
Whilst the exact extent of use of radium-223 in combination with abiraterone acetate and prednisolone/prednisone in clinical practice is not known, interim data from an observational study (REASSURE) reported that 5% of patients were treated with this combination.
Čeprav natančen obseg uporabe [223Ra]radijevega diklorida v kombinaciji z abirateron acetatom in prednizonom/prednizolonom v klinični praksi ni znan, se je v vmesnih podatkih iz opazovalne študije (REASSURE) poročalo, da je bilo s to kombinacijo zdravljenih 5 % bolnikov.
The current recommendation relates only to provisional measures recommended by the PRAC for radium-223 dichloride based on the preliminary data available at this time.
Trenutno priporočilo se nanaša le na začasne ukrepe, ki jih na podlagi predhodnih podatkov, ki so ob tem času na voljo, za [223Ra]radijev diklorid priporoča odbor PRAC.
The clinical efficacy of radium-223 dichloride in the authorised indication was established during the initial marketing authorisation application based on the assessment of data from one pivotal phase III study (15245/BC1-06, ALSYMPCA), in which an improved overall survival and delayed symptomatic skeletal events were observed.
Klinična učinkovitost [223Ra]radijevega diklorida pri odobreni indikaciji je bila ugotovljena med vlogo za prvotno dovoljenje za promet na podlagi ocene podatkov iz ene osrednje študije faze III (15245/BC1-06, ALSYMPCA), pri kateri so bili ugotovljeni boljše celokupno preživetje in zapozneli simptomatski dogodki v kosteh.
• The PRAC noted that the use of radium Ra223 dichloride in Study ERA 223 was at earlier stages of the disease, albeit partially overlapping with that included in the authorised indication.
• Odbor PRAC je opozoril, da se je [223Ra]radijev diklorid v študiji ERA 223 uporabljal na začetnih stopnjah bolezni, čeprav se je to delno prekrivalo z uporabo, vključeno v odobreno indikacijo.
In view of the above, the Committee considers that the benefit-risk balance of Xofigo (radium Ra223 dichloride) remains favourable subject to the agreed provisional amendments to the product information.
Odbor glede na navedeno meni, da je razmerje med tveganji in koristmi zdravila Xofigo ([223Ra]radijev diklorid) še naprej ugodno, če se upoštevajo dogovorjene začasne spremembe informacij o zdravilu.
Whilst at this stage it is not excluded that the concurrent administration of radium-223 + abiraterone + prednisolone/prednisone is critical to the subsequent increased risks of fractures and death, it cannot be excluded either that the risks observed could apply to other effective androgen receptor antagonists.
Čeprav na tej stopnji ni izključeno, da je sočasna uporaba [223Ra]radijevega diklorida v kombinaciji z abirateron acetatom in prednizonom/prednizolonom bistvena za poznejše večje tveganje zlomov in smrtnosti, prav tako ni mogoče izključiti, da bi se ugotovljena tveganja lahko nanašala na druge učinkovite antagoniste androgenskega receptorja.
The PRAC also noted that data available show that radium Ra223 dichloride is used to some extent in clinical practice in combination with anti-androgens such as abiraterone and enzalutamide.
Opozoril je tudi, da razpoložljivi podatki kažejo, da se [223Ra]radijev diklorid v klinični praksi v določenem obsegu uporablja v kombinaciji z antiandrogeni, kot sta abirateron in enzalutamid.
The PRAC also considered other available data, including further data from the ALSYMPCA clinical trial submitted in support of the initial marketing authorisation, in relation to the potential impact of results of Study ERA 223 on the benefit-risk balance of radium Ra223 dichloride in its authorised indication.
Proučil je tudi druge razpoložljive podatke, vključno z dodatnimi podatki kliničnega preskušanja ALSYMPCA, predloženimi ob izdaji prvega dovoljenja za promet, v povezavi z morebitnim učinkom rezultatov študije ERA 223 na razmerje med tveganji in koristmi [223Ra]radijevega diklorida pri njegovi odobreni indikaciji.
In view of the significance of the findings of the ERA 223 clinical trial, it was considered that they should be thoroughly reviewed in the context of all available data related to radium-223 dichloride (including evidence from non-authorised use that might impact the authorised use) in order to assess their potential impact on the benefit-risk balance of Xofigo in the authorised indication of the treatment of adults with castration-resistant prostate cancer, symptomatic bone metastases and no known visceral metastases.
Glede na pomembnost ugotovitev klinične študije ERA 223 se je zdelo, da bi morale biti analize temeljito pregledane ob upoštevanju vseh razpoložljivih podatkov, povezanih z [223Ra]radijevim dikloridom (vključno z dokazi o neodobreni uporabi, ki bi lahko vplivali na odobreno uporabo), da se oceni morebitni učinek na razmerje med tveganji in koristmi zdravila Xofigo pri odobreni indikaciji za zdravljenje odraslih moških z na kastracijo odpornim rakom prostate (CRPC - castration resistant prostate carcinoma), s simptomatskimi kostnimi metastazami in brez znanih metastaz v notranjih organih.
In view of the seriousness of these results, the fact that they were observed in a patient population with earlier disease characteristics but partly overlapping with that described in the authorised indication, and considering that the mechanism behind the events observed remain largely unexplained at this stage, the PRAC considered that, as a provisional measure, the use of radium-223 in combination with abiraterone acetate and prednisone/prednisolone should be contraindicated.
Glede na resnost teh rezultatov je odbor PRAC ob upoštevanju dejstva, da so bili opaženi v populaciji bolnikov s predhodnimi značilnostmi bolezni, ki pa so se delno prekrivale z značilnostmi, opisanimi pri odobreni indikaciji, in tega, da ostaja mehanizem, na katerem temeljijo opaženi dogodki, na tej stopnji večinoma nepojasnjeni, menil, da bi morala biti uporaba [223Ra]radijevega diklorida v kombinaciji z abirateron acetatom in prednizonom/prednizolonom začasno kontraindicirana.
Considering current therapeutic options available for patients with symptomatic castration resistant prostate cancer with bone metastases, the PRAC considered that as a provisional measure, a warning that the safety and efficacy of Xofigo in combination with second-generation androgen receptor antagonists such as enzalutamide have not been established, should be included in the product information.
Odbor PRAC je ob upoštevanju trenutnih terapevtskih možnosti, ki so na voljo bolnikom s simptomatskim na kastracijo odpornim rakom prostate s kostnimi metastazami, menil, da bi bilo treba v informacije o zdravilu kot začasni ukrep vključiti opozorilo, da varnost in učinkovitost zdravila Xofigo v kombinaciji z antagonisti androgenskega receptorja druge generacije, kot je enzalutamid, nista bili dokazani.
Therefore and in view of the seriousness of the events observed, the PRAC recommended provisional amendments to the product information to contraindicate the use of radium Ra223 dichloride in combination with abiraterone acetate and prednisone/prednisolone and inform on the results of Study ERA 223.
Odbor PRAC je zato in glede na resnost ugotovljenih dogodkov priporočil začasne spremembe informacij o zdravilu, da se kontraindicira uporaba [223Ra]radijevega diklorida v kombinaciji z abirateron acetatom in prednizonom/prednizolonom ter obvesti o rezultatih študije ERA 223.
Annex IV Scientific conclusions radium Ra223 dichloride
[223Ra]radijev diklorid
• The PRAC reviewed the preliminary data analyses of Study ERA 223 that suggested an increased risk of fracture and mortality when radium Ra223 dichloride treatment, compared to placebo, is initiated concurrently with abiraterone acetate and prednisone/prednisolone treatment.
• Odbor PRAC je pregledal analizo predhodnih podatkov študije ERA 223, iz katerih je razvidno večje tveganje zlomov in smrtnosti, če je zdravljenje z [223Ra]radijevim dikloridom, v primerjavi s placebom, začeto sočasno z zdravljenjem z abirateron acetatom in prednizonom/prednizolonom.
The PRAC considered preliminary data analyses from a randomized, placebo-controlled multicentre phase III study (15396/ERA-223) in chemotherapy-naïve patients with asymptomatic or mildly symptomatic castration resistant prostate cancer with bone metastases (CRPC).
Odbor PRAC je proučil analizo predhodnih podatkov iz randomizirane, s placebom kontrolirane multicentrične klinične raziskave faze III (15396/ERA-223) pri bolnikih z na kastracijo odpornim rakom prostate brez simptomov ali z blagimi simptomi, ki niso bili zdravljeni s kemoterapijo, pri katerih se pojavljajo kostne metastaze.
• In addition, in the absence of definite evidence that the results observed were specific to the combination with abiraterone acetate and prednisone/prednisolone, the PRAC considered that healthcare professionals and patients should be warned that the safety and efficacy of radium Ra223 dichloride in combination with second-generation androgen receptor antagonists including enzalutamide have not been established.
• Ker ni bilo dokončno dokazano, da so bili ugotovljeni rezultati značilni za kombinacijo z abirateron acetatom in prednizonom/prednizolonom, odbor PRAC prav tako meni, da je treba zdravstvene strokovnjake in bolnike opozoriti, da varnost in učinkovitost [223Ra]radijevega diklorida v kombinaciji z antagonisti androgenskega receptorja druge generacije, vključno z enzalutamidom, nista bili dokazani.
These provisional measures are without prejudice to the outcome of the ongoing review under Article 20 of Regulation (EC) No
Ti začasni ukrepi ne posegajo v izid potekajočega pregleda v okviru postopka v skladu s členom 20 Uredbe (ES) št. 726/2004.
Healthcare professionals should be informed of the increased incidence of fractures and deaths among patients receiving Xofigo in combination with abiraterone acetate and prednisone/prednisolone compared to patients receiving placebo in combination with abiraterone acetate and prednisone/prednisolone in Study ERA-223, and of the reduced incidence of fractures observed in both treatment arms with concurrent use of bisphosphonates or denosumab bone health agents.
Zdravstvene delavce je treba obvestiti o povečani incidenci zlomov in smrtnosti med bolniki, ki so prejemali Xofigo v kombinaciji z abirateron acetatom in prednizonom/prednizolonom, v primerjavi z bolniki, ki so prejemali placebo v kombinaciji z abirateron acetatom in prednizonom/prednizolonom v študiji ERA 223, ter o manjši incidenci zlomov, opaženih pri obeh vejah zdravljenja s sočasno uporabo bisfosfonatov ali učinkovin za zdrave kosti, ki jih vsebuje denosumab.
Xofigo (radium Ra223 dichloride, also radium-223 herein) is a centrally authorised product indicated for the treatment of adults with castration-resistant prostate cancer, symptomatic bone metastases and no known visceral metastases.
Zdravilo Xofigo (z zdravilno učinkovino [223Ra]radijev diklorid), je zdravilo, odobreno na nacionalni ravni, indicirano za zdravljenje odraslih moških z na kastracijo odpornim rakom prostate, s simptomatskimi kostnimi metastazami in brez znanih metastaz v notranjih organih.
Analyses of uncleaned preliminary data of a clinical trial evaluating Xofigo in combination with abiraterone acetate and prednisone/prednisolone in a patient population with asymptomatic or mildly symptomatic prostate cancer (ERA 223), found that the incidences of treatment emergent fractures and deaths were increased in the treatment arm (radium-223 dichloride plus abiraterone acetate and prednisone/prednisolone) compared to the control arm (placebo plus abiraterone acetate and prednisone/prednisolone).
Z analizami neprečiščenih predhodnih podatkov o kliničnem preskušanju, ki ocenjuje zdravilo Xofigo v kombinaciji z abirateron acetatom in prednizonom/prednizolonom v populaciji bolnikov brez simptomov ali z blagimi simptomi raka prostate (študija ERA 223), je bilo ugotovljeno, da je incidenca zlomov in smrtnosti, ki jih je povzročilo zdravljenje, povečana pri veji zdravljenja (z [223Ra]radijevim dikloridom v kombinaciji z abirateron acetatom in prednizonom/prednizolonom) v primerjavi s kontrolno vejo (placebo v kombinaciji z abirateron acetatom in prednizonom/prednizolonom).
Based on the available data, Study 15396 shows that in chemotherapy-naïve asymptomatic or mildly symptomatic patients with CRPC, radium-223 in combination with concurrent abiraterone acetate and prednisolone/prednisone decreases overall survival and increases the risk of fractures compared to placebo in combination with abiraterone acetate and prednisone/prednisolone.
Študija 15396 na podlagi razpoložljivih podatkov kaže, da pri bolnikih z na kastracijo odpornim rakom prostate brez simptomov ali z blagimi simptomi, ki niso bili zdravljeni s kemoterapijo, [223Ra]radijev diklorid v kombinaciji s sočasnim zdravljenjem z abirateron acetatom in prednizonom/prednizolonom, zmanjšuje celokupno preživetje in povečuje tveganje zlomov v primerjavi z zdravljenjem s placebom v kombinaciji z abirateron acetatom in prednizonom/prednizolonom.
Scientific conclusions
Priloga IV
Abasaglar is given once a day at the same time each day.
Zdravilo Abasaglar se daje enkrat na dan, vsak dan ob istem času.
This means that Abasaglar is similar to a biological medicine (also known as the ‘reference medicine') that is already authorised in the European Union (EU).
To pomeni, da je podobno biološkemu zdravilu (t. i. „referenčnemu zdravilu“), ki je že odobreno v Evropski uniji (EU).
What measures are being taken to ensure the safe and effective use of Abasaglar?
Kateri ukrepi se izvajajo za zagotovitev varne in učinkovite uporabe zdravila Abasaglar?
It is used in adults and children over the age of two for the treatment of diabetes.
Uporablja se pri odraslih in otrocih, starejših od dveh let, za zdravljenje sladkorne bolezni.
The European Commission granted a marketing authorisation valid throughout the European Union for Abasria on 9 September 2014.
Evropska komisija je dovoljenje za promet z zdravilom Abasria, veljavno po vsej Evropski uniji, izdala 09. septembra 2014.
The full EPAR and risk management plan summary for Abasaglar 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) in povzetek načrta obvladovanja tveganj za zdravilo Abasaglar sta na voljo na spletni strani agencije: ema.europa.eu/Find medicine/Human medicines/European public assessment reports.
Reactions at the site of the injection (redness, pain, itching and swelling) and skin reactions (rash) have been seen more often in children than in adults.
Reakcije na mestu injiciranje (rdečino, bolečino, srbenje in otekanje) ter kožne reakcije (izpuščaj) so pogosteje opažali pri otrocih kot pri odraslih.
It is not intended to provide practical advice on how to use Abasaglar.
Povzetek ni namenjen zagotavljanju praktičnih nasvetov o njegovi uporabi.
Patients can inject themselves with Abasaglar if they have been trained appropriately.
Bolniki si lahko zdravilo Abasaglar injicirajo sami, če so bili za to ustrezno usposobljeni.
A risk management plan has been developed to ensure that Abasaglar is used as safely as possible.
Za zagotovitev čim varnejše uporabe zdravila Abasaglar je bil pripravljen načrt obvladovanja tveganj.
This is a summary of the European public assessment report (EPAR) for Abasaglar.
To je povzetek evropskega javnega poročila o oceni zdravila (EPAR) za zdravilo Abasaglar.
The most common side effect with Abasaglar (which may affect more than 1 in 10 people) is hypoglycaemia (low blood glucose).
Najpogostejši neželeni učinek zdravila Abasaglar (ki lahko prizadene več kot 1 osebo od 10) je hipoglikemija (nizka raven glukoze v krvi).
The site of injection should be changed with each injection to avoid changes to the skin (such as thickening) that can make the insulin work less well than expected.
Mesto injiciranja je treba ob vsakem injiciranju zamenjati, da se preprečijo spremembe kože (na primer odebelitev), ki lahko povzročijo slabše delovanje insulina od pričakovanega.
The change means that it is absorbed more slowly and regularly by the body after an injection, and that it has a long duration of action.
Ta razlika pomeni, da se po injiciranju v telesu absorbira počasneje in enakomerneje ter da je njegovo delovanje dolgotrajno.
The name of the medicine was changed to Abasaglar on 3 December
Ime zdravila je bilo 3. decembra 2014 spremenjeno v Abasaglar.