natgillin/translations-raw huggingface dataset:
The European Commission granted a marketing authorisation valid throughout the European Union, for Medicinal Oxygen Air Liquide Santé to Air Liquide Santé International on 20.12.2006.
Evropska komisija je dovoljenje za promet z zdravilom Medicinal Oxygen Air Liquide Santé, veljavno po vsej Evropski uniji, odobrila družbi Air Liquide Santé International dne 20.12.2006 Informacije o predpisovanju tega zdravila najdete na nalepki/zunanji ovojnini.
The literature provided by the Applicant supported the recommendations in the SPC for oxygen supplementation during anaesthesia and recovery in dogs, cats and horses.
Literatura, ki jo je predložil vlagatelj, podpira priporočila v Povzetku glavnih značilnosti zdravila glede dodajanja kisika med anestezijo in okrevanjem pri psih, mačkah in konjih.
Other information about Medicinal Oxygen Air Liquide Santé:
Druge informacije o zdravilu Medicinal Oxygen Air Liquide Santé:
What benefit has Medicinal Oxygen Air Liquide Santé shown during the studies?
Kakšne koristi je zdravilo Medicinal Oxygen Air Liquide Santé izkazalo med raziskavami?
What is the risk associated with Medicinal Oxygen Air Liquide Santé?
Kakšna tveganja so povezana z zdravilom Medicinal Oxygen Air Liquide Santé?
Why has Medicinal Oxygen Air Liquide Santé been approved?
Zakaj je bilo zdravilo Medicinal Oxygen Air Liquide Santé odobreno?
How has Medicinal Oxygen Air Liquide Santé been studied?
Kako je bilo zdravilo Medicinal Oxygen Air Liquide Santé raziskano?
What is Medicinal Oxygen Air Liquide Santé?
Kaj je zdravilo Medicinal Oxygen Air Liquide Santé?
How does Medicinal Oxygen Air Liquide Santé work?
Kako zdravilo Medicinal Oxygen Air Liquide Santé deluje?
What is Medicinal Oxygen Air Liquide Santé used for?
Za kaj se zdravilo Medicinal Oxygen Air Liquide Santé uporablja?
Preclinical and clinical safety
Predklinična in klinična varnost
• amendments in the product information in sections 4.1, 4.2, 4.3, 4.4, 4.6, 4.8 and 5.3 of the
• spremembo informacij o zdravilu v poglavjih 4.1, 4.2, 4.3, 4.4, 4.6, 4.8 in 5.3 povzetka glavnih značilnosti zdravila:
• introduce a contraindication in children, pregnant and lactating women;
• vključitev kontraindikacije pri otrocih, nosečnicah in ženskah, ki dojijo;
Alternative techniques (such as several types of local/regional anesthesics, general anesthesia, gas for inhalation) may be available.
Na voljo so lahko druge tehnike (na primer več vrst lokalnih/regionalnih anestetikov, splošna anestezija ali plin za inhaliranje).
Scientific conclusions and grounds for revocation of the marketing authorisations
Znanstveni zaključki in podlaga za preklic dovoljenj za promet z zdravili
• Communication to Health Care Professionals concerning the instructions of use (via a dear Health Care Professional Communication and educational materials).
• obvestitev zdravstvenih delavcev o navodilih za uporabo (z neposrednim obvestilom zdravstvenim delavcem in izobraževalnim gradivom);
Finally, with regards to the reduction of exposure from 7 to 3 days, the CHMP does not find this measures acceptable since half of the periodontal necrosis cases reported in post-marketing period occurred within 3 days.
Kar zadeva skrajšanje izpostavljenosti s 7 na 3 dni, pa je odbor CHMP menil, da ti ukrepi niso sprejemljivi, saj se je polovica primerov nekroze obzobnih tkiv, o katerih so poročali v obdobju trženja, pojavila v 3 dneh.
The efficacy of the product is based on the above-mentioned single small prospective non-comparative study dated 1969, which estimated the efficacy in painless devitalisation of pulp to be 88% under optimal circumstances of use.
Učinkovitost zdravila temelji na zgoraj omenjeni edini majhni prospektivni neprimerjalni študiji iz leta 1969, v kateri je bila ocenjena učinkovitost zdravila pri neboleči devitalizaciji pulpe v optimalnih pogojih uporabe 88-odstotna.
• the efficacy was also high in case where it was not possible to place the product directly in contact with the pulp,
• da je bila učinkovitost visoka tudi takrat, ko zdravila ni bilo mogoče dati tako, da bi bilo v neposrednem stiku s pulpo,
The design of the study and the small number of subjects included did not allow a reliable assessment of the efficacy in a way to have a comparison with the current standard treatment.
Zaradi zasnove študije in majhnega števila sodelujočih ni bilo mogoče podati zanesljive ocene učinkovitosti, ki bi omogočala primerjavo s trenutnim standardnim zdravljenjem.
The provided study demonstrated low but measurable systemic level of arsenic after dental use.
Predložena študija je pokazala nizko, vendar opazno sistemsko raven arzena po dentalni uporabi.
The risk of carcinogenicity is established by the local or systemic passage of arsenic.
Tveganje za rakotvornost se pojavi pri lokalnem ali sistemskem prehajanju arzena.
Therefore, in accordance with Article 32 of Directive 2001/83/EC, the CHMP recommends the revocation of the marketing authorisations for all medicinal products referred to in Annex I pursuant to Article 116 of Directive 2001/83/EC.
Zato je v skladu s členom 32 Direktive 2001/83/ES priporočil preklic dovoljenj za promet z vsemi zdravili, navedenimi v Prilogi I, skladno s členom 116 Direktive 2001/83/ES.
• is carcinogenic in humans as stated by the IARC (Group 1),
• je rakotvoren za človeka v skladu z razvrstitvijo po IARC (skupina 1);
Therefore, the CHMP recommended the revocation of the marketing authorisations for the medicinal products referred to in Annex I.
Posledično je odbor CHMP priporočil preklic dovoljenj za promet z zdravili, navedenimi v Prilogi I.
In addition, for safety assessment, the CHMP noted that this short study does not confirm the absence of arsenic leakage, granulomas or decrease in bone density.
Poleg tega je odbor CHMP v okviru ocene varnosti izpostavil, da ta kratka študija ne potrjuje, da ne prihaja do uhajanja arzena, granulomov ali zmanjšanja gostote kosti.
• The monitoring and analysis of reported cases including a specific questionnaire to collect evidence of the indication of the product (use in second intention), sealing of the cavity and the duration of the application.
• spremljanje in analizo prijavljenih primerov, vključno s posebnim vprašalnikom, da bi zbrali dokaze v zvezi z indikacijo zdravila (uporaba kot zdravilo druge izbire), zapiranjem votline in trajanjem uporabe.
The CHMP considers that this risk is unacceptable taking into account the estimated benefit of the product and the existing safer alternatives.
Odbor CHMP je menil, da je to tveganje ob upoštevanju ocenjene koristi zdravila in obstoječih varnejših možnosti zdravljenja, nesprejemljivo.
Based on this positive genotoxicity results (clastogenicity) the MAHs informed the Competent Authorities of a potential serious impact on the benefit risk balance of the products.
Na podlagi teh pozitivnih rezultatov genotoksičnosti (klastogenosti) sta imetnika dovoljenja za promet z zdravilom obvestila pristojne organe o možnem resnem vplivu na razmerje med tveganji in koristmi teh zdravil.
• is genotoxic in vitro and in vivo in rodents (clastogenicity) which would not allow a safe level of use of arsenic trioxide for achieving active concentrations,
• je genotoksičen in vitro ter in vivo pri glodavcih (klastogenost), zaradi česar ne bi bila mogoča uporaba varnih količin arzenovega trioksida za doseganje učinkovitih koncentracij;
These products contain arsenous anhydride (arsenic trioxide) which is used for pulp cauterization (necrosis of the tooth pulp).
Zdravila vsebujejo arzenov anhidrid (arzenov trioksid), ki se uporablja za kavterizacijo pulpe (povzročitev odmrtja zobne pulpe).
In addition, the CHMP is of the view that the proposed measures to mitigate the risk of necrosis are not so different from the current recommendations and common knowledge on the conditions of use of the product and though the effectiveness of those current measures would not mitigate the risk associated with those products.
Poleg tega je odbor CHMP menil, da se predlagani ukrepi za zmanjšanje tveganja za nekrozo ne razlikujejo veliko od sedanjih priporočil ter splošnega znanja o pogojih uporabe zdravila in da kljub učinkovitosti teh sedanjih priporočil ne bi zmanjšali tveganja, povezanega s temi zdravili.
Finally the CHMP noted that the current international consensus for the recognition of ‘sufficient evidence in humans of the carcinogenicity' of arsenic trioxide along with the strict limitation of arsenic trioxide in the drinking water does no longer support the use of arsenic trioxide within the therapeutic armamentarium.
Odbor CHMP je izpostavil še, da sedanji mednarodni konsenz o priznanju „zadostnih dokazov pri človeku o rakotvornosti“ arzenovega trioksida skupaj s strogo omejitvijo arzenovega trioksida v pitni vodi ne podpira več uporabe arzenovega trioksida v sklopu zdravljenja.
A detailed analysis of the risks of clastogenicity or/and aneugenicity as those are recognised as a risk factor for cancer when impacting somatic cells, and teratogenicity, embryo-toxicity/spontaneous abortions and impaired male fertility, when impacting germinal cells.
Prav tako je bila izvedena podrobna analiza tveganj za klastogenost ali/in anevgenost, ki sta znana dejavnika tveganja za raka, kadar so prizadete somatske celice, in za teratogenost, embriotoksičnost/spontane splave ter zmanjšano plodnost moških, kadar so prizadete zarodne celice.
The MAH created in June 2013 an expert panel to characterise the risks and further assess the need for potential changes to the Marketing Authorisations (MAs) of the concerned product.
Imetnik dovoljenja za promet z zdravilom je junija 2013 imenoval skupino izvedencev, da bi opredelili tveganja in podrobneje ocenili potrebo po morebitnih spremembah dovoljenj za promet z zadevnim zdravilom.
• a number of ADRs have reported a lack of effect.
• da so v številnih poročilih o neželenih učinkih zdravila poročali o neučinkovitosti.
A literature review was performed by the Marketing Authorisations Holders (MAHs) (Septodont and A.T.O.
Imetnika dovoljenja za promet z zdravilom (Septodont in A.T.O.
This included the MAHs' responses, data available to Member States and published literature which became available since the original marketing authorisations.
Med njimi so bili odgovori imetnikov dovoljenja za promet z zdravilom, podatki, ki so na voljo državam članicam, in podatki iz objavljene literature, ki so postali na voljo po odobritvi prvotnih dovoljenj za promet zdravilom;
The French National Competent Authority (NCA) considered that the modifications of the SmPC proposed by the MAHs were neither acceptable nor appropriate given the genotoxicity data provided and the recommendation of the expert panel.
Francoski pristojni nacionalni organ je menil, da spremembe povzetka glavnih značilnosti zdravila, ki sta jih predlagala imetnika dovoljenja za promet z zdravilom, niso sprejemljive niti primerne glede na predložene podatke o genotoksičnosti in priporočilo skupine izvedencev.
In addition, following a review of the whole marketing authorisation supportive dossier a new information was highlighted by the MAH with regards to the systemic passage of arsenic that cannot be excluded.
Poleg tega je imetnik dovoljenja za promet z zdravilom po pregledu celotne dokumentacije v podporo vlogi za pridobitev dovoljenja za promet z zdravilom izpostavil nov podatek v zvezi s prehajanjem arzena v sistemski obtok, ki ga ni mogoče izključiti.
The MAHs provided an extensive review of all available data from pre-clinical, clinical studies and postmarketing experience.
Imetnika dovoljenja za promet z zdravilom sta predložila izčrpen pregled vseh razpoložljivih podatkov iz predkliničnih in kliničnih študij ter izkušenj v obdobju trženja.
To further address the risks of carcinogenicity and tissue necrosis and in response to the outstanding issues expressed by the CHMP, the MAHs propose the following additional risk minimisation measures:
Da bi dodatno zmanjšali tveganja za rakotvornost in nekrozo tkiv ter razrešili odprta vprašanja, ki jih je izpostavil odbor CHMP, sta imetnika dovoljenja za promet z zdravilom predlagala naslednje ukrepe za zmanjšanje tveganja:
The expert panel concluded that the benefit/risk of the product was negative.
Skupina izvedencev je zaključila, da je razmerje med tveganji in koristmi zdravila negativno.
The French NCA therefore referred the matter to the CHMP to give an opinion under Article 31 of Directive 2001/83/EC on whether the MAs of Caustinerf arsenical, Yranicid arsenical and other associated names for topical use products should be maintained, varied, suspended or revoked.
Francoski pristojni nacionalni organ je zato zadevo napotil na odbor CHMP, da bi pridobil mnenje na podlagi člena 31 Direktive 2001/83/ES o tem, ali naj se dovoljenja za promet z zdraviloma Caustinerf arsenical in Yranicid arsenical ter drugimi povezanimi imeni za lokalno zdravljenje ohranijo, spremenijo, začasno umaknejo ali prekličejo.
• A drug utilisation study (DUS) in order to verify the comprehension of the indication, the awareness of the safety concern, the minimisation measures in the SmPC in term of restriction of indication, the new caution related use of the product at different time (e.g. when the restricted indication is implemented/ 6 months after the implementation/ 18 months after the implementation).
• študijo o uporabi zdravila, da bi preverili razumevanje indikacije, zavedanje o varnostnih tveganjih, ukrepe za zmanjšanje tveganja v povzetku glavnih značilnosti zdravila, ki se nanašajo na omejitev indikacije, in uporabo zdravila, ki bi po novem zahtevala previdnost, ob različnih časovnih točkah (npr. ob uveljavitvi omejene indikacije/6 mesecev po uveljavitvi/18 mesecev po uveljavitvi);
The CHMP is of the view that these risk minimisation measures would not be able to adequately reduce the risks associated to those products..
Odbor CHMP je menil, da ti ukrepi za zmanjšanje tveganja ne bi mogli v zadostni meri zmanjšati tveganj, povezanih z obravnavanimi zdravili.
The CHMP is of the view that the reported systemic exposure aggravates the earlier concern about the potential genotoxicity of the products.
Odbor CHMP je menil, da je zaradi opažene sistemske izpostavljenosti možna genotoksičnost zdravil še bolj zaskrbljujoča.
The CHMP also considered the overview of cases reported submitted by the MAHs which compiles safety data from a Global Safety Database as well as published literature and data available to the Member states.
Odbor CHMP je proučil tudi pregled poročil o primerih, ki sta ga predložila imetnika dovoljenja za promet z zdravilom in v katerem so bili zbrani podatki o varnosti iz svetovne baze podatkov o varnosti in objavljene literature, ter podatki, ki so na voljo državam članicam.
• has an impact on germinal cells and is reprotoxic in animals and humans, The CHMP is of the view that the overall risk of cancer, early foetal loss and impact on fertility associated with the use of Caustinerf arsenical, Yranicid arsenical and other medicinal products cannot be ruled out and the risk minimisation measures proposed by the MAHs will not allow avoiding the impact on human fertility.
• ima vpliv na zarodne celice in toksičen vpliv na sposobnost razmnoževanja pri živalih in ljudeh; Odbor CHMP je menil, da splošnega tveganja za raka, zgodnjo izgubo ploda in vpliv na plodnost, povezanega z uporabo zdravil Caustinerf arsenical in Yranicid arsenical ter drugih zdravil, ni mogoče izključiti, ukrepi za zmanjšanje tveganja, ki sta jih predlagala imetnika dovoljenja za promet z zdravilom, pa ne morejo preprečiti vpliva na plodnost pri človeku.
The CHMP concludes that arsenic trioxide:
Odbor CHMP je glede arzenovega trioksida zaključil, da:
The review of the available efficacy data (including data which became available since the initial marketing authorisation), showed limited efficacy of Caustinerf arsenical, Yranicid arsenical and other associated names for topical use in its approved indication which does not translate in evidence of a benefit for patients in particular in the current context of the therapeutic strategy where the knowledge acquired in pulp's devitalisation and analgesia techniques has considerably improved, and where safer options are available.
Pregled razpoložljivih podatkov o učinkovitosti (vključno s podatki, ki so postali na voljo po odobritvi prvotnega dovoljenja za promet z zdravilom) je pokazal omejeno učinkovitost zdravil Caustinerf arsenical in Yranicid arsenical ter drugih povezanih imen za lokalno zdravljenje pri odobreni indikaciji, pri čemer ni dokazov o koristi za bolnike, še zlasti v okviru trenutnega načina zdravljenja, ko se je znanje, pridobljeno na področju devitalizacije pulpe in tehnik analgezije, znatno izboljšalo, na voljo pa so tudi varnejše možnosti.
The MAHs therefore applied for an USR to National Competent Authorities where the products are authorised, proposing to:
Imetnika dovoljenja za promet z zdravilom sta zato pristojnim nacionalnim organom držav, v katerih so zdravila odobrena, predložila vlogo za nujne varnostne ukrepe (USR) in predlagala:
With regards to the proposed DUS, the CHMP is of the opinion that it would not be ethically acceptable to expose patients to arsenic trioxide for which an expert panel concluded that a genotoxic, reprotoxic and carcinogenic risks have been demonstrated.
Glede predlagane študije o uporabi zdravila je odbor CHMP menil, da etično ne bi bilo sprejemljivo, da bi bolnike izpostavili arzenovemu trioksidu, za katerega je skupina izvedencev ugotovila, da je dokazano povezan s tveganji za genotoksičnost, vpliv na zmožnost razmnoževanja in rakotvornost.
After considering the data available and the risk minimisation measures proposed by the MAHs, the CHMP is of the view that the risk of osteonecrosis, soft tissue and dental necrosis, bone fistula and gingival discoloration is highly difficult to minimise or avoid.
Potem ko je proučil razpoložljive podatke in ukrepe za zmanjšanje tveganja, ki sta jih predlagala imetnika dovoljenja za promet z zdravilom, je odbor CHMP menil, da je tveganje za osteonekrozo, nekrozo mehkih tkiv in zobne pulpe, fistulo na kosti ter razbarvanje dlesni zelo težko zmanjšati ali preprečiti.
• The CHMP considered that the additional risk minimisation measures proposed by the Marketing Authorisation Holders would not be able to adequately reduce the risk of carcinogenicity and serious adverse reactions to a clinically acceptable level.
• odbor CHMP je menil, da z dodatnimi ukrepi za zmanjšanje tveganja, ki sta jih predlagala imetnika dovoljenja za promet z zdravilom, ne bi bilo mogoče zmanjšati tveganja za rakotvornost in resne neželene učinke na klinično sprejemljivo raven;
The Committee considered that the potential for genotoxic, carcinogenic and reprotoxic effects of the systemic exposure to arsenic trioxide combined with the lack of knowledge about the extent of systemic exposure from the dental use of the arsenic trioxide paste is not acceptable.
Odbor je menil, da možnost genotoksičnih in rakotvornih učinkov ter učinkov na sposobnost razmnoževanja zaradi sistemske izpostavljenosti arzenovemu trioksidu ob pomanjkljivem vedenju o tem, kakšna je stopnja sistemske izpostavljenosti po dentalni uporabi paste, ki vsebuje arzenov trioksid, ni sprejemljiva.
The MAHs did not recently conduct any clinical trial with arsenic trioxide in dental paste.
Imetnika dovoljenja za promet z zdravilom v zadnjem času nista izvedla nobenega kliničnega preskušanja z arzenovim trioksidom v dentalni pasti.
• restrict the indication to the second line use;
• omejitev indikacije na uporabo teh zdravil kot zdravil druge izbire;
The CHMP acknowledges that:
Odbor CHMP je ugotovil:
• The CHMP considered the procedure under Article 31 of Directive 2001/83/EC for Caustinerf arsenical, Yranicid arsenical and other associated names for topical use (see Annex I).
• odbor CHMP je obravnaval napotitveni postopek v skladu s členom 31 Direktive 2001/83/ES za zdravili Caustinerf arsenical in Yranicid arsenical ter druga povezana imena za lokalno zdravljenje (glejte Prilogo I);
• the risk of necrosis to periodontal tissues is high in comparison to the other serious adverse events and the necrosis of periodontal tissues together with infectious complications remain a very serious known adverse effect, hard to treat and difficult to control despite the SmPC
• da je tveganje za nekrozo obzobnih tkiv veliko v primerjavi s tveganjem za druge resne neželene dogodke in da je nekroza obzobnih tkiv skupaj z zapleti zaradi okužb še vedno zelo resen znan neželeni učinek, ki ga je kljub priporočilom v povzetku glavnih značilnosti zdravila težko zdraviti in nadzorovati.
• many cases of osteonecrosis, soft tissue and dental necrosis, bone fistula and gingival discoloration have been reported, which is considered as serious adverse effect, management of which is very complicated.
• da so poročali o številnih primerih osteonekroze, nekroze mehkih tkiv in zobne pulpe, fistule na kosti ter razbarvanja dlesni, ki veljajo za resne neželene učinke, njihovo zdravljenje pa je zelo zapleteno;
The risk of genotoxicity including human fertility, foetal development and carcinogenicity induced by arsenic trioxide was reviewed.
Opravljen je bil pregled tveganja za genotoksičnost, ki je vključeval plodnost pri človeku, razvoj ploda in rakotvornost, ki jo povzroča arzenov trioksid.
In addition, the Committee is of the view that the risk of tissue necrosis cannot be ruled out even under the conditions of careful dental practice and the proposed SmPC recommendations.
Poleg tega je odbor menil, da tveganja za nekrozo tkiv ni mogoče izključiti niti v primeru previdne uporabe v zobozdravstveni praksi in upoštevanja predlaganih priporočil v povzetku glavnih značilnosti zdravila.
Overall summary of the scientific evaluation of Caustinerf arsenical, Yranicid arsenical and other associated names for topical use (see Annex I)
Splošni povzetek znanstvenega vrednotenja zdravil Caustinerf arsenical in Yranicid arsenical ter drugih povezanih imen za lokalno zdravljenje (glejte Prilogo I)
In parallel, new genotoxicity assays (Ames test and in vitro micronuleus test) were conducted by the MAH with dental paste extracts of Caustinerf arsenical and the results were positive in the in vitro micronuleus test only.
Sočasno je imetnik dovoljenja za promet z zdravilom izvedel nove analize genotoksičnosti (Amesov test ter mikronukleusni test in vitro) z izvlečki dentalne paste Caustinerf arsenical in zabeležil pozitivne rezultate samo pri mikronukleusnem testu in vitro.
• The CHMP considered the genotoxicity of arsenic trioxide and that its use is associated with a potential risk of carcinogenicity and serious adverse reactions such as tissue necrosis sometimes leading to sequelae.
• odbor CHMP je upošteval genotoksičnost arzenovega trioksida in da je njegova uporaba povezana z možnim tveganjem za rakotvornost ter resne neželene učinke, kot je nekroza tkiv, ki ima včasih lahko posledice;
Having considered all available data from pre-clinical, clinical studies, published literature and postmarketing experience on Caustinerf arsenical, Yranicid arsenical and other associated names for topical use containing products provided by the MAHs in writing and during an Oral Explanation, the Committee considered that the use of Caustinerf arsenical, Yranicid arsenical and other associated names for topical use is associated with risks of carcinogenicity and serious necrosis adverse reactions sometimes with sequelae.
Potem ko je proučil vse razpoložljive podatke iz predkliničnih in kliničnih študij, objavljene literature in izkušenj v obdobju trženja, povezane z zdraviloma Caustinerf arsenical in Yranicid arsenical ter drugimi povezanimi imeni za lokalno zdravljenje, ki sta jih zagotovila imetnika dovoljenja za promet z zdravilom v pisni dokumentaciji in med ustno obrazložitvijo, je odbor menil, da je uporaba zdravil Caustinerf arsenical in Yranicid arsenical ter drugih povezanih imen za lokalno zdravljenje povezana s tveganji za rakotvornost in resne neželene učinke, povezane z nekrozo, ki ima včasih lahko posledice.