natgillin/translations-raw huggingface dataset:
• Leg or arm pain or swelling (which could be a symptom of blood clots in the deep veins of the leg or arm), chest pain or shortness of breath (which may be a symptom of blood clots in the lungs)
• Bolečina ali oteklost noge ali roke (ki je lahko simptom krvnega strdka v globokih venah noge ali roke), bolečina v prsih ali kratka sapa (ki sta lahko simptoma krvnih strdkov v pljučih).
Do not drive a car or operate machines if you have these symptoms.
Če imate te simptome, ne upravljajte vozil in strojev.
Use only a 21-gauge or larger gauge needle (0.8 mm or smaller external diameter needle) to aseptically reconstitute each vial by slowly injecting 5 mL (for 10 mg vial), 15 mL (for 30 mg vial) or 29 mL (for 60 mg vial) sterile water for injections through the stopper and directing the solution onto the INSIDE WALL OF THE VIAL to minimise foaming.
Uporabite le iglo številka 21 ali večjo (0,8 mm ali manjši zunanji premer igle), da aseptično rekonstituirate vsako vialo, in sicer s počasnim injiciranjem 5 ml (za 10 mg vialo), 15 ml (za 30 mg vialo) ali 29 ml (za 60 mg vialo) sterilne vode za injekcije skozi zamašek; raztopino usmerite V NOTRANJO STENO VIALE, da zmanjšate penjenje.
Venous thromboembolic events
Venski tromboembolični dogodki
Kyprolis in combination with lenalidomide and dexamethasone for the treatment of patients with relapsed multiple myeloma - study PX-171-009 (ASPIRE)
Zdravilo Kyprolis v kombinaciji z lenalidomidom in deksametazonom za zdravljenje bolnikov z recidivnim diseminiranim plazmocitomom - študija PX-171-009 (ASPIRE)
Evidence of TLS during treatment should be monitored for, including regular measurement of serum electrolytes, and managed promptly.
Med zdravljenjem je treba bolnikom spremljati pokazatelje sindroma lize tumorja (vključno z rednimi meritvami elektrolitov v serumu) in takoj ukrepati.
Male patients must use effective contraception measures during and for 3 months following treatment if their partner is pregnant or of child bearing potential not using effective contraception.
Moški morajo uporabljati učinkovito kontracepcijo med zdravljenjem in še 3 mesece po njem, če je njihova partnerica noseča ali je v rodni dobi in ne uporablja učinkovite kontracepcije.
The reconstituted solution is a clear, colourless or slightly yellow solution.
Rekonstituirana raztopina je bistra, brezbarvna ali rumenkasta raztopina.
Liver enzymes and bilirubin should be assessed at treatment initiation and monitored monthly during treatment with carfilzomib, regardless of baseline values, and appropriate dose modifications based on toxicity should be made (see table 3).
Jetrne encime in bilirubin je treba oceniti na začetku zdravljenja in ga nato spremljati vsak mesec med zdravljenjem s karfilzomibom, ne glede na izhodiščne vrednosti, odmerek pa je treba ustrezno prilagoditi glede na toksičnost (glejte tabelo 3).
Overall, the subject incidence of certain adverse events (including cardiac failure) in clinical trials was higher for patients who were ≥ 75 years of age compared to patients who were < 75 years of age (see section 4.4).
V celoti je bila incidenca določenih neželenih učinkov (vključno s srčnim popuščanjem) v kliničnih preskušanjih večja pri bolnikih, starih ≥ 75 let, kot pri bolnikih, starih < 75 let (glejte poglavje 4.4).
The safety and efficacy of Kyprolis were evaluated in a randomised, open-label, multicentre study of 792 patients with relapsed multiple myeloma, which evaluated the combination of Kyprolis with lenalidomide and dexamethasone versus lenalidomide and dexamethasone alone, randomised 1:1.
Varnost in učinkovitost zdravila Kyprolis so raziskali v randomizirani, odprti multicentrični študiji 792 bolnikov z recidivnim diseminiranim plazmocitomom, v kateri so ocenili kombinacijo zdravila Kyprolis z lenalidomidom in deksametazonom v primerjavi s samima lenalidomidom in deksametazonom; randomizacija je bila v razmerju 1:1.
Carfilzomib is a tetrapeptide epoxyketone proteasome inhibitor that selectively and irreversibly binds to the N terminal threonine containing active sites of the 20S proteasome, the proteolytic core particle within the 26S proteasome, and displays little to no activity against other protease classes.
Selektivno in ireverzibilno se veže na N-terminalna, treonin vsebujoča aktivna mesta proteasoma 20S, ki je proteolitični jedrni delec v proteasomu 26S, proti drugim skupinam proteaz pa deluje malo ali nič.
• Reactivation of the chicken pox virus (shingles) that can cause a skin rash and pain (herpes zoster)
• ponovna aktivacija virusa noric (norice), ki lahko povzroči kožni izpuščaj in bolečino (herpes zoster),
Powder vial (unopened)
Viala s praškom (neodprta)
The first study was conducted in 50 multiple myeloma patients with normal renal function (CrCL > 80 mL/min, n = 12), mild (CrCL 50-80 mL/min, n = 12), moderate (CrCL 30-49 mL/min, n = 10), and severe (CrCL < 30 mL/min, n = 8) renal impairment, and patients on chronic dialysis (n = 8).
Prvo študijo so izvedli pri 50 bolnikih z diseminiranim plazmocitomom, ki so imeli ali normalno delovanje ledvic (CrCl > 80 ml/min, n = 12) ali blago (CrCl 50-80 ml/min, n = 12), zmerno (CrCl 30-49 ml/min, n = 10) ali hudo (CrCl < 30 ml/min, n = 8) okvaro ledvic oziroma so bili na kroničnem dializnem zdravljenju (n = 8).
The upper bound of one-sided 95% confidence interval (CI) for predicted effect on QTcF at Cmax was 4.8 msec. With Bazett's correction (QTcB interval), the upper bound of one-sided 95% confidence interval (CI) for predicted effect on QTcB at Cmax was 5.9 msec.
Zgornja meja enostranskega 95 % intervala zaupanja (IZ) z Bazett-ovo korekcijo (QTcB interval) za predviden učinek na QTcB pri Cmax je bila 5,9 milisekund.
Patients who had the following were excluded from the trial: creatinine clearance rates < 50 mL/min, NYHA Class III to IV congestive heart failure, or myocardial infarction within the last 4 months, disease progression during the treatment with a bortezomib-containing regimen, or progression during the first 3 months of initiating treatment with lenalidomide and dexamethasone, or progression at any time during treatment with lenalidomide and dexamethasone if this was the subject's most recent line of therapy.
V preskušanje niso bili vključeni bolniki, ki so imeli: očistek kreatinina < 50 ml/min, zastojno srčno popuščanje v III. do IV. razredu po NYHA, ali miokardni infarkt v zadnjih 4 mesecih, napredovanje bolezni med zdravljenjem s shemo, ki je vključevala bortezomib, ali napredovanje v prvih 3 mesecih po začetku zdravljenja z lenalidomidom in deksametazonom, ali napredovanje kadar koli med zdravljenjem z lenalidomidom in deksametazonom, če je le-to predstavljalo zadnjo uporabljeno linijo zdravljenja za preiskovanca.
A pharmacokinetic study evaluated 33 patients with relapsed or progressive advanced malignancies (solid tumours; n = 31 or haematologic malignancies; n = 2) who had normal hepatic function (bilirubin ≤ upper limit of normal [ULN]; aspartate aminotransferase [AST] ≤ ULN, n = 10), mild hepatic impairment (bilirubin > 1-1.5 x ULN or AST > ULN, but bilirubin ≤ ULN, n = 14), or moderate hepatic impairment (bilirubin > 1.5-3 x ULN; any AST, n = 9).
Izvedena je bila farmakokinetična študija, ki je ocenila 33 bolnikov z recidivnimi ali napredujočimi napredovalimi malignimi boleznimi (solidni tumorji; n = 31 in hematološki malignomi; n = 2), ki so imeli ali normalno delovanje jeter (bilirubin ≤ zgornja normalna meja [ZNM] in aspartate-aminotransferaza [AST] ≤ ZNM, n = 10) ali blago okvaro jeter (bilirubin > 1- do 1,5-kratna ZNM ali AST > ZNM in bilirubin ≤ ZNM, n = 14) ali zmerno okvaro jeter (bilirubin > 1,5- do 3-kratna ZNM in ne glede na AST, n = 9).
In clinical studies with Kyprolis, cardiac toxicity and dyspnoea typically occurred early in the course of Kyprolis therapy (see section 4.4).
V kliničnih študijah zdravila Kyprolis sta se kardiotoksičnost in dispneja praviloma pojavili zgodaj med zdravljenjem z zdravilom Kyprolis (glejte poglavje 4.4).
• Fluid build-up in the lining of the heart (pericardial effusion), symptoms include chest pain or pressure and shortness of breath
• nabiranje tekočine v ovojnici srca (perikardialni izliv), simptomi vključujejo bolečine ali pritisk v prsih in kratko sapo,
Months from Randomisation
Meseci od randomizacije
Months from randomisation
meseci od randomizacije
Cytochrome P450 mediated mechanisms played a minor role in overall carfilzomib metabolism.
Mehanizmi, ki potekajo s pomočjo citokroma P450, so imeli pri celotni presnovi karfilzomiba majhno vlogo.
In addition, carfilzomib administration resulted in inhibition of the latent membrane protein 2 (LMP2) and multicatalytic endopeptidase complex-like 1 (MECL1) subunits of the immunoproteasome ranging from 26% to 32% and 41% to 49%, respectively, at 20 mg/m2.
Poleg tega je karfilzomib v odmerku 20 mg/m2 zavrl imunoproteasomski podenoti, in sicer latentni membranski protein 2 (LMP2) za 26 do 32 % in multikatalitičnemu endopeptidaznemu kompleksu podobno 1 (MECL1) podenoto za 41 do 49 %.
Antiviral prophylaxis should be considered in patients being treated with Kyprolis to decrease the risk of herpes zoster reactivation (see section 4.8).
Pri bolnikih, ki prejemajo zdravilo Kyprolis, je treba razmisliti o protivirusni profilaksi, da bi zmanjšali tveganje za reaktivacijo herpesa zostra (glejte poglavje 4.8).
Dose adjustments do not need to be made for weight changes of ≤ 20%.
Če so spremembe telesne mase ≤ 20 %, odmerka ni treba prilagoditi.
This medicinal product contains 0.3 mmols (7 mg) of sodium per mL of reconstituted solution.
To zdravilo vsebuje 0,3 mmol (7 mg) natrija na ml rekonstituirane raztopine.
Patients with signs or symptoms of NYHA Class III or IV cardiac failure, recent history of myocardial infarction (in the last 4 months), and in patients with uncontrolled angina or arrhythmias, should have a comprehensive cardiological assessment, prior to starting treatment with Kyprolis.
Za bolnike z znaki ali simptomi srčnega popuščanja v razredih III. ali IV. po NYHA, anamnezo nedavnega miokardnega infarkta (v zadnjih 4 mesecih) in bolnike z neobvladano angino pektoris ali motnjami srčnega ritma je treba pred začetkom zdravljenja z zdravilom Kyprolis opraviti celovito kardiološko oceno.
For other concomitant medicinal products that may be required, such as the use of antacid prophylaxis, refer to the current lenalidomide and dexamethasone summary of product characteristics.
Glede drugih sočasno potrebnih zdravil, npr. za profilakso z antacidi, glejte veljavna povzetka glavnih značilnosti lenalidomida in deksametazona.
Treatment with Kyprolis has not been evaluated in pregnant women.
Zdravljenje z zdravilom Kyprolis pri nosečnicah ni raziskano.
If you become pregnant while taking Kyprolis, notify your doctor or nurse immediately.
Če med jemanjem zdravila Kyprolis zanosite, o tem takoj obvestite zdravnika ali medicinsko sestro.
Cases of hepatic failure, including fatal cases, have been reported.
Poročali so o primerih odpovedi jeter, vključno s smrtnimi primeri.
There is no known specific antidote for carfilzomib overdose.
Za preveliko odmerjanje karfilzomiba ni znanega specifičnega antidota.
• Cough which could include chest tightness or pain, nasal congestion (bronchitis)
• kašelj, ki ga lahko spremlja tiščanje v prsnem košu ali bolečina, zamašenost nosu (bronhitis),
Kaplan-Meier plot of progression-free survival as determined by the IRC (intent-to-treat population) study 2011-003
Kaplan-Meierjeva krivulja preživetja brez napredovanja bolezni po presoji neodvisnega strokovnega odbora (populacija z-namenom-zdravljenja) v študiji 2011-003
Following a 30 minute infusion of the 56 mg/m2 dose, the AUC (948 ng•hr/mL) was approximately 2.5-fold that observed at the 27 mg/m2 level, and Cmax (2,079 ng/mL) was lower compared to that of 27 mg/m2 over the 2 to 10 minute infusion.
Po 30 minutnem infundiranju odmerka 56 mg/m2 je bila AUC (948 ng•hr/ml) približno 2,5-krat tolikšna kot po odmerku 27 mg/m2, Cmax (2.079 ng/ml) pa je bila nižja kot po odmerku 27 mg/m2 v 2 do 10 minutnem infundiranju.
Kyprolis must not be administered as an intravenous push or bolus.
Zdravilo Kyprolis se ne sme dati z intravenskim vbrizganjem ali kot bolus.
The dose of 2 mg/kg/dose in rats is approximately half the recommended dose in humans of 27 mg/m2 based on BSA.
Odmerek 2 mg/kg/odmerek pri podganah je približno polovica priporočenega odmerka pri človeku 27 mg/m2 na podlagi telesne površine.
Pharmacokinetic data were collected from patients following the 15 mg/m2 dose in cycle 1 and the 20 mg/m2 dose in cycle 2.
Farmakokinetične podatke so zbrali pri bolnikih po odmerku 15 mg/m2 v 1. ciklusu in po odmerku 20 mg/m2 v 2. ciklusu.
Taking into account the PRAC Assessment Report on the PSUR(s) for carfilzomib, the scientific conclusions of CHMP are as follows:
Upoštevajoč poročilo Odbora za oceno tveganja na področju farmakovigilance (PRAC) o oceni rednih posodobljenih poročil o varnosti zdravila (PSUR) za karfilzomib je Odbor za zdravila za uporabo v humani medicini (CHMP) sprejel naslednje znanstvene zaključke:
Following initial doses of carfilzomib at 20 mg/m2, the dose was increased to 27 mg/m2 in study PX-171-009 and to 56 mg/m2 in study 2011-003 (see section 5.1).
V študiji PX-171-009 so po začetnih odmerkih karfilzomiba 20 mg/m2 odmerek povečali na 27 mg/m2, v študiji 2011-003 pa na 56 mg/m2 (glejte poglavje 5.1).
Other non-haematologic toxicity
Drugi nehematološki toksični učinki
After reconstitution, 1 mL of solution contains 2 mg of carfilzomib.
Po rekonstituciji vsebuje 1 ml raztopine 2 mg karfilzomiba.
Additional clinical experience has been generated with Kyprolis monotherapy in patients with relapsed and refractory multiple myeloma.
Dodatne klinične izkušnje je prinesla monoterapija z zdravilom Kyprolis pri bolnikih z recidivnim in refraktarnim diseminiranim plazmocitomom.
Female patients of child bearing potential (and/or their partners) must use effective contraception measures during and for one month following treatment.
Ženske v rodni dobi (in/ali njihovi partnerji) morajo uporabljati učinkovito kontracepcijo med zdravljenjem in še en mesec po njem.
A cross-study comparison of the adverse reactions occurring in the Kyprolis and dexamethasone (Kd) arm of study 2011-003 vs the Kyprolis, lenalidomide and dexamethasone (KRd) arm of study PX-171-009 suggest that there may be a potential dose relationship for the following adverse reactions: cardiac failure (Kd 8.2%, KRd 6.4%), dyspnoea (Kd 30.9%, KRd 22.7%), hypertension (Kd 25.9%, KRd 15.8%), and pulmonary hypertension (Kd 1.3%, KRd 0.8%).
Medsebojna primerjava neželenih učinkov, ki so se pojavili v študiji 2011-003 v skupini z zdravilom Kyprolis in deksametazonom (Kd) in v študiji PX-171-009 v skupini z zdravilom Kyprolis, lenalidomidom in deksametazonom (KRd), kaže, da so z odmerkom morda lahko povezani sledeči neželeni učinki: srčno popuščanje (Kd 8,2 %, KRd 6,4 %), dispneja (Kd 30,9 %, KRd 22,7 %), hipertenzija (Kd 25,9 %, KRd 15,8 %) in pljučna hipertenzija (Kd 1,3 %, KRd 0,8 %).
Do not take Kyprolis if you are breast-feeding.
Ne jemljite zdravila Kyprolis, če dojite.
A 30 minute infusion resulted in a similar half-life and AUC, but 2- to 3-fold lower Cmax compared to that observed with a 2 to 10 minute infusion of the same dose.
Po 30-minutnem infundiranju sta bila razpolovni čas in AUC enaka, Cmax pa je bila 2- do 3-krat nižja kot po 2 do 10 minutnem infundiranju enakega odmerka.
Serious adverse reactions that may occur during Kyprolis treatment include: cardiac failure, myocardial infarction, cardiac arrest, myocardial ischaemia, interstitial lung disease, pneumonitis, acute respiratory distress syndrome, acute respiratory failure, pulmonary hypertension, dyspnoea, hypertension including hypertensive crises, acute kidney injury, tumour lysis syndrome, infusion related reaction, gastrointestinal haemorrhage, intracranial haemorrhage, pulmonary haemorrhage, thrombocytopenia, hepatic failure, hepatitis B virus reactivation, PRES, thrombotic microangiopathy and TTP/HUS.
Med resnimi neželenimi učinki, ki se lahko pojavijo med zdravljenjem z zdravilom Kyprolis, so: srčno popuščanje, miokardni infarkt, zastoj srca, ishemija miokarda, intersticijska bolezen pljuč, pnevmonitis, sindrom akutne dihalne stiske, akutna respiratorna insuficienca, pljučna hipertenzija, dispneja, hipertenzija, vključno s hipertenzivnimi krizami, akutna poškodba ledvic, sindrom lize tumorja, z infundiranjem povezana reakcija, gastrointestinalna krvavitev, intrakranialna krvavitev, pljučna krvavitev, trombocitopenija, odpoved jeter, ponovna aktivacija virusa hepatitisa B, PRES, trombotična mikroangiopatija in TTP/HUS.
Appropriate dose reduction for the starting dose of lenalidomide in patients with baseline renal impairment should be considered according to the recommendations in the lenalidomide summary of product characteristics.
Pri bolnikih z izhodiščno okvaro ledvic je potrebno upoštevati primerno zmanjšanje začetnega odmerka lenalidomida v skladu s priporočili v povzetku glavnih značilnosti lenalidomida.
The most common adverse reactions (occurring in > 20% of subjects) were: anaemia, fatigue, thrombocytopenia, nausea, diarrhoea, pyrexia, dyspnoea, respiratory tract infection, cough and neutropenia.
Najpogostejši neželeni učinki (pojavili so se pri > 20 % preiskovancev) so bili: anemija, utrujenost, trombocitopenija, navzea, driska, zvišana telesna temperatura, dispneja, okužba dihal, kašelj in nevtropenija.
• Feeling too hot
• občutek pretirane vročine,
• Headaches, confusion, seizures (fits), visual loss, and high blood pressure (hypertension), which may be symptoms of a neurologic condition known as posterior reversible encephalopathy syndrome (PRES).
• Glavoboli, zmedenost, epileptični krči (konvulzije), izguba vida in visok krvni tlak (hipertenzija); to so lahko simptomi nevrološke motnje, imenovane sindrom posteriorne reverzibilne encefalopatije (PRES).
• Urinary tract infection (infection of structures that carry urine)
• okužba sečil (okužba organov, ki proizvajajo in odvajajo urin),
Kyprolis is to be administered by intravenous infusion.
Zdravilo Kyprolis je treba uporabiti v intravenski infuziji.
This study evaluated Kyprolis at an initial dose of 20 mg/m2, which was increased to 56 mg/m2 on cycle 1, day 8, administered twice weekly for 3 out of 4 weeks as a 30 minute infusion until progression or unacceptable toxicity.
Ta študija je ocenila zdravilo Kyprolis v začetnem odmerku 20 mg/m2, ki so ga 8. dan 1. ciklusa povečali na 56 mg/m2, zdravilo pa so uporabljali v 30-minutni infuziji dvakrat na teden v 3 od 4 tednov do napredovanja bolezni ali nesprejemljivih toksičnih učinkov.
• Difficulty breathing, including shortness of breath at rest or with activity or a cough (dyspnoea), rapid breathing, feeling like you can't breathe in enough air, wheezing, or cough, which can be signs of lung toxicity
• Težko dihanje, vključno s kratko sapo v mirovanju ali med naporom ali kašelj (dispneja), hitro dihanje, občutek, da ne morete vdihniti dovolj zraka, piskajoče dihanje ali kašelj; to so lahko znaki toksičnega delovanja na pljuča.
Carfilzomib is eliminated primarily via metabolism with subsequent excretion of its metabolites in urine.
Karfilzomib se izloči predvsem s presnovo in poznejšim izločanjem presnovkov v urinu.
Acute renal failure was reported more frequently in patients with advanced relapsed and refractory multiple myeloma who received Kyprolis monotherapy.
Akutna odpoved ledvic je bila pogostejša pri bolnikih z napredovalim recidivnim ali refraktarnim diseminiranim plazmocitomom, ki so prejemali zdravilo Kyprolis v monoterapiji.
Patients who had the following were excluded from the trial: creatinine clearance rates < 15 mL/min, NYHA Class III to IV congestive heart failure, myocardial infarction within the last 4 months or those with left ventricular ejection fraction (LVEF) < 40%.
V preskušanje niso bili vključeni bolniki, ki so imeli kaj od naslednjega: hitrost očistka kreatinina < 15 ml/min, kongestivno srčno popuščanje v razredih III. oz. IV. po NYHA, miokardni infarkt v zadnjih 4 mesecih ali bolniki z iztisnim deležem levega prekata (LVEF) < 40 %.
If tolerated, the dose should be increased on day 8 of cycle 1 to 56 mg/m2 (maximum dose 123 mg).
Če bolnik ta odmerek ustrezno prenese, je treba 8. dan 1. ciklusa odmerek povečati na 56 mg/m2 (največji odmerek 123 mg).
Overall, the subject incidence of certain adverse events (including cardiac arrhythmias, cardiac failure (see section 4.4), dyspnoea, leukopenia and thrombocytopenia) in clinical trials with Kyprolis was higher for patients who were ≥ 75 years of age compared to patients who were < 75 years of age.
V celoti je bila incidenca določenih neželenih učinkov (med njimi motenj srčnega ritma, srčnega popuščanja (glejte poglavje 4.4), dispneje, levkopenije in trombocitopenije) v kliničnih preskušanjih z zdravilom Kyprolis večja med bolniki, starimi ≥ 75 let, kot med bolniki, starimi < 75 let.
Patients with New York Heart Association (NYHA) Class III and IV heart failure, recent myocardial infarction, and conduction abnormalities uncontrolled by medicinal products were not eligible for the clinical trials.
Bolniki, ki so imeli srčno popuščanje v razredih III. ali IV. po klasifikaciji Newyorškega združenja za srce (NYHA - New York Heart Association), nedaven miokardni infarkt ali prevodne motnje, neobvladane z zdravili, niso bili primerni za vključitev v klinična preskušanja.
• Fever, chills or shaking, joint pain, muscle pain, facial flushing, or swelling of the face, lips, tongue and/or throat which may cause difficulty breathing or swallowing (angioedema), weakness, shortness of breath, low blood pressure, fainting, chest tightness, or chest pain can occur as a reaction to the infusion
• Zvišana telesna temperatura, mrzlica ali tresenje, bolečine v sklepih, mišične bolečine, zardevanje obraza, oteklost obraza, ustnic, jezika in/ali grla, ki lahko povzroči težko dihanje ali požiranje (angioedem), šibkost, kratka sapa, nizek krvni tlak, omedlevica, tiščanje v prsnem košu ali bolečina v prsnem košu se lahko pojavijo kot reakcija na infuzijo.
At the higher dose of 56 mg/m2, there was not only a greater inhibition of CT-L subunits (≥ 90%) compared to those at 15 to 20 mg/m2, but also a greater inhibition of other proteasome subunits (LMP7, MECL1, and LMP2).
Z večjim odmerkom 56 mg/m2 so poleg večjega zavrtja podenot CT-L (≥ 90 %) v primerjavi z odmerki od 15 do 20 mg/m2 zabeležili tudi večje zavrtje drugih proteasomskih podenot (LMP7, MECL1 in LMP2).
Patients with moderate or severe renal impairment were enrolled in Kyprolis-dexamethasone combination studies, but were excluded from Kyprolis-lenalidomide combination studies.
Bolniki z zmerno ali hudo okvaro ledvic so bili vključeni v študije, v katerih so kombinirali zdravilo Kyprolis in deksametazon, vendar pa so bili izključeni iz študij, v katerih so kombinirali zdravilo Kyprolis in lenalidomid.
The disease status and other baseline characteristics were well-balanced between the two arms, including age (64 years, range 31-91 years), gender (56% male), ECOG performance status (48% with performance status 1), high-risk genetic mutations, consisting of the genetic subtypes t(4;14), t(14;16), or deletion 17p in ≥ 60% of plasma cells (13%), unknown-risk genetic mutations, which included subjects with results not collected or not analysed (47%), and baseline ISS stage III disease (20%).
Stanje bolezni in druge izhodiščne značilnosti so bile med obema skupinama dobro uravnotežene in sicer to velja za starost (64 let, razpon 31 - 91 let), spol (56 % moških), stanje zmogljivosti po ECOG (48 % s stanjem zmogljivosti 1), zelo tvegane mutacije genov, ki so obsegale genske podtipe t(4;14), t(14;16) ali delecijo 17p v ≥ 60 % plazmatk (13 %), mutacije genov z neznanim tveganjem, vključno z bolniki, pri katerih rezultati niso bili zbrani ali niso bili analizirani (47 %) in izhodiščno III. stadij bolezni po ISS (20 %).
• For subsequent drops to < 0.5 x 109/L, follow the same recommendations as above and consider 1 dose level reduction when restarting Kyprolisa
• Pri naslednjih znižanjih na < 0,5 x 109/l upoštevajte enaka priporočila kot zgoraj, ob ponovnem začetku uporabe zdravila Kyprolis pa razmislite o zmanjšanju odmerka za 1 ravena