natgillin/translations-raw huggingface dataset:
• Against a background of a post-marketing exposure estimated to 850,000 patients only 9 events of syncope have been spontaneously reported, 5 of which are medically confirmed and 4 of which are unconfirmed.
• Izpostavljenost v obdobju trženja zdravila je ocenjena na 850 000 bolnikov, od katerih je bilo spontano prijavljenih le 9 primerov sinkope, od teh je bilo 5 medicinsko potrjenih, 4 pa ne.
These findings suggest that syncope associated with the administration of dapoxetine is vasovagal in etiology.
Ta odkritja nakazujejo, da je sinkopa, povezana z dajanjem dapoksetina, po etiologiji vazovagalna.
The severity of the adverse events has generally been reported as mild or perhaps moderate, resulting in limited discontinuation from the study by patients.
Resnost ugotovljenih neželenih učinkov je na splošno blaga oz. morda zmerna, kar je povzročilo malo število prekinitev sodelovanja v študiji.
The Phase III studies were originally designed to compare the effect of dapoxetine 30 and 60 mg to that of placebo, and not to each other (i.e., 30 mg versus 60 mg).
Študije III. faze so bile prvotno zasnovane za primerjavo učinka dapoksetina 30 in 60 mg s placebom in ne med seboj (tj. 30 mg v primerjavi s 60 mg).
Based on data collected to date, responses to the survey questions indicated that the majority (>98%) of patients who received the Patient Brochure and PIL understood the content and felt that the information regarding Priligy dosing, Priligy safety, and PE was adequate.
Doslej zbrani odgovori na anketna vprašanja kažejo, da je večina (>98 %) bolnikov, ki so prejeli brošuro za bolnike in navodilo za uporabo, razumela vsebino in je mnenja, da so informacije o odmerjanju, varnosti zdravila Priligy in prezgodnji ejakulaciji zadostne.
− More than 98% of the patients prescribed Priligy found that the Patient Brochure and PIL were understandable, and felt that the information regarding Priligy dosing and Priligy safety was helpful.
− Več kot 98 % bolnikov s predpisanim zdravilom Priligy je menilo, da sta brošura za bolnike in navodilo za uporabo razumljiva in da so informacije o odmerjanju in varnosti zdravila Priligy koristne.
All analyses for all endpoints confirmed the treatment benefit of dapoxetine when subjects who discontinued early, had no postbaseline data, or had no postbaseline data at Week 9-12 were considered as non-responders.
Vse analize za vse cilje so potrdile korist zdravljenja z dapoksetinom, če se preiskovanci, ki so prekinili sodelovanje prezgodaj in preiskovanci brez podatkov po 9.-12. tednu, štejejo za neodzivne preiskovance.
However, the initially observed excess risk for syncope with the 60 mg was found manageable with the risk minimisation measures introduced during the phase III program.
Vendar je bilo ugotovljeno, da je v začetku opaženo odvečno tveganje sinkope pri odmerku 60 mg obvladljivo z ukrepi za zmanjšanje tveganja, uvedenimi v program III. faze.
Regarding safety the main events reported during clinical trials were nausea, diarrhoea, dizziness, headache, insomnia, and fatigue, which are typical of the SSRI class of drugs.
V zvezi z varnostjo so bili glavni neželeni učinki, ugotovljeni med kliničnimi preskušanji, navzea, driska, omotica, glavobol, nespečnost in utrujenost, ki so tipični za skupino zdravil SSRI.
• The Committee reviewed all available data submitted by the marketing authorisation holder on the safety of Priligy in particular for the 60 mg film-coated tablets and the reported cases of syncope.
• Odbor je pregledal vse razpoložljive podatke o varnosti, ki jih je predložil imetnik dovoljenja za promet z zdravilom Priligy, zlasti za 60 mg filmsko obložene tablete in prijavljene primere sinkope.
During the Phase III studies of dapoxetine, Holter monitoring detected bradycardia and asystole (including 1 case of 28-second asystole) associated with the occurrence of syncope.
Med študijami dapoksetina III. faze je spremljanje s holterjem zaznalo bradikardijo in asistole, povezane s pojavom sinkope (vključno z 1 primerom asistole, ki je trajala 28 sekund).
Following reports of ejaculatory delay in patients taking dapoxetine for major depressive disorder and based on the rapid onset and elimination profile of the substance it was later developed as a PE treatment on an as needed (p.r.n) basis.
Na podlagi poročil o zakasnjeni ejakulaciji pri bolnikih, ki so prejemali dapoksetin za zdravljenje poglavitne depresivne motnje, ter profila hitrega delovanja in izločanja so učinkovino kasneje razvijali kot zdravilo za prezgodnjo ejakulacijo, ki se jemlje po potrebi (p.r.n).
Syncope has been reported in 1 patient taking alternate care/non-Priligy treatment.
Sinkopo je prijavil 1 bolnik, ki je jemal drugačno zdravljenje/ne zdravila Priligy.
In the Phase III studies, the treatment benefit was measured in subjects who met the prespecified composite endpoint requiring functional benefit (i.e., improved control over ejaculation) as well as emotional benefit (i.e., decreased levels of distress) related to the latency of their ejaculation.
V študijah III. faze so korist zdravljenja merili pri preiskovancih, ki so izpolnili vnaprej opredeljen kombiniran cilj z zahtevano funkcionalno koristjo (tj. boljši nadzor nad ejakulacijo) ter čustveno koristjo (tj. zmanjšana stiska) v povezavi z latenco ejakulacije.
Table 4: Treatment-Emergent Adverse Events (≥2%) With Onset Days Within 4 Weeks on the Study in Phase III Placebo-Controlled Studies (Dapoxetine SCS: Intent-to-Treat Analysis Set)
Preglednica 4: Neželeni učinki (≥2 %), povezani z zdravljenjem, z nastopom v 4. tednu s placebom kontrolirane študije III. faze (Dapoksetin SCS: nabor za analizo preiskovancev z namenom zdravljenja)
The distribution of responses to these PRO measures in men who met the composite endpoint was compared to that of men without PE who participated in the EU Observational study (R096769-PRE-3004).
Porazdelitev odzivov na te kazalnike PRO pri moških, ki so dosegli kombinirani cilj, so primerjali s porazdelitvijo pri moških brez prezgodnje ejakulacije, ki so sodelovali v opazovalni študiji v EU (R096769-PRE
Grounds for positive opinion and amendment of the labelling and package leaflet
Podlaga za pozitivno mnenje in dopolnilo označevanja in navodila za uporabo
• The Committee considered that a non-negligible improvement can be achieved with the 60 mg strength for some patients with insufficient response to the 30 mg strength and that the potentially increased risk for syncope has been proven manageable with the adequate risk minimization measures.
• Odbor je menil, da pri nekaterih bolnikih z nezadostnim odzivom na jakost 30 mg lahko dosežemo nezanemarljivo izboljšanje z jakostjo 60 mg in da je potencialno povečanje tveganja za sinkopo dokazano obvladljivo z uvedenimi ukrepi za zmanjšanje tveganja.
A statistically significant efficacy difference in favour of 60 mg compared to 30 mg has been established.
Ugotovljena je bila statistično pomembna razlika v učinkovitosti v prid odmerku 60 mg v primerjavi z odmerkom 30 mg.
Dapoxetine 60 mg: 1774 Dose reduction to 30mg: 194
Dapoksetin 60 mg: 1774 Zmanjšanje odmerka na 30 mg: 194
• The Committee reviewed all available data submitted by the marketing authorisation holder, in particular to support the efficacy of Priligy 60 mg film-coated tablets versus Priligy 30 mg filmcoated tablets.
• Odbor je pregledal vse razpoložljive podatke, ki jih je predložil imetnik dovoljenja za promet z zdravilom, zlasti v podporo učinkovitosti zdravila Priligy 60 mg filmsko obložene tablete v primerjavi z zdravilom Priligy 30 mg filmsko obložene tablete.
Considering that PE is not a life-threatening disease, the added benefit of 60 mg compared to 30 mg (5-10% more responders) was considered too modest to outweigh the potentially increased risk for severe cases of syncope.
Ob upoštevanju, da prezgodnja ejakulacija ni življenjsko ogrožajoča bolezen, štejejo dodatno korist odmerka 60 mg v primerjavi s 30 mg (510 % več oseb z odzivom) za preskromno, da bi odtehtala potencialno povečano tveganje hudih primerov sinkope.
The most important study for the European target population (R096769-PRE-3001) failed to demonstrate statistical significance for the primary endpoint (mean average IELT) in the comparison of the 30 and 60 mg doses.
V najpomembnejši študiji za evropsko ciljno populacijo (R096769-PRE-3001) niso dokazali statistične pomembnosti primarnega cilja (geometrična sredina povprečne IELT) v primerjavah 30-miligramskega in 60-miligramskega odmerka.
With regard to the added benefits of the 60mg strength, the mean (or median) difference in IELT between the 30 and 60 mg dose appears marginal.
Kar zadeva dodatne koristi jakosti 60 mg, je povprečna razlika (ali mediana) v IELT med odmerkom 30 in 60 mg postranskega pomena.
The majority of adverse events reported in Phase III clinical studies, (including nausea, diarrhoea, dizziness, headache, insomnia, and fatigue, which are typical of the SSRI class of drugs), were generally acute symptomatic events that were typically self-limited, mild or moderate in severity, brief in duration, and temporally related to dosing.
Večina neželenih učinkov v kliničnih študijah III. faze (vključno z navzeo, drisko, omotico, glavobolom, nespečnostjo in utrujenostjo, ki so značilne za skupino zdravil SSRI) je bilo na splošno akutne simptomatike in prehodne narave, blage do zmerne resnosti, kratkotrajnih in časovno odvisnih od odmerjanja.
Although the Phase III studies were not intended to detect a statistically significant difference between the 30 mg and 60 mg dose, a dose response was observed in all studies for all endpoints.
Čeprav študije III. faze niso bile zasnovane za odkrivanje statistično pomembne razlike med odmerkoma 30 mg in 60 mg, so za cilj vseh študij ugotovili odvisnost odziva od odmerka.
However, in conservative responder analyses based on IELT data as well as on patient and partner reported outcome measures an additional 5-10% responders to 60 mg compared to 30 mg.
Vendar pa je v konzervativnih analizah preiskovancev z odzivom na osnovi podatkov o IELT ter kazalnikih izida, poročanih s strani bolnika oz. partnerice, še 5-10 % več pri prejemnikih odmerka 60 mg v primerjavi s prejemniki odmerka 30 mg.
• data from a large post-marketing safety surveillance study (R096769-PRE-4001).
• podatki iz velike študije spremljanja v obdobju trženja zdravila (R096769-PRE-4001).
Patients who were prescribed with Priligy in study R096769-PRE-4001 were given a survey at the last observational visit to provide feedback on the understandability and helpfulness of the Priligy Patient Brochure and/or Patient Information Leaflet (PIL).
Bolniki s predpisanim zdravilom Priligy v študiji R096769-PRE-4001 so na zadnjem kontrolnem obisku prejeli anketo za povratne informacije o razumljivosti in koristnosti brošure za zdravilo Priligy za bolnike oz. o navodilu za uporabo.
The key efficacy endpoints were Intravaginal Ejaculation Latency Time (IELT) and percentage of responders based on Control Over Ejaculation and Personal Distress (at least a 2-category increase in Control Over Ejaculation and at least a 1-category decrease in Personal Distress).
Ključna merila učinkovitosti so bila trajanje intravaginalne ejakulacijske latence (IELT), odstotek preiskovancev z odzivom po lestvici nadzora nad ejakulacijo in lestvici esebne stiske (povečanje vsaj za 2 kategoriji po lestvici aadzora nad ejakulacijo in za 1 kategorijo po lestvici osebne stiske).
With additional wording in the Product Information it was concluded and agreed in the initial decentralised procedure that benefit-risk was positive for the 60 mg dose.
Z dodatkom besedila v navodilo za uporabo je bilo v prvotnem decentraliziranem postopku sklenjeno in dogovorjeno, da je razmerje med koristmi in tveganji za odmerek 60 mg pozitivno.
The dose-titration recommendation in the SmPC is intended to mitigate the risk to those patients who are exposed to the 60 mg dose of dapoxetine and thereby reduce the possibility that a patient may experience more severe adverse events, including syncope, in routine clinical practice.
Priporočilo za titracijo odmerka v povzetku glavnih značilnosti zdravila je namenjeno zmanjšanju tveganja pri tistih bolnikih, ki so izpostavljeni 60 mg dapoksetina, da bi v rutinski klinični praksi zmanjšali možnost hudih neželenih učinkov, vključno s sinkopo.
A total of 30 syncope cases (cases of interest) were observed during the clinical studies.
Med kliničnimi študijami so ugotovili skupno 30 primerov sinkope (zanimivi primeri).
It should be noted that 3 of the 6 cases of syncope with loss of consciousness on 60 mg occurred in Study R096769-PRE-3002 in which all subjects underwent orthostatic manoeuvres, and comparing only 60 mg and placebo randomised in a 4:1 ratio, potentially introducing a bias against the 60 mg dose.
Upoštevati je treba, da so se 3 od 6 primerov sinkope z izgubo zavesti po odmerku 60 mg zgodili v študiji R096769-PRE-3002, v kateri so vsi preiskovanci izvajali ortostatske manevre, hkrati pa primerjava samo skupine s 60 mg in skupine s placebom, ki sta bili randomizirani v razmerju 4:1, potencialno vnese napako v škodo odmerku 60 mg.
It was concluded that Priligy 30 mg shows greater efficacy versus placebo.
Šteje se, da je zdravilo Priligy 30 mg učinkovitejše od placeba.
Regarding the 60 mg strength a more or less pronounced dose-response is observed in all analyses.
Pri jakosti 60 mg so v vseh analizah ugotovili bolj ali manj jasno odvisnost učinka od odmerka.
The objecting Member States pointed out that the increase in response noted for the 60mg strength compared to the 30 mg strength in the clinical studies is counteracted by the dose related increase in adverse events, especially the occurrence of syncope associated with loss of consciousness, bradycardia and asystole.
Države članice, ki so vložile ugovor, so izpostavile, da koristi povečanja odziva v kliničnih študijah pri jakosti 60 mg v primerjavi s 30 mg po drugi strani izniči povečanje neželenih učinkov, ki je odvisno od odmerka, zlasti pojavljanje sinkope, povezane z izgubo zavesti, bradikardijo in asistolo.
Concerns were raised with regard to the added benefit of the 60 mg strength compared to the 30 mg strength.
Izpostavljeni so bili zadržki v zvezi z dodatno koristjo odmerka jakosti 60 mg v primerjavi z odmerkom 30 mg.
The 9 events occurred in the context of an estimated exposure between 1,967,483 and 3,934,965 treatment courses, representing an estimated 850,000 patients exposed from the time that Priligy became commercially available to 17 June 2011.
Teh 9 dogodkov se je pojavilo v okviru ocenjene izpostavljenosti med 1 967 483 in 3 934 965 zdravljenj, kar predstavlja ocenjenih 850 000 bolnikov, izpostavljenih od začetka trženja zdravila Priligy do 17. junija 2011.
It was also noted that the Phase III studies utilized a fixed-dose design, in which subjects who were randomly assigned to treatment with dapoxetine 60 mg were initiated on a 60-mg dose rather than the 30-mg dose, which is recommended in the Summary of Product Characteristics (SmPC).
Poleg tega so v študijah III. faze uporabljali zasnovo s fiksnim odmerkom, po katerem so preiskovanci, ki so bili naključno razporejeni v zdravljenje z dapoksetinom 60 mg, začeli jemati odmerek 60 mg in ne 30 mg, kot je priporočeno v povzetku glavnih značilnosti zdravila.
No event of syncope has been spontaneously reported in association with the administration of Priligy since February 2011.
Od februarja 2011 ni bilo spontano prijavljenega primera sinkope v povezavi z uporabo zdravila Priligy.
Therefore, the CHMP was of the opinion that the benefit/risk ratio of Priligy 30 mg and 60 mg filmcoated tablets is considered to be favourable.
Zato je CHMP menil, da je razmerje med koristmi in tveganji za zdravilo Priligy 30 mg in 60 mg filmsko obložene tablete ugodno.
After the sponsor implemented risk minimization measures during the course of the two then-ongoing Phase III studies (R096769-PRE-3001 and R096769-PRE-3003), no further episodes of syncope were reported in those studies.
Ko je sponzor med dvema potekajočima študijama III. faze (R096769-PRE-3001 in R096769-PRE-3003) uvedel ukrepe za zmanjšanje tveganja, pojavov sinkope v študijah ni bilo več.
In the analysis of logtransformed data, the geometric mean average IELT at Week 24 in Study R096769-PRE-3001 was 2.3 minutes for dapoxetine 60 mg and 1.8 minutes for dapoxetine 30 mg (p<0.001) (Table 3).
V analizi logaritmiranih podatkov je bila geometrična sredina povprečne IELT v 24. tednu študije R096769-PRE 3001 2,3 minute za dapoksetin 60 mg oz. 1,8 minute za dapoksetin 30 mg (p<0,001) (preglednica 3).
The objecting Member States noted that the 60 mg dose yields only mild clinical benefit over the 30 mg dose and asked the MAH to justify that the increase in response for the 60 mg is statistically significant and clinically meaningful.
Države članice, ki so vložile ugovor, so izpostavile, da odmerek 60 mg omogoči le skromno klinično korist v primerjavi z odmerkom 30 mg, in prosile imetnika dovoljenja za promet z zdravilom za utemeljitev, ali je odziv pri odmerku 60 mg statistično ter klinično pomemben.
Nine spontaneously reported events of syncope in the post-approval setting are included in the PSURs summarizing safety from 17 December 2008 to 17 June 2011, of which 5 events are medically confirmed and 4 events are unconfirmed.
Redna posodobljena poročila o varnosti zdravila od 17. decembra 2008 do 17. junija 2011 vsebujejo 9 spontano prijavljenih primerov sinkope v obdobju trženja zdravila, pri čemer je 5 primerov medicinsko potrjenih, 4 pa ne.
More specifically, among responders to treatment (i.e., those subjects that reported at least a 2category increase in Control Over Ejaculation and at least a 1-category decrease in Personal Distress) in Study R096769-PRE-3001, regarding:
Specifični rezultati med preiskovanci z odzivom na zdravljenje (tj. tistimi preiskovanci, ki so navedli izboljšanje za vsaj 2 kategoriji po lestvici nadzora nad ejakulacijo in za vsaj 1 kategorijo po lestvici osebne stiske) v študiji R096769-PRE-3001 so naslednji:
Vasovagal syncope represents a transient, self-limited loss of consciousness, from which subsequent recovery is spontaneous, complete, and usually prompt, without reported serious associated injury.
Vazovagalna sinkopa je prehodna, samoomejena izguba zavesti, okrevanje pa je spontano,
This difference was not noted for mean average IELT.
Razlika ni bila opažena pri srednjem povprečnem trajanju intravaginalne ejakulacijske latence (IELT).
These events were transient in nature and resolved spontaneously, without any reported accidental injury or long-term sequelae.
Ti dogodki so bili prehodne narave in so izzveneli spontano brez prijavljenih nezgod ali dolgoročnih posledic.
In the Phase III studies that were conducted, a dose-response was observed with respect to efficacy (≥ 12% more responders on 30 mg compared to placebo and an additional 5-10% responders on 60 mg compared to 30 mg) as well as safety (0.05, 0.06 and 0.23% cases of syncope with loss of consciousness for placebo, 30 mg and 60 mg, respectively).
V opravljenih študijah III. faze so ugotovili odvisnost med odmerkom in učinkovitostjo (≥12 % več preiskovancev z odzivom pri odmerku 30 mg kot pri placebu ter dodatnih 5-10 % več preiskovancev z odzivom pri odmerku 60 mg kot pri odmerku 30 mg) ter varnostjo (0,05 % primerov sinkope pri placebu, 0,06 % primerov sinkope pri odmerku 30 mg in 0,23 % primerov sinkope pri odmerku 60 mg).
The corresponding placebo-subtracted difference was 35.6% with dapoxetine 60 mg and 26.0% with dapoxetine 30 mg.
Ustrezna razlika v primerjavi s placebom je bila 35,6 % za dapoksetin 60 mg in 26,0 % za dapoksetin 30 mg.
More important, there are statistically significantly more responders to 60 mg in different responder analyses, including the primary responder analyses.
Še pomembneje je, da je v različnih analizah, vključno s primarnimi analizami odziva, statistično pomembno več preiskovancev z odzivom na 60-miligramski odmerek.
However, in different responder analyses there is a consistent pattern of >12% more responders on 30 mg compared to placebo and an additional 5-10% more responders on 60 mg.
Vendar pa je bil v različnih analizah preiskovancev z odzivom ugotovljen dosleden vzorec >12 % več preiskovancev z odzivom v skupini, ki je prejemala 30 mg, v primerjavi s placebom ter dodatnih 5-10 % preiskovancev z odzivom v skupini, ki je prejemala 60 mg.
The placebo-subtracted percentage difference was 22.1% with dapoxetine 60 mg and 12.8% with dapoxetine 30 mg.
Razlika v primerjavi s placebom je bila 22,1 % za dapoksetin 60 mg in 12,8 % za dapoksetin 30 mg.
Ventricular tachycardia (VT) or other serious dysrhythmias were not observed in any of these 7 subjects during the events.
Pri nobenem od 7 preiskovancev med dogodki niso bile zabeležene ventrikularna tahikardija (VT) ali druge nevarne disaritmije.
For these serious adverse events no imbalance between the 30 mg and 60-mg doses of dapoxetine relative to placebo was obsereved: placebo, 0.9%; dapoxetine 30 mg p.r.n., 0.6%; and dapoxetine 60 mg p.r.n., 0.5%).
Za te resne neželene učinke niso opazili neravnovesja med odmerkoma 30 mg in 60 mg dapoksetina v primerjavi s placebom: placebo 0,9 %; dapoksetin 30 mg po potrebi 0,6 %; in dapoksetin 60 mg po potrebi 0,5 %).
Data from this study substantiate that the majority of patients are initiated on dapoxetine at the 30 mg dose, as recommended in the SmPC.
Podatki iz te študije potrjujejo, da se večina bolnikov začne zdraviti z odmerkom 30 mg dapoksetina po priporočilih v povzetku glavnih značilnosti zdravila.
They are all included in the 5 PSURs mentioned above.
Vsi so navedeni v zgoraj omenjenih 5 rednih posodobljenih poročilih o varnosti zdravila.
Regarding efficacy on the basis of the available data the CHMP concluded that patients receiving Priligy 30 mg and 60 mg showed statistically significant response over patients receiving placebo.
Glede učinkovitosti je na osnovi razpoložljivih podatkov CHMP menil, da so imeli bolniki, ki so prejemali zdravilo Priligy 30 mg in 60 mg, statistično pomembnejšo razliko v odzivu glede na bolnike s placebom.
In the analysis of the pooled data for the CGIC (Clinical Global Impression of Change) PRO (Patient Reported Outcome) measure the percentage of subjects reporting the two highest CGIG ratings of “better” or “much better” was 39.0% in the dapoxetine 60 mg group, 30.7% in the dapoxetine 30 mg group and 14.8% in the placebo group at Week 12.
V analizi združenih podatkov za kazalnik CGIC (klinični globalni vtis o spremembi) PRO (izid, o katerem poroča bolnik) je bil v 12. tednu odstotek preiskovancev, ki so navedli dve najvišji oceni CGIG „bolje“ ali „veliko bolje“, 39,0 % v skupini, ki je prejemala dapoksetin 60 mg, 30,7 % v skupini, ki je prejemala dapoksetin 30 mg, ter 14,8 % v skupini, ki je prejemala placebo.
Because of that, the MAH conducted exploratory analyses to compare the effect of dapoxetine 60 mg to that of dapoxetine 30 mg.
Zaradi tega je imetnik dovoljenja za promet z zdravilom opravil raziskovalne analize za primerjavo učinka dapoksetina 60 mg in dapoksetina 30 mg.
Each of these events was transient in nature and resolved spontaneously, without any reported accidental injury or long-term sequelae.
Vsi dogodki so bili prehodne narave in so izzveneli spontano brez prijavljenih nezgod ali dolgoročnih posledic.
On the basis of the available data the CHMP concluded that patients receiving Priligy 30 mg and 60 mg showed statistically significant response over patients receiving placebo.
Na osnovi razpoložljivih podatkov je CHMP menil, da so imeli bolniki, ki so prejemali zdravilo Priligy 30 mg in 60 mg, statistično pomembnejšo razliko v odzivu glede na bolnike, ki so prejemali placebo.