natgillin/translations-raw huggingface dataset:
Infusion reactions, allergic-like reactions and hypersensitivity It is estimated that approximately 40 % of patients who are treated with Herceptin will experience some form of infusion-related reaction.
Ocenjujejo, da se pri približno 40 % bolnikov, ki prejemajo zdravilo Herceptin, pojavi neka oblika reakcij, povezanih z infuzijo.
• abnormal heart rhythm
· upočasnjeno bitje srca · nenormalen srčni ritem
Aseptic reconstitution and dilution:
Aseptična rekonstitucija in redčenje
- intravenous docetaxel - 75 mg/m2 as an intravenous infusion over 1 hour, given every 3
ali - docetaksel intravensko - 75 mg/m2 v obliki intravenske infuzije v 1 uri, vsake 3 tedne, skupaj 6
In the NSABP B-31 and NCCTG N9831 studies Herceptin was administered in combination with paclitaxel, following AC chemotherapy.
V študijah NSABP B-31 in NCCTG N9831 so zdravilo Herceptin dajali v kombinaciji s paklitakselom, po kemoterapiji z doksorubicinom in ciklofosfamidom (kemoterapiji AC).
80.9 %) in favour of the AC→DH (Herceptin) arm and 4.6 percentage points (85.5 % versus 80.9 %) in favour of the DCarbH (Herceptin) arm compared to AC→D.
5,8 odstotne točke (86,7 % v primerjavi z 80,9 %), korist skupine DCarbH (zdravilo Herceptin) pa za
AUC0-21days
AUC0-21.
Roche Diagnostics GmbH
IMETNIK DOVOLJENJA ZA PROMET Z ZDRAVILOM Roche Registration GmbH
In the post-marketing setting, cases of fetal renal growth and/or function impairment in association with oligohydramnios, some associated with fatal pulmonary hypoplasia of the fetus, have been reported in pregnant women receiving Herceptin.
V obdobju po prihodu zdravila na trg so pri nosečnicah, ki so prejemale zdravilo Herceptin, poročali o primerih motenj v rasti plodovih ledvic in/ali njihovem delovanju, v povezavi z oligohidramnijem, od katerih so bili nekateri povezani s smrtno hipoplazijo pljuč pri plodu.
New injections should be given at least 2.5 cm away from an old site.
2,5 cm oddaljeno od prejšnjega mesta injiciranja.
In one of the 3 pivotal studies conducted in which a median follow-up of 5.5 years was available (BCIRG006) a continuous increase in the cumulative rate of symptomatic cardiac or LVEF events was observed in patients who were administered Herceptin concurrently with a taxane following anthracycline therapy up to 2.37% compared to approximately 1% in the two comparator arms (anthracycline plus cyclophosphamide followed by taxane and taxane, carboplatin and Herceptin).
V enem od treh ključnih preskušanj, v katerem je bila na voljo mediana časa sledenja 5,5 leta (BCIRG006), so pri bolnikih, ki so zdravilo Herceptin prejeli sočasno s taksanom po antraciklinski terapiji, opazili stalno rast v kumulativnem deležu simptomatskih neželenih učinkov, povezanih s srcem, ali neželenih učinkov, povezanih z iztisnim deležem levega prekata (LVEF), do 2,37 %; v dveh primerjalnih skupinah (antraciklin in ciklofosfamid, ki jima je sledil taksan ali taksan, karboplatin in zdravilo Herceptin) pa je ta delež znašal približno 1 %.
The pivotal trial BO22227 was designed to demonstrate non-inferiority of treatment with Herceptin subcutaneous formulation versus treatment with Herceptin intravenous formulation based on coprimary PK and efficacy endpoints (trastuzumab Ctrough at pre-dose Cycle 8, and pCR rate at definitive surgery, respectively) (See Section 5.1. of Herceptin subcutaneous formulation SmPC).
Ključno preskušanje BO22227 so zasnovali, da bi dokazali neinferiornost zdravljenja s subkutano obliko zdravila Herceptin v primerjavi z intravensko obliko zdravila Herceptin glede na soprimarni farmakokinetični končni cilj (Ctrough trastuzumaba pred odmerkom 8. cikla) in končni cilj, povezan z učinkovitostjo (delež pCR ob definitivni operaciji) (glejte poglavje 5.1 Povzetka glavnih značilnosti zdravila za subkutano obliko zdravila Herceptin).
One 6 mL clear glass type I vial with butyl rubber stopper laminated with a fluoro-resin film containing 5 mL of solution (600 mg of trastuzumab).
Ena 6-ml viala iz prozornega stekla tipa I z butilnim gumijastim zamaškom, laminiranim s fluorirano smolo, ki vsebuje 5 ml raztopine (600 mg trastuzumaba).
These events have occasionally been fatal and may occur as part of an infusion-related reaction or with delayed onset.
Ti učinki se lahko pojavijo kot del infuzijske reakcije ali pa nastopijo kasneje.
The majority of patients experienced resolution of symptoms and subsequently received further infusions of Herceptin.
Pri večini bolnikov so simptomi izzveneli in so z infundiranjem zdravila Herceptin nadaljevali.
In 3 pivotal EBC clinical trials of adjuvant intravenous Herceptin given in combination with chemotherapy, the incidence of grade 3/4 cardiac dysfunction (specifically symptomatic congestive heart failure) was similar in patients who were administered chemotherapy alone (ie did not receive Herceptin) and in patients who were administered Herceptin sequentially after a taxane (0.3-0.4 %).
V treh ključnih kliničnih preskušanjih pri adjuvantnem zdravljenju zgodnjega raka dojk z intravensko obliko zdravila Herceptin v kombinaciji s kemoterapijo je bila incidenca motenj v delovanju srca stopnje 3/4 (še posebno simptomatskega kongestivnega srčnega popuščanja) podobna pri bolnikih, ki so prejeli le kemoterapijo (to je, da niso prejeli zdravila Herceptin), in pri bolnikih, ki so prejeli zdravilo Herceptin zaporedno po taksanu (0,3 do 0,4 %).
Biopsy specimenstaining pattern
Vzorci biopsijevidez preparata po barvanju
L-histidine hydrochloride monohydrate α,α-trehalose dihydrate
L-histidinijev klorid monohidrat α,α-trehaloza dihidrat
confidence interval for the difference in pCR rates was -4.0, establishing the non-inferiority of Herceptin subcutaneous for the co-primary endpoint
Spodnja meja enostranskega 97,5-% intervala zaupanja za razliko v deležu pCR je bila -4,0, kar dokazuje neinferiornost subkutane oblike zdravila Herceptin za soprimarno končno točko.
• Doxorubicin 60mg/m2 and paclitaxel 150 mg/m2, administered 3-weekly for 3 cycles,
· doksorubicin 60 mg/m2 in paklitaksel 150 mg/m2, dana enkrat na tri tedne, 3 cikle; temu je sledil
As a three-weekly regimen the recommended initial loading dose of Herceptin is 8 mg/kg body weight.
Pri 3-tedenskem režimu je priporočen uvajalni odmerek zdravila Herceptin 8 mg/kg telesne mase.
The AUC0-21 days following Cycle 12 dose was approximately 20 % higher with the Herceptin subcutaneous formulation than the Herceptin intravenous dose, with mean AUC values of 2610 µg/mL•day and 2179 µg/mL•day, respectively.
cikla je bila približno 20 % večja pri subkutani obliki zdravila Herceptin v primerjavi z intravensko obliko zdravila Herceptin s povprečnimi vrednostmi AUC 2610 µg/ml•dan za subkutano obliko in 2179 µg/ml•dan za intravensko obliko.
• If you have any further questions, ask your doctor, pharmacist or nurse.
· Če imate dodatna vprašanja, se posvetujte z zdravnikom, farmacevtom ali medicinsko sestro.
Detection of HER2 overexpression or HER2 gene amplification in breast cancer Herceptin should only be used in patients whose tumours have HER2 overexpression or HER2 gene amplification as determined by an accurate and validated assay.
Ugotavljanje čezmernega izražanja HER2 ali amplifikacije gena HER2 pri raku dojk Zdravilo Herceptin se uporablja le pri bolnikih, katerih tumorji čezmerno izražajo HER2 ali imajo amplifikacijo gena HER2, določeno s točno in validirano metodo.
Patients who had previously received anthracycline-based adjuvant chemotherapy were treated with paclitaxel (175 mg/m2 infused over 3 hours) with or without Herceptin.
Bolnike, ki so predhodno prejemali adjuvantno kemoterapijo na osnovi antraciklinov, so zdravili s paklitakselom (175 mg/m2,
Median duration of response (months) (95 %CI)
Mediana časa odgovora (meseci) (95-% IZ)
• Severe dyspnoea at rest due to complications of advanced malignancy or requiring supplementary oxygen therapy.
· Pri bolnikih, ki imajo hudo dispnejo v mirovanju zaradi komplikacij napredovale maligne bolezni, ali pri tistih, ki potrebujejo zdravljenje s kisikom.
NCCTG N9831 at the time of the definitive DFS analysis Parameter
NCCTG N9831 v času končne analize preživetja brez bolezni*
Herceptin IV is provided in sterile, preservative-free, non-pyrogenic, single use vials.
Intravenska oblika zdravila Herceptin je na voljo v sterilnih, apirogenih vialah za enkratno uporabo, ki so brez konzervansa.
Herceptin IV (N = 263)
Povzetek patološkega popolnega odgovora (pCR) Herceptin iv. (n = 263)
p-value versus
p-vrednost v primerjavi z AC
Despite the cross-over to
Kljub prehodu na zdravilo
If LVEF has not improved, or declined further, or symptomatic CHF has developed, discontinuation of Herceptin should be strongly considered, unless the benefits for the individual patient are deemed to outweigh the risks.
Če se LVEF ne izboljša ali pride do nadaljnjega zmanjšanja ali se razvije simptomatsko srčno popuščanje, je potreben resen razmislek o prekinitvi zdravljenja z zdravilom Herceptin, razen če je korist za posameznega bolnika večja od tveganja.
A careful risk-benefit assessment should be made before deciding to treat with Herceptin.
Pred odločitvijo za zdravljenje z zdravilom Herceptin je treba skrbno pretehtati razmerje med koristjo in tveganjem.
The data also suggested that the pharmacokinetics of cisplatin were not affected by concurrent use of capecitabine or by concurrent use of capecitabine plus Herceptin.
Podatki so tudi nakazali, da sočasna uporaba kapecitabina ali sočasna uporaba kapecitabina in zdravila Herceptin na farmakokinetiko cisplatina ni vplivala.
One vial of 5 mL contains 600 mg of trastuzumab.
Ena viala (5 ml) vsebuje 600 mg trastuzumaba.
The pharmacokinetic results for the co primary endpoint, Ctrough pre dose Cycle 8, showed non-inferiority of the Herceptin subcutaneous compared to the Herceptin intravenous dose adjusted by body weight.
najnižjo koncentracijo pred 8. ciklom, so pokazali neinferiornost subkutane oblike zdravila Herceptin v primerjavi z intravensko obliko zdravila Herceptin, prilagojeno glede na telesno maso.
- Study BO16348 was designed to compare one and two years of three-weekly Herceptin treatment versus observation in patients with HER2 positive EBC following surgery, established chemotherapy and radiotherapy (if applicable).
randomiziranih preskušanjih: - Študija BO16348 je bila zasnovana za primerjavo enoletnega in dvoletnega zdravljenja z zdravilom Herceptin (odmerjanjem na 3 tedne) z opazovanjem bolnikov z zgodnjo obliko HER2-pozitivnega raka dojk po operaciji, standardni kemoterapiji in radioterapiji (kar so uporabili).
A vial of Herceptin aseptically reconstituted with sterile water for injections (not supplied) is chemically and physically stable for 48 hours at 2ºC - 8 ºC after reconstitution and must not be frozen.
Po aseptični rekonstituciji vsebine viale zdravila Herceptin s sterilno vodo za injekcije (ni dodana) je pripravljena raztopina kemijsko in fizikalno stabilna 48 ur pri temperaturi 2 °C-8 °C.
Herceptin vial:
Viala zdravila Herceptin:
This can lead to symptoms such as breathlessness (including breathlessness at night), cough, fluid retention (swelling) in the legs or arms, palpitations (heart fluttering or irregular heart beat) (see 2.
To lahko privede do simptomov, kot so težave z dihanjem (vključno s težavami z dihanjem ponoči), kašelj, zadrževanje tekočine (otekanje) v nogah ali rokah, hitro ali močno utripanje srca (trepetanje srca ali nereden srčni utrip) (glejte 2. poglavje, Pregledi srca).
Study BO22227 was designed to demonstrate non-inferiority of treatment with Herceptin subcutaneous formulation versus Herceptin intravenous formulation based on co-primary PK and efficacy endpoints (trastuzumab Ctrough at pre-dose Cycle 8, and pCR rate at definitive surgery, respectively).
Študijo BO22227 so zasnovali, da bi dokazali neinferiornost subkutane oblike zdravila Herceptin v primerjavi z intravensko obliko zdravila Herceptin glede na soprimarni farmakokinetični končni cilj (Ctrough trastuzumaba pred odmerkom 8. cikla) in končni cilj, povezan z učinkovitostjo (delež pCR ob definitivni operaciji).
Herceptin 600 mg solution for injection in vial Trastuzumab
Herceptin 600 mg raztopina za injiciranje v viali trastuzumab
Table 11 Post-Hoc Exploratory Analysis Results from the Joint Analysis NSABP B-31/NCCTG N9831* and BCIRG006 Clinical Studies Combining DFS Events and Symptomatic Cardiac Events
Post-hoc eksplorativna analiza podatkov iz skupne analize kliničnih študij NSABP B31/NCCTG N9831* in BCIRG 006, ki vključujejo dogodke preživetja brez bolezni in simptomatske srčne dogodke.
Median follow-up 8 years**
Dolgoročno spremljanje**
The hypodermic injection needle must be attached to the syringe immediately prior to administration followed by volume adjustment to 5 mL.
Hipodermična injekcijska igla se mora pritrditi injekcijski brizgi tik pred aplikacijo, potem pa je treba prilagoditi volumen na 5 ml. Neuporabljeno zdravilo ali odpadni material zavrzite v skladu z lokalnimi predpisi.
Severe pulmonary events have been reported with the use of Herceptin in the post-marketing setting (see section 4.8).
V obdobju po prihodu zdravila na trg so pri uporabi zdravila Herceptin poročali o hudih pljučnih zapletih (glejte poglavje 4.8).
The efficacy results from study BO18225 are summarized in Table 13: Table 13 Efficacy Results from BO18225
Rezultati učinkovitosti za preskušanje BO18225 so povzeti v preglednici 13.
One 15 mL clear glass type I vial with butyl rubber stopper laminated with a fluoro-resin film containing 150 mg of trastuzumab.
Ena 15 ml viala iz prozornega stekla tipa I z butilnim gumijastim zamaškom, laminiranim s fluorirano smolo, ki vsebuje 150 mg trastuzumaba.
Severe pulmonary adverse reactions occur in association with the use of Herceptin and have been associated with a fatal outcome.
Pljučni zapleti V povezavi z uporabo zdravila Herceptin se pojavljajo hudi pljučni neželeni učinki, ki so bili povezani tudi s smrtnim izidom.
At 8 years, the survival rate was estimated to be 86.9% in the AC→PH arm and 79.4% in the AC→P arm, an absolute benefit of 7.4% (95% CI 4.9%, 10.0%).
in 79,4 % v skupini AC → P, z absolutno koristjo 7,4 % (95-% IZ 4,9 %, 10 %).
If LVEF has not improved, or has declined further, or if symptomatic congestive heart failure (CHF) has developed, discontinuation of Herceptin should be strongly considered, unless the benefits for the individual patient are deemed to outweigh the risks.
Če se LVEF ne izboljša ali pride do nadaljnjega zmanjšanja ali se razvije simptomatsko kongestivno srčno popuščanje, je potreben resen razmislek o prekinitvi zdravljenja z zdravilom Herceptin, razen če je korist za posameznega bolnika večja od tveganja.
Amongst the most serious and/or common adverse reactions reported in Herceptin usage (intravenous and subcutaneous formulations) to date are cardiac dysfunction, infusion-related reactions, haematotoxicity (in particular neutropenia), infections and pulmonary adverse reactions.
Herceptin (intravenske in subkutane oblike), so motnje v delovanju srca, reakcije, povezane z aplikacijo, hematotoksičnost (še posebno nevtropenija), okužbe in pljučni zapleti.
A total of 595 patients with HER2-positive, operable or locally advanced breast cancer (LABC) including inflammatory breast cancer received eight cycles of either Herceptin intravenous formulation or Herceptin subcutaneous formulation concurrently with chemotherapy (4 cycles of docetaxel, 75 mg/m2 intravenous infusion, followed by 4 cycles of FEC ([5-Fluorouracil, 500 mg/m2; epirubicin, 75 mg/m2; cyclophosphamide, 500 mg/m2 each intravenous bolus or infusion]), followed by surgery, and continued therapy with Herceptin intravenous formulation or Herceptin subcutaneous formulation as originally randomized for 10 additional cycles, for a total of one year of treatment.
75 mg/m2 z intravensko infuzijo, sledili so 4 cikli FEC (5-fluorouracil 500 mg/m2, epirubicin 75 mg/m2, ciklofosfamid 500 mg/m2, vsi dani z intravenskim bolusom ali infuzijo), sledila je operacija in nadaljevanje zdravljenja z intravensko obliko zdravila Herceptin ali subkutano obliko zdravila
ADCC has been shown to be preferentially exerted on HER2 overexpressing cancer cells compared with cancer cells that do not overexpress HER2.
V in vitro študijah je do s trastuzumabom posredovane ADCC preferenčno prihajalo na rakastih celicah, ki so čezmerno izražale HER2, v primerjavi s celicami, pri katerih se HER2 ni čezmerno izražal.
Acne
· akne
Due to the significant impact of body weight on trastuzumab clearance and the use of a fixed dose for the subcutaneous administration the difference in exposure between subcutaneous and intravenous administration was dependent on body weight: in patients with a body weight < 51 kg, mean steady state AUC of trastuzumab was about 80% higher after subcutaneous than after intravenous treatment whereas in the highest BW group (> 90 kg) AUC was 20% lower after subcutaneous than after intravenous treatment.
Pri bolnikih s telesno maso < 51 kg je bila povprečna AUC v stanju dinamičnega ravnovesja približno 80 % večja po subkutanem kot po intravenskem zdravljenju, medtem ko je bila v skupini z največjo telesno maso (> 90 kg) AUC 20 %
• throat infections
· okužbe grla
Overall Survival, Median months Progression-Free Survival, Median months
Preživetje brez napredovanja bolezni, mediana (meseci) Čas do napredovanja bolezni, mediana (meseci) Celokupni odgovor na zdravljenje,
The recommended initial loading dose of Herceptin is 4 mg/kg body weight.
Tedenski režim Priporočen uvajalni odmerek zdravila Herceptin je 4 mg/kg telesne mase.
The pharmacokinetics of trastuzumab at a dose of 600 mg administered three-weekly by the subcutaneous route was compared to the intravenous route (8 mg/kg loading dose, 6 mg/kg maintenance every three weeks) in the phase III study BO22227.
Farmakokinetiko trastuzumaba v fiksnem odmerku 600 mg, dajano trikrat na teden subkutano, so primerjali z intravenskim dajanjem (uvajalni odmerek 8 mg/kg, vzdrževalni odmerek 6 mg/kg vsake 3
Other symptoms are: feeling sick (nausea), vomiting, pain, increased muscle tension and shaking, headache, dizziness, breathing difficulties, wheezing, high or low blood pressure, heart rhythm disturbances (palpitations, heart fluttering or irregular heart beat), swelling of the face and lips, rash and feeling tired.
Drugi simptomi so lahko še občutek slabosti (navzea), bruhanje, bolečina, povečana napetost mišic in tresenje, glavobol, omotica, težave z dihanjem, piskanje pri dihanju, visok ali nizek krvni tlak, motnje srčnega ritma (hitro ali močno utripanje srca, trepetanje srca ali nereden srčni utrip), otekanje obraza in ustnic, izpuščaj in občutek utrujenosti.
The difference between formulations was mainly observed during the adjuvant treatment phase (monotherapy) and was mainly due to postoperative wound infections, but also to various other infections such as respiratory tract infections, acute pyelonephritis and sepsis.
Nastala je pretežno zaradi pooperativnih okužb rane in tudi zaradi drugih okužb, kot so okužbe respiratornega trakta, akutni pielonefritis in sepse.
The population predicted PK exposure values (median with 5th - 95th Percentiles) and PK parameter values at clinically relevant concentrations (Cmax and Cmin) for MBC, EBC and AGC patients treated with the approved q1w and q3w dosing regimens are shown in Table 14 (Cycle 1), Table 15 (steadystate), and Table 16 (PK parameters).
percentilom), in vrednosti farmakokinetičnih parametrov pri klinično pomembnih koncentracijah (Cmax in Cmin) za bolnike z MBC, EBC in AGC, zdravljene z odobrenim tedenskim in 3-tedenskim režimom odmerjanja, so prikazane v preglednici 14 (cikel 1), preglednici 15 (stanje dinamičnega ravnovesja) in preglednici 16 (farmakokinetični parametri).
The non-linear elimination parameter values were 8.81 mg/day for the maximum elimination rate (Vmax) and 8.92
Vrednosti parametrov nelinearnega izločanja so bile 8,81 mg/dan za največjo hitrost izločanja (Vmax) in 8,92 µg/ml za Michaelis-Mentenovo konstanto (Km) za bolnike z MBC, EBC in AGC.
Administration-related reactions (ARRs)/hypersensitivity reactions such as chills and/or fever, dyspnoea, hypotension, wheezing, bronchospasm, tachycardia, reduced oxygen saturation, respiratory distress, rash, nausea, vomiting and headache were seen in Herceptin clinical trials (see section 4.4).
Reakcije, povezane z aplikacijo/preobčutljivostne reakcije, kot so mrzlica in/ali zvišana telesna temperatura, dispneja, hipotenzija, piskanje, bronhospazem, tahikardija, zmanjšana nasičenost s kisikom, dihalna stiska, izpuščaj, navzea, bruhanje in glavobol so opazili v kliničnih preskušanjih z zdravilom Herceptin (glejte poglavje 4.4).
Pre-medication may be used to reduce risk of occurrence of ARRs.
Za zmanjšanje tveganja pojava reakcij, povezanih z aplikacijo, lahko uporabimo premedikacijo.
Hazard Ratio versus
Razmerje ogroženosti v primerjavi z
The updated DFS analysis results (stratified HR = 0.61; 95% CI [0.54, 0.69]) showed a similar DFS benefit compared to the definitive primary DFS analysis, despite 24.8% patients in the AC→P arm who crossed over to receive Herceptin.
Posodobljeni rezultati analize preživetja brez bolezni (stratificirano razmerje ogroženosti 0,61; 95-% IZ [0,54; 0,69] so pokazali podobno korist v preživetju brez bolezni v primerjavi s končno primarno analizo preživetja brez bolezni, ne glede na to, da je
As human IgG1 is secreted into human milk, and the potential for harm to the infant is unknown, women should not breast-feed during Herceptin therapy and for 7 months after the last dose.
potencialni škodljivi vpliv na otroka pa ni znan, naj ženske ne dojijo med zdravljenjem z zdravilom Herceptin in še 7 mesecev po zadnjem odmerku.
What Herceptin contains
Kaj vsebuje zdravilo Herceptin
The solution is clear to opalescent and colourless to yellowish.
Raztopina je bistra do motna in brezbarvna do rumenkasta.
Comparison of PK results from two Phase II studies (BO15935 and M77004) and one Phase III study (H0648g) in which patients were treated concomitantly with Herceptin and paclitaxel and two Phase II studies in which Herceptin was administered as monotherapy (W016229 and MO16982), in women with HER2-positive MBC indicates that individual and mean trastuzumab trough serum concentrations varied within and across studies but there was no clear effect of the concomitant administration of paclitaxel on the pharmacokinetics of trastuzumab.
Primerjava farmakokinetičnih rezultatov iz dveh študij faze II (BO15935 in M77004) in ene študije faze III (HO648g), v kateri so bolnike sočasno zdravili z zdravilom Herceptin in paklitakselom, ter dveh študij faze II, v katerih so dajali Herceptin v monoterapiji (WO16229 in MO16982) bolnicam s
Weekly dosing in metatstatic breast cancer The efficacy results from the monotherapy and combination therapy studies are summarised in Table
Tedensko odmerjanje pri metastatskem raku dojk Preglednica 3 navaja rezultate učinkovitosti iz študij monoterapije in kombiniranega zdravljenja.
What Herceptin looks like and contents of the pack Herceptin is a solution for injection that is supplied in a glass vial with a butyl rubber stopper containing 5 mL (600 mg) of trastuzumab.
Zdravilo Herceptin je na voljo v obliki raztopine za injiciranje v stekleni viali z butilnim gumijastim zamaškom, ki vsebuje 5 ml (600 mg) trastuzumaba.
• abnormal or impaired blood clotting
· nenormalno ali okrnjeno strjevanje krvi
- following surgery, chemotherapy (neoadjuvant or adjuvant) and radiotherapy (if applicable) (see section 5.1).
- po operaciji, kemoterapiji (neoadjuvantni ali adjuvantni) in radioterapiji (če je primerno) (glejte poglavje 5.1); - po adjuvantni kemoterapiji z doksorubicinom in ciklofosfamidom, v kombinaciji s paklitakselom ali docetakselom;
With Herceptin subcutaneous formulation, concentrations were approximately at steady-state following Cycle 7 dose (pre-dose Cycle 8) with small increase in concentration (<15%) up to cycle 13.
8. cikla) z majhnim zvišanjem koncentracije (< 15 %) do 13. cikla.