natgillin/translations-raw huggingface dataset:
Efficacy results for OS were consistent regardless of the age of tumour specimen (new vs. archival) based on an intergroup comparison.
Rezultati učinkovitosti za celokupno preživetje so bili na podlagi primerjave med skupinami skladni ne glede na starost tumorskega vzorca (nov ali arhivski).
Eighty-two percent had M1c stage, 73% had at least two and 32% of patients had three or more prior systemic therapies for advanced melanoma.
Dvainosemdeset odstotkov je imelo M1c stadij, 73 % je imelo predhodno vsaj dve in 32 % je imelo predhodno tri ali več sistemskih zdravljenj za napredovali ipilimumab:
For patients with Grade 3 or Grade 4 endocrinopathy that improved to Grade 2 or lower and is controlled with hormone replacement, if indicated, continuation of pembrolizumab may be considered after corticosteroid taper, if needed.
Pri bolnikih z endokrinopatijo 3. ali 4. stopnje, ki se izboljša na 2. ali nižjo stopnjo in se uredi z nadomeščanjem hormonov, se po predhodnem postopnem zmanjševanju odmerka kortikosteroida (če je potrebno) lahko razmisli o nadaljevanju uporabe pembrolizumaba, če je to indicirano.
Based on patients with a best overall response as confirmed complete or partial response Based on Kaplan-Meier estimation
Na podlagi bolnikov z najboljšim celokupnim odgovorom, potrjenim kot popolni ali delni odgovor Na podlagi Kaplan-Meierjeve ocene
Of the 89 patients receiving 2 mg/kg of pembrolizumab who were previously treated with ipilimumab, 53% were male, 33% were ≥ 65 years of age and the median age was 59 years (range 18-88).
Od 89 bolnikov, ki so prejemali 2 mg/kg pembrolizumaba in so bili predhodno zdravljeni z ipilimumabom, je bilo 53 % moških, 33 % starih ≥ 65 let, mediana starost pa je bila 59 let (razpon: 18-88).
Figure 9: Kaplan-Meier Curve for Overall Survival in KEYNOTE-407
Slika 9: Kaplan-Meierjeva krivulja celokupnega preživetja v študiji KEYNOTE-407
Hypothyroidism resolved in 153 (23.7%) patients, 10 with sequelae.
Hipotiroidizem je izzvenel pri 153 bolnikih (23,7 %), pri 10 je pustil posledice.
Assessment of tumour status was performed every 9 weeks.
Stanje tumorja so ocenjevali na 9 tednov.
The median area under the concentration time curve at steady state over 3 weeks (AUC0-3weeks) was 794 mcg∙day/mL at a dose of 2 mg/kg every 3 weeks and 1,053 mcg∙day/mL at a dose of 200 mg every 3 weeks.
Mediana površina pod krivuljo koncentracije po času v stanju dinamičnega ravnovesja v obdobju 3 tednov (AUC0-3tedne) je bila 794 µg∙dan/ml ob odmerku 2 mg/kg na 3 tedne in 1.053 µg∙dan/ml ob odmerku 200 mg na 3 tedne.
* Cetuximab, platinum, and 5-FU
* Cetuksimab, platina in 5-fluorouracil
Uncommon uveitis uveitis
Občasni uveitis uveitis
Since pembrolizumab is cleared from the circulation through catabolism, no metabolic drug-drug interactions are expected.
Pembrolizumab se iz obtoka odstrani s katabolizmom, zato presnovnih medsebojnih delovanj zdravil ni pričakovati.
Eighty-four percent had M1c stage and 8% of patients had a history of brain metastases.
Štiriinosemdeset odstotkov je imelo M1c stadij in 8 % bolnikov je imelo v anamnezi metastaze v možganih.
* Based on the stratified Cox proportional hazard model NR = not reached
* Na podlagi stratificiranega Coxovega modela sorazmernih ogroženosti ND = ni dosežena
Use of pembrolizumab in urothelial cancer for patients who are considered ineligible for cisplatincontaining chemotherapy and whose tumours express PD-L1 with CPS ≥ 10
Uporaba pembrolizumaba pri bolnikih z urotelijskim rakom, ki niso primerni za zdravljenje s kemoterapijo, ki vsebuje cisplatin, in pri katerih tumorji izražajo PD-L1 s CPS ≥ 10
The median follow-up time was 10.5 months (range: 0.2 to 20.4 months).
Mediani čas spremljanja je znašal 10,5 meseca (razpon: 0,2 do 20,4 meseca).
The study excluded patients with nasopharyngeal carcinoma, active autoimmune disease that required systemic therapy within 2 years of treatment, a medical condition that required immunosuppression, or who were previously treated with 3 or more systemic regimens for recurrent and/or metastatic HNSCC.
Študija ni vključevala bolnikov z rakom nazofarinksa, aktivno avtoimunsko boleznijo, ki je v zadnjih 2 letih zahtevala sistemsko zdravljenje, bolnikov z zdravstvenim stanjem, ki je zahtevalo imunosupresivno zdravljenje, in bolnikov, ki so se predhodno zdravili s 3 ali več režimi sistemskega zdravljenja ponovljenega in/ali metastatskega HNSCC.
Pembrolizumab should be withheld for Grade ≥ 3 until recovery to Grade ≤ 1 hyperthyroidism.
Uporabo pembrolizumaba je treba v primeru hipertiroidizma ≥ 3. stopnje zadržati, dokler se ne izboljša na ≤ 1. stopnjo.
Table 20: OS by PD-L1 Expression
Preglednica 20: OS glede na izraženost PD-L1
• Withdraw the required volume up to 2 mL (50 mg) of KEYTRUDA and transfer into an intravenous bag containing sodium chloride 9 mg/mL (0.9%) or glucose 50 mg/mL (5%) to prepare a diluted solution with a final concentration ranging from 1 to 10 mg/mL.
• Potrebno količino do 2 ml (50 mg) zdravila KEYTRUDA povlecite iz viale in jo prenesite v intravensko vrečko, ki vsebuje natrijev klorid 9 mg/ml (0,9 %) ali glukozo 50 mg/ml (5 %), da pripravite razredčeno raztopino s končno koncentracijo od 1 do 10 mg/ml.
Common thrombocytopaenia, lymphopaenia febrile neutropaenia, leukopaenia, lymphopaenia anaemia, neutropaenia, leukopaenia, thrombocytopaenia
Pogosti trombocitopenija, limfopenija febrilna nevtropenija, levkopenija, limfopenija anemija, nevtropenija, levkopenija, trombocitopenija
The benefit of treatment with pembrolizumab versus the risk of possible organ rejection should be considered in these patients.
Pri teh bolnikih je treba pretehtati korist zdravljenja s pembrolizumabom in tveganje za morebitno zavrnitev organa.
KEYTRUDA, in combination with axitinib, is indicated for the first-line treatment of advanced renal cell carcinoma (RCC) in adults (see section 5.1).
Zdravilo KEYTRUDA je v kombinaciji z aksitinibom indicirano za prvo linijo zdravljenja napredovalega raka ledvičnih celic (RCC - renal cell carcinoma) pri odraslih (glejte poglavje 5.1).
Urothelial Carcinoma
Urotelijski rak
Uncommon hepatitis hepatitis
Občasni hepatitis hepatitis
powder for concentrate for solution for infusion 1 vial
prašek za koncentrat za raztopino za infundiranje 1 viala
Boehringer Ingelheim (BIB) Pharma GmbH & Co. KG Birkendorfer Straße 65 88397 Biberach an der Riss Germany
KG Birkendorfer Straße 65 88397 Biberach an der Riss Nemčija
Patients on chemotherapy who experienced independently verified progression of disease after the first scheduled disease assessment were able to crossover and receive 2 mg/kg or 10 mg/kg of pembrolizumab every 3 weeks in a double-blind fashion.
Bolniki na kemoterapiji, pri katerih je po prvi predvideni oceni bolezni po 12 tednih zdravljenja prišlo do napredovanja bolezni, ki je bilo neodvisno potrjeno, so lahko prešli na dvojno slepo prejemanje 2 mg/kg ali 10 mg/kg pembrolizumaba na 3 tedne.
Vascular disorders Very common hypertension
Žilne bolezni Zelo pogosti hipertenzija
erythema, dry skin severe skin reactions s, dermatitis acneiform, dermatitis, dry skin, alopecia, eczema, erythema
eritem, suha koža hude kožne reakcije s, akneiformni dermatitis, dermatitis, suha koža, alopecija, ekcem, eritem
- Do not breast-feed while taking KEYTRUDA.
- Med uporabo zdravila KEYTRUDA ne dojite.
Uncommon lichenoid keratosis u, psoriasis, dermatitis, papule, hair colour changes psoriasis, dermatitis acneiform, dermatitis, vitiligo t, eczema hair colour changes, lichenoid keratosis, papule, psoriasis, vitiligo
Občasni lihenoidna keratoza u, psoriaza, dermatitis, papule, spremembe barve las/dlak psoriaza, akneiformni dermatitis, dermatitis, vitiligo t, ekcem spremembe barve las/dlak, lihenoidna keratoza, papule, psoriaza, vitiligo
Clear to slightly opalescent, colourless to slightly yellow solution, pH 5.2 - 5.8.
koncentrat za raztopino za infundiranje bistra do nekoliko opalescentna, brezbarvna do rahlo rumenkasta raztopina, pH 5,2-5,8
Both pembrolizumab arms were superior to chemotherapy for PFS, and there was no difference between pembrolizumab doses.
Glede na PFS je bil pembrolizumab v obeh skupinah učinkovitejši kot kemoterapija, pri čemer ni bilo razlik med posameznimi odmerki pembrolizumaba.
Patients received pembrolizumab at a dose of 200 mg every 3 weeks until unacceptable toxicity or disease progression.
Bolnike so s pembrolizumabom v odmerku 200 mg na 3 tedne zdravili do nesprejemljivih toksičnih učinkov ali napredovanja bolezni.
Based on the stratified Cox proportional hazard model Based on stratified log-rank test Assessed by BICR using RECIST 1.1 Based on patients with a best overall response as confirmed complete or partial response Based on Miettinen and Nurminen method stratified by IMDC risk group and geographic region Based on Kaplan-Meier estimation NA = not available
Ocenjeno s slepim neodvisnim centralnim pregledom (BICR) na podlagi meril RECIST 1.1 Na podlagi bolnikov z najboljšim celokupnim odgovorom, potrjenim kot popolni ali delni odgovor Na podlagi metode Miettinena in Nurminena, stratificirano po kategoriji tveganja IMDC in geografskem področju
KEYTRUDA, in combination with pemetrexed and platinum chemotherapy, is indicated for the firstline treatment of metastatic non-squamous NSCLC in adults whose tumours have no EGFR or ALK positive mutations.
Zdravilo KEYTRUDA je v kombinaciji s pemetreksedom in kemoterapijo na osnovi platine indicirano za prvo linijo zdravljenja metastatskega neploščatoceličnega NSCLC pri odraslih, pri katerih tumorji nimajo pozitivnih mutacij EGFR ali ALK.
In patients with NSCLC whose tumours have high PD-L1 expression, the risk of adverse reactions with combination therapy relative to pembrolizumab monotherapy should be considered and the benefit/risk ratio of the combined therapy evaluated on an individual basis (see sections 4.1, 4.4, 4.8 and 5.1).
Pri bolnikih z NSCLC, ki imajo tumorje z visoko izraženostjo PD-L1, je treba tveganje za pojav neželenih učinkov pri kombiniranem zdravljenju presojati v primerjavi s tveganjem za pojav neželenih učinkov pri samostojnem zdravljenju s pembrolizumabom in ovrednotiti razmerje med možno koristjo in tveganjem kombiniranega zdravljenja pri vsakem bolniku posebej (glejte poglavja 4.1, 4.4, 4.8 in 5.1).
How you are given KEYTRUDA
Kako boste prejeli zdravilo KEYTRUDA
Pembrolizumab n=257
opazovani dogodek pembrolizumab n = 257
KEYTRUDA as monotherapy is indicated for the treatment of adult patients with relapsed or refractory classical Hodgkin lymphoma (cHL) who have failed autologous stem cell transplant (ASCT) and brentuximab vedotin (BV), or who are transplant-ineligible and have failed BV.
Zdravilo KEYTRUDA je kot samostojno zdravljenje indicirano za zdravljenje odraslih bolnikov s ponovljenim ali neodzivnim klasičnim Hodgkinovim limfomom (cHL - classical Hodgkin lymphoma), pri katerih avtologna presaditev matičnih celic (ASCT - autologous stem cell transplant) in zdravljenje z brentuksimabom vedotinom (BV) nista bila uspešna, in odraslih bolnikov, ki za presaditev niso primerni, zdravljenje z BV pa pri njih ni bilo uspešno.
Eighty-one percent were refractory to at least one prior therapy, including 35% who were refractory to first line therapy.
Enainosemdeset odstotkov jih je bilo neodzivnih na vsaj eno predhodno zdravljenje, vključno s 35 %, ki so bili neodzivni na zdravljenje prve linije.
Standard Treatment* n=110
standardno zdravljenje* n = 110
Patients should be monitored for signs and symptoms of colitis, and other causes excluded.
Bolnike je treba spremljati glede znakov in simptomov kolitisa in izključiti druge vzroke.
For liver enzyme elevations, in patients with RCC being treated with KEYTRUDA in combination with axitinib:
V primeru zvišanja jetrnih encimov pri bolnikih z rakom ledvičnih celic, zdravljenih z zdravilom KEYTRUDA v kombinaciji z aksitinibom:
The pharmacokinetics of pembrolizumab was studied in 2,993 patients with metastatic or unresectable melanoma, NSCLC, or carcinoma who received doses in the range of 1 to 10 mg/kg every 2 weeks, 2 to 10 mg/kg every 3 weeks, or 200 mg every 3 weeks.
Farmakokinetiko pembrolizumaba so raziskali pri 2.993 bolnikih z metastatskim ali neoperabilnim melanomom, NSCLC ali karcinomom, ki so prejemali odmerke v razponu od 1 do 10 mg/kg na 2 tedna, od 2 do 10 mg/kg na 3 tedne ali 200 mg na 3 tedne.
The 18-month OS rate was 81.0% (95% CI 76.7, 84.6) for pembrolizumab in combination with axitinib and 70.7% (95% CI 65.8, 75.1) for sunitinib.
Delež OS po 18 mesecih je bil 81,0 % (95 % IZ 76,7; 84,6) za pembrolizumab v kombinaciji z aksitinibom in 70,7 % (95 % IZ 65,8; 75,1) za sunitinib.
Data about efficacy and safety of pembrolizumab in combination with platinum chemotherapy are limited in this patient population.
Pri tej populaciji bolnikov je na voljo malo podatkov o učinkovitosti in varnosti pembrolizumaba v kombinaciji s kemoterapijo na osnovi platine.
Based on patients with a best overall response as confirmed complete or partial response
Na podlagi bolnikov z najboljšim celokupnim odgovorom, potrjenim kot popolni ali delni odgovor
Among the 882 patients in KEYNOTE-048, 754 (85%) had tumours that expressed PD-L1 with a CPS ≥ 1 based on the PD-L1 IHC 22C3 pharmDx
Pri 882 bolnikih v študiji KEYNOTE-048 je 754 bolnikov (85 %) imelo tumorje z izraženostjo PD-L1 s CPS ≥ 1 na podlagi testa PD-L1, opravljenega z IHC 22C3 pharmDx
Chemotherapy (n=42)
kemoterapija (n = 42)
In subgroup analyses, a reduced survival benefit of pembrolizumab compared to docetaxel was observed for patients who were never-smokers or patients with tumours harbouring EGFR activating mutations who received at least platinum-based chemotherapy and a tyrosine kinase inhibitor; however, due to the small numbers of patients, no definitive conclusions can be drawn from these data.
Pri analizah podskupin bolnikov so opazili zmanjšano korist pembrolizumaba za preživetje v primerjavi z docetakselom pri bolnikih, ki niso nikoli kadili ali pri bolnikih s tumorji z EGFR aktivirajočimi mutacijami, ki so prejeli vsaj kemoterapijo na osnovi platine in zaviralec tirozinske kinaze.
Allogeneic HSCT prior to treatment with pembrolizumab In patients with a history of allogeneic HSCT, acute GVHD, including fatal GVHD, has been reported after treatment with pembrolizumab.
Alogenska HSCT pred zdravljenjem s pembrolizumabom Pri bolnikih z alogensko HSCT v anamnezi so po zdravljenju s pembrolizumabom poročali o akutni GVHD, vključno s smrtno GVHD.
PD L1 negative
PD L1 negativni
Incidences of Grades 3-5 adverse reactions in patients with NSCLC were 67% for pembrolizumab combination therapy and 66% for chemotherapy alone and in patients with HNSCC were 85% for pembrolizumab combination therapy and 84% for chemotherapy plus cetuximab.
Pri kombiniranem zdravljenju s pembrolizumabom je pri bolnikih z NSCLC pojavnost neželenih učinkov 3. do 5. stopnje znašala 67 %, pri zdravljenju samo s kemoterapijo pa 66 %, pri kombiniranem zdravljenju s pembrolizumabom pri bolnikih s HNSCC 85 % in pri zdravljenju s kemoterapijo v kombinaciji s cetuksimabom 84 %.
For the IMDC risk category, the OS hazard ratio for the favourable risk group was 0.94 (95% CI 0.43, 2.07), for the intermediate risk group the OS hazard ratio was 0.52 (95% CI 0.36, 0.75), and for the poor risk group the OS hazard ratio was 0.50 (95% CI 0.29, 0.87).
Glede na kategorije tveganja IMDC je bilo razmerje ogroženosti za celokupno preživetje za kategorijo ugodna 0,94 (95 % IZ 0,43; 2,07), za kategorijo tveganja srednja 0,52 (95 % IZ 0,36; 0,75) in za kategorijo tveganja slaba 0,50 (95 % IZ 0,29; 0,87).
A subgroup analysis was performed as part of the final analysis of KEYNOTE-002 in patients who were BRAF wild type (n=414; 77%) or BRAF mutant with prior BRAF treatment (n=126; 23%) as summarised in Table 6.
V okviru končne analize v študiji KEYNOTE-002 je bila opravljena analiza podskupin bolnikov z divjim tipom BRAF (n = 414; 77 %) ali mutacijo BRAF s predhodnim zdravljenjem BRAF (n = 126; 23 %), kot je povzeto v preglednici 6.
The 12-month OS rate was 89.5% (95% CI 86.2, 92.1) for pembrolizumab in combination with axitinib and 78.8% (95% CI 74.7, 82.4) for sunitinib.
Delež OS po 12 mesecih je bil 89,5 % (95 % IZ 86,2; 92,1) za pembrolizumab v kombinaciji z aksitinibom in 78,8 % (95 % IZ 74,7; 82,4) za sunitinib.
Patients who received prior therapy for melanoma other than surgery or interferon for thick primary melanomas without evidence of lymph node involvement were ineligible.
V preskušanje tudi niso bili vključeni bolniki, ki so se predhodno zaradi melanoma zdravili ne kirurško ali z interferonom zaradi debelega primarnega melanoma brez dokazov prizadetosti bezgavk.
If SJS or TEN is confirmed, pembrolizumab should be permanently discontinued (see section 4.2).
V primeru potrditve SJS ali TEN je treba pembrolizumab trajno ukiniti (glejte poglavje 4.2).
Chemotherapy n=151
kemoterapija n = 151
The median time to onset of severe skin reactions was 3.3 months (range 3 days to 19.4 months).
Mediani čas do pojava hudih kožnih reakcij je bil 3,3 meseca (v razponu od 3 dni do 19,4 meseca).
Number at Risk Pembrolizumab:
število izpostavljenih tveganju pembrolizumab:
OS and PFS benefits were observed regardless of PD-L1 expression level.
Koristi za celokupno preživetje (OS) in preživetje brez napredovanja bolezni (PFS) so bile opazne ne glede na raven izraženosti PD-L1.
4 mL of concentrate in a 10 mL Type I clear glass vial, with a coated grey chlorobutyl stopper and an aluminium seal with a dark blue coloured flip-off cap, containing 100 mg pembrolizumab.
4 ml koncentrata v 10 ml viali iz prozornega stekla tipa I s sivim zamaškom, obloženim s klorobutilno gumo in aluminijasto zaporko s temno modrim snemnim pokrovčkom.
Sixteen percent had stage IIIA; 46% had stage IIIB; 18% had stage IIIC (1-3 positive lymph nodes) and 20% had stage IIIC (≥ 4 positive lymph nodes); 50% were BRAF V600 mutation positive and 44% were BRAF wild-type.
Šestnajst odstotkov bolnikov je imelo bolezen v stadiju IIIA, 46 % bolnikov v stadiju IIIB, 18 % bolnikov v stadiju IIIC (1-3 pozitivne bezgavke) in 20 % bolnikov v stadiju IIIC (≥ 4 pozitivne bezgavke), 50 % bolnikov je imelo pozitivno mutacijo BRAF V600, 44 % bolnikov pa je imelo divji tip BRAF.
Use of pembrolizumab in combination with axitinib for first-line treatment of patients with RCC
Uporaba pembrolizumaba v kombinaciji z aksitinibom za prvo linijo zdravljenja bolnikov z rakom ledvičnih celic
Patients with active autoimmune disease or a medical condition that required immunosuppression or mucosal or ocular melanoma were ineligible.
Bolniki z aktivno avtoimunsko boleznijo ali zdravstvenim stanjem, ki je zahtevalo imunosupresivno zdravljenje, in bolniki s sluzničnim ali očesnim melanomom niso bili primerni za vključitev v preskušanje.
Severe skin reactions resolved in 64 patients.
Izzvenele so pri 64 bolnikih.
Reconstituted KEYTRUDA is a clear to slightly opalescent, colourless to slightly yellow solution.
Pripravljeno zdravilo KEYTRUDA je bistra ali nekoliko opalescentna, brezbarvna do rahlo rumenkasta raztopina.
Chemotherapy n=272
kemoterapija n = 272
• The Patient Alert Card
• opozorilno kartico za bolnika.
KEYTRUDA, as monotherapy or in combination with platinum and 5-fluorouracil (5-FU) chemotherapy, is indicated for the first-line treatment of metastatic or unresectable recurrent head and neck squamous cell carcinoma (HNSCC) in adults whose tumours express PD-L1 with a CPS ≥ 1 (see section 5.1).
Zdravilo KEYTRUDA je kot samostojno zdravljenje ali v kombinaciji s kemoterapijo s platino in 5-fluorouracilom (5-FU) indicirano za prvo linijo zdravljenja metastatskega ali neoperabilnega ponovljenega ploščatoceličnega raka glave in vratu (HNSCC - head and neck squamous cell carcinoma) pri odraslih, ki imajo tumorje z izraženostjo PD-L1 s CPS ≥ 1 (glejte poglavje 5.1).
Grades 3 or 4, or recurrent Grade 2 Permanently discontinue
3. ali 4. stopnja ali ponovni pnevmonitis 2. stopnje trajno ukinite kolitis
* Based on the stratified Cox proportional hazard model Based on stratified Log rank test Based on method by Miettinen and Nurminen Based on Kaplan-Meier estimation NA = not available
* Na podlagi stratificiranega Coxovega modela sorazmernih ogroženosti Na podlagi stratificiranega log-rank testa Na podlagi Miettinenove in Nurminenove metode Na podlagi Kaplan-Meierjevih ocen
The median duration was not reached (range 2 days to 32.6+ months).
Njegovo mediano trajanje ni bilo doseženo (v razponu od 2 dni do 32,6+ meseca).
Progression-Free Survival (%)
preživetje brez napredovanja bolezni (PFS) (%)
Secondary outcome measures were ORR (as assessed by BICR using RECIST v1.1) and duration of response.
Sekundarni merili izida učinkovitosti sta bili ORR (po oceni BICR na podlagi meril RECIST v1.1) in trajanje odgovora.
Of the 51 patients receiving 2 mg/kg of pembrolizumab who were naïve to treatment with ipilimumab, 63% were male, 35% were ≥ 65 years of age and the median age was 60 years (range 35-80).
Od 51 bolnikov, ki so prejemali 2 mg/kg pembrolizumaba in predhodno niso bili zdravljeni z ipilimumabom, je bilo 63 % moških, 35 % starih ≥ 65 let, mediana starost pa je bila 60 let (razpon: 35-80).
Patients were randomised (1:1:1) to receive pembrolizumab at a dose of 2 (n=180) or 10 mg/kg (n=181) every 3 weeks or chemotherapy (n=179; including dacarbazine, temozolomide, carboplatin, paclitaxel, or carboplatin+paclitaxel).
Bolnike so randomizirali (v razmerju 1:1:1) na zdravljenje s pembrolizumabom v odmerku 2 (n = 180) ali 10 mg/kg (n = 181) na 3 tedne ali na kemoterapijo (n = 179, vključno z dakarbazinom, temozolomidom, karboplatinom, paklitakselom ali kombinacijo karboplatin + paklitaksel).
Patients should be treated with KEYTRUDA until disease progression or unacceptable toxicity.
Bolnike je treba z zdravilom KEYTRUDA zdraviti do napredovanja bolezni ali nesprejemljivih toksičnih učinkov.
It is recommended to continue treatment for clinically stable patients with initial evidence of disease progression until disease progression is confirmed.
Pri klinično stabilnih bolnikih z začetnimi znaki napredovanja bolezni je zdravljenje priporočljivo nadaljevati, dokler napredovanje bolezni ni potrjeno.
Severe endocrinopathies, including adrenal insufficiency, hypophysitis, type 1 diabetes mellitus, diabetic ketoacidosis, hypothyroidism, and hyperthyroidism have been observed with pembrolizumab treatment.
Med zdravljenjem s pembrolizumabom so poročali o hudih endokrinopatijah, vključno z adrenalno insuficienco, hipofizitisom, sladkorno boleznijo tipa 1, diabetično ketoacidozo, hipotiroidizmom in hipertiroidizmom.
The study excluded patients with autoimmune disease or those receiving immunosuppression; further exclusion criteria were a history of severe or life-threatening immunerelated adverse reactions from treatment with ipilimumab, defined as any Grade 4 toxicity or Grade 3 toxicity requiring corticosteroid treatment (> 10 mg/day prednisone or equivalent dose) for greater than 12 weeks; ongoing adverse reactions ≥ Grade 2 from previous treatment with ipilimumab; previous severe hypersensitivity to other monoclonal antibodies; a history of pneumonitis or interstitial lung disease; HIV, hepatitis B or hepatitis C infection and ECOG Performance Status ≥ 2.
V študijo niso bili vključeni bolniki z avtoimunskimi boleznimi in bolniki, ki so prejemali imunosupresivno zdravljenje; dodatna merila za nevključitev so bila anamneza hudih ali življenjsko nevarnih imunsko pogojenih neželenih učinkov zaradi zdravljenja z ipilimumabom, kar je bilo opredeljeno kot kateri koli toksični učinek 4. stopnje ali toksični učinek 3. stopnje, ki je zahteval več kot 12 tedensko zdravljenje s kortikosteroidi (> 10 mg/dan prednizona ali ekvivalenta); še trajajoč neželen učinek ≥ 2. stopnje od predhodnega zdravljenja z ipilimumabom; predhodna huda preobčutljivost za druga monoklonska protitelesa; anamneza pnevmonitisa ali intersticijske bolezni pljuč; okužba s HIV, hepatitisom B ali hepatitisom C in ocena zmogljivosti ≥ 2 po ECOG lestvici.