natgillin/translations-raw huggingface dataset:
The withdrawal period was determined in animals with a mean weight of 37.2 kg (range of 32 to 42.8 kg) treated according to the recommended posology at the longest duration of treatment.
Karenca je bila določena pri živalih s povprečno maso 37,2 kg (razpon od 32 do 42,8 kg), zdravljenih v najdaljšem času trajanja zdravljenja v skladu s priporočenim odmerjanjem.
The withdrawal period should be based on robust and complete data (animal phase and validation of the analytical method) in accordance with the guidelines in force.
Podlaga za karenco morajo biti realni in popolni podatki (faza preskušanja na živalih in potrditev analitične metode) v skladu z veljavnimi smernicami.
In order to justify efficacy of the product, susceptibility data were provided for E. coli and A. pleuropneumoniae and a pharmacokinetics/pharmacodynamics (PK/PD) analysis was performed.
Za utemeljevanje učinkovitosti zdravila so bili predloženi podatki o dovzetnosti za bakterije E. coli in A. pleuropneumoniae, izvedena pa je bila tudi farmakokinetična/farmakodinamična (PK/PD) analiza.
In conclusion, the CVMP considered that the efficacy of these veterinary medicinal products was not supported for any indication and posology.
Odbor CVMP je tako menil, da učinkovitost teh zdravil za uporabo v veterinarski medicini ni bila podprta za nobeno indikacijo in nobeno odmerjanje.
Paromomycin belongs to the group of aminoglycoside antibiotics.
Paromomicin spada v skupino aminoglikozidnih antibiotikov.
The most relevant tissues for the presence of paromomycin residue were muscle at the injection site and kidney.
Tkiva, ki so bila najbolj relevantna za prisotnost paromomicina, so bile mišice na mestu injiciranja in ledvice.
An application was submitted under Article 13(1) of Directive 2001/82/EC, i.e. a generic application for a marketing authorisation under the decentralised procedure for the veterinary medicinal product ‘Parofor 175 mg/ml solution for injection', with Belgium as Reference Member State (BE/V/0027/003/DC).
V skladu s členom 13(1) Direktive 2001/82/ES je bila predložena vloga, tj. generična vloga za izdajo dovoljenja za promet z zdravilom v skladu z decentraliziranim postopkom za zdravilo za uporabo v veterinarski medicini „Parofor 175 mg/ml raztopina za injiciranje“, z Belgijo kot referenčno državo članico (BE/V/0027/003/DC).
Moreover, this model holds true only for target strains in plasma or tissue sites with equivalent paromomycin distribution, no predictability can be expected against the pathogen located in other tissues.
Poleg tega ta model velja samo za ciljne seve v mestih v plazmi ali tkivu z enako distribucijo paromomicina; ni mogoče pričakovati kakršne koli predvidljivosti proti patogenu v drugih tkivih.
Moreover, the product was well tolerated.
Poleg tega je bilo prenašanje zdravila dobro.
Both the animal and analytical phases of the study were in compliance with GLP requirements and European guidelines.
Faza preskušanja na živalih in analitična faza sta bili skladni z zahtevami dobre laboratorijske prakse in evropskimi smernicami.
Belgium therefore considered that it is necessary to refer the matter to the CVMP in the interests of animal health and protecting consumer safety in the Union.
Belgija je zato menila, da je treba v interesu zdravja živali in zaščite varnosti potrošnikov v Uniji zadevo predložiti Odboru za zdravila za uporabo v veterinarski medicini (odboru CVMP).
Finally the PK/PD model does not allow justifying the duration of treatment.
Prav tako z modelom PK/PD ni mogoče utemeljiti trajanja zdravljenja.
Therefore, the indication against colibacillosis based on an overestimated success from a theoretical modelling, against E. coli strictly located in plasma, for an unjustified duration of treatment and not confirmed by clinical data, is not acceptable.
Zato indikacija delovanja proti kolibacilozi na podlagi precenjenega uspeha delovanja, izpeljanega iz teoretičnega modeliranja, proti bakteriji E. coli, striktno locirani samo v plazmi, z neutemeljenim trajanjem zdravljenja in nepotrjena s kliničnimi podatki ni sprejemljiva.
The veterinary medicinal products involved in this referral contain 250 mg/ml paromomycin sulfate as active substance (equivalent to 175 mg/ml paromomycin base or to a paromomycin activity of 175,000 IU/ml).
Zdravila za uporabo v veterinarski medicini, vključena v to napotitev, kot učinkovino vsebujejo 250 mg/ml paromomicin sulfata (enakovredno 175 mg/ml paromomicinove baze ali aktivnosti paromomicina 175 000 IU/ml).
The marketing authorisation holder also considered that the veterinary medicinal product could be used to treat Mastitis-Metritis-Agalactia (MMA) syndrome associated with E. coli, but acknowledged that further data are needed to assess the correct dose regimen in adult animals.
Imetnik dovoljenja za promet z zdravilom je menil, da je mogoče zdravilo za uporabo v veterinarski medicini uporabljati za zdravljenje sindroma MMA (mastitis-metritis-agalaktija), povezanega z bakterijo E. coli, vendar je priznal, da so za oceno pravilnega režima odmerjanja pri odraslih živalih potrebni dodatni podatki.
• To provide a benefit-risk assessment outlining that the clinical benefits of these veterinary medicinal products outweigh potential risks relating to animal health and the development of resistance, and (if applicable) environmental and user risks.
• Predložiti oceno razmerja med tveganji in koristmi, v kateri bo opisano, da klinične koristi teh zdravil za uporabo v veterinarski medicini odtehtajo morebitna tveganja, povezana z zdravjem živali in razvojem odpornosti, ter (če bo smiselno) tveganja za okolje in uporabnika.
The mechanism of action of paromomycin has been well described as well as the mechanisms of antimicrobial resistance to paromomycin.
Mehanizem delovanja paromomicina in mehanizmi protimikrobne odpornosti proti paromomicinu so dobro opisani.
However, a number of deficiencies in the study were noted related to the storage of the samples, the stability of the residues in storage conditions, the wide range of recovery in muscle and the absence of a ring-shaped control surrounding the excised injection site core sample.
Vendar je bilo v študiji opaženih več pomanjkljivosti, povezanih s shranjevanjem vzorcev, stabilnostjo ostankov v pogojih shranjevanja, širokim razponom obnovitve v mišici in odsotnosti obročastega kontrolnega vzorca, ki obkroža izrezani vzorec jedra na mestu injiciranja.
Considering that colibacillosis is a disease complex (including neonatal diarrhoea, post-weaning diarrhoea, oedema disease, septicemia, polyserositis, coliform mastitis, and urinary tract infection) and is caused by different types of Escherichia coli (enteropathogenic E. coli, Shiga-toxin producing E. coli, enterotoxigenic E. coli, etc.), the marketing authorisation holders should define the clinical indication(s) as precisely as possible by including also the sub-category (age and production type) of the target animals.
Ker je kolibaciloza kompleks bolezni (vključno z neonatalno drisko, drisko po odstavljanju, edemsko boleznijo, septikemijo, poliserozitisom, koliformnim mastitisom in okužbo urinarnega trakta) in ker jo povzročajo različne vrste bakterij Escherichia coli (enteropatogena E. coli, toksin Šiga, ki proizvaja bakterijo E. coli, enterotoksigena E. coli itd.), morajo imetniki dovoljenj za promet čim natančneje določiti klinične indikacije, tudi z vključitvijo podkategorije (starost in vrsta proizvodnje) ciljnih živali.
However, the deficiencies noted in the study (absence of data on storage stability, the wide recovery rates in muscle samples and the absence of ring sample in the sampling of the injection site) cannot be covered by any safety span.
Vendar pomanjkljivosti, opaženih v študiji (odsotnost podatkov o stabilnosti shranjevanja, širok razpon hitrosti obnavljanja v vzorcih mišic in odsotnost obročastega vzorca pri vzorčenju mesta injiciranja), ni mogoče zajeti z nobeno varnostno rezervo.
Regarding A. pleuropneumoniae, the PK/PD analysis based on the inhibitory quotient (Cmax/MIC >8 to 10) shows that only 10% of the target bacterial population would be sensitive to paromomycin administered at the recommended posology.
V zvezi z bakterijo A. pleuropneumoniae analiza PK/PD na podlagi inhibicijskega koeficienta (Cmax/MIC > 8 do 10) kaže, da bi bilo za paromomicin, ki bi se dajal v priporočenem odmerku, občutljivih le 10 % ciljne populacije bakterij.
For antimicrobials like paromomycin, whose efficacy is concentration-dependent, high plasma concentration levels relative to the MIC of the pathogen (Cmax/MIC ratio, also known as the inhibitory quotient or IQ) are a major determinant of clinical efficacy; a Cmax/MIC ratio > 8-10 is suggested to achieve optimal efficacy.
Pri protimikrobnih zdravilih, kot je paromomicin, katerega učinkovitost je odvisna od koncentracije, so glavna determinanta klinične učinkovitosti visoke ravni koncentracije plazme glede na MIC patogena (razmerje Cmax/MIC, znano tudi kot inhibicijski kvocient ali IQ); kaže, da je za doseganje optimalne učinkovitosti potrebno razmerje Cmax/MIC > 8-10.
Paromomycin has broad spectrum activity against numerous Gram-positive and Gram-negative bacteria and acts in a concentrationdependent manner.
Paromomicin deluje širokospektralno proti številnim grampozitivnim in gramnegativnim bakterijam, njegov način delovanja pa je odvisen od koncentracije.
Samples of the target tissues were analysed by HPLC method coupled with MS/MS detection.
Vzorci ciljnih tkiv so bili analizirani z metodo HPLC, ki ji je bilo dodano zaznavanje MS/MS.
Due to the deficiencies noted in the study, a withdrawal period cannot be covered by any safety margin.
Zaradi pomanjkljivosti, opaženih v študiji, karence ni mogoče zajeti z nobeno varnostno rezervo.
• To provide adequate clinical data in support of an indication against colibacillosis at the recommended dose and duration of treatment.
• Zagotoviti ustrezne klinične podatke v podporo indikaciji za uporabo proti kolibacilozi v priporočenem odmerku in s priporočenim trajanjem zdravljenja.
• the CVMP concluded that the benefit-risk assessment for veterinary medicinal products containing paromomycin to be administered parenterally to pigs is negative because there were inadequate data to support efficacy of these veterinary medicinal products for the proposed indications at the recommended treatment dose and that this deficiency poses a risk of ineffective treatment and antimicrobial resistance development; the CVMP has recommended the suspension of the marketing authorisations for veterinary medicinal products containing paromomycin to be administered parenterally to pigs as referred in Annex I. The conditions to lift the suspension of the marketing authorisations are set out in Annex III.
• odbor CVMP je zaključil, da je ocena razmerja med tveganji in koristmi pri zdravilih za uporabo v veterinarski medicini, ki vsebujejo paromomicin za parenteralno dajanje prašičem, negativna, ker za predlagane indikacije v priporočenem odmerku za zdravljenje ni bilo ustreznih podatkov v podporo učinkovitosti teh zdravil za uporabo v veterinarski medicini, ter da to pomanjkanje predstavlja tveganje za neučinkovito zdravljenje in razvoj protimikrobne odpornosti; je odbor CVMP priporočil umik dovoljenj za promet z zdravili za uporabo v veterinarski medicini, ki vsebujejo paromomicin za parenteralno dajanje prašičem iz Priloge I. Pogoji za preklic začasnega umika dovoljenj za promet z zdravilom so določeni v Prilogi III.
A pharmacokinetic study was carried out in target animals at the recommended dose (14 mg/kg bodyweight of paromomycin).
Pri ciljnih živalih je bila izvedena farmakokinetična študija v priporočenem odmerku (14 mg paromomicina/kg telesne mase).
Scientific conclusions and grounds for suspension of the marketing authorisations
Znanstveni zaključki in podlaga za začasni umik dovoljenj za promet z zdravilom
The currently authorised indications are unspecific and no specific pathogens are mentioned, i.e. for the treatment of bacterial infections caused by pathogens which are susceptible to paromomycin or for bacterial infections of the respiratory tract, uro-genital tract, mastitis, enteritis, abscess, wounds, canine leishmaniosis and surgery.
Trenutno odobrene indikacije so nespecifične in omenjen ni noben specifični patogen, tj. za zdravljenje bakterijskih okužb, ki jih povzročajo patogeni, dovzetni za paromomicin, ali za bakterijske okužbe dihalnih poti in urogenitalnega trakta, mastitis, enteritis, absces, rane, pasjo leishmaniozo in operacije.
The same marketing authorisation holder provided data in order to justify the use of ‘Gabbrovet solution injectable' in pigs at a dose of 14 mg paromomycin base/kg bodyweight for 5 consecutive days.
Isti imetnik dovoljenja za promet z zdravilom je predložil podatke za utemeljitev uporabe zdravila Gabbrovet raztopina za injiciranje pri prašičih v odmerku 14 mg paromomicinove baze/kg telesne mase v petih zaporednih dneh.
Evaluation and conclusions on the benefit-risk balance Therefore, the Committee considers that in the absence of adequate pre-clinical, clinical and residue depletion data and because the use of these medicinal products could pose a potential risk to animal and human health, the benefit-risk balance for the concerned veterinary medicinal products containing paromomycin to be administered parenterally to pigs is not favourable.
Vrednotenje in zaključki o razmerju med tveganji in koristmi Zato Odbor meni, da zaradi odsotnosti ustreznih predkliničnih podatkov, kliničnih podatkov in podatkov o izločanju ostankov ter zato, ker uporaba teh zdravil lahko predstavlja morebitno tveganje za zdravje živali in ljudi, razmerje med tveganji in koristmi pri zadevnih zdravilih za uporabo v veterinarski medicini, ki vsebujejo paromomicin za parenteralno dajanje prašičem, ni ugodno.
During the aforementioned decentralised procedure, it has been noted that there are different approved indications, posology and withdrawal periods for veterinary medicinal products containing paromomycin to be administered parenterally to pigs across the European Union (EU).
Med prej omenjenim decentraliziranim postopkom je bilo ugotovljeno, da v Evropski uniji (EU) obstajajo različne odobrene indikacije, odmerjanja in karence za zdravila za uporabo v veterinarski medicini, ki vsebujejo paromomicin za parenteralno dajanje prašičem.
Furthermore, neither dose determination, nor dose confirmation studies have been made available to confirm the results of the PK/PD analysis and no field trial was made available.
Poleg tega za potrditev rezultatov analize PK/PD niso bili dani na voljo nobene študije določitve ali potrditve odmerka in nobena terenska preskušanja.
The quantification of paromomycin in tissues was carried out by validated HPLC-MS/MS analytical methods.
Paromomicin v tkivih je bil količinsko opredeljen s potrjenimi analitičnimi metodami HPLC-MS/MS.
• To provide adequate clinical data (including GCP, randomised, blinded field study) in support of the treatment of pleuropneumonia caused by Actinobacillus pleuropneumoniae at the recommended dose and duration of treatment.
• Predložiti ustrezne klinične podatke (vključno z randomizirano in slepo terensko študijo, izvedeno v skladu z dobro klinično prakso) v podporo zdravljenju plevropnevmonije, ki jo povzroča bakterija Actinobacillus pleuropneumoniae, v priporočenem odmerku in s priporočenim trajanjem zdravljenja.
The CVMP was also asked to recommend whether in view of the elements described in the referral notification the marketing authorisations for the veterinary medicinal products concerned should be maintained, varied, suspended, or withdrawn.
Odbor CVMP je bil tudi zaprošen, naj priporoči, ali je treba glede na opisano v sporočilu o napotitvi pri zadevnih zdravilih za uporabo v veterinarski medicini dovoljenja za promet z zdravilom obdržati, spremeniti, začasno umakniti ali umakniti.
The CVMP was requested to review all available pre-clinical, clinical and residue depletion data for veterinary medicinal products containing paromomycin to be administered parenterally to pigs and recommend appropriate indications, dosing recommendations and withdrawal periods.
Odbor CVMP je bil zaprošen, da pregleda vse razpoložljive predklinične podatke, klinične podatke in podatke o izločanju ostankov pri zdravilih za uporabo v veterinarski medicini, ki vsebujejo paromomicin za parenteralno dajanje prašičem, ter da priporoči ustrezne indikacije, odmerjanje in karence.
This already poor result is in addition likely to overestimate the efficacy of paromomycin at the recommended dose since the % binding of paromomycin to plasma proteins was not determined, which would reduce the portion of paromomycin in plasma able to work against A. pleuropneumoniae.
S tem rezultatom, ki je že sicer slab, bi bila poleg tega učinkovitost paromomicina v priporočenem odmerku precenjena, saj odstotek vezanja paromomicina na plazemske beljakovine ni bil ugotovljen, s tem pa bi se zmanjšal delež paromomicina v plazmi, ki lahko deluje proti bakteriji A. pleuropneumoniae.
This result, however is likely to overestimate the efficacy of paromomycin at the recommended dose since the % binding of paromomycin to plasma proteins was not determined, which would reduce the portion of paromomycin in plasma able to work against E. coli.
Vendar je učinkovitost paromomicina v priporočenem odmerku s tem rezultatom najverjetneje precenjena, saj odstotek vezanja paromomicina na plazemske beljakovine ni bil ugotovljen, s tem pa bi se zmanjšal delež paromomicina v plazmi, ki lahko deluje proti bakteriji E. coli.
• the CVMP considered that the use of veterinary medicinal products containing paromomycin to be administered parenterally to pigs is not supported by pre-clinical, clinical and residue depletion data and the currently recommended indications, dosing regimens and withdrawal period could pose a potential risk to animal and human health;
• odbor CVMP je menil, da predklinični podatki, klinični podatki in podatki o izločanju ostankov ne podpirajo uporabe zdravil za uporabo v veterinarski medicini, ki vsebujejo paromomicin za parenteralno dajanje prašičem, ter da bi trenutno priporočeni indikacije, režimi odmerjanja in karence lahko predstavljali morebitno tveganje za zdravje živali in ljudi;
One of the marketing authorisation holders proposed a withdrawal time of 16 days based on a linear regression with kidney as limiting tissue, and 16 days with muscle of injection site by using the ‘alternative' method, in line with CVMP note for guidance on the approach towards harmonisation of withdrawal periods (EMEA/CVMP/036/95).
Eden od imetnikov dovoljenja za promet z zdravilom je predlagal karenco 16 dni na podlagi linearne regresije, z ledvicami kot omejujočim tkivom, in 16 dni z mišico na mestu injiciranja z uporabo „alternativne“ metode, v skladu s sporočilom odbora CVMP glede priporočil o pristopu k usklajevanju karenc (EMEA/CVMP/036/95).
• Treatment of E. coli involved in swine colibacillosis (neonatal diarrhoea, post-weaning diarrhoea, oedema disease) and against Actinobacillus pleuropneumoniae strains with a
• zdravljenje okužbe z bakterijo E. coli pri prašičji kolibacilozi (neonatalna driska, driska po odstavljanju, edemska bolezen) in proti sevom Actinobacillus pleuropneumoniae z minimalno inhibicijsko koncentracijo (MIC) ≤ 4 mg/l.
In the absence of adequate data to support indications and posology, there is a risk that product administration at the currently recommended dose will lead to ineffective treatment and a potential unnecessary suffering in the treated animals.
Ker ni ustreznih podatkov v podporo indikacijam in odmerjanju, obstaja tveganje, da bo zdravljenje zaradi dajanja zdravila v trenutno priporočenih odmerkih neučinkovito, zdravljene živali pa bodo po nepotrebnem trpele.
In the absence of adequate data to support indications and posology, there is a risk that product administration at the currently recommended dose and duration of treatment will lead to ineffective treatment and a potential unnecessary suffering in the treated animals.
Ker ni ustreznih podatkov v podporo indikacijam in odmerjanju, obstaja tveganje, da bo zdravljenje zaradi dajanja zdravila v trenutno priporočenih odmerkih in pri trenutno priporočenem trajanju zdravljenja neučinkovito, zdravljene živali pa bodo po nepotrebnem trpele.
Consequently, the Committee recommends the suspension of the existing marketing authorisations for the concerned veterinary medicinal products containing paromomycin to be administered parenterally to pigs.
Odbor zato pri zadevnih zdravilih za uporabo v veterinarski medicini, ki vsebujejo paromomicin za parenteralno dajanje prašičem, priporoča začasni umik obstoječih dovoljenj za promet z zdravilom.
Relevant clinical data (including GCP, randomised, blinded field study) are required for each claim related to a specific type of Escherichia coli.
Za vsak zahtevek, povezan s specifično vrsto bakterije Escherichia coli, so potrebni relevantni klinični podatki (vključno z randomizirano in slepo terensko študijo, izvedeno v skladu z dobro klinično prakso).
Parofor 175 mg/ml
Parofor 175 mg/ml paromomicin 175 mg/ml
As no adequate data are available to support indications, posology and withdrawal periods, the CVMP is not able to recommend any appropriate indications, dosage and withdrawal periods for the concerned veterinary medicinal products.
Ukrepi za obvladovanje ali zmanjševanje tveganja Ker ni ustreznih podatkov v podporo indikacijam, odmerjanju in karencam, odbor CVMP pri zadevnih zdravilih za uporabo v veterinarski medicini ne more priporočiti nobenih ustreznih indikacij, odmerkov in karenc.
The residue depletion study was performed in pigs with the intramuscular administration of the maximum recommended dose of 14 mg paromomycin/kg bodyweight/day for 5 consecutive days.
Pri prašičih, ki so pet zaporednih dni intramuskularno dobivali največji priporočeni odmerek 14 mg paromomicina/kg telesne mase/dan, je bila izvedena študija izločanja ostankov.
For kidney, a withdrawal time rounded to 16 days was determined based on linear regression using the ‘statistical' method, in line with CVMP note for guidance on the approach towards harmonisation of withdrawal periods (EMEA/CVMP/036/95).
Pri ledvicah je bila z uporabo linearne regresije s „statistično“ metodo v skladu s sporočilom odbora CVMP glede priporočil o pristopu k usklajevanju karenc (EMEA/CVMP/036/95) določena karenca, zaokrožena na 16 dni.
For injection site, a rounded withdrawal period of 16 days was calculated using the ‘alternative' method, in line with CVMP note for guidance on the approach towards harmonisation of withdrawal periods (EMEA/CVMP/036/95).
Pri mestu injiciranja je bila z uporabo „alternativne“ metode v skladu s sporočilom odbora CVMP glede priporočil o pristopu k usklajevanju karenc (EMEA/CVMP/036/95) izračunana karenca, zaokrožena na 16 dni.
The statistical evaluation to establish withdrawal period was carried out following the CVMP note for guidance on the approach towards harmonisation of withdrawal periods (EMEA/CVMP/036/95)1.
Po sporočilu odbora CVMP glede priporočil o pristopu k usklajevanju karenc (EMEA/CVMP/036/95) je bilo izvedeno statistično ovrednotenje za določitev karence1.
28 June 2012
28. junij 2012
The European Commission issued a decision on 28 June 2012.
Evropska komisija je odločbo izdala dne 28. junija 2012.
However, the Member States were not able to reach an agreement and the UK referred the matter to the CHMP for arbitration on 22 December 2011.
Vendar države članice niso mogle doseči soglasja, zato je Združeno kraljestvo 22. decembra 2011 zadevo napotilo odboru CHMP v arbitražni postopek.
In the light of this The Netherlands questioned the long-term efficacy of this product in respect of asthma control.
Zaradi tega je Nizozemska podvomila o dolgoročni učinkovitosti tega zdravila, kar zadeva obvladovanje astme.
On 19 April 2012, the European Medicines Agency completed an arbitration procedure following a disagreement among Member States of the European Union (EU) regarding the authorisation of the medicines Flutiform and Iffeza and associated names.
Evropska agencija za zdravila je 19. aprila 2012 zaključila arbitražni postopek po nesoglasju med državami članicami Evropske unije (EU) glede odobritve dovoljenj za promet z zdraviloma Flutiform in Iffeza ter povezanimi imeni.