natgillin/translations-raw huggingface dataset:
Herzuma may be prescribed in combination with the chemotherapy medicine paclitaxel or docetaxel as first treatment for metastatic breast cancer or it may be prescribed alone if other treatments have proved unsuccessful.
Zdravilo Herzuma se lahko predpiše v kombinaciji s citostatikoma paklitakselom ali docetakselom kot prvo zdravljenje metastatskega raka dojk ali pa se uporablja samostojno, če so bile ostale oblike zdravljenja neuspešne.
This translates into an absolute benefit in terms of an 8 year disease free survival rate of 6.4 percentage points in favour of 1 year trastuzumab treatment.
To se izraža kot absolutna korist enoletnega zdravljenja s trastuzumabom v smislu 8-letnega preživetja brez bolezni za 6,4 odstotne točke.
Table 13 Efficacy results from BO18225
Rezultati učinkovitosti preskušanja BO18225
Total CL range from Cmax,ss to Cmin,ss (L/day)
Obseg celokupnega očistka od Cmax, ss do Cmin, ss (l/dan)
Asthma
• astma
Patients who receive anthracyclines after stopping Herzuma may possibly be at increased risk of cardiac dysfunction.
Pri bolnikih, ki prejemajo antracikline po prenehanju zdravljenja z zdravilom Herzuma, lahko obstaja večje tveganje za motnje v delovanju srca.
Subsequent maintenance doses should be administered 7 days or 21 days later according to the weekly or threeweekly schedules, respectively.
Nadaljnje vzdrževalne odmerke dajemo 7 ali 21 dni zatem, odvisno od režima odmerjanja (tedenskega ali 3-tedenskega).
Infusion-related reactions and hypersensitivity
Reakcije, povezane z infuzijo, in preobčutljivost
In order to prevent medication errors it is important to check the vial labels to ensure that the medicinal product being prepared and administered is Herzuma (trastuzumab) and not Kadcyla (trastuzumab emtansine).
Za preprečitev napak pri dajanju zdravila je pomembno preveriti nalepke na vialah in tako zagotoviti, da je pripravljeno in uporabljeno zdravilo Herzuma (trastuzumab) in ne zdravilo Kadcyla (trastuzumab emtanzin).
420 mg Unopened vial
420 mg Neodprta viala
Neutralizing anti-trastuzumab antibodies were detected in post-baseline samples in 2 of 30 patients in the trastuzumab intravenous arm.
Nevtralizirajoča protitelesa proti trastuzumabu so odkrili v 2 od 30 vzorcev, odvzetih po začetku zdravljenja pri bolnikih iz skupine, ki je prejemala trastuzumab v intravenski obliki.
Herzuma is for single-use only, as the product contains no preservatives.
Zdravilo Herzuma je le za enkratno uporabo in ne vsebuje konzervansov.
 you have metastatic gastric cancer with high levels of HER2, when it is in combination with the other cancer medicines capecitabine or 5-fluorouracil and cisplatin.
• imate metastatskega raka želodca, pri katerem so izražene velike količine HER2, v kombinaciji z drugimi zdravili za zdravljenje raka, kapecitabinom ali 5-fluorouracilom in cisplatinom.
In the final population PK model, in addition to primary tumour type, body-weight, serum aspartate aminotransferase and albumin were identified as statistically significant covariates affecting the exposure of trastuzumab.
V končnem populacijskem farmakokinetičnem modelu so bile kot statistično pomembne sospremenljivke, ki vplivajo na izpostavljenost trastuzumabu, poleg vrste primarnega tumorja opredeljene tudi telesna masa, serumska aspartat-aminotransferaza in albumin.
In Study BO16348, after a median follow-up of 8 years the incidence of severe CHF (NYHA Class III & IV) in the trastuzumab 1 year treatment arm was 0.8%, and the rate of mild symptomatic and asymptomatic left ventricular dysfunction was 4.6%.
Po mediani časa spremljanja 8 let v študiji BO16348 je bila incidenca hudega kongestivnega srčnega popuščanja (NYHA razred III in IV) v skupini, ki se je eno leto zdravila s trastuzumabom, 0,8 %, delež blage simptomatske in asimptomatske disfunkcije levega prekata pa 4,6 %.
Very common
zelo pogosto
If possible, physicians should avoid anthracycline-based therapy for up to 7 months after stopping Herzuma.
Če je mogoče, se po prekinitvi zdravljenja z zdravilom Herzuma do 7 mesecev izogibamo zdravljenju z antraciklini.
If patients have a continued decrease in left ventricular function, but remain asymptomatic, the physician should consider discontinuing therapy if no clinical benefit of Herzuma therapy has been seen.
Pri bolnikih s kontinuiranim upadanjem funkcije levega prekata, ki ostajajo asimptomatični, naj zdravnik razmisli o ukinitvi zdravljenja z zdravilom Herzuma, če klinična korist ni bila opazna.
Herzuma in combination with capecitabine or 5-fluorouracil and cisplatin is indicated for the treatment of adult patients with HER2 positive metastatic adenocarcinoma of the stomach or gastro-esophageal junction who have not received prior anti-cancer treatment for their metastatic disease.
Zdravilo Herzuma je v kombinaciji s kapecitabinom ali 5-fluorouracilom in cisplatinom indicirano za zdravljenje odraslih bolnikov s HER2-pozitivnim metastatskim adenokarcinomom želodca ali gastroezofagealnega prehoda, ki še niso prejemali zdravil za zdravljenje raka za metastatsko bolezen.
The bag should be gently inverted to mix the solution in order to avoid foaming.
Vrečo je treba nežno obračati in zmešati raztopino tako, da se izognemo penjenju.
In the pivotal metastatic trials of intravenous trastuzumab, the incidence of cardiac dysfunction varied between 9% and 12% when it was combined with paclitaxel compared with 1% - 4% for paclitaxel alone.
V ključnih preskušanjih z intravensko danim trastuzumabom pri metastatski bolezni je bila incidenca motenj v delovanju srca pri bolnikih, ki so zdravilo prejemali sočasno s paklitakselom, v razponu od 9 do 12 % v primerjavi z 1 do 4 % pri samostojnem jemanju paklitaksela.
The vial contains 420 mg trastuzumab.
Viala vsebuje 420 mg trastuzumaba.
In rare cases, a reduction in the amount of (amniotic) fluid that surrounds the developing baby within the womb has been observed in pregnant women receiving Herzuma.
V redkih primerih so pri nosečnicah, ki so prejemale zdravilo Herzuma, opazili zmanjšanje količine (amnijske) tekočine, ki obdaja razvijajočega se otroka v maternici.
If the patient has missed a dose of Herzuma by one week or less, then the usual maintenance dose (weekly regimen: 2 mg/kg; three-weekly regimen: 6 mg/kg) should be administered as soon as possible.
Če je bolnik izpustil odmerek zdravila Herzuma za en teden ali manj, mu je treba običajni vzdrževalni odmerek (tedenski režim: 2 mg/kg; 3-tedenski režim: 6 mg/kg) dati čim prej.
Patients with history of myocardial infarction (MI), angina pectoris requiring medical treatment, history of or existing CHF (NYHA Class II - IV), LVEF of < 55%, other cardiomyopathy, cardiac arrhythmia requiring medical treatment, clinically significant cardiac valvular disease, poorly controlled hypertension (hypertension controlled by standard medical treatment eligible), and hemodynamic effective pericardial effusion were excluded from adjuvant and neoadjuvant EBC pivotal trials with trastuzumab and therefore treatment cannot be recommended in such patients.
Bolniki z anamnezo miokardnega infarkta, angino pektoris, ki jo je treba zdraviti, anamnezo kongestivnega srčnega popuščanja ali prisotnim kongestivnim srčnim popuščanjem (NYHA razred II-IV), LVEF < 55 %, drugimi kardiomiopatijami, srčno aritmijo, ki jo je treba zdraviti, klinično pomembno boleznijo srčnih zaklopk, slabo uravnano hipertenzijo (hipertenzijo, ki bi bila primerno nadzorovana s standardnim zdravljenjem) in hemodinamsko efektivno perikardialno efuzijo niso bili vključeni v adjuvantna in neoadjuvantna ključna preskušanja zgodnjega raka dojk s trastuzumabom.
The pharmacokinetics of trastuzumab were evaluated in a population pharmacokinetic model analysis using pooled data from 1,582 subjects, including patients with HER2 positive MBC, EBC, AGC or other tumour types, and healthy volunteers, in 18 Phase I, II and III trials receiving trastuzumab intravenous.
Farmakokinetika trastuzumaba je bila ocenjena z analizo populacijskega farmakokinetičnega modela z uporabo združenih podatkov 1582 preskušancev, vključno z bolniki s HER2-pozitivnim metastatskim rakom dojk (metastatic breast cancer - MBC), zgodnjim rakom dojk (early breast cancer - EBC), napredovalim rakom želodca (advanced gastric cancer - AGC) ali drugimi vrstami tumorjev in zdravimi prostovoljci, ki so v 18 kliničnih preskušanjih faze I, II in III prejemali trastuzumab v intravenski obliki.
From a microbiological point of view, the reconstituted solution and Herzuma infusion solution should be used immediately.
Z mikrobiološkega stališča je pripravljeno raztopino zdravila Herzuma za infundiranje treba uporabiti takoj.
- as monotherapy for the treatment of those patients who have received at least two chemotherapy regimens for their metastatic disease.
- kot monoterapija za zdravljenje tistih bolnikov, ki so za svojo metastatsko bolezen predhodno že prejemali najmanj dve liniji kemoterapije.
More patients treated with trastuzumab and paclitaxel progressed in the central nervous system than those treated with paclitaxel alone (12.6% versus 6.5%; p=0.377).
Progresija v osrednjem živčnem sistemu je bila pri bolnikih, zdravljenih s trastuzumabom in paklitakselom, pogostejša kot pri tistih, ki so prejemali le paklitaksel (12,6 % v primerjavi s 6,5 %; p = 0,377).
Taking into account the PRAC Assessment Report on the PSUR(s) for trastuzumab, the scientific conclusions of CHMP are as follows:
Upoštevajoč poročilo Odbora za oceno tveganja na področju farmakovigilance (PRAC) o oceni rednih posodobljenih poročil o varnosti zdravila (PSUR) za trastuzumab je Odbor za zdravila za uporabo v humani medicini (CHMP) sprejel naslednje znanstvene zaključke:
In the pivotal trials (H0648g, M77001), paclitaxel or docetaxel was administered the day following the first dose of trastuzumab (for dose, see the Summary of Product Characteristics (SmPC) for paclitaxel or docetaxel) and immediately after the subsequent doses of trastuzumab if the preceding dose of trastuzumab was well tolerated.
V ključnih študijah (H0648g, M77001) so paklitaksel ali docetaksel dali en dan po uvajalnem odmerku trastuzumaba (za odmerek glejte Povzetek glavnih značilnosti zdravila za paklitaksel ali docetaksel) in takoj po nadaljnjih odmerkih trastuzumaba, če je bolnik predhoden odmerek trastuzumaba dobro prenašal.
The vial contains 150 mg trastuzumab.
Viala vsebuje 150 mg trastuzumaba.
Causing excessive foaming during reconstitution or shaking the reconstituted solution may result in problems with the amount of Herzuma that can be withdrawn from the vial.
Povzročitev pretiranega penjenja med rekonstitucijo ali tresenje že pripravljene raztopine lahko povzroči težave s količino zdravila Herzuma, ki ga odvzamemo iz viale.
If symptomatic cardiac failure develops during Herzuma therapy, it should be treated with standard medicinal products for CHF.
Če se med zdravljenjem z zdravilom Herzuma razvije simptomatsko srčno popuščanje, ga zdravimo s standardnimi zdravili za kongestivno srčno popuščanje.
 If you have any further questions, ask your doctor or pharmacist.
• Če imate dodatna vprašanja, se posvetujte z zdravnikom ali farmacevtom.
In the joint analysis of the NSABP B-31 and NCCTG N9831 studies, EBC was limited to women with operable breast cancer at high risk, defined as HER2-positive and axillary lymph node positive or HER2 positive and lymph node negative with high risk features (tumour size > 1 cm and ER negative or tumour size > 2 cm, regardless of hormonal status).
V skupni analizi preskušanj NSABP B-31 in NCCTG N9831 je bil zgodnji rak dojk omejen na ženske z operabilnim rakom dojk z visokim tveganjem, opredeljenim kot pozitivna oblika HER2 s pozitivnimi aksilarnimi bezgavkami ali pozitivna oblika HER2 z negativnimi bezgavkami z dejavniki visokega tveganja (velikost tumorja > 1 cm in negativni estrogenski receptorji ali velikost tumorja > 2 cm neodvisno od hormonskega statusa).
Each vial contains 420 mg trastuzumab that has to be dissolved in 20 mL of water for injection.
Ena viala vsebuje 420 mg trastuzumaba, ki ga je treba raztopiti v 20 ml vode za injekcije.
Patients assigned to receive trastuzumab were given an initial loading dose of 8 mg/kg, followed by 6 mg/kg every three weeks for either one or two years.
Bolniki, ki so bili določeni za prejemanje trastuzumaba, so prejeli začetni uvajalni odmerek 8 mg/kg telesne mase, nato pa so prejemali eno ali dve leti 6 mg/kg telesne mase vsake tri tedne.
If patients have been treated concurrently with a full course of low-dose anthracyclines and Herzuma in the neoadjuvant setting, no additional cytotoxic chemotherapy should be given after surgery.
Če so se bolniki v neoadjuvantnem zdravljenju sočasno zdravili z majhnimi odmerki antraciklinov v celoti in zdravilom Herzuma, potem jim po operaciji ne smemo dati dodatne citotoksične kemoterapije.
- Study BO16348 was designed to compare one and two years of three-weekly trastuzumab treatment versus observation in patients with HER2 positive EBC following surgery, established chemotherapy and radiotherapy (if applicable).
- Študija BO16348 je bila zasnovana za primerjavo enoletnega in dvoletnega zdravljenja s trastuzumabom (odmerjanjem na 3 tedne) z opazovanjem bolnikov z zgodnjo obliko HER2pozitivnega raka dojk po operaciji, standardni kemoterapiji in radioterapiji (kar so uporabili).
Herzuma contains the active substance trastuzumab, which is a monoclonal antibody.
Zdravilo Herzuma vsebuje učinkovino trastuzumab, ki je monoklonsko protitelo.
After reconstitution, 1 mL concentrate contains 21 mg of trastuzumab.
Po rekonstituciji 1 ml koncentrata vsebuje 21 mg trastuzumaba.
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%).
Po 8 letih je bil delež celokupnega preživetja ocenjen na 86,9 % v skupini AC → PH in 79,4 % v skupini AC → P, z absolutno koristjo 7,4 % (95-% IZ 4,9 %, 10 %).
- following adjuvant chemotherapy with doxorubicin and cyclophosphamide, in combination with paclitaxel or docetaxel.
- po adjuvantni kemoterapiji z doksorubicinom in ciklofosfamidom, v kombinaciji s paklitakselom ali docetakselom,
If left ventricular ejection fraction (LVEF) percentage drops ≥ 10 points from baseline AND to below 50%, treatment should be suspended and a repeat LVEF assessment performed within approximately 3 weeks.
Če odstotek iztisnega deleža levega prekata (LVEF) pade za ≥ 10 točk od začetne vrednosti IN pod 50 %, zdravljenje prekinemo in ponovno opravimo meritev LVEF v približno treh tednih.
The pre-planned final analysis of OS from the joint analysis of studies NSABP B-31 and NCCTG N9831 was performed when 707 deaths had occurred (median follow-up 8.3 years in the AC→PH
Vnaprej načrtovana končna analiza celokupnega preživetja iz skupne analize študij NSABP B-31 in NCCTG N9831 je bila opravljena, ko je nastopilo 707 smrti (mediana spremljanja 8,3 leta v skupini AC → PH).
which was followed by: - carboplatin - at target AUC = 6 mg/mL/min administered by intravenous infusion over 30 - 60 minutes repeated every 3 weeks for a total of six cycles
Temu je sledil: - karboplatin (pri tarčni AUC 6 mg/ml/min) v obliki intravenske infuzije v 30 do 60 minutah, vsake 3 tedne, skupaj 6 ciklov.
- capecitabine - 1000 mg/m orally twice daily for 14 days every 3 weeks for 6 cycles (evening of day 1 to morning of day 15 of each cycle)
- kapecitabin - 1000 mg/m peroralno dvakrat na dan 14 dni vsake 3 tedne, skupaj 6 ciklov (zvečer prvega dne do jutra dneva 15 vsakega cikla)
Causing excessive foaming during reconstitution or shaking the reconstituted Herzuma may result in problems with the amount of Herzuma that can be withdrawn from the vial.
Povzročitev pretiranega penjenja med rekonstitucijo ali tresenje že pripravljene raztopine zdravila Herzuma lahko povzroči težave s količino zdravila Herzuma, ki ga odvzamemo iz viale.
Herzuma may have a minor influence on the ability to drive or use machines (see section 4.8).
4.7 Vpliv na sposobnost vožnje in upravljanja strojev Zdravilo Herzuma ima lahko blag vpliv na sposobnost vožnje in upravljanje strojev(glejte poglavje 4.8).
The reconstituted Herzuma results in a colourless to pale yellow transparent solution and should be essentially free of visible particulates.
Raztopljeno zdravilo Herzuma je brezbarvna do rahlo rumena prozorna tekočina, ki mora biti brez vidnih delcev.
The appropriate amount of solution should be withdrawn from the vial and added to a polyvinylchloride, polyethylene or polypropylene infusion bag containing 250 mL of 0.9% sodium chloride solution.
Ustrezno količino raztopine je potrebno odvzeti iz viale in dodati polivinilkloridni, polietilenski ali polipropilenski infuzijski vreči, ki vsebuje 250 ml 0,9-% raztopine natrijevega klorida.
Cardiac assessments, as performed at baseline, should be repeated every 3 months during treatment and every 6 months following discontinuation of treatment until 24 months from the last administration of Herzuma.
Preglede srca, enake kot je bil osnovni, je treba med zdravljenjem ponoviti vsake 3 mesece in vsakih 6 mesecev po končanem zdravljenju do 24 mesecev po prejemu zadnjega odmerka zdravila Herzuma.
Herzuma intravenous infusion should be administered by a health-care provider prepared to manage anaphylaxis and an emergency kit should be available.
Intravensko infuzijo zdravila Herzuma mora dajati zdravstveno osebje, usposobljeno za ukrepanje ob anafilaksiji; na voljo mora biti oprema za urgentno ukrepanje.
For overall survival, the HR was 0.75 (95% CI 0.51 - 1.11) in the IHC 2+/FISH+ group and the HR was 0.58 (95% CI 0.41 - 0.81) in the IHC 3+/FISH+ group.
Razmerje ogroženosti za celokupno preživetje je bilo 0,75 (95-% interval zaupanja 0,51 do 1,11) v IHC 2+/FISH+ skupini, v IHC 3+/FISH+ skupini pa je razmerje ogroženosti bilo 0,58 (95-% interval zaupanja 0,41 do 0,81).
Currently no data from clinical trials are available on re-treatment of patients with previous exposure to Herzuma in the adjuvant setting.
Trenutno ni na voljo podatkov iz kliničnih preskušanj, kjer bi bili bolniki po adjuvantnem zdravljenju z zdravilom Herzuma z njim ponovno zdravljeni.
Solutions of Herzuma for intravenous infusion are physically and chemically stable in polyvinylchloride, polyethylene or polypropylene bags containing sodium chloride 9 mg/mL (0.9%) solution for injection for 24 hours at temperatures not exceeding 30ºC.
Raztopine zdravila Herzuma za infundiranje so v polivinilkloridnih, polietilenskih ali polipropilenskih vrečah, ki vsebujejo raztopino 9 mg/ml (0,9 %) natrijevega klorida za injiciranje, fizikalno in kemično stabilne 24 ur pri temperaturah, ki ne presežejo 30 °C.
• bladder and skin infections
• okužbe mehurja in kože
Clinically significant interactions between Herzuma and the concomitant medicinal products used in clinical trials have not been observed.
V kliničnih preskušanjih niso opazili klinično pomembnega medsebojnega delovanja med zdravilom Herzuma in zdravili, ki so jih bolniki jemali sočasno.
Subsequent Herzuma maintenance doses (weekly regimen: 2 mg/kg; three-weekly regimen 6 mg/kg respectively) should be administered 7 days or 21 days later according to the weekly or three-weekly schedules respectively.
Nadaljnje vzdrževalne odmerke zdravila Herzuma (tedenski režim: 2 mg/kg; 3-tedenski režim: 6 mg/kg) dajemo od 7 ali 21 dni zatem, odvisno od režima odmerjanja (tedenskega ali 3tedenskega).
In the BCIRG 006 study, HER2 positive, EBC was defined as either lymph node positive or high risk node negative patients with no (pN0) lymph node involvement, and at least 1 of the following factors: tumour size greater than 2 cm, estrogen receptor and progesterone receptor negative, histological and/or nuclear grade 2 - 3, or age < 35 years.
V preskušanju BCIRG 006 je bil HER2-pozitiven zgodnji rak dojk omejen bodisi na bolnike s pozitivnimi bezgavkami bodisi na bolnike z negativnimi bezgavkami z visokim tveganjem (brez prizadetih bezgavk (pN0) in z vsaj enim od naslednjih faktorjev: tumor, večji od 2 cm, negativni estrogenski in progesteronski receptorji, histološki in/ali jedrni gradus 2 do 3 ali starost < 35 let.
Table 1 Undesirable effects reported with intravenous trastuzumab monotherapy or in combination with chemotherapy in pivotal clinical trials (N = 8386) and in post-marketing
Neželeni učinki, o katerih so poročali pri intravenski obliki trastuzumaba v monoterapiji ali v kombinaciji s kemoterapijo v ključnih kliničnih preskušanjih (n = 8386) in v obdobju po prihodu zdravila na trg.
- cisplatin - 80 mg/m every 3 weeks for 6 cycles on day 1 of each cycle.
- cisplatinom - 80 mg/m vsake 3 tedne 6 ciklov, 1. dan vsakega cikla.
• The other ingredients are L-histidine hydrochloride, L-histidine, α,α-trehalose dihydrate, polysorbate 20.
• Druge sestavine so L-histidinijev klorid, L-histidin, α,α-trehaloza dihidrat in polisorbat 20.
How to use Herzuma
Kako uporabljati zdravilo Herzuma
No reductions in the dose of Herzuma were made during clinical trials.
Med kliničnimi preskušanji niso zmanjševali odmerka zdravila Herzuma.
Excipients: L-histidine hydrochloride, L-histidine, polysorbate 20, α,α-trehalose dihydrate.
Pomožne snovi: L-histidinijev klorid, L-histidin, polisorbat 20, α,α-trehaloza dihidrat.
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 trastuzumab 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 trastuzumab).
V enem od treh ključnih preskušanj, v katerem je bila na voljo mediana časa sledenja 5,5 leta (BCIRG006), so pri bolnikih, ki so trastuzumab 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 trastuzumab) pa je ta delež znašal približno 1 %.
In the pivotal trial MO16432, trastuzumab was administered concurrently with neoadjuvant chemotherapy containing three cycles of doxorubicin (cumulative dose 180 mg/m
V ključnem preskušanju MO16432 so trastuzumab dajali sočasno z neoadjuvantno kemoterapijo, ki je vključevala tri cikle doksorubicina (kumulativni odmerek 180 mg/m
Treatment with AC→PH resulted in a statistically significant improvement in OS compared with AC→P (stratified HR=0.64; 95% CI [0.55, 0.74]; log-rank p-value < 0.0001).
Zdravljenje z AC → PH je statistično značilno izboljšalo celokupno preživetje v primerjavi z AC → P (stratificirano razmerje ogroženosti 0,64; 95-% IZ [0,55; 0,74] p vrednost lograng < 0,0001).
Instructions for reconstitution and dilution
Navodila za rekonstitucijo in redčenje
One vial contains 150 mg of trastuzumab, a humanised IgG1 monoclonal antibody produced by mammalian (Chinese hamster ovary) cell suspension culture and purified by affinity and ion exchange chromatography including specific viral inactivation and removal procedures.
Ena viala vsebuje 150 mg trastuzumaba, humaniziranega monoklonskega protitelesa IgG1, pridobljenega iz suspenzijske celične kulture sesalcev (ovarijske celice kitajskega hrčka) in očiščenega z afinitetno ter ionsko izmenjevalno kromatografijo, ki vključuje specifično virusno inaktivacijo ter postopke odstranjevanja.
Cmin,ss* (μg/mL)
Cmin, ss* (µg/ml)
For patients with EBC, cardiac assessments, as performed at baseline, should be repeated every 3 months during treatment and every 6 months following discontinuation of treatment until 24 months from the last administration of Herzuma.
Pri bolnikih z zgodnjim rakom dojk je treba pregled srca, kot je bil opravljen pred zdravljenjem, ponoviti vsake 3 mesece med zdravljenjem in vsakih 6 mesecev po končanem zdravljenju do 24 mesecev po zadnjem dajanju zdravila Herzuma.