natgillin/translations-raw huggingface dataset:
The PRAC considered that methylprednisolone containing products formulated with lactose of bovine origin must not be used in patients allergic to cow's milk.
Odbor je menil, da se zdravila, ki vsebujejo metilprednizolon, pripravljena z laktozo govejega izvora, ne smejo uporabljati pri bolnikih, alergičnih na kravje mleko.
• The PRAC considered the procedure under Article 31 of Directive 2001/83/EC resulting from pharmacovigilance data for medicinal products containing lactose of bovine origin for intravenous/intramuscular (IV/IM) use in acute allergic conditions (see Annex I).
• Odbor PRAC je obravnaval postopek iz člena 31 Direktive 2001/83/ES, ki izhaja iz farmakovigilančnih podatkov o zdravilih, ki vsebujejo laktozo govejega izvora, za intravensko/intramuskularno (i.v./i.m.)
MAHs should agree on the modalities of the transition to the lactose-free formulations with their national competent authorities at the time of the application for the new formulations.
Imetniki dovoljenj za promet z zdravili se morajo o načinu prehoda na formulacije brez laktoze dogovoriti s pristojnimi nacionalnimi organi pri vlogi za nove formulacije.
Taking into account the severity and seriousness of conditions when methylprednisolone-containing products are used, the necessity for rapid management, the absence of a safe threshold of exposure and the population at risk, the PRAC considered that the traces of milk proteins shall be excluded from these methylprednisolone-containing products in order to fully address this risk.
Ob upoštevanju resnosti stanj, pri katerih se uporabljajo zdravila, ki vsebujejo metilprednizolon, nujnosti hitre obravnave ter nepoznavanja varnega praga izpostavljenosti in ogrožene populacije, je odbor menil, da je treba sledi mlečnih beljakovin umakniti iz zdravil, ki vsebujejo metilprednizolon, da bi v celoti odpravili to tveganje.
The PRAC further noted that all milk proteins are potential allergens, that the dose of milk proteins sufficient to induce allergic symptoms can vary widely from individual to individual and that trace amounts were detected in analyses of methylprednisolone-containing products that triggered allergic reactions in patients allergic to cow's milk.
Odbor je upošteval tudi, da so vse mlečne beljakovine potencialni alergeni, da se lahko odmerek mlečnih beljakovin, ki zadošča za sprožitev alergijskih simptomov, zelo razlikuje od osebe do osebe in da so bili pri analizah zdravil, ki vsebujejo metilprednizolon, zaznani sledovi alergenov, ki so povzročili alergične reakcije pri bolnikih, ki so alergični na kravje mleko.
• The PRAC concludes that the risk of serious allergic reactions should be minimised through inclusion in the product information of a contraindication in patients allergic to cow's milk and warnings to inform health care professionals and patients of this risk.
• odbor meni, da je treba tveganje resnih alergijskih reakcij zmanjšati z vključitvijo kontraindikacije glede bolnikov, ki so alergični na kravje mleko, in opozoril, da se o tem tveganju obvesti zdravstvene delavce in bolnike;
In this regard, the PRAC recommends as a condition to the marketing authorisations that the current formulations shall be replaced with formulations free from cow's milk proteins, within the agreed timeframe.
V zvezi s tem odbor kot pogoj za dovoljenja za promet priporoča, da se trenutne formulacije zamenjajo s formulacijami brez beljakovin iz kravjega mleka v dogovorjenem časovnem okviru.
As this risk only applies to certain strengths of methylprednisolonecontaining products (i.e. those formulated with lactose of bovine origin) and as these products are mainly used in emergency settings, a warning that the product must not be used in patients allergic to cow's milk should also be implemented on the outer packaging and immediate unit to improve the identification of the products' presentation(s) concerned and further minimise the risk.
Ker to tveganje velja le za nekatere jakosti zdravil, ki vsebujejo metilprednizolon (tj. tiste, ki so pripravljene z laktozo govejega izvora) in ker se ta zdravila večinoma uporabljajo v nujnih primerih, je treba uvesti opozorilo, da se zdravilo ne sme uporabljati pri bolnikih, alergičnih na kravje mleko, na zunanjo in stično ovojnino zaradi izboljšanja prepoznavnosti zadevnih oblik zdravila in dodatnega zmanjšanja tveganja.
The PRAC noted that estimates of prevalence of cow's milk allergy on double blind placebo controlled oral food challenge varies from 0% to 3% and is higher in children than adults.
Odbor PRAC je upošteval ocene pogostnosti alergije na kravje mleko od 0 % do 3 % iz dvojno slepe, s placebom kontrolirane provokacije s peroralnim vnosom, pri čemer je pogostnost višja pri otrocih kot pri odraslih.
The scope of this procedure is limited to medicinal products for intravenous or intramuscular administration, containing lactose derived from bovine milk, used in the treatment of acute allergy and anaphylactic shock, thereinafter referred to as acute allergic conditions.
Področje tega postopka je omejeno na zdravila za intravensko ali intramuskularno uporabo, ki vsebujejo laktozo, pridobljeno iz kravjega mleka, ki se uporablja pri zdravljenju akutne alergije in anafilaktičnega šoka, v nadaljnjem besedilu akutnih alergijskih stanj.
This review was initiated further to reports of serious allergic reactions in patients allergic to cow's milk treated with these products for acute allergic conditions.
Ta pregled je bil sprožen zaradi poročil o resnih alergijskih reakcijah pri bolnikih, ki so alergični na kravje mleko in so bili zdravljeni s temi zdravili zaradi akutnih alergijskih stanj.
• The PRAC notes that data currently available does not allow establishing a safe threshold for milk proteins in lactose of bovine origin used as excipient in methylprednisolonecontaining products for IV/IM use in acute allergic conditions.
• odbor ugotavlja, da trenutno razpoložljivi podatki ne omogočajo določitve varnega praga mlečnih beljakovin v laktozi govejega izvora, ki se uporablja kot pomožna snov v zdravilih, ki vsebujejo metilprednizolon in se uporabljajo za i.v./i.m.
The PRAC concluded that the benefit-risk balance of methylprednisolone-containing products formulated with lactose of bovine origin for intravenous/intramuscular (IV/IM) use in acute allergic conditions remains favourable, provided the MAHs replace the current formulations with formulations free from cow's milk proteins and submit for assessment the corresponding documentation to the relevant National Competent Authorities by end of June 2019 and provided the agreed changes to the product information are implemented in the interim.
uporabo pri akutnih alergijskih stanjih, ugodno, če imetniki dovoljenj za promet z zdravili zamenjajo sedanje formulacije s formulacijami brez beljakovin iz kravjega mleka in do konca junija 2019 v oceno nacionalnim pristojnim organom predložijo ustrezno dokumentacijo ter v vmesnem času uvedejo dogovorjene spremembe informacij o zdravilu.
It was noted that in the European Union member states (EU MS), Norway and Iceland, at start of the procedure, medicinal products formulated with lactose of bovine origin and authorised for IV/IM use in acute allergic conditions, and therefore concerned by this procedure, were limited to certain strengths of methylprednisolone-containing products.
Ugotovljeno je bilo, da so v državah članicah Evropske unije (EU), na Norveškem in Islandiji na začetku postopka bile odobrene le nekatere jakosti zdravil z laktozo govejega izvora za i.v./i.m.
grade lactose for IV/IM use in acute allergic conditions.
uporabo pri akutnih alergijskih stanjih.
In view of the above, the Croatian national competent authority (NCA) HALMED considered that the risk of serious allergic reactions in patients allergic to cow's milk treated for acute allergic conditions with intravenous/intramuscular (IV/IM) medicinal products containing as excipient lactose from bovine origin should be reviewed.
Glede na navedeno je hrvaški nacionalni pristojni organ HALMED menil, da je treba pregledati tveganje resnih alergijskih reakcij pri bolnikih, alergičnih na kravje mleko, zdravljenih zaradi akutnih alergijskih stanj z intravenskimi/intramuskularnimi (i.v./i.m.)
• The PRAC reviewed the totality of the data provided by the marketing authorisation holders, in relation to the risk of serious allergic reactions in patients allergic to cow's milk treated for acute allergic conditions with methylprednisolone-containing products formulated with lactose of bovine origin, as well as data available in Eudravigilance and the literature.
• odbor je pregledal vse podatke, ki so jih predložili imetniki dovoljenj za promet v zvezi s tveganjem resnih alergijskih reakcij pri bolnikih, ki so alergični na kravje mleko in so zdravljeni zaradi akutnih alergijskih stanj z zdravili, ki vsebujejo metilprednizolon in so pripravljeni z laktozo govejega izvora, ter podatke, ki so na voljo v zbirki Eudravigilance in literaturi;
The summary of products characteristics (SmPC) and patient leaflet (PL) should be amended accordingly.
Povzetek glavnih značilnosti zdravila in navodilo za uporabo zdravila je treba ustrezno spremeniti.
When considering all the data submitted by the marketing authorisation holders (MAHs), in relation to the risk of serious allergic reactions in patients allergic to cow's milk treated for acute allergic conditions with methylprednisolone-containing products formulated with lactose of bovine origin, as well as data available in Eudravigilance and the literature, the PRAC was of the view that medicinal products containing lactose of bovine origin for IV/IM use in acute allergic conditions are associated with a risk of serious allergic reactions in patients allergic to cow's milk.
Pri obravnavi vseh podatkov, ki so jih predložili imetniki dovoljenj za promet z zdravilom v zvezi s tveganjem resnih alergijskih reakcij pri bolnikih, ki so alergični na kravje mleko in so bili zdravljeni zaradi akutnih alergijskih stanj z zdravili, ki vsebujejo metilprednizolon, formuliran z laktozo govejega izvora, ter podatkov, ki so na voljo v zbirki Eudravigilance in literaturi, je odbor PRAC menil, da so zdravila, ki vsebujejo laktozo govejega izvora za i.v./i.m.
To that effect, the PRAC recommends as a condition to the marketing authorisations that the MAHs shall replace the current formulations with formulations free from cow's milk proteins, within an agreed timeframe.
V ta namen je odbor kot pogoj za dovoljenja za promet priporočil, da imetniki dovoljenj za promet z zdravili v dogovorjenem časovnem okviru nadomestijo sedanje formulacije s formulacijami brez beljakovin iz kravjega mleka.
The Committee, as a consequence, recommends the variation to the terms of the marketing authorisations for medicinal products containing lactose of bovine origin for intravenous/intramuscular (IV/IM) use in acute allergic conditions.
Odbor zato priporoča spremembo pogojev dovoljenj za promet z zdravili, ki vsebujejo laktozo govejega izvora, za intravensko/intramuskularno (i.v./i.m.)
Serious cases of allergic reactions have been reported in patients allergic to cow's milk administered Solu-Medrol for acute allergic conditions, including cases reporting a positive skin prick test for Solu-Medrol, a skin test for immunoglobulin E mediated allergic response.
Poročali so o hudih primerih alergijskih reakcij pri bolnikih, ki so alergični na kravje mleko in so prejeli zdravilo Solu-Medrol za akutna alergijska stanja, vključno s primeri pozitivnega kožnega vbodnega testa za Solu-Medrol, kožnega testa za alergijski odziv, ki ga posreduje imunoglobulin E. Ker se zdravilo Solu-Medrol uporablja za akutno alergijsko stanje, se morebitna anafilaktična reakcija, ki jo lahko povzročijo sledovi mlečnih beljakovin v izdelku, lahko napačno razlaga kot pomanjkanje terapevtskega učinka, kar odloži ustrezno oskrbo bolnika.
• The PRAC considers that, in patients allergic to cow's milk, a risk of serious allergic reactions, including anaphylactic reactions, is associated to IV/IM treatment of acute allergic conditions with methylprednisolone-containing products formulated with lactose of bovine origin.
• odbor meni, da je pri bolnikih, alergičnih na kravje mleko, tveganje resnih alergijskih reakcij, vključno z anafilaktičnimi reakcijami, povezano z i.v./i.m.
Therefore the CMDh recommends the variation to the terms of the marketing authorisations for medicinal products containing lactose of bovine origin for IV/IM use in acute allergic conditions.
Zato odbor CMDh priporoča spremembo pogojev dovoljenj za promet z zdravili, ki vsebujejo laktozo govejega izvora, za intravensko/intramuskularno (i.v./i.m.)
In view of the above, the Committee considers that the benefit-risk balance of medicinal products containing lactose of bovine origin for intravenous/intramuscular (IV/IM) use in acute allergic conditions remains favourable subject to the agreed condition to the marketing authorisations, and taking into account the agreed amendments to the product information.
uporabo pri akutnih alergijskih stanjih, ostane ugodno, če se izpolni dogovorjeni pogoj za dovoljenje za promet in se uvedejo dogovorjene spremembe informacij o zdravilu.
Thus, data currently available does not allow establishing a safe IV/IM intake threshold for patients allergic to cow's milk and the risk of serious allergic reactions in these patients applies to all products formulated with Ph. Eur.
vnos pri bolnikih, alergičnih na kravje mleko, obstaja tveganje resnih alergijskih reakcij pri teh bolnikih v primeru uporabe zdravil, pripravljenih z laktozo Ph. Eur.
The CMDh, as a consequence, considers that the benefit-risk balance of medicinal products containing lactose of bovine origin for IV/IM use in acute allergic conditions remains favourable subject to the amendments to the product information and to the condition described above.
uporabo pri akutnih alergijskih stanjih, še naprej ugodno, če se upoštevajo spremembe informacij o zdravilu in pogoj, opisan zgoraj.
Methylprednisolone-containing products formulated with lactose of bovine origin are authorised for IV/IM use in a range of different indications across EU MSs, including in relation to acute allergic conditions.
Zdravila, ki vsebujejo metilprednizolon, pripravljena z laktozo govejega izvora, so odobrena za i.v./i.m.
It is also approved in Norway and Iceland.
Odobren je tudi na Norveškem in v Islandiji.
The Member States' competent authorities will continue to keep the product under regular review.
Pristojni organi držav članic bodo zdravilo še naprej redno nadzorovali.
The Rapporteur and Co-Rapporteur appointed were Dr Julia Dunne and Dr Ingemar Persson, respectively.
Poročevalec oz. soporočevalec sta bila dr. Julia Dunne oz. dr. Ingemar Persson.
The final opinion was converted into a Decision by the European Commission on 03.09.2007.
Končno mnenje je Evropska komisija dne 03.09.2007 spremenila v odločbo.
SUMMARY INFORMATION ON REFERRAL OPINION PURSUANT TO ARTICLE 31 OF COUNCIL DIRECTIVE 2001/83/EC, AS AMENDED, FOR
POVZETEK MNENJA, SPREJETEGA V OKVIRU POSTOPKA NAPOTITVE V SKLADU S ČLENOM 31 DIREKTIVE SVETA 2001/83/ES, KAKOR JE BILA SPREMENJENA, ZA
International Non-Proprietary Name (INN): bicalutamide
Mednarodno nelastniško ime (INN): bikalutamid
To address this concern, a new epidemiological study will be performed, as part of an agreed Risk Management Plan.
Za razjasnitev tega pomisleka bo v okviru dogovorjenega načrta za obvladovanje tveganj izvedena nova epidemiološka raziskava.
* Note: The information given in this document and Annexes reflect only the CHMP Opinion dated 24 May 2007.
* Opomba: Informacije, podane v tem dokumentu in dodatkih, odražajo le mnenje CHMP z dne 24. maja 2007.
Oral explanations were given on 22 May 2007.
Ustna pojasnila so bila podana 22. maja 2007.
The referral procedure started on 27 July 2006.
Postopek obravnave se je začel 27. julija 2006.
On 27 July 2006, Belgium presented a referral to the EMEA under Article 31 of Directive 2001/83, as amended.
Belgija je 27. julija 2006 EMEA posredovala napotitev v skladu s členom 31 Direktive 2001/83/ES, kakor je bila spremenjena.
Written explanations were provided by the Marketing Authorisation Holders on 20 October 2006, 22 March 2007 and on 15 May 2007.
Imetniki dovoljenj za promet z zdravilom so podali pisna pojasnila 20. oktobra 2006, 22. marca 2007 in 15. maja 2007.
London, 16 August 2007 EMEA/378451/2007
London, 16. avgust 2007 EMEA/378451/2007
The 4 issues raised in the referral concerned the analyses of the Early Prostate Cancer Programme (EPC):
Štiri vprašanja, izpostavljena v napotitvi, so se nanašala na analizo programa v zvezi z zgodnjo fazo raka prostate (Early Prostate Cancer Programme - EPC):
Bicalutamide 150 mg is marketed in the EU following national and Mutual Recognition application procedures.
Bikalutamid 150 mg se v EU trži na podlagi nacionalnih postopkov in postopka medsebojnega priznavanja.
Its authorised indications include the treatment of patients with locally advanced prostate cancer, as an immediate therapy either alone or as adjuvant to treatment by radical prostatectomy or radiotherapy.
Odobrene indikacije vključujejo zdravljenje bolnikov z lokalno napredovalim rakom prostate, in sicer kot takojšnje samostojno zdravljenje ali kot dodatek pri zdravljenju z radikalno prostatektomijo ali radioterapijo.
- the lack of an overall survival benefit versus adverse events in ‘locally advanced prostate cancer'; - statistical concerns regarding multiplicity; - the standard of care for the placebo group in the relevant studies; - the number of deaths due to cardiac failure.
- odsotnost celokupne koristi zaradi podaljšanja preživetja v primerjavi z neželenimi učinki pri lokalno napredovalem raku prostate; - statistični pomisleki v zvezi z multipliciteto; - standardno zdravljenje v skupini s placebom v zadevnih raziskavah; - število smrti zaradi srčne odpovedi.
Bicalutamide 150 mg-containing medicinal products (See Annex 1)
zdravila, ki vsebujejo 150 mg bikalutamida (glejte Dodatek I)
Locally advanced prostate cancer refers to larger tumours or tumours with spread to lymph nodes, but not involving spread to other organs.
Lokalno napredovali rak predstavlja večje tumorje ali tumorje s širitvijo na bezgavke, vendar ne vključuje širitve na druge organe.
Bicalutamide is an oral anti-androgen used in the management of prostate cancer.
Bikalutamid je peroralni antiandrogen, ki se uporablja pri zdravljenju raka prostate.
In view of the available data, the CHMP concluded that a potential association between the use of bicalutamide 150 mg and heart failure cannot be ruled out and therefore considered that the need to further study cardiovascular morbidity and mortality remains.
Z ozirom na razpoložljive podatke je CHMP zaključil, da potencialne povezave med uporabo bikalutamida 150 mg in srčno odpovedjo ni mogoče izključiti ter da posledično obstaja potreba po nadaljnjem preučevanju kardiovaskularne obolevnosti in smrtnosti.
Based on evaluation of the available data and the Rapporteurs' assessment reports, the CHMP considered that the benefit/risk profile of bicalutamide 150 mg-containing medicinal products remains favourable, and therefore adopted an opinion on 24 May 2007 recommending the maintenance or the granting, as appropriate, of the Marketing Authorisations with amendments to the relevant sections of the Summary of Product Characteristics, for bicalutamide 150 mg-containing medicinal products.
Na podlagi ovrednotenja razpoložljivih podatkov in poročil o oceni, ki so jih podali poročevalci, je CHMP menil, da ostaja razmerje med koristmi in tveganji za zdravila, ki vsebujejo 150 mg bikalutamida, pozitivno ter je zato 24. maja 2007 sprejel mnenje, s katerim priporoča ohranitev ali podelitev, kot ustreza, dovoljenj za promet z zdravilom z dopolnitvami ustreznih poglavij Povzetka glavnih značilnosti zdravila, za zdravila, ki vsebujejo 150 mg bikalutamida.
The CHMP considered that bicalutamide 150 mg is effective in the treatment of locally advanced prostate cancer; however the CHMP considered that the therapeutic indication should be restricted to treatment of patients at high risk of disease progression.
CHMP je ocenil, da je bikalutamid 150 mg učinkovit pri zdravljenju lokalno napredovalega raka prostate, vendar pa je CHMP menil tudi, da je treba terapevtsko indikacijo omejiti na zdravljenje bolnikov, pri katerih obstaja veliko tveganje za napredovanje bolezni.
The list of product names concerned is given in the Annex I. The scientific conclusions are provided in the Annex II, together with the amended relevant sections of the Summary of Product Characteristics in the Annex III, and the conditions of the marketing authorisations in the Annex IV.
Seznam zadevnih imen zdravil je naveden v Dodatku I. Dodatek II vsebuje znanstvene zaključke, Dodatek III dopolnjen povzetek glavnih značilnosti zdravila, Dodatek IV pa vsebuje pogoje dovoljenja za promet z zdravilom.
The reasons for referral concerned a review of the benefit/risk profile of medicinal products containing bicalutamide 150 mg.
Razlog za napotitev je bila preverba razmerja med tveganji in koristmi za zdravila, ki vsebujejo bikalutamid 150 mg.
Annex
Dodatek
The Member States shall ensure that the following conditions or restrictions with regard to the safe and effective use of the medicinal product described below are implemented:
Države članice morajo zagotoviti, da so implementirani naslednji spodaj opisani pogoji ali omejitve v zvezi z varno in učinkovito uporabo zdravila.
• The need for intake of the 15 mg and 20 mg tablets with food
• o pomembnosti jemanja tablet po 15 mg in 20 mg skupaj s hrano
• The educational pack is aimed at increasing awareness about the potential risk of bleeding during treatment with Xarelto and providing guidance on how to manage that risk.
• To izobraževalno gradivo je namenjeno za osveščanje o možnem tveganju za krvavitve med zdravljenjem z zdravilom Xarelto in daje navodila za obvladovanje tega tveganja.
• Signs or symptoms of bleeding and when to seek attention from a health care provider.
• o znakih in simptomih krvavitve ter o tem, kdaj poiskati zdravniško pomoč
• Necessity to carry the Patient alert card with them at all times
• o potrebi, da imajo kartico za bolnika vedno pri sebi
• The content and format of the educational material, together with a communication plan, should be agreed with the MAH prior to distribution of the educational pack and launch of the new indication.
• Vsebino in obliko izobraževalnega gradiva in načrt obveščanja je treba pred distribucijo in pred prihodom nove indikacije na trg uskladiti z imetnikom dovoljenja za promet.
• The Prescriber Guide should contain the following key safety messages: Details of populations potentially at higher risk of bleeding Recommendations for dose reduction in at risk populations Guidance regarding switching from or to rivaroxaban treatment The need for intake of the 15 mg and 20 mg tablets with food Management of overdose situations The use of coagulation tests and their interpretation That all patients should be provided with a Patient alert card and be counselled about:
• Navodilo za predpisovalca mora vsebovati naslednja ključna sporočila o varnosti: podroben opis populacij, pri katerih obstaja povečano tveganje za krvavitve priporočila o zmanjšanju odmerka pri populacijah s povečanim tveganjem navodila glede zamenjave z ali na zdravljenje z rivaroksabanom pomembnost jemanja tablet po 15 mg in 20 mg skupaj s hrano opis ukrepov pri prevelikem odmerjanju uporaba koagulacijskih testov in njihova interpretacija vsi bolniki morajo prejeti kartico za bolnika in biti poučeni
• The physician educational pack should contain: o The Summary of Product Characteristics o Prescriber Guide o Patient Alert Cards
• Izobraževalno gradivo za zdravnike mora vsebovati: o povzetek glavnih značilnosti zdravila o navodilo za predpisovalca o kartico za bolnika