natgillin/translations-raw huggingface dataset:
Each film-coated tablet contains 100 mg glecaprevir and 40 mg pibrentasvir.
Ena filmsko obložena tableta vsebuje 100 mg glekaprevirja in 40 mg pibrentasvirja.
Clinical Study in Subjects with Genotype 5 or 6 Infection ENDURANCE-5,6 was an open-label study in 84 HCV GT5 (N=23) or 6-infected (N=61) TN or TEPRS subjects.
Študija ENDURANCE-5,6 je bila odprta študija pri 84 preiskovancih, okuženih s HCV genotipa GT5 (N=23) ali GT6 (N=61), ki predhodno še niso bili zdravljeni ali pa so bili zdravljeni s PRS.
(Inhibition of OATP1B1/3, P-gp, BCRP, CYP3A)
OATP1B1/3, P-gp, BCRP, CYP3A)
Lopinavir/ritonavir 400/100 mg twice daily
↑ glekaprevir ↑ pibrentasvir lopinavir/ritonavir 400/100 mg dvakrat na dan
• The active substances are glecaprevir and pibrentasvir.
• Učinkovini sta glekaprevir in pibrentasvir.
Adverse reactions observed in greater than or equal to 5% of subjects receiving Maviret for 12 weeks were headache (17%), fatigue (16%), nausea (8%) and pruritus (7%).
12 tednov, so bili glavobol (17 %), utrujenost (16 %), navzea (8 %) in srbenje (7 %).
Among the 10 genotype 1-infected subjects with virologic failure, treatment-emergent NS3 substitutions V36A/M, R155K/T, A156G/T/V, or D168A/T were observed in 7 subjects.
Pri 10 preiskovancih, okuženih z genotipom 1, pri katerih se je pojavila virusna neodzivnost, so med zdravljenjem nastale substitucije V36A/M, R155K/T, A156G/T/V ali D168A/T v NS3 ugotovili pri 7 preiskovancih.
Purpose of the medicine ciclosporin, tacrolimus to suppress the immune system darunavir, efavirenz, lopinavir, ritonavir for HIV infection digoxin for heart problems fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin to lower blood cholesterol warfarin and other similar medicines*
Namen jemanja zdravila ciklosporin, takrolimus za zaviranje imunskega sistema darunavir, efavirenz, lopinavir, ritonavir pri okužbah s HIV
All of the genotype 1-infected virologic failure subjects had one or more NS5A substitutions L/M28M/T/V, Q30E/G/H/K/L/R, L31M, P32 deletion, H58C/D, or Y93H at baseline, with additional treatment-emergent NS5A substitutions M28A/G, P29Q/R, Q30K, H58D, or Y93H observed in 7 of the subjects at the time of failure.
Q30E/G/H/K/L/R, L31M, delecijo P32, H58C/D ali Y93H; pri 7 preiskovancih so ob času neuspeha ugotovili dodatne med zdravljenjem nastale substitucije M28A/G, P29Q/R, Q30K, H58D ali Y93H v NS5A.
Effect of baseline HCV amino acid polymorphisms on treatment response A pooled analysis of treatment-naïve and pegylated interferon, ribavirin and/or sofosbuvir treatmentexperienced subjects receiving Maviret in the Phase 2 and Phase 3 clinical studies was conducted to explore the association between baseline polymorphisms and treatment outcome and to describe substitutions seen upon virologic failure.
Vpliv izhodiščnih polimorfizmov aminokislin HCV na odziv na zdravljenje Za proučitev povezave med izhodiščnimi polimorfizmi in izidom zdravljenja ter za evidentiranje substitucij, ugotovljenih po virusni neodzivnosti, so izvedli kumulativno analizo podatkov še nezdravljenih bolnikov in bolnikov, že zdravljenih s pegiliranim interferonom, ribavirinom in/ali sofosbuvirjem, ki so prejemali zdravilo Maviret v kliničnih študijah 2. in 3. faze.
One TN GT5-infected subject without cirrhosis experienced relapse, and one TN GT6-infected subject with compensated cirrhosis experienced ontreatment virologic failure.
Pri enem predhodno še nezdravljenem preiskovancu, okuženim z genotipom GT5 in brez ciroze, se je pojavil recidiv po zdravljenju, pri enem predhodno še nezdravljenem preiskovancu, okuženim z GT6 in s kompenzirano cirozo, pa je med zdravljenjem prišlo do virusne neodzivnosti.
Genotype (GT) Clinical study Summary of study design TN and PRS-TE subjects without cirrhosis
Genotip (GT) Klinična študija Povzetek načrta študije
Serum HCV RNA values were measured during the clinical studies using the Roche COBAS AmpliPrep/COBAS Taqman HCV test (version 2.0) with a lower limit of quantification (LLOQ) of
Vrednosti HCV RNA v serumu so v kliničnih študijah merili z Rochevim testom COBAS
Pharmacotherapeutic group: Direct-acting antiviral, ATC code: J05AP57 glecaprevir and pibrentasvir Mechanism of action
Oznaka ATC: J05AP57 glekaprevir in pibrentasvir
(Inhibition of OATP1B1/3, BCRP)
(zavrtje OATP1B1/3, BCRP)
Efavirenz/emtricitab ine/tenofovir disoproxil fumarate 600/200/300 mg once daily
↔ pibrentasvir efavirenz/emtricitabi n/dizoproksiltenofov irat 600/200/300 mg enkrat na dan
Among the 2 genotype 1-infected subjects who experienced virologic failure, one had treatmentemergent substitutions A156V in NS3 and Q30R/L31M/H58D in NS5A, and one had Q30R/H58D (while Y93N was present at baseline and post-treatment) in NS5A.
Od 2 preiskovancev, okuženih z genotipom 1, pri katerih se je pojavila virusna neodzivnost, je imel eden med zdravljenjem nastali substituciji A156V v NS3 in Q30R/L31M/H58D v NS5A, drugi pa
All subjects (15/15) with Y93H and 75% (15/20) with A30K in NS5A at baseline achieved SVR12.
SVR12 so dosegli vsi preiskovanci (15/15), ki so imeli izhodiščno Y93H v NS5A, in 75 % preiskovancev (15/20), ki so imeli izhodiščno A30K v NS5A.
Co-administration of Maviret with ethinyloestradiolcontaining products is contraindicated due to the risk of ALT elevations (see section 4.3).
↑ norgestrel etinilestradiol, je kontraindicirana zaradi tveganja za zvišanje ALT (glejte poglavje
The pharmacokinetics of glecaprevir and pibrentasvir have not been established in paediatric patients <12 years of age.
Pri pediatričnih bolnikih, mlajših od 12 let, farmakokinetika glekaprevirja in pibrentasvirja ni bila dokazana.
e. GT1, 4 from MAGELLAN-1 Part 1 - Maviret for 12 weeks (n=22); GT1, 4 from MAGELLAN-1 Part 2Maviret for 12 weeks (n=44) or 16 weeks (n=47).
e. GT1, 4 iz študije MAGELLAN-1, 1. del - zdravilo Maviret 12 tednov (n = 22); GT1, 4 iz študije MAGELLAN-1, 2. del - zdravilo Maviret 12 tednov (n = 44) ali 16 tednov (n=47).
Rifampicin 600 mg once dailya
↔ pibrentasvir rifampicin 600 mg enkrat na dana
• If you vomit more than 3 hours after taking Maviret, you do not need to take another dose until your next scheduled dose.
• Če bruhate več kot 3 ure po jemanju zdravila Maviret, vam ni potrebno vzeti še enega odmerka,
No dose adjustment of Maviret is required in adolescents aged 12 to <18 years (see sections 5.1 and 5.2).
Pri mladostnikih, starih od 12 do <18 let, prilagajanje odmerka zdravila Maviret ni potrebno (glejte poglavji 5.1 in 5.2).
The median age was 14 years (range: 12 to 17); 79% had HCV genotype 1, 6% had HCV genotype 2, 9% had HCV genotype 3, 6% had HCV genotype 4; 55% were female; 11% were Black; 77% were HCV treatment-naïve; 23% were treatment-experienced to interferon; 4% had HIV-coinfection; none had cirrhosis; the mean weight was 59 kg (range: 32 to 109 kg).
Mediana starost je bila 14 let (razpon: od 12 do 17 let); 79 % jih je imelo HCV genotipa 1, 6 % jih je imelo HCV genotipa 2, 9 % jih je imelo HCV genotipa 3, 6 % pa HCV genotipa 4; 55 % je bilo žensk; 11 % je bilo črne rase; 77 % je bilo predhodno nezdravljenih; 23 % je bilo predhodno zdravljenih z interferonom; 4 % je bilo sočasno okuženih z virusom HIV; noben preiskovanec ni imel ciroze; povprečna telesna masa je bila 59 kg (razpon: od 32 do 109 kg).
Each tablet contains 100 mg of glecaprevir and 40 mg of pibrentasvir.
Ena tableta vsebuje 100 mg glekaprevirja in 40 mg pibrentasvirja.
Tacrolimus 1 mg single dose
↑ pibrentasvir takrolimus enkraten odmerek 1 mg
Of the 84 subjects treated, the median age was 59 years (range 24-79); 27% had HCV genotype 5, 73% had HCV genotype 6; 54% were female, 30% were White, 68% were Asian; 90% were HCV TN; 11% had compensated cirrhosis.
Pri 84 zdravljenih preiskovancih je bila mediana starost 59 let (razpon od 24 do 79); 27 % je imelo okužbo HCV genotipa 5, 73 % HCV okužbo genotipa 6; 54 % je bilo žensk, 30 % je bilo belcev, 68 % je bilo Azijcev; 90 % je bilo predhodno še nezdravljenih; 11 % je imelo kompenzirano cirozo.
Genotype 3: For subjects who received the recommended regimen (n=309), baseline polymorphisms in NS5A (Y93H included) or NS3 did not have a relevant impact on treatment outcomes.
NS5A (vključno z Y93H) ali NS3 niso pomembno vplivali na izide zdravljenja.
Co-administration of Maviret with medicinal products that are moderate inducers P-gp/CYP3A may decrease glecaprevir and pibrentasvir plasma concentrations (e.g. oxcarbazepine, eslicarbazepine, lumacaftor, crizotinib).
Sočasna uporaba zdravila Maviret z zdravili, ki so zmerni induktorji P-gp/CYP3A, lahko zmanjšajo plazemske koncentracije glekaprevirja in pibrentasvirja (npr. okskarbazepin, eslikarbazepin,
At the clinical dose, compared to non-HCV infected subjects with normal hepatic function, glecaprevir AUC was 33% higher in Child-Pugh A subjects, 100% higher in Child-Pugh B subjects, and increased to 11-fold in Child-Pugh C subjects.
Med uporabo kliničnih odmerkov je bila v primerjavi s preiskovanci, ki niso bili okuženi s HCV in z normalnim delovanjem jeter, AUC glekaprevirja pri preiskovancih v razredu Child-Pugh A 33 %
b. GT2 from SURVEYOR-2 Parts 1 and 2 - Maviret for 8 weeks (n=54) or 12 weeks (n=25); GT2 from SURVEYOR-2 Part 4 - Maviret for 8 weeks (n=145).
b. GT2 iz študije SURVEYOR-2, 1. in 2. del - zdravilo Maviret 8 tednov (n = 54) ali 12 tednov (n = 25); GT2 iz študije SURVEYOR-2, 4. del - zdravilo Maviret 8 tednov (n = 145).
Clinical studies in treatment-naïve or treatment-experienced subjects with or without cirrhosis Of the 2,409 subjects with compensated liver disease (with or without cirrhosis) treated who were treatment-naïve or treatment-experienced to combinations of peginterferon, ribavirin and/or sofosbuvir, the median age was 53 years (range: 19 to 88); 73.3% were treatment-naïve, 26.7% were treatment-experienced to a combination containing either sofosbuvir, ribavirin and/or peginterferon; 40.3% were HCV genotype 1; 19.8% were HCV genotype 2; 27.8% were HCV genotype 3; 8.1% were HCV genotype 4; 3.4% were HCV genotype 5-6; 13.1% were ≥65 years; 56.6% were male; 6.2% were Black; 12.3% had cirrhosis; 4.3% had severe renal impairment or end stage renal disease; 20.0% had a body mass index of at least 30 kg per m2; 7.7% had HIV-1 coinfection and the median baseline HCV RNA level was 6.2 log10 IU/mL
Klinične študije pri še nezdravljenih in že zdravljenih preiskovancih s cirozo ali brez nje Podatki o 2409 preiskovancih s kompenzirano boleznijo jeter (s cirozo ali brez nje), ki še niso bili zdravljeni ali so bili že zdravljeni s kombinacijami peginterferona, ribavirina in/ali sofosbuvirja, so: mediana starost je bila 53 let (razpon: od 19 do 88); 73,3 % jih še ni bilo zdravljenih, 26,7 % jih je bilo že zdravljenih s kombinacijo, ki je obsegala ali sofosbuvir, ribavirin in/ali peginterferon; 40,3 % jih je imelo HCV genotip 1, 19,8 % genotip 2, 27,8 % genotip 3, 8,1 % genotip 4, 3,4 % genotip 5-6; 13,1 % je bilo starih ≥ 65 let; 56,6 % je bilo moških; 6,2 % je bilo ljudi črne rase; 12,3 % jih je imelo cirozo;
No subject experienced virologic failure.
Pri nobenemu preiskovancu se ni pojavila virusna neodzivnost.
Of the 280 subjects treated, the median age was 60 years (range: 34 to 88); 81.8% had HCV genotype 1, 10% had HCV genotype 2, 4.6% had HCV genotype 4, 0.4% had HCV genotype 5; 3.2% had HCV genotype 6; 60% were male; 9.6% were Black.
Pri 280 zdravljenih preiskovancih je bila mediana starost 60 let (razpon: od 34 do 88); 81,8 % je imelo okužbo HCV genotipa 1, 10 % HCV genotipa 2, 4,6 % HCV genotipa 4, 0,4 % HCV genotipa 5, 3,2 % HCV
d. GT3 with cirrhosis from SURVEYOR-2 Part 2 - Maviret for 12 weeks (n=24) or 16 weeks (n=4); GT3 with cirrhosis from SURVEYOR-2 Part 3 - Maviret for 12 weeks (n=40) or 16 weeks (n=47).
d. GT3 s cirozo iz študije SURVEYOR-2, 2. del - zdravilo Maviret 12 tednov (n = 24) ali 16 tednov (n=4); GT3 s cirozo iz študije SURVEYOR-2, 3. del - zdravilo Maviret 12 tednov (n = 40) ali 16 tednov (n=47).
Baseline polymorphisms relative to a subtype-specific reference sequence at amino acid positions 155, 156, and 168 in NS3, and 24, 28, 30, 31, 58, 92, and 93 in NS5A were evaluated at a 15% detection threshold by next-generation sequencing.
156 in 168 v NS3 ter 24, 28, 30, 31, 58, 92 in 93 v NS5A, so ugotavljali s sekvenciranjem naslednje generacije in pragom detekcije 15 %.
Gastrointestinal disorders Common diarrhoea, nausea
Bolezni prebavil pogosti driska, navzea
Ciclosporin 400 mg single dose
↑ pibrentasvir ciklosporin enkraten odmerek 400 mg
Maviret is not recommended in patients with moderate hepatic impairment (Child Pugh-B) and is contraindicated in patients with severe hepatic impairment (Child-Pugh C) (see sections 4.3, 4.4, and
Za bolnike z zmerno okvaro jeter (Child-Pugh B) zdravilo Maviret ni priporočljivo, pri bolnikih s hudo okvaro jeter (Child-Pugh C) pa je kontraindicirano (glejte poglavja 4.3, 4.4 in 5.2).
c. GT3 without cirrhosis from SURVEYOR-2 Parts 1 and 2 - Maviret for 8 weeks (n=29) or 12 weeks (n=54); GT3 without cirrhosis from SURVEYOR-2 Part 3 - Maviret for 12 weeks (n=22) or 16 weeks (n=22).
c. GT3 brez ciroze iz študije SURVEYOR-2, 1. in 2. del - zdravilo Maviret 8 tednov (n = 29) ali 12 tednov (n = 54); GT3 brez ciroze iz študije SURVEYOR-2, 3. del - zdravilo Maviret 12 tednov (n = 22) ali 16 tednov (n=22).
In TN or TE-PRS subjects with compensated cirrhosis who received the recommended duration, 97.0% (288/297) achieved SVR12 (among which 98.0% [192/196] of TN subjects achieved SVR12), while 0.7% (2/297) experienced on-treatment virologic failure and 1.0% (3/289) experienced posttreatment relapse.
Med preiskovanci s kompenzirano cirozo, ki predhodno še niso bili zdravljeni ali so bili zdravljeni s kombinacijo interferona, peginterferona, ribavirina in/ali sofosbuvirja in so prejeli zdravljenje v priporočenem trajanju, jih je 97,0 % (288/297) doseglo SVR12 (med temi je SVR12 doseglo 98,0 % [192/196] preiskovancev, ki predhodno še niso bili zdravljeni); pri 0,7 % (2/297) je med zdravljenjem prišlo do virusne neodzivnosti, pri 1,0 % (3/289) pa se je pojavil recidiv po zdravljenju.
Recommended treatment duration No cirrhosis
Priporočeno trajanje zdravljenja
SURVEYOR-2 Part 3 was an open-label study randomizing non-cirrhotic treatment-experienced subjects to 12- or 16-weeks of treatment; in addition, the study evaluated the efficacy of Maviret in subjects with compensated cirrhosis and genotype 3 infection in two dedicated treatment arms using 12-week (treatment-naïve only) and 16-week (treatmentexperienced only) durations.
Poleg tega je študija ocenila učinkovitost zdravila Maviret pri preiskovancih s kompenzirano cirozo in okužbo z genotipom 3 v dveh namenskih terapevtskih skupinah z 12-tedenskim (le predhodno še nezdravljeni) in 16-tedenskim (le predhodno že zdravljeni) zdravljenjem.
↑ simvastatin acid
ZAVIRALCI PROTONSKE ČRPALKE
• headache
• driska
Immunosuppressants allowed for co-administration were ciclosporin ≤100 mg/day, tacrolimus, sirolimus, everolimus, azathioprine, mycophenolic acid, prednisone, and prednisolone.
takrolimus, sirolimus, everolimus, azatioprin, mikofenolna kislina, prednizon in prednizolon.
Patients who failed a prior regimen containing an NS5A- and/or an NS3/4A-inhibitor
Bolniki, pri katerih zdravljenje s shemami, ki so vključevale NS5A in/ali NS3/4A zaviralec, ni bilo uspešno
Maviret is not recommended in patients with moderate hepatic impairment (Child-Pugh B) and is contraindicated in patients with severe hepatic impairment (Child-Pugh C) (see sections 4.2, 4.3, and
Za bolnike z zmerno okvaro jeter (Child-Pugh B) zdravilo Maviret ni priporočljivo, pri bolnikih s hudo okvaro jeter (Child-Pugh C) pa je kontraindicirano (glejte poglavja 4.2, 4.3 in 5.2).
Twenty two of the approximately 2,300 subjects treated with Maviret for 8, 12, or 16 weeks in registrational Phase 2 and 3 clinical studies experienced virologic failure (2 with genotype 1, 2 with genotype 2, 18 with genotype 3 infection).
(pegIFN), ribavirinom (RBV) in/ali sofosbuvirjem, s cirozo ali brez nje Virusno neodzivnost so zabeležili pri 22 od približno 2300 preiskovancev, ki so v registracijskih kliničnih študijah 2. in 3. faze prejemali zdravilo Maviret 8, 12 ali 16 tednov (2 okužena z genotipom 1, 2 z genotipom 2 in 18 z genotipom 3).
(Inhibition of OATP1B1/3, P-gp, BCRP)
OATP1B1/3, P-gp, BCRP)
TN=treatment naïve, PRS-TE=treatment experienced (includes previous treatment that included pegIFN (or IFN), and/or RBV and/or sofosbuvir), PI=Protease Inhibitor, CKD=chronic kidney disease a. Included 33 subjects co-infected with HIV-1.
Zdravilo Maviret 8 tednov (n = 44) ali 16 tednov (n = 3) TN = še nezdravljeni (treatment-naïve), PRS-TE = že zdravljeni (treatment-experienced) (vključuje predhodno zdravljenje, ki je obsegalo pegIFN (ali IFN) in/ali RBV in/ali sofosbuvir), PI = zaviralec proteaz, KLB =
Sustained virologic response (SVR12), defined as HCV RNA less than LLOQ at 12 weeks after the cessation of treatment, was the primary endpoint in all the studies to determine the HCV cure rate.
V vseh študijah je bil za ugotavljanje deleža ozdravitev HCV primarni opazovani dogodek trajen virološki odziv (SVR12).
Glecaprevir and pibrentasvir AUC were increased ≤ 56% in non-HCV infected subjects with mild, moderate, severe, or end-stage renal impairment not on dialysis compared to subjects with normal renal function.
Preiskovanci, ki niso bili okuženi s HCV, ki so imeli blago, zmerno ali hudo okvaro ledvic ali končno odpoved ledvic, ki niso bili na dializi, so imeli AUC glekaprevirja in pibrentasvirja ≤ 56 % večjo kot preiskovanci z normalnim delovanjem ledvic.
In subjects who are treatment-naïve (TN) or treatment-experienced to combinations of interferon, peginterferon, ribavirin and/or sofosbuvir (TE-PRS) who received the recommended duration, 97.5% (1,252/1,284) achieved SVR12 overall, while 0.3% (4/1,284) experienced on-treatment virologic failure and 0.9% (11/1,262) experienced post-treatment relapse.
Med preiskovanci, ki predhodno še niso bili zdravljeni ali so bili zdravljeni s kombinacijo interferona, peginterferona, ribavirina in/ali sofosbuvirja, in so prejeli zdravljenje v priporočenem trajanju, jih je skupno doseglo SVR12 97,5 % (1252/1284); pri 0,3 % (4/1284) je med zdravljenjem prišlo do virusne neodzivnosti, pri 0,9 % (11/1262) pa se je pojavil recidiv po zdravljenju.
Of the 100 subjects treated, the median age was 60 years (range: 39 to 78); 57% had HCV genotype 1, 13% had HCV genotype 2, 24% had HCV genotype 3, 4% had HCV genotype 4, 2% had HCV genotype 6; 75% were male; 8% were Black; 66% were HCV treatment-naïve; none had cirrhosis and 80% had a baseline fibrosis state of F0 or F1; 80% of subjects were post-liver transplant and 20% were post-kidney transplant.
Povprečna starost pri 100 preiskovancih, ki so bili zdravljeni, je bila 60 let (razpon starosti: 39 do 78); 57 % jih je imelo HCV genotipa 1, 13 % jih je imelo HCV genotipa 2, 24 % jih je imelo HCV genotipa 3, 4 % jih je imelo HCV genotipa 4, 2 % jih je imelo HCV genotipa 6; 75 % jih je bilo moških; 8 % jih je bilo črne rase; 66 % jih še ni bilo zdravljenih; noben ni imel ciroze in 80 % je imelo osnovno stanje fibroze F0 ali F1; 80 % preiskovancev je imelo presajena jetra, 20 % pa presajene ledvice.
In population pharmacokinetic analysis of HCV-infected subjects, 86% higher glecaprevir and 54% higher pibrentasvir AUC were observed for subjects with end stage renal disease, with or without dialysis, compared to subjects with normal renal function.
V populacijski farmakokinetični analizi preiskovancev, okuženih s HCV, je bila pri tistih s končno odpovedjo ledvic (z dializo ali brez nje) AUC glekaprevirja 86 % večja in AUC pibrentasvirja
A low dose of the statin is recommended at the initiation of the DAA treatment.
Na začetku zdravljenja z zdravili z direktnim delovanjem na viruse se priporoča manjši odmerek statinov.
The following adverse reactions were identified in patients treated with Maviret.
Povzetek neželenih učinkov v preglednici Pri bolnikih, zdravljenih z zdravilom Maviret, so ugotovili naslednje neželene učinke.
(P-gp/BCRP inhibition)
(zavrtje Pgp/BCRP)
ANTICOAGULANTS Dabigatran etexilate 150 mg single dose
ANTIKOAGULANTI dabigatran-eteksilat enkraten odmerek 150 mg
Glecaprevir and pibrentasvir AUC were similar with and without dialysis (≤ 18% difference) in dialysis-dependent non-HCV infected subjects.
Pri preiskovancih, odvisnih od dialize in ki niso bili okuženi s HCV, sta bili AUC glekaprevirja in pibrentasvirja z dializo in brez dialize podobni (≤ 18 %
No clinically significant interactions are expected with tenofovir disoproxil fumarate.
dizoproksiltenofovi ratom ni pričakovati klinično pomembnih medsebojnih delovanj.
In TE-PRS subjects without cirrhosis who received the recommended duration, 98.2% (215/219) achieved SVR12, while 0.5% (1/219) experienced on-treatment virologic failure and 1.4% (3/218) experienced post-treatment relapse.
Med preiskovanci brez ciroze, ki so bili predhodno zdravljeni s kombinacijo interferona, peginterferona, ribavirina in/ali sofosbuvirja, ki so prejeli zdravljenje v priporočenem trajanju, jih je 98,2 % (215/219) doseglo SVR12; pri 0,5 % (1/219) je med zdravljenjem prišlo do virusne neodzivnosti, pri 1,4 % (3/218) pa se je pojavil recidiv po zdravljenju.
Biliary excretion Biliary excretion t1/2 (h) at steady-state % of dose excreted in urinec % of dose excreted in faecesc
% odmerka, izločen v urinuc % odmerka, izločen v blatuc
↑ losartan carboxylic acid
↑ losartan karboksilna kislina valsartan enkraten odmerek 80 mg
Maviret is not recommended for use in patients requiring stable ciclosporin doses > 100 mg per day.
Zdravila Maviret ni priporočljivo uporabljati pri bolnikih, ki potrebujejo stabilne
Some combinations of NS5A
Izhodiščne polimorfizme NS5A so odkrili pri
In a pooled analysis of treatment naïve patients without cirrhosis (including Phase 2 and 3 data) where SVR12 was assessed according to the presence of baseline A30K, a numerically lower SVR12 rate was achieved in patients with A30K treated for 8 weeks as compared to those treated for 12 weeks [78% (14/18) vs 93% (13/14)].
SVR12 ocenjen glede na prisotnost izhodiščne vrednosti A30K, je bil dosežen delež SVR12 pri bolnikih z A30K, ki so bili zdravljeni 8 tednov, numerično nižji kot pri tistih, ki so bili zdravljeni 12
Co-administration of Maviret with medicinal products that inhibit P-gp and BCRP (e.g. ciclosporin, cobicistat, dronedarone, itraconazole, ketoconazole, ritonavir) may slow elimination of glecaprevir and pibrentasvir and thereby increase plasma exposure of the antivirals.
Sočasna uporaba zdravila Maviret z zdravili, ki zavirajo P-gp in BCRP (npr. ciklosporin, kobicistat, dronedaron, itrakonazol, ketokonazol, ritonavir),
Maternal toxicity associated with embryo-foetal loss has been observed in the rabbit with glecaprevir which precluded evaluation of glecaprevir at clinical exposures in this species (see section 5.3).
in to je onemogočilo, da bi pri tej živalski vrsti ocenili glekaprevir v klinični izpostavljenosti (glejte poglavje 5.3).
2D barcode carrying the unique identifier included.
EDINSTVENA OZNAKA - DVODIMENZIONALNA ČRTNA KODA <Vsebuje dvodimenzionalno črtno kodo z edinstveno oznako.>
Table 7: Clinical studies conducted with Maviret in subjects with HCV genotype 1, 2, 3, 4, 5 or 6 Infection
Preglednica 7: Klinične študije z zdravilom Maviret pri bolnikih, okuženih s HCV genotipov 1,
Co-administration is contraindicated (see section 4.3).
Sočasna uporaba je kontraindicirana (glejte poglavje
IMMUNOSUPPRESSANTS Ciclosporin
IMUNOSUPRESIVI ciklosporin enkraten odmerek 100 mg
↓ glecaprevir ↔ pibrentasvir
↓ glekaprevir ↓ pibrentasvir
↓ glecaprevir ↓ pibrentasvir
↓ glekaprevir ↔ pibrentasvir
Co-administration with darunavir is not recommended.
Sočasna uporaba z darunavirjem ni priporočljiva.
Among GT3b subjects without cirrhosis, a numerically lower SVR12 rate of 58.3% (7/12) [62.5% (5/8) for TN subjects and 50% (2/4) for TE-PRS subjects] was observed compared to GT3a subjects without cirrhosis (92.9% (13/14)).
(13/14)), opažena numerično nižja stopnja SVR12 58,3 % (7/12) [62,5 % (5/8) pri TN preiskovancih in 50 % (2/4) pri TE-PRS preiskovancih].
No dose adjustment of Maviret is required in adolescents 12 years and older.
Pri mladostnikih, starih 12 let in več, prilagajanje odmerka zdravila Maviret ni potrebno.