natgillin/translations-raw huggingface dataset:
Xofigo is currently authorised for use in men whose prostate cancer has spread to the bones and is causing symptoms.
Zdravilo Xofigo je trenutno odobreno za uporabo pri moških, pri katerih se je rak prostate razširil na kosti in povzroča simptome.
• The safety and efficacy of Xofigo in combination with second generation androgen receptor antagonists such as Xtandi (enzalutamide) have not been established.
• Varnost in učinkovitost zdravila Xofigo v kombinaciji z drugo generacijo antagonistov androgenskih receptorjev, kot je zdravilo Xtandi (enzalutamid), nista bili dokazani.
Healthcare professionals in the EU must not use a combination of Xofigo with the anti-androgen Zytiga and prednisone/prednisolone, and should stop this combination in men currently treated with it and review the treatment for these patients.
Zdravstveni delavci v EU ne smejo uporabljati kombinacije zdravila Xofigo z zdravilom Zytiga za antiandrogeno zdravljenje in prednizonom/prednizolonom ter morajo zaključiti uporabo te kombinacije pri moških, ki se trenutno zdravijo z njo, in ponovno proučiti zdravljenje za te bolnike.
Healthcare professionals are also warned that the safety and efficacy of Xofigo in combination with a class of medicines called second generation androgen receptor antagonists, such as Xtandi (enzalutamide), have not been established.
Zdravstveni delavci so tudi prejeli opozorilo, da varnost in učinkovitost zdravila Xofigo v kombinaciji z razredom zdravil, ki se imenujejo druga generacija antagonistov androgenskih receptorjev, kot je zdravilo Xtandi (enzalutamid), nista bili dokazani.
The ongoing clinical study includes metastatic prostate cancer patients who have not previously received chemotherapy and who have no symptoms or only mild symptoms, such as pain.
Klinična študija, ki še poteka, vključuje bolnike z metastatskim rakom prostate, ki predhodno niso prejemali kemoterapije in nimajo nobenih simptomov ali pa imajo samo blage simptome, kot je bolečina.
• Doctors are being advised that the medicine for prostate cancer Xofigo must not be used with the prostate cancer medicine Zytiga and prednisone/prednisolone because there is evidence that the combination may be harmful to patients due to a possible increased risk of fractures and death.
• Zdravnikom je bilo svetovano, da se zdravilo Xofigo za zdravljenje raka prostate ne sme uporabljati skupaj z zdravilom Zytiga za zdravljenje raka prostate in prednizonom/prednizolonom, saj obstajajo dokazi, da je kombinacija škodljiva za bolnike zaradi možnega povečanega tveganja za zlome in umrljivost.
• Xofigo must not be used with the anti-androgen Zytiga (abiraterone acetate) and prednisone/prednisolone because of possible increased risk of fractures and mortality.
• Zdravilo Xofigo se ne sme uporabljati skupaj z zdravilom Zytiga za antiandrogeno zdravljenje (abirateron acetat) in prednizonom/prednizolonom, in sicer zaradi povečanega tveganja za zlome in umrljivost.
The ongoing study of Xofigo in combination with Zytiga and prednisone/prednisolone included patients with castration-resistant prostate cancer that has spread mainly to the bones, who have no symptoms or only mild symptoms and who have not been treated with chemotherapy.
Študija zdravila Xofigo v kombinaciji z zdravilom Zytiga in prednizonom/prednizolonom, ki še poteka, vključuje bolnike z rakom prostate, pri katerih kastracija ni učinkovita in se je rak razširil predvsem na kosti, ki nimajo simptomov ali imajo blage simptome in ki niso bili zdravljeni s kemoterapijo.
Titration pack: 12 tablets
Velikost pakiranja titracijsko pakiranje: 12 tablet
Route of administration
dovoljenja za promet
The reference member state (RMS) is France and 8 concerned member states (CMS) are involved: Austria, Germany, Hungary, the Netherlands, Poland, Romania, Spain and the United Kingdom.
Referenčna država članica je Francija, vključenih pa je 8 zadevnih držav članic: Avstrija, Nemčija, Madžarska, Nizozemska, Poljska, Romunija, Španija in Združeno kraljestvo.
It is not possible to conclude at present whether these findings could be extrapolated to altrenogest.
Trenutno ni mogoče skleniti, ali se lahko te ugotovitve ekstrapolirajo na altrenogest.
This procedure will allow an assessment of all available data and harmonised outcome in relation to all products concerned.
Ta postopek bo omogočil oceno vseh razpoložljivih podatkov in usklajen izid za vsa zadevna zdravila.
The modelling of the surface water concentrations is principally accepted.
Oblikovanje koncentracij v površinskih vodah je primarno sprejemljivo.
The warnings in the product literature remain appropriate at present in absence of new findings.
Opozorila v literaturi o zdravilu so trenutno ustrezna, saj ni novih ugotovitev.
Efficacy was not assessed in this referral procedure.
V tem napotitvenem postopku učinkovitost ni bila ocenjena.
The environmental risk assessment will be reviewed within the Article 35 referral.
Ocena okoljskega tveganja bo pregledana v sklopu napotitvenega postopka iz člena 35.
The efficacy of Suifertil has been demonstrated according to current rules during the decentralised procedure.
Učinkovitost zdravila Suifertil so dokazali med decentraliziranim postopkom v skladu s trenutnimi pravili.
For the DT50 water the conservative approach of 1000 days was used.
Pri vrednosti DT50 voda so uporabili konservativni pristop s 1000 dnevi.
This indicates potential adverse effects of steroid hormones in the environment.
To kaže na morebitne neželene učinke steroidnih hormonov na okolje.
The use of QSAR is very limited and only refers to metabolism, which is considered acceptable.
Uporaba razmerja QSAR je zelo omejena in se nanaša samo na presnovo, kar je sprejemljivo.
No further risk mitigation measures were considered than the ones proposed in the decentralised procedure.
Obravnavali niso nobenih dodatnih ukrepov za zmanjševanje tveganja, razen ukrepov, ki so bili predlagani pri decentraliziranem postopku.
List of the name, pharmaceutical form, strength of the veterinary medicinal product, animal species, route of administration, applicant in the Member States
Seznam imen, farmacevtskih oblik, jakosti zdravila za uporabo v veterinarski medicini, živalskih vrst, poti uporabe zdravila, predlagateljev dovoljenja za promet z zdravilom v državah članicah
Effect data with altrenogest are not available in the public domain.
Podatki o učinku altrenogesta niso javno dostopni.
For DT50 soil a conservative approach of 10 days was used, based on reported half-lives of different hormones.
Za vrednost DT50 tla so uporabili konservativni pristop z 10 dnevi, ki je temeljil na poročanih razpolovnih časih različnih hormonov.
Quality, target animal safety, user safety and residues were not assessed in this referral procedure, as no concern was notified by the reference Member State.
V tem napotitvenem postopku niso ocenjevali kakovosti, varnosti za ciljne živali, varnosti za uporabnika in ostankov, saj referenčna država članica ni priglasila nobenega pomisleka.
Considering the data submitted, the Committee concluded as follows on issues raised in the notification received from France.
Na podlagi predloženih podatkov je odbor glede pomislekov, izpostavljenih v uradnem obvestilu, prejetem iz Francije, podal naslednje zaključke.
In parallel of the QSAR calculation, the applicant has considered the worst case where altrenogest is not metabolised at all.
Vzporedno z izračunom QSAR je predlagatelj predpostavil najslabši mogoči scenarij, pri katerem se altrenogest sploh ne presnovi.
Some VMPs that might otherwise stop in Phase I may require additional environmental information to address particular concerns associated with their activity and use.”
Pri nekaterih zdravilih za uporabo v veterinarski medicini, pri katerih bi se lahko postopek končal po I. fazi, je treba pridobiti dodatne okoljske podatke, da se lahko obravnavajo posebni pomisleki, povezani z njihovim delovanjem in uporabo.“
Within this referral the submission of further ecotoxicity and environmental fate data are expected.
V sklopu tega napotitvenega postopka se pričakuje predložitev dodatnih podatkov o ekotoksičnosti in vplivu na okolje.
Lastly, an expert report was provided which discusses the need for altrenogest-containing products in pig farming.
Predloženo je bilo tudi strokovno poročilo, ki opisuje potrebo po zdravilih, ki vsebujejo altrenogest, v prašičereji.
These scenarios led to a PECsurfacewater ranging from 0.641 ng/l (for a closed system with 80% metabolism) up to 8.98 ng/l (for an open system with 0% metabolism).
Na podlagi teh scenarijev so dobili vrednost PECpovršinska voda od 0,641 ng/l (za zaprt sistem z 80-odstotno presnovo) do 8,98 ng/l (za odprt sistem z 0-odstotno presnovo).
The applicant used Quantitative structure-activity relationship models (QSAR models) to calculate excretion levels of altrenogest and compared them with the measured total gestagen excretion by pigs reported in public literature.
Predlagatelj je za izračun ravni izločanja altrenogesta uporabil modele kvantitativnega razmerja med strukturo in delovanjem (modele QSAR) ter jih primerjal z izmerjenimi skupnimi ravnmi izločanja gestagenov pri prašičih, o katerih so poročali v javni literaturi.
Surface water for altrenogest was modelled using FOCUS simulation models, using the two scenarios (open and closed models) with 0% and 80% metabolism each.
Vrednosti altrenogesta v površinskih vodah so bile oblikovane z uporabo simulacijskih modelov FOCUS, ki so vključevali dva scenarija (odprte in zaprte modele) z 0- oziroma 80-odstotno presnovo.
Germany expressed concerns regarding a potential serious risk for the environment as the active ingredient is a steroid hormone and data from publicly available literature show a high risk to aquatic organisms arising from other steroids with a similar molecular structure at environmental concentrations far below the trigger value in nanogram range.
Nemčija je izrazila pomisleke glede morebitnega resnega tveganja za okolje, saj je zdravilna učinkovina steroidni hormon, podatki iz javno dostopne literature pa kažejo na veliko tveganje za morske organizme, ki izhaja iz drugih steroidov s podobno molekulsko strukturo pri okoljskih koncentracijah, ki so veliko manjše od vrednosti za sprožitev ocene v razponu v nanogramih.
This referral under Article 33(4) of Directive 2001/82/EC was made due to concerns that the applicant had not satisfactorily demonstrated the environmental safety of Suifertil 4 mg/ml Oral Solution for Pigs due to lack of pivotal data without which it is not possible to conclude on the environmental safety of the product.
Napotitveni postopek v skladu s členom 33(4) Direktive 2001/82/ES je bil sprožen zaradi pomislekov, da predlagatelj ni zadostno dokazal okoljske varnosti pri zdravilu Suifertil 4 mg/ml peroralna raztopina za prašiče, saj manjkajo ključni podatki, brez katerih ni mogoče sklepati na okoljsko varnost pri uporabi tega zdravila.
The calculated values for altrenogest were 13.5 (in the case of 80% metabolism) and 2.7 (in the case of 0% metabolism) times lower than the total gestagen excretion by pigs.
Izračunane vrednosti za altrenogest so bile 13,5-krat (pri 80-odstotni presnovi) in 2,7-krat (pri 0-odstotni presnovi) manjše kot skupne ravni izločanja gestagenov pri prašičih.
Within the ongoing Article 35 referral for all veterinary medicinal products containing altrenogest to be administered orally to pigs and horses, further ecotoxicity and environmental fate data are expected to be submitted.
V sklopu potekajočega napotitvenega postopka v skladu s členom 35 za vsa zdravila za uporabo v veterinarski medicini, ki vsebujejo altrenogest in se bodo peroralno dajala prašičem ter konjem, se pričakuje, da bodo predloženi dodatni podatki o ekotoksičnosti in vplivu na okolje.
A Phase I environmental risk assessment in compliance with the relevant guidelines was provided, which showed that the PECsoil value for pigs does not exceed the VICH threshold of 100 μg/kg.
Skladno z zadevnimi smernicami je bila predložena ocena okoljskega tveganja I. faze, ki je pokazala, da vrednost PECtla pri prašičih ne presega mejne vrednosti VICH 100 μg/kg.
Furthermore, Germany considered that appropriate risk mitigation measures (RMM) are missing in the SPC as a consequence of the identified unacceptable risk to aquatic organisms.
Poleg tega Nemčija meni, da v povzetku glavnih značilnosti zdravila manjkajo ustrezni ukrepi za zmanjševanje tveganja, kar je posledica ugotovljenega nesprejemljivega tveganja za vodne organizme.
In this procedure, the Committee was asked to consider whether in the case of Suifertil 4 mg/ml Oral Solution for Pigs, containing as the active substance a synthetic hormone (altrenogest), the ‘however clause' should be applied and a tailored Phase II environmental risk assessment should be provided in
Pri tem postopku so odbor prosili, naj presodi, ali je treba pri zdravilu Suifertil 4 mg/ml peroralna raztopina za prašiče, ki kot zdravilno učinkovino vsebuje sintetični hormon (altrenogest), uporabiti „klavzulo vendar“ in predložiti prilagojeno oceno okoljskega tveganja II.
Altrenogest is a synthetic steroidal hormone, an orally active (pro)gestagen.
Altrenogest je sintetični steroidni hormon, peroralno aktivni (pro)gestagen.
It is included in veterinary medicinal products currently authorised in the European Union for gilts and mares for zootechnical purposes (oestrus synchronisation).
Spada med zdravila za uporabo v veterinarski medicini, ki so v Evropski uniji trenutno odobrena pri mladicah in kobilah za zootehnične namene (sinhronizacijo estrusa).
Altrenogest is a synthetic steroidal hormone, an orally active progestogen.
Altrenogest je sintetični steroidni hormon, peroralno aktivni progestagen.
A class referral under Article 35 of Directive 2001/82/EC has been initiated in April 2013 for all veterinary medicinal products containing altrenogest to be administered orally to pigs and horses, the scope of which also includes Suifertil.
V skladu s členom 35 Direktive 2001/82/ES je bil aprila 2013 uveden napotitveni postopek za razred vseh zdravil za uporabo v veterinarski medicini, ki vsebujejo altrenogest in so namenjena peroralni uporabi pri prašičih in konjih.
Using the total residue approach for intensively reared animals the PECsoil for pigs was determined to be 3.01 μg/kg and refining by means of FOCUS models led to values of 0.93 µg/kg for open systems and 0.36 µg/kg for closed systems.
Z uporabo pristopa s skupnimi ostanki pri živalih v intenzivni reji so ugotovili, da je vrednost PECtla pri prašičih 3,01 μg/kg, prečiščevanje z modeli FOCUS pa je pokazalo vrednosti 0,93µg/kg za odprte sisteme in 0,36 µg/kg za zaprte sisteme.
Based on the currently available data, and in anticipation of a more in-depth assessment of the environmental risk assessment under an ongoing Article 35 referral, the benefit-risk ratio is considered positive for Suifertil 4 mg/ml Oral Solution for Pigs at present.
Na podlagi trenutno razpoložljivih podatkov in v pričakovanju dodatnega podrobnega vrednotenja ocene okoljskega tveganja v skladu z napotitvenim postopkom iz člena 35 je razmerje med tveganji in koristmi zdravila Suifertil 4 mg/ml peroralna raztopina za prašiče trenutno pozitivno.
The applicant argued that the environmental load of altrenogest is comparable to other hormones measured and provided public available literature regarding effect concentrations of different hormones in the low ng/l range, but none with altrenogest.
Predlagatelj je dokazoval, da je okoljsko breme altrenogesta primerljivo z drugimi hormoni, kar je izmerjeno in objavljeno v javno dostopni literaturi o koncentracijah različnih hormonov z učinkom znotraj spodnjega razpona v ng/l, vendar nobena publikacija ne vključuje altrenogesta.
In order to address the concerns raised by the referral, the applicant provided a Phase I ERA, references from public literature and a scientific justification why the ERA can stop at Phase I and the ‘however clause' should not be invoked.
Za obravnavo pomislekov v napotitvenem postopku je predlagatelj predložil oceno tveganja za okolje I. faze, reference iz javne literature in znanstveno utemeljitev, zakaj se lahko ocena tveganja za okolje konča pri I. fazi in se ni treba sklicevati na „klavzulo vendar“.
The referenced ‘however clause' is a provision in the introduction section of VICH GL6 which states “Phase I also identifies VMPs that require a more extensive EIA under Phase II.
Zadevna „klavzula vendar“ je določba v uvodnem delu smernice VICH GL6, ki navaja:„V I. fazi so določena tudi zdravila za uporabo v veterinarski medicini, ki zahtevajo obširnejšo oceno EIA v sklopu II.
The applicant provided a Phase I ERA, in which PECsoil initial for the active ingredient was calculated to be 0.93 µg/kg for open systems and 0.36 µg/kg for closed systems, which is considered plausible and acceptable.
Predlagatelj je predložil oceno tveganja za okolje I. faze, pri kateri je bila izračunana koncentracija PECtla prvotna za zdravilno učinkovino 0,93 µg/kg pri odprtih sistemih in 0,36 µg/kg pri zaprtih sistemih, kar je videti verjetno in sprejemljivo.
The application in question, submitted via the decentralised procedure, is a generic application according to Article 13(1) Directive 2001/82/EC, as amended, referring to the reference product Regumate oily solution 4 mg/ml.
Zadevna vloga, predložena v decentraliziranem postopku, je skladno s členom 13(1) Direktive 2001/82/ES, kot je bila spremenjena, generična vloga, ki se nanaša na referenčno zdravilo Regumate oljna raztopina 4 mg/ml.
The active substance is included in veterinary medicinal products currently licensed in several countries in the European Union for use in gilts and mares for synchronisation of oestrus.
Zdravilna učinkovina spada med zdravila za uporabo v veterinarski medicini, ki so trenutno odobrena v več državah Evropske unije za uporabo pri mladicah in kobilah za sinhronizacijo estrusa.
The two studies with the most sensitive results display effects in amphibians and fish already at the lowest test concentration of 1.3 and 0.8 ng/l, respectively.
Rezultati dveh študij z najobčutljivejšimi rezultati so pokazali učinke na dvoživke in ribe že pri najmanjši preiskovani koncentraciji 1,3 oziroma 0,8 ng/l, zato iz teh študij ni mogoče izpeljati koncentracije NOEC (brez opaznega učinka).
This is a generic application according to Art. 13(1) of Directive 2001/82/EC, as amended, referring to the reference product Regumate oily solution 4 mg/ml.
Skladno s členom 13(1) Direktive 2001/82/ES, kot je bila spremenjena, je to generična vloga, ki se nanaša na referenčno zdravilo Regumate oljna raztopina 4 mg/ml.
Application of the ‘however clause' or can the ERA stop at Phase I
Uporaba „klavzule vendar“ oziroma ali se lahko ocena tveganja za okolje konča pri I. fazi
The Phase I environmental risk assessment (ERA) conducted by the applicant for Suifertil indicated a predicted environmental concentration (PEC) in soil below the value of 100 µg active substance per kg soil which triggers a Phase II ERA, therefore no further assessment was carried out.
Ocena tveganja za okolje (ERA) I. faze, ki jo je opravil predlagatelj za zdravilo Suifertil, je pokazala predvideno okoljsko koncentracijo (PEC) v tleh pod vrednostjo 100 µg zdravilne učinkovine na kg tal, kar sproži oceno tveganja za okolje II.
The concerns expressed by the objecting CMS in respect to the risk to aquatic organisms do not relate specifically to the product Suifertil 4 mg/ml Oral Solution for Pigs, but equally to all relevant veterinary medicinal products containing the active substance altrenogest.
Pomisleki, ki jih je zadevna država članica izpostavila glede tveganja za vodne organizme, se ne nanašajo izrecno na zdravilo Suifertil 4 mg/ml peroralna raztopina za prašiče, ampak na vsa zadevna zdravila za uporabo v veterinarski medicini, ki vsebujejo zdravilno učinkovino altrenogest.
Studies in the published literature on effects of several hormones other than altrenogest on aquatic organisms indicate adverse effects at concentrations far below the trigger value of 100 µg/kg soil.
Študije v objavljeni literaturi o učinkih številnih hormonov, ki niso altrenogest, na vodne organizme kažejo na neželene učinke pri koncentracijah, ki so veliko manjše od vrednosti 100 µg/kg tal, ki zahteva sprožitev dodatne ocene.
As there is no product specific concern identified for Suifertil 4 mg/ml Oral Solution for Pigs that is different from the other, already authorised altrenogest containing veterinary medicinal products, it is considered appropriate to await the outcome of the ongoing Article 35 referral before any different conclusions regarding the environmental risk assessment or specific measures would be envisaged for Suifertil 4 mg/ml Oral Solution for Pigs.
Ker z zdravilom Suifertil 4 mg/ml peroralna raztopina za prašiče, ki se razlikuje od drugih, že odobrenih zdravil za uporabo v veterinarski medicini, ki vsebujejo altrenogest, ni povezan noben pomislek, ki bi bil specifičen za to zdravilo, je primerno, da počakamo na izid potekajočega napotitvenega postopka iz člena 35, preden se za zdravilo Suifertil 4 mg/ml peroralna raztopina za prašiče predvidijo kakršni koli drugačni zaključki glede ocene okoljskega tveganja ali posebnih ukrepov.
The submitted published literature on effect studies for three other hormones, the gestagens levonorgestrel, drosperinone and progestrerone, is indicating adverse effects at concentrations far below the trigger value of 100 µg/kg soil.
Predložena objavljena literatura o študijah učinkov treh drugih hormonov gestagenov, levonorgestrela, drosperidona in progestrerona, kaže na neželene učinke pri koncentracijah, veliko manjših od vrednosti 100 µg/kg tal, ki zahteva sprožitev dodatne ocene.
It is considered appropriate to await the outcome of the ongoing Article 35 referral before any specific measures would be envisaged for Suifertil 4 mg/ml Oral Solution for Pigs.
Meni, da je primerno počakati na izid potekajočega napotitvenega postopka iz člena 35, preden se za zdravilo Suifertil 4 mg/ml peroralna raztopina za prašiče predvidijo kakršni koli posebni ukrepi.
Scientific conclusions and grounds for the granting of the marketing authorisation for Suifertil 4 mg/ml Oral Solution for Pigs and associated names
Znanstveni zaključki in podlaga za odobritev dovoljenja za promet z zdravilom Suifertil 4 mg/ml peroralna raztopina za prašiče in povezanimi imeni
No further risk management or mitigation measures are required as a consequence of this referral procedure.
V tem napotitvenem postopku je bilo sklenjeno, da niso potrebni nobeni dodatni ukrepi za obvladovanje ali zmanjševanje tveganja.
Consequently, the applicant concluded that the ERA can stop at Phase I. Additionally, the applicant provided a scientific justification why the ‘however clause' of VICH GL6 should not be invoked.
Poleg tega je predlagatelj predložil znanstveno utemeljitev, zakaj ni treba uveljaviti „klavzule vendar“ v smernici VICH GL6.
The applicant submitted an application for a decentralised procedure for Suifertil 4 mg/ml Oral Solution for Pigs.
Predlagatelj je predložil vlogo za decentralizirani postopek za zdravilo Suifertil 4 mg/ml peroralna raztopina za prašiče.
The proposed indication for Suifertil 4 mg/ml Oral Solution for Pigs is to synchronise oestrus in sexually mature gilts.
Predlagana indikacija za zdravilo Suifertil 4 mg/ml peroralna raztopina za prašiče je sinhronizacija estrusa pri spolno zrelih mladicah.
The Netherlands
Država članica
Germany considered that the data provided are inadequate to conclude that altrenogest will not pose a risk to the environment and that a tailored Phase II ERA based on the so called ‘however clause' of VICH GL6: Guideline on environmental impact assessment (EIAs) for veterinary medicinal products - Phase I1 is necessary.
Nemčija je menila, da so predloženi podatki nezadostni, da bi lahko zaključili, da altrenogest ne bo predstavljal tveganja za okolje in da prilagojena ocena tveganja za okolje II.
Suifertil 4 mg/ml Oral Solution for Pigs is intended for synchronisation of oestrus in sexually mature pigs.
Zdravilo Suifertil 4 mg/ml peroralna raztopina za prašiče je namenjeno sinhronizaciji estrusa pri spolno zrelih prašičih.