natgillin/translations-raw huggingface dataset:
In the DTC study (see Lenvima SmPC), there was 1 event of PRES (Grade 2) in the lenvatinib-treated group and no reports in the placebo group.
V študiji DTC (glejte SmPC za zdravilo Lenvima) je bil en dogodek PRES (stopnje 2) v skupini, zdravljeni z lenvatinibom, in nobenih poročil v skupini s placebom.
How Kisplyx works
Kako zdravilo Kisplyx deluje
There are limited data on patients with body weight <60 kg in RCC.
Podatkov o bolnikih s telesno maso < 60 kg in RCC je malo.
All patients other than those with severe hepatic or renal impairment (see below) should initiate treatment at the recommended dose of 18 mg of lenvatinib with 5 mg of everolimus taken once daily, following which the dose should be further adjusted on the basis of individual tolerability.
Vsi bolniki razen tistih, ki imajo hudo okvaro jeter ali ledvic (glejte v nadaljevanju), naj začnejo z zdravljenjem s priporočenim odmerkom 18 mg lenvatiniba in 5 mg everolimusa enkrat na dan, nato pa naj se odmerek nadalje prilagaja na podlagi prenašanja vsakega bolnika posebej.
The lenvatinib plus everolimus arm showed a statistically significant and clinically meaningful improvement in PFS compared with the everolimus arm.
Skupina z lenvatinibom in everolimusom je pokazala statistično značilno in klinično pomembno izboljšanje PFS v primerjavi s skupino z everolimusom.
Severe (e.g., Grade 3) or intolerable adverse reactions require interruption of the combination of medicines until improvement of the reaction to Grade 0-1 or baseline.
Ob hudih neželenih učinkih (npr. stopnje 3) ali neželenih učinkih, ki jih bolnik ne more prenašati, je potrebna prekinitev odmerjanja kombinacije zdravil do izboljšanja neželenega učinka na stopnjo 0-1 ali na izhodiščno stanje.
**.Identified from post-marketing use of lenvatinib
***: Ugotovljeno pri uporabi lenvatiniba v obdobju trženja.
The most important serious adverse reactions were renal failure and impairment (11.3%), arterial thromboembolisms (3.9%)*, cardiac failure (1.6%), cerebral haemorrhage (1.6%), intracranial tumour haemorrhage (0.7%)*, PRES / RPLS (0.2%)*, and hepatic failure (0.2%)* (the asterisked frequencies are from the DTC patient population).
Najpomembnejši resni neželeni učinki so bili odpoved in okvara ledvic (11,3 %), arterijske trombembolije (3,9 %)*, popuščanje srca (1,6 %), možganska krvavitev (1,6 %), krvavitev v znotrajlobanjskem tumorju (0,7 %)*, PRES / RPLS (0,2 %)* in odpoved jeter (0,2 %)* (z zvezdicami označene pogostnosti so iz skupine bolnikov z DTC).
Reactions that occurred at an incidence of ≥2.0% were: epistaxis (22.6%), haematuria (4.8%), haematoma (3.2%), and gastric haemorrhage (3.2%).
Neželeni učinki, ki so se pojavili z incidenco ≥ 2,0 %, so bili: epistaksa (22,6 %), hematurija (4,8 %), hematom (3,2 %) in želodčna krvavitev (3,2 %).
≥ 2 gm / 24 hours
≥ 2 g/24 ur prekinite
Kisplyx may cause side effects that can affect your ability to drive or use machines.
Vpliv na sposobnost upravljanja vozil in strojev Zdravilo Kisplyx lahko povzroči neželene učinke, ki lahko vplivajo na vašo sposobnost upravljanja vozil ali strojev.
Amongst 1,166 patients treated with lenvatinib, there were 5 cases (0.4%) of arterial thromboembolisms (3 cases of myocardial infarction and 2 cases of cerebrovascular accident) with a fatal outcome.
Med 1166 bolniki, zdravljenimi z lenvatinibom, je bilo 5 primerov (0,4 %) arterijskih trombembolij (3 primeri miokardnega infarkta in 2 primera cerebrovaskularnega insulta) s smrtnim izidom.
However in DTC patients with low body weight (<60 kg) had a higher incidence of PPE, proteinuria, of Grade 3 or 4 hypocalcaemia and hyponatraemia, and a trend towards a higher incidence of Grade 3 or 4 decreased appetite.
Bolniki z DTC in majhno telesno maso (< 60 kg) pa so imeli večjo incidenco PPE, proteinurije, hipokalciemije in hiponatriemije stopnje 3 ali 4 in nagnjenost k večji incidenci zmanjšanega apetita stopnje 3 ali 4.
Within each frequency category, undesirable effects are presented in order of decreasing seriousness.
(ni mogoče oceniti iz razpoložljivih podatkov) V razvrstitvah pogostnosti so neželeni učinki navedeni po padajoči resnosti.
Reactions of Grade 3 or higher (including 1 reaction of Grade 4) occurred in 44.4% of lenvatinib-treated patients compared with 3.8% of placebo-treated patients.
Učinki stopnje 3 ali višje (vključno z 1 učinkom stopnje 4) so se pojavili pri 44,4 % bolnikov, zdravljenih z lenvatinibom, v primerjavi s 3,8 % bolnikov, ki so prejemali placebo.
Grade 3 reactions occurred in 10.7% of lenvatinib-treated patients and none in placebo-treated patients.
Učinki stopnje 3 so se pojavili pri 10,7 % bolnikov, zdravljenih z lenvatinibom, in pri nobenem od bolnikov, ki so prejemali placebo.
The pharmacokinetics of lenvatinib following a single 24-mg dose were evaluated in 6 subjects each with mild, moderate, and severe renal impairment, and compared with 8 healthy, demographically matched subjects.
Farmakokinetiko lenvatiniba po enkratnem 24-miligramskem odmerku so ovrednotili pri 6 preiskovancih z blago, 6 preiskovancih z zmerno in 6 preiskovancih s hudo okvaro ledvic in rezultate primerjali z 8 zdravimi, demografsko podobnimi preiskovanci.
In the placebo group 0.8% of patients developed renal failure or impairment (0.8% were Grade ≥ 3).
skupini s placebom se je odpoved ali okvara ledvic razvila pri 0,8 % bolnikov (0,8 % jih je bilo stopnje ≥ 3).
In RCC, patients with baseline renal impairment had a higher incidence of Grade 3 fatigue.
Bolniki z RCC in izhodiščno okvaro ledvic so imeli večjo incidenco utrujenosti stopnje 3.
In the DTC study, events of gastrointestinal perforation or fistula were reported in 1.9% of lenvatinib-treated patients and 0.8% of patients in the placebo group.
V študiji DTC so o dogodkih gastrointestinalne perforacije ali fistule poročali pri 1,9 % bolnikov, zdravljenih z lenvatinibom, in pri 0,8 % bolnikov v skupini s placebom.
However, in DTC, patients of age ≥75 years were more likely to experience Grade 3 or 4 hypertension, proteinuria, decreased appetite, and dehydration.
Vendar pa so bile pri bolnikih z DTC, starih 75 let ali več, verjetnejše hipertenzija, proteinurija, zmanjšan apetit in dehidracija stopnje 3 ali 4.
In patients with DTC, females had a higher incidence of hypertension (including Grade 3 or 4 hypertension), proteinuria, and PPE, while males had a higher incidence of decreased ejection fraction and gastrointestinal perforation and fistula formation.
Pri bolnikih z DTC so imele ženske pogosteje hipertenzijo (vključno s hipertenzijo stopnje 3 ali 4), proteinurijo in PPE, moški pa so imeli večje incidenco zmanjšane iztisne frakcije, gastrointestinalnih perforacij in nastanka fistul.
How to take Kisplyx
Kako jemati zdravilo Kisplyx
• Do not breast-feed if you are taking Kisplyx.
• Ne dojite, če jemljete zdravilo Kisplyx.
10 mg orally once daily One 10 mg capsule
10 mg peroralno enkrat na dan ena 10 mg kapsula
The incidence of QTc interval greater than 500 ms was 6% in the lenvatinib plus everolimus-treated group.
Incidenca intervala QTc, daljšega od 500 ms, je bila 6 % v skupini, zdravljeni z lenvatinibom in everolimusom.
However, in DTC Asian patients had a higher incidence than Caucasian patients of peripheral oedema, hypertension, fatigue, PPE, proteinuria, thrombocytopenia, and blood thyroid stimulating hormone increased.
Vendar pa so imeli bolniki azijske rase z DTC večjo incidenco perifernih edemov, hipertenzije, utrujenosti, PPE, proteinurije, trombocitopenije in zvišanega tirotropnega hormona v krvi kot bolniki bele rase.
Reactions that occurred at an incidence of ≥0.75% above placebo were: epistaxis (11.9%), haematuria (6.5%), contusion (4.6%), gingival bleeding (2.3%), haematochezia (2.3%), rectal haemorrhage (1.5%), haematoma (1.1%), haemorrhoidal haemorrhage (1.1%), laryngeal haemorrhage (1.1%), petechiae (1.1%), and intracranial tumour haemorrhage (0.8%).
Učinki, ki so se pojavljali z incidenco ≥ 0,75 % več kot pri placebu, so bili: epistaksa (11,9 %), hematurija (6,5 %), kontuzija (4,6 %), gingivalna krvavitev (2,3 %), hematohezija (2,3 %), rektalna krvavitev (1,5 %), hematom (1,1 %), hemoroidna krvavitev (1,1 %), laringealna krvavitev (1,1 %), petehije (1,1 %) in krvavitev v znotrajlobanjskem tumorju (0,8 %).
Blood alkaline phosphatase increased Hepatic function abnormal Gamma-glutamyltransferase increasedk Blood bilirubin increased‡
zvišana alkalna fosfataza v krvi abnormalna funkcija jeter zvišana gamaglutamiltransferazak zvišan bilirubin v krvi‡
In patients with severe (Child-Pugh C) hepatic impairment, the recommended starting dose of lenvatinib is 10 mg taken once daily in combination with the dose of everolimus recommended for patients with severe hepatic impairment in the everolimus SmPC.
Pri bolnikih s hudo (Child-Pugh C) okvaro jeter je priporočeni začetni odmerek lenvatiniba 10 mg enkrat na dan v kombinaciji z odmerkom everolimusa, ki je v SmPC everolimusa priporočen za bolnike s hudo okvaro jeter.
• severe pain in the upper left part of the belly (abdomen) which may be associated with fever, chills,
• močna bolečina v zgornjem levem delu trebuha (abdomna), ki jo lahko spremljajo zvišana telesna temperatura, mrzlica, slabost in bruhanje,
In those patients with a normal TSH at baseline, elevation of TSH level above 0.5 mU/L was observed post baseline in 57% of lenvatinib-treated patients as compared with 14% of placebo-treated patients.
Pri bolnikih z normalnim TSH v izhodišču so ugotovili poizhodiščno zvišanje ravni TSH nad 0,5 me./l pri 57 % bolnikov, zdravljenih z lenvatinibom, v primerjavi s 14 % bolnikov, ki so prejemali placebo.
PRES, also known as RPLS, has been reported in patients treated with lenvatinib (<1%; see section 4.8, Description of selected adverse reactions).
O PRES, znanem tudi kot RPLS, so poročali pri bolnikih, zdravljenih z lenvatinibom (< 1 %; glejte poglavje 4.8, Opis izbranih neželenih učinkov).
In the everolimus monotherapy group 2.0% of patients developed renal failure (2.0% were Grade 3).
V skupini z monoterapijo z everolimusom se je pri 2,0 % bolnikov razvila odpoved ledvic (2,0 % jih je bilo stopnje 3).
Women of childbearing potential/ Contraception in females Women of childbearing potential should avoid becoming pregnant and use highly effective contraception while on treatment with lenvatinib and for at least one month after finishing treatment.
Ženske v rodni dobi naj med zdravljenjem z lenvatinibom in še vsaj en mesec po končanem zdravljenju ne zanosijo in naj uporabljajo zelo učinkovito kontracepcijo.
Hypokalaemia Decreased appetite Weight decreased
hipokaliemija zmanjšan apetit hujšanje dehidracija hipomagneziemijab
Amongst 1,166 patients treated with lenvatinib, Grade 3 or greater haemorrhage was reported in 2% of patients, 3 patients (0.3%) had a Grade 4 haemorrhage and 5 patients (0.4%) had a Grade 5 reaction including arterial haemorrhage, haemorrhagic stroke, intracranial tumour haemorrhage, haemoptysis and tumour haemorrhage.
Med 1166 bolniki, zdravljenimi z lenvatinibom, so poročali o krvavitvi stopnje 3 ali višje stopnje pri 2 % bolnikov, 3 bolniki (0,3 %) so imeli krvavitve stopnje 4, 5 bolnikov (0,4 %) pa je imelo neželeni učinek stopnje 5, vključno z arterijsko krvavitvijo, hemoragično možgansko kapjo, krvavitvijo v znotrajlobanjskem tumorju, hemoptizo in krvavitvijo v tumorju.
Liver-related reactions led to dose interruptions and reductions in 1.6% and 1.6% of patients, respectively, and to permanent discontinuation in 3.2% of patients.
Z jetri povezani neželeni učinki so povzročili prekinitev odmerjanja pri 1,6 % bolnikov, zmanjšanje odmerka pri 1,6 % bolnikov, trajno ukinitev pa pri 3,2 % bolnikov.
The primary efficacy outcome measure, based on investigator assessed tumour response, was progression-free survival (PFS) of the lenvatinib plus everolimus arm vs the everolimus arm and of the lenvatinib arm vs the everolimus arm. Other efficacy outcome measures included overall survival (OS) and investigator-assessed objective response rate (ORR).
Glavno merilo izida učinkovitosti na podlagi odziva tumorja, ki ga je ocenil raziskovalec, je bilo preživetje brez napredovanja bolezni (progression-free survival - PFS) skupine z lenvatinibom in everolimusom proti skupini z everolimusom in skupine z lenvatinibom proti skupini z everolimusom.
In the DTC study (see Lenvima SmPC), the most commonly reported liver-related adverse reactions were hypoalbuminaemia (9.6% lenvatinib vs. 1.5% placebo) and elevations of liver enzyme levels, including increases in alanine aminotransferase (7.7% lenvatinib vs. 0 placebo), aspartate aminotransferase (6.9% lenvatinib vs. 1.5% placebo), and blood bilirubin (1.9% lenvatinib vs. 0 placebo).
V študiji DTC (glejte SmPC za zdravilo Lenvima) so bili z jetri povezani neželeni učinki, o katerih so najpogosteje poročali, hipoalbuminemija (9,6 % lenvatinib proti 1,5 % placebo) in zvišanje ravni jetrnih encimov, vključno z zvišanjem alanin-aminotransferaze (7,7 % lenvatinib proti 0 placebo), aspartat-aminotransferaze (6,9 % lenvatinib proti 1,5 % placebo) in bilirubina v krvi (1,9 % lenvatinib proti 0 placebo).
Lymphopenia includes lymphopenia and decreased lymphocyte count.
Limfopenija vključuje limfopenijo in zmanjšano število limfocitov.
In the RCC study (see section 5.1), the most commonly reported liver-related adverse reactions in the lenvatinib plus everolimus-treated group were elevations of liver enzyme levels, including increases in alanine aminotransferase (9.7%), aspartate aminotransferase (4.8%), alkaline phosphatase (4.8%), and blood bilirubin (3.2%).
V študiji RCC (glejte poglavje 5.1) so bili v skupini, zdravljeni z lenvatinibom in everolimusom, neželeni učinki, povezani z jetri, o katerih so najpogosteje poročali, zvišanja ravni jetrnih encimov, vključno z zvišanjem alanin-aminotransferaze (9,7 %), aspartat-aminotransferaze (4,8 %), alkalne fosfataze (4,8 %) in bilirubina v krvi (3,2 %).
Lenvatinib may adversely affect the wound healing process as do other agents of the same class.
Lenvatinib, tako kot druga zdravila iste skupine, lahko neugodno vpliva na proces celjenja ran.
Grade 3
driska stopnja 3
Hypothyroidism** Blood thyroid stimulating hormone increased‡**
Bolezni endokrinega sistema hipotiroidizem** zvišan tirotropni hormon v krvi‡**
• The recommended daily dose of Kisplyx is 18 mg once a day (one 10 mg capsule and two 4 mg capsules) in combination with one 5 mg tablet of everolimus once a day.
• Priporočeni odmerek zdravila Kisplyx je 18 mg enkrat na dan (1 kapsula po 10 mg in 2 kapsuli po 4 mg) skupaj z eno 5-miligramsko tableto everolimusa enkrat na dan.
Liver-related reactions of Grade 3 or higher (including 1 Grade 5 case of hepatic failure) occurred in 5.4% of lenvatinib-treated patients compared with 0.8% in placebo-treated patients.
Z jetri povezani učinki stopnje 3 ali višje (vključno z 1 primerom odpovedi jeter stopnje 5) so se pojavili pri 5,4 % bolnikov, zdravljenih z lenvatinibom, v primerjavi z 0,8 % pri bolnikih, ki so prejemali placebo.
In DTC, patients with baseline hypertension had a higher incidence of Grade 3 or 4 hypertension, proteinuria, diarrhoea, and dehydration, and experienced more serious cases of dehydration, hypotension, pulmonary embolism, malignant pleural effusion, atrial fibrillation, and GI symptoms (abdominal pain, diarrhoea, vomiting).
Pri DTC so imeli bolniki z izhodiščno hipertenzijo večjo incidenco hipertenzije, proteinurije, driske in dehidracije stopnje 3 ali 4, med njimi je bilo tudi več resnih primerov dehidracije, hipotenzije, pljučne embolije, malignega plevralnega izliva, atrijske fibrilacije in gastrointestinalnih simptomov (bolečina v trebuhu, driska, bruhanje).
The recommended daily dose of lenvatinib is 18 mg (one 10 mg capsule and two 4 mg capsules) once daily in combination with 5 mg of everolimus once daily.
Priporočeni dnevni odmerek lenvatiniba je 18 mg (ena 10-miligramska kapsula in dve 4-miligramski kapsuli) v kombinaciji s 5 mg everolimusa enkrat na dan.
No reports of QTc interval prolongation greater than 500 ms or increases greater than 60 ms occurred in the everolimus-treated group.
V skupini, zdravljeni z everolimusom, ni bilo poročil o podaljšanju intervala QTc, daljšem od 500 ms, ali podaljšanju za več kot 60 ms.
Lenvatinib is a receptor tyrosine kinase (RTK) inhibitor that selectively inhibits the kinase activities of vascular endothelial growth factor (VEGF) receptors VEGFR1 (FLT1), VEGFR2 (KDR), and VEGFR3 (FLT4), in addition to other proangiogenic and oncogenic pathway-related RTKs including fibroblast growth factor (FGF) receptors FGFR1, 2, 3, and 4, the platelet derived growth factor (PDGF) receptor PDGFRα, KIT, and RET.
Lenvatinib je inhibitor receptorjev tirozin-kinaze (RTK), ki selektivno inhibira kinazne aktivnosti receptorjev rastnega faktorja vaskularnega endotelija (vascular endothelial growth factor ali VEGF) VEGFR1 (FLT1), VEGFR2 (KDR) in VEGFR3 (FLT4), poleg drugih RTK, povezanih z drugimi proangiogenimi in onkogenimi potmi, vključno z receptorji za fibroblastni rastni faktor (fibroblast growth factor ali FGF) FGFR1, 2, 3 in 4, receptorjem za rastni faktor iz trombocitov (platelet derived growth factor ali PDGF) PDGFRα, KIT in RET. Kombinacija lenvatiniba in everolimusa je pokazala zvečanje antiangiogene in antitumorske aktivnosti, kar dokazuje zmanjšanje proliferacije humanih endotelijskih celic, nastajanja tubulov in signaliziranja z VEGF in vitro in volumna tumorjev v mišjih modelih ksenotransplantacije humanega raka ledvičnih celic, ki je bilo večje kot pri vsakem zdravilu posebej.
There were no reports in the lenvatinib plus everolimus or everolimus monotherapy groups.
V skupini z lenvatinibom in everolimusom ter v skupini z monoterapijo z everolimusom ni bilo poročil.
Renal failure and impairment (see section 4.4)
Odpoved ledvic in okvara ledvic (glejte poglavje 4.4)
For previously normotensive subjects, monotherapy with one of the classes of antihypertensive should be started when elevated BP is observed.
Pri predhodno normotenzivnih osebah je treba takrat, ko opazimo zvišan krvni tlak, začeti z monoterapijo z eno od skupin antihipertenzivnih zdravil.
Each carton contains 30, 60, or 90hard capsules.Not all pack sizes may be marketed.
Ena kartonska škatla vsebuje 30, 60 ali 90 trdih kapsul.
Nephrotic syndrome
nefrotični sindrom ------
In the RCC study (see section 5.1), 1.6% of cases of perforated appendicitis (of Grade 3) occurred in the lenvatinib plus everolimus-treated group; there were no reports in the lenvatinib or everolimus groups.
V študiji RCC (glejte poglavje 5.1) se je 1,6 % primerov perforiranega apendicitisa (stopnje 3) pojavilo v skupini, zdravljeni z lenvatinibom in everolimusom; v skupinah z lenvatinibom ali everolimusom ni bilo poročil.
In the RCC study (see section 5.1), 1.6% of patients in the lenvatinib plus everolimus-treated group reported arterial thromboembolic events.
V študiji RCC (glejte poglavje 5.1) je 1,6 % bolnikov v skupini, zdravljeni z lenvatinibom in everolimusom, poročalo o arterijskih trombemboličnih dogodkih.
The median time to onset in lenvatinib-treated patients was 16 days.
Mediani čas do njenega nastopa pri bolnikih, zdravljenih z lenvatinibom, je bil 16 dni.
After drinking, add the same amount of water or apple juice, swirl and swallow.
Po tistem, ko boste tekočino spili, dodajte v kozarec enako količino vode ali sadnega soka, kozarec nekajkrat zasukajte in pogoltnite tekočino.
In the DTC study (see Lenvima SmPC), QT/QTc interval prolongation was reported in 8.8% of lenvatinibtreated patients and 1.5% of patients in the placebo group.
V študiji DTC (glejte SmPC za zdravilo Lenvima) so poročali o podaljšanju intervala QT/QTc pri 8,8 % bolnikov, zdravljenih z lenvatinibom, in pri 1,5 % bolnikov v skupini s placebom.
However in DTC, patients with baseline hepatic impairment had a higher incidence of hypertension and PPE, and a higher incidence of Grade 3 or 4 hypertension, asthenia, fatigue, and hypocalcaemia compared with patients with normal hepatic function.
Pri DTC pa so imeli bolniki z izhodiščno okvaro jeter večjo incidenco hipertenzije in PPE (vseh stopenj) ter večjo incidenco hipertenzije, astenije, utrujenosti in hipokalciemije stopnje 3 ali 4 kot bolniki z normalno funkcijo jeter.
The median time to onset of decreased ejection fraction and cardiac failure was 15.7 weeks (any grade) and 32.8 weeks (Grade ≥ 3) in the lenvatinib plus everolimus-treated group.
Mediani čas do nastopa zmanjšane iztisne frakcije in popuščanja srca je bil 15,7 tedna (vse stopnje) oziroma 32,8 tedna (stopnja ≥ 3) v skupini, zdravljeni z lenvatinibom in everolimusom.
Grade 3 (despite optimal antihypertensive therapy)
Ukrep Zmanjšajte odmerek in spet začnite zdravljenje z lenvatinibom hipertenzija stopnja 3 (kljub optimalni antihipertenzivni terapiji)
In patients with a normal TSH at baseline, an elevation of TSH level was observed post baseline in 60.5% of lenvatinib plus everolimus-treated patients as compared with none in patients receiving everolimus alone.
Pri tistih bolnikih, ki so imeli v izhodišču normalen TSH, so opazili zvišanje ravni TSH po izhodišču pri 60,5 % bolnikov v skupini, zdravljeni z lenvatinibom in everolimusom, in pri nobenem od bolnikov, ki so prejemali samo everolimus.
In DTC, patients with baseline renal impairment had a higher incidence of Grade 3 or 4 hypertension, proteinuria, fatigue, stomatitis, oedema peripheral, thrombocytopenia, dehydration, prolonged electrocardiogram QT, hypothyroidism, hyponatraemia, blood thyroid stimulating hormone increased, pneumonia compared with subjects with normal renal function.
Bolniki z DTC in izhodiščno okvaro ledvic so imeli večjo incidenco hipertenzije, proteinurije, utrujenosti, stomatitisa, perifernih edemov, trombocitopenije, dehidracije, podaljšanega intervala QT na elektrokardiogramu, hipotiroidizma, hiponatriemije, zvišanega tirotropnega hormona v krvi in pljučnice stopnje 3 ali 4 v primerjavi s preiskovanci z normalno funkcijo ledvic.
In the DTC study (see Lenvima SmPC), arterial thromboembolic events were reported in 5.4% of lenvatinib-treated patients and 2.3% of patients in the placebo group.
V študiji DTC (glejte SmPC za zdravilo Lenvima) so o arterijskih trombemboličnih dogodkih poročali pri 5,4 % bolnikov, zdravljenih z lenvatinibom, in pri 2,3 % bolnikov v skupini s placebom.
18 mg orally once daily One 10 mg capsule plus two 4 mg capsules
18 mg peroralno enkrat na dan ena 10 mg kapsula in dve 4 mg kapsuli
• feeling and being sick, constipation, diarrhoea, abdominal pain, indigestion
• slabost in bruhanje, zaprtje, driska, bolečina v trebuhu, prebavne motnje,
What Kisplyx contains
Kaj vsebuje zdravilo Kisplyx
14 mg orally once daily One 10 mg capsule plus one 4 mg capsule
14 mg peroralno enkrat na dan ena 10mg kapsula in ena 4 mg kapsula
The median time to onset was 4.1 weeks (any grade) and 8.1 weeks (Grade ≥ 3) in the lenvatinib plus everolimus-treated group.
Mediani čas do nastopa je bil 4,1 tedna (ne glede na stopnjo) in 8,1 tedna (stopnja ≥ 3) v skupini, zdravljeni z lenvatinibom in everolimusom.
Cases of fistula formation or enlargement that involve other areas of the body than stomach or intestines were observed in clinical trials and in post-marketing experience (e.g. tracheal, tracheo-oesophageal, oesophageal, cutaneous, female genital tract fistulae).
V kliničnih preskušanjih in izkušnjah po prihodu zdravila na trg so opazili primere nastanka ali zvečanja fistul, ki so zajeli druge dele telesa, ne želodca ali črevesja (npr. trahealne, traheo-ezofagealne, ezofagealne, kožne fistule in fistule ženskih spolovil).
Reactions of Grade 3 or 4 severity occurred in 5.0% of lenvatinib-treated vs 0 placebo-treated patients.
Neželeni učinki stopnje 3 ali 4 so se pojavili pri 5,0 % bolnikov, zdravljenih z lenvatinibom, proti 0 bolnikom, ki so prejemali placebo.
Recommended management of hypertension
Preglednica 3 Priporočila za zdravljenje hipertenzije
In the DTC study (see Lenvima SmPC), haemorrhage was reported in 34.9% (1.9% were Grade ≥ 3) of lenvatinib-treated patients versus 18.3% (3.1% were Grade ≥ 3) of placebo-treated patients.
V študiji DTC (glejte SmPC za zdravilo Lenvima) so poročali o krvavitvah pri 34,9 % bolnikov (1,9 % jih je bilo stopnje ≥ 3), zdravljenih z lenvatinibom, proti 18,3 % bolnikov (3,1 % jih je bilo stopnje ≥ 3), ki so prejemali placebo.