natgillin/translations-raw huggingface dataset:
Previously untreated ALK-positive advanced NSCLC - randomised Phase 3 Study 1014
Predhodno nezdravljeni ALK-pozitivni napredovali NSCLC - randomizirana študija 3. faze, Študija 1014
• Neuropathy (feeling of numbness or pins and needles in the joints or extremities).
• nevropatija (občutek odrevenelosti ali mravljinčenja v sklepih, okončinah ali mišicah)
Post-implantation loss was increased at doses ≥50 mg/kg/day (approximately 0.4 times the AUC at the recommended human dose) in rats, and reduced fetal body weights were considered adverse effects in the rat and rabbit at 200 and 60 mg/kg/day, respectively (approximately 1.2-fold human clinical exposure based on AUC).
Število izgubljenih zarodkov po implantaciji se je povečalo pri odmerkih ≥ 50 mg/kg/dan (približno 0,4-kratnik priporočenega odmerka pri ljudeh, na osnovi vrednosti AUC) pri podganah, zmanjšanje teže ploda pa so obravnavali kot neželen učinek pri podganah oziroma kuncih pri odmerkih 200 oziroma 60 mg/kg/dan (približno 1,2-kratnik klinične izpostavljenosti pri ljudeh, na osnovi vrednosti AUC).
The systemic crizotinib exposure parameters AUCdaily and Cmax in patients with severe hepatic impairment (N=6) receiving a crizotinib dose of 250 mg once daily were approximately 64.7% and 72.6%, respectively, of those from patients with normal hepatic function receiving a dose of 250 mg twice daily.
Vrednosti parametrov sistemske izpostavljenosti krizotinibu, AUCdaily in Cmax, so pri bolnikih s hudo okvaro jeter (n = 6), ki so prejemali krizotinib v odmerku 250 mg enkrat na dan, znašale približno 64,7 % oziroma 72,6 % vrednosti teh parametrov pri bolnikih z normalnim delovanjem jeter, ki so prejemali odmerek 250 mg dvakrat na dan.
Crizotinib significantly prolonged PFS, the primary objective of the study, compared to chemotherapy as assessed by IRR.
Krizotinib je v primerjavi s kemoterapijo pomembno podaljšal PFS, primarni cilj študije, kar se je ocenjevalo z IRR.
If patients have severe renal impairment not requiring peritoneal dialysis or haemodialysis, the dose of crizotinib should be adjusted (see sections 4.2 and 5.2).
Če imajo bolniki hudo okvaro ledvic, ki ne zahteva peritonealne dialize ali hemodialize, je treba odmerek krizotiniba prilagoditi (glejte poglavji 4.2 in 5.2).
Patients who develop symptomatic bradycardia should be managed as recommended in the Dose Modification and Warnings and Precautions sections (see sections 4.2, 4.4 and 4.5).
Bolnike, pri katerih se razvije simptomatska bradikardija, je treba obravnavati, kot je priporočeno v poglavjih Prilagajanja odmerkov in Opozorila in previdnostni ukrepi (glejte poglavja 4.2, 4.4 in 4.5).
In vitro studies showed that crizotinib is a weak inhibitor of UGT1A1 and UGT2B7 (see section 4.5).
In vitro študije so pokazale, da je krizotinib šibek zaviralec UGT1A1 in UGT2B7 (glejte poglavje 4.5).
• Efavirenz, raltegravir, used to treat HIV infection.
• efavirenz, raltegravir, ki se uporabljata za zdravljenje okužbe z virusom HIV,
A total of 53 ROS1-positive advanced NSCLC patients were enrolled in the study at the time of data cutoff, including 46 patients with previously treated ROS1-positive advanced NSCLC and a limited number of patients (N=7) who had no prior systemic treatment.
Študija je na dan zaključka zajema podatkov vključevala skupno 53 bolnikov z ROS1-pozitivnim napredovalim NSCLC, vključno s 46 bolniki s predhodno zdravljenim ROS1-pozitivnim napredovalim NSCLC in omejenim številom bolnikov (n = 7), ki predhodno niso prejemali sistemskega zdravljenja.
Pre-existing ophthalmic abnormalities and concomitant medical conditions which could be contributory to ocular findings were noted in many patients, and no conclusive causal relationship to crizotinib could be determined.
Pri številnih bolnikih so ugotovili že prej prisotne oftalmološke nepravilnosti in sočasna zdravstvena stanja, ki bi lahko k njim prispevala; zanesljive povezave s krizotinibom ni bilo mogoče ugotoviti.
For management of patients who develop symptomatic bradycardia, see Dose Modification and Undesirable Effects sections (see sections 4.2 and 4.8).
Za obravnavo bolnikov, pri katerih se razvije simptomatska bradikardija, glejte poglavji Prilagajanja odmerkov in Neželeni učinki (glejte poglavji 4.2 in 4.8).
In rat and dog repeat-dose toxicity studies up to 3-month duration, the primary target organ effects were related to the gastrointestinal (emesis, faecal changes, congestion), haematopoietic (bone marrow hypocellularity), cardiovascular (mixed ion channel blocker, decreased heart rate and blood pressure, increased LVEDP, QRS and PR intervals, and decreased myocardial contractility), or reproductive (testicular pachytene spermatocyte degeneration, single-cell necrosis of ovarian follicles) systems.
V študijah toksičnosti pri ponavljajočih se odmerkih na podganah in psih, ki so trajale do 3 mesece, so bili vplivi na najpomembnejše ciljne organe povezani s prebavnim (bruhanje, spremembe blata, zaprtje), krvotvornim (hipocelularnost kostnega mozga), srčnožilnim (mešani zaviralec ionskih kanalov, zmanjšanje frekvence srčnega utripa in krvnega tlaka, povečanje tlaka v levem prekatu ob koncu diastole (LVEDP), podaljšanje intervalov QRS in PR in zmanjšanje krčljivosti miokarda) ali razmnoževalnim (degeneracija spermatocitov v pahitenski fazi v modih, nekroza posamičnih celic v foliklih jajčnikov) sistemom.
For patients who develop transaminase elevations, see section 4.2.
Za bolnike, pri katerih pride do povečanj vrednosti transaminaz, glejte poglavje 4.2.
QT prolongation may clinically manifest as bradycardia, dizziness, and syncope.
Klinično se lahko manifestira z bradikardijo, omotico in sinkopo.
After a single 250 mg dose in subjects with severe renal impairment (CLcr <30 mL/min) not requiring peritoneal dialysis or haemodialysis, crizotinib AUCinf and Cmax increased by 79% and 34%, respectively, compared to those with normal renal function.
Po enkratnem 250 mg odmerku pri osebah s hudo okvaro ledvic (CLcr < 30 mL/min), ki ni zahtevala peritonealne dialize ali hemodialize, se je AUCinf krizotiniba v primerjavi z osebami z normalnim delovanjem ledvic povečala za 79 %, Cmax pa za 34 %.
Crizotinib is a selective small-molecule inhibitor of the ALK receptor tyrosine kinase (RTK) and its oncogenic variants (i.e. ALK fusion events and selected ALK mutations).
Krizotinib je selektivni zaviralec tirozinske kinaze receptorja ALK (RTK) in njenih onkogenih različic (t.j.
• First dose reduction: XALKORI 200 mg taken orally twice daily
• Prvo zmanjšanje odmerka: zdravilo XALKORI 200 mg peroralno dvakrat na dan.
Previously treated ALK-positive advanced NSCLC -randomised Phase 3 Study 1007
Predhodno zdravljeni ALK-pozitivni napredovali NSCLC - randomizirana študija 3. faze, Študija 1007
• Atazanavir, ritonavir, cobicistat, used to treat HIV infections/AIDS.
• atazanavir, ritonavir, kobicistat, ki se uporabljajo za zdravljenje okužb z virusom HIV/AIDS-a.
• If you have reduced heart rate.
• če imate upočasnjen srčni utrip.
Crizotinib treatment should be withheld if ILD/pneumonitis is suspected.
Zdravljenje s krizotinibom je treba prekiniti, če obstaja sum na ILD/pnevmonitis.
• If you are allergic to crizotinib or any of the other ingredients of this medicine (listed in Section 6, “What XALKORI contains”).
• če ste alergični na krizotinib ali katerokoli sestavino tega zdravila (navedeno v poglavju 6,
Withhold if ILD/pneumonitis is suspected, and permanently discontinue if treatment-related ILD/pneumonitis is diagnosedd
Prekinite zdravljenje, če obstaja sum na ILD/pnevmonitis, in ga trajno prekinite, če se potrdi diagnoza ILD/pnevmonitisa, povezanega z zdravljenjem podaljšanje intervala QTc stopnje 3
For patients without baseline brain metastases, the median IC-TTP was not reached in either the crizotinib (N=132) or the chemotherapy arms (N=131) (HR=0.69 [95% CI: 0.33, 1.45]; 1-sided p-value=0.1617).
Bolniki brez možganskih metastaz ob izhodišču v skupini s krizotinibom (n = 132) ali kemoterapijo (n = 131) niso dosegli medianega IC-TTP (HR = 0,69 (95 % IZ: 0,33; 1,45), 1-stranska vrednost p = 0,1617).
Tell your doctor right away if you have any new or worsening symptoms including difficulty in breathing, shortness of breath, or cough with or without mucous, or fever.
Če se vam pojavijo kakršnikoli novi simptomi ali se simptomi poslabšajo, vključno s težavami pri dihanju ali kratko sapo, kašljem s sluzjo ali brez nje, ali vročino, to nemudoma povejte zdravniku.
Based on the Visual Symptom Assessment Questionnaire (VSAQ-ALK), patients treated with crizotinib in Study 1007 and Study 1014 reported a higher incidence of visual disturbances compared to patients treated with chemotherapy.
Assessment Questionnaire), so bolniki, ki so jih v Študijah 1007 in 1014 zdravili s krizotinibom, poročali o večji incidenci motenj vida kot bolniki, zdravljeni s kemoterapijo.
The most frequent adverse reactions (≥3%, all-causality frequency) associated with dosing interruptions were neutropenia (11%), elevated transaminases (7%), vomiting (5%), and nausea (4%).
Najpogostejši neželeni učinki (≥ 3 % pogostnost zaradi vseh vzrokov), povezani s prekinitvijo odmerjanja, so bili nevtropenija (11 %), povečane vrednost transaminaz (7 %), bruhanje (5 %) in navzea (4 %).
Caution should be exercised when driving or operating machines as patients may experience symptomatic bradycardia (e.g., syncope, dizziness, hypotension), vision disorder, or fatigue while taking XALKORI (see sections 4.2, 4.4 and 4.8).
Pri vožnji oziroma upravljanju strojev je potrebna previdnost, saj se lahko pri bolnikih med jemanjem zdravila XALKORI pojavijo simptomatska bradikardija (npr. sinkopa, omotica, hipotenzija), motnje vida ali utrujenost (glejte poglavja 4.2, 4.4 in 4.8).
Complete blood counts including differential white blood cell counts should be monitored as clinically indicated, with more frequent repeat testing if Grade 3 or 4 abnormalities are observed, or if fever or infection occurs.
Popolno krvno sliko, vključno z belo krvno sliko, je treba spremljati, kot je klinično indicirano, ponovitve teh preverjanj pa morajo biti pogostejše pri nenormalnostih stopnje 3 ali 4, ali če se pojavi povišana telesna temperatura ali okužba.
Unchanged crizotinib represented approximately 53% and 2.3% of the administered dose in faeces and urine, respectively.
Delež nespremenjenega krizotiniba je v blatu znašal približno 53 % danega odmerka, v urinu pa 2,3 %.
However, there was no observed induction in vivo when crizotinib was coadministered with the CYP3A probe substrate midazolam.
Vendar pa niso opazili nobene indukcije in vivo, kadar je bil krizotinib uporabljen sočasno s substratom za CYP3A4, midazolamom.
Efficacy data from ROS1-positive advanced NSCLC patients from Study 1001 are provided in Table 7.
Podatki o učinkovitosti zdravljenja bolnikov z ROS1-pozitivnim napredovalim NSCLC iz Študije 1001 so povzeti v preglednici 7.
Seven (0.4%) patients had temporary treatment discontinuation and 2 (0.1%) patients had a dose reduction associated with vision disorder.
Pri sedmih (0,4 %) bolnikih je bilo treba zaradi motnje vida začasno prekiniti zdravljenje, pri dveh (0,1 %) pa zmanjšati odmerek.
Crizotinib demonstrated concentration-dependent inhibition of the kinase activity of ALK, ROS1, and c-Met in biochemical assays and inhibited phosphorylation and modulated kinase-dependent phenotypes in cell-based assays.
Krizotinib je v biokemijskih preskušanjih povzročil od koncentracije odvisno zavrtje aktivnosti kinaze ALK, ROS1 in c-Met in zavrtje fosforilacije ter spremenil od kinaze odvisne fenotipe v preskušanjih na celičnih linijah.
In patients with new onset of severe visual loss (best corrected visual acuity less than 6/60 in one or both eyes), crizotinib treatment should be discontinued (see section 4.2).
Zdravljenje s krizotinibom je treba prekiniti pri bolnikih, pri katerih se na novo pojavi huda izguba vida (najboljša vidna ostrina s korekcijo manj kot 6/60 na enem ali obeh očesih) (glejte poglavje 4.2).
Body Weight and Gender
Telesna masa in spol
Findings observed in the male reproductive tract included testicular pachytene spermatocyte degeneration in rats given ≥50 mg/kg/day for 28 days (approximately 1.1-fold human clinical exposure based on AUC).
Ugotovitve, ki so jih opažali na rodilih pri samcih, so vključevale degeneracijo spermatocitov v pahitenski fazi v modih pri podganah, ki so 28 dni prejemale odmerek ≥ 50 mg/kg/dan (približno 1,1-kratnik klinične izpostavljenosti pri ljudeh, na osnovi vrednosti AUC).
In clinical studies with crizotinib, events of gastrointestinal perforations were reported.
V kliničnih študijah s krizotinibom so poročali o perforacijah v prebavilih.
If QTc increases by greater than or equal to 60 msec from baseline but QTc is <500 msec, crizotinib should be withheld and cardiologist advice should be sought.
Če se interval QTc podaljša za 60 ms ali več v primerjavi z izhodiščno vrednostjo, vendar je QTc < 500 ms, je treba zdravljenje s krizotinibom začasno prekiniti in se posvetovati s kardiologom.
Crizotinib significantly prolonged progression-free survival (PFS), the primary objective of the study, compared to chemotherapy as assessed by IRR.
Krizotinib je v primerjavi s kemoterapijo pomembno podaljšal preživetje brez napredovanja bolezni (PFS - Progression-Free Survival), primarni cilj študije, ki se je ocenil s pregledom IRR.
All-causality, all grade, vision disorder, most commonly visual impairment, photopsia, vision blurred, and vitreous floaters, was experienced by 1084 (63%) of 1722 patients treated with crizotinib.
Do motenj vida vseh stopenj zaradi vseh vzrokov (najpogosteje poslabšanja vida, fotopsije, zamegljenega vida in motnjav v steklovini) je prišlo pri 1.084 (63 %) od 1.722 bolnikov, zdravljenih s krizotinibom.
The absolute bioavailability of crizotinib was determined to be 43% following the administration of a single 250 mg oral dose.
Ugotovili so, da absolutna biološka uporabnost krizotiniba po jemanju enkratnega 250 mg peroralnega odmerka znaša 43 %.
The PFS benefit of crizotinib was consistent across subgroups of baseline patient characteristics such as age, gender, race, smoking class, time since diagnosis, ECOG performance status, and presence of brain metastases.
Koristni učinek krizotiniba na PFS je bil konsistenten v vseh podskupinah bolnikov glede na izhodiščne značilnosti, kot so starost, spol, rasa, kadilski status, čas od diagnoze, telesno stanje po ECOG in prisotnost možganskih metastaz.
The concomitant use of crizotinib with strong CYP3A4 inhibitors or with strong and moderate CYP3A4 inducers should be avoided (see section 4.5).
Sočasni uporabi krizotiniba skupaj z močnimi zaviralci ali močnimi in zmernimi induktorji CYP3A4 se je treba izogibati (glejte poglavje 4.5).
p-valueg Duration of Response Mediane, Months (95% CI)
vrednost p Trajanje odziva Mediana e, meseci (95 % IZ)
You should take special care when driving and using machines as patients taking XALKORI may experience visual disturbances, dizziness, and tiredness.
Vpliv na sposobnost upravljanja vozil in strojev Pri upravljanju vozil in strojev morate biti zelo pazljivi, ker se lahko pri bolnikih, ki jemljejo zdravilo XALKORI, pojavijo motnje vida, omotičnost in utrujenost.
• Irinotecan, a chemotherapy drug used to treat cancer of the colon and rectum.
• irinotekan, kemoterapija, ki se uporablja za zdravljenje raka debelega črevesa in danke,
Therefore, crizotinib may have the potential to increase plasma concentrations of coadministered drugs that are metabolized by CYP2B6 (e.g., bupropion, efavirenz).
Zato lahko krizotinib zveča plazemske koncentracije sočasno uporabljenih zdravil, ki jih presnavlja CYP2B6 (npr. bupropion, efavirenz).
Of 154 and 1063 ALK-positive NSCLC patients in single arm studies 1001 and 1005, 22 (14%) and 173 (16%) were 65 years or older, respectively.
Izmed 154 in 1.063 bolnikov z ALK-pozitivnim NSCLC v Študijah 1001 in 1005 z eno skupino bolnikov jih je bilo 22 (14 %) oziroma 173 (16 %) starih 65 let ali več.
Dizzinessf (26%) Bradycardiag (13%)
Srčne bolezni omotica f (26 %) bradikardijag (13 %)
q. Blood testosterone decreased (Blood testosterone decreased, Hypogonadism, Secondary hypogonadism).
periorbitalni edem) q. zmanjšana koncentracija testosterona v krvi (zmanjšana koncentracija testosterona v krvi, hipogonadizem,
In clinical studies, prolonged QT interval was observed with crizotinib.
V kliničnih študijah so pri uporabi krizotiniba opazili podaljšanje intervala QT.
Nervous system effects
Vplivi na živčevje
In Study 1001, the adjusted geometric mean of plasma Ctrough, ss in mild (N=35) and moderate (N=8) renal impairment patients were 5.1% and 11% higher, respectively, than those in patients with normal renal function.
V Študiji 1001 je bilo prilagojeno geometrično povprečje plazemske Ctrough, ss pri bolnikih z blago (n = 35) in zmerno (n = 8) okvaro ledvic 5,1 % in 11 % večje kot pri bolnikih z normalnim delovanjem ledvic.
There was one ALK-positive patient >85 years old out of 154 patients in single-arm Study 1001 (see also section 4.2 and 5.2).
V enoskupinski Študiji 1001 je bil en bolnik z ALK-pozitivnim NSCLC od 154 bolnikov starejši od 85 let (glejte tudi poglavji 4.2 in 5.2).
The most frequent adverse reactions (≥3%) associated with dose reductions were elevated transaminases and neutropenia.
Najpogostejša neželena učinka (≥ 3 %), povezana z zmanjšanjem odmerka, sta bila povečana vrednost transaminaz in nevtropenija.
Vomiting (51%) Diarrhoea (54%) Nausea (57%) Constipation (43%) Abdominal painj
Bolezni prebavil bruhanje (51 %) diareja (54 %) navzea (57 %) zaprtje (43 %) bolečina v trebuhu ezofagitis k (2 %) dispepsija (8 %)
Progression-Free Survival (Based on IRR) Number with event, n (%) Median PFS in months (95% CI)
Preživetje brez napredovanja (na podlagi IRR) Število z dogodkom, n (%) Mediano PFS v mesecih (95 % IZ)
Across studies with crizotinib in patients with either ALK-positive or ROS1-positive NSCLC, median time to onset of increased Grade 1 or 2 transaminases was 23 days.
V študijah krizotiniba pri bolnikih z ALK-pozitivnim ali ROS1-pozitivnim NSCLC je bil mediani čas do pojava povečanja vrednosti transaminaz stopnje 1 ali 2 23 dni.
Information is available from 45 response-evaluable patients with previously treated non-adenocarcinoma NSCLC (including 22 patients with SCC) in Study 1005.
Na voljo so podatki za 45 bolnikov s predhodno zdravljenim NSCLC, ki glede na histologijo ni bil adenokarcinom (vključno z 22 bolniki s SCC), pri katerih je bilo v Študiji 1005 odziv na zdravljenje mogoče ovrednotiti.
There were no ROS1-positive patients >85 years old in Study 1001.
V Študiji 1001 ni bilo ROS1-pozitivnih bolnikov, starejših od 85 let.
The central tendency analysis indicated that the largest mean change from baseline in QTcF was 12.3 msec (95% CI 5.1-19.5 msec, least squares mean [LS] from Analysis of Variance [ANOVA]) and occurred at 6 hours post-dose on Cycle 2 Day 1.
Analiza centralne tendence je pokazala, da je bila največja povprečna sprememba vrednosti QTcF glede na izhodišče 12,3 ms (povprečje najmanjših kvadratov [LS - least squares] iz analize varianc [ANOVA]), do katere je prišlo 6 ur po odmerku 1. dan 2. cikla.
• Second dose reduction: XALKORI 250 mg taken orally once daily
• Drugo zmanjšanje odmerka: zdravilo XALKORI 250 mg peroralno enkrat na dan.
One hundred seventy-three (173) patients were randomised to crizotinib and 174 patients were randomised to chemotherapy (either pemetrexed or docetaxel).
V skupino s krizotinibom so naključno razporedili 173 bolnikov, v skupino s kemoterapijo pa 174 bolnikov (pemetreksed ali docetaksel).
Crizotinib dose adjustment according to Child-Pugh classification has not been studied in patients with hepatic impairment.
Pri bolnikih z okvaro jeter prilagajanja odmerka krizotiniba na podlagi klasifikacije Child-Pugh niso preučevali.
Discontinue during evaluation of severe vision loss a. NCI Common Terminology Criteria for Adverse Events b. XALKORI must be permanently discontinued in case of further Grade ≥3 recurrence.
Terminology Criteria for Adverse Events) b. Če pride do še ene ponovitve bolezni stopnje ≥ 3, morate zdravljenje z zdravilom XALKORI trajno prekiniti.
Withhold until recovery to Grade ≤1 or to heart rate 60 or above
Prekinite zdravljenje, dokler ne pride do izboljšanja na stopnjo ≤ 1 ali na srčni utrip 60 ali več.
Crizotinib should be used with caution in patients at risk for gastrointestinal perforation (e.g., history of diverticulitis, metastases to the gastrointestinal tract, concomitant use of medicinal products with a recognized risk of gastrointestinal perforation).
Krizotinib je treba uporabljati previdno pri bolnikih s tveganjem za nastanek perforacije v prebavilih (npr. pri bolnikih z anamnezo divertikulitisa ali metastazami, ki se širijo v prebavila, ter pri sočasni uporabi zdravil, za katera je znano, da lahko povzročijo perforacijo v prebavilih).
MARKETING AUTHORISATION NUMBER(S) XALKORI 200 mg hard capsules EU/1/12/793/001
XALKORI 200 mg trde kapsule EU/1/12/793/001
Based on the population pharmacokinetic analysis of data from Studies 1001, 1005, and 1007, age has no effect on crizotinib pharmacokinetics (see sections 4.2 and 5.1).
Na podlagi populacijske farmakokinetične analize podatkov iz študij 1001, 1005 in 1007 starost nima vpliva na farmakokinetiko krizotiniba (glejte poglavji 4.2 in 5.1).
Crizotinib showed a significantly greater improvement from baseline compared to chemotherapy in alopecia (Cycles 2 to 15; p-value <0.05), cough (Cycles 2 to 20; p-value <0.0001), dyspnoea (Cycles 2 to 20; p-value <0.0001), haemoptysis (Cycles 2 to 20; p-value <0.05), pain in arm or shoulder (Cycles 2 to 20; p-value <0.0001), pain in chest (Cycles 2 to 20; p-value <0.0001), and pain in other parts (Cycles 2 to 20; p-value <0.05).
Krizotinib je povzročil znatno večje izboljšanje od začetka študije pri alopeciji (cikli od 2 do 15; vrednost p < 0,05), kašlju (cikli od 2 do 20; vrednost p < 0,0001), dispneji (cikli od 2 do 20; vrednost p < 0,0001), hemoptizi (cikli od 2 do 20; vrednost p < 0,05), bolečini v roki ali rami (cikli od 2 do 20; vrednost p < 0,0001), bolečini v prsnem košu (cikli od 2 do 20; vrednost p < 0,0001) ter bolečini v drugih delih telesa (cikli od 2 do 20; vrednost p < 0,05) v primerjavi s kemoterapijo.
The efficacy and safety of crizotinib for the treatment of patients with ALK-positive metastatic NSCLC, who had received previous systemic treatment for advanced disease, were demonstrated in a global, randomised, open-label Study 1007.
Učinkovitost in varnost krizotiniba pri zdravljenju bolnikov z ALK-pozitivnim metastatskim NSCLC, ki so predhodno prejeli sistematsko zdravljenje napredovale bolezni, so dokazali v globalni, randomizirani, odprti Študiji 1007.
OS is based on the data cutoff date of 31 August 2015. a. The median PFS times were 4.2 months (95% CI: 2.8, 5.7) for pemetrexed (HR=0.59; p-value=0.0004 for crizotinib compared with pemetrexed) and 2.6 months (95% CI: 1.6, 4.0) for docetaxel
2012; OS so določili na dan zaključka zajema podatkov 31. avgusta 2015. a. Mediani čas PFS je bil 4,2 meseca (95 % IZ: 2,8; 5,7) pri pemetreksedu (HR = 0,59, vrednost p = 0,0004 za zdravilo XALKORI v primerjavi s pemetreksedom) in 2,6 meseca (95 % IZ: 1,6; 4,0) pri docetakselu
Dose modification is not required in cases of asymptomatic bradycardia.
Pri asimptomatski bradikardiji odmerka ni treba prilagoditi.
Number of deaths, n (%) Overall Survivalc [median (95% CI)] months
Število smrti, n (%) Skupno preživetje c (mediana (95 % IZ)), meseci
In randomised Phase 3 Study 1007, increases to Grade 3 or 4 ALT or AST elevations were observed in 18% and 9% of patients receiving crizotinib and 5% and <1% of patients receiving chemotherapy.
V randomizirani študiji 3. faze, Študiji 1007, so povečanja vrednosti ALT ali AST do stopnje 3 ali 4 opazili pri 18 % oziroma 9 % bolnikov, ki so prejemali krizotinib, in 5 % oziroma < 1 % bolnikov, ki so prejemali kemoterapijo.
Of 172 ALK-positive patients treated with crizotinib in randomised Phase 3 Study 1007, 27 (16%) were 65 years or older.
Izmed 172 bolnikov z ALK-pozitivnim NSCLC, zdravljenih s krizotinibom v randomizirani študiji 3. faze, Študiji 1007, jih je bilo 27 (16 %) starih 65 let ali več.