natgillin/translations-raw huggingface dataset:
Solutions of Ontruzant for intravenous infusion are physically and chemically stable in polyvinylchloride, polyethylene or polypropylene bags containing sodium chloride 9 mg/mL (0.9%) solution for injection for 24 hours at temperatures not exceeding 30°C. 
Raztopine zdravila Ontruzant za intravensko infundiranje so fizikalno in kemijsko stabilne 24 ur pri temperaturah, ki ne presegajo 30 °C, v polivinilkloridnih, polietilenskih in polipropilenskih vrečkah, ki vsebujejo 9 mg/ml (0,9 %) raztopino natrijevega klorida za injiciranje.
Body weight (kg) x dose (8 mg/kg for loading or 6 mg/kg for maintenance) 21 (mg/mL, concentration of reconstituted solution) 
telesna masa (kg) x odmerek (8 mg/kg za polnilni ali 6 mg/kg za vzdrževalni odmerek) 21 (mg/ml, koncentracija rekonstituirane raztopine)
Contents of the pack and other information 
Shranjevanje zdravila Ontruzant Vsebina pakiranja in dodatne informacije
If LVEF has not improved, or declined further, or symptomatic CHF has developed, discontinuation of trastuzumab should be strongly considered, unless the benefits for the individual patient are deemed to outweigh the risks. 
Če se LVEF ne izboljša ali pride do nadaljnjega zmanjšanja ali se razvije simptomatsko srčno popuščanje, je potreben resen razmislek o prekinitvi zdravljenja s trastuzumabom, razen če je korist za posamezno bolnika večja od tveganja.
There were no restrictions on the relative timing of trastuzumab and anastrozole at administration (for dose, see the SmPC for anastrozole or other aromatase inhibitors). 
Časovnih omejitev glede dajanja trastuzumaba in anastrozola ni bilo (za odmerek glejte Povzetek glavnih značilnosti zdravila za anastrozol ali druge zaviralce aromataz).
The bag should be gently inverted to mix the solution in order to avoid foaming. 
Zmešajte raztopino s previdnim obračanjem vrečke, da se izognete penjenju.
In the neoadjuvant-adjuvant treatment setting, study MO16432, a multicentre randomised trial, was designed to investigate the clinical efficacy of concurrent administration of trastuzumab with neoadjuvant chemotherapy including both an anthracycline and a taxane, followed by adjuvant trastuzumab, up to a total treatment duration of 1 year. 
Študija MO16432 je bila multicentrično randomizirano preskušanje na področju neoadjuvantnoadjuvantnega zdravljenja, zasnovana za raziskovanje klinične učinkovitosti sočasnega dajanja trastuzumaba in neoadjuvantne kemoterapije, ki je vključevala tako antraciklin kot taksan, temu pa je sledilo adjuvantno dajanje trastuzumaba do skupno enega leta zdravljenja.
Febrile neutropenia, leukopenia, anaemia, thrombocytopenia and neutropenia occurred very commonly. 
Zelo pogosto so se pojavljale febrilna nevtropenija, levkopenija, anemija, trombocitopenija in nevtropenija.
Death (OS event): No. patients with event p=0.014** 
Smrt (dogodek OS): število bolnikov z dogodkom p = 0,014**
Median duration of follow-up was 1.8 years in the AC→P arm and 2.0 years in the AC→PH arm ** Median duration of long term follow-up for the Joint Analysis clinical studies was 8.3 years (range: 0.1 to 12.1) for the AC→PH arm and 7.9 years (range: 0.0 to 12.2) for the AC→P arm; Median duration of long term follow-up for the BCIRG 006 study was 10.3 years in both the AC→D arm (range: 0.0 to 12.6) arm and the DCarbH arm (range: 0.0 to 13.1), and was 10.4 years (range: 0.0 to 12.7) in the AC→DH arm 
12,1) za skupino AC→PH in 7,9 let (razpon: 0,0 do 12,2) za skupino AC→P; mediano trajanje dolgoročnega spremljanja za študijo BCIRG 006 je bilo 10,3 leta tako v skupini AC→D (razpon: 0,0 do 12,6) kot v skupini DCarbH (razpon: 0,0 do 13,1), v skupini AC→DH pa je bilo 10,4 leta (razpon: 0,0 do 12,7).
If patients have been treated concurrently with a full course of low-dose anthracyclines and trastuzumab in the neoadjuvant setting, no additional cytotoxic chemotherapy should be given after surgery. 
Če so se bolniki v neoadjuvantnem zdravljenju sočasno zdravili z majhnimi odmerki antraciklinov in trastuzumabom, jim po operaciji ne smemo dati dodatne citotoksične kemoterapije.
Pharmacokinetic data from studies BO15935 and M77004 in women with HER2-positive MBC suggested that exposure to paclitaxel and doxorubicin (and their major metabolites 6-α hydroxyl-paclitaxel, POH, and doxorubicinol, DOL) was not altered in the presence of trastuzumab (8 mg/kg or 4 mg/kg loading dose as an intravenous infusion followed by 6 mg/kg q3w or 2 mg/kg q1w infusion, respectively). 
Farmakokinetični podatki iz študij BO15935 in M77004 pri bolnikih s HER2-pozitivnim metastatskim rakom dojk so nakazali, da se izpostavljenost paklitakselu in doksorubicinu (in njunima poglavitnima presnovkoma, 6-α hidroksil paklitakselu, POH, in doksorubicinolu, DOL) v prisotnosti trastuzumaba (polnilni odmerek 8 mg/kg ali 4 mg/kg v obliki intravenske infuzije, ki mu je sledila infuzija 6 mg/kg vsake tri tedne ali 2 mg/kg enkrat na teden) ni spremenila.
For full instructions on assay performance and interpretation please refer to the package inserts of validated FISH and CISH assays. 
Za izčrpna navodila za izvedbo metode določanja in interpretacijo rezultatov glejte navodila za uporabo, priložena validiranim testom FISH in CISH.
Full instructions on assay performance and results interpretation should be taken from the product information leaflet provided with the HER2 testing assays used. 
Za izčrpna navodila za izvedbo metode in interpretacijo rezultatov glejte navodila za uporabo izdelka, ki so priložena uporabljenim izdelkom za testiranje HER2.
HER2 gene amplification should be detected using fluorescence in situ hybridisation (FISH) or chromogenic in situ hybridisation (CISH) of fixed tumour blocks. 
Amplifikacijo gena za HER2 določamo z metodo fluorescenčne hibridizacije in situ (FISH) ali metodo kromogene hibridizacije in situ (CISH) v fiksiranih tumorskih blokih.
In a subsequent trial with prospective monitoring of cardiac function, the incidence of symptomatic CHF was 2.2% in patients receiving trastuzumab and docetaxel, compared with 0% in patients receiving docetaxel alone. 
V poznejšem preskušanju, v katerem so prospektivno spremljali srčno delovanje, je bila incidenca simptomatskega kongestivnega srčnega popuščanja pri bolnikih, ki so prejemali trastuzumab in docetaksel, 2,2 % v primerjavi z 0 % pri bolnikih, zdravljenih samo z docetakselom.
Post-hoc subgroup analyses indicate that positive treatment effects are limited to targeting tumours with higher levels of HER2 protein (IHC2+/FISH+ or IHC3+). 
Rezultati post-hoc analiz podskupin kažejo, da zdravljenje tumorjev z višjimi koncentracijami HER2 proteina (IHC2+/FISH+ ali IHC3+) daje boljše rezultate.
Ontruzant may also be given once a week for metastatic breast cancer. 
Pri metastatskem raku dojk lahko zdravilo Ontruzant dajemo tudi enkrat na teden.
• difficulty in breathing when lying flat 
• oteženo dihanje pri ležanju na vodoravni podlagi,
Single doses of trastuzumab alone greater than 10 mg/kg have not been administered in the clinical trials; a maintenance dose of 10 mg/kg q3w following a loading dose of 8 mg/kg has been studied in a clinical trial with metastatic gastric cancer patients. 
V kliničnih preskušanjih niso uporabljali enkratnih odmerkov trastuzumaba samega, ki bi bili večji od 10 mg/kg; v enem od kliničnih preskušanj pri bolnikih z metastatskim rakom želodca so proučevali vzdrževalni odmerek
If LVEF has not improved, or has declined further, or if symptomatic congestive heart failure (CHF) has developed, discontinuation of Ontruzant should be strongly considered, unless the benefits for the individual patient are deemed to outweigh the risks. 
Če se LVEF ne izboljša ali pride do nadaljnjega zmanjšanja ali se razvije simptomatsko kongestivno srčno popuščanje, je potreben resen razmislek o prekinitvi zdravljenja z zdravilom Ontruzant, razen če je korist za posameznega bolnika večja od tveganja.
in combination with adjuvant chemotherapy consisting of docetaxel and carboplatin. 
v kombinaciji z adjuvantno kemoterapijo z docetakselom in karboplatinom;
Ontruzant 420 mg powder for concentrate for solution for infusion One vial contains 420 mg of trastuzumab, a humanised IgG1 monoclonal antibody produced by mammalian (Chinese hamster ovary) cell suspension culture and purified by several chromatography steps including specific viral inactivation and removal procedures. 
Ontruzant 420 mg prašek za koncentrat za raztopino za infundiranje Ena viala vsebuje 420 mg trastuzumaba, humaniziranega monoklonskega protitelesa IgG1, ki je pridobljeno iz suspenzije kulture celic sesalcev (ovarijske celice kitajskega hrčka) in očiščeno z več kromatografskimi stopnjami, vključno s specifičnimi postopki inaktivacije ter odstranjevanja virusov.
Hazard ratio versus observation 
Razmerje tveganja proti opazovanju
In study MO16432, trastuzumab (8 mg/kg loading dose, followed by 6 mg/kg maintenance every 3 weeks) was administered concurrently with 10 cycles of neoadjuvant chemotherapy as follows: 
V študiji MO16432 so dajali trastuzumab (polnilni odmerek 8 mg/kg, ki mu je sledil vzdrževalni odmerek po 6 mg/kg vsake 3 tedne) sočasno z 10 cikli neoadjuvantne kemoterapije,
In vitro, trastuzumab-mediated ADCC has been shown to be preferentially exerted on HER2 overexpressing cancer cells compared with cancer cells that do not overexpress HER2. 
V študijah in vitro je do ADCC, posredovane s trastuzumabom, preferenčno prihajalo na rakastih celicah, ki so čezmerno izražale HER2, v primerjavi z rakastimi celicami, ki HER2 niso izražale čezmerno.
Herpes zoster 
• pasovec (herpes zoster),
4mg/kg + 2mg/kg qw 
4 mg/kg + 2 mg/kg enkrat na teden
Such methods must clearly be precise and accurate enough to demonstrate overexpression of HER2 and must be able to distinguish between moderate (congruent with 2+) and strong (congruent with 3+) overexpression of HER2. 
in razlikujejo med srednjim (skladno z 2+) in močnim (skladno s 3+) čezmernim izražanjem HER2.
• abnormally low levels of fluid around baby in womb 
• nenormalno malo tekočine okrog ploda v maternici,
Based on the clinical trial results, the beneficial effects were limited to patients with the highest level of HER2 protein overexpression, defined by a 3+ score by IHC, or a 2+ score by IHC and a positive FISH result. 
Na podlagi rezultatov kliničnega preskušanja so bili koristni učinki omejeni na bolnike z najvišjo ravnijo čezmernega izražanja proteina HER2, ki je bila opredeljena z rezultatom IHC3+ ali z rezultatom IHC2+ in pozitivnim rezultatom FISH.
If left ventricular ejection fraction (LVEF) percentage drops ≥10 points from baseline AND to below 50%, treatment should be suspended and a repeat LVEF assessment performed within approximately 
Če odstotek iztisnega deleža levega prekata (LVEF) pade za ≥ 10 točk od začetne vrednosti IN pod 50 %, zdravljenje prekinemo in ponovno opravimo meritev LVEF v približno treh tednih.
You will be observed by a health care professional during the infusion and for at least six hours after the start of the first infusion and for two hours after the start of other infusions. 
Vsaj šest ur po začetku prve infuzije, med infuzijo in dve uri po začetku nadaljnjih infuzij boste pod nadzorom zdravstvenega osebja.
AC→D = doxorubicin plus cyclophosphamide, followed by docetaxel; DCarbH = docetaxel, carboplatin and trastuzumab; CI = confidence interval 
AC→D = doksorubicin in ciklofosfamid, ki jima je sledil docetaksel; DcarbH = docetaksel, karboplatin in trastuzumab; IZ = interval zaupanja.
No disease-free survival (DFS) benefit was noticed in this subgroup of patients (hazard ratio=1.16, 95% CI [0.73, 1.83] for DCarbH (TCH) versus AC→D (AC→T); hazard ratio 0.97, 95% CI [0.60, 1.55] for AC→DH (AC→TH) versus AC→D). 
V tej podskupini bolnikov niso opazili nikakršne koristi za preživetje brez bolezni (DFS) (razmerje tveganja = 1,16, 95 % IZ [0,73, 1,83] za DCarbH (TCH) proti AC→D (AC→T); razmerje tveganja 0,97, 95 % IZ [0,60, 1,55] za AC→DH (AC→TH) proti AC→D).
Time to disease progression, median months 
Preživetje brez napredovanja bolezni, mediano število mesecev
Ontruzant is indicated for the treatment of adult patients with HER2 positive metastatic breast cancer (MBC): 
Zdravilo Ontruzant je indicirano za zdravljenje odraslih bolnikov s HER2-pozitivno metastatsko obliko raka dojk:
• bladder and skin infections 
• okužbe mehurja in kože,
In addition a post-hoc exploratory analysis was performed on the data sets from the joint analysis (JA) NSABP B-31/NCCTG N9831* and BCIRG006 clinical studies combining DFS events and symptomatic cardiac events and summarised in Table 11: 
Poleg tega so opravili post-hoc eksplorativno analizo skupin podatkov iz združene analize (JA) kliničnih študij NSABP B-31/NCCTG N9831* in BCIRG006, v kateri so združili dogodke DFS in simptomatske srčne dogodke, rezultati so povzeti v preglednici 11:
Ontruzant should only be used in patients with metastatic gastric cancer (MGC) whose tumours have HER2 overexpression as defined by IHC2+ and a confirmatory SISH or FISH result, or by an IHC3+ result. 
Zdravilo Ontruzant se uporablja le za bolnike z metastatskim rakom želodca, katerih tumorji imajo čezmerno izražen HER2, definiran kot rezultat IHC2+ s potrditvenim rezultatom SISH ali FISH, ali kot rezultat IHC3+.
L-histidine hydrochloride monohydrate L-histidine α,α-trehalose dihydrate polysorbate 20 
L-histidinijev klorid monohidrat L-histidin α,α-trehaloza dihidrat polisorbat 20
In an exploratory subgroup analysis performed in the TOGA (BO18255) trial there was no apparent benefit on overall survival with the addition of trastuzumab in patients with ECOG PS 2 at baseline [HR 0.96 (95% CI 0.51-1.79)], non-measurable [HR 1.78 (95% CI 0.87-3.66)] and locally advanced disease [HR 1.20 (95% CI 0.29-4.97)]. 
V eksplorativni analizi podskupin, ki so jo opravili v preskušanju ToGA (BO18255), ni bilo opazne koristi za celotno preživetje, če so dodali trastuzumab pri bolnikih z oceno splošnega stanja zmogljivosti po ECOG PS (Eastern Cooperative Oncology Group Performance Status) 2 pred začetkom zdravljenja [HR 0,96 (95 % IZ 0,51-1,79)], bolnikih z nemerljivo boleznijo [HR 1,78 (95 % IZ 0,87-3,66)] in lokalno napredovalo boleznijo [HR 1,20 (95 % IZ 0,29-4,97)].
Parenteral medicinal products should be inspected visually for particulate matter and discoloration prior to administration. 
Parenteralna zdravila je treba pred dajanjem vizualno pregledati glede delcev in obarvanja.
- intravenous paclitaxel - 175 mg/m2 as a continuous intravenous infusion, given every 3 weeks for 4 cycles (day 1 of each cycle). 
- paklitaksel intravensko - 175 mg/m2 v obliki kontinuirane intravenske infuzije, vsake 3 tedne, skupaj 4 cikle (na 1. dan vsakega cikla).
Total CL range from Cmax,ss to Cmin,ss 
od Cmax,ss do Cmin,ss
IHC is recommended as the first testing modality and in cases where HER2 gene amplification status is also required, either a silver-enhanced in situ hybridization (SISH) or a FISH technique must be applied. 
Kot prvi način testiranja priporočajo IHC, kadar je treba ugotoviti tudi stanje genske amplifikacije HER2, pa je treba uporabiti bodisi s srebrom ojačeno hibridizacijo in situ
Administration as an intravenous push or bolus is prohibited. 
Dajanje zdravila v obliki hitre intravenske injekcije ali bolusa je prepovedano.
Trastuzumab plus paclitaxel2 N=68 
Trastuzumab in paklitaksel2 N = 68
+Lung infiltration 
+pljučni infiltrati neznana
Comparison of trastuzumab PK data from Study M77004 in which women with HER2-positive MBC were treated concomitantly with trastuzumab, paclitaxel and doxorubicin to trastuzumab PK data in studies where trastuzumab was administered as monotherapy (H0649g) or in combination with anthracycline plus cyclophosphamide or paclitaxel (H0648g), suggested no effect of doxorubicin and paclitaxel on the pharmacokinetics of trastuzumab. 
Primerjava farmakokinetičnih podatkov trastuzumaba iz študije M77004, v kateri so bolnike s HER2-pozitivnim metastatskim rakom dojk sočasno zdravili s trastuzumabom, paklitakselom in doksorubicinom, in študij, v katerih so dajali trastuzumab v monoterapiji (H0649g) ali v kombinaciji z antraciklinom in ciklofosfamidom ali paklitakselom (H0648g), so nakazali, da učinka doksorubicina in paklitaksela na farmakokinetiko trastuzumaba ni.
Patients experiencing dyspnoea at rest due to complications of advanced malignancy and comorbidities may be at increased risk of pulmonary events. 
Pri bolnikih, ki imajo dispnejo v mirovanju zaradi zapletov napredovale maligne bolezni in soobolenj, je lahko tveganje pljučnih dogodkov zvečano.
Hormone receptor positive patients must also have failed hormonal therapy, unless patients are unsuitable for these treatments. 
Pri bolnikih, pozitivnih na hormonske receptorje, je moralo biti neuspešno tudi hormonsko zdravljenje,
The recommended scoring system to evaluate the IHC staining patterns is as stated in Table 2: 
Priporočeni način vrednotenja rezultatov obarvanja preparatov po metodi IHC je naveden v preglednici 2:
• anaphylactic reactions (serious allergic reaction) 
• anafilaktične reakcije (resna alergijska reakcija), • zvišana raven kalija,
Biopsy specimen - staining pattern 
Bioptični vzorec - videz preparata po obarvanju
Primary efficacy analysis DFS hazard ratios (95% CI) p-value p<0.0001 
Primarna analiza učinkovitosti Razmerja tveganja DFS (95 % IZ) Vrednost p p < 0,0001
• pain in the arms and/or legs 
• bolečina v zgornjih in/ali spodnjih udih,
Median Survival (months) (95%CI) 
Mediano preživetje (meseci) (95 % IZ)
The reconstituted solution should not be frozen. 
Rekonstituirane raztopine ne zamrzujte.
• weight loss 
• izguba teka,
L-histidine hydrochloride monohydrate, L-histidine, α,α-trehalose dihydrate, polysorbate 20. 
L-histidinijev klorid monohidrat, L-histidin, α,α-trehaloza dihidrat, polisorbat 20.
Detection of HER2 overexpression or HER2 gene amplification in gastric cancer Only an accurate and validated assay should be used to detect HER2 overexpression or HER2 gene amplification. 
Odkrivanje čezmernega izražanja HER2 ali genske amplifikacije HER2 pri raku želodca Za odkrivanje čezmernega izražanja HER2 ali genske amplifikacije HER2 se sme uporabljati le natančna in validirana metoda.
Early breast cancer (neoadjuvant-adjuvant setting) 
Zgodnji rak dojke (neoadjuvantno-adjuvantno zdravljenje)
Serious IRRs to trastuzumab infusion including dyspnoea, hypotension, wheezing, hypertension, bronchospasm, supraventricular tachyarrhythmia, reduced oxygen saturation, anaphylaxis, respiratory distress, urticaria and angioedema have been reported (see section 4.8). 
Poročali so o resnih reakcijah na infuzijo trastuzumaba, vključno z dispnejo, hipotenzijo, sopenjem, hipertenzijo, bronhospazmom, supraventrikularno tahiaritmijo, zmanjšano saturacijo arterijske krvi s kisikom, anafilaksijo, dihalno stisko, urtikarijo in angioedemom (glejte poglavje 4.8).
Combination treatment with trastuzumab and anastrozole Trastuzumab has been studied in combination with anastrozole for first-line treatment of MBC in HER2 overexpressing, hormone-receptor (i.e. estrogen-receptor (ER) and/or progesterone-receptor (PR)) positive postmenopausal patients. 
Kombinirano zdravljenje s trastuzumabom in anastrozolom Trastuzumab so proučevali v kombinaciji z anastrozolom za zdravljenje prve izbire metastatskega raka dojk pri bolnicah po menopavzi s čezmerno izraženim HER2 in pozitivnimi hormonskimi receptorji (t.j.
Trastuzumab has been used in clinical trials as monotherapy for patients with MBC who have tumours that overexpress HER2 and who have failed one or more chemotherapy regimens for their metastatic disease (trastuzumab alone). 
Metastatski rak dojk Trastuzumab so uporabljali v kliničnih preskušanjih kot monoterapijo pri bolnikih z metastatsko obliko raka dojk, katerih tumorji so čezmerno izražali HER2 in pri katerih je bilo zdravljenje neuspešno po eni ali več kemoterapevtskih zdravljenjih njihove metastatske bolezni (samo trastuzumab).
QUALITATIVE AND QUANTITATIVE COMPOSITION Ontruzant 150 mg powder for concentrate for solution for infusion One vial contains 150 mg of trastuzumab, a humanised IgG1 monoclonal antibody produced by mammalian (Chinese hamster ovary) cell suspension culture and purified by several chromatography steps including specific viral inactivation and removal procedures. 
Ontruzant 150 mg prašek za koncentrat za raztopino za infundiranje Ena viala vsebuje 150 mg trastuzumaba, humaniziranega monoklonskega protitelesa IgG1, ki je pridobljeno iz suspenzije kulture celic sesalcev (ovarijske celice kitajskega hrčka) in očiščeno z več kromatografskimi stopnjami, vključno s specifičnimi postopki inaktivacije ter odstranjevanja virusov.
In the BCIRG 006 study for the primary endpoint, DFS, the hazard ratio translates into an absolute benefit, in terms of 3-year disease-free survival rate estimates of 5.8 percentage points (86.7% versus 80.9%) in favour of the AC→DH (trastuzumab) arm and 4.6 percentage points (85.5% versus 80.9% ) in favour of the DCarbH (trastuzumab) arm compared to AC→D. 
V študiji BCIRG 006 se razmerje tveganja za glavni cilj, DFS, izraža kot absolutna korist skupine AC→DH (trastuzumab) v smislu 3 letnega preživetja brez bolezni za 5,8 odstotne točke (86,7 % v primerjavi z 80,9 %), korist skupine DCarbH (trastuzumab) pa za 4,6 odstotne točke v primerjavi s skupino AC→D (85,5 % v primerjavi z 80,9 %).
Trastuzumab may persist in the circulation for up to 7 months after stopping trastuzumab treatment based on population pharmacokinetic analysis of all available data (see section 5.2). 
7 mesecev glede na populacijsko farmakokinetično analizo vseh razpoložljivih podatkov (glejte poglavje 5.2).
By comparison of simulated serum trastuzumab concentrations after trastuzumab monotherapy (4 mg/kg loading/2 mg/kg q1w intravenous infusion) and observed serum concentrations in Japanese women with HER2-positive MBC (study JP16003) no evidence of a PK effect of concurrent administration of docetaxel on the pharmacokinetics of trastuzumab was found. 
S primerjavo simuliranih serumskih koncentracij trastuzumaba po monoterapiji s trastuzumabom (polnilni odmerek 4 mg/kg, 2 mg/kg enkrat na teden v obliki intravenske infuzije) in ugotovljenih serumskih koncentracij pri japonskih bolnikih s HER2-pozitivnim metastatskim rakom dojk (študija JP16003) niso ugotovili nikakršnih dokazov o farmakokinetičnem vplivu sočasnega dajanja docetaksela na farmakokinetiko trastuzumaba.
The recommended scoring system to evaluate the IHC staining patterns is as stated in Table 3: 
Priporočeni način vrednotenja rezultatov obarvanja preparatov po metodi IHC je naveden v preglednici 3:
Other infusion-related symptoms are: feeling sick (nausea), vomiting, pain, increased muscle tension and shaking, headache, dizziness, breathing difficulties, wheezing, high or low blood pressure, heart rhythm disturbances (palpitations, heart fluttering or irregular heart beat), swelling of the face and lips, rash and feeling tired. 
Drugi simptomi, povezani z infuzijo, so: slabost (navzea), bruhanje, bolečina, zvečana napetost mišic in tresenje, glavobol, omotica, oteženo dihanje, sopenje, zvišan ali znižan krvni tlak, motnje srčnega ritma
At 8 years, the disease-free survival rate was estimated to be 77.2% (95% CI: 75.4, 79.1) in the AC→PH arm, an absolute benefit of 11.8% compared with the AC→P arm. 
Po 8 letih so ocenili, da je bila v skupini AC→PH pogostnost preživetja brez bolezni 77,2 % (95 % IZ: 75,4, 79,1), kar je absolutna korist 11,8 % v primerjavi s skupino AC→P.
• abnormal heart rhythm 
• upočasnjen srčni utrip, • nenormalen srčni ritem,
• numbness or tingling of the fingers and toes 
• odrevenelost ali mravljinčenje v prstih rok in nog,
No. patients with event p=0.0275 
število bolnikov z dogodkom p = 0,0275
Ontruzant is given every 3 weeks for early breast cancer, metastatic breast cancer and metastatic gastric cancer. 
Pri zgodnji obliki raka dojk, metastatskem raku dojk in metastatskem raku želodca se zdravilo Ontruzant daje vsake 3 tedne.
Trastuzumab has also been used in combination with paclitaxel or docetaxel for the treatment of patients who have not received chemotherapy for their metastatic disease. 
Trastuzumab so uporabljali tudi v kombinaciji s paklitakselom ali docetakselom za zdravljenje bolnikov, ki predhodno niso prejeli kemoterapije za svojo metastatsko bolezen.