natgillin/translations-raw huggingface dataset:
Because Udenyca is a biosimilar medicine, the studies on effectiveness and safety of pegfilgrastim carried out with Neulasta do not all need to be repeated for Udenyca. 
Zdravilo Udenyca je podobno biološko zdravilo, zato študij o učinkovitosti in varnosti pegfilgrastima, izvedenih z zdravilom Neulasta, z zdravilom Udenyca ni treba ponavljati.
bone marrow to produce more white blood cells, increasing white blood cell counts and so treating neutropenia. 
spodbuja kostni mozeg k proizvodnji več belih krvnih celic, s čimer poveča število belih krvnih celic in zdravi nevtropenijo.
Filgrastim works by encouraging the 
Filgrastim deluje tako, da
The active substance in Udenyca, pegfilgrastim, consists of filgrastim, which is very similar to a human protein called granulocyte-colony-stimulating factor (G-CSF). 
Učinkovina v zdravilu Udenyca, pegfilgrastim, je sestavljena iz filgrastima, ki je zelo podoben človeški beljakovini, imenovani granulocitne kolonije spodbujajoči faktor (G-CSF).
For the full list of side effects and restrictions with Udenyca, see the package leaflet. 
Za celoten seznam neželenih učinkov in omejitev pri uporabi zdravila Udenyca glejte navodilo za uporabo.
The European Medicines Agency decided that, in accordance with EU requirements for biosimilar medicines, Udenyca has a highly similar structure, purity and biological activity to Neulasta and is distributed in the body in the same way. 
Evropska agencija za zdravila je zaključila, da je bilo v skladu z zahtevami EU glede podobnih bioloških zdravil dokazano, da je zdravilo Udenyca po zgradbi, čistosti in biološkem delovanju primerljivo zdravilu Neulasta in da se po telesu enako prenaša.
Udenyca is not intended for use in patients with the blood cancer chronic myeloid leukaemia or with myelodysplastic syndromes (conditions in large numbers of abnormal blood cells are produced, , which can develop into leukaemia). 
Zdravilo Udenyca ni namenjeno uporabi pri bolnikih z vrsto krvnega raka, imenovano kronična mieloična levkemija, ali mielodisplastičnimi sindromi (obolenji, pri katerih nastajajo velike količine nenormalnih krvnih celic, ki se lahko razvijejo v levkemijo).
Udenyca is a medicine used in cancer patients to help with neutropenia (low levels of neutrophils, a type of white blood cell), which is a common side effect of cancer treatment and can leave patients vulnerable to infections. 
Udenyca je zdravilo, ki se uporablja pri bolnikih z rakom za pomoč pri nevtropeniji (zmanjšanem številu nevtrofilcev, vrste belih krvnih celic), ki je pogost neželeni učinek pri zdravljenju raka, zaradi katerega pa so bolniki dovzetnejši za okužbe.
Studies have also shown that giving Udenyca produces similar levels of the active substance in the body to giving Neulasta. 
Študije so pokazale tudi, da zdravilo Udenyca vzpostavi podobne ravni učinkovine v telesu kot zdravilo Neulasta.
In Udenyca, filgrastim has been ‘pegylated' (attached to a chemical called polyethylene glycol). 
V zdravilu Udenyca je filgrastim „pegiliran“ (vezan na kemično snov, imenovano polietilenglikol).
Therefore, the Agency's view was that, as for Neulasta, the benefit of Udenyca outweighs the identified risk and it can be authorised for use in the EU. 
Agencija je menila, da koristi zdravila Udenyca enako kot pri zdravilu Neulasta odtehtajo znana tveganja in da se zdravilo lahko odobri v EU.
Laboratory studies comparing Udenyca with Neulasta have shown that the active substance in Udenyca is highly similar to that in Neulasta in terms of structure, purity and biological activity. 
Laboratorijske študije, v katerih so zdravilo Udenyca primerjali z zdravilom Neulasta, so pokazale, da je učinkovina zdravila Udenyca po zgradbi, čistosti in biološkem delovanju zelo podobna učinkovini v zdravilu Neulasta.
How is Udenyca used? 
Kako se zdravilo Udenyca uporablja?
Udenyca is a ‘biosimilar medicine'. 
Zdravilo Udenyca je „podobno biološko zdravilo“.
How does Udenyca work? 
Kako zdravilo Udenyca deluje?
Asthma control and exacerbations 
Obvladovanje in poslabšanja astme
Asthma control is one of two principal treatment goals in asthma management (the other being the reduction of exacerbation risk). 
Obvladovanje astme je eden od dveh glavnih ciljev zdravljenja pri obravnavi astme (drugi je zmanjšanje tveganja za poslabšanje).
The five pivotal Flutiform Phase III studies included approximately 2500 patients and the safety database includes over 1900 Flutiform-treated patients. 
Pet ključnih študij III. faze z zdravilom Flutiform je vključevalo približno 2500 bolnikov, podatkovna zbirka o varnosti pa vključuje podatke o več kot 1900 bolnikih, zdravljenih z zdravilom Flutiform.
This provides further support for the clinical relevance of the effects seen with Flutiform. 
To pomeni dodatno podporo kliničnemu pomenu učinkov, opaženih z zdravilom Flutiform.
Supportive studies compared the efficacy and safety of Flutiform with other combination therapies. 
S podpornimi študijami so primerjali učinkovitost in varnost zdravila Flutiform z drugimi kombiniranimi zdravljenji.
Published sources indicate that these treatment differences would at worst remain static and at best improve in favour of Flutiform over the longer-term. 
Objavljeni viri navajajo, da se dolgoročno te razlike med zdravljenji v najslabšem primeru ne bi spremenile, v najboljšem pa izboljšale v korist zdravila Flutiform.
• Therefore the Committee concluded that the benefit-risk balance of Flutiform in the applied indications is favourable. 
Odbor je zato zaključil, da je razmerje med tveganji in koristmi uporabe zdravila Flutiform pri zadevnih indikacijah ugodno;
In both claimed indications the previously used inhaled corticosteroid (ICS) is replaced by the inhaled corticosteroid in Flutiform for which such proof is required. 
Pri obeh predlaganih indikacijah je predhodno uporabljeni inhalacijski kortikosteroid zamenjan z inhalacijskim kortikosteroidom v zdravilu Flutiform, za katerega se zahteva ta dokaz.
The development programme also assessed the efficacy and safety of Flutiform administered either with or without a spacing device and investigated the efficacy and safety of Flutiform across relevant subgroups. 
V razvojnem programu so ocenili tudi učinkovitost in varnost zdravila Flutiform, apliciranega z nastavkom ali brez njega, ter raziskali učinkovitost in varnost zdravila Flutiform v ustreznih podskupinah bolnikov.
The question posed by CHMP implied that the 67% relative bioavailability of the fluticasone propionate component of Flutiform compared with GSK fluticasone propionate pMDI may translate to a lesser inhaled corticosteroid effect and that this lesser effect would be best evaluated in a 6- to 12-month exacerbations study. 
Odbor CHMP je z zastavljenim vprašanjem domneval, da 67-odstotna relativna biološka razpoložljivost flutikazon propionata v zdravilu Flutiform v primerjavi z vdihovalnikom s flutikazon propionatom GSK lahko pomeni manjši učinek inhalacijskega kortikosteroida in da bi bilo ta zmanjšani učinek najbolje oceniti v od 6- do 12-mesečni študiji poslabšanj.
Masking of any lesser clinical corticosteroid effect by the long-acting ß2 agonist 
Prikritje morebitnega manjšega kliničnega učinka kortikosteroida, ki ga povzroča ß2-agonist z dolgotrajnim delovanjem
The inclusion of a second, lower dose of Flutiform (100µg/10µg) in the PD study was also instructive. 
Poučna je bila tudi vključitev drugega, manjšega odmerka zdravila Flutiform (100 µg/10 µg) v farmakodinamično študijo.
The pivotal clinical studies were designed to compare the efficacy and safety of Flutiform with its individual components administered separately and with its individual components administered together but inhaled from separate inhalers. 
Ključne klinične študije so bile zasnovane za primerjavo učinkovitosti in varnosti zdravila Flutiform z ločeno aplikacijo posameznih komponent in s sočasno aplikacijo posameznih komponent, vendar vdihnjenih iz ločenih vdihovalnikov.
These findings should be taken together with the results that show that the clinical effects of Flutiform are comparable with the clinical effects of GSK fluticasone propionate and Novartis formoterol fumarate given concomitantly. 
Te ugotovitve je treba jemati skupaj z rezultati, ki kažejo, da so klinični učinki zdravila Flutiform primerljivi s kliničnimi učinki flutikazon propionata GSK in Novartis formoterol fumarata, kadar se uporabljata sočasno.
The CHMP noted that the differences of the magnitude observed between Flutiform and GSK fluticasone propionate in Study FLT1501 (67% relative bioavailability) are within the same range of variance as observed within patients (from inhalation to inhalation), between different batches of the same product and between different inhalers containing the same or more than one of the same active substances and are without adverse clinical consequences, and therefore are likely to be clinically irrelevant. 
Odbor CHMP je ugotovil, da so razlike v obsegu, opažene med zdraviloma Flutiform in flutikazon propionat GSK v študiji FLT1501 (67-odstotna relativna biološka razpoložljivost), v enakem razponu variance, kot so ga opazili med bolniki (od inhalacije do inhalacije), med različnimi serijami istega zdravila in med različnimi vdihovalniki, ki vsebujejo isto ali več istih zdravilnih učinkovin in nimajo škodljivih kliničnih posledic, zato ni verjetno, da bi bile klinično pomembne.
• In the pharmacokinetic data presented systemic exposure of fluticasone was lower (67%) following Flutiform inhalation than following the concurrent inhalation of fluticasone and formoterol from monoproduct pMDIs. 
• je bila v predloženih farmakokinetičnih podatkih sistemska izpostavljenost flutikazonu po inhalaciji zdravila Flutiform manjša (67 %) kot po sočasni inhalaciji flutikazona in formoterola iz vdihovalnikov z monozdravilom.
The CHMP was of the view that clinical data generated over 6 to 12 months to further elucidate the level of asthma control and to further assess exacerbation rates seen with Flutiform compared with fluticasone propionate administered concomitantly with formoterol fumarate or administered alone, are not required. 
Odbor CHMP je menil, da klinični podatki, pridobljeni v od 6 do 12 mesecih, ki bi dodatno pojasnili raven obvladovanja astme in dodatno ocenili stopnje poslabšanj, opaženih z zdravilom Flutiform v primerjavi s flutikazon propionatom, uporabljenim v kombinaciji s formoterol fumaratom ali samostojno, niso potrebni.
Assessment of the pre-dose FEV1 data in the three specified studies demonstrated that in two of the three studies formoterol fumarate has no effect upon pre-dose FEV1 whilst in the third study there was some residual formoterol effect upon pre-dose FEV1 but it was insufficient to explain the magnitude of the predose FEV1 treatment effect difference between Flutiform and fluticasone propionate pMDI. 
Ocena podatkov o predodmernem FEV1 iz treh navedenih študij je pokazala, da v dveh od treh študij formoterol fumarat ni imel učinka na predodmerni FEV1, medtem ko je bilo v tretji študiji nekaj rezidualnega učinka formoterola na predodmerni FEV1, vendar je bil premajhen, da bi bilo z njim mogoče pojasniti obsežno razliko med učinkom zdravljenja na predodmerni FEV1 med zdravilom
Of the five pivotal studies submitted with this Marketing Authorisation Application three studies were designed such that they facilitate a rigorous, internally validated examination as to whether the long-acting β2 agonist formoterol fumarate “masks” deficient corticosteroid effects of Flutiform upon pre-dose FEV1. 
Od petih ključnih študij, predloženih s to vlogo za pridobitev dovoljenja za promet z zdravilom, so bile tri študije zasnovane tako, da lahko olajšajo strogo, interno potrjeno raziskavo, ali β2-agonist z dolgotrajnim delovanjem, formoterol fumarat, „prikriva“ nezadostne učinke kortikosteroida v zdravilu Flutiform na predodmerni FEV1.
The CHMP was of the opinion that these findings suggest that the PK data from study FLT1501 do not reflect pulmonary deposition accurately and therefore in this study are not a valid surrogate for clinical efficacy of Flutiform. 
Odbor CHMP je menil, da glede na ta odkritja farmakokinetični podatki iz študije FLT1501 ne odražajo pravilno odlaganja v pljučih, zato niso veljaven nadomestek za klinični učinek zdravila Flutiform.
In the frame of the referral under article 29(4), the Applicant was requested to respond to the following: “In the light of the available pharmacokinetic data showing a lower systemic exposure of the fluticasone propionate component of this fixed-dose combination product, there is concern that patients receiving this fixed-dose combination, whether for the 'substitution' indication or for the 'step-up' indication, may not experience the same level of efficacy in respect of long-term asthma control. 
V okviru napotitve iz člena 29(4) je moral predlagatelj odgovoriti na naslednje: „Ob upoštevanju razpoložljivih farmakokinetičnih podatkov, ki kažejo manjšo sistemsko izpostavljenost komponenti flutikazon propionat v tem zdravilu s fiksno kombinacijo odmerkov, je skrb vzbujajoče, da učinkovitost pri bolnikih, ki dobivajo to kombinacijo fiksnih odmerkov, naj bo indikacija „nadomestno zdravljenje“
Literature data indicate that even if the PK data accurately reflect comparative pulmonary drug deposition for Flutiform versus GSK fluticasone propionate pMDI, such differences are not of clinical relevance. 
Podatki iz literature kažejo, da tudi če farmakokinetični podatki natančno odražajo primerjalno odlaganje zdravila v pljuča za Flutiform in vdihovalnik s flutikazon propionatom GSK, te razlike niso klinično pomembne.
Committee was also of the opinion that the corticosteroid effects seen with Flutiform are no less than those seen with GSK fluticasone propionate pMDI and that formoterol fumarate does not appreciably “mask” any lesser corticosteroid effect. 
Odbor je tudi izrazil mnenje, da učinki kortikosteroida, opaženi z zdravilom Flutiform, niso manjši od tistih z vdihovalnikom s flutikazon propionatom GSK in da formoterol fumarat v nobeni znatni meri ne „prikriva“ kakršnega koli manjšega učinka kortikosteroida.
The PK study (Study FLT1501) which has given rise to concerns was conducted to evaluate the comparative safety of Flutiform when compared with the marketed monoproduct pMDIs. 
Farmakokinetično študijo (študijo FLT1501), ki je vzrok zaskrbljenosti, so izvedli z namenom vrednotenja primerjalne varnosti zdravila Flutiform v primerjavi z vdihovalniki, ki vsebujejo trženo monozdravilo.
In conclusion, given the long-term predictive value of FEV1, given the static nature of FEV1 after 8 to 12 weeks of treatment, and given the pattern of the FEV1 data observed in the five pivotal studies, the CHMP considers there to be no reason to anticipate that the long-term exacerbation risk with Flutiform may exceed that with fluticasone propionate alone (the “Step-up” indication) or fluticasone propionate in combination with formoterol fumarate (the “Switch” indication). 
Glede na dolgoročno napovedno vrednost FEV1, statično naravo FEV1 po od 8 do 12 tednih zdravljenja in vzorec podatkov o FEV1, opaženih v petih ključnih študijah, odbor CHMP meni, da ni razloga za predvidevanje, da bi dolgoročno tveganje za poslabšanje z zdravilom Flutiform preseglo tveganje s samim flutikazon propionatom (indikacija „stopnjevanje zdravljenja“) ali flutikazon propionatom v kombinaciji s formoterol fumaratom (indikacija „prehod“).
Turning to the data in the Applicant's clinical studies: For the “Step-up” indication both pre-dose and post-dose FEV1 effects at 8 to 12 weeks were significantly greater with Flutiform than with fluticasone propionate; for the “Switch” indication both pre-dose and post-dose FEV1 effects numerically favoured Flutiform over fluticasone propionate + formoterol fumarate (in both Per Protocol and Intention-to-Treat population comparisons). 
Kar zadeva podatke iz predlagateljevih kliničnih študij: pri indikaciji „stopnjevanje zdravljenja“ so bili učinki na predodmerni in poodmerni FEV1 po od 8 do 12 tednih precej večji z zdravilom Flutiform kot s flutikazon propionatom; pri indikaciji „prehod“ so bili učinki na pred- in poodmerni FEV1 numerično boljši z zdravilom Flutiform kot pri flutikazon propionatu + formoterol fumaratu (to velja za primerjavi populacije po protokolu in z namenom zdravljenja).
These endpoints were demonstrably inhaled cortocosteroid-driven and/or inhaled corticosteroid dose-responsive and all provided rigorous statistical evidence that the inhaled corticosteroid effects of Flutiform were not less than those of fluticasone propionate + formoterol fumarate. 
Te končne točke je dokazano povzročil inhalacijski kortikosteroid oziroma so bile odvisne od odmerka inhalacijskega kortikosteroida ter so vse priskrbele natančne statistične dokaze, da učinki inhalacijskega kortikosteroida v zdravilu Flutiform niso bili manjši od kombinacije flutikazon propionat + formoterol fumarat.
The clinical development programme for Flutiform was set up to evaluate efficacy and safety in the intended patient population. 
Za vrednotenje učinkovitosti in varnosti pri ciljni populaciji bolnikov je bil vzpostavljen klinični razvojni program za zdravilo Flutiform.
The apparent lower systemic availability of fluticasone propionate in Flutiform compared with GSK fluticasone propionate pMDI would not appear to result in a lesser clinical effect. 
Kaže, da navidezna manjša sistemska razpoložljivost flutikazon propionata v zdravilu Flutiform v primerjavi z vdihovalnikom s flutikazon propionatom GSK ne povzroča manjšega kliničnega učinka.
Furthermore, the discordance between the PK and PD data for Flutiform suggests that the PK data do not accurately reflect comparative pulmonary deposition and are not a valid surrogate for clinical effect. 
Poleg tega neskladje med farmakokinetičnimi in farmakodinamičnimi podatki za zdravilo Flutiform kaže, da farmakokinetični podatki ne odražajo pravilno primerjalnega odlaganja v pljuča in niso veljaven nadomestek za klinični učinek.
Flutiform 50/5, 125/5 and 250/10 microgram pressurised inhalation, suspension is a new fixed-dose combination of two well-known active drug substances fluticasone propionate and formoterol fumarate. 
Splošni povzetek znanstvenega vrednotenja zdravila Flutiform in povezanih imen (glejte Prilogo I) Zdravilo Flutiform 50/5, 125/5 in 250/10 mikrogramov, inhalacijska raztopina pod tlakom, je nova kombinacija fiksnih odmerkov dveh znanih zdravilnih učinkovin, flutikazon propionata in formoterol fumarata.
The relative bioavailability of fluticasone propionate at steady state was 67% following Flutiform administration compared with GSK fluticasone propionate pMDI. 
Relativna biološka razpoložljivost flutikazon propionata v stanju dinamičnega ravnovesja po aplikaciji zdravila Flutiform je bila 67 % v primerjavi z vdihovalnikom s flutikazon propionatom GSK.
With regard to the “Step-up” indication, again the CHMP accepted the discussions presented by the Applicant and was of the view that the clinical effects of Flutiform in respect of asthma control are superior to the clinical effects of GSK fluticasone propionate administered alone. 
Tudi v zvezi z indikacijo „stopnjevanje zdravljenja“ je odbor CHMP sprejel razprave, ki jih je predložil predlagatelj, in je menil, da so klinični učinki zdravila Flutiform, kar zadeva obvladovanje astme, boljši od kliničnih učinkov flutikazon propionata GSK pri samostojni uporabi.
With regard to the “Switch” therapy, the CHMP accepted the discussions presented by the Applicant and was of the view that the clinical effects of Flutiform in respect of asthma control and exacerbation risk are comparable with/similar to the clinical effects of GSK fluticasone propionate and Novartis formoterol fumarate given concomitantly. 
V zvezi z zdravljenjem „prehod“ je odbor CHMP sprejel razprave, ki jih je predložil predlagatelj, ter je menil, da so klinični učinki zdravila Flutiform, kar zadeva obvladovanje astme in tveganja za poslabšanje, primerljivi s kliničnimi učinki flutikazon propionata GSK in Novartis formoterol fumarata, kadar se uporabljata sočasno, oziroma so jim podobni.
Overall summary of the scientific evaluation of Flutiform and associated names (see Annex I) 
pripravljene med postopkom Skupine za usklajevanje, kakor je navedeno v Prilogi III za zdravilo Flutiform in povezana imena (glejte Prilogo I).
The pre-dose FEV1 data in this study which were again a demonstrably inhaled corticosteroid-mediated effect provided no evidence of a lesser inhaled corticosteroid effect with Flutiform than seen with fluticasone propionate + formoterol fumarate. 
Podatki o predodmernem FEV1 v tej študiji, ki so tudi dokazano pomenili učinek, povezan z inhalacijskim kortikosteroidom, ne dokazujejo manjšega učinka inhalacijskega kortikosteroida z zdravilom Flutiform, kot so ga opazili pri flutikazon propionatu + formoterol fumaratu.
Turning to the available data in the Applicant's studies, for the “Step-up” comparison the odds of “any” exacerbation were 33% higher in fluticasone propionate- than Flutiform-treated patients (p=0.019) whilst the annual exacerbation rate was 49% higher in fluticasone propionate- than Flutiform-treated patients (p=0.004). 
Na podlagi razpoložljivih podatkov iz predlagateljevih študij je bila v primerjavi „stopnjevanje zdravljenja“ verjetnost „kakršnega koli“ poslabšanja za 33 % večja pri bolnikih, ki so dobivali flutikazon propionat, kot pri tistih, ki so dobivali zdravilo Flutiform (p = 0,019), medtem ko je bila letna stopnja poslabšanj za 49 % večja pri bolnikih, ki so dobivali flutikazon propionat, kot pri tistih,
Data submitted by the Applicant demonstrated that asthma control with Flutiform is superior to that with fluticasone propionate pMDI alone and that asthma control with Flutiform is similar to that with fluticasone propionate pMDI + formoterol fumarate pMDI. 
Podatki, ki jih je predložil predlagatelj, kažejo, da je pri uporabi zdravila Flutiform obvladovanje astme boljše kot pri uporabi vdihovalnika s samim flutikazon propionatom in da je obvladovanje astme z zdravilom Flutiform podobno tistemu pri uporabi vdihovalnika s flutikazon propionatom +
Approximately 20 subjects in each arm of this parallel group study were administered Flutiform 500/20 (fluticasone propionate 500µg and formoterol fumarate 20µg) or GSK fluticasone propionate 500µg pMDI + Novartis formoterol fumarate 24µg pMDI. 
Približno 20 oseb v vsakem kraku te študije z vzporednima skupinama je dobilo zdravilo Flutiform 500/20 (flutikazon propionat 500 µg in formoterol fumarat 20 µg) ali vdihovalnik s flutikazon propionatom GSK 500 µg + vdihovalnik z zdravilom Novartis formoterol fumarat 24 µg.
The clinical findings suggest that fluticasone propionate in Flutiform is non-inferior in respect of clinical effects to GSK fluticasone propionate. 
Klinična odkritja kažejo, da flutikazon propionat v zdravilu Flutiform glede na klinične učinke ni slabši od flutikazon propionata GSK.
The data presented in respect of exacerbations demonstrate an increased protective benefit of Flutiform compared with GSK fluticasone propionate administered alone - the odds of any exacerbation occurring were 33% higher and the annual exacerbation rate was 49% higher in patients receiving GSK fluticasone propionate than in patients receiving Flutiform, p=0.019 and p=0.004, respectively. 
Predloženi podatki, povezani s poslabšanji, kažejo večjo zaščitno korist zdravila Flutiform v primerjavi s samim flutikazon propionatom GSK - verjetnost za pojav kakršnega koli poslabšanja je bila za 33 % večja in letna stopnja poslabšanja je bila za 49 % večja pri bolnikih, ki so dobivali flutikazon propionat GSK,