natgillin/translations-raw huggingface dataset:
All candidates for treatment with Trazimera, but especially those with prior anthracycline and cyclophosphamide (AC) exposure, should undergo baseline cardiac assessment including history and physical examination, electrocardiogram (ECG), echocardiogram, and/or multigated acquisition (MUGA) scan or magnetic resonance imaging. 
Vsi kandidati za zdravljenje z zdravilom Trazimera, posebno tisti, ki so bili predhodno izpostavljeni antraciklinom in ciklofosfamidom (AC), morajo opraviti osnovni pregled srca, vključno z anamnezo in fizičnim pregledom, elektrokardiogramom (EKG), ehokardiogramom in/ali radioizotopsko ventrikulografijo ali magnetnoresonančnim slikanjem.
Paclitaxel, in combination with trastuzumab, was administered as follows: 
Odmerjanje paklitaksela v kombinaciji s trastuzumabom je bilo naslednje:
In rare cases, a reduction in the amount of (amniotic) fluid that surrounds the developing baby within the womb has been observed in pregnant women receiving Trazimera. 
V redkih primerih so pri nosečnicah, ki so prejemale zdravilo Trazimera, opazili zmanjšanje količine (amnijske) tekočine, ki obdaja razvijajočega se otroka v maternici.
Table 6 Efficacy Results from Study BO16348 Median follow-up 12 months* Median follow-up 8 years** 
Rezultati učinkovitosti študije BO16348 Mediani čas spremljanja 12 mesecev*
No incompatibilities between Trazimera and polyvinylchloride, polyethylene, polypropylene or ethylene vinyl acetate bags or with glass intravenous bottles have been observed. 
Inkompatibilnosti med zdravilom Trazimera in polivinilkloridnimi, polietilenskimi, polipropilenskimi ali etilenvinilacetatnimi vrečkami ali stekleničkami za intravensko uporabo niso opazili.
Pharmacokinetic data from Study H4613g/GO01305 suggested that carboplatin had no impact on the PK of trastuzumab. 
Farmakokinetični podatki iz študije H4613g/GO01305 so pokazali, da karboplatin ni imel vpliva na farmakokinetiko trastuzumaba.
It is also used in combination with medicines called aromatase inhibitors with patients with high levels of HER2 and hormone receptor-positive metastatic breast cancer (cancer that is sensitive to the presence of female sex hormones). 
Uporablja se ga tudi v kombinaciji z zdravili, imenovanimi zaviralci aromataze, za zdravljenje bolnikov z metastatsko obliko raka dojk z velikimi količinami HER2 in pozitivnimi hormonskimi receptorji (to pomeni, da je tumor občutljiv na prisotnost ženskih spolnih hormonov);
In study BCIRG 006, 213/1075 patients in the DCarbH (TCH) arm, 221/1074 patients in the AC→DH (AC→TH) arm, and 217/1073 in the AC→D (AC→T) arm had a Karnofsky performance status ≤90 (either 80 or 90). 
V preskušanju BCIRG 006 je 213/1075 bolnikov v skupini DCarbH (TCH), 221/1074 bolnikov v skupini AC  DH (AC  TH) in 217/1073 bolnikov v skupini AC → D (AC  T) imelo stanje zmogljivosti po Karnofskem ≤ 90 (ali 80 ali 90).
Trazimera may be prescribed in combination with the chemotherapy medicine paclitaxel or docetaxel as first treatment for metastatic breast cancer or it may be prescribed alone if other treatments have proved unsuccessful. 
Zdravilo Trazimera se lahko predpiše v kombinaciji s citostatikoma paklitakselom ali docetakselom kot prvo zdravljenje metastatskega raka dojk ali pa se ga uporabi samostojno, če so bile ostale oblike zdravljenja neuspešne.
Risk factors associated with interstitial lung disease include prior or concomitant therapy with other anti-neoplastic therapies known to be associated with it such as taxanes, gemcitabine, vinorelbine and radiation therapy. 
Med dejavnike tveganja, povezane z intersticijsko boleznijo pljuč, spada predhodno ali sočasno zdravljenje z drugimi zdravili z delovanjem na novotvorbe, za katere je znana povezava s to boleznijo, kot so taksani, gemcitabin, vinorelbin in zdravljenje z obsevanjem.
Neutralizing anti-trastuzumab antibodies were detected in post-baseline samples in 2 of 30 patients in the trastuzumab intravenous arm. 
Nevtralizirajoča protitelesa proti trastuzumabu so odkrili v 2 od 30 vzorcev, odvzetih po začetku zdravljenja pri bolnikih, ki so prejemali trastuzumab v intravenski obliki.
The efficacy results from the BO16348 trial following 12 months* and 8 years** median follow-up are summarized in Table 6: 
Rezultati učinkovitosti študije BO16348 po medianem času spremljanja 12 mesecev* in 8 let** so povzeti v preglednici 6.
In order to prevent medication errors it is important to check the vial labels to ensure that the drug being prepared and administered is Trazimera (trastuzumab) and not Kadcyla (trastuzumab emtansine). 
Za preprečitev napak pri dajanju zdravila je pomembno preveriti nalepke na vialah in tako zagotoviti, da je pripravljeno in uporabljeno zdravilo Trazimera (trastuzumab) in ne zdravilo Kadcyla (trastuzumab emtanzin).
The first dose of your treatment is given over 90 minutes and you will be observed by a health professional while it is being given in case you have any side effects. 
Prvi odmerek zdravljenja boste prejeli v 90 minutah; med dajanjem boste zaradi možnosti pojava neželenih učinkov pod nadzorom zdravstvenega osebja.
In general, FISH is considered positive if the ratio of the HER2 gene copy number per tumour cell to the chromosome 17 copy number is greater than or equal to 2, or if there are more than 4 copies of the HER2 gene per tumour cell if no chromosome 17 control is used. 
V splošnem velja, da je rezultat po metodi FISH pozitiven, če je razmerje med številom kopij gena HER2 na tumorsko celico in številom kopij kromosoma 17 večje ali enako 2, ali če je število kopij gena HER2 na tumorsko celico večje od 4, če ne uporabimo preverjanja s kromosomom 17.
Unopened vials of Trazimera may be stored up to 30°C for a single period of up to 3 months. 
Neodprte viale zdravila Trazimera lahko shranite pri temperaturi do 30 °C za enkratno obdobje do 3 mesecev.
Causing excessive foaming during reconstitution or shaking the reconstituted Trazimera may result in problems with the amount of Trazimera that can be withdrawn from the vial. 
Povzročitev pretiranega penjenja med rekonstitucijo ali tresenje že pripravljene raztopine lahko povzroči težave s količino zdravila Trazimera, ki jo odvzamemo iz viale.
If you develop a reaction, they will slow down or stop the infusion and may give you treatment to counteract the side effects. 
Če se vam bo pojavila reakcija, bodo infuzijo upočasnili ali prekinili in vas po potrebi zdravili zaradi neželenih učinkov.
Subsequent maintenance doses should be administered 7 days or 21 days later according to the weekly or three-weekly schedules, respectively. 
Vzdrževalne odmerke se nato daje 7 oziroma 21 dni zatem, odvisno od režima odmerjanja (tedenski oziroma 3-tedenski).
Risk factors for a cardiac event identified in four large adjuvant studies included advanced age (>50 years), low LVEF (<55%) at baseline, prior to or following the initiation of paclitaxel treatment, decline in LVEF by 10-15 points, and prior or concurrent use of anti-hypertensive medicinal products. 
Dejavniki tveganja za pojav neželenega učinka, povezanega s srcem, ki so jih opazili v štirih velikih adjuvantnih študijah, so vključevali starost nad 50 let, majhno osnovno vrednost LVEF (< 55 %), majhno vrednost LVEF pred začetkom zdravljenja s paklitakselom ali po njem, zmanjšanje LVEF za 10 do 15 točk in predhodno ali sočasno uporabo zdravil za zniževanje krvnega tlaka.
Early breast cancer in the HERA trial was limited to operable, primary, invasive adenocarcinoma of the breast, with axillary nodes positive or axillary nodes negative if tumours at least 1 cm in diameter. 
V kliničnem preskušanju HERAje bil zgodnji rak dojk omejen na operabilni, primarni, invazivni adenokarcinom dojk, s pozitivnimi aksilarnimi bezgavkami ali negativnimi aksilarnimi bezgavkami, če so imeli tumorji premer vsaj 1 cm.
In study BO16348, after a median follow-up of 8 years the incidence of severe CHF (NYHA Class III & IV) in the trastuzumab 1 year treatment arm was 0.8%, and the rate of mild symptomatic and asymptomatic left ventricular dysfunction was 4.6%. 
Po medianem času spremljanja 8 let v študiji BO16348 je bila incidenca hudega kongestivnega srčnega popuščanja (NYHA razred III in IV) v skupini, ki se je 1 leto zdravila s trastuzumabom, 0,8 %, delež blage simptomatske in asimptomatske disfunkcije levega prekata pa 4,6 %.
In the pivotal metastatic trials of intravenous trastuzumab, the incidence of cardiac dysfunction varied between 9% and 12% when it was combined with paclitaxel compared with 1% - 4% for paclitaxel alone. 
V ključnih preskušanjih z intravensko danim trastuzumabom pri metastatski bolezni je bila incidenca motenj v delovanju srca pri bolnikih, ki so zdravilo prejemali sočasno s paklitakselom, v razponu od 9 % do 12 % v primerjavi z 1-4 % pri samostojnem jemanju paklitaksela.
Total CL range from Cmax,ss to Cmin,ss (L/day) 
Obseg celokupnega očistka od Cmax,ss do Cmin,ss (l/dan)
Trazimera intravenous infusion should be administered by a health-care provider prepared to manage anaphylaxis and an emergency kit should be available. 
Intravensko infuzijo zdravila Trazimera mora dajati zdravstveno osebje, usposobljeno za ukrepanje ob anafilaksiji; na voljo mora biti oprema za urgentno ukrepanje.
In the final population PK model, in addition to primary tumour type, body-weight, serum aspartate aminotransferase and albumin were identified as a statistically significant covariates affecting the exposure of trastuzumab. 
V končnem populacijskem farmakokinetičnem modelu so kot statistično pomembne sospremenljivke, ki vplivajo na izpostavljenost trastuzumabu, poleg vrste primarnega tumorja opredelili tudi telesno maso, aspartat-aminotransferazo v serumu in albumin.
- in combination with paclitaxel for the treatment of those patients who have not received chemotherapy for their metastatic disease and for whom an anthracycline is not suitable. 
v kombinaciji s paklitakselom za zdravljenje tistih bolnikov, ki še niso prejemali kemoterapije za metastatsko bolezen in za katere antraciklini niso primerni;
Patients with history of myocardial infarction (MI), angina pectoris requiring medical treatment, history of or existing CHF (NYHA Class II-IV), LVEF of < 55%, other cardiomyopathy, cardiac arrhythmia requiring medical treatment, clinically significant cardiac valvular disease, poorly controlled hypertension (hypertension controlled by standard medical treatment eligible), and hemodynamic effective pericardial effusion were excluded from adjuvant and neoadjuvant EBC pivotal trials with trastuzumab and therefore treatment cannot be recommended in such patients. 
Bolnikov z anamnezo miokardnega infarkta, angino pektoris, ki jo je treba zdraviti, anamnezo kongestivnega srčnega popuščanja ali prisotnim kongestivnim srčnim popuščanjem (NYHA razred IIIV), LVEF < 55 %, drugimi kardiomiopatijami, srčno aritmijo, ki jo je treba zdraviti, klinično pomembno boleznijo srčnih zaklopk, slabo uravnano hipertenzijo (hipertenzijo, ki jo lahko primerno nadzorujemo s standardnim zdravljenjem) in hemodinamsko efektivno perikardialno efuzijo niso vključili v adjuvantna in neoadjuvantna ključna preskušanja za zdravljenje zgodnjega raka dojk s trastuzumabom.
Currently no data from clinical trials are available on re-treatment of patients with previous exposure to trastuzumab in the adjuvant setting. 
Trenutno ni na voljo podatkov iz kliničnih preskušanj, kjer bi bolnike po adjuvantnem zdravljenju s trastuzumabom ponovno zdravili s tem zdravilom.
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 
Mediana dolgoročnega spremljanja v skupni analizi kliničnih preskušanj je bila 8,3 leta (razpon: 0,1-12,1) za bolnike v skupini AC → PH in 7,9 leta (razpon: 0,0-12,2) za bolnike v skupini AC → P. Mediana dolgoročnega spremljanja v preskušanju BCIRG 006 je bila 10,3 leta za bolnike v skupinah AC → D (razpon: 0,0-12,6) in DCarbH (razpon: 0,0-13,1) ter 10,4 leta za bolnike v skupini AC → DH (razpon: 0,0-12,7).
If patients have a continued decrease in left ventricular function, but remain asymptomatic, the physician should consider discontinuing therapy if no clinical benefit of trastuzumab therapy has been seen. 
Pri bolnikih s kontinuiranim upadanjem funkcije levega prekata, ki ostajajo asimptomatični, naj zdravnik razmisli o ukinitvi zdravljenja s trastuzumabom, če klinična korist ni opazna.
In general, SISH or FISH is considered positive if the ratio of the HER2 gene copy number per tumour cell to the chromosome 17 copy number is greater than or equal to 2. 
V splošnem velja, da je rezultat po metodi SISH ali FISH pozitiven, če je razmerje med številom kopij gena HER2 na tumorsko celico in številom kopij kromosoma 17 večje ali enako 2.
Pharmacokinetic data from Study H4613g/GO01305 in patients with metastatic or locally advanced inoperable HER2-positive cancer suggested that trastuzumab had no impact on the PK of carboplatin. 
Farmakokinetični podatki iz študije H4613g/GO01305 pri bolnikih z metastatskim ali lokalno napredovalim neoperabilnim HER2-pozitivnim rakom so pokazali, da trastuzumab ni imel vpliva na farmakokinetiko karboplatina.
In the joint analysis of the NSABP B-31 and NCCTG N9831 studies, EBC was limited to women with operable breast cancer at high risk, defined as HER2-positive and axillary lymph node positive or HER2 positive and lymph node negative with high risk features (tumour size > 1 cm and ER negative or tumour size >2 cm, regardless of hormonal status). 
V skupni analizi preskušanj NSABP B-31 in NCCTG N9831 je bil zgodnji rak dojk omejen na ženske z operabilnim rakom dojk z visokim tveganjem, ki so ga opredelili kot pozitivna oblika HER2 s pozitivnimi aksilarnimi bezgavkami ali pozitivna oblika HER2 z negativnimi bezgavkami z dejavniki visokega tveganja (velikost tumorja > 1 cm in negativni estrogenski receptorji ali velikost tumorja > 2 cm, neodvisno od hormonskega statusa).
More patients treated with trastuzumab and paclitaxel progressed in the central nervous system than those treated with paclitaxel alone (12.6% versus 6.5%; p=0.377). 
Napredovanje bolezni v osrednjem živčnem sistemu je bilo pogostejše pri bolnikih, ki so se zdravili s trastuzumabom in paklitakselom, v primerjavi z bolniki, ki so prejemali le paklitaksel (12,6 % v primerjavi s 6,5 %; p = 0,377).
The efficacy results from study BO18225 are summarized in Table 13: 
Rezultati učinkovitosti za preskušanje BO18225 so povzeti v preglednici 13.
Trazimera may also be given once a week for metastatic breast cancer. 
Pri metastatskem raku dojk se lahko zdravilo Trazimera daje tudi enkrat na teden.
At the time of the analysis a total of 349 randomized patients had died: 182 patients (62.8%) in the control arm and 167 patients (56.8%) in the treatment arm. 
182 bolnikov (62,8 %) v kontrolni skupini in 167 bolnikov (56,8 %) v zdravljeni skupini.
N=77 
paklitaksel n = 77
Trazimera in combination with capecitabine or 5-fluorouracil and cisplatin is indicated for the treatment of adult patients with HER2 positive metastatic adenocarcinoma of the stomach or gastrooesophageal junction who have not received prior anti-cancer treatment for their metastatic disease. 
Zdravilo Trazimera je v kombinaciji s kapecitabinom ali 5-fluorouracilom in cisplatinom indicirano za zdravljenje odraslih bolnikov s HER2-pozitivnim metastatskim adenokarcinomom želodca ali gastroezofagealnega prehoda, ki še niso prejemali zdravil za zdravljenje raka za metastatsko bolezen.
use after reconstitution and dilution 
uporabo po rekonstituciji in redčenju
Observed with combination therapy following anthracyclines and combined with taxanes 
Opaženo pri kombinirani uporabi po antraciklinih in sočasno s taksani.
Despite the crossover to trastuzumab in the control arm, the addition of trastuzumab to paclitaxel chemotherapy resulted in a 52% decrease in the risk of disease recurrence. 
Kljub prehodu na trastuzumab v kontrolni skupini, je dodatek trastuzumaba kemoterapiji s paklitakselom zmanjšal tveganje za ponovitev bolezni za 52 %.
Denotes adverse reactions that have been reported in association with a fatal outcome. 
Označuje neželene učinke, o katerih so poročali v povezavi s smrtnim izidom.
Each carton contains 1 vial of powder. 
Ena škatlica vsebuje 1 vialo s praškom.
So far, no results are available which compare the efficacy of trastuzumab administered with chemotherapy in the adjuvant setting with that obtained in the neo-adjuvant/adjuvant setting. 
Trenutno še ni na voljo rezultatov, ki bi primerjali učinkovitost trastuzumaba, danega skupaj s kemoterapijo pri adjuvantnem zdravljenju, z njegovo učinkovitostjo pri neoadjuvantnem/adjuvantnem zdravljenju.
- as monotherapy for the treatment of those patients who have received at least two chemotherapy regimens for their metastatic disease. 
kot monoterapija za zdravljenje tistih bolnikov, ki so za svojo metastatsko bolezen predhodno že prejeli najmanj dve liniji kemoterapije.
Trastuzumab is designed to bind selectively to an antigen called human epidermal growth factor receptor 2 (HER2). 
Trastuzumab je oblikovan tako, da se selektivno veže na antigen, ki se imenuje humani receptor za epidermalni rastni dejavnik 2 (HER2 - Human Epidermal Growth Factor Receptor 2).
- capecitabine - 1000 mg/m 2 orally twice daily for 14 days every 3 weeks for 6 cycles (evening of day 1 to morning of day 15 of each cycle) 
- kapecitabin - 1.000 mg/m 2 peroralno dvakrat na dan 14 dni vsake 3 tedne, skupaj 6 ciklov (zvečer 1. dne do jutra 15. dne vsakega cikla)
If the patient has missed a dose of Trazimera by one week or less, then the usual maintenance dose (weekly regimen: 2 mg/kg; three-weekly regimen: 6 mg/kg) should be administered as soon as possible. 
Če je bolnik izpustil odmerek zdravila Trazimera za 1 teden ali manj, mu je treba čim prej dati običajni vzdrževalni odmerek (tedenski režim: 2 mg/kg; 3-tedenski režim: 6 mg/kg).
Subsequent Trazimera maintenance doses (weekly regimen:2 mg/kg; three-weekly regimen 6 mg/kg respectively) should be administered 7 days or 21 days later according to the weekly or three-weekly schedules respectively. 
Vzdrževalne odmerke zdravila Trazimera (tedenski režim: 2 mg/kg; 3- tedenski režim: 6 mg/kg) se nato daje 7 oziroma 21 dni zatem, odvisno od režima odmerjanja (tedenski oziroma 3-tedenski).
One vial contains 150 mg of trastuzumab, a humanised IgG1 monoclonal antibody produced by mammalian (Chinese hamster ovary) cell suspension culture and purified by chromatography including specific viral inactivation and removal procedures. 
Ena viala vsebuje 150 mg trastuzumaba, humaniziranega monoklonskega protitelesa IgG1, pridobljenega iz suspenzijske celične kulture sesalcev (ovarijske celice kitajskega hrčka) in očiščenega s kromatografijo, ki vključuje specifično virusno inaktivacijo ter postopke odstranjevanja.
- cisplatin - 80 mg/m 2 every 3 weeks for 6 cycles on day 1 of each cycle. 
- cisplatinom - 80 mg/m2 vsake 3 tedne 6 ciklov, na 1. dan vsakega cikla.
Table 1 Undesirable Effects Reported with Intravenous trastuzumab Monotherapy or in Combination with Chemotherapy in Pivotal Clinical Trials (N=8386) and in Post-Marketing 
Neželeni učinki, o katerih so poročali pri intravenski obliki trastuzumaba v monoterapiji ali v kombinaciji s kemoterapijo v ključnih kliničnih preskušanjih (n = 8386) in v obdobju trženja zdravila.
• 150 mg trastuzumab that has to be dissolved in 7.2 mL of sterile water for injections, or 
• 150 mg trastuzumaba, ki ga je treba raztopiti v 7,2 ml sterilne vode za injekcije, ali
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 prva metoda je priporočljiva imunohistokemijska metoda, v primerih, ko je potreben tudi status amplifikacije gena HER2, pa je treba uporabiti tehniko hibridizacije in situ s srebrom (SISH - Silver-enhanced In Situ Hybridization) ali metodo FISH.
The median duration of follow up was 2.9 years in the AC→D arm and 3.0 years in each of the AC→DH and DCarbH arms. 
Mediana spremljanja je bila 2,9 leta v skupini AC → D in 3,0 leta v skupinah AC → DH in DCarbH.
At 8 years, the survival rate was estimated to be 86.9% in the AC→PH arm and 79.4% in the AC→P arm, an absolute benefit of 7.4% (95% CI 4.9%, 10.0%). 
Po 8 letih so delež celokupnega preživetja ocenili na 86,9 % v skupini AC → PH in 79,4 % v skupini AC → P, z absolutno koristjo 7,4 % (95 % IZ: 4,9 %, 10 %).
defined as absence of any invasive cancer both in the breast and axillary nodes 
definiran kot odsotnost kakršnegakoli invazivnega raka v dojkah in aksilarnih bezgavkah IZ = interval zaupanja
In the BCIRG 006 study trastuzumab was administered either in combination with docetaxel, following AC chemotherapy (AC→DH) or in combination with docetaxel and carboplatin (DCarbH). 
V preskušanju BCIRG 006 so trastuzumab dajali v kombinaciji z docetakselom po kemoterapiji AC (AC → DH) ali v kombinaciji z docetakselom in karboplatinom (DCarbH).
The pharmacokinetics of trastuzumab were evaluated in a population pharmacokinetic model analysis using pooled data from 1,582 subjects, including patients with HER2 positive MBC, EBC, AGC or other tumour types, and healthy volunteers, in 18 Phase I, II and III trials receiving intravenous trastuzumab. 
Farmakokinetiko trastuzumaba so ocenili z analizo populacijskega farmakokinetičnega modela z uporabo združenih podatkov 1582 preskušancev, vključno z bolniki s HER2-pozitivnim metastatskim rakom dojk (MBC - Metastatic Breast Cancer), zgodnjim rakom dojk (EBC - Early Breast Cancer), napredovalim rakom želodca (AGC - Advanced Gastric Cancer) ali drugimi vrstami tumorjev in zdravimi prostovoljci, ki so v 18 kliničnih preskušanjih 1., 2. in 3. faze prejemali trastuzumab v intravenski obliki.
Chemotherapy was administered as follows: 
Kemoterapijo so dajali, kot je navedeno spodaj:
For full instructions on assay performance and interpretation please refer to the package inserts of validated FISH and CISH assays. 
Za popolna navodila o učinkovitosti metod in interpretaciji rezultatov glejte navodila za uporabo validiranih metod FISH in CISH.
For overall survival, the HR was 0.75 (95% CI 0.51-1.11) in the IHC 2+/FISH+ group and the HR was 0.58 (95% CI 0.41-0.81) in the IHC 3+/FISH+ group. 
Razmerje ogroženosti za celokupno preživetje je bilo 0,75 (95 % IZ: 0,51-1,11) v skupini z IHC 2+/FISH+, v skupini z IHC 3+/FISH+ pa je razmerje ogroženosti znašalo 0,58 (95 % IZ: 0,41-0,81).
The frequency of progression in the liver was significantly reduced in patients treated with the combination of trastuzumab and paclitaxel, compared to paclitaxel alone (21.8% versus 45.7%; 
Pogostnost napredovanja v jetrih se je pomembno zmanjšala pri bolnikih, ki so se zdravili s kombinacijo trastuzumaba in paklitaksela, v primerjavi s samim paklitakselom (21,8 % v primerjavi s 45,7 %; p = 0,004).
Do not breast-feed your baby during Trazimera therapy and for 7 months after the last dose of Trazimera as Trazimera may pass to your baby through your breast milk. 
Med zdravljenjem z zdravilom Trazimera in 7 mesecev po zadnjem odmerku zdravila ne smete dojiti, ker lahko to zdravilo prehaja v materino mleko in s tem do vašega otroka.
One vial contains 420 mg of trastuzumab, a humanised IgG1 monoclonal antibody produced by mammalian (Chinese hamster ovary) cell suspension culture and purified by chromatography including specific viral inactivation and removal procedures. 
Ena viala vsebuje 420 mg trastuzumaba, humaniziranega monoklonskega protitelesa IgG1, pridobljenega iz suspenzijske celične kulture sesalcev (ovarijske celice kitajskega hrčka) in očiščenega s kromatografijo, ki vključuje specifično virusno inaktivacijo ter postopke odstranjevanja.