Unjoni Ewropea - Malti - EMA (European Medicines Agency)

samsung bioepis nl b.v. - bevacizumab - colorectal neoplasms; breast neoplasms; ovarian neoplasms; fallopian tube neoplasms; peritoneal neoplasms; carcinoma, non-small-cell lung; carcinoma, renal cell; uterine cervical neoplasms - aġenti antineoplastiċi - aybintio in combination with fluoropyrimidine-based chemotherapy is indicated for treatment of adult patients with metastatic carcinoma of the colon or rectum. aybintio in combination with paclitaxel is indicated for first-line treatment of adult patients with metastatic breast cancer. għal aktar informazzjoni dwar l-istatus tal-fattur tat-tkabbir tal-epidermide tal-bniedem 2 (her2), jekk jogħġbok irreferi għat-taqsima 5. 1 of the smpc. aybintio in combination with capecitabine is indicated for first-line treatment of adult patients with metastatic breast cancer in whom treatment with other chemotherapy options including taxanes or anthracyclines is not considered appropriate. patients who have received taxane and anthracyclinecontaining regimens in the adjuvant setting within the last 12 months should be excluded from treatment with aybintio in combination with capecitabine. għal aktar informazzjoni dwar l-istatus ta 'her2, jekk jogħġbok irreferi għat-taqsima 5. 1 of the smpc. aybintio, in addition to platinum-based chemotherapy, is indicated for first-line treatment of adult patients with unresectable advanced, metastatic or recurrent non-small cell lung cancer other than predominantly squamous cell histology. aybintio, in combination with erlotinib, is indicated for first-line treatment of adult patients with unresectable advanced, metastatic or recurrent non-squamous non-small cell lung cancer with epidermal growth factor receptor (egfr) activating mutations (see section 5. 1 of the smpc). aybintio in combination with interferon alfa-2a is indicated for first line treatment of adult patients with advanced and/or metastatic renal cell cancer. aybintio, in combination with carboplatin and paclitaxel is indicated for the front-line treatment of adult patients with advanced (international federation of gynecology and obstetrics (figo) stages iii b, iii c and iv) epithelial ovarian, fallopian tube, or primary peritoneal cancer (see section 5. 1 of the smpc). aybintio, in combination with carboplatin and gemcitabine or in combination with carboplatin and paclitaxel, is indicated for treatment of adult patients with first recurrence of platinum-sensitive epithelial ovarian, fallopian tube or primary peritoneal cancer who have not received prior therapy with bevacizumab or other vegf inhibitors or vegf receptor targeted agents. aybintio, in combination with topotecan, or pegylated liposomal doxorubicin is indicated for the treatment of adult patients with platinum-resistant recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who received no more than two prior chemotherapy regimens and who have not received prior therapy with bevacizumab or other vegf inhibitors or vegf receptor targeted agents (see section 5. 1 of the smpc). aybintio, in combination with paclitaxel and cisplatin or, alternatively, paclitaxel and topotecan in patients who cannot receive platinum therapy, is indicated for the treatment of adult patients with persistent, recurrent, or metastatic carcinoma of the cervix (see section 5. 1 of the smpc).

Unjoni Ewropea - Malti - EMA (European Medicines Agency)

samsung bioepis nl b.v. - etanercept - arthritis, psoriatic; arthritis, rheumatoid; psoriasis - immunosoppressanti - rewmatika arthritisbenepali flimkien ma 'methotrexate huwa indikat għall-kura moderata għal severa ta' artrite rewmatika attiva fl-adulti meta r-rispons għall li jimmodifikaw il-marda mediċini anti-rewmatiċi, inkluż methotrexate (sakemm mhux kontraindikat), kienet inadegwata. benepali jista 'jingħata bħala monoterapija f'kaz ta' intolleranza għal methotrexate jew meta trattamenti fit-tul b'methotrexate mhux adattat. benepali huwa indikat ukoll fi trattament ta attiva u progressiva severa, artrite rewmatika fl-adulti li ma kienux ittrattati qabel b'methotrexate. benepali, waħdu jew f'taħlita ma 'methotrexate, intwera li jnaqqas ir-rata ta' progressjoni tal-ħsara fil-ġogi kif imkejjel permezz ta ' x-ray, u li jtejjeb il-funzjoni fiżika. idjopatika ġuvenili arthritistreatment tal-poliartrite (rewmatika fattur pożittiv jew negattiv) u estiż oligoarthritis fit-tfal u fl-adolexxenti mill-età ta ' 2 snin li kellhom rispons mhux adegwat għal, jew li intwera li ma jittollerawx, methotrexate. it-trattament tal-artrite psorjatika fl-adolexxenti mill-età ta ' 12-il sena li kellhom rispons mhux adegwat għal, jew li intwera li ma jittollerawx, methotrexate. it-trattament tal-artrite assoċjata ma'entesite fl-adolexxenti mill-età ta ' 12-il sena li kellhom rispons mhux adegwat għal, jew li kienu intolleranti għal, terapija konvenzjonali. etanercept ma ġiex studjat fi tfal li għandhom inqas minn 2 snin. psorjatika arthritistreatment tas-sustanza attiva u progressiva artrite psorjatika fl-adulti meta r-rispons għall-preċedenti li jimmodifikaw il-marda anti-rewmatiċi terapija bil-mediċina kienet inadegwata. etanercept intwera li jtejjeb il-funzjoni fiżika f'pazjenti b'artrite psorjatika, u li jnaqqas ir-rata ta 'progressjoni tal-ħsara fil-ġogi periferali kif imkejjel permezz ta' x-ray f'pazjenti b'sottotipi poliartikulari simmetriċi tal-marda. assjali spondyloarthritisankylosing spondylitistreatment ta ' adulti b'ankylosing spondylitis severa u attiva li kellhom rispons mhux adekwat għat-terapija. mhux radjografika assjali spondyloarthritistreatment ta 'adulti li jbatu minn mhux radjografika assjali aksjali bil-għan sinjali ta' infjammazzjoni kif indikat b'żiediet fil-proteina c-reattiva (crp) u/jew l-immaġni tar-reżonanza manjetika (mri) l-evidenza, li kellhom rispons inadegwat għall-mediċini anti-infjammatorji mhux sterojdi (nsaids). plakka psoriasistreatment tal-adulti b'indeboliment moderat jew sever tal-psorjasi tal-plakka li naqsu milli jirrispondu għal, jew li għandhom kontraindikazzjoni għal, jew li ma jittollerawx terapija sistemika oħra, li jinkludu ciclosporin, methotrexate jew psoralen u l-ultravjola-dawl (puva). pedjatrika tal-plakka psoriasistreatment tal-kroniku sever tal-psorjasi tal-plakka fit-tfal u fl-adolexxenti mill-età ta ' 6 snin, li huma kkontrollati b'mod inadegwat minn, jew li huma intolleranti għal, terapiji jew fototerapiji sistemiċi oħrajn.

Unjoni Ewropea - Malti - EMA (European Medicines Agency)

samsung bioepis nl b.v. - trastuzumab - stomach neoplasms; breast neoplasms - aġenti antineoplastiċi - tas-sider cancermetastatic tas-sider cancerontruzant huwa indikat għall-kura ta 'pazjenti adulti b'her2 pożittiv kanċer metastatiku tas-sider (mbc):bħala monoterapija għall-kura ta' dawk il-pazjenti li rċevew mill-anqas żewġ dożaġġi ta ' kimoterapija għall-mard metastatiku. l-kimoterapija qabel, għandu jinkludi mill-inqas anthracycline u taxane sakemm il-pazjenti mhumiex tajbin għal dawn it-trattamenti. l-ormon tat pożittiv għar-riċetturi tal-pazjenti għandhom ukoll ikunu fallew it-terapija ormonali, sakemm il-pazjenti mhumiex tajbin għal dawn it-trattamenti. flimkien ma 'paclitaxel għall-kura ta' dawk il-pazjenti li ma kienux ħadu kimoterapija għall-mard metastatiku u li għalihom anthracycline mhix xierqa. flimkien ma 'docetaxel għall-kura ta' dawk il-pazjenti li ma rċevewx il-kimoterapija għal mard metastatiku. f'kumbinazzjoni ma 'inibitur aromatase għall-kura ta' pazjenti bl-ormon tat-pożittiv għar-riċettur mbc, li ma ġietx ikkurata qabel ma ' trastuzumab. tas-sider bikri cancerontruzant huwa indikat għall-kura ta ' pazjenti adulti b'her2 pożittiv kanċer tas-sider bikri (ebc)wara l-kirurġija, kemoterapija (miżjuda fil-bidu jew adjuvant) u r-radjuterapija (jekk applikabbli). wara kimoterapija awżiljarja ma 'doxorubicin u cyclophosphamide, f'kombinazzjoni ma' paclitaxel jew docetaxel. flimkien mal-kimoterapija awżiljarja li jikkonsisti ta ' docetaxel u carboplatin. f'kombinazzjoni mal-miżjuda fil-bidu tal-kimoterapija segwit minn adjuvant ontruzant it-terapija, għal lokalment avvanzat (inklużi infjammazzjoni) - mard jew tumuri >2 ċm fid-dijametru. ontruzant għandu jintuża biss f'pazjenti b'kanċer metastatiku jew tal-kanċer tas-sider bikri li t-tumuri tagħhom jew her2 espressjoni żejda jew her2 amplifikazzjoni tal-ġene kif determinat permezz ta ' assay preċiż u validat. gastrika metastatika cancerontruzant flimkien ma 'capecitabine jew 5‑fluorouracil u cisplatin huwa indikat għat-trattament ta' pazjenti adulti b'her2 pożittiv adenokarċinoma metastatika ta ' l-istonku jew fl-apparat gastro-esofagali junction li qatt ma kienu rċevew minn qabel kontra l-kanċer tat-trattament għall-marda metastatika tagħhom. ontruzant għandu jintuża biss f'pazjenti b'kanċer metastatiku tal-kanċer gastriku (mgc) li t-tumuri tagħhom għandhom her2 espressjoni żejda kif definit mill-ihc2+ u ta'konferma sish jew Ħut riżultat, jew minn ihc 3+ riżultat. 'assay preċiż u validat il-metodi għandhom jiġu użati.

Unjoni Ewropea - Malti - EMA (European Medicines Agency)

samsung bioepis nl b.v. - bevacizumab - colorectal neoplasms; breast neoplasms; ovarian neoplasms; fallopian tube neoplasms; peritoneal neoplasms; carcinoma, non-small-cell lung; carcinoma, renal cell; uterine cervical neoplasms - aġenti antineoplastiċi - onbevzi in combination with fluoropyrimidine-based chemotherapy is indicated for treatment of adult patients with metastatic carcinoma of the colon or rectum. onbevzi in combination with paclitaxel is indicated for first-line treatment of adult patients with metastatic breast cancer. għal aktar informazzjoni dwar l-istatus tal-fattur tat-tkabbir tal-epidermide tal-bniedem 2 (her2), jekk jogħġbok irreferi għat-taqsima 5. onbevzi in combination with capecitabine is indicated for first-line treatment of adult patients with metastatic breast cancer in whom treatment with other chemotherapy options including taxanes or anthracyclines is not considered appropriate. patients who have received taxane and anthracycline containing regimens in the adjuvant setting within the last 12 months should be excluded from treatment with onbevzi in combination with capecitabine. għal aktar informazzjoni dwar l-istatus ta 'her2, jekk jogħġbok irreferi għat-taqsima 5. onbevzi, in addition to platinum-based chemotherapy, is indicated for first-line treatment of adult patients with unresectable advanced, metastatic or recurrent non-small cell lung cancer other than predominantly squamous cell histology. onbevzi, in combination with erlotinib, is indicated for first-line treatment of adult patients with unresectable advanced, metastatic or recurrent non-squamous non-small cell lung cancer with epidermal growth factor receptor (egfr) activating mutations. onbevzi in combination with interferon alfa-2a is indicated for first line treatment of adult patients with advanced and/or metastatic renal cell cancer. onbevzi, in combination with carboplatin and paclitaxel is indicated for the front-line treatment of adult patients with advanced (international federation of gynecology and obstetrics (figo) stages iii b, iii c and iv) epithelial ovarian, fallopian tube, or primary peritoneal cancer. onbevzi, in combination with carboplatin and gemcitabine or in combination with carboplatin and paclitaxel, is indicated for treatment of adult patients with first recurrence of platinum-sensitive epithelial ovarian, fallopian tube or primary peritoneal cancer who have not received prior therapy with bevacizumab or other vegf inhibitors or vegf receptor targeted agents. onbevzi, in combination with topotecan, or pegylated liposomal doxorubicin is indicated for the treatment of adult patients with platinum-resistant recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who received no more than two prior chemotherapy regimens and who have not received prior therapy with bevacizumab or other vegf inhibitors or vegf receptor targeted agents. onbevzi, in combination with paclitaxel and cisplatin or, alternatively, paclitaxel and topotecan in patients who cannot receive platinum therapy, is indicated for the treatment of adult patients with persistent, recurrent, or metastatic carcinoma of the cervix.

Unjoni Ewropea - Malti - EMA (European Medicines Agency)

samsung bioepis nl b.v. - ranibizumab - wet macular degeneration; macular edema; diabetic retinopathy; myopia, degenerative - oftalmoloġiċi - byooviz is indicated in adults for:the treatment of neovascular (wet) age-related macular degeneration (amd)the treatment of visual impairment due to diabetic macular oedema (dme)the treatment of proliferative diabetic retinopathy (pdr)the treatment of visual impairment due to macular oedema secondary to retinal vein occlusion (branch rvo or central rvo)the treatment of visual impairment due to choroidal neovascularisation (cnv).

Unjoni Ewropea - Malti - EMA (European Medicines Agency)

samsung bioepis nl b.v. - eculizumab - emoglobinurja, paroxysmal - immunosoppressanti - epysqli is indicated in adults and children for the treatment of paroxysmal nocturnal haemoglobinuria (pnh). evidence of clinical benefit is demonstrated in patients with haemolysis with clinical symptom(s) indicative of high disease activity, regardless of transfusion history.

Unjoni Ewropea - Malti - EMA (European Medicines Agency)

samsung bioepis nl b.v. - infliximab - arthritis, psoriatic; spondylitis, ankylosing; colitis, ulcerative; arthritis, rheumatoid; crohn disease; psoriasis - immunosoppressanti - rewmatika arthritisflixabi, flimkien ma ' methotrexate, huwa indikat għat-tnaqqis tas-sinjali u s-sintomi kif ukoll it-titjib fil-funzjoni fiżika fl:pazjenti adulti bil-marda attiva meta r-rispons għall li jimmodifikaw il-marda mediċini anti-rewmatiċi (dmards), inkluż methotrexate, ma kienx adegwat. dult pazjenti b'attiva u progressiva severa, il-marda ma kinux ittrattati qabel b'methotrexate jew dmards oħra. f'dawn il-popolazzjonijiet ta 'pazjenti, it-tnaqqis fir-rata ta' avvanz tal-ħsara fil-ġogi, hekk kif imkejla permezz ta ' x-ray, ġiet murija (ara sezzjoni 5. adulti crohn diseaseflixabi huwa indikat għall -: reatment tal attiva minn moderata sa gravi marda ta ' crohn, f'pazjenti adulti li ma kellhomx rispons minkejja sħiħ u adegwat matul it-terapija b'xi corticosteroid u/jew immunosoppressanti; jew li huma intolleranti għal, jew li jkollhom kontra-indikazzjonijiet mediċi għal terapiji bħal dawn. reatment tal-fistulizzanti, marda ta'crohn attiva, f'pazjenti adulti li ma kellhomx rispons minkejja sħiħa u adegwata-kors ta ' terapija bi trattament konvenzjonali (li jinkludu l-antibijotiċi, drenaġġ u terapija immunosoppressiva). pedjatriċi crohn diseaseflixabi huwa indikat għall-kura ta severi, attivi-marda ta 'crohn fit-tfal u fl-adolexxenti ta' etajiet minn 6 sa 17-il sena, li ma kellhomx rispons għat-terapija konvenzjonali inklużi kortikosterojd, l-immunomodulatur u primarja-nutrizzjoni-terapija; jew li ma jifilħux jew għandhom kontra-indikazzjonijiet għal dawn it-terapiji. infliximab ġie studjat biss f'kombinazzjoni ma ' terapija konvenzjonali immunosoppressiva. kolite colitisflixabi huwa indikat għall-kura ta attiva minn moderata sa gravi kolite bl-ulċeri fil-pazjenti adulti li kellhom rispons mhux adekwat għat-terapija konvenzjonali, inkluż kortikosterojdi u 6-mercaptopurine (6-mp) jew azathioprine (aza), jew li huma intolleranti għal, jew li jkollhom kontra-indikazzjonijiet mediċi għal terapiji bħal dawn. pedjatriċi kolite colitisflixabi huwa indikat għall-kura ta severament attiva kolite bl-ulċeri fl-tfal u fl-adolexxenti ta ' etajiet minn 6 sa 17-il sena, li kellhom rispons mhux adekwat għat-terapija konvenzjonali, inkluż kortikosterojdi u 6-mp jew aza, jew li huma intolleranti għal, jew li jkollhom kontra-indikazzjonijiet mediċi għal terapiji bħal dawn. ankylosing spondylitisflixabiis indikat għall-kura ta ' ankylosing spondylitis attiva, f'pazjenti adulti li ma kellhomx rispons xieraq għat-terapija konvenzjonali. psorjatika arthritisflixabi huwa indikat għall-kura tas-sustanza attiva u progressiva artrite psorjatika f'pazjenti adulti meta r-rispons għall-preċedenti dmard it-terapija kienet inadegwata. flixabi għandu jingħata:f'kombinazzjoni ma methotrexateor waħdu f'pazjenti li juru intolleranza għal methotrexate jew li għalihom methotrexate huwa kontra-indikat. infliximab ġie muri li jtejjeb il-funzjoni fiżika f'pazjenti b'artrite psorjatika, u li jnaqqas ir-rata ta 'progressjoni tal-ħsara fil-ġogi periferali kif imkejjel permezz ta' x-ray f'pazjenti b'sottotipi poliartikulari simmetriċi tal-marda (ara sezzjoni 5. psoriasisflixabi huwa indikat għall-kura moderata għal severa ta ' psorjasi tal-plakka f'pazjenti adulti li naqsu milli jirrispondu għal, jew li għandhom kontraindikazzjoni għal, jew li ma jittollerawx terapija sistemika oħra inkluż cyclosporine, methotrexate jew psoralen ultra-vjola a (puva) (ara sezzjoni 5.

Unjoni Ewropea - Malti - EMA (European Medicines Agency)

samsung bioepis nl b.v. - adalimumab - spondylitis, ankylosing; arthritis, rheumatoid; uveitis; colitis, ulcerative; psoriasis; arthritis, psoriatic; crohn disease; hidradenitis suppurativa; arthritis - immunosoppressanti - rewmatika arthritisimraldi flimkien ma ' methotrexate, huwa indikat għall -: - trattament ta moderata sa severa, artrite rewmatika attiva f'pazjenti adulti, meta r-rispons li jimmodifikaw il-marda anti-rewmatiċi-mediċini inkluż methotrexate, ma jkunx adegwat. il-kura ta attiva u progressiva severa, artrite rewmatika fl-adulti li ma kienux ittrattati qabel b'methotrexate. imraldi jista 'jingħata bħala monoterapija f'kaz ta' intolleranza għal methotrexate jew meta trattamenti fit-tul b'methotrexate mhux adattat. adalimumab ġie muri li jnaqqas ir-rata ta 'progressjoni tal-ħsara fil-ġogi kif imkejjel permezz ta' x-ray, u li jtejjeb il-funzjoni fiżika, meta jingħata flimkien ma ' methotrexate. juvenile idiopathic arthritispolyarticular juvenile idiopathic arthritisimraldi in combination with methotrexate is indicated for the treatment of active polyarticular juvenile idiopathic arthritis, in patients from the age of 2 years who have had an inadequate response to one or more disease-modifying anti-rheumatic drugs (dmards). imraldi can be given as monotherapy in case of intolerance to methotrexate or when continued treatment with methotrexate is inappropriate (for the efficacy in monotherapy see section 5. adalimumab ma ġiex studjat f'pazjenti li għandhom inqas minn 2 snin. enthesitis-related arthritisimraldi is indicated for the treatment of active enthesitis-related arthritis in patients, 6 years of age and older, who have had an inadequate response to, or who are intolerant of, conventional therapy (see section 5. axial spondyloarthritisankylosing spondylitis (as)imraldi is indicated for the treatment of adults with severe active ankylosing spondylitis who have had an inadequate response to conventional therapy. axial spondyloarthritis without radiographic evidence of asimraldi is indicated for the treatment of adults with severe axial spondyloarthritis without radiographic evidence of as but with objective signs of inflammation by elevated crp and / or mri, who have had an inadequate response to, or are intolerant to non-steroidal anti-inflammatory drugs (nsaids). psorjatika arthritisimraldi huwa indikat għall-kura tas-sustanza attiva u progressiva artrite psorjatika fl-adulti meta r-rispons għall-preċedenti li jimmodifikaw il-marda anti-rewmatiċi terapija bil-mediċina kienet inadegwata. adalimumab has been shown to reduce the rate of progression of peripheral joint damage as measured by x-ray in patients with polyarticular symmetrical subtypes of the disease (see section 5. 1) u li jtejjeb il-funzjoni fiżika. psoriasisimraldi huwa indikat għall-kura moderata għal severa ta ' psorjasi tal-plakka kronika f'pazjenti adulti li huma kandidati għat-terapija sistemika. pedjatrika tal-plakka psoriasisimraldi huwa indikat għall-kura ta kroniku sever tal-psorjasi tal-plakka fit-tfal u fl-adolexxenti mill-età ta ' 4 snin li kellhom rispons inadegwat għal, jew huma xierqa għall-kandidati għal terapija topika u fototerapiji. hidradenitis suppurativa (hs)imraldi is indicated for the treatment of active moderate to severe hidradenitis suppurativa (acne inversa) in adults and adolescents from 12 years of age with an inadequate response to conventional systemic hs therapy (see sections 5. 1 u 5. crohn diseaseimraldi huwa indikat għall-kura ta attiva minn moderata sa gravi marda ta ' crohn, f'pazjenti adulti li ma kellhomx rispons minkejja sħiħ u adegwat matul it-terapija b'xi corticosteroid u/jew immunosoppressanti; jew li huma intolleranti għal, jew li jkollhom kontra-indikazzjonijiet mediċi għal terapiji bħal dawn. paediatric crohn's diseaseimraldi is indicated for the treatment of moderately to severely active crohn's disease in paediatric patients (from 6 years of age) who have had an inadequate response to conventional therapy including primary nutrition therapy and a corticosteroid and/or an immunomodulator, or who are intolerant to or haveulcerative colitisimraldi is indicated for treatment of moderately to severely active ulcerative colitis in adult patients who have had an inadequate response to conventional therapy including corticosteroids and mercaptopurine (6-mp) or azathioprine (aza), or who are intolerant to or have medical contraindications for such therapies. paediatric ulcerative colitisimraldi is indicated for the treatment of moderately to severely active ulcerative colitis in paediatric patients (from 6 years of age) who have had an inadequate response to conventional therapy including corticosteroids and/or 6-mercaptopurine (6-mp) or azathioprine (aza), or who are intolerant to or have medical contraindications for such therapies. uveitisimraldi is indicated for the treatment of non-infectious intermediate, posterior and panuveitis in adult patients who have had an inadequate response to corticosteroids, in patients in need of corticosteroidsparing, or in whomcorticosteroid treatment is inappropriate. paediatric uveitisimraldi is indicated for the treatment of paediatric chronic non-infectious anterior uveitis in patients from 2 years of age who have had an inadequate response to or are intolerant to conventional therapy, or in whom conventional therapy is inappropriate.

Unjoni Ewropea - Malti - EMA (European Medicines Agency)

otsuka pharmaceutical netherlands b.v. - tolvaptan - sindromu adh inappropriate - id-dijuretiċi, - trattament ta 'pazjenti adulti b'iponatrija sekondarja għal sindromu ta' sekrezzjoni mhux xierqa ta 'l-ormon antidijuretiku (siadh).

Unjoni Ewropea - Malti - EMA (European Medicines Agency)

archie samuel s.r.o. - clopidogrel - peripheral vascular diseases; stroke; myocardial infarction - aġenti antitrombotiċi - clopidogrel huwa indikat fl-adulti għall-prevenzjoni ta 'avvenimenti aterotrombotiċi f': pazjenti li jbatu minn infart mijokardijaku (minn ftit jiem sa inqas minn 35 jum), puplesija iskemika (minn 7 ijiem sa inqas minn 6 xhur) jew mard arterjali periferali. għall-aktar informazzjoni jekk jogħġbok irreferi għal sezzjoni 5.