Den europeiske union - rumensk - EMA (European Medicines Agency)

daiichi sankyo europe gmbh - trastuzumab deruxtecan - sânii neoplasme - agenți antineoplazici - breast cancerher2-positive breast cancerenhertu as monotherapy is indicated for the treatment of adult patients with unresectable or metastatic her2-positive breast cancer who have received one or more prior anti-her2-based regimens. her2-low breast cancerenhertu as monotherapy is indicated for the treatment of adult patients with unresectable or metastatic her2-low breast cancer who have received prior chemotherapy in the metastatic setting or developed disease recurrence during or within 6 months of completing adjuvant chemotherapy (see section 4. non-small cell lung cancer (nsclc)enhertu as monotherapy is indicated for the treatment of adult patients with advanced nsclc whose tumours have an activating her2 (erbb2) mutation and who require systemic therapy following platinum-based chemotherapy with or without immunotherapy. gastric cancerenhertu as monotherapy is indicated for the treatment of adult patients with advanced her2-positive gastric or gastroesophageal junction (gej) adenocarcinoma who have received a prior trastuzumab-based regimen.

Den europeiske union - portugisisk - EMA (European Medicines Agency)

daiichi sankyo europe gmbh - trastuzumab deruxtecan - neoplasias do peito - agentes antineoplásicos - breast cancerher2-positive breast cancerenhertu as monotherapy is indicated for the treatment of adult patients with unresectable or metastatic her2-positive breast cancer who have received one or more prior anti-her2-based regimens. her2-low breast cancerenhertu as monotherapy is indicated for the treatment of adult patients with unresectable or metastatic her2-low breast cancer who have received prior chemotherapy in the metastatic setting or developed disease recurrence during or within 6 months of completing adjuvant chemotherapy (see section 4. non-small cell lung cancer (nsclc)enhertu as monotherapy is indicated for the treatment of adult patients with advanced nsclc whose tumours have an activating her2 (erbb2) mutation and who require systemic therapy following platinum-based chemotherapy with or without immunotherapy. gastric cancerenhertu as monotherapy is indicated for the treatment of adult patients with advanced her2-positive gastric or gastroesophageal junction (gej) adenocarcinoma who have received a prior trastuzumab-based regimen.

USA - engelsk - NLM (National Library of Medicine)

mylan institutional llc - trastuzumab (unii: p188anx8ck) (trastuzumab - unii:p188anx8ck) - ogivri is indicated for adjuvant treatment of her2 overexpressing node positive or node negative (er/pr negative or with one high risk feature [see clinical studies (14.1)] ) breast cancer select patients for therapy based on an fda-approved companion diagnostic for a trastuzumab product [see dosage and administration (2.1)]. ogivri is indicated: select patients for therapy based on an fda-approved companion diagnostic for a trastuzumab product [see dosage and administration (2.1)]. ogivri is indicated, in combination with cisplatin and capecitabine or 5-fluorouracil, for the treatment of patients with her2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma who have not received prior treatment for metastatic disease. select patients for therapy based on an fda-approved companion diagnostic for a trastuzumab product [see dosage and administration (2.1)] . none.   trastuzumab products can cause fetal harm when administered to a pregnant woman. in post-marketing reports, use of trastuzumab during pregnancy resulted in cases of oligohydramnios and of oligohydramnios sequence, manifesting as pulmonary hypoplasia, skeletal abnormalities, and neonatal death (see data) . apprise the patient of the potential risks to a fetus. there are clinical considerations if a trastuzumab product is used in a pregnant woman or if a patient becomes pregnant within 7 months following the last dose of a trastuzumab product (see clinical considerations) . the estimated background risk of major birth defects and miscarriage for the indicated population is unknown. in the u.s. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively. monitor women who received ogivri during pregnancy or within 7 months prior to conception for oligohydramnios. if oligohydramnios occurs, perform fetal testing that is appropriate for gestational age and consistent with community standards of care. in post-marketing reports, use of trastuzumab during pregnancy resulted in cases of oligohydramnios and of oligohydramnios sequence, manifesting in the fetus as pulmonary hypoplasia, skeletal abnormalities and neonatal death. these case reports described oligohydramnios in pregnant women who received trastuzumab either alone or in combination with chemotherapy. in some case reports, amniotic fluid index increased after trastuzumab was stopped. in one case, trastuzumab therapy resumed after amniotic index improved, and oligohydramnios recurred. in studies where trastuzumab was administered to pregnant cynomolgus monkeys during the period of organogenesis at doses up to 25 mg/kg given twice weekly (up to 25 times the recommended weekly human dose of 2 mg/kg), trastuzumab crossed the placental barrier during the early (gestation days 20 to 50) and late (gestation days 120 to 150) phases of gestation. the resulting concentrations of trastuzumab in fetal serum and amniotic fluid were approximately 33% and 25%, respectively, of those present in the maternal serum but were not associated with adverse developmental effects. there is no information regarding the presence of trastuzumab products in human milk, the effects on the breastfed infant, or the effects on milk production. published data suggest human igg is present in human milk but does not enter the neonatal and infant circulation in substantial amounts. trastuzumab was present in the milk of lactating cynomolgus monkeys but not associated with neonatal toxicity (see data) . consider the developmental and health benefits of breastfeeding along with the mother’s clinical need for ogivri treatment and any potential adverse effects on the breastfed child from ogivri or from the underlying maternal condition. this consideration should also take into account the trastuzumab product wash out period of 7 months [see clinical pharmacology (12.3)] . in lactating cynomolgus monkeys, trastuzumab was present in breast milk at about 0.3% of maternal serum concentrations after pre-(beginning gestation day 120) and post-partum (through post-partum day 28) doses of 25 mg/kg administered twice weekly (25 times the recommended weekly human dose of 2 mg/kg of trastuzumab products). infant monkeys with detectable serum levels of trastuzumab did not exhibit any adverse effects on growth or development from birth to 1 month of age. verify the pregnancy status of females of reproductive potential prior to the initiation of ogivri. trastuzumab products can cause embryo-fetal harm when administered during pregnancy. advise females of reproductive potential to use effective contraception during treatment with ogivri and for 7 months following the last dose of ogivri [see use in specific populations (8.1) and clinical pharmacology (12.3)] . the safety and effectiveness of trastuzumab products in pediatric patients have not been established. trastuzumab has been administered to 386 patients who were 65 years of age or over (253 in the adjuvant treatment and 133 in metastatic breast cancer treatment settings). the risk of cardiac dysfunction was increased in geriatric patients as compared to younger patients in both those receiving treatment for metastatic disease in studies 5 and 6, or adjuvant therapy in studies 1 and 2. limitations in data collection and differences in study design of the 4 studies of trastuzumab in adjuvant treatment of breast cancer preclude a determination of whether the toxicity profile of trastuzumab in older patients is different from younger patients. the reported clinical experience is not adequate to determine whether the efficacy improvements (orr, ttp, os, dfs) of trastuzumab treatment in older patients is different from that observed in patients < 65 years of age for metastatic disease and adjuvant treatment. in study 7 (metastatic gastric cancer), of the 294 patients treated with trastuzumab, 108 (37%) were 65 years of age or older, while 13 (4.4%) were 75 and over. no overall differences in safety or effectiveness were observed.

USA - engelsk - NLM (National Library of Medicine)

biocon biologics inc. - trastuzumab (unii: p188anx8ck) (trastuzumab - unii:p188anx8ck) - ogivri is indicated for adjuvant treatment of her2 overexpressing node positive or node negative (er/pr negative or with one high risk feature [see clinical studies (14.1)] ) breast cancer select patients for therapy based on an fda-approved companion diagnostic for a trastuzumab product [see dosage and administration (2.1)]. ogivri is indicated: select patients for therapy based on an fda-approved companion diagnostic for a trastuzumab product [see dosage and administration (2.1)]. ogivri is indicated, in combination with cisplatin and capecitabine or 5-fluorouracil, for the treatment of patients with her2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma who have not received prior treatment for metastatic disease. select patients for therapy based on an fda-approved companion diagnostic for a trastuzumab product [see dosage and administration (2.1)] . none.   trastuzumab products can cause fetal harm when administered to a pregnant woman. in post-marketing reports, use of trastuzumab during pregnancy resulted in cases of oligohydramnios and of oligohydramnios sequence, manifesting as pulmonary hypoplasia, skeletal abnormalities, and neonatal death (see data) . apprise the patient of the potential risks to a fetus. there are clinical considerations if a trastuzumab product is used in a pregnant woman or if a patient becomes pregnant within 7 months following the last dose of a trastuzumab product (see clinical considerations) . the estimated background risk of major birth defects and miscarriage for the indicated population is unknown. in the u.s. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively. monitor women who received ogivri during pregnancy or within 7 months prior to conception for oligohydramnios. if oligohydramnios occurs, perform fetal testing that is appropriate for gestational age and consistent with community standards of care. in post-marketing reports, use of trastuzumab during pregnancy resulted in cases of oligohydramnios and of oligohydramnios sequence, manifesting in the fetus as pulmonary hypoplasia, skeletal abnormalities and neonatal death. these case reports described oligohydramnios in pregnant women who received trastuzumab either alone or in combination with chemotherapy. in some case reports, amniotic fluid index increased after trastuzumab was stopped. in one case, trastuzumab therapy resumed after amniotic index improved, and oligohydramnios recurred. in studies where trastuzumab was administered to pregnant cynomolgus monkeys during the period of organogenesis at doses up to 25 mg/kg given twice weekly (up to 25 times the recommended weekly human dose of 2 mg/kg), trastuzumab crossed the placental barrier during the early (gestation days 20 to 50) and late (gestation days 120 to 150) phases of gestation. the resulting concentrations of trastuzumab in fetal serum and amniotic fluid were approximately 33% and 25%, respectively, of those present in the maternal serum but were not associated with adverse developmental effects. there is no information regarding the presence of trastuzumab products in human milk, the effects on the breastfed infant, or the effects on milk production. published data suggest human igg is present in human milk but does not enter the neonatal and infant circulation in substantial amounts. trastuzumab was present in the milk of lactating cynomolgus monkeys but not associated with neonatal toxicity (see data) . consider the developmental and health benefits of breastfeeding along with the mother’s clinical need for ogivri treatment and any potential adverse effects on the breastfed child from ogivri or from the underlying maternal condition. this consideration should also take into account the trastuzumab product wash out period of 7 months [see clinical pharmacology (12.3)] . in lactating cynomolgus monkeys, trastuzumab was present in breast milk at about 0.3% of maternal serum concentrations after pre-(beginning gestation day 120) and post-partum (through post-partum day 28) doses of 25 mg/kg administered twice weekly (25 times the recommended weekly human dose of 2 mg/kg of trastuzumab products). infant monkeys with detectable serum levels of trastuzumab did not exhibit any adverse effects on growth or development from birth to 1 month of age. verify the pregnancy status of females of reproductive potential prior to the initiation of ogivri. trastuzumab products can cause embryo-fetal harm when administered during pregnancy. advise females of reproductive potential to use effective contraception during treatment with ogivri and for 7 months following the last dose of ogivri [see use in specific populations (8.1) and clinical pharmacology (12.3)] . the safety and effectiveness of trastuzumab products in pediatric patients have not been established. trastuzumab has been administered to 386 patients who were 65 years of age or over (253 in the adjuvant treatment and 133 in metastatic breast cancer treatment settings). the risk of cardiac dysfunction was increased in geriatric patients as compared to younger patients in both those receiving treatment for metastatic disease in studies 5 and 6, or adjuvant therapy in studies 1 and 2. limitations in data collection and differences in study design of the 4 studies of trastuzumab in adjuvant treatment of breast cancer preclude a determination of whether the toxicity profile of trastuzumab in older patients is different from younger patients. the reported clinical experience is not adequate to determine whether the efficacy improvements (orr, ttp, os, dfs) of trastuzumab treatment in older patients is different from that observed in patients < 65 years of age for metastatic disease and adjuvant treatment. in study 7 (metastatic gastric cancer), of the 294 patients treated with trastuzumab, 108 (37%) were 65 years of age or older, while 13 (4.4%) were 75 and over. no overall differences in safety or effectiveness were observed.

Den europeiske union - maltesisk - EMA (European Medicines Agency)

biosimilar collaborations ireland limited - trastuzumab - stomach neoplasms; breast neoplasms - aġenti antineoplastiċi - tas-sider cancermetastatic tas-sider cancerogivri 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, ħlief jekk il-pazjenti huma tajbin għall-dawn il-treatmentsin flimkien ma 'paclitaxel għall-kura ta' dawk il-pazjenti li ma kienux ħadu kimoterapija għall-mard metastatiku u li għalihom anthracycline mhix suitablein flimkien ma 'docetaxel għall-kura ta' dawk il-pazjenti li ma kienux ħadu kimoterapija għall-kanċer metastatiku diseasein kumbinazzjoni ma 'inibitur aromatase għall-kura ta' pazjenti bl-ormon tat-pożittiv għar-riċettur mbc, li ma ġietx ikkurata qabel ma ' trastuzumab. kanċer tas-sider bikri ogivri 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 l-kimoterapija awżiljarja ma' doxorubicin u cyclophosphamide, f'kombinazzjoni ma 'paclitaxel jew docetaxelin flimkien mal-kimoterapija awżiljarja li jikkonsisti ta' docetaxel u carboplatin. f'kombinazzjoni mal-miżjuda fil-bidu tal-kimoterapija segwit minn adjuvant ogivri it-terapija, għal lokalment avvanzat (inklużi infjammazzjoni) - mard jew tumuri > 2 ċm fid-dijametru. ogivri għandu jintuża biss f'pazjenti b'kanċer metastatiku jew ebc li t-tumuri tagħhom jew her2 espressjoni żejda jew her2 amplifikazzjoni tal-ġene kif determinat permezz ta ' assay preċiż u validat. gastrika metastatika cancerogivri flimkien ma 'capecitabine jew 5-fluorouracil u cisplatin huwa indikat għat-trattament ta' pazjenti adulti b'her2 pożittiv adenokarċinoma metastatika ta 'l-istonku jew ittella' mill-istonku junction li qatt ma kienu rċevew minn qabel kontra l-kanċer tat-trattament għall-marda metastatika tagħhom. ogivri 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.

Den europeiske union - maltesisk - 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.

Den europeiske union - maltesisk - EMA (European Medicines Agency)

pfizer europe ma eeig - trastuzumab - stomach neoplasms; breast neoplasms - aġenti antineoplastiċi - tas-sider cancermetastatic tas-sider cancertrazimera 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 cancertrazimera 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 trazimera it-terapija, għal lokalment avvanzat (inklużi infjammazzjoni) - mard jew tumuri > 2 ċm fid-dijametru. trazimera 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 cancertrazimera 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. trazimera 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.

Den europeiske union - maltesisk - EMA (European Medicines Agency)

amgen europe bv - trastuzumab - stomach neoplasms; breast neoplasms - aġenti antineoplastiċi - metastatiku tas-sider cancerkanjinti 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 cancerkanjinti 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 kanjinti it-terapija, għal lokalment avvanzat (inklużi infjammazzjoni) - mard jew tumuri > 2 ċm fid-dijametru. kanjinti 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 cancerkanjinti flimkien ma 'capecitabine jew 5-fluorouracil u cisplatin huwa indikat għat-trattament ta' pazjenti adulti b'her2 pożittiv adenokarċinoma metastatika ta 'l-istonku jew ittella' mill-istonku junction li qatt ma kienu rċevew minn qabel kontra l-kanċer tat-trattament għall-marda metastatika tagħhom. kanjinti għandu jintuża biss f'pazjenti b'kanċer metastatiku tal-kanċer gastriku (mgc) li t-tumuri tagħhom għandhom her2 espressjoni żejda kif iddefiniti minn ihc 2+ u ta'konferma sish jew Ħut riżultat, jew minn ihc 3+ riżultat. 'assay preċiż u validat il-metodi għandhom jiġu użati.

Den europeiske union - maltesisk - EMA (European Medicines Agency)

accord healthcare s.l.u. - trastuzumab - breast neoplasms; stomach neoplasms - aġenti antineoplastiċi - breast cancermetastatic breast cancer zercepac is indicated for the treatment of adult patients with her2 positive metastatic breast cancer (mbc):as monotherapy for the treatment of those patients who have received at least two chemotherapy regimens for their metastatic disease. 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.                      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. 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. early breast cancer zercepac is indicated for the treatment of adult patients with her2 positive early breast cancer (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. in combination with neoadjuvant chemotherapy followed by adjuvant zercepac therapy, for locally advanced (including inflammatory) disease or tumours > 2 cm in diameter. zercepac should only be used in patients with metastatic or early breast cancer whose tumours have either her2 overexpression or her2 gene amplification as determined by an accurate and validated assay. metastatic gastric cancer zercepac 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 gastro-oesophageal junction who have not received prior anti-cancer treatment for their metastatic disease. zercepac 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 ihc 3+ result. 'assay preċiż u validat il-metodi għandhom jiġu użati.

Den europeiske union - maltesisk - EMA (European Medicines Agency)

roche registration gmbh - trastuzumab - stomach neoplasms; breast neoplasms - aġenti antineoplastiċi - tas-sider cancermetastatic tas-sider cancerherceptin huwa indikat għall-kura ta 'pazjenti b'her2 pożittiv għall-kanċer metastatiku tas-sider: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-riċettur tal-pazjenti pożittivi għall-wkoll iridu jkunu 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;f'kombinazzjoni 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-riċettur pożittivi għall-kanċer tas-sider metastatiku, li ma ġietx ikkurata qabel ma ' trastuzumab. tas-sider bikri cancerherceptin huwa indikat għall-kura ta 'pazjenti b'her2 pożittiv għall-kanċer tas-sider bikri: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;flimkien ma miżjuda fil-bidu tal-kimoterapija segwit minn adjuvant herceptin it-terapija, għal lokalment avvanzat (inklużi infjammazzjoni) - mard jew tumuri >2 ċm fid-dijametru. herceptin 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 cancerherceptin flimkien ma 'capecitabine jew 5-fluorouracil u cisplatin huwa indikat għat-trattament ta' pazjenti b'her2 pożittiv għall-adenokarċinoma metastatika ta 'l-istonku jew ittella' mill-istonku junction li qatt ma kienu rċevew minn qabel kontra l-kanċer tat-trattament għall-marda metastatika tagħhom. herceptin għandu jintuża biss f'pazjenti b'kanċer tal-kolon metastatiku li t-tumuri tagħhom għandhom her2 espressjoni żejda kif definit mill-ihc2+ u ta'konferma sish jew Ħut riżultat, jew b'ihc3+ riżultat. 'assay preċiż u validat il-metodi għandhom jiġu użati.