Imatinib Teva Den europeiske union - bulgarsk - EMA (European Medicines Agency)

imatinib teva

teva b.v. - иматиниб - leukemia, myelogenous, chronic, bcr-abl positive; precursor cell lymphoblastic leukemia-lymphoma; myelodysplastic-myeloproliferative diseases; hypereosinophilic syndrome; dermatofibrosarcoma - antineoplastic agents, protein kinase inhibitors - imatinib-Тева е показан за лечение на ofadult и педиатрични пациенти за първи път разкри Филадельфийской хромозомата в яйцеклетката (на bcr‑abl), която положително (рН+) хронична миелогенна левкемия (ХМЛ), за които трансплантацията на костен мозък не се разглежда като първа линия на лечение. За възрастни и педиатрични пациенти с ph+ ХМЛ в хронична фаза при неефективност на интерферон‑алфа-терапия, или в ускорена фаза или бластного криза. И педиатрични пациенти възрастни за първи път е поставена диагноза положителна остра лимфоцитна левкемия Филадельфийская хромозома (ph+ ол) в комбинация с химиотерапия. За възрастни пациенти с пристъпно или продължителна ph+ ол като монотерапии. Възрастни пациенти с миелодиспластический/миелопролиферативными заболявания (ibc/МПЗ), свързани с бляшк-показаният приемащото устройство фактор на растежа (pdgfr) генные преустройство. При възрастни пациенти със синдром на разширено гиперэозинофильный (ХЕС) и/или хронични эозинофильной левкемия (човек) с fip1l1-pdgfra пренареждане. Ефект иматиниба на резултата от трансплантация на костен мозък не се определя. imatinib teva is indicated forthe treatment of adult patients with kit (cd 117) positive unresectable and/or metastatic malignant gastrointestinal stromal tumours (gist). the adjuvant treatment of adult patients who are at significant risk of relapse following resection of kit (cd117)-positive gist. Пациентите, които имат нисък или много нисък риск от рецидив, не трябва да получават помощните терапия. the treatment of adult patients with unresectable dermatofibrosarcoma protuberans (dfsp) and adult patients with recurrent and/or metastatic dfsp who are not eligible for surgery. in adult and paediatric patients, the effectiveness of imatinib is based on overall haematological and cytogenetic response rates and progression-free survival in cml, on haematological and cytogenetic response rates in ph+ all, mds/mpd, on haematological response rates in hes/cel and on objective response rates in adult patients with unresectable and/or metastatic gist and dfsp and on recurrence-free survival in adjuvant gist. the experience with imatinib in patients with mds/mpd associated with pdgfr gene re-arrangements is very limited (see section 5. С изключение първи път е идентифицирана хронична фаза на ХМЛ, няма контролирани проучвания, които показват клиничен ефект, или увеличава процента на преживяемост при тези заболявания.

Teysuno Den europeiske union - bulgarsk - EMA (European Medicines Agency)

teysuno

nordic group b.v. - тегафур, gimeracil, oteracil - Стомашни неоплазми - Антинеопластични средства - teysuno is indicated in adults:- for the treatment of advanced gastric cancer when given in combination with cisplatin (see section 5. - as monotherapy or in combination with oxaliplatin or irinotecan, with or without bevacizumab, for the treatment of patients with metastatic colorectal cancer for whom it is not possible to continue treatment with another fluoropyrimidine due to hand-foot syndrome or cardiovascular toxicity that developed in the adjuvant or metastatic setting.

Rozlytrek Den europeiske union - bulgarsk - EMA (European Medicines Agency)

rozlytrek

roche registration gmbh  - entrectinib - cancer; carcinoma, non-small-cell lung - Антинеопластични средства - rozlytrek as monotherapy is indicated for the treatment of adult and paediatric patients 12 years of age and older with solid tumours expressing a neurotrophic tyrosine receptor kinase (ntrk) gene fusion,who have a disease that is locally advanced, metastatic or where surgical resection is likely to result in severe morbidity, andwho have not received a prior ntrk inhibitorwho have no satisfactory treatment options. rozlytrek as monotherapy is indicated for the treatment of adult patients with ros1 positive, advanced non small cell lung cancer (nsclc) not previously treated with ros1 inhibitors.

Enhertu Den europeiske union - bulgarsk - EMA (European Medicines Agency)

enhertu

daiichi sankyo europe gmbh - trastuzumab deruxtecan - Неоплазми на гърдата - Антинеопластични средства - 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.

IntronA Den europeiske union - bulgarsk - EMA (European Medicines Agency)

introna

merck sharp & dohme b.v. - интерферон алфа-2b - carcinoid tumor; leukemia, hairy cell; lymphoma, follicular; hepatitis b, chronic; hepatitis c, chronic; leukemia, myelogenous, chronic, bcr-abl positive; melanoma; multiple myeloma - Иммуностимуляторы, - Хроничен хепатит btreatment възрастни пациенти с хроничен хепатит В, свързани с признаци на хепатит Б, с репликация на вируса (наличието на ДНК на вируса на хепатит В вирус (hbv ДНК) и хепатит b антиген (hbeag) и, повишена аланинаминотрансферазы (alt) и гистологически доказано активно възпаление на черния дроб и / или фиброза. Хронична възбуда е до лечение на хепатит С introna, се вземат предвид резултатите от клиничните изследвания, които сравняват introna с пегилированным интерфероном. Възрастен patientsintrona е показан за лечение на възрастни пациенти с хроничен хепатит С, които са с повишени трансаминазы на черния дроб, без декомпенсации, и които са положителни за хепатит С вирусна РНК (hcv rna). Най-добрият начин да се използват introna в този знак в съчетание с рибавирином. Децата на възраст три и повече години и adolescentsintrona посочва в режим комбинация с рибавирином за лечение на деца на възраст от три години и младежи, които имат хроничен хепатит С, по-рано не са били лекувани, без черния дроб в стадий на декомпенсации, и които са положителни за hcv-РНК. При вземане на решение да не се отложи лечението до зряла възраст, е важно да се отчете, че комбинираната терапия предизвиква забавяне на растежа, което води до намаляване на крайния ръст на възрастен човек при някои пациенти. Решението трябва да бъде взето на индивидуална основа. Космати клетки leukaemiatreatment пациенти с волосатоклеточным левкемия. Хронична миелогенна левкемия leukaemiamonotherapytreatment възрастни пациенти с Филадельфийской хромозомата в яйцеклетката или БЦР/АБЛ-транслокация-позитивен хроничен myelogenous лейкове. Клиничен опит показва, че гематологические и цитогенетические мажор / минор отговор може да се получи при повечето пациенти. Основната цитогенетический отговор се определя от < 34 % pe+ лейкемического клетки в костния мозък, докато леки реакции ≥ 34 %, но по-малко от 90 % рН+ клетки в костния мозък. Комбинация от therapythe комбинация на интерферон алфа-2b и цитозар (ara-c), се въвеждат в рамките на първите 12 месеца на лечение е доказано, значително увеличаване на количеството на основните цитогенетических отговори и значително да се удължи общата преживяемост на три години в сравнение с интерфероном алфа-2b монотерапии. Няколко myelomaas поддържаща терапия при пациенти, които са достигнали обективна ремисия (повече от 50% намаляване на миеломы протеин) след първоначалното индукционна химиотерапия. Текущата клиничен опит показва, че поддържаща терапия интерфероном алфа-2b удължава фазата на плато, обаче влияние върху общата преживяемост не са били убедително представени. Фоликуларен lymphomatreatment високо тумор тежестта на фоликуларен лимфом като добавка към подходяща комбинация от химиотерапия, като chop-как режим. Високо тежестта на тумора се определя като един, който има най-малко едно от следните: обемни тумори (> 7 cm) участието на три или повече от ключовите възли (всеки > 3 cm), системни симптоми (загуба на тегло > 10 %, повишена температура > 38°c в продължение на повече от осем дни, или нощно изпотяване), спленомегалия за пъпа, централен орган на запушване или сдавления синдром, orbital или епидурална участие, серозен излив, или левкемия. tumourtreatment карциноиден карциноидные тумори с лимфните възли или метастази в черния дроб и с карциноидный синдром. Злокачествени melanomaas адъювантная терапия при пациенти, които са свободни от болести след хирургическа намеса, но при висок риск от системен рецидив, e. пациенти с първичен или рецидивирующим (клинични или патологични) на лимфните възли.

Ayvakyt Den europeiske union - bulgarsk - EMA (European Medicines Agency)

ayvakyt

blueprint medicines (netherlands) b.v. - avapritinib - Стомашно-чревни стромални тумори - Други противоракови лекарства, инхибитори на протеинкиназы - ayvakyt is indicated as monotherapy for the treatment of adult patients with unresectable or metastatic gastrointestinal stromal tumours (gist) harbouring the platelet-derived growth factor receptor alpha (pdgfra) d842v mutation.

Plerixafor Accord Den europeiske union - bulgarsk - EMA (European Medicines Agency)

plerixafor accord

accord healthcare s.l.u. - plerixafor - multiple myeloma; hematopoietic stem cell transplantation - Иммуностимуляторы, - adult patientsplerixafor accord is indicated in combination with granulocyte-colony stimulating factor (g-csf) to enhance mobilisation of haematopoietic stem cells to the peripheral blood for collection and subsequent autologous transplantation in adult patients with lymphoma or multiple myeloma whose cells mobilise poorly (see section 4. paediatric patients (1 to less than 18 years)plerixafor accord is indicated in combination with g-csf to enhance mobilisation of haematopoietic stem cells to the peripheral blood for collection and subsequent autologous transplantation in children with lymphoma or solid malignant tumours, either:- pre-emptively, when circulating stem cell count on the predicted day of collection after adequate mobilization with g-csf (with or without chemotherapy) is expected to be insufficient with regards to desired hematopoietic stem cells yield, or- who previously failed to collect sufficient haematopoietic stem cells (see section 4.

Keytruda Den europeiske union - bulgarsk - EMA (European Medicines Agency)

keytruda

merck sharp & dohme b.v. - Пембролизумаб - melanoma; hodgkin disease; carcinoma, renal cell; carcinoma, non-small-cell lung; carcinoma, transitional cell; squamous cell carcinoma of head and neck; urologic neoplasms; endometrial neoplasms - Антинеопластични средства - melanomakeytruda as monotherapy is indicated for the treatment of adults and adolescents aged 12 years and older with advanced (unresectable or metastatic) melanoma. keytruda as monotherapy is indicated for the adjuvant treatment of adults and adolescents aged 12 years and older with stage iib, iic, or with stage iii melanoma and lymph node involvement who have undergone complete resection. non small cell lung carcinoma (nsclc)keytruda as monotherapy is indicated for the adjuvant treatment of adults with non-small cell lung carcinoma who are at high risk of recurrence following complete resection and platinum based chemotherapy (for selection criteria, see section 5. keytruda as monotherapy is indicated for the first line treatment of metastatic non small cell lung carcinoma in adults whose tumours express pd l1 with a ≥ 50% tumour proportion score (tps) with no egfr or alk positive tumour mutations. keytruda, in combination with pemetrexed and platinum chemotherapy, is indicated for the first-line treatment of metastatic non squamous non small cell lung carcinoma in adults whose tumours have no egfr or alk positive mutations. keytruda, in combination with carboplatin and either paclitaxel or nab paclitaxel, is indicated for the first line treatment of metastatic squamous non small cell lung carcinoma in adults. keytruda  as monotherapy is indicated for the treatment of locally advanced or metastatic non small cell lung carcinoma in adults whose tumours express pd l1 with a ≥ 1% tps and who have received at least one prior chemotherapy regimen. Пациенти с egfr или АЛК положителни тумори мутации също трябва да получават таргетную терапия до получаване на Кейтруда. classical hodgkin lymphoma (chl)keytruda as monotherapy is indicated for the treatment of adult and paediatric patients aged 3 years and older with relapsed or refractory classical hodgkin lymphoma who have failed autologous stem cell transplant (asct) or following at least two prior therapies when asct is not a treatment option. urothelial carcinomakeytruda as monotherapy is indicated for the treatment of locally advanced or metastatic urothelial carcinoma in adults who have received prior platinum containing chemotherapy. keytruda as monotherapy is indicated for the treatment of locally advanced or metastatic urothelial carcinoma in adults who are not eligible for cisplatin containing chemotherapy and whose tumours express pd l1 with a combined positive score (cps) ≥ 10. head and neck squamous cell carcinoma (hnscc)keytruda, as monotherapy or in combination with platinum and 5 fluorouracil (5 fu) chemotherapy, is indicated for the first line treatment of metastatic or unresectable recurrent head and neck squamous cell carcinoma in adults whose tumours express pd l1 with a cps ≥ 1. keytruda as monotherapy is indicated for the treatment of recurrent or metastatic head and neck squamous cell carcinoma in adults whose tumours express pd l1 with a ≥ 50% tps and progressing on or after platinum containing chemotherapy. renal cell carcinoma (rcc)keytruda, in combination with axitinib, is indicated for the first line treatment of advanced renal cell carcinoma in adults. keytruda  as monotherapy is indicated for the adjuvant treatment of adults with renal cell carcinoma at increased risk of recurrence following nephrectomy, or following nephrectomy and resection of metastatic lesions (for selection criteria, please see section 5. microsatellite instability high (msi-h) or mismatch repair deficient (dmmr) cancerscolorectal cancer (crc)keytruda as monotherapy is indicated for theadults with msi-h or dmmr colorectal cancer in the following settings:first line treatment of metastatic microsatellite instability high (msi h) or mismatch repair deficient (dmmr) colorectal cancer in adults;treatment of unresectable or metastatic colorectal cancer after previous fluoropyrimidine based combination therapy.  non-colorectal cancerskeytruda as monotherapy is indicated for the treatment of the following msi h or dmmr tumours in adults with:advanced or recurrent endometrial carcinoma, who have disease progression on or following prior treatment with a platinum containing therapy in any setting and who are not candidates for curative surgery or radiation;unresectable or metastatic gastric, small intestine, or biliary cancer, who have disease progression on or following at least one prior therapy. oesophageal carcinomakeytruda, in combination with platinum and fluoropyrimidine based chemotherapy, is indicated for the first-line treatment of locally advanced unresectable or metastatic carcinoma of the oesophagus or her-2 negative gastroesophageal junction adenocarcinoma, in adults whose tumours express pd l1 with a cps ≥ 10. triple negative breast cancer (tnbc)keytruda, in combination with chemotherapy as neoadjuvant treatment, and then continued as monotherapy as adjuvant treatment after surgery, is indicated for the treatment of adults with locally advanced, or early stage triple negative breast cancer at high risk of recurrence. keytruda, in combination with chemotherapy, is indicated for the treatment of locally recurrent unresectable or metastatic triple negative breast cancer in adults whose tumours express pd l1 with a cps ≥ 10 and who have not received prior chemotherapy for metastatic disease. endometrial carcinoma (ec)keytruda, in combination with lenvatinib, is indicated for the treatment of advanced or recurrent endometrial carcinoma in adults who have disease progression on or following prior treatment with a platinum containing therapy in any setting and who are not candidates for curative surgery or radiation. cervical cancerkeytruda, in combination with chemotherapy with or without bevacizumab, is indicated for the treatment of persistent, recurrent, or metastatic cervical cancer in adults whose tumours express pd l1 with a cps ≥ 1. gastric or gastro-oesophageal junction (gej) adenocarcinomakeytruda, in combination with trastuzumab, fluoropyrimidine and platinum-containing chemotherapy, is indicated for the first-line treatment of locally advanced unresectable or metastatic her2-positive gastric or gastro-oesophageal junction adenocarcinoma in adults whose tumours express pd-l1 with a cps ≥ 1.

Crysvita Den europeiske union - bulgarsk - EMA (European Medicines Agency)

crysvita

kyowa kirin holdings b.v. - burosumab - hypophosphatemia, familial; hypophosphatemic rickets, x-linked dominant; osteomalacia - Лекарства за лечение на костни заболявания - crysvita is indicated for the treatment of x-linked hypophosphataemia, in children and adolescents aged 1 to 17 years with radiographic evidence of bone disease, and in adults. crysvita is indicated for the treatment of fgf23-related hypophosphataemia in tumour-induced osteomalacia associated with phosphaturic mesenchymal tumours that cannot be curatively resected or localised in children and adolescents aged 1 to 17 years and in adults.