Kraj: Unia Europejska
Język: słoweński
Źródło: EMA (European Medicines Agency)
Pembrolizumab
Merck Sharp & Dohme B.V.
L01FF02
pembrolizumab
Antineoplastična sredstva
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
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. Pri bolnikih z EGFR ali ALK pozitivnih tumorjev mutacije, ki naj bi prav tako prejel usmerjena terapija pred prejemom KEYTRUDA. 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.
Revision: 54
Pooblaščeni
2015-07-17
138 9. POSEBNA NAVODILA ZA SHRANJEVANJE Shranjujte v hladilniku (2 °C - 8 °C). Ne zamrzujte. Shranjujte v originalni škatli za zagotovitev zaščite pred svetlobo. 10. POSEBNI VARNOSTNI UKREPI ZA ODSTRANJEVANJE NEUPORABLJENIH ZDRAVIL ALI IZ NJIH NASTALIH ODPADNIH SNOVI, KADAR SO POTREBNI 11. IME IN NASLOV IMETNIKA DOVOLJENJA ZA PROMET Z ZDRAVILOM Merck Sharp & Dohme B.V. Waarderweg 39 2031 BN Haarlem Nizozemska 12. ŠTEVILKA(E) DOVOLJENJA (DOVOLJENJ) ZA PROMET Z ZDRAVILOM EU/1/15/1024/00 2 (1 viala) 13. ŠTEVILKA SERIJE Lot 14. NAČIN IZDAJANJA ZDRAVILA 15. NAVODILA ZA UPORABO 16. PODATKI V BRAILLOVI PISAVI Sprejeta je utemeljitev, da Braillova pisava ni potrebna. 17. EDINSTVENA OZNAKA – DVODIMENZIONALNA ČRTNA KODA Vsebuje dvodimenzionalno črtno kodo z edinstveno oznako. 18. EDINSTVENA OZNAKA – V BERLJIVI OBLIKI PC SN NN 139 PODATKI, KI MORAJO BITI NAJMANJ NAVEDENI NA MANJŠIH STIČNIH OVOJNINAH VIALA 1. IME ZDRAVILA IN POT(I) UPORABE KEYTRUDA 25 mg/ml koncentrat za raztopino za infundiranje p embrolizumab 100 mg/4 ml i.v. 2. POSTOPEK UPORABE 3. DATUM IZTEKA ROKA UPORABNOSTI ZDRAVILA EXP 4. ŠTEVILKA SERIJE Lot 5. VSEBINA, IZRAŽENA Z MASO, PROSTORNINO ALI ŠTEVILOM ENOT 6. DRUGI PODATKI 140 B. NAVODILO ZA UPORABO 141 NAVODILO ZA UPORABO KEYTRUDA 25 MG/ML KONCENTRAT ZA RAZTOPINO ZA INFUNDIRANJE pembrolizumab Preden prejmete to zdravilo, natančno preberite navodilo, ker vsebuje za vas pomembne PODATKE! - Navodilo shranite. Morda ga boste želeli ponovno prebrati. - Pomembno je, da imate kartico ves čas pri sebi. - Če imate dodatna vprašanja, se posvetujte z zdravnikom. - Če opazite kateri koli neželeni učinek, se posvetujte z zdravnikom. Posvetujte se tudi, če opazite katere koli neželene učinke, ki niso navedeni v tem navodilu. Glejte poglavje 4. KAJ VSEBUJE NAVODILO 1. Kaj je zdravilo KEYTRUDA in za kaj ga uporabljamo 2. Kaj morate vedeti, preden boste prejeli zdravilo KEYTRUDA 3. Kako boste prejeli zdravilo KEYTRUDA 4. Možni neželeni učinki 5. Shranjevanje zdravila KEYTRUDA 6. Vsebina paki Przeczytaj cały dokument
1 PRILOGA I POVZETEK GLAVNIH ZNAČILNOSTI ZDRAVILA 2 1. IME ZDRAVILA KEYTRUDA 25 mg/ml koncentrat za raztopino za infundiranje 2. KAKOVOSTNA IN KOLIČINSKA SESTAVA Ena viala s 4 ml koncentrata vsebuje 100 mg pembrolizumaba. En ml koncentrata vsebuje 25 mg pembrolizumaba. Pembrolizumab je humanizirano monoklonsko protitelo proti receptorjem programirane celične smrti 1 (PD- 1) (IgG4 izotip kapa s spremembo zaporedja za stabilizacijo v predelu Fc), pridobljeno s tehnologijo rekombinantne DNA na ovarijskih celicah kitajskega hrčka. Za celoten seznam pomožnih snovi glejte poglavje 6.1. 3. FARMACEVTSKA OBLIKA koncentrat za raztopino za infundiranje bistra do nekoliko opalescentna, brezbarvna do rahlo rumenkasta raztopina, pH 5,2 -5,8 4. KLINIČNI PODATKI 4.1 TERAPEVTSKE INDIKACIJE Melanom Zdravilo KEYTRUDA je kot samostojno zdravljenje indicirano za zdravljenje odraslih in mladostnikov, starih 12 let ali več, z napredoval im (neoperabiln im ali metastatsk im) melanomom. Zdravilo KEYTRUDA je kot samostojno zdravljenje indicirano za adjuvantno zdravljenje odraslih in mladostnikov, starih 12 let ali več, z melanomom v stadiju IIB, IIC ali III, in sicer po popolni kirurški odstranitvi (glejte poglavje 5.1). Nedrobnocelični pljučni rak (NSCLC – non- small cell lung carcinoma ) Zdravilo KEYTRUDA je kot samostojno zdravljenje indicirano za adjuvantno zdravljenje odraslih z nedrobnoceličnim pljučnim rakom, ki imajo visoko tveganje za ponovitev bolezni po popolni kirurški odstranitvi in kemoterapiji na osnovi platine (glede kriterij ev izbire glejte poglavje 5.1). Zdravilo KEYTRUDA je kot samostojno zdravljenje indicirano za prvo linijo zdravljenja metastatskega nedrobnoceličnega pljučnega raka pri odraslih, ki imajo tumorje z ≥ 50 % izraženostjo PD-L1 (TPS – tumour proportion score ) in brez pozitivnih tumorskih mutacij EGFR ali ALK. Zdravilo KEYTRUDA je v kombinaciji s pemetreksedom in kemoterapijo na osnovi platine indicirano za prvo linijo zdravljenja metastatskega neploščatoceličnega nedrobnoceličn Przeczytaj cały dokument