Kraj: Unia Europejska
Język: chorwacki
Źródło: EMA (European Medicines Agency)
Пембролизумаб
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. Pacijenata sa EGFR ili ALA pozitivnih tumora mutacije također treba primili таргетную terapiju prije dobivanja 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.
Revision: 54
odobren
2015-07-17
1 PRILOG I. SAŽETAK OPISA SVOJSTAVA LIJEKA 2 1. NAZIV LIJEKA KEYTRUDA 25 mg/ml koncentrat za otopinu za infuziju. 2. KVALITATIVNI I KVANTITATIVNI SASTAV Jedna bočica s 4 ml koncentrata sadrži 100 mg pembrolizumaba. Jedan ml koncentrata sadrži 25 mg pembrolizumaba. Pembrolizumab je humanizirano monoklonsko protutijelo koje se veže na receptor programirane stanične smrti -1 (engl. programmed cell death -1, PD- 1) (izotip IgG4/kapa s promjenom u slijedu sekvence za stabiliz aciju u Fc regiji) i koje se proizvodi u stanicama jajnika kineskog hrčka tehnologijom rekombinantne DN A. Za cjeloviti popis pomoćnih tvari vidjeti dio 6.1. 3. FARMACEUTSKI OBLIK Koncentrat za otopinu za infuziju. Bistra do blago opalescentna, bezbojn a do blijedo žuta otopina (pH 5,2 – 5,8). 4. KLINIČKI PODACI 4.1 TERAPIJSKE INDIKACIJE Melanom KEYTRUDA kao monoterapija je indicirana za liječenje uznapredovalog ( neresektabilnog ili metastatskog) melanoma u odraslih i adolescenata u dobi od 12 ili vi š e godina. KEYTRUDA kao monoterapija je indicirana za adjuvantno liječenje melanoma stadija IIB, IIC ili III u odraslih i adolescenata u dobi od 12 ili više godina koji su podvrgnuti potpunoj resekciji (vidje ti dio 5.1). Karcinom pluća nemalih stanica ( engl. non- small cell lung carcinoma , NSCLC) KEYTRUDA kao monoterapija je indicirana za adjuvantno liječenje karcinoma pluća nemalih stanica u odraslih koji su izloženi visokom riziku od re cidiva nakon potpune resekcij e i kemoterapije utemeljene na platini ( za kriterije za odabir bolesnika vidjeti dio 5.1). KEYTRUDA kao monoterapija je indicirana za prvu liniju liječenja metastatskog karcinoma pluća nemalih stanica u odraslih čiji tumori eksprimiraju PD - L1 uz udio tumors kih stanica s ekspresijom (engl. tumour proportion score, TPS) ≥ 50% i koji nisu pozitivni na tumorske mutacije gena EGFR ili ALK. KEYTRUDA je u kombinaciji s pemetreksedom i kemoterapijom koja sadrži platinu indicirana za prvu liniju liječenja metastatsk og neskvamoznog karcinoma pl uća nema lih s Przeczytaj cały dokument
1 PRILOG I. SAŽETAK OPISA SVOJSTAVA LIJEKA 2 1. NAZIV LIJEKA KEYTRUDA 25 mg/ml koncentrat za otopinu za infuziju. 2. KVALITATIVNI I KVANTITATIVNI SASTAV Jedna bočica s 4 ml koncentrata sadrži 100 mg pembrolizumaba. Jedan ml koncentrata sadrži 25 mg pembrolizumaba. Pembrolizumab je humanizirano monoklonsko protutijelo koje se veže na receptor programirane stanične smrti -1 (engl. programmed cell death -1, PD- 1) (izotip IgG4/kapa s promjenom u slijedu sekvence za stabiliz aciju u Fc regiji) i koje se proizvodi u stanicama jajnika kineskog hrčka tehnologijom rekombinantne DN A. Za cjeloviti popis pomoćnih tvari vidjeti dio 6.1. 3. FARMACEUTSKI OBLIK Koncentrat za otopinu za infuziju. Bistra do blago opalescentna, bezbojn a do blijedo žuta otopina (pH 5,2 – 5,8). 4. KLINIČKI PODACI 4.1 TERAPIJSKE INDIKACIJE Melanom KEYTRUDA kao monoterapija je indicirana za liječenje uznapredovalog ( neresektabilnog ili metastatskog) melanoma u odraslih i adolescenata u dobi od 12 ili vi š e godina. KEYTRUDA kao monoterapija je indicirana za adjuvantno liječenje melanoma stadija IIB, IIC ili III u odraslih i adolescenata u dobi od 12 ili više godina koji su podvrgnuti potpunoj resekciji (vidje ti dio 5.1). Karcinom pluća nemalih stanica ( engl. non- small cell lung carcinoma , NSCLC) KEYTRUDA kao monoterapija je indicirana za adjuvantno liječenje karcinoma pluća nemalih stanica u odraslih koji su izloženi visokom riziku od re cidiva nakon potpune resekcij e i kemoterapije utemeljene na platini ( za kriterije za odabir bolesnika vidjeti dio 5.1). KEYTRUDA kao monoterapija je indicirana za prvu liniju liječenja metastatskog karcinoma pluća nemalih stanica u odraslih čiji tumori eksprimiraju PD - L1 uz udio tumors kih stanica s ekspresijom (engl. tumour proportion score, TPS) ≥ 50% i koji nisu pozitivni na tumorske mutacije gena EGFR ili ALK. KEYTRUDA je u kombinaciji s pemetreksedom i kemoterapijom koja sadrži platinu indicirana za prvu liniju liječenja metastatsk og neskvamoznog karcinoma pl uća nema lih s Przeczytaj cały dokument