Європейський Союз - мальтійська - EMA (European Medicines Agency)

zoetis belgium sa - selamektin - prodotti kontra l-parassiti, insettiċidi u sustanzi, endectocides, makroċikliku lattoni, - dogs; cats - qtates u klieb: kura u prevenzjoni minn infestazzjonijiet tal-briegħed ikkawżat mill-ctenocephalides spp. għal xahar wara amministrazzjoni waħda. dan huwa riżultat tal-proprjetajiet adultikidali, larvidali u oviċidi tal-prodott. il-prodott huwa oviċida għal 3 ġimgħat wara l-għoti. permezz ta 'tnaqqis fil-popolazzjoni tal-briegħed, it-trattament ta' kull xahar ta 'annimali tqal u li qed ireddgħu wkoll jgħin fil-prevenzjoni ta' infestazzjonijiet tal-briegħed fl-iskart sa seba 'ġimgħat. il-prodott jista 'jintuża bħala parti minn strateġija ta' trattament għal dermatité allerġika mill-briegħed u permezz tal-bajd u l-larvi-azzjoni tista'l-għajnuna fil-kontroll ta ambjentali eżistenti infestazzjonijiet mill-briegħed fl-oqsma li għalihom l-annimal. prevenzjoni ta 'mard tal-heartworm ikkawżat minn dirofilaria immitis b'amministrazzjoni ta' kull xahar. stronghold jista 'jiġi amministrat b'mod sikur lill-annimali infettati bil-qalb adult, madankollu, huwa rakkomandat li, skond prattika veterinarja tajba, li l-annimali kollha età ta' 6 xhur jew aktar tal-għajxien fil-pajjiżi fejn vector teżisti għandhom jiġu ttestjati għall-eżistenti għall-adulti dudu tal-qalb infezzjonijiet qabel il-bidu tal-medikazzjoni bl-stronghold. huwa rrakkomandat ukoll li l-klieb għandhom jiġu ttestjati perjodikament għal infezzjonijiet adult tal-qalb, bħala parti integrali ta 'strateġija ta' prevenzjoni tal-heartworm, anke meta stronghold ingħatat kull xahar. dan il-prodott mhux effettiv kontra d-adulti. immitis. trattament ta 'dud tal-widna (otodectes cynotis). qtates:kura għall-qamel li jigdem jigdem (felicola subrostratustreatment tal-adulti imsaren (toxocara cati)kura ta ' hookworms intestinali adulti (ancylostoma tubaeforme). klieb:trattament tal-qamel li jigdem jigdem (trichodectes canis)kura għal sarcoptic mange (ikkawżata minn sarcoptes scabiei)kura ta roundworms intestinali adulti (toxocara canis).

Європейський Союз - мальтійська - EMA (European Medicines Agency)

janssen-cilag international nv - paliperidone - schizophrenia; psychotic disorders - psikolettiċi - invega huwa indikat għall-kura ta 'l-iskiżofrenja fl-adulti u fl-adolexxenti ta' 15-il sena jew aktar. invega huwa indikat għall-kura ta skiżoaffettivi disturb fl-adulti.

Європейський Союз - мальтійська - EMA (European Medicines Agency)

merck sharp & dohme b.v. - pembrolizumab - 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 - aġenti antineoplastiċi - 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. pazjenti b'egfr jew alkalini pożittivi tat-tumur mutazzjonijiet għandu wkoll rċevew terapija immirata qabel ma tirċievi 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.

Європейський Союз - мальтійська - EMA (European Medicines Agency)

viatris limited - ċitrat ta 'sildenafil - pressjoni għolja, pulmonari - uroloġiċi - adultstreatment ta ' pazjenti adulti bi pressjoni għolja arterjali tal-pulmun ikklassifikata bħala klassi funzjonali who ii u iii, biex itejbu l-kapaċità għall-eżerċizzju. l-effikaċja intweriet fl-ipertensjoni primarja pulmonari u pressjoni għolja pulmonari assoċjata ma 'mard tat-tessut konnettiv. pedjatriċi populationtreatment tal-pazjenti pedjatriċi li kellhom minn sena 1 sa 17-il sena bi pressjoni arterjali pulmonari għolja. l-effikaċja f'termini ta 'titjib tal-kapaċità ta' eżerċizzju jew ta 'emodinamiċità pulmonari intweriet fl-ipertensjoni primarja pulmonari u pressjoni għolja pulmonari assoċjata ma' mard tal-qalb konġenitali (ara sezzjoni 5.

Європейський Союз - мальтійська - EMA (European Medicines Agency)

bristol-myers squibb pharma eeig - nivolumab - melanoma; hodgkin disease; carcinoma, renal cell; carcinoma, non-small-cell lung; carcinoma, transitional cell; squamous cell carcinoma of head and neck; urologic neoplasms; mesothelioma; colorectal neoplasms - aġenti antineoplastiċi - melanomaopdivo as monotherapy or in combination with ipilimumab is indicated for the treatment of advanced (unresectable or metastatic) melanoma in adults and adolescents 12 years of age and older. relative to nivolumab monotherapy, an increase in progression free survival (pfs) and overall survival (os) for the combination of nivolumab with ipilimumab is established only in patients with low tumour pd-l1 expression. adjuvant treatment of melanomaopdivo as monotherapy is indicated for the adjuvant treatment of adults and adolescents 12 years of age and older with melanoma with involvement of lymph nodes or metastatic disease who have undergone complete resection. non-small cell lung cancer (nsclc)opdivo in combination with ipilimumab and 2 cycles of platinum-based chemotherapy is indicated for the first-line treatment of metastatic non-small cell lung cancer in adults whose tumours have no sensitising egfr mutation or alk translocation. opdivo as monotherapy is indicated for the treatment of locally advanced or metastatic non-small cell lung cancer after prior chemotherapy in adults. neoadjuvant treatment of nsclcopdivo in combination with platinum-based chemotherapy is indicated for the neoadjuvant treatment of resectable non-small cell lung cancer at high risk of recurrence in adult patients whose tumours have pd-l1 expression ≥ 1%. malignant pleural mesothelioma (mpm)opdivo in combination with ipilimumab is indicated for the first-line treatment of adult patients with unresectable malignant pleural mesothelioma. neoadjuvant treatment of nsclcopdivo in combination with platinum-based chemotherapy is indicated for the neoadjuvant treatment of resectable non-small cell lung cancer at high risk of recurrence in adult patients whose tumours have pd-l1 expression ≥ 1%. renal cell carcinoma (rcc)opdivo as monotherapy is indicated for the treatment of advanced renal cell carcinoma after prior therapy in adults. opdivo in combination with ipilimumab is indicated for the first-line treatment of adult patients with intermediate/poor risk advanced renal cell carcinoma. opdivo in combination with cabozantinib is indicated for the first-line treatment of adult patients with advanced renal cell carcinoma. classical hodgkin lymphoma (chl)opdivo as monotherapy is indicated for the treatment of adult patients with relapsed or refractory classical hodgkin lymphoma after autologous stem cell transplant (asct) and treatment with brentuximab vedotin. squamous cell cancer of the head and neck (scchn)opdivo as monotherapy is indicated for the treatment of recurrent or metastatic squamous cell cancer of the head and neck in adults progressing on or after platinum based therapy. urothelial carcinomaopdivo as monotherapy is indicated for the treatment of locally advanced unresectable or metastatic urothelial carcinoma in adults after failure of prior platinum containing therapy. adjuvant treatment of urothelial carcinomaopdivo as monotherapy is indicated for the adjuvant treatment of adults with muscle invasive urothelial carcinoma (miuc) with tumour cell pd-l1 expression ≥ 1%, who are at high risk of recurrence after undergoing radical resection of miuc. mismatch repair deficient (dmmr) or microsatellite instability-high (msi-h) colorectal cancer (crc)opdivo in combination with ipilimumab is indicated for the treatment of adult patients with mismatch repair deficient or microsatellite instability-high metastatic colorectal cancer after prior fluoropyrimidine based combination chemotherapy. oesophageal squamous cell carcinoma (oscc)opdivo in combination with ipilimumab is indicated for the first-line treatment of adult patients with unresectable advanced, recurrent or metastatic oesophageal squamous cell carcinoma with tumour cell pd-l1 expression ≥ 1%. opdivo in combination with fluoropyrimidine- and platinum-based combination chemotherapy is indicated for the first-line treatment of adult patients with unresectable advanced, recurrent or metastatic oesophageal squamous cell carcinoma with tumour cell pd-l1 expression ≥ 1%. opdivo as monotherapy is indicated for the treatment of adult patients with unresectable advanced, recurrent or metastatic oesophageal squamous cell carcinoma after prior fluoropyrimidine- and platinum-based combination chemotherapy. adjuvant treatment of oesophageal or gastro-oesophageal junction cancer (oc or gejc)opdivo as monotherapy is indicated for the adjuvant treatment of adult patients with oesophageal or gastro-oesophageal junction cancer who have residual pathologic disease following prior neoadjuvant chemoradiotherapy. gastric, gastro‑oesophageal junction (gej) or oesophageal adenocarcinomaopdivo in combination with fluoropyrimidine- and platinum-based combination chemotherapy is indicated for the first‑line treatment of adult patients with her2‑negative advanced or metastatic gastric, gastro‑oesophageal junction or oesophageal adenocarcinoma whose tumours express pd-l1 with a combined positive score (cps) ≥ 5.

Європейський Союз - мальтійська - EMA (European Medicines Agency)

sanofi winthrop industrie - l-insulina glargine, lixisenatide - diabetes mellitus, tip 2 - drogi użati fid-dijabete - suliqua is indicated for the treatment of adults with insufficiently controlled type 2 diabetes mellitus to improve glycaemic control as an adjunct to diet and exercise in addition to metformin with or without sglt-2 inhibitors.

Європейський Союз - мальтійська - 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.

Європейський Союз - мальтійська - EMA (European Medicines Agency)

pierre fabre medicament - encorafenib - melanoma; colorectal neoplasms - aġenti antineoplastiċi - encorafenib is indicated:in combination with binimetinib is indicated for the treatment of adult patients with unresectable or metastatic melanoma with a braf v600 mutationin combination with cetuximab, for the treatment of adult patients with metastatic colorectal cancer (crc) with a braf v600e mutation, who have received prior systemic therapy.

Європейський Союз - мальтійська - EMA (European Medicines Agency)

celltrion healthcare hungary kft. - trastuzumab - stomach neoplasms; breast neoplasms - aġenti antineoplastiċi - tas-sider cancermetastatic tas-sider cancerherzuma 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 cancerherzuma 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 herzuma it-terapija, għal lokalment avvanzat (inklużi infjammazzjoni) - mard jew tumuri > 2 ċm fid-dijametru. herzuma 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 tal-kanċer herzuma 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-kandidjasi junction li qatt ma kienu rċevew minn qabel kontra l-kanċer tat-trattament għall-marda metastatika tagħhom. herzuma 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.

Європейський Союз - мальтійська - 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.