Примери за използване на Apalutamide на Английски и техните преводи на Български
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The active substance is apalutamide.
It is not known whether apalutamide or its metabolites are present in semen.
Erleada 60 mg film-coated tablets apalutamide.
Therefore, the safety of apalutamide in these patients has not been established.
Metabolism is the main route of elimination of apalutamide.
Apalutamide, mainly in the form of metabolites, is eliminated primarily via urine.
Concomitant use of ritonavir with apalutamide is not recommended.
Mild or moderate inhibitors of CYP3A4 are not expected to affect the exposure of apalutamide.
Serum concentrations of apalutamide may be increased due to CYP3A inhibition by lopinavir/ritonavir.
Potential for other medicinal products to affect apalutamide exposures.
By blocking the effect of androgens, apalutamide stops prostate cancer cells from growing and dividing.
Long-term animal studies have not been conducted to evaluate the carcinogenic potential of apalutamide.
Apalutamide binds to the androgen receptor, blocking its activation by testosterone and other androgens.
The effects of CYP3A4 orCYP2C8 inducers on the pharmacokinetics of apalutamide have not been evaluated in vivo.
Apalutamide works by binding to the androgen receptor, blocking its activation by testosterone and other androgens.
A review of concomitant medicinal products should therefore be conducted when apalutamide treatment is initiated.
In the apalutamide arm, 62(7.7%) subjects died compared to 42(10.5%) subjects in the placebo arm.
An exposure-QT analysis suggested a concentration-dependent increase in QTcF for apalutamide and its active metabolite.
Apalutamide and N-desmethyl apalutamide do not affect CYP1A2 and CYP2D6 at therapeutically relevant concentrations.
Based on systemic exposure, relative potency, and pharmacokinetic properties,N-desmethyl apalutamide likely contributed to the clinical activity of apalutamide.
Apalutamide is a moderate to strong CYP3A4 inducer and this may lead to a decreased exposure of lopinavir/ritonavir.
Based on population pharmacokinetic analysis, there were no clinically relevant differences in apalutamide pharmacokinetics between White(Caucasian or Hispanic or Latino; N=761), Black(of African heritage or African American; N=71), Asian(non-Japanese; N=58) and Japanese(N=58).
Apalutamide is being developed by The Janssen Pharmaceutical Companies of Johnson& Johnson, which sponsored this study.
In vitro data indicate that apalutamide and its N-desmethyl metabolite are not substrates for BCRP, OATP1B1 or OATP1B3.
In the apalutamide arm 64(7.9%) subjects developed symptomatic progression compared with 63(16%) in the placebo arm, with a hazard ratio of 0.447(95% CI: 0.315, 0.634), which met the pre-specified O'Brien Fleming type efficacy boundary for significance, p< 0.00008.
In addition, co-administration of apalutamide and Kaletra may lead to serious adverse events including seizure due to higher apalutamide levels.
Our study found that apalutamide treatment markedly improved metastasis-free survival and other clinical outcomes in men with castration-resistant prostate cancers and no detectable metastases,” says Matthew Smith, MD, PhD, of the MGH Cancer Center, corresponding author of the NEJM report.
Daily fluctuations in apalutamide plasma concentrations were low, with mean peak-to-trough ratio of 1.63.
There is no relevant use of apalutamide in the paediatric population in the treatment of non-metastatic castration-resistant prostate cancer.
Following repeat once-daily dosing, apalutamide exposure(Cmax and area under the concentration curve[AUC]) increased in a dose-proportional manner across the dose range of 30 to 480 mg.