Примери за използване на Clinical superiority на Английски и техните преводи на Български
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The Committee reviewed the responses submitted by the applicant to address the issues raised with regard to the claim for clinical superiority of Tobramycin VVB vs. TOBI Podhaler;
With regards to the claim of clinical superiority on the ground of greater safety in a substantial portion of the target population, the applicant was requested by CHMP during the procedure.
However, it was noted that until recently antibiotic comparative trials in AECB designed to show equivalence between medicinal products did not demonstrate clinical superiority of any class of antibiotics over another.
Demonstration of clinical superiority is required because Tobi Podhaler is an orphan medicine and was granted market exclusivity in the EU at the time of its market authorisation in July 2011.
The Committee therefore considered that, in the context of Article 8(3) of Regulation(EC) No 141/2000, clinical superiority of Tobramycin VVB over TOBI Podhaler in a substantial portion of the target population can be established.
In addition to this, the European Commission adopted Regulation(EC) N° 847/2000 on 27 April 2000, establishing the provisions for the application of criteria for orphan designation and defining the concepts of'similar medicinal product' and'clinical superiority'.
Therefore the CHMP concluded that the clinical relevance of the abovementioned differences between Tobramycin VVB andTOBI Podhaler demonstrates the clinical superiority of Tobramycin VVB over TOBI Podhaler based on greater safety in a substantial portion of the target population.
In addition to this,the European Commission adopted Regulation(EC) N° 847/2000 on 27 April 2000, establishing the provisions for the application of criteria for orphan designation and defining the concepts of'similar medicinal product' and'clinical superiority'.
However, CHMP concluded that these differences are not relevant in the context of the claim of clinical superiority based on greater safety as the patients constituting a substantial portion of the target population are intolerant to Tobi Podhaler and cannot use therefore Tobi Podhaler.
Commission Regulation(EC) No 847/2000(32000R0847), laying down the provisions for implementation of the criteria for designation of a medicinal product as an orphan medicinal product and definitions of the concepts'similar medicinal product' and'clinical superiority'.
The Applicant's claim for clinical superiority based on greater safety(tolerability) of tobramycin nebulizer solution(TIS) over tobramycin inhalation powder(TIP) in a substantial portion of the target population relies on clinical data generated by the open-label EAGER study1 and its post hoc analyses2.
Having established that there is a portion of the target population who cannot use powder inhalator due to the development of intolerance and that for these patients the tobramycin nebuliser solutionis a safer alternative, in order for a conclusion on clinical superiority to be drawn CHMP needed to assess whether these patients correspond to a substantial portion of the target population.
The Committee was of the view that the data support the claim for clinical superiority of Tobramycin VVB versus TOBI Podhaler based on greater safety in a substantial portion of the target population, as per Article 8(3)(c) of Regulation(EC) No 141/2000 read in combination with Article 3(3)(d)(2) of Regulation(EC) No 847/2000;
Poland considered that the clinical superiority of Tobramycin VVB vs. the orphan-designated medicinal product TOBI Podhaler 28 mg inhalation powder(hereinafter“TOBI Podhaler”) was not demonstrated, therefore derogation as per Article 8(3) of Regulation(EC) No 141/2000 was not fulfilled and a marketing authorisation as proposed by the RMS could not be granted.
Overall, in the context of the claim of clinical superiority based on a greater safety according to Article 8(3)(c) of Regulation(EC) No 141/2000 read in combination with Article 3(3)(d)(2) of Regulation(EC) No 847/2000, CHMP considered that a substantial portion of the target population experiences greater safety(in terms of tolerability) with Tobramycin VVB in terms of the incidence of cough and treatment discontinuation, as compared to TOBI Podhaler.
Hodgins exhibits clinical paranoia as well as a rationalized feeling of superiority.
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