Примери за използване на Flutiform на Английски и техните преводи на Български
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What are Flutiform and Iffeza?
Flutiform will also be marketed as Flofera and Flutiformo.
This provides further support for the clinical relevance of the effects seen with Flutiform.
Why were Flutiform and Iffeza reviewed?
Supportive studies compared the efficacy and safety of Flutiform with other combination therapies.
Flutiform and Iffeza are asthma medicines containing two active substances, fluticasone propionate and formoterol fumarate.
The inclusion of a second,lower dose of Flutiform(100µg/10µg) in the PD study was also instructive.
Published sources indicate that these treatment differences would at worst remain static andat best improve in favour of Flutiform over the longer-term.
The clinical development programme for Flutiform was set up to evaluate efficacy and safety in the intended patient population.
In both claimed indications the previously used inhaled corticosteroid(ICS)is replaced by the inhaled corticosteroid in Flutiform for which such proof is required.
The clinical findings suggest that fluticasone propionate in Flutiform is non-inferior in respect of clinical effects to GSK fluticasone propionate.
The five pivotal Flutiform Phase III studies included approximately 2500 patients and the safety database includes over 1900 Flutiform-treated patients.
Therefore the Committee concluded that the benefit-risk balance of Flutiform in the applied indications is favourable.
The Committee concluded that the benefits of Flutiform and Iffeza outweigh the risks and that marketing authorisation should be granted in all concerned Member States.
The PK study(Study FLT1501) which has given rise to concerns was conducted to evaluate the comparative safety of Flutiform when compared with the marketed monoproduct pMDIs.
Flutiform 50/5, 125/5 and 250/10 microgram pressurised inhalation, suspension is a new fixed-dose combination of two well-known active drug substances fluticasone propionate and formoterol fumarate.
The relative bioavailability of fluticasone propionate at steady state was 67% following Flutiform administration compared with GSK fluticasone propionate pMDI.
Effects with the low dose of Flutiform(100µg/10µg) upon pre-dose FEV1 were similar to those with the high dose of GSK fluticasone propionate 500µg(alone or in combination with formoterol fumarate 24µg).
These data were generated from the five pivotal 8-to 12-week studies and demonstrate the protective benefit of Flutiform against exacerbations compared with fluticasone propionate monotherapy.
The data presented in respect of exacerbations demonstrate an increased protective benefit of Flutiform compared with GSK fluticasone propionate administered alone- the odds of any exacerbation occurring were 33% higher and the annual exacerbation rate was 49% higher in patients receiving GSK fluticasone propionate than in patients receiving Flutiform, p=0.019 and p=0.004, respectively.
The pre-dose FEV1 data in this study which were again a demonstrably inhaled corticosteroid-mediated effect provided no evidence of a lesser inhaled corticosteroid effect with Flutiform than seen with fluticasone propionate+ formoterol fumarate.
The apparent lower systemic availability of fluticasone propionate in Flutiform compared with GSK fluticasone propionate pMDI would not appear to result in a lesser clinical effect.
These endpoints were demonstrably inhaled cortocosteroid-driven and/or inhaled corticosteroid dose-responsive andall provided rigorous statistical evidence that the inhaled corticosteroid effects of Flutiform were not less than those of fluticasone propionate+ formoterol fumarate.
Napp Pharmaceuticals Ltd submitted marketing authorisation applications for Flutiform and Iffeza and associated names to the UK medicines regulatory agency under the decentralised procedure.
Furthermore, the discordance between the PK andPD data for Flutiform suggests that the PK data do not accurately reflect comparative pulmonary deposition and are not a valid surrogate for clinical effect.
Literature data indicate that even ifthe PK data accurately reflect comparative pulmonary drug deposition for Flutiform versus GSK fluticasone propionate pMDI, such differences are not of clinical relevance.
The development programme also assessed the efficacy and safety of Flutiform administered either with or without a spacing device and investigated the efficacy and safety of Flutiform across relevant subgroups.
In the pharmacokinetic data presented systemic exposure of fluticasone was lower(67%)following Flutiform inhalation than following the concurrent inhalation of fluticasone and formoterol from monoproduct pMDIs.
The pivotal clinical studies were designed to compare the efficacy and safety of Flutiform with its individual components administered separately and with its individual components administered together but inhaled from separate inhalers.
These findings should be taken together with the results that show that the clinical effects of Flutiform are comparable with the clinical effects of GSK fluticasone propionate and Novartis formoterol fumarate given concomitantly.