Examples of using Crizotinib in English and their translations into German
{-}
-
Colloquial
-
Official
-
Ecclesiastic
-
Medicine
-
Financial
-
Ecclesiastic
-
Political
-
Computer
-
Programming
-
Official/political
-
Political
Crizotinib treatment should be withheld if ILD/pneumonitis is suspected.
Superiority results from Phase III study comparing AlecensaTM(alectinib) to crizotinib.
Of 172 ALK-positive patients treated with crizotinib in randomised Phase 3 Study 1007, 27(16%) were 65 years or older.
Either ALK-positive orROS1-positive NSCLC status should be established prior to initiation of crizotinib therapy.
In vitro studies in human liver microsomes demonstrated that crizotinib is a time-dependent inhibitor of CYP2B6 and CYP3A see section 4.5.
Severe, life-threatening, orfatal interstitial lung disease(ILD)/pneumonitis can occur in patients treated with crizotinib.
Therefore, crizotinib may have the potential to increase plasma concentrations of coadministered drugs that are substrates of OCT1 or OCT2.
In patients with new onset of severe visual loss(best corrected visual acuity less than 6/60 in one orboth eyes), crizotinib treatment should be discontinued see section 4.2.
The concomitant use of crizotinib with strong CYP3A4 inhibitors or with strong and moderate CYP3A4 inducers should be avoided see section 4.5.
Across studies in patients with either ALK-positive or ROS1-positive advanced NSCLC(N=1722), Grade 3or Grade 4 leukopenia was observed in 48(3%) patients treated with crizotinib.
Significantly greater improvement in global QOL was observed in the crizotinib arm compared to the chemotherapy arm overall difference in change from baseline scores 13.8; p-value< 0.0001.
All-causality, all grade, vision disorder, most commonly visual impairment, photopsia, vision blurred, and vitreous floaters, was experienced by 1084(63%)of 1722 patients treated with crizotinib.
Patients with or without pre-existing cardiac disorders, receiving crizotinib, should be monitored for signs and symptoms of heart failure dyspnoea, oedema, rapid weight gain from fluid retention.
Concurrent elevations in ALT and/or AST≥3× ULN and total bilirubin≥2× ULN without significant elevations of alkaline phosphatase(≤2× ULN) have been observed in lessthan 1% patients treated with crizotinib.
The efficacy and safety of crizotinib for the treatment of patients with ALK-positive metastatic NSCLC, who had received previous systemic treatment for advanced disease, were demonstrated in a global, randomised, open-label Study 1007.
Pre-existing ophthalmic abnormalities and concomitant medical conditions which could be contributory to ocular findings were noted in many patients,and no conclusive causal relationship to crizotinib could be determined.
The median PFS times were 4.2 months(95% CI: 2.8, 5.7) for pemetrexed(HR=0.59; p-value=0.0004 for crizotinib compared with pemetrexed) and 2.6 months(95% CI: 1.6, 4.0) for docetaxel HR=0.30; p-value< 0.0001 for crizotinib compared with docetaxel.
Crizotinib resulted in a significantly lower deterioration from baseline in peripheral neuropathy(Cycles 6 to 20; p-value< 0.05), dysphagia(Cycles 5 to 11; p-value< 0.05) and sore mouth(Cycle 2 to 20; p-value< 0.05) compared to chemotherapy.
Median PFS times were 6.9 months(95% CI: 6.6, 8.3) for pemetrexed/cisplatin(HR=0.49; p-value< 0.0001 for crizotinib compared with pemetrexed/cisplatin) and 7.0 months(95% CI: 5.9, 8.3) for pemetrexed/carboplatin HR=0.45; p-value< 0.0001 for crizotinib compared with pemetrexed/carboplatin.
Roche announced results from the global phase III Alur study, showing that Alecensa significantly reduced the risk of disease worsening or death(progression-free survival) by 85% compared tochemotherapy in patients with ALK-positive advanced NSCLC who had progressed following treatment with platinum-based chemotherapy and crizotinib.
No specific studies with crizotinib have been conducted in animals to evaluate the effect on fertility; however, crizotinib is considered to have the potential to impair reproductive function and fertility in humans based on findings in repeat-dose toxicity studies in the rat.
Roche will be presenting data from the J-ALEX trial, an open-label,randomised phase III study that compared Alecensa and crizotinib in people with ALK-positive advanced or recurrent NSCLC who had not previously received an ALK inhibitor and who had a maximum of one prior treatment with a chemotherapy.
Crizotinib demonstrated potent and selective growth inhibitory activity and induced apoptosis in tumour cell lines exhibiting ALK fusion events(including echinoderm microtubule-associated protein-like 4[EML4]-ALK and nucleophosmin[NPM]-ALK), ROS1 fusion events, or exhibiting amplification of the ALK or MET gene locus.
ALEX(NCT02075840/B028984) is a randomised, multicentre,open-label phase III study evaluating the efficacy and safety of Alecensa versus crizotinib in treatment-naïve people with ALK-positive NSCLC whose tumours were characterised as ALK-positive by the VENTANA ALK(D5F3) CDx Assay, a companion immunohistochemistry(IHC) test developed by Roche Tissue Diagnostics.
Crizotinib showed a significantly greater improvement from baseline compared to chemotherapy in alopecia(Cycles 2 to 15; p-value< 0.05), cough(Cycles 2 to 20; p-value< 0.0001), dyspnoea(Cycles 2 to 20; p-value< 0.0001), haemoptysis(Cycles 2 to 20; p-value< 0.05), pain in arm or shoulder(Cycles 2 to 20; p-value< 0.0001), pain in chest(Cycles 2 to 20; p-value< 0.0001), and pain in other parts Cycles 2 to 20; p-value< 0.05.
Encouraging results from the Tecentriq phase II study IMmotion 150 were presented: the study compared Tecentriq plus Avastin as well as Tecentriq monotherapy to the treatment with sunitinib in people with previously untreated, locally advanced or metastatic renal cell carcinoma. The phase III Alur study met its primary endpoint, showing that Alecensasignificantly improved progression-free survival(PFS) in people with ALK-positive advanced NSCLC who had progressed following treatment with platinum-based chemotherapy and crizotinib.
The concomitant use of bosutinib with strong CYP3A inhibitors( including, but not limited to itraconazole, ketoconazole, posaconazole, voriconazole, clarithromycin, telithromycin, nefazodone, mibefradil, indinavir, lopinavir/ ritonavir, nelfinavir, ritonavir, saquinavir, boceprevir, telaprevir, grapefruit products including grapefruit juice) or moderate CYP3A inhibitors( including, but not limited to fluconazole, ciprofloxacin, erythromycin, diltiazem, verapamil, amprenavir, atazanavir, darunavir/ ritonavir, fosamprenavir,aprepitant, crizotinib, imatinib) should be avoided, as an increase in bosutinib plasma concentration will occur.