Examples of using Pomalidomide in English and their translations into German
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The active substance is pomalidomide.
Brief background on pomalidomide and its licensed indication.
Dizziness and confusional state have been reported with pomalidomide.
Need to stop pomalidomide immediately upon suspicion of pregnancy.
Prior therapies included bortezomib(100%), lenalidomide(95%), pomalidomide(36%) and carfilzomib 19.
Neutropenia occurred in 45.3% of patients who received pomalidomide plus low dose dexamethasone(Pom+ LD-Dex), and in 19.5% of patients who received high dose dexamethasone HD-Dex.
Regular monitoring of liver function isrecommended for the first 6 months of treatment with pomalidomide and as clinically indicated thereafter.
Co-administration of pomalidomide with the strong CYP3A4/5 and P-gp inhibitor ketoconazole, or the strong CYP3A4/5 inducer carbamazepine, had no clinically relevant effect on exposure to pomalidomide.
The need to avoid foetal exposure due to teratogenicity of pomalidomide in animals and the expected teratogenic effect of pomalidomide in humans.
Pomalidomide is distributed in semen of healthy subjects at a concentration of approximately 67% of plasma level at 4 hours post-dose(approximately Tmax) after 4 days of once daily dosing at 2 mg.
The frequencies of adverse reactions are those reported in the pomalidomide plus dexamethasone arm of study CC-4047-MM-003(n 302) and from post marketing data.
Pomalidomide doses as high as 50 mg as a single dose in healthy volunteers, and 10 mg as once-daily multiple doses in multiple myeloma patients have been studied without reported serious adverse events related to overdose.
The combination of dexamethasone with thalidomide, lenalidomide or pomalidomide(medicines to treat multiple myeloma) increases the risk of blood clots in the veins and arteries.
Patients receiving pomalidomide in combination with dexamethasone have developed venous thromboembolic events(predominantly deep vein thrombosis and pulmonary embolism) and arterial thrombotic events myocardial infarction and cerebrovascular accident.
In vitro, CYP1A2 andCYP3A4 were identified as the primary enzymes involved in the CYP-mediated hydroxylation of pomalidomide, with additional minor contributions from CYP2C19 and CYP2D6.
The combination of lenalidomide, thalidomide or pomalidomide with dexamethasone is associated with an increased risk of deep vein thrombosis and pulmonary embolism in patients with multiple myeloma see section 4.5.
Prior to prescribing(where appropriate, and in agreement with the National Competent Authority, dispensing)all healthcare professionals who intend to prescribe(and dispense) pomalidomide are provided with a physician information pack containing the following.
If pregnancy occurs in a partner of a male patient taking pomalidomide, it is recommended to refer the female partner to a physician specialised or experienced in teratology for evaluation and advice.
Patients with significant cardiac dysfunction(congestive heart failure[NY Heart Association Class III or IV]; myocardial infarction within 12 months of starting study; unstable or poorly controlled angina pectoris)were excluded from clinical studies with pomalidomide.
Reactivation of hepatitis B has been reported rarely in patients receiving pomalidomide in combination with dexamethasone who have previously been infected with the hepatitis B virus HBV.
In peripheral tissues, pomalidomide was preferentially taken up by tumors with apparent peripheral distribution clearance(Q/F) and apparent peripheral volume of distribution(V3/F) 3.7-fold and 8-fold higher, respectively, than that of healthy subjects.
The study is evaluating the safety and preliminary efficacy of MOR202 alone andin combination with the immunomodulatory drugs pomalidomide(Pom) and lenalidomide(Len) plus dexamethasone(Dex) in patients with relapsed/refractory multiple myeloma.
Pomalidomide was not mutagenic in bacterial and mammalian mutation assays, and did not induce chromosomal aberrations in human peripheral blood lymphocytes or micronuclei formation in polychromatic erythrocytes in bone marrow of rats administered doses up to 2000 mg/kg/day.
Neutropenia occurred in 45.3% of relapsed andrefractory multiple myeloma patients who received low dose dexamethasone plus pomalidomide(Pom+ LD-Dex), and in 19.5% of patients who received high dose dexamethasone HD-Dex.
Co-administration of multiple doses of up to 4 mg pomalidomide with 20 mg to 40 mg dexamethasone(a weak to moderate inducer of several CYP enzymes including CYP3A) to patients with multiple myeloma had no effect on the pharmacokinetics of pomalidomide compared with pomalidomide administered alone.
Because of the potential for adverse reactions in nursing infants from pomalidomide, a decision should be made whether to discontinue nursing or to discontinue the medicinal product, taking into account the importance of the medicinal product to the mother.
Pomalidomide works in a number of ways in multiple myeloma, similarly to other immunomodulating agents such as lenalidomide and thalidomide: it blocks the development of tumour cells, prevents the growth of blood vessels within tumours and also stimulates some of the specialised cells of the immune system to attack the tumour cells.
Co-administration of the strong CYP1A2 inhibitor fluvoxamine with pomalidomide in the presence of ketoconazole, increased mean exposure to pomalidomide by 107% with a 90% confidence interval[91% to 124%] compared to pomalidomide plus ketoconazole.
The efficacy and safety of pomalidomide in combination with dexamethasone were evaluated in a Phase III multi-centre, randomised, open-label study(CC-4047-MM-003), where pomalidomide plus low-dose dexamethasone therapy(Pom+LD-Dex) was compared to high-dose dexamethasone alone(HD-Dex) in previously treated adult patients with relapsed and refractory multiple myeloma, who have received at least two prior treatment regimens, including both lenalidomide and bortezomib, and have demonstrated disease progression on the last therapy.
