Examples of using Replagal in English and their translations into German
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Political
No IgE antibodieshave been detected in any patient receiving Replagal.
If you forget to have Replagal If you have missed a Replagal infusion, please contact your doctor.
No unexpected safety issues were encountered in the studies with Replagal in children 7-18 years of age.
Replagal has been compared with placebo(a dummy treatment) in two main studies involving a total of 40 male patients.
If you have advanced renal disease, you may find that your Replagal treatment has a limited effect on your kidneys.
Replagal is indicated for long-term enzyme replacement therapy in patients with a confirmed diagnosis of Fabry Disease α-galactosidase A deficiency.
About 1 out of 7 patients(frequency"very common")may have a reaction during or following an infusion of Replagal infusion related reaction.
Twelve to 18 months of treatment with Replagal resulted in improvement in quality of life(QoL), as measured by validated instruments.
The most commonly reported adverse reactions were infusion associated reactions,which occurred in 13.7% of adult patients treated with Replagal in clinical trials.
Replagal reduced left ventricle mass by an average of 11.5 g while patients receiving placebo had an increase in left ventricular mass of 21.8 g.
In clinical studies of children(7-18 years) who received Replagal 0.2 mg/kg every other week, no unexpected safety issues were encountered see section 5.1.
In subsequent studies, in male paediatric patients, a reduction in painwas observed after 9 and 12 months of Replagal therapy compared to pre-treatment baseline.
After 12 to 18 months of maintenance therapy, Replagal improved renal function as measured by inulin based glomerular filtration rate by 8.7± 3.7 ml/min. p=0.030.
In male paediatric patients≥ 7 years of age, heart rate variability was abnormal at baseline andimproved after 6 months of Replagal therapy in 15 boys and the improvement was sustained through.
In addition, in the first study involving 25 patients, Replagal effected a significant reduction in cardiac mass after 12 to 18 months of maintenance therapy p< 0.001.
Replagal was compared with a placebo(a dummy treatment) and its effect on pain was measured in one study and its effect on clearing Gb3 from the left ventricle(heart muscle) was studied in the other.
Care must betaken to ensure the sterility of the prepared solutions since Replagal does not contain any preservative or bacteriostatic agent; aseptic technique must be observed.
Mean clearance of Replagal in children aged(7-11 years), in adolescents(aged 12-18 years), and adults was 4.2 ml/ min/ kg, 3.1 ml/ min/ kg, and 2.3 ml/ min/ kg, respectively.
If you experience a severe allergic(anaphylactic-type) reaction, the administration of Replagal will be immediately discontinued and an appropriate treatment will have to be initiated by your doctor.
Use in Children Replagal has not yet been studied in children less than 6 years old and there is only limited clinical data in children 7-18 years old.
Care must betaken to ensure the sterility of the prepared solutions since Replagal does not contain any preservative or bacteriostatic agent; aseptic technique must be observed.
The company that makes Replagal will carry further studies with the medicine, looking in particular at the results of 5-year treatment, other dosages, maintenance dosages, and studies in children.
Table 1 lists adverse drug reactions(ADRs)reported for the 153 patients treated with Replagal in clinical trials, including 21 patients with history of endstage renal disease and 17 female patients.
Subsequent open label studies demonstrated significant reduction from baseline in left ventricular mass by echocardiography in both male andfemale Fabry patients over 24 to 36 months of Replagal treatment.
Pharmacodynamic data suggest that at a dose of 0.2 mg/ kg Replagal, the reductions in plasma Gb3 are more or less comparable between adolescents and young children see section 5.1.
Kidney biopsy specimens revealed a significant increase in the fraction of normalglomeruli and a significant decrease in the fraction of glomeruli with mesangial widening in patients treated with Replagal in contrast to the patients treated with placebo.
The safety and efficacy of Replagal was assessed in two randomised, double blind, placebo controlled studies and open label extension studies, in a total of forty patients with a diagnosis of Fabry Disease based on clinical and biochemical evidence.
The reductions in LV mass observed by echocardiography in both male andfemale Fabry patients over 24 to 36 months of Replagal treatment were associated with meaningful symptom improvement as measured using the NYHA and CCS in Fabry patients with severe heart failure or anginal symptoms at baseline.
The active substance in Replagal, agalsidase alfa, is a copy of the human enzyme, produced by a method known as‘recombinant DNA technology': it is made by cells that have received a gene(DNA), which makes them able to produce the enzyme.
Consistent with the clinical effects of Replagal, treatment with the enzyme reduced accumulation of Gb3 in many cell types, including renal glomerular and tubular epithelial cells, renal capillary endothelial cells(cardiac and dermal capillary endothelial cells were not examined) and cardiac myocytes.