{"id":94904,"date":"2025-04-07T20:08:50","date_gmt":"2025-04-07T20:08:50","guid":{"rendered":"https:\/\/www.mymsd.ch\/fr\/?post_type=product&#038;p=94904"},"modified":"2025-12-12T12:25:00","modified_gmt":"2025-12-12T12:25:00","slug":"tolerance","status":"publish","type":"product","link":"https:\/\/www.mymsd.ch\/fr\/products\/welireg\/ls004\/tolerance\/","title":{"rendered":"Tol\u00e9rance"},"content":{"rendered":"\n<h2 class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-7976461b452c387702695de0f3fc9d6c  mhh-mcn-v1-heading mhh-mcn-v1-heading--6362d805147c847d2572e262b6f7efc7\" style=\"color:#123a8a\">Effets ind\u00e9sirables li\u00e9s au traitement sous WELIREG\u00ae chez \u2265 10 % des patient(e)s dans l&rsquo;\u00e9tude LITESPARK-004<sup>1<\/sup><\/h2>\n\n\n\n<h3 class=\"wp-block-heading has-border-color has-has-red-border-color-border-color  mhh-mcn-v1-heading mhh-mcn-v1-heading--b7be0e0fdbc690460307e5b3abb6d72e\">Analyse de suivi \u00e0 49.9 (48.2 \u2013 58.1) mois<sup>1<\/sup><\/h3>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--88481d1ef6cc98a14c1556fb3fe3032a\">\n                    <img loading=\"lazy\" decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-99809\"\n        src=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/uploads\/sites\/30\/2025\/04\/F-WELIREG-LS004-Treatement-Related-AEs.jpg?quality=80&#038;lossy=1\"\n        width=\"1024\"\n        height=\"655\"\n                alt=\"Analyse de suivi \u00e0 49.9 (48.2 \u2013 58.1) mois - table\"\n            \/>\n            <\/figure>\n\n\n\n<p class=\"has-gray-700-color has-text-color has-link-color has-border-color has-has-red-border-color-border-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--298bb4b4b04d9317210ab4d911148f1e\"><em><mark class=\"has-inline-color has-black-color\">Adapt\u00e9 d\u2019apr\u00e8s Srinivasan R., et al., AACR 2024.<sup>1<\/sup><br>a. Les autres EI de grade 3 chez 1 patient(e) \u00e9taient: ampoules, hypoxie et infection des voies urinaires.<br>Aucun effet ind\u00e9sirable de grade 4 ou 5 n\u2019a \u00e9t\u00e9 observ\u00e9.<sup>1<\/sup><br>Dur\u00e9e m\u00e9diane de suivi entre la premi\u00e8re dose et la date butoir pour les donn\u00e9es (3 avril 2023) : 49.9 mois (intervalles: 48.2-58.1).<\/mark><\/em><\/p>\n\n\n\n<div style=\"height:80px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--35095cf8042dd71f2cd1e2639f8a13f1 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--9d868bac18358936d21b523ac257cec5 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-3 mhh-mcn-column--l-3\">\n    <\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--09a7d9038cc1b6be2f768a9e5d26121e mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--9d868bac18358936d21b523ac257cec5 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-3 mhh-mcn-column--l-3\">\n    <\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<div style=\"height:80px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"mhh-mcn-v1-accordion mhh-mcn-v1-accordion--cd6ba6306fa5fb45e84528be4a7fe84c mhh-mcn-v1-accordion--multiple\" data-configuration=\"{&quot;variation&quot;:&quot;multiple&quot;,&quot;speed&quot;:0,&quot;hasFirstItemExpanded&quot;:false}\"    dir=\"ltr\"    lang=\"en-US\">\n    \n\n<section\n    id=\"accordion-6a04d4768128a\"\n    class=\"mhh-mcn-v1-accordion-molecule mhh-mcn-v1-accordion-molecule--2e24cdd2a2406b8833cef4145feb9eae mhh-mcn-v1-accordion-molecule--closed\"\n            >\n    <h4\n        id=\"accordion-6a04d4768128a-header\"\n        class=\"mhh-mcn-v1-accordion-molecule-header\"\n    >\n        <button\n            class=\"mhh-mcn-v1-accordion-molecule-header__heading\"\n            aria-expanded=\"false\"\n            aria-controls=\"accordion-6a04d4768128a-content\"\n        >\n                        <span class=\"mhh-mcn-v1-accordion-molecule-header__title\">\n                Effets ind\u00e9sirables les plus fr\u00e9quents sous WELIREG\u00ae<sup>2<\/sup> (mise \u00e0 jour: mai 2024)            <\/span>\n            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon-dropdown\" aria-hidden=\"true\">\n                \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-dropdown-arrow mh-icon--dropdown-arrow\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/dropdown-arrow.svg#dropdown-arrow\"><\/use>\n<\/svg>\n            <\/span>\n        <\/button>\n    <\/h4>\n    <div\n        id=\"accordion-6a04d4768128a-content\"\n        class=\"mhh-mcn-v1-accordion-molecule-content\"\n        role=\"region\"\n        aria-labelledby=\"accordion-6a04d4768128a-header\"\n    >\n        <div class=\"mhh-mcn-v1-accordion-molecule-content__body\">\n            \n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--ba860e9f9f0556e3b21ba3f4e2d104bb mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--97217bf5fb2fa8dd2a6234b0e397fe5f mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--e4f0ac3e006a03103ebc7ce1d20b5152 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--52ada62668034e30ca10176b8e8aa899 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n<div class=\"mhh-mcn-columns mhh-mcn-columns--vertical-alignment-top mhh-mcn-v1-columns--2bf2d8c906c8517709fe59eeff4b0796 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--1fcec54093e94e8bf02f4d6fd977faaf mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n\n<h2 class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color  mhh-mcn-v1-heading mhh-mcn-v1-heading--d51d9a5962f21d0a3ec280b22f4a73e7\" style=\"color:#231f20\">Effets ind\u00e9sirables les plus fr\u00e9quents sous WELIREG\u00ae<sup>2<\/sup> (mise \u00e0 jour: mai 2024)<\/h2>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--ca9fe623c3e150c8085e0f866b6c0516\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-94905\"\n        src=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/uploads\/sites\/30\/2024\/04\/Graph-6-FR.png?quality=80&#038;lossy=1\"\n        width=\"1024\"\n        height=\"504\"\n        loading=\"lazy\"        alt=\"Effets ind\u00e9sirables les plus fr\u00e9quents sous WELIREG\u00ae2 (mise \u00e0 jour: mai 2024)\"\n            \/>\n            <\/figure>\n\n\n\n<p class=\"has-gray-700-color has-text-color has-link-color has-border-color has-has-red-border-color-border-color has-black-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--053f112813a413dc761b876311ece646\"><em><mark class=\"has-inline-color has-black-color\">Adapt\u00e9 d\u2019apr\u00e8s l\u2019information professionnelle de WELIREG\u00ae, mise \u00e0 jour: mai 2024.<sup>2<\/sup><\/mark><\/em><\/p>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b7b0e7fd5c37dbc86dc3f621366bd9c9\" style=\"color:#231f20\"><strong>L\u2019\u00e9valuation de la s\u00e9curit\u00e9 du WELIREG\u00ae est bas\u00e9e sur les donn\u00e9es de s\u00e9curit\u00e9 de 576 patient(e)s provenant de quatre \u00e9tudes cliniques (LS-001, LS-004, LS-005 et LS-013), qui incluaient \u00e9galement des patient(e)s atteint(e)s de tumeurs solides avanc\u00e9es, d\u2019un RCC associ\u00e9 \u00e0 la VHL et d\u2019un RCC avanc\u00e9.<sup>2<\/sup><\/strong><\/p>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--1497e262993165e4589255abb9ac9e02 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--55ab858856bd93625e91579a3a750c81 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n\n<p class=\"has-white-color has-text-color has-border-color has-has-red-border-color-border-color has-white-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--10766c9bae5fe7803565d6f0a65f7080\"><strong>Seulement 2.3% des patient(e)s ont arr\u00eat\u00e9 de mani\u00e8re permanente de prendre WELIREG\u00ae \u00e0 cause d\u2019EI li\u00e9s au traitement.<sup>2<\/sup><\/strong><\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--a59a1ecbd05316a1a55d31b0738230df mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--49c5ff3645944dde85fdadaffbf7407a mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<p class=\"has-white-color has-text-color has-border-color has-has-red-border-color-border-color has-white-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--f85f8c1450986a2ffb8d2f42d06adeef\">La dur\u00e9e m\u00e9diane d\u2019exposition au WELIREG\u00ae \u00e9tait de 13.5 mois (\u00e9tendue: de 0.1 \u00e0 55.4 mois).<sup>2<\/sup><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--88498e46f8dd7c9d3c55934fc147e8ef mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<p class=\"has-white-color has-text-color has-border-color has-has-red-border-color-border-color has-white-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--7bc12175f670723a6becd80b7e44a7df\">Des effets ind\u00e9sirables graves sont survenus chez 12.2% des patient(e)s trait\u00e9(e)s par WELIREG\u00ae et incluaient l\u2019hypoxie (7.1%), l\u2019an\u00e9mie (4.7%) et la dyspn\u00e9e (1.2%).<sup>2<\/sup><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--aa8b5ef319016069ed1e0986e47a5e26 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<p class=\"has-white-color has-text-color has-border-color has-has-red-border-color-border-color has-white-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--5bd9675c841b676b269f8ff6e29f83d9\">Chez environ 17.7% des patient(e)s, le traitement par WELIREG\u00ae a \u00e9t\u00e9 interrompu en raison des effets ind\u00e9sirables. Les effets ind\u00e9sirables ayant le plus fr\u00e9quemment entra\u00een\u00e9 une interruption du traitement par WELIREG\u00ae \u00e9taient l\u2019an\u00e9mie (7.1%), l\u2019hypoxie (5.4%), la fatigue\/l\u2019\u00e9puisement (2.6%) et les naus\u00e9es (2.4%).<sup>2<\/sup><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--7f6b17adce7be9b80e205fdf0739b494 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<p class=\"has-white-color has-text-color has-border-color has-has-red-border-color-border-color has-white-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--10eab0d086ab1b25585ca35688554dd6\">Chez environ 11.6% des patient(e)s, la dose de WELIREG\u00ae a \u00e9t\u00e9 r\u00e9duite en raison d\u2019effets ind\u00e9sirables. Les effets ind\u00e9sirables ayant le plus fr\u00e9quemment entra\u00een\u00e9 une r\u00e9duction de la dose de WELIREG\u00ae \u00e9taient l\u2019hypoxie (6.3%), l\u2019an\u00e9mie (3.8%) et la fatigue\/l\u2019\u00e9puisement (1.7%).<sup>2<\/sup><\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n        <\/div>\n    <\/div>\n<\/section>\n\n<\/div>\n\n\n\n<div style=\"height:80px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--35095cf8042dd71f2cd1e2639f8a13f1 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--9d868bac18358936d21b523ac257cec5 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-3 mhh-mcn-column--l-3\">\n    <\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--09a7d9038cc1b6be2f768a9e5d26121e mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--9d868bac18358936d21b523ac257cec5 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-3 mhh-mcn-column--l-3\">\n    <\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<div style=\"height:80px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color  mhh-mcn-v1-heading mhh-mcn-v1-heading--d0e36fa6bd623b2756fbffb55bf03f91\" style=\"color:#123a8a\">Mises en garde et pr\u00e9cautions<sup>2<\/sup><\/h2>\n\n\n<div class=\"mhh-mcn-v1-accordion mhh-mcn-v1-accordion--a413fb3ea9deb92d5dcaa45663edcddf mhh-mcn-v1-accordion--multiple\" data-configuration=\"{&quot;variation&quot;:&quot;multiple&quot;,&quot;speed&quot;:0,&quot;hasFirstItemExpanded&quot;:false}\"    dir=\"ltr\"    lang=\"en-US\">\n    \n\n<section\n    id=\"accordion-6a04d476820be\"\n    class=\"mhh-mcn-v1-accordion-molecule mhh-mcn-v1-accordion-molecule--d7a365d161ad58c4d9cc39243b6f3cd3 mhh-mcn-v1-accordion-molecule--closed\"\n            >\n    <h4\n        id=\"accordion-6a04d476820be-header\"\n        class=\"mhh-mcn-v1-accordion-molecule-header\"\n    >\n        <button\n            class=\"mhh-mcn-v1-accordion-molecule-header__heading\"\n            aria-expanded=\"false\"\n            aria-controls=\"accordion-6a04d476820be-content\"\n        >\n                            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon\" aria-hidden=\"true\">\n                    <figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--403ca85d6bd587c86c2f9aa62fb680d8\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--thumbnail wp-image-99826\"\n        src=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/uploads\/sites\/30\/2025\/04\/Icon_Anemia.png?w=66&#038;h=67&#038;crop=1&#038;quality=80&#038;lossy=1\"\n        width=\"66\"\n        height=\"67\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n                <\/span>\n                        <span class=\"mhh-mcn-v1-accordion-molecule-header__title\">\n                An\u00e9mie            <\/span>\n            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon-dropdown\" aria-hidden=\"true\">\n                \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-dropdown-arrow mh-icon--dropdown-arrow\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/dropdown-arrow.svg#dropdown-arrow\"><\/use>\n<\/svg>\n            <\/span>\n        <\/button>\n    <\/h4>\n    <div\n        id=\"accordion-6a04d476820be-content\"\n        class=\"mhh-mcn-v1-accordion-molecule-content\"\n        role=\"region\"\n        aria-labelledby=\"accordion-6a04d476820be-header\"\n    >\n        <div class=\"mhh-mcn-v1-accordion-molecule-content__body\">\n            \n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--83b86042d3c3c5f0cf004519b3539f8c mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"en-US\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Dans les donn\u00e9es de s\u00e9curit\u00e9 group\u00e9es, une an\u00e9mie a \u00e9t\u00e9 observ\u00e9e chez 84.2% des patient(e)s, 28.8% d\u2019entre eux ayant pr\u00e9sent\u00e9 une an\u00e9mie de grade 3-4. Le d\u00e9lai d\u2019apparition m\u00e9dian d\u2019une an\u00e9mie, tous degr\u00e9s de s\u00e9v\u00e9rit\u00e9 confondus, \u00e9tait de 51.7 jours (intervalle: de 1 jour \u00e0 27.4 mois). L\u2019an\u00e9mie a entra\u00een\u00e9 l\u2019interruption du traitement \u00e0 l\u2019\u00e9tude chez 41 (7.1%) participant(e)s et une r\u00e9duction de la posologie chez 22 (3.8%) participant(e)s. L\u2019an\u00e9mie a caus\u00e9 l\u2019arr\u00eat d\u00e9finitif du traitement chez 2 (0.3) participant(e)s. Selon le rapport, 165 (34%) participant(e)s s\u2019\u00e9taient r\u00e9tabli(e)s de leur an\u00e9mie et 249 (51%) ne s\u2019\u00e9taient pas encore r\u00e9tabli(e)s.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Il convient de surveiller les \u00e9ventuels signes d\u2019an\u00e9mie chez les patient(e)s avant d\u2019instaurer le traitement par WELIREG\u00ae, puis r\u00e9guli\u00e8rement au cours du traitement, la surveillance devant \u00eatre plus fr\u00e9quente au cours des 6 premiers mois de traitement.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Chez les patient(e)s qui d\u00e9veloppent une an\u00e9mie de grade 3 (Hb &lt;8 g\/dl), il faut suspendre le traitement par WELIREG\u00ae et traiter les patient(e)s conform\u00e9ment \u00e0 la pratique m\u00e9dicale courante. En cas d\u2019an\u00e9mie r\u00e9currente de grade 3, il faut arr\u00eater le traitement par WELIREG\u00ae. Chez les patient(e)s qui d\u00e9veloppent une an\u00e9mie de grade 4, il faut diminuer la dose de WELIREG\u00ae ou arr\u00eater d\u00e9finitivement le m\u00e9dicament.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    L\u2019administration d\u2019agents stimulant l\u2019\u00e9rythropo\u00ef\u00e8se (ASE) pour le traitement d\u2019une an\u00e9mie n\u2019est pas recommand\u00e9e chez les patient(e)s trait\u00e9(e)s par WELIREG\u00ae.    <\/li>\n\n<\/ul>\n\n        <\/div>\n    <\/div>\n<\/section>\n\n\n\n<section\n    id=\"accordion-6a04d47682929\"\n    class=\"mhh-mcn-v1-accordion-molecule mhh-mcn-v1-accordion-molecule--1802130133fbda25d8f878fac51b5a80 mhh-mcn-v1-accordion-molecule--closed\"\n            >\n    <h4\n        id=\"accordion-6a04d47682929-header\"\n        class=\"mhh-mcn-v1-accordion-molecule-header\"\n    >\n        <button\n            class=\"mhh-mcn-v1-accordion-molecule-header__heading\"\n            aria-expanded=\"false\"\n            aria-controls=\"accordion-6a04d47682929-content\"\n        >\n                            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon\" aria-hidden=\"true\">\n                    <figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--5adf94e72fc05858cd4a6feb7265711b\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--thumbnail wp-image-99830\"\n        src=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/uploads\/sites\/30\/2025\/04\/Icon_Hypoxia.png?w=67&#038;h=67&#038;crop=1&#038;quality=80&#038;lossy=1\"\n        width=\"67\"\n        height=\"67\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n                <\/span>\n                        <span class=\"mhh-mcn-v1-accordion-molecule-header__title\">\n                Hypoxie            <\/span>\n            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon-dropdown\" aria-hidden=\"true\">\n                \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-dropdown-arrow mh-icon--dropdown-arrow\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/dropdown-arrow.svg#dropdown-arrow\"><\/use>\n<\/svg>\n            <\/span>\n        <\/button>\n    <\/h4>\n    <div\n        id=\"accordion-6a04d47682929-content\"\n        class=\"mhh-mcn-v1-accordion-molecule-content\"\n        role=\"region\"\n        aria-labelledby=\"accordion-6a04d47682929-header\"\n    >\n        <div class=\"mhh-mcn-v1-accordion-molecule-content__body\">\n            \n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--c5544b42d026de32707dda08f2a092e3 mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"en-US\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Dans les donn\u00e9es de s\u00e9curit\u00e9 group\u00e9es, une hypoxie a \u00e9t\u00e9 observ\u00e9e chez 94 (16.3%) patient(e)s, 70 (12.2%) d\u2019entre eux ayant pr\u00e9sent\u00e9 une hypoxie de grade 3-4. L\u2019hypoxie a entra\u00een\u00e9 l\u2019interruption du traitement \u00e0 l\u2019\u00e9tude chez 31 (5.4%) participant(e)s, une r\u00e9duction de la posologie chez 36 (6.3%) participant(e)s et un arr\u00eat d\u00e9finitif du traitement chez 8 (1.4%) participant(e)s.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Il convient de surveiller le taux de saturation en oxyg\u00e8ne par oxym\u00e9trie de pouls avant d\u2019instaurer le traitement par WELIREG\u00ae, puis r\u00e9guli\u00e8rement au cours du traitement, la surveillance devant \u00eatre plus fr\u00e9quente au cours des 6 premiers mois de traitement. Au vu du risque d\u2019hypoxie, il est recommand\u00e9 aux patient(e)s d\u2019arr\u00eater de fumer.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    En cas d\u2019hypoxie de grade 2, il faut administrer une oxyg\u00e9noth\u00e9rapie compl\u00e9mentaire et envisager de poursuivre ou de suspendre le traitement. Si le traitement par WELIREG\u00ae est suspendu, il convient de le reprendre en r\u00e9duisant la dose. Chez les patient(e)s pr\u00e9sentant une hypoxie de grade 3, il faut suspendre le traitement par WELIREG\u00ae, traiter l\u2019hypoxie et envisager une r\u00e9duction de la dose. Si l\u2019hypoxie de grade 3 r\u00e9appara\u00eet, il faut arr\u00eater le traitement. En cas d\u2019hypoxie de grade 4, il faut arr\u00eater d\u00e9finitivement le traitement.    <\/li>\n\n<\/ul>\n\n        <\/div>\n    <\/div>\n<\/section>\n\n\n\n<section\n    id=\"accordion-6a04d47682f61\"\n    class=\"mhh-mcn-v1-accordion-molecule mhh-mcn-v1-accordion-molecule--3f664d5ec497ebfe97006a9a141932ab mhh-mcn-v1-accordion-molecule--closed\"\n            >\n    <h4\n        id=\"accordion-6a04d47682f61-header\"\n        class=\"mhh-mcn-v1-accordion-molecule-header\"\n    >\n        <button\n            class=\"mhh-mcn-v1-accordion-molecule-header__heading\"\n            aria-expanded=\"false\"\n            aria-controls=\"accordion-6a04d47682f61-content\"\n        >\n                            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon\" aria-hidden=\"true\">\n                    <figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--6485d8cdc3385a766f891b4a2c22e35e\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--thumbnail wp-image-99834\"\n        src=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/uploads\/sites\/30\/2025\/04\/Icon_Side-effect.png?w=66&#038;h=67&#038;crop=1&#038;quality=80&#038;lossy=1\"\n        width=\"66\"\n        height=\"67\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n                <\/span>\n                        <span class=\"mhh-mcn-v1-accordion-molecule-header__title\">\n                Effets ind\u00e9sirables            <\/span>\n            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon-dropdown\" aria-hidden=\"true\">\n                \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-dropdown-arrow mh-icon--dropdown-arrow\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/dropdown-arrow.svg#dropdown-arrow\"><\/use>\n<\/svg>\n            <\/span>\n        <\/button>\n    <\/h4>\n    <div\n        id=\"accordion-6a04d47682f61-content\"\n        class=\"mhh-mcn-v1-accordion-molecule-content\"\n        role=\"region\"\n        aria-labelledby=\"accordion-6a04d47682f61-header\"\n    >\n        <div class=\"mhh-mcn-v1-accordion-molecule-content__body\">\n            \n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--512aa2e5635dcf70cdc0dc3b1125f803 mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"en-US\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    L\u2019\u00e9valuation de la s\u00e9curit\u00e9 du WELIREG\u00ae se fonde sur les donn\u00e9es de s\u00e9curit\u00e9 group\u00e9es de 576 patient(e)s de quatre \u00e9tudes cliniques, l\u2019\u00e9tude 001 (58 patient[e]s), l\u2019\u00e9tude 004 (61 patient[e]s), l\u2019\u00e9tude 005 (381 patient[e]s dont des patient[e]s japonais[es]) et l\u2019\u00e9tude 013 (76 patient[e]s), r\u00e9alis\u00e9es avec la dose recommand\u00e9e de 120 mg de WELIREG\u00ae une fois par jour chez des patient(e)s pr\u00e9sentant des tumeurs solides \u00e0 un stade avanc\u00e9, des CCR associ\u00e9s \u00e0 la maladie de VHL ainsi que des CCR \u00e0 un stade avanc\u00e9. La dur\u00e9e m\u00e9diane d\u2019exposition au WELIREG\u00ae \u00e9tait de 13.5 mois (\u00e9tendue: de 0.1 \u00e0 55.4 mois). Les effets ind\u00e9sirables les plus fr\u00e9quents sous traitement par WELIREG\u00ae \u00e9taient l\u2019an\u00e9mie (83.2%), la fatigue\/l\u2019\u00e9puisement (42.7%), les naus\u00e9es (24.1%), la dyspn\u00e9e (21.4%), la sensation vertigineuse (17.9%) et l\u2019hypoxie (16.3%).    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Les effets ind\u00e9sirables de grade 3 ou 4 les plus fr\u00e9quents \u00e9taient l\u2019an\u00e9mie (28.8%) et l\u2019hypoxie (12.2%). Des effets ind\u00e9sirables graves sont survenus chez 12.2% des patient(e)s trait\u00e9(e)s par WELIREG\u00ae et incluaient l\u2019hypoxie (7.1%), l\u2019an\u00e9mie (4.7%) et la dyspn\u00e9e (1.2%). Chez environ 17.7% des patient(e)s, le traitement par WELIREG\u00ae a \u00e9t\u00e9 interrompu en raison des effets ind\u00e9sirables. Les effets ind\u00e9sirables ayant le plus fr\u00e9quemment entra\u00een\u00e9 une interruption du traitement par WELIREG\u00ae \u00e9taient l\u2019an\u00e9mie (7.1%), l\u2019hypoxie (5.4%), la fatigue\/l\u2019\u00e9puisement (2.6%) et les naus\u00e9es (2.4%). Chez environ 11.6% des patient(e)s, la dose du WELIREG\u00ae a \u00e9t\u00e9 r\u00e9duite en raison d\u2019effets ind\u00e9sirables. Les effets ind\u00e9sirables ayant le plus fr\u00e9quemment entra\u00een\u00e9 une r\u00e9duction de la dose de WELIREG\u00ae \u00e9taient l\u2019hypoxie (6.3%), l\u2019an\u00e9mie (3.8%) et la fatigue\/l\u2019\u00e9puisement (1.7%). Chez environ 2.3% des patient(e)s, le traitement par WELIREG\u00ae a \u00e9t\u00e9 arr\u00eat\u00e9 en raison d\u2019effets ind\u00e9sirables. L\u2019effet ind\u00e9sirable ayant le plus fr\u00e9quemment entra\u00een\u00e9 un arr\u00eat du WELIREG\u00ae \u00e9tait l\u2019hypoxie (1.4%).    <\/li>\n\n<\/ul>\n\n        <\/div>\n    <\/div>\n<\/section>\n\n\n\n<section\n    id=\"accordion-6a04d476836e3\"\n    class=\"mhh-mcn-v1-accordion-molecule mhh-mcn-v1-accordion-molecule--f3a058abde5b431d574f615cf9b777e4 mhh-mcn-v1-accordion-molecule--closed\"\n            >\n    <h4\n        id=\"accordion-6a04d476836e3-header\"\n        class=\"mhh-mcn-v1-accordion-molecule-header\"\n    >\n        <button\n            class=\"mhh-mcn-v1-accordion-molecule-header__heading\"\n            aria-expanded=\"false\"\n            aria-controls=\"accordion-6a04d476836e3-content\"\n        >\n                            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon\" aria-hidden=\"true\">\n                    <figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--daa20b083d9ea328c5dcac5d54f77bdf\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--thumbnail wp-image-99827\"\n        src=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/uploads\/sites\/30\/2025\/04\/Icon_Drugs-interaction.png?w=66&#038;h=67&#038;crop=1&#038;quality=80&#038;lossy=1\"\n        width=\"66\"\n        height=\"67\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n                <\/span>\n                        <span class=\"mhh-mcn-v1-accordion-molecule-header__title\">\n                Interactions            <\/span>\n            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon-dropdown\" aria-hidden=\"true\">\n                \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-dropdown-arrow mh-icon--dropdown-arrow\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/dropdown-arrow.svg#dropdown-arrow\"><\/use>\n<\/svg>\n            <\/span>\n        <\/button>\n    <\/h4>\n    <div\n        id=\"accordion-6a04d476836e3-content\"\n        class=\"mhh-mcn-v1-accordion-molecule-content\"\n        role=\"region\"\n        aria-labelledby=\"accordion-6a04d476836e3-header\"\n    >\n        <div class=\"mhh-mcn-v1-accordion-molecule-content__body\">\n            \n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--ba10b154e137b7ef4126a570b0a06f47 mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"en-US\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Dans une \u00e9tude clinique, l\u2019administration r\u00e9p\u00e9t\u00e9e de WELIREG\u00ae, \u00e0 une dose de 120 mg une fois par jour, a entra\u00een\u00e9 une diminution de l\u2019ASC du midazolam de 40%, un effet qui est compatible avec un inducteur faible du CYP3A4. D\u2019apr\u00e8s la mod\u00e9lisation PBPK, WELIREG\u00ae peut pr\u00e9senter une induction mod\u00e9r\u00e9e du CYP3A4 chez les patient(e)s soumis(es) \u00e0 une exposition plasmatique plus forte au WELIREG\u00ae.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    L\u2019administration concomitante de WELIREG\u00ae et de substrats du CYP3A4, y compris les contraceptifs hormonaux, diminue les concentrations en substrats du CYP3A4 et peut donc diminuer l\u2019efficacit\u00e9 de ces substrats.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    \u00c9vitez l\u2019administration concomitante de WELIREG\u00ae et de substrats sensibles du CYP3A4 pour lesquels une faible r\u00e9duction de la concentration peut entra\u00eener l\u2019\u00e9chec du traitement par ce substrat. S\u2019il n\u2019est pas possible d\u2019\u00e9viter l\u2019administration concomitante, augmentez la dose du substrat sensible du CYP3A4 conform\u00e9ment \u00e0 l\u2019information professionnelle correspondante.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    L\u2019administration concomitante de WELIREG\u00ae et de contraceptifs hormonaux peut entra\u00eener l\u2019\u00e9chec de la contraception ou une augmentation des m\u00e9trorragies.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    <strong>Effet d\u2019autres m\u00e9dicaments sur WELIREG\u00ae<\/strong><br>L\u2019administration concomitante de WELIREG\u00ae et d\u2019inhibiteurs de l\u2019UGT2B17 ou du CYP2C19 entra\u00eene une augmentation de l\u2019exposition plasmatique au WELIREG\u00ae qui est susceptible d\u2019augmenter l\u2019incidence et le degr\u00e9 de s\u00e9v\u00e9rit\u00e9 des effets ind\u00e9sirables du WELIREG\u00ae. Il convient de surveiller les \u00e9ventuels signes d\u2019an\u00e9mie et d\u2019hypoxie et de r\u00e9duire la dose de WELIREG\u00ae conform\u00e9ment aux recommandations.    <\/li>\n\n<\/ul>\n\n        <\/div>\n    <\/div>\n<\/section>\n\n\n\n<section\n    id=\"accordion-6a04d47683dd2\"\n    class=\"mhh-mcn-v1-accordion-molecule mhh-mcn-v1-accordion-molecule--605348834df7c2a9f8d679f0ba2b2f1d mhh-mcn-v1-accordion-molecule--closed\"\n            >\n    <h4\n        id=\"accordion-6a04d47683dd2-header\"\n        class=\"mhh-mcn-v1-accordion-molecule-header\"\n    >\n        <button\n            class=\"mhh-mcn-v1-accordion-molecule-header__heading\"\n            aria-expanded=\"false\"\n            aria-controls=\"accordion-6a04d47683dd2-content\"\n        >\n                            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon\" aria-hidden=\"true\">\n                    <figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--63cce6ca8beacb9d391307d0ccf62f4d\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--thumbnail wp-image-99828\"\n        src=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/uploads\/sites\/30\/2025\/04\/Icon_Female-and-male.png?w=66&#038;h=67&#038;crop=1&#038;quality=80&#038;lossy=1\"\n        width=\"66\"\n        height=\"67\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n                <\/span>\n                        <span class=\"mhh-mcn-v1-accordion-molecule-header__title\">\n                Toxicit\u00e9sur la reproduction            <\/span>\n            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon-dropdown\" aria-hidden=\"true\">\n                \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-dropdown-arrow mh-icon--dropdown-arrow\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/dropdown-arrow.svg#dropdown-arrow\"><\/use>\n<\/svg>\n            <\/span>\n        <\/button>\n    <\/h4>\n    <div\n        id=\"accordion-6a04d47683dd2-content\"\n        class=\"mhh-mcn-v1-accordion-molecule-content\"\n        role=\"region\"\n        aria-labelledby=\"accordion-6a04d47683dd2-header\"\n    >\n        <div class=\"mhh-mcn-v1-accordion-molecule-content__body\">\n            \n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--151027484336f771fb9c2e54c3a82ed9 mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"en-US\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Les r\u00e9sultats des \u00e9tudes exp\u00e9rimentales chez l\u2019animal indiquent que WELIREG\u00ae peut alt\u00e9rer la fertilit\u00e9 des hommes et des femmes en \u00e2ge de procr\u00e9er. Les patientes et patients doivent \u00eatre inform\u00e9s de ce risque. On ignore si les effets sur la fertilit\u00e9 sont r\u00e9versibles. Le cas \u00e9ch\u00e9ant, il convient de discuter de la planification familiale avec la patiente ou le patient.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    <strong>Femmes<\/strong><br>Il faut conseiller aux femmes en \u00e2ge de procr\u00e9er d\u2019utiliser une m\u00e9thode de contraception hautement efficace pendant le traitement par WELIREG\u00ae et au moins une semaine apr\u00e8s la derni\u00e8re dose. Le traitement par WELIREG\u00ae peut diminuer l\u2019efficacit\u00e9 des contraceptifs hormonaux. Il faut recommander aux patientes sous contraceptif hormonal une autre m\u00e9thode de contraception non hormonale ou les inciter \u00e0 demander \u00e0 leurs partenaires masculins d\u2019utiliser un pr\u00e9servatif pendant la dur\u00e9e du traitement par WELIREG\u00ae.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    <strong>Hommes<\/strong><br>Il faut recommander aux patients de sexe masculin et \u00e0 leurs partenaires f\u00e9minines en \u00e2ge de procr\u00e9er d\u2019utiliser une m\u00e9thode de contraception hautement efficace pendant le traitement du patient par WELIREG\u00ae et au moins une semaine apr\u00e8s la derni\u00e8re dose. Il faut conseiller aux patients de sexe masculin dont la partenaire est enceinte d\u2019utiliser une m\u00e9thode contraceptive de type barri\u00e8re pendant le traitement par WELIREG\u00ae et une semaine apr\u00e8s la derni\u00e8re dose.    <\/li>\n\n<\/ul>\n\n        <\/div>\n    <\/div>\n<\/section>\n\n\n\n<section\n    id=\"accordion-6a04d47684361\"\n    class=\"mhh-mcn-v1-accordion-molecule mhh-mcn-v1-accordion-molecule--34bf27f0316514ea55f266036329e3b0 mhh-mcn-v1-accordion-molecule--closed\"\n            >\n    <h4\n        id=\"accordion-6a04d47684361-header\"\n        class=\"mhh-mcn-v1-accordion-molecule-header\"\n    >\n        <button\n            class=\"mhh-mcn-v1-accordion-molecule-header__heading\"\n            aria-expanded=\"false\"\n            aria-controls=\"accordion-6a04d47684361-content\"\n        >\n                            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon\" aria-hidden=\"true\">\n                    <figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--fef9860c618583e12cf8a26b6c5b2e2c\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--thumbnail wp-image-99829\"\n        src=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/uploads\/sites\/30\/2025\/04\/Icon_Fetus.png?w=66&#038;h=67&#038;crop=1&#038;quality=80&#038;lossy=1\"\n        width=\"66\"\n        height=\"67\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n                <\/span>\n                        <span class=\"mhh-mcn-v1-accordion-molecule-header__title\">\n                Grossesse            <\/span>\n            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon-dropdown\" aria-hidden=\"true\">\n                \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-dropdown-arrow mh-icon--dropdown-arrow\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/dropdown-arrow.svg#dropdown-arrow\"><\/use>\n<\/svg>\n            <\/span>\n        <\/button>\n    <\/h4>\n    <div\n        id=\"accordion-6a04d47684361-content\"\n        class=\"mhh-mcn-v1-accordion-molecule-content\"\n        role=\"region\"\n        aria-labelledby=\"accordion-6a04d47684361-header\"\n    >\n        <div class=\"mhh-mcn-v1-accordion-molecule-content__body\">\n            \n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--0ebd4dea49ad00f14f6cefe21408120a mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"en-US\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Il n\u2019existe pas de donn\u00e9es sur l\u2019utilisation du WELIREG\u00ae chez la femme enceinte. Les \u00e9tudes exp\u00e9rimentales chez l\u2019animal ont r\u00e9v\u00e9l\u00e9 une toxicit\u00e9 sur la reproduction. WELIREG\u00ae ne doit pas \u00eatre administr\u00e9 pendant la grossesse ni chez les femmes en \u00e2ge de procr\u00e9er qui n\u2019utilisent pas de contraceptif.    <\/li>\n\n<\/ul>\n\n        <\/div>\n    <\/div>\n<\/section>\n\n\n\n<section\n    id=\"accordion-6a04d476848d9\"\n    class=\"mhh-mcn-v1-accordion-molecule mhh-mcn-v1-accordion-molecule--d49f2b8a16d279cc2ed1a3eefa2f0625 mhh-mcn-v1-accordion-molecule--closed\"\n            >\n    <h4\n        id=\"accordion-6a04d476848d9-header\"\n        class=\"mhh-mcn-v1-accordion-molecule-header\"\n    >\n        <button\n            class=\"mhh-mcn-v1-accordion-molecule-header__heading\"\n            aria-expanded=\"false\"\n            aria-controls=\"accordion-6a04d476848d9-content\"\n        >\n                            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon\" aria-hidden=\"true\">\n                    <figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--c395d145a7c2309a98d292a3d65351c6\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--thumbnail wp-image-99831\"\n        src=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/uploads\/sites\/30\/2025\/04\/Icon_Lactation.png?w=66&#038;h=67&#038;crop=1&#038;quality=80&#038;lossy=1\"\n        width=\"66\"\n        height=\"67\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n                <\/span>\n                        <span class=\"mhh-mcn-v1-accordion-molecule-header__title\">\n                Allaitement            <\/span>\n            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon-dropdown\" aria-hidden=\"true\">\n                \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-dropdown-arrow mh-icon--dropdown-arrow\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/www.mymsd.ch\/fr\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/dropdown-arrow.svg#dropdown-arrow\"><\/use>\n<\/svg>\n            <\/span>\n        <\/button>\n    <\/h4>\n    <div\n        id=\"accordion-6a04d476848d9-content\"\n        class=\"mhh-mcn-v1-accordion-molecule-content\"\n        role=\"region\"\n        aria-labelledby=\"accordion-6a04d476848d9-header\"\n    >\n        <div class=\"mhh-mcn-v1-accordion-molecule-content__body\">\n            \n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--3f82036d234de384851cd769ab30050e mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"en-US\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    On ignore si WELIREG\u00ae ou ses m\u00e9tabolites sont excr\u00e9t\u00e9s dans le lait maternel. Il n\u2019est pas possible d\u2019exclure un risque pour le nouveau-n\u00e9 ou le nourrisson. Il convient d\u2019interrompre l\u2019allaitement pendant le traitement par WELIREG\u00ae et pendant une semaine apr\u00e8s la derni\u00e8re dose.    <\/li>\n\n<\/ul>\n\n        <\/div>\n    <\/div>\n<\/section>\n\n<\/div>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n<div class=\"mhh-mcn-v1-links mhh-mcn-v1-links--1df10307e1925828dedd9c606ec15f4d\">\n    <a class=\"mhh-mcn-v1-link mhh-mcn-v1-link--875692e5cbece2659e5d362f80170231\" href=\"mailto:%20dpoc.switzerland@msd.com\" target=\"_self\" aria-label=\"Des exemplaires des publications de l&#039;\u00e9tude peuvent \u00eatre demand\u00e9s \u00e0 dpoc.switzerland@msd.com si n\u00e9cessaire.\">\n                    <span class=\"mhh-mcn-v1-link__label\">Des exemplaires des publications de l&rsquo;\u00e9tude peuvent \u00eatre demand\u00e9s \u00e0 dpoc.switzerland@msd.com si n\u00e9cessaire.<\/span>\n                <\/a><\/div>\n\n\n\n<div style=\"height:32px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--f7b5302c6e98fae81df15fe8381393e3 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--5bebd69e35205e5eaa44be5839100ce5 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n\n<h5 class=\"wp-block-heading has-border-color has-has-red-border-color-border-color  mhh-mcn-v1-heading mhh-mcn-v1-heading--ba1f494f3d167c074f91f8fc548480c7\"><em><strong><mark class=\"has-inline-color has-black-color\">Plan de l\u2019\u00e9tude LITESPARK-004<sup>3<\/sup><\/mark><\/strong><\/em><\/h5>\n\n\n\n<p class=\"has-gray-700-color has-text-color has-object-object-font-size has-border-color has-has-red-border-color-border-color has-black-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--dbcd36e0f9b5da50bd87f4a9d683e508\"><em><mark class=\"has-inline-color has-black-color\">L\u2019\u00e9tude ouverte de phase II comprenait 61 adultes de 18 ans et plus ayant re\u00e7u un diagnostic de maladie de VHL provenant d\u2019une mutation germinale du g\u00e8ne VHL. Les patientes et patients devaient pr\u00e9senter au moins un carcinome \u00e0 cellules r\u00e9nales mesurable, mais pas sup\u00e9rieur \u00e0 3 cm, et aucune autre n\u00e9oplasie li\u00e9e \u00e0 la maladie de VHL qui aurait n\u00e9cessit\u00e9 une op\u00e9ration imm\u00e9diate. Les patient(e)s inclu(e)s pr\u00e9sentaient d\u2019autres tumeurs associ\u00e9es \u00e0 la maladie de VHL document\u00e9es par radiologie, telles que des h\u00e9mangioblastomes du SNC et des TNEp. Le traitement \u00e9tait administr\u00e9 par voie orale \u00e0 la dose de 120 mg une fois par jour (trois comprim\u00e9s de 40 mg chacun). Les patient(e)s ont subi un examen radiologique env. 12 semaines apr\u00e8s le d\u00e9but du traitement, puis toutes les 12 semaines pendant le traitement \u00e0 l\u2019\u00e9tude d\u2019au moins 3 ans. Le principal crit\u00e8re d\u2019\u00e9valuation \u00e9tait le taux de r\u00e9ponse objective au traitement par belzutifan (r\u00e9ponse compl\u00e8te ou r\u00e9ponse partielle) d\u2019apr\u00e8s les crit\u00e8res RECIST, version 1.1, chez les patient(e)s pr\u00e9sentant un carcinome \u00e0 cellules r\u00e9nales associ\u00e9 \u00e0 la maladie de VHL. Les crit\u00e8res d\u2019\u00e9valuation secondaires comprenaient la dur\u00e9e de r\u00e9ponse, le d\u00e9lai de r\u00e9ponse et la survie sans progression, et des crit\u00e8res d\u2019\u00e9valuation suppl\u00e9mentaires pour les l\u00e9sions pancr\u00e9atiques, les h\u00e9mangioblastomes du SNC et les TNEp, ainsi que la s\u00e9curit\u00e9 du belzutifan.<sup>3<\/sup><\/mark><\/em><\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--e068118b379b37feb4b9e57bcdbd3229 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--8e76e25f985ae70149cde7e5043a2e35 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n\n<h5 class=\"wp-block-heading has-border-color has-has-red-border-color-border-color  mhh-mcn-v1-heading mhh-mcn-v1-heading--fa395fb17d9535d2044ae0ed37b63b3f\"><em><mark class=\"has-inline-color has-black-color\"><strong>Abr\u00e9viations<\/strong>:<\/mark><\/em><\/h5>\n\n\n\n<p class=\"has-gray-700-color has-text-color has-object-object-font-size has-border-color has-has-red-border-color-border-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--43d3536e4395fc144fbacc4a365c843f\"><em><mark class=\"has-inline-color has-black-color\"><strong>CCR<\/strong>: carcinome a cellules renales; <strong>EI<\/strong>: effet ind\u00e9sirable; <strong>VHL<\/strong>: Von-Hippel-Lindau.<\/mark><\/em><\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--5c1df0fa1ea4aba03bc99ddbe18d7750 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--dd1675e0d841eaf4eacac92230c5cfe2 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n\n<h5 class=\"wp-block-heading has-border-color has-has-red-border-color-border-color  mhh-mcn-v1-heading mhh-mcn-v1-heading--39305477333db91b193ce9169c86965c\"><em><mark class=\"has-inline-color has-black-color\"><strong>R\u00e9f\u00e9rences:<\/strong> <\/mark><\/em><\/h5>\n\n\n\n<ol class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--51e21668856e4f84d4e0ba94514d7cdc mhh-mcn-list mhh-mcn-v2-clist--ordered mhh-mcn-v2-clist--ordered-decimal\" dir=\"ltr\" lang=\"en-US\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    <em>Srinivasan R, et al. Belzutifan, a Hypoxia-Inducible Factor-2\u03b1 Inhibitor, for von Hippel-Lindau Disease\u2013Associated Neoplasms: Long-Term Results of the Phase 2 LITESPARK-004 Study. Presented at the American Association for Cancer Research (AACR) Annual Meeting; San Diego, California; April 5 \u2013 10, 2024.<\/em>    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    <em>Information professionnelle de WELIREG\u00ae (Belzutifan)<mark class=\"has-inline-color has-gray-700-color\"><mark class=\"has-inline-color has-gray-700-color\">,\u00a0<a href=\"https:\/\/www.swissmedicinfo.ch\/ShowText.aspx?textType=FI&amp;lang=FR&amp;authNr=68531\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">www.swissmedicinfo.ch<\/a><\/mark><\/mark>, derni\u00e8re consultation le 07.03.2025.<\/em>    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    <em>Jonasch E, et al. Belzutifan for Renal Cell Carcinoma in von Hippel-Lindau Disease. N Engl J Med. 2021;385:2036\u2009\u2013\u20092046. DOI: 10.1056\/NEJMoa2103425.<\/em>    <\/li>\n\n<\/ol>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<p class=\"has-object-object-font-size has-border-color has-has-red-border-color-border-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--d9b462c49f638fdbb9c03089c0264432\"><mark class=\"has-inline-color has-black-color\">\u25bc <em>Ce m\u00e9dicament fait l&rsquo;objet d&rsquo;une surveillance suppl\u00e9mentaire. Pour plus d\u2019informations, se r\u00e9f\u00e9rer \u00e0 l\u2019information professionnelle de WELIREG\u00ae disponible sous <a href=\"https:\/\/www.swissmedicinfo.ch\/ShowText.aspx?textType=FI&amp;lang=FR&amp;authNr=68531\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">www.swissmedicinfo.ch<\/a>.<\/em><br><\/mark><br><em><mark class=\"has-inline-color has-black-color\">Avant la prescription, veuillez consulter l\u2019information professionnelle compl\u00e8te publi\u00e9e sur\u00a0<a href=\"https:\/\/www.swissmedicinfo.ch\/ShowText.aspx?textType=FI&amp;lang=FR&amp;authNr=68531\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">www.swissmedicinfo.ch<\/a>.<\/mark><\/em><\/p>\n\n\n<div class=\"mhh-mcn-v1-links mhh-mcn-v1-links--a4b2e6dd9bc1e5063a3cb4413c58fb90\">\n    <a class=\"mhh-mcn-v1-link mhh-mcn-v1-link--9e8104a6f5eec9849dd3d04c4bebc2f7 mhh-mcn-v1-link--is-variation mhh-mcn-v1-link--button-custom\" href=\"https:\/\/www.swissmedicinfo-pro.ch\/showText.aspx?textType=FI&#038;lang=FR&#038;authNr=68531&#038;supportMultipleResults=1\" target=\"_blank\" rel=\"noopener noreferrer\" aria-label=\"Information professionnelle de WELIREG\u00ae\">\n                    <span class=\"mhh-mcn-v1-link__label\">Information professionnelle de WELIREG\u00ae<\/span>\n                <\/a><\/div>\n\n\n<div class=\"mhh-mcn-v1-links mhh-mcn-v1-links--3792025ea97d0a7c9ce392b8bb3d3780\">\n    <a class=\"mhh-mcn-v1-link mhh-mcn-v1-link--fab7de5fa295e2a7924fb0c35177fc95 mhh-mcn-v1-link--is-variation mhh-mcn-v1-link--button-custom\" href=\"https:\/\/www.mymsd.ch\/fr\/succinctstatement\/welireg\/\" target=\"_blank\" rel=\"noopener noreferrer\" aria-label=\"Information professionnelle abr\u00e9g\u00e9e de WELIREG\u00ae\">\n                    <span class=\"mhh-mcn-v1-link__label\">Information professionnelle abr\u00e9g\u00e9e de WELIREG\u00ae<\/span>\n                <\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Effets ind\u00e9sirables les plus fr\u00e9quents sous 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