Page last updated: 2024-11-06

pirfenidone

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Description

Pirfenidone is a small-molecule antifibrotic drug used to treat idiopathic pulmonary fibrosis (IPF), a progressive and fatal lung disease. It is a synthetic compound with a complex chemical structure. Its mechanism of action is not fully understood, but it is believed to inhibit the production of transforming growth factor-beta (TGF-β), a key cytokine involved in fibrosis. Pirfenidone has also been shown to possess antioxidant and anti-inflammatory properties, which may contribute to its therapeutic effects. Pirfenidone is studied for its potential to slow the progression of IPF and improve patient outcomes. It is the subject of ongoing research to better understand its mechanism of action, explore its efficacy in other fibrotic diseases, and optimize its therapeutic use. '

pirfenidone : A pyridone that is 2-pyridone substituted at positions 1 and 5 by phenyl and methyl groups respectively. An anti-inflammatory drug used for the treatment of idiopathic pulmonary fibrosis. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID40632
CHEMBL ID1256391
CHEBI ID32016
SCHEMBL ID4708
MeSH IDM0247347

Synonyms (134)

Synonym
5-methyl-1-phenylpyridin-2(1h)-one
AC-6797
pirfenidona [inn-spanish]
amr 69
5-methyl-1-phenyl-2(1h)-pyridone
brn 1526549
pirfenidonum [inn-latin]
5-methyl-1-phenyl-2-(1h)-pyridone
2(1h)-pyridinone, 5-methyl-1-phenyl-
2(1h)-pyridone, 5-methyl-1-phenyl-
pirfenidone [usan:inn]
HMS3267I06
BRD-K96862998-001-03-1
pirfenidone
esbriet
deskar
amr-69
pirespa
f-647
s-7701 ,
EU-0100907
pirfenidone, >=97% (hplc)
BIO1_000397
BIO1_001375
NCGC00024992-01
BIO1_000886
NCGC00015806-01
lopac-p-2116
tocris-1093
LOPAC0_000907
smr000326900
MLS000860042
53179-13-8
D01583
pirfenidone (jan/usan/inn)
esbriet (tn)
NCGC00024992-02
NCGC00024992-03
NCGC00015806-03
P 2116 ,
NCGC00015806-05
5-methyl-1-phenylpyridin-2-one
nsc748456
5-methyl-1-phenyl-2(1h)-pyridinone
HMS3262F16
AKOS006273697
5-methyl-1-phenyl-1h-pyridin-2-one
nsc-748456
chebi:32016 ,
CHEMBL1256391
5-methyl-1-phenyl-pyridin-2-one
A829431
5-methyl-1-phenyl-2-pyridinone
P1871
5-methyl-1-phenyl-2-pyridone
cas-53179-13-8
tox21_110225
dtxcid2025183
dtxsid4045183 ,
CCG-204989
HMS2234G24
NCGC00015806-04
NCGC00015806-02
nsc 748456
d7nld2jx7u ,
pirfenidonum
unii-d7nld2jx7u
hsdb 8340
pirfenidona
5-21-07-00197 (beilstein handbook reference)
FT-0602686
LP00907
AB07515
AM84939
S2907
HMS3372A08
pirfenidone [orange book]
pirfenidone [mart.]
pirfenidone [who-dd]
pirfenidone [vandf]
pirfenidone [usan]
pirfenidone [ema epar]
pirfenidone [ep monograph]
pirfenidone [mi]
pirfenidone [inn]
esbriet component pirfenidone
pirfenidone component of esbriet
pirfenidone [jan]
DB04951
HY-B0673
SCHEMBL4708
NCGC00015806-06
tox21_110225_1
KS-5041 ,
gtpl7532
NCGC00261592-01
tox21_500907
1-phenyl-5-methyl-2-pyridinone
tox21 110225
bdbm50005201
mfcd00866047
prfendone
J-523979
s-7701,amr-69
amr69
SR-01000076061-1
sr-01000076061
HMS3651P08
pirfenidone, european pharmacopoeia (ep) reference standard
pirfenidone(amr69)
SR-01000076061-3
SY034783
SW220156-1
BCP04473
FT-0672092
HMS3676G13
HMS3412G13
Q2060696
BRD-K96862998-001-09-8
SDCCGSBI-0050882.P002
NCGC00015806-17
5-methyl-n-phenyl-2-1h-pyridone [pirfenidone]
pirfenidone- bio-x
BM164275
5-methyl-1-phenyl-1,2-dihydropyridin-2-one
EN300-7366392
pirfenidone; 5-methyl-n-phenyl-2-1h-pyridone
5-methyl-n-phenyl-2-1h-pyridone-d5(pirfenidone-d5)
pirfenidone (ep monograph)
l04ax05
pirfenidone (mart.)
pirfenidona (inn-spanish)
pirfenidonum (latin)
pirfenidonum (inn-latin)

Research Excerpts

Overview

Pfenidone is a pyridinone derivative that has been shown to inhibit fibrosis in animal models and in patients with idiopathic pulmonary fibrosis. It is an antifibrotic agent used to treat patients with IPF.

ExcerptReferenceRelevance
"Pirfenidone is an oral antifibrotic agent approved for the treatment of idiopathic pulmonary fibrosis."( Pirfenidone as a novel cardiac protective treatment.
Aimo, A; Bayes-Genis, A; Emdin, M; Lupón, J; Panichella, G; Spitaleri, G, 2022
)
2.89
"Pirfenidone is a pyridinone derivative that has been shown to inhibit fibrosis in animal models and in patients with idiopathic pulmonary fibrosis. "( Effect of Pirfenidone on TGF-β1-Induced Myofibroblast Differentiation and Extracellular Matrix Homeostasis of Human Orbital Fibroblasts in Graves' Ophthalmopathy.
Hou, TY; Kau, HC; Tsai, CC; Wu, SB, 2021
)
2.47
"Pirfenidone is a small-molecule agent that demonstrated good antifibrotic effect and low toxicity in previous"( [Experimental investigation of the efficacy of pirfenidone in prevention of ostium cicatricial closure after dacryocystorhinostomy].
Astrakhantsev, AF; Atkova, EL; Fedorov, AA; Krakhovetskiy, NN; Rein, DA, 2021
)
1.6
"Pirfenidone is a first-line drug for the treatment of idiopathic pulmonary fibrosis. "( Pirfenidone 5-hydroxylation is mainly catalysed by CYP1A2 and partly catalysed by CYP2C19 and CYP2D6 in the human liver.
Fukami, T; Nakajima, M; Nakano, M; Sato, R; Zhang, Y, 2021
)
3.51
"Pirfenidone is a new molecule with anti-inflammatory and anti-fibrotic properties, used for the treatment of idiopathic ILD, but has never been assessed in IIM."( Pirfenidone mitigates TGF-β1-mediated fibrosis in an idiopathic inflammatory myositis-associated interstitial lung disease model.
Fares, N; Habr, B; Hajal, J; Layoun, H; Saliba, Y; Smayra, V, 2022
)
2.89
"Pirfenidone is a promising agent for the treatment of idiopathic pulmonary fibrosis and has recently proven to exert inhibitory effects on the inflammatory response."( Pirfenidone attenuates cardiac hypertrophy against isoproterenol by inhibiting activation of the janus tyrosine kinase-2/signal transducer and activator of transcription 3 (JAK-2/STAT3) signaling pathway.
Cao, Q; Chen, Z; Huang, X; Lai, H; Ouyang, X; Tao, Y; Wang, S; Wang, Y; Yang, L; Zhou, H, 2022
)
2.89
"Pirfenidone is an antifibrotic agent used to treat patients with IPF."( Role of transient receptor potential vanilloid 4 in therapeutic antifibrotic effects of pirfenidone.
Chiba, H; Kameda, M; Kobayashi, T; Kuronuma, K; Morioka, Y; Otsuka, M; Takahashi, H; Wakabayashi, M; Yoshioka, T, 2022
)
1.66
"Pirfenidone (PFN) is an anti-fibrotic drug with significant anti-inflammatory property used for treatment of fibrotic conditions such as idiopathic pulmonary fibrosis (IPF). "( Pirfenidone and post-Covid-19 pulmonary fibrosis: invoked again for realistic goals.
Al-Gareeb, AI; Al-Kuraishy, HM; Batiha, GE; Faidah, H; Saad, HM; Simal-Gandara, J, 2022
)
3.61
"Pirfenidone (PFD) is a non-peptide synthetic chemical that inhibits the production of transforming growth factor-beta 1 (TGF-β1), tumor necrosis factor-alpha (TNF-α), platelet-derived growth factor (PDGF), Interleukin 1 beta (IL-1β), and collagen 1 (COL1A1), all of which have been linked to the prevention or removal of excessive scar tissue deposition in many organs. "( Investigating the possible mechanisms of pirfenidone to be targeted as a promising anti-inflammatory, anti-fibrotic, anti-oxidant, anti-apoptotic, anti-tumor, and/or anti-SARS-CoV-2.
Al-Karmalawy, AA; Antar, SA; Saleh, MA, 2022
)
2.43
"Pirfenidone is a novel broad-spectrum anti-fibrosis agent used for treating various kinds of tissue fibrosis."( Pirfenidone attenuates nonalcoholic fatty liver disease through activation of the nuclear factor erythroid 2-related factor 2 (Nrf2) signaling pathway.
Chen, S; Li, F; Xie, R; Yang, L; Yu, B, 2023
)
3.07
"Pirfenidone is a drug that has been shown to reduce the decline in forced vital capacity (FVC)."( Diagnostic finding on high-resolution computed tomography (HRCT) predicts a good response to pirfenidone in patients with idiopathic pulmonary fibrosis.
Cai, H; Cao, M; Gao, Y; Jiang, H; Ma, M; Qiu, X, 2023
)
1.85
"Pirfenidone (PRF) is an anti-fibrotic agent that has been approved by the Food and Drug Administration (FDA) for the treatment of mild to moderate idiopathic pulmonary fibrosis. "( Characterization of Channeling Effects Applied to Extended-Release Matrix Tablets Containing Pirfenidone.
Han, KH; Jeong, SJ; Kang, JH; Kim, DW; Lee, HJ; Park, CW; Park, ES; Shin, DH; Yoo, JH; Yoo, SD, 2023
)
2.57
"Pirfenidone (PFD) is a new, broad-spectrum antifibrotic agent approved for the treatment of idiopathic pulmonary fibrosis."( Inhibition of TGF-β2-Induced Trabecular Meshwork Fibrosis by Pirfenidone.
Chen, Z; Wu, C; Yang, Y; Yu, M; Zeng, B; Zhu, X, 2023
)
1.87
"Pirfenidone (PFD) is an orally available synthetic drug which has been approved for the treatment of idiopathic pulmonary fibrosis. "( Pirfenidone inhibits motility of NSCLC cells by interfering with the urokinase system.
Didiasova, M; Drakopanagiotakis, F; Krämer, M; Mamazhakypov, A; Markart, P; Schaefer, L; Wygrecka, M, 2020
)
3.44
"Pirfenidone (PFD) is a pharmacological compound with therapeutic efficacy in idiopathic pulmonary fibrosis. "( Pirfenidone: Molecular Mechanisms and Potential Clinical Applications in Lung Disease.
Bardin, PG; Ruwanpura, SM; Thomas, BJ, 2020
)
3.44
"Pirfenidone is a drug approved for idiopathic pulmonary fibrosis, a severe form of idiopathic interstitial pneumonias."( Pirfenidone is a cardioprotective drug: Mechanisms of action and preclinical evidence.
Adamo, L; Aimo, A; Barison, A; Bartolucci, G; Biagini, S; Cerbai, E; Emdin, M; Lo Surdo, G; Passino, C, 2020
)
2.72
"Pirfenidone (PFD) is an anti‑fibrotic agent that is clinically used in the treatment of idiopathic pulmonary fibrosis. "( Pirfenidone attenuates homocysteine‑induced apoptosis by regulating the connexin 43 pathway in H9C2 cells.
Chen, K; Chen, L; Li, L; Li, X; Ma, K; Ouyang, Y; Si, J; Wang, L; Zhang, L, 2020
)
3.44
"Pirfenidone is an anti-fibrotic compound available for the treatment of idiopathic pulmonary fibrosis."( Pirfenidone Inhibits Cell Proliferation and Collagen I Production of Primary Human Intestinal Fibroblasts.
Blokzijl, T; Cui, Y; Dijkstra, G; Faber, KN; Jansen, BH; Leng, C; Zhang, M, 2020
)
2.72
"Pirfenidone is an antifibrotic agent approved for the treatment of idiopathic pulmonary fibrosis (IPF). "( A multicentre retrospective observational study on Polish experience of pirfenidone therapy in patients with idiopathic pulmonary fibrosis: the PolExPIR study.
Białas, AJ; Buchczyk, M; Gomółka, P; Górska, K; Jagielska-Len, H; Jarzemska, A; Jassem, E; Jastrzębski, D; Kania, A; Koprowski, M; Krenke, R; Kuś, J; Lewandowska, K; Majewski, S; Martusewicz-Boros, MM; Piotrowski, WJ; Roszkowski-Śliż, K; Siemińska, A; Sobiecka, M; Szewczyk, K; Sładek, K; Tomczak, M; Tomkowski, W; Wiatr, E; Ziora, D; Żołnowska, B, 2020
)
2.23
"Pirfenidone is a molecule that exhibits anti-inflammatory, antifibrotic, and antioxidative stress capacities in a variety of animal experiments and clinical trials."( The effect of pirfenidone on rat chronic prostatitis/chronic pelvic pain syndrome and its mechanisms.
Chen, J; Guo, H; Huang, J; Peng, X; Wang, J, 2020
)
1.64
"Pirfenidone (PFD) is an anti-fibrotic agent for idiopathic pulmonary fibrosis."( Effects of pirfenidone targeting the tumor microenvironment and tumor-stroma interaction as a novel treatment for non-small cell lung cancer.
Fujiwara, A; Fukui, E; Funaki, S; Kanou, T; Kimura, K; Minami, M; Ose, N; Shintani, Y, 2020
)
1.67
"Pirfenidone is an antifibrotic agent that is potentially effective for the treatment of idiopathic pulmonary fibrosis (IPF). "( Safety and effectiveness of pirfenidone combined with carboplatin-based chemotherapy in patients with idiopathic pulmonary fibrosis and non-small cell lung cancer: A retrospective cohort study.
Akazawa, Y; Ishijima, M; Kanazu, M; Kuge, T; Mori, M; Okabe, F; Uenami, T; Yamaguchi, T; Yamamoto, Y; Yano, Y, 2020
)
2.29
"Pirfenidone is an antifibrotic agent that has been proven to slow down the progression of idiopathic pulmonary fibrosis (IPF). "( Efficacy of low dose pirfenidone in idiopathic pulmonary fibrosis: real world experience from a tertiary university hospital.
Chang, J; Choi, JS; Chung, KS; Jung, JY; Kang, YA; Kim, SY; Kim, YS; Lee, SH; Moon, SW; Park, MS; Song, MJ, 2020
)
2.32
"Pirfenidone is an anti-fibrotic agent approved for idiopathic pulmonary fibrosis (IPF), and long-term treatment data and the effect of continuation after disease progression have been reported. "( Predictive factors for the long-term use of pirfenidone in patients with fibrosing interstitial lung disease.
Baba, T; Hagiwara, E; Ikeda, S; Katano, T; Kitamura, H; Komatsu, S; Misumi, T; Ogura, T; Okabayashi, H; Okuda, R; Sekine, A; Yamakawa, H, 2021
)
2.33
"Pirfenidone (PFD) is a potent anti-fibrotic drug with additional anti-inflammatory properties."( Pirfenidone attenuates synovial fibrosis and postpones the progression of osteoarthritis by anti-fibrotic and anti-inflammatory properties in vivo and in vitro.
Guan, H; Jiao, M; Kong, N; Li, Y; Liu, X; Tian, R; Wang, K; Wei, Q; Yang, P, 2021
)
2.79
"Pirfenidone is an anti-fibrotic drug with an anti-oxidant activity that can prevent lung injury during SARS-CoV-2 infection by blocking the maturation process of transforming growth factor-beta (TGF-β) and enhancing the protective role of peroxisome proliferator-activated receptors (PPARs). "( Role of pirfenidone in TGF-β pathways and other inflammatory pathways in acute respiratory syndrome coronavirus 2 (SARS-Cov-2) infection: a theoretical perspective.
Hamidi, SH; Kadamboor Veethil, S, 2021
)
2.5
"Pirfenidone is an anti-fibrotic agent shown to slow the progression of idiopathic pulmonary fibrosis (IPF). "( Effectiveness of pirfenidone in idiopathic pulmonary fibrosis according to the autoantibody status: a retrospective cohort study.
Chang, J; Jung, JY; Kang, YA; Kim, SY; Kim, YS; Lee, SH; Park, MS; Song, MJ, 2021
)
2.4
"Pirfenidone (PFD) is an anti-fibrotic agent used to treat idiopathic pulmonary fibrosis (IPF), but its precise mechanism of action remains elusive. "( Pirfenidone inhibits myofibroblast differentiation and lung fibrosis development during insufficient mitophagy.
Araya, J; Asano, H; Fujita, Y; Hara, H; Hashimoto, M; Ichikawa, A; Ishikawa, T; Ito, S; Kadota, T; Kaneko, Y; Kobayashi, K; Kurita, Y; Kuwano, K; Minagawa, S; Morikawa, T; Nakayama, K; Numata, T; Odaka, M; Saito, N; Sato, N; Tsubouchi, K; Utsumi, H; Wakui, H; Yamashita, M; Yanagisawa, H; Yoshida, M; Yoshii, Y, 2017
)
3.34
"Pirfenidone is an anti-inflammatory and anti-fibrotic drug that has shown efficacy in lung and kidney fibrosis. "( Pirfenidone reduces subchondral bone loss and fibrosis after murine knee cartilage injury.
Chan, DD; Cole, BJ; Li, J; Luo, W; Plaas, A; Predescu, DN, 2018
)
3.37
"Pirfenidone (PFD) is a strong antifibrotic agent that has been clinically approved in Japan for idiopathic pulmonary fibrosis. "( Potential treatment for vocal fold scar with pirfenidone.
Furushima, S; Kodama, H; Kumai, Y; Miyamaru, S; Nishimoto, K; Toya, Y; Yumoto, E, 2018
)
2.18
"Pirfenidone is an orally available small molecule with therapeutic potential for fibrotic diseases."( Pirfenidone Inhibits Proliferation and Promotes Apoptosis of Hepatocellular Carcinoma Cells by Inhibiting the Wnt/β-Catenin Signaling Pathway.
Huang, Z; Jiang, TP; Shen, YP; Zhang, S; Zhao, AS; Zhou, S; Zou, WJ, 2017
)
2.62
"Pirfenidone is an anti-fibrotic agent that reduces the decline in forced vital capacity."( Reduced incidence of lung cancer in patients with idiopathic pulmonary fibrosis treated with pirfenidone.
Azuma, A; Gemma, A; Inomata, M; Miura, Y; Nei, T; Saito, T; Saito, Y; Takoi, H; Tanaka, T; Yatagai, Y, 2018
)
1.42
"Pirfenidone is a promising anti-fibrotic agent that inhibits fibrosis progression in various clinical and experimental studies."( Pirfenidone prevents radiation-induced intestinal fibrosis in rats by inhibiting fibroblast proliferation and differentiation and suppressing the TGF-β1/Smad/CTGF signaling pathway.
Chen, ZF; Chi, P; Ke, XJ; Sun, YW; Wu, XJ; Zhang, YY, 2018
)
2.64
"Pirfenidone (PFD) is a synthetic small molecule inhibitor with demonstrated anti-inflammatory and antifibrotic properties in vitro and in vivo. "( Pirfenidone reduces profibrotic responses in human dermal myofibroblasts, in vitro.
Hall, CL; Leung, KP; Wells, AR, 2018
)
3.37
"Pirfenidone (PFD) is a potent modulator of extracellular matrix."( Pirfenidone Accelerates Wound Healing in Chronic Diabetic Foot Ulcers: A Randomized, Double-Blind Controlled Trial.
Armendariz-Borunda, J; Bojórquez-Sepúlveda, H; Castañeda-Gomez, J; Davila-Rodriguez, JR; Domínguez-Rosales, J; Garcia-Bañuelos, J; Gasca-Lozano, LE; Lucano-Landeros, S; Navarro-Partida, J; Ruiz-Arcos, MA; Ruiz-Mercado, H; Salazar-Montes, A; Sánchez-Parada, MG; Sandoval-Rodríguez, A; Santos-Garcia, A, 2017
)
2.62
"Pirfenidone is an anti-fibrotic drug used in the treatment of idiopathic pulmonary fibrosis and has also anti-proliferative activities."( Pirfenidone decreases mesothelioma cell proliferation and migration via inhibition of ERK and AKT and regulates mesothelioma tumor microenvironment in vivo.
Joensuu, E; Koli, K; Li, C; Myllärniemi, M; Rezov, V; Rönty, M; Vartiainen, V; Yin, M, 2018
)
2.64
"Pirfenidone is an FDA-approved anti-fibrotic drug for systemic use in the treatment of idiopathic lung fibrosis and other fibrotic disorders."( Pirfenidone Ointment Modulates the Burn Wound Bed in C57BL/6 Mice by Suppressing Inflammatory Responses.
Dorati, R; Fourcaudot, AB; Leung, KP; Medina, JL; Sebastian, EA, 2019
)
2.68
"Pirfenidone is an antifibrotic compound approved for the treatment of idiopathic pulmonary fibrosis (IPF). "( Pirfenidone improves survival in IPF: results from a real-life study.
Antoniou, KM; Bibaki, E; Detorakis, S; Margaritopoulos, GA; Papastratigakis, G; Trachalaki, A; Tzanakis, N; Vasarmidi, E; Wells, AU, 2018
)
3.37
"Pirfenidone (PFD) is an orally bioavailable pyridone derivative with antifibrotic, antiinflammatory, and antioxidative properties currently used in the treatment of idiopathic pulmonary fibrosis."( Therapeutic effect of pirfenidone in the sugen/hypoxia rat model of severe pulmonary hypertension.
Bordenave, J; Cumont, A; Dorfmüller, P; Ghigna, MR; Guignabert, C; Huertas, A; Humbert, M; Phan, C; Poble, PB; Quatremare, T; Savale, L; Thuillet, R; Tu, L, 2019
)
1.55
"Pirfenidone (PFD), which is an antifibrotic agent used for treatment of idiopathic pulmonary fibrosis, induces G0/G1 cell cycle arrest in fibroblasts. "( Antifibrotic Agent Pirfenidone Suppresses Proliferation of Human Pancreatic Cancer Cells by Inducing G0/G1 Cell Cycle Arrest.
Hirokawa, Y; Ishii, K; Kanayama, K; Matsuda, C; Shiraishi, T; Uchida, K; Usugi, E; Watanabe, M, 2019
)
2.29
"Pirfenidone is an antifibrotic agent that is approved for the treatment of idiopathic pulmonary fibrosis (IPF)."( Diffuse Alveolar Hemorrhage Following Pirfenidone Initiation.
DePew, ZS; Dull, SK; Jagan, N; Malesker, MA; Moore, DR; Morrow, LE, 2020
)
1.55
"Pirfenidone is an antifibrotic agent used to treat pulmonary fibrosis; it suppresses the pulmonary influx of T cells and macrophages."( Pirfenidone prevents and reverses hepatic insulin resistance and steatohepatitis by polarizing M2 macrophages.
Chen, G; Kaneko, S; Nagashimada, M; Nagata, N; Ni, Y; Ota, T; Xu, L; Zhuge, F, 2019
)
2.68
"Pirfenidone is an oral anti-fibrotic agent, without haemodynamic effect, that leads to regression of myocardial fibrosis in preclinical models."( Pirfenidone in Heart Failure with Preserved Ejection Fraction-Rationale and Design of the PIROUETTE Trial.
Ahmed, FZ; Bedson, E; Clayton, D; Cooper, A; Cunnington, C; Dodd, S; Eccleson, H; Jimenez, BD; Lewis, GA; McDonagh, T; Miller, CA; Naish, JH; Neubauer, S; Russell, S; Schelbert, EB; Viswesvaraiah, R; Williams, SG; Williamson, PR, 2019
)
2.68
"Pirfenidone (PFD) is an oral anti-fibrotic drug used for idiopathic pulmonary fibrosis (IPF) therapy. "( Inhibitory effects of pirfenidone on fibroblast to myofibroblast transition in rheumatoid arthritis-associated interstitial lung disease via the downregulation of activating transcription factor 3 (ATF3).
Lin, H; Wu, C; Zhang, X, 2019
)
2.27
"Pirfenidone (PFD) is an orally active antifibrotic agent that has anti-inflammatory activity in diverse animal models. "( Protective role of pirfenidone against experimentally-induced pancreatitis.
El-Agamy, DS; El-Kashef, DH; Shaaban, AA, 2019
)
2.29
"Pirfenidone is a promising antifibrotic agent with therapeutic potential for idiopathic pulmonary fibrosis. "( Pharmacokinetics, safety and tolerability of pirfenidone and its major metabolite after single and multiple oral doses in healthy Chinese subjects under fed conditions.
Ding, L; Hua, WY; Huang, NY; Lin, HD; Liu, X; Wang, J; Zhang, QY, 2013
)
2.09
"Pirfenidone is an antifibrotic small-molecular-size drug with anti-inflammatory properties that is used as a treatment for fibrotic diseases, but its effects on hypertension-induced myocardial fibrosis are unknown."( Pirfenidone attenuates cardiac fibrosis in a mouse model of TAC-induced left ventricular remodeling by suppressing NLRP3 inflammasome formation.
Chen, J; Li, H; Wang, Y; Wu, Y; Zhao, S, 2013
)
2.55
"Pirfenidone is a newly identified anti-fibrotic drug."( Improved mitochondrial function underlies the protective effect of pirfenidone against tubulointerstitial fibrosis in 5/6 nephrectomized rats.
Chen, JF; Chen, PS; Liu, BC; Liu, H; Lv, LL; Ni, HF; Tang, RN; Zhang, AH; Zhang, MH, 2013
)
1.35
"Pirfenidone (PFD) is a novel anti-fibrotic agent that targets TGFβ. "( Renoprotective mechanisms of pirfenidone in hypertension-induced renal injury: through anti-fibrotic and anti-oxidative stress pathways.
Endo, K; Iwai, N; Ji, X; Kito, N; Li, J; Ma, X; Naito, Y; Weng, H; Yanagawa, N; Yu, Y, 2013
)
2.12
"Pirfenidone is an anti-fibrotic agent; however, its effects on fibrocytes have not been investigated."( Pirfenidone inhibits fibrocyte accumulation in the lungs in bleomycin-induced murine pulmonary fibrosis.
Azuma, A; Fujita, K; Gemma, A; Hayashi, H; Inomata, M; Kamio, K; Kokuho, N; Matsuda, K; Miura, Y; Nei, T; Saito, Y, 2014
)
2.57
"Pirfenidone is an orally active, small molecule that inhibits synthesis of profibrotic and inflammatory mediators. "( Pirfenidone: an update on clinical trial data and insights from everyday practice.
Kreuter, M, 2014
)
3.29
"Pirfenidone is an orally active small molecule that has been shown to inhibit the progression of fibrosis in animal models and in patients with idiopathic pulmonary fibrosis. "( Effect of pirfenidone on proliferation, TGF-β-induced myofibroblast differentiation and fibrogenic activity of primary human lung fibroblasts.
Conte, E; Fagone, E; Fruciano, M; Gili, E; Iemmolo, M; Vancheri, C, 2014
)
2.25
"Pirfenidone is an oral antifibrotic agent that is approved in several countries for the treatment of idiopathic pulmonary fibrosis (IPF). "( Comprehensive assessment of the long-term safety of pirfenidone in patients with idiopathic pulmonary fibrosis.
Albera, C; Bradford, WZ; Costabel, U; du Bois, RM; King, TE; Leff, JA; Noble, PW; Sahn, SA; Valeyre, D, 2014
)
2.1
"Pirfenidone is an orally administered drug with anti-fibrotic, anti-inflammatory and anti-oxidant properties. "( Pirfenidone for the treatment of idiopathic pulmonary fibrosis.
Poletti, V; Ravaglia, C; Tomassetti, S, 2014
)
3.29
"Pirfenidone is a novel antifibrotic drug for the treatment of mild-to-moderate idiopathic pulmonary fibrosis (IPF). "( Pirfenidone in idiopathic pulmonary fibrosis: real-life experience from a German tertiary referral center for interstitial lung diseases.
Ehlers-Tenenbaum, S; Herth, FJ; Heussel, CP; Kahn, N; Kreuter, M; Oltmanns, U; Palmowski, K; Puderbach, M; Schnabel, PA; Träger, A; Warth, A; Wenz, H; Wiebel, M, 2014
)
3.29
"Pirfenidone is an antifibrotic agent for patients with pulmonary fibrosis, but this drug has adverse gastrointestinal (GI) effects. "( Gastrointestinal symptoms in idiopathic pulmonary fibrosis patients treated with pirfenidone and herbal medicine.
Dobashi, K; Horie, T; Hosomi, Y; Ishii, Y; Kawada, A; Kawata, T; Kusano, M; Sekiguchi, M; Shimizu, Y; Shimoyama, Y; Takise, A; Yamada, M,
)
1.8
"Pirfenidone (PFD) is a pyridone with antifibrotic and anti-inflammatory effects."( Pirfenidone prevents rat esophageal stricture formation.
Aguirre-Jauregui, O; Armendáriz-Borunda, J; Lucano-Landeros, MS; Orozco-Perez, J; Salazar-Montes, AM; Sobrevilla-Navarro, AA, 2015
)
2.58
"Pirfenidone (Esbriet®) is an orally administered, synthetic, pyridone compound that is approved for the treatment of adults with mild to moderate idiopathic pulmonary fibrosis (IPF) in the EU, and for the treatment of IPF in the USA. "( Pirfenidone: a review of its use in idiopathic pulmonary fibrosis.
Keating, GM; Kim, ES, 2015
)
3.3
"Pirfenidone (esbiret) is an established anti-fibrotic and anti-inflammatory drug used to treat idiopathic pulmonary fibrosis. "( Pirfenidone inhibits proliferation, arrests the cell cycle, and downregulates heat shock protein-47 and collagen type I in rat hepatic stellate cells in vitro.
Jiang, TP; Li, X; Song, J; Xiang, XH; Yang, JY; Zhang, S; Zhou, S, 2015
)
3.3
"Pirfenidone is a SAH drug that prevents secondary bleeding and cerebral infarction."( Functionalized graphene oxide as a drug carrier for loading pirfenidone in treatment of subarachnoid hemorrhage.
Fan, Z; Han, H; Wang, F; Yang, L; Zhang, G, 2015
)
1.38
"Pirfenidone (PFD) is an anti-fibrotic and anti-inflammatory agent indicated for the treatment of idiopathic pulmonary fibrosis (IPF). "( Liposomal hydrogel formulation for transdermal delivery of pirfenidone.
Jose, A; Mandapalli, PK; Venuganti, VV, 2016
)
2.12
"Pirfenidone is an orally bioavailable synthetic compound with therapeutic potential for idiopathic pulmonary fibrosis. "( XL413, a cell division cycle 7 kinase inhibitor enhanced the anti-fibrotic effect of pirfenidone on TGF-β1-stimulated C3H10T1/2 cells via Smad2/4.
Fu, ST; He, Y; Jin, SF; Liu, ZL; Ma, HL; Zhang, CP, 2015
)
2.08
"Pirfenidone (PFD) is a non-peptide synthetic molecule issued as a broad-spectrum anti-fibrotic drug with the ability to decrease TGF-β1, TNF-α, PDGF and COL1A1 expression, which is highly related to prevent or remove excessive deposition of scar tissue in several organs. "( Role and New Insights of Pirfenidone in Fibrotic Diseases.
Armendariz-Borunda, J; Lopez-de la Mora, DA; Lucano-Landeros, S; Macias-Barragan, J; Montoya-Buelna, M; Sanchez-Enriquez, S; Sanchez-Roque, C, 2015
)
2.16
"Pirfenidone is an antifibrotic agent that has been evaluated in three multinational phase 3 trials in patients with idiopathic pulmonary fibrosis (IPF). "( Pirfenidone for idiopathic pulmonary fibrosis: analysis of pooled data from three multinational phase 3 trials.
Albera, C; Bradford, WZ; Costabel, U; du Bois, RM; Fagan, EA; Fishman, RS; Glaspole, I; Glassberg, MK; King, TE; Lancaster, L; Lederer, DJ; Leff, JA; Nathan, SD; Noble, PW; Pereira, CA; Swigris, JJ; Valeyre, D, 2016
)
3.32
"Pirfenidone is a novel orally available antifibrotic agent that reduces disease progression and improves survival of patients with IPF."( Pirfenidone-induced severe phototoxic reaction in a patient with idiopathic lung fibrosis.
Kapp, A; Papakonstantinou, E; Prasse, A; Raap, U; Schacht, V, 2016
)
2.6
"Pirfenidone (PF) is a potent antifibrotic and anti-inflammatory agent. "( Antiadhesive and anti-inflammatory effects of pirfenidone in postoperative intra-abdominal adhesion in an experimental rat model.
Akcılar, A; Akcılar, R; Bayhan, Z; Kargı, E; Kocak, C; Kocak, FE; Tiryaki, C; Yaylak, F; Zeren, S, 2016
)
2.14
"Pirfenidone is a novel oral anti-fibrotic agent approved for the treatment of idiopathic pulmonary fibrosis (IPF). "( A safety evaluation of pirfenidone for the treatment of idiopathic pulmonary fibrosis.
Anderson, A; Nathan, SD; Shifren, A, 2016
)
2.19
"Pirfenidone is a drug recently approved for idiopathic pulmonary fibrosis but its mechanisms of action are partially unknown. "( Pirfenidone inhibits p38-mediated generation of procoagulant microparticles by human alveolar epithelial cells.
Balìa, C; Celi, A; Faìta, F; Lombardi, S; Neri, T; Paggiaro, P; Pedrinelli, R; Petrini, S; Scalise, V, 2016
)
3.32
"Pirfenidone is an anti-fibrotic agent known to reduce disease progression in IPF patients."( A phase II trial evaluating the efficacy and safety of perioperative pirfenidone for prevention of acute exacerbation of idiopathic pulmonary fibrosis in lung cancer patients undergoing pulmonary resection: West Japan Oncology Group 6711 L (PEOPLE Study).
Asato, Y; Azuma, A; Chida, M; Fukuoka, J; Hiroshima, K; Ikeda, N; Iwasawa, T; Iwata, T; Katakami, N; Kuwano, K; Matsuura, M; Mitsudomi, T; Nakagawa, K; Nakanishi, Y; Okada, M; Okami, J; Okubo, K; Sakai, S; Sakamoto, K; Tada, H; Takenoyama, M; Tomii, K; Tsuboi, M; Yamashita, M; Yamashita, Y; Yokouchi, H; Yoshida, S; Yoshimura, K; Yoshino, I, 2016
)
1.39
"Pirfenidone is a drug with biological, anti-inflammatory, and antifibrotic effects."( Topical Administration of Pirfenidone Increases Healing of Chronic Diabetic Foot Ulcers: A Randomized Crossover Study.
Almeda-Valdes, P; Escobar-Jiménez, JJ; Gómez-Pérez, FJ; Janka-Zires, M; Juárez-Comboni, SC; López-Gutiérrez, J; Uribe-Wiechers, AC, 2016
)
1.46
"Pirfenidone is a small compound that has a broad spectrum of antifibrogenic effect and has been used for the treatment of fibrotic diseases in various organs."( Oral pirfenidone protects against fibrosis by inhibiting fibroblast proliferation and TGF-β signaling in a murine colitis model.
Chen, G; Deng, Y; Gu, G; Guo, K; Hu, Q; Li, G; Li, J; Li, R; Li, Y; Ren, J; Wang, G; Wu, L, 2016
)
1.67
"Pirfenidone is an oral drug that exerts not only anti-fibrotic activity but also pleiotropic effects, such as anti-inflammatory and anti-oxidative effects. "( Pirfenidone: Clinical trials and clinical practice in patients with idiopathic pulmonary fibrosis.
Bando, M, 2016
)
3.32
"Pirfenidone is a recently approved antifibrotic drug for the treatment of idiopathic pulmonary fibrosis (IPF). "( The antifibrotic drug pirfenidone promotes pulmonary cavitation and drug resistance in a mouse model of chronic tuberculosis.
Ahidjo, BA; Andrade, BB; Beck, S; Bishai, WR; Cheung, LS; Ihms, EA; Jain, S; Maiga, M; Maiga, MC; Ordonez, AA, 2016
)
2.19
"Pirfenidone is an effective agent on the prevention of postoperative vascular proliferation, inflammation and fibrosis in scarred tissue particularly with intraperitoneal administration."( Effect of Pirfenidone on Vascular Proliferation, Inflammation and Fibrosis in an Abdominal Adhesion Rat Model.
Calik, E; Guvenal, T; Hasdemir, PS; Koltan, SO; Koyuncu, FM; Ozbilgin, K; Ozkut, M; Uner, MA, 2017
)
2.3
"Pirfenidone is an antifibrotic drug that has been approved for the treatment of idiopathic pulmonary fibrosis."( Combined prednisolone and pirfenidone in bleomycin-induced lung disease.
Bhargava, R; Chhajed, PN; Ramakrishnan, G; Sandeepa, HS; Singh, T; Susheel Kumar, SK; Vaidya, PJ,
)
1.15
"Pirfenidone is an antifibrotic drug, recently approved for the treatment of patients with idiopathic pulmonary fibrosis (IPF). "( Pirfenidone exerts antifibrotic effects through inhibition of GLI transcription factors.
Didiasova, M; Kwapiszewska, G; Lauth, M; Markart, P; Schaefer, L; Seeger, W; Singh, R; Wilhelm, J; Wujak, L; Wygrecka, M; Zakrzewicz, D, 2017
)
3.34
"Pirfenidone (PFD) is an anti-fibrotic agent for idiopathic pulmonary fibrosis and one of its functions may be to inhibit fibrotic EMT."( Pirfenidone plays a biphasic role in inhibition of epithelial-mesenchymal transition in non-small cell lung cancer.
Fujiwara, A; Funaki, S; Kawamura, T; Kimura, T; Minami, M; Okumura, M; Shintani, Y, 2017
)
2.62
"Pirfenidone (PFD) is an orally bioavailable pyridone derivative that has been clinically used for the treatment of idiopathic pulmonary fibrosis."( Antifibrotic effect of pirfenidone in a mouse model of human nonalcoholic steatohepatitis.
Furuke, S; Hata, KI; Ikeda, K; Itoh, M; Komiya, C; Miyachi, Y; Mori, K; Nakabayashi, K; Ochi, K; Ogawa, Y; Shiba, K; Shimazu, N; Suganami, T; Tanaka, M; Tsuchiya, K; Yamaguchi, S, 2017
)
1.49
"Pirfenidone is a synthetic molecule which oxidative action has not been tested in cirrhosis."( Potent antioxidant role of pirfenidone in experimental cirrhosis.
Armendáriz-Borunda, J; Castrejón-Gómez, E; López-Reyes, A; Ruiz-Corro, L; Salazar-Montes, A, 2008
)
1.36
"Pirfenidone is a small, synthetic molecule under investigation for treatment of idiopathic pulmonary fibrosis. "( Effect of food and antacids on the pharmacokinetics of pirfenidone in older healthy adults.
Ambrose, PG; Bhavnani, SM; Forrest, A; Loutit, JS; Rubino, CM, 2009
)
2.04
"Pirfenidone is an antifibrotic agent that is potentially effective for IPF treatment."( Pirfenidone: antifibrotic agent for idiopathic pulmonary fibrosis.
Azuma, A, 2010
)
2.52
"Pirfenidone is an oral antifibrotic agent that benefits diabetic nephropathy in animal models, but whether it is effective for human diabetic nephropathy is unknown. "( Pirfenidone for diabetic nephropathy.
Cho, M; Donohue, M; Dunn, SR; Falkner, B; Fervenza, FC; Francos, B; Ix, JH; Kopp, JB; Mathew, AV; McGowan, TA; Pflueger, A; Ramachandrarao, S; Sharma, K; Sharma, S; Xu, R, 2011
)
3.25
"Pirfenidone is an orally active small molecule that has recently been evaluated in large clinical trials for the treatment of idiopathic pulmonary fibrosis, a fatal disease in which the uncontrolled deposition of extracellular matrix leads to progressive loss of lung function. "( Antifibrotic activities of pirfenidone in animal models.
Kossen, K; Pan, L; Ruhrmund, DW; Schaefer, CJ; Seiwert, SD, 2011
)
2.11
"Pirfenidone is an orally bio-available small molecule that exhibits antifibrotic and anti-inflammatory properties in a variety of in vitro and animal models."( Emerging potential treatments: new hope for idiopathic pulmonary fibrosis patients?
Costabel, U, 2011
)
1.09
"Pirfenidone is an orally administered pyridine that has orphan designation for the treatment of mild to moderate idiopathic pulmonary fibrosis (IPF) in the EU. "( Pirfenidone: in idiopathic pulmonary fibrosis.
Carter, NJ, 2011
)
3.25
"Pirfenidone is a novel anti-fibrotic agent that inhibits the progression of fibrosis occurring in the keloid lesions of the lung and kidney."( Pirfenidone suppresses keloid fibroblast-embedded collagen gel contraction.
Maeda, T; Matsumura, H; Saito, M; Setoguchi, Y; Tsuboi, R; Yamazaki, M, 2012
)
2.54
"Pirfenidone is an agent that can inhibit the decline of forced vital capacity (FVC)/vital capacity (VC) and that thereby can be hoped to decrease the mortality rate."( Pirfenidone treatment of idiopathic pulmonary fibrosis.
Azuma, A, 2012
)
2.54
"Pirfenidone is a new, anti-fibrotic drug used for the treatment of idiopathic pulmonary fibrosis (IPF). "( CT analysis of the effect of pirfenidone in patients with idiopathic pulmonary fibrosis.
Baba, T; Gotoh, T; Inoue, T; Iwasawa, T; Kanauchi, T; Komagata, T; Morita, S; Ogura, T; Sakai, F; Yazawa, T, 2014
)
2.14
"Pirfenidone is a non-steroidal antifibrotic compound that has been proposed in clinical protocols and experimental studies as a pharmacological treatment for fibroproliferative diseases. "( Genotoxic evaluation of pirfenidone using erythrocyte rodent micronucleus assay.
Alcántar-Díaz, BE; Alvarez-Rodríguez, BA; Armendáriz-Borunda, J; García-Bañuelos, JJ; Gómez-Meda, BC; González-Cuevas, J; Sánchez-Parada, MG; Zamora-Perez, AL; Zúñiga-González, GM, 2012
)
2.13
"Pirfenidone is a novel anti-fibrotic and anti-inflammatory agent that inhibits the progression of fibrosis in animal models and in patients with idiopathic pulmonary fibrosis (IPF). "( Pirfenidone inhibits TGF-β1-induced over-expression of collagen type I and heat shock protein 47 in A549 cells.
Fujita, H; Hara, S; Hisatomi, K; Ishimatsu, Y; Kakugawa, T; Kohno, S; Kubota, H; Mukae, H; Nagata, K; Nakamichi, S; Oku, H; Sakamoto, N; Urata, Y, 2012
)
3.26
"Pirfenidone (PFD) is an antifibrotic agent with beneficial effects on proinflammatory disorders. "( Inhibitory effects of pirfenidone on dendritic cells and lung allograft rejection.
Bizargity, P; Hancock, WW; Liu, K; Visner, GA; Wang, L, 2012
)
2.14
"Pirfenidone (PFD) is a novel antifibrotic agent approved for patients with pulmonary fibrosis. "( Adverse events of pirfenidone for the treatment of pulmonary fibrosis: a meta-analysis of randomized controlled trials.
Huang, H; Jiang, C; Liu, J; Lu, Z; Wang, Y; Xu, Z, 2012
)
2.16
"Pirfenidone is a newly identified antifibrotic drug, the potential mechanism of which remains unclear."( Pirfenidone inhibits macrophage infiltration in 5/6 nephrectomized rats.
Chen, JF; Liu, BC; Liu, H; Ni, HF; Pan, MM; Xu, M; Zhang, MH, 2013
)
2.55
"Pirfenidone (Pir) is a novel anti-fibrotic agent that causes no immunosuppression, but does downregulate the production of TGF-beta and collagen in vitro."( Pirfenidone: A novel anti-fibrotic agent and progressive chronic allograft rejection.
Dosanjh, A; Ikonen, T; Morris, RE; Wan, B, 2002
)
2.48
"Pirfenidone is an oral medication with a number of actions affecting the immune system. "( Open-label study of pirfenidone in patients with progressive forms of multiple sclerosis.
Bowen, JD; Maravilla, K; Margolin, SB, 2003
)
2.09
"Pirfenidone (PFD) is a newly developed anti-fibrotic agent. "( Pirfenidone suppressed the development of glomerulosclerosis in the FGS/Kist mouse.
Bao, L; Cho, IH; Hyun, BH; Kim, YJ; Lee, CH; Margolin, SB; Park, HS; Park, YH, 2003
)
3.2
"Pirfenidone (PFD) is a new experimental drug used as antifibrotic agent."( Pirfenidone prevents endotoxin-induced liver injury after partial hepatectomy in rats.
Kaibori, M; Kamiyama, Y; Kwon, AH; Okumura, T; Tsuchiya, H; Yanagida, H; Yokoigawa, N, 2004
)
2.49
"Pirfenidone is a newly developed antifibrotic drug that has been reported to retard the progression of pulmonary fibrosis induced by bleomycin and cyclophosphamide in animal models of lung fibrosis. "( Effects of pirfenidone on the generation of reactive oxygen species in vitro.
Giri, SN; Leonard, S; Margolin, SB; Shi, X; Vallyathan, V, 1999
)
2.14
"Pirfenidone (PFD) is a small molecule that has shown efficacy in various models of renal damage with progressive disease."( Prevention of progressive fibrosis in chronic renal diseases: antifibrotic agents.
Negri, AL,
)
0.85
"Pirfenidone (PFD) is a new experimental drug used as an antifibrotic agent."( Effect of pirfenidone on induction of chemokines in rat hepatocytes.
Kaibori, M; Kamiyama, Y; Kwon, AH; Okumura, T; Yanagida, H; Yokoigawa, N, 2004
)
1.45
"Pirfenidone is an investigational anti-fibrotic agent shown to be effective in blocking pulmonary fibrosis."( Pirfenidone inhibits lung allograft fibrosis through L-arginine-arginase pathway.
Cheng, Y; Drew, P; Gaugler, AC; Liu, H; Visner, GA, 2005
)
2.49
"Pirfenidone is an antifibrotic agent potentially effective for IPF therapy, and preclinical and available clinical data support its use in IPF."( Pirfenidone for the treatment of idiopathic pulmonary fibrosis.
Antoniu, SA, 2006
)
2.5
"Pirfenidone is an orally available antifibrotic agent that has shown benefit in animal models of pulmonary and renal fibrosis and in clinical trials of pulmonary fibrosis, multiple sclerosis, and hepatic cirrhosis. "( Pirfenidone slows renal function decline in patients with focal segmental glomerulosclerosis.
Branton, MH; Cho, ME; Kopp, JB; Penzak, SR; Smith, DC, 2007
)
3.23
"Pirfenidone is an effective and novel antifibrotic agent with anti-inflammatory properties."( Pirfenidone: a novel potential therapeutic agent in the management of chronic allograft rejection.
Dosanjh, A, 2007
)
2.5
"Pirfenidone (PFD) is a new compound that prevents and even reverses the extracellular matrix accumulation in several organs as shown by experimental and clinical studies. "( Pirfenidone prevents collagen accumulation in the remnant kidney in rats with partial nephrectomy.
Fukagawa, M; Hata, S; Iwasaki, Y; Kuroda, T; Kurokawa, K; Margolin, SB; Nemoto, M; Shimizu, F; Shimizu, T; Shirai, K; Yamauchi, S, 1997
)
3.18
"Pirfenidone is an effective inhibitor of myometrial and leiomyoma cell proliferation in vitro and reduces the messenger RNA levels of collagen types I and III in a dose-dependent manner."( Pirfenidone: a novel pharmacological agent that inhibits leiomyoma cell proliferation and collagen production.
Lee, BS; Margolin, SB; Nowak, RA, 1998
)
2.46
"Pirfenidone (PFD) is a novel anti-fibrotic agent that can prevent and even reverse extracellular matrix accumulation in several organs, as shown by experimental and clinical studies. "( Pirfenidone improves renal function and fibrosis in the post-obstructed kidney.
Fukagawa, M; Hata, S; Kuroda, T; Kurokawa, K; Margolin, SB; Shimizu, T, 1998
)
3.19
"Pirfenidone is a novel anti-fibrotic drug that has been shown to inhibit fibroblast growth and collagen synthesis induced by transforming growth factor (TGF)-beta1. "( Pirfenidone reduces fibronectin synthesis by cultured human retinal pigment epithelial cells.
Ambler, JS; Shiels, IA; Taylor, SM; Zhang, S, 1998
)
3.19
"Pirfenidone is a promising new treatment for IPF that is well tolerated."( Treatment of idiopathic pulmonary fibrosis with a new antifibrotic agent, pirfenidone: results of a prospective, open-label Phase II study.
Johnson, WC; Lockhart, D; Mageto, Y; Raghu, G, 1999
)
1.26
"Pirfenidone is an antifibrotic drug that we have shown attenuates the increase in collagen buildup in hamsters exposed to bleomycin, in turn reducing pulmonary function and blood gas decrements seen in this model of interstitial pulmonary fibrosis. "( Effect of diet-ingested pirfenidone on pulmonary function, cardiovasculature and blood gas measurements in rats.
Chen, AT; Giri, S; Mansoor, JK; Schelegle, ES, 1999
)
2.05
"Pirfenidone is a new non-peptide drug which has been shown in vitro and in vivo to decrease synthesis of Tumor Necrosis Factor-alpha (TNF-alpha) and block receptors for TNF-alpha."( Pirfenidone for chronic progressive multiple sclerosis.
Margolin, SB; Walker, JE, 2001
)
2.47
"Pirfenidone (PFD) is a novel antifibrotic compound that was shown to prevent and even reverse fibrosis."( Pirfenidone treatment decreases transforming growth factor-beta1 and matrix proteins and ameliorates fibrosis in chronic cyclosporine nephrotoxicity.
Andoh, TF; Bennett, WM; Shihab, FS; Yi, H, 2002
)
2.48

Effects

Pirfenidone has an inhibitory effect on TGF-β1-induced migration, myofibroblast differentiation (α-SMA), extracellular matrix accumulation, and collagen contraction by blocking the phosphorylation of Smad2/3 pathways in NPDFs. It may become an ideal multitarget antiscarring agent after glaucoma filtration surgery.

Pirfenidone (PFD) has shown anti-fibrotic and anti-inflammatory functions in both clinical and experimental studies. It can improve lung function, inhibit fibrosis and inhibit inflammation. The specific mechanism by which it ameliorates fibrosis in silicosis is unclear.

ExcerptReferenceRelevance
"Pirfenidone has an antiangiogenesis effect in the wound healing process and may become an ideal multitarget antiscarring agent after glaucoma filtration surgery."( The Antiangiogenesis Effect of Pirfenidone in Wound Healing In Vitro.
Guo, X; Liu, L; Liu, X; Wu, K; Yang, Y; Yu, M, 2017
)
2.18
"Pirfenidone has a protective role in improving the outcome of the liver fibrosis and it may become a new direction of early intervention in liver fibrosis."( [Effects of pirfenidone on hepatic fibrosis in mice induced by carbon tetrachloride].
Li, CX; Lv, JP; Qu, XH; Shi, Y; Xiao, M; Xie, KJ, 2016
)
2.26
"- Pirfenidone has a longer history of preclinical experimental studies than nintedanib. "( Idiopathic Pulmonary Fibrosis and Antifibrotic Treatments: Focus on Experimental Studies.
Calabrese, F; Lunardi, F; Pezzuto, F; Vuljan, SE, 2018
)
1.2
"Pirfenidone has a favorable benefit-risk profile and represents a suitable treatment option for patients with mild-to-moderate IPF."( Pirfenidone for the treatment of idiopathic pulmonary fibrosis.
Ancochea, J; Serrano-Mollar, A; Xaubet, A, 2014
)
2.57
"Pirfenidone has an inhibitory effect on TGF-β1-induced migration, myofibroblast differentiation (α-SMA), extracellular matrix accumulation, and collagen contraction by blocking the phosphorylation of Smad2/3 pathways in NPDFs. "( Pirfenidone inhibits transforming growth factor β1-induced extracellular matrix production in nasal polyp-derived fibroblasts.
Lee, HM; Park, IH; Park, JH; Shin, JM,
)
3.02
"Pirfenidone has an abundance of data supporting its use in mild-to-moderate IPF. "( A safety evaluation of pirfenidone for the treatment of idiopathic pulmonary fibrosis.
Anderson, A; Nathan, SD; Shifren, A, 2016
)
2.19
"Pirfenidone has a beneficial effect on morphological changes in anti-GBM GN comparable with candesartan although with a trend to slightly better results with candesartan treatment. "( Pirfenidone and candesartan ameliorate morphological damage in mild chronic anti-GBM nephritis in rats.
Forslund, T; Iversen, BM; Leh, S; Margolin, SB; Vaagnes, Ø, 2005
)
3.21
"Pirfenidone has a simple chemical structure, but may have profound implications for transplantation management. "( Pirfenidone: anti-fibrotic agent with a potential therapeutic role in the management of transplantation patients.
Dosanjh, A, 2006
)
3.22
"Pirfenidone (PFD) has shown anti-fibrotic and anti-inflammatory functions in both clinical and experimental studies."( Hepatocarcinogenesis Prevention by Pirfenidone Is PPARγ Mediated and Involves Modification of Nuclear NF-kB p65/p50 Ratio.
Armendariz-Borunda, J; Galicia-Moreno, M; Lucano-Landeros, S; Miranda-Roblero, HO; Monroy-Ramirez, HC; Sandoval-Rodriguez, A; Santos, A; Silva-Gomez, JA, 2021
)
1.62
"Pirfenidone (PFD) has become a novel therapeutic agent for treating idiopathic pulmonary fibrosis (IPF) and can improve lung function, inhibit fibrosis and inhibit inflammation."( Pirfenidone ameliorates early pulmonary fibrosis in LPS-induced acute respiratory distress syndrome by inhibiting endothelial-to-mesenchymal transition via the Hedgehog signaling pathway.
Jiao, Y; Tan, Y; Tang, X; Wang, D; Yong, C; Zhang, R, 2022
)
2.89
"Pirfenidone has consistently been shown to have anti-inflammatory and anti-fibrotic effects, but the specific mechanism by which it ameliorates fibrosis in silicosis is unclear."( Pirfenidone ameliorates pulmonary inflammation and fibrosis in a rat silicosis model by inhibiting macrophage polarization and JAK2/STAT3 signaling pathways.
Bo, C; Jia, Q; Li, M; Tang, Q; Xing, C; Zhang, Z, 2022
)
2.89
"Pirfenidone (PFD) has anti-fibrosis effects and has been used in a variety of fibrosis diseases."( Treatment of scarring central airway stenosis with pirfenidone: Case report.
Gao, B; Li, X; Ma, Y; Pan, J; Qian, H, 2022
)
1.69
"Pirfenidone (PFD) has emerged as an antifibrogenic, anti-inflammatory and antioxidant agent, and in this work its efficacy was evaluated in a model of UVB-induced photodamage."( Pirfenidone Protects from UVB-Induced Photodamage in Hairless Mice.
Almeida-López, M; Amezcua-Galvez, E; Armendariz-Borunda, J; Davila-Rodriguez, J; Galicia-Moreno, M; Lucano-Landeros, S; Martinez-Alvarado, Y; Monroy-Ramirez, HC; Sandoval-Rodriguez, A; Santos, A, 2023
)
3.07
"Pirfenidone has been shown to reduce fibrosis and modulate inflammation associated with conditions from pulmonary fibrosis to rheumatoid arthritis. "( Polyester Nanoparticles and Polyurethane Nanocapsules Deliver Pirfenidone To Reduce Fibrosis and Scarring.
Ale, T; Kehinde, V; Lavik, E; Liu, S; Wang, HC, 2023
)
2.59
"Pirfenidone has been widely used in the treatment of idiopathic pulmonary fibrosis (IPF). "( Pirfenidone alleviates lipopolysaccharide-induced lung injury by accentuating BAP31 regulation of ER stress and mitochondrial injury.
Chang, C; Du, Y; Fang, X; Gao, Y; Li, H; Li, T; Mu, M; Qin, X; Qu, G; Wang, X; Wang, Y; Xu, G; Yu, S; Zhang, Z; Zhu, P, 2020
)
3.44
"Pirfenidone has been shown to reduce the decline in forced vital capacity (FVC) compared to placebo in patients with idiopathic pulmonary fibrosis (IPF). "( Real world experience of response to pirfenidone in patients with idiopathic pulmonary fibrosis: a two centre retrospective study.
Barber, CM; Bianchi, SM; Chaudhuri, N; Eaden, JA; Renshaw, SA, 2020
)
2.27
"Pirfenidone has been shown to slow disease progression in patients with idiopathic pulmonary fibrosis (IPF). "( Pirfenidone in patients with progressive fibrotic interstitial lung diseases other than idiopathic pulmonary fibrosis (RELIEF): a double-blind, randomised, placebo-controlled, phase 2b trial.
Behr, J; Blaas, S; Bonella, F; Bonnet, R; Claussen, M; Ficker, JH; Frankenberger, M; Freise, J; Grohe, C; Günther, A; Hammerl, P; Held, M; Hummler, S; Johow, J; Kahn, N; Kneidinger, N; Koschel, D; Kreuter, M; Neumeister, W; Neuser, P; Prasse, A; Rabe, KF; Schönfeld, N; Tello, S; Welte, T; Wilkens, H; Wirtz, H, 2021
)
3.51
"Pirfenidone has been shown to exert anti-inflammatory and anti-fibrotic properties in the lung."( Pirfenidone ameliorates silica-induced lung inflammation and fibrosis in mice by inhibiting the secretion of interleukin-17A.
Cao, ZJ; Dai, HP; Han, ZF; Li, BC; Li, ZG; Liu, Y; Pang, JL; Qi, XM; Song, MY; Wang, C; Wang, J; Yang, PR; Zhang, XR; Zhang, Z, 2022
)
2.89
"Pirfenidone has antifibrotic effects in IPF; however, its efficacy for AE-IPF is unclear."( Pirfenidone for acute exacerbation of idiopathic pulmonary fibrosis: A retrospective study.
Furuya, K; Homma, S; Isshiki, T; Kinoshita, A; Matsumoto, K; Sakamoto, S; Sekiya, M; Shimizu, H; Sugino, K, 2017
)
2.62
"Pirfenidone has an antiangiogenesis effect in the wound healing process and may become an ideal multitarget antiscarring agent after glaucoma filtration surgery."( The Antiangiogenesis Effect of Pirfenidone in Wound Healing In Vitro.
Guo, X; Liu, L; Liu, X; Wu, K; Yang, Y; Yu, M, 2017
)
2.18
"Pirfenidone has anti-fibrotic effects in SSc-ILD patients by interfering with both the Hh signalling pathway and the GSK-3β signalling pathway via the regulation of Sufu expression. "( Anti-fibrotic effects of pirfenidone by interference with the hedgehog signalling pathway in patients with systemic sclerosis-associated interstitial lung disease.
Chen, Z; Li, XJ; Liao, XP; Lin, H; Xiao, H; Zhang, GF; Zhang, J; Zhang, X, 2018
)
2.23
"Pirfenidone has a protective role in improving the outcome of the liver fibrosis and it may become a new direction of early intervention in liver fibrosis."( [Effects of pirfenidone on hepatic fibrosis in mice induced by carbon tetrachloride].
Li, CX; Lv, JP; Qu, XH; Shi, Y; Xiao, M; Xie, KJ, 2016
)
2.26
"Pirfenidone has been approved for treatment of IPF, but little is known about the distinct metabolic changes that occur in the lung upon pirfenidone administration.Here, we performed a proof-of-concept study using high-resolution quantitative matrix-assisted laser desorption/ionisation Fourier-transform ion cyclotron resonance mass spectrometry imaging (MALDI-FTICR-MSI) to simultaneously detect, visualise and quantify"( Pharmacometabolic response to pirfenidone in pulmonary fibrosis detected by MALDI-FTICR-MSI.
Aichler, M; Burgstaller, G; Eickelberg, O; Fernandez, IE; Feuchtinger, A; Schmitt-Kopplin, P; Sun, N; Verleden, SE; Walch, A; Wei, M; Witting, M, 2018
)
1.49
"- Pirfenidone has a longer history of preclinical experimental studies than nintedanib. "( Idiopathic Pulmonary Fibrosis and Antifibrotic Treatments: Focus on Experimental Studies.
Calabrese, F; Lunardi, F; Pezzuto, F; Vuljan, SE, 2018
)
1.2
"Pirfenidone (PFD) has been used as medication for idiopathic pulmonary fibrosis due to its ability in reducing lung fibrosis. "( Renoprotective effects of pirfenidone on chronic renal allograft dysfunction by reducing renal interstitial fibrosis in a rat model.
He, JM; Qiu, ZZ; Yu, ZH; Zhang, HX; Zhang, ZW; Zhou, H, 2019
)
2.26
"Pirfenidone has a favorable benefit-risk profile and represents a suitable treatment option for patients with mild-to-moderate IPF."( Pirfenidone for the treatment of idiopathic pulmonary fibrosis.
Ancochea, J; Serrano-Mollar, A; Xaubet, A, 2014
)
2.57
"Pirfenidone has been shown to have a favourable safety profile and was generally well tolerated over the long term in clinical trials and real-world experience."( Long-term clinical and real-world experience with pirfenidone in the treatment of idiopathic pulmonary fibrosis.
Cottin, V; Maher, T, 2015
)
1.39
"Pirfenidone has been used to treat IPF patients."( Double-Blind Randomized Trial of Pirfenidone in Chinese Idiopathic Pulmonary Fibrosis Patients.
Chen, BY; Dai, HP; Huang, H; Kang, J; Sun, TY; Xu, ZJ, 2015
)
1.42
"Pirfenidone has been shown to have antifibrotic and anti-inflammatory effects in the lungs. "( Pirfenidone inhibits transforming growth factor β1-induced extracellular matrix production in nasal polyp-derived fibroblasts.
Lee, HM; Park, IH; Park, JH; Shin, JM,
)
3.02
"Pirfenidone (0-2 mg/mL) has no significant cytotoxic effects in TGF-β1-induced NPDFs. "( Pirfenidone inhibits transforming growth factor β1-induced extracellular matrix production in nasal polyp-derived fibroblasts.
Lee, HM; Park, IH; Park, JH; Shin, JM,
)
3.02
"Pirfenidone has an inhibitory effect on TGF-β1-induced migration, myofibroblast differentiation (α-SMA), extracellular matrix accumulation, and collagen contraction by blocking the phosphorylation of Smad2/3 pathways in NPDFs. "( Pirfenidone inhibits transforming growth factor β1-induced extracellular matrix production in nasal polyp-derived fibroblasts.
Lee, HM; Park, IH; Park, JH; Shin, JM,
)
3.02
"Pirfenidone has an abundance of data supporting its use in mild-to-moderate IPF. "( A safety evaluation of pirfenidone for the treatment of idiopathic pulmonary fibrosis.
Anderson, A; Nathan, SD; Shifren, A, 2016
)
2.19
"Pirfenidone (PFD) has exhibited therapeutic potential in the treatment of cell proliferative disorders. "( Preparation and evaluation of HPMC-based pirfenidone solution in vivo.
Lei, M; Wu, KL; Xu, JG; Yang, M; Yang, YF; Ye, CT; Yu, MB; Zhao, CS, 2017
)
2.16
"Pirfenidone has been evaluated in four randomised, double-blind, placebo-controlled clinical trials conducted in Japan, North America and Europe."( Emerging potential treatments: new hope for idiopathic pulmonary fibrosis patients?
Costabel, U, 2011
)
1.09
"Pirfenidone has been approved for mild-moderate IPF in the European Union in February 2011 and is approved in Japan since 2009."( [Idiopathic pulmonary fibrosis: modern guideline-concordant diagnostics and innovative treatment].
Behr, J, 2012
)
1.1
"Pirfenidone has been shown in three recently published trials to slow down the progression of the devastating interstitial lung disease, idiopathic pulmonary fibrosis (IPF). "( Pirfenidone: significant treatment effects in idiopathic pulmonary fibrosis.
Bendstrup, E; du Bois, R; Hilberg, O; Simonsen, U, 2012
)
3.26
"Pirfenidone (PD) has been proven to have antifibrotic effects in animal models of fibrosis."( Effect of pirfenidone against vanadate-induced kidney fibrosis in rats.
Al-Bayati, MA; Giri, SN; Margolin, SB; Mohr, FC; Xie, Y, 2002
)
1.44
"Pirfenidone has been recently shown to reduce dimethynitrosamine-induced liver fibrosis in the rat, but no information are available on the effect of this drug on cultured hepatic stellate cells (HSC)."( Effect of pirfenidone on rat hepatic stellate cell proliferation and collagen production.
Bendia, E; Benedetti, A; Casini, A; Ceni, E; Di Sario, A; Marzioni, M; Ridolfi, F; Saccomanno, S; Sterpetti, P; Svegliati Baroni, G; Taffetani, S; Trozzi, L, 2002
)
2.16
"Pirfenidone has antiinflammatory effects in animals with endotoxemia. "( Pirfenidone inhibits the induction of iNOS stimulated by interleukin-1beta at a step of NF-kappaB DNA binding in hepatocytes.
Ito, S; Kaibori, M; Kamiyama, Y; Kwon, AH; Nakanishi, H; Nishizawa, M; Okumura, T; Teshima, S; Yoshida, H, 2004
)
3.21
"Pirfenidone has a beneficial effect on morphological changes in anti-GBM GN comparable with candesartan although with a trend to slightly better results with candesartan treatment. "( Pirfenidone and candesartan ameliorate morphological damage in mild chronic anti-GBM nephritis in rats.
Forslund, T; Iversen, BM; Leh, S; Margolin, SB; Vaagnes, Ø, 2005
)
3.21
"Pirfenidone has a simple chemical structure, but may have profound implications for transplantation management. "( Pirfenidone: anti-fibrotic agent with a potential therapeutic role in the management of transplantation patients.
Dosanjh, A, 2006
)
3.22
"Pirfenidone has been shown to modify some cytokine regulatory actions and inhibit fibroblast biochemical reactions resulting in inhibition of proliferation and collagen matrix synthesis by fibroblast. "( Pirfenidone induces intercellular adhesion molecule-1 (ICAM-1) down-regulation on cultured human synovial fibroblasts.
Azuma, N; Inoue, H; Kaneko, M; Margolin, SB; Nakazawa, R; Saito, I; Suzuki, M; Tsubota, K; Yamauchi, S, 1998
)
3.19
"Pirfenidone has no major side effects in vivo."( Pirfenidone inhibits dimethylnitrosamine-induced hepatic fibrosis in rats.
Enjoji, M; Iwamoto, H; Kato, M; Nakamuta, M; Nakashima, Y; Nawata, H; Sugimoto, R; Tada, S, 2001
)
2.47

Actions

Porfenidone resulted in a lower rate of decline in the adjusted FVC% at week 26 and improved PFS (HR 0.26, 95% CI 0.12 to 0.60). Pirfenidone could inhibit apoptosis, downregulate ACE receptors expression, decrease inflammation by several mechanisms and ameliorate oxidative stress.

ExcerptReferenceRelevance
"Pirfenidone resulted in a lower rate of decline in the adjusted FVC% at week 26 and improved PFS (HR 0.26, 95% CI 0.12 to 0.60)."( Pirfenidone in fibrotic hypersensitivity pneumonitis: a double-blind, randomised clinical trial of efficacy and safety.
Crooks, JL; Fernández Pérez, ER; Fier, K; Groshong, SD; Humphries, SM; Koelsch, TL; Lynch, DA; Mohning, MP; Solomon, JJ; Swigris, JJ, 2023
)
3.07
"Pirfenidone could inhibit apoptosis, downregulate ACE receptors expression, decrease inflammation by several mechanisms and ameliorate oxidative stress and hence protect pneumocytes and other cells from COVID-19 invasion and cytokine storm simultaneously."( Pirfenidone: A novel hypothetical treatment for COVID-19.
Seifirad, S, 2020
)
2.72
"Pirfenidone promotes corneal wound healing, and inhibits cornea neovascularization and inflammation after alkali burn in vitro and in vivo."( The role of pirfenidone in alkali burn rat cornea.
Jiang, N; Li, Y; Lv, J; Ma, M; Min, Y; Shao, Y; Shi, W; Su, T; Xu, X; Ye, L; Yuan, Q; Zhou, XZ; Zhu, P, 2018
)
1.58
"Pirfenidone was found to inhibit the responder frequency of TCR-stimulated CD4 cell total proliferation in vitro and in vivo, whereas both CD4 and CD8 proliferation index were reduced by pirfenidone. "( Pirfenidone inhibits T-cell activation, proliferation, cytokine and chemokine production, and host alloresponses.
Bizargity, P; Hancock, WW; Liu, F; Liu, H; Liu, K; Visner, GA; Wang, L; Yang, J, 2009
)
3.24
"Pirfenidone rats also had lower rates of VT inducibility, 28.6% versus 73.3% in control rats (P <0.05)."( Pirfenidone mitigates left ventricular fibrosis and dysfunction after myocardial infarction and reduces arrhythmias.
Ding, C; Marcus, GM; Nguyen, DT; Olgin, JE; Wilson, E, 2010
)
2.52

Treatment

Pfenidone treatment or direct overexpression of recombinant RGS2 in human lung fibroblasts inhibited the profibrotic effects of thrombin. Pirfenido restored pulmonary function and reversed lung fibrosis, which was associated with reduced macrophage infiltration and transforming growth factor-β production.

ExcerptReferenceRelevance
"Pirfenidone-treated patients with an annualized weight loss ≥5% may also experience worse outcomes versus those with no weight loss."( Post hoc Analysis of Clinical Outcomes in Placebo- and Pirfenidone-Treated Patients with IPF Stratified by BMI and Weight Loss.
Cottin, V; Crestani, B; Jouneau, S; Kirchgaessler, KU; Lederlin, M; Morgenthien, E; Thibault, R; Vernhet, L; Yang, M,
)
1.1
"Pirfenidone treatment was also associated with a longer PFS, a lower incidence of acute exacerbation and worsening of IPF."( Efficacy and safety of pirfenidone in the treatment of idiopathic pulmonary fibrosis patients: a systematic review and meta-analysis of randomised controlled trials.
Liu, X; Qiu, L; Wu, J; Wu, W; Zhang, G, 2021
)
1.65
"Pirfenidone used for the treatment of patients with IPF in a real-world setting was well tolerated, with an acceptable safety profile and a consistent therapeutic effect, regardless of the disease severity."( Safety and Efficacy of Pirfenidone in Advanced Idiopathic Pulmonary Fibrosis: A Nationwide Post-Marketing Surveillance Study in Korean Patients.
Chung, MP; Jegal, Y; Kim, YS; Kim, YW; Lee, HB; Oh, IJ; Park, JS; Park, MS; Song, JW; Uh, ST, 2020
)
2.31
"Pirfenidone treatment can slow decline in forced vital capacity (FVC) in idiopathic pulmonary fibrosis (IPF). "( Effectiveness of pirfenidone for idiopathic pulmonary fibrosis associated with pleuroparenchymal fibroelastosis-like lesions and nonspecific interstitial pneumonia.
Homma, S; Isobe, K; Isshiki, T; Kurosaki, A; Nakamura, Y; Sakamoto, S; Shimizu, H, 2021
)
2.4
"Pirfenidone treatment reduced the decline in VC with statistical significance in the low SP-D and low SP-A subgroups over most of the treatment period, and also prolonged PFS in the low SP-D and low KL-6 subgroups."( Serum surfactant protein D as a predictive biomarker for the efficacy of pirfenidone in patients with idiopathic pulmonary fibrosis: a post-hoc analysis of the phase 3 trial in Japan.
Azuma, A; Chiba, H; Ebina, M; Ikeda, K; Kondoh, Y; Kudoh, S; Miyazawa, S; Nishikiori, H; Nukiwa, T; Ogura, T; Sakaguchi, H; Suga, M; Sugiyama, Y; Taguchi, Y; Takahashi, H, 2020
)
1.51
"Pirfenidone-rapamycin treatment did not revert the epithelial to mesenchymal transition pathway activated by TGF-β."( Anti-fibrotic effects of pirfenidone and rapamycin in primary IPF fibroblasts and human alveolar epithelial cells.
Dorca, J; Escobar, I; Llatjós, R; Luburich-Hernaiz, P; Machahua-Huamani, C; Molina-Molina, M; Montes-Worboys, A; Sala-Llinas, E; Vicens-Zygmunt, V, 2018
)
1.51
"Pirfenidone or nintedanib treatment did not inhibit activation of senescence programming in cultured lung epithelial cells mediated by hydrogen peroxide."( Histopathological and molecular analysis of idiopathic pulmonary fibrosis lungs from patients treated with pirfenidone or nintedanib.
Achtar-Zadeh, N; Green, G; Jones, KD; Kukreja, J; Wolters, PJ; Xu, B; Zhang, Y, 2019
)
1.45
"So pirfenidone treatment should be considered not only for its benefits in pulmonary function tests but also by its clinically relevant outcomes [corrected]."( Pirfenidone for Idiopathic Pulmonary Fibrosis: A Systematic Review and Meta-Analysis.
Aravena, C; Arenas, A; Labarca, G; Rada, G; Venegas, C, 2015
)
2.37
"The pirfenidone treatment group did not achieve the maximal distance difference on the 6MWT at either the 24th or the 48th week."( Double-Blind Randomized Trial of Pirfenidone in Chinese Idiopathic Pulmonary Fibrosis Patients.
Chen, BY; Dai, HP; Huang, H; Kang, J; Sun, TY; Xu, ZJ, 2015
)
1.18
"The pirfenidone treatment lasted for two years or longer in 111 cases (22.1%)."( Clinical Experience of the Long-term Use of Pirfenidone for Idiopathic Pulmonary Fibrosis.
Azuma, A; Bando, M; Homma, S; Ogura, T; Sugiyama, Y; Taniguchi, H; Watanabe, K; Yamauchi, H, 2016
)
1.18
"Pirfenidone treatment decreased the immunoreactivity of connective tissue growth factor at 2 weeks post operation (total bleb, P=0.029; inner bleb, P=0.018)."( Pirfenidone inhibits fibrosis in foreign body reaction after glaucoma drainage device implantation.
Jung, KI; Park, CK, 2016
)
2.6
"Both pirfenidone treatment and surgery were performed in 36 patients (per protocol set [PPS])."( A phase II trial evaluating the efficacy and safety of perioperative pirfenidone for prevention of acute exacerbation of idiopathic pulmonary fibrosis in lung cancer patients undergoing pulmonary resection: West Japan Oncology Group 6711 L (PEOPLE Study).
Asato, Y; Azuma, A; Chida, M; Fukuoka, J; Hiroshima, K; Ikeda, N; Iwasawa, T; Iwata, T; Katakami, N; Kuwano, K; Matsuura, M; Mitsudomi, T; Nakagawa, K; Nakanishi, Y; Okada, M; Okami, J; Okubo, K; Sakai, S; Sakamoto, K; Tada, H; Takenoyama, M; Tomii, K; Tsuboi, M; Yamashita, M; Yamashita, Y; Yokouchi, H; Yoshida, S; Yoshimura, K; Yoshino, I, 2016
)
1.12
"Pirfenidone treatment or direct overexpression of recombinant RGS2 in human lung fibroblasts inhibited the profibrotic effects of thrombin, whereas loss of RGS2 exacerbated bleomycin-induced pulmonary fibrosis and mortality in mice."( Upregulation of RGS2: a new mechanism for pirfenidone amelioration of pulmonary fibrosis.
Abel, PW; Casale, TB; Jiang, H; Mehrotra, S; Panettieri, RA; Rennard, S; Toews, ML; Tu, Y; Wolff, DW; Xie, Y; Zhang, Q, 2016
)
1.42
"Pirfenidone treatment beginning one month post-transplant restored pulmonary function and reversed lung fibrosis, which was associated with reduced macrophage infiltration and transforming growth factor-β production."( Pirfenidone ameliorates murine chronic GVHD through inhibition of macrophage infiltration and TGF-β production.
Alexander, KA; Antin, JH; Blazar, BR; Cutler, CS; Du, J; Flynn, R; Hill, GR; Koreth, J; Lineburg, KE; Loschi, M; Luznik, L; MacDonald, KP; Maillard, I; Meng, J; Miklos, D; Panoskaltsis-Mortari, A; Paz, K; Ritz, J; Robinson, TM; Roy, S; Schacker, TW; Serody, JS; Vulic, A, 2017
)
2.62
"Pirfenidone treatment significantly inhibited their expression."( Pirfenidone inhibits macrophage infiltration in 5/6 nephrectomized rats.
Chen, JF; Liu, BC; Liu, H; Ni, HF; Pan, MM; Xu, M; Zhang, MH, 2013
)
2.55
"Pirfenidone treatment reduced the degree of liver injury, as determined by alanine aminotransferase values and necro-inflammatory score, which was associated with reduced hepatic stellate cells proliferation and collagen deposition."( The anti-fibrotic effect of pirfenidone in rat liver fibrosis is mediated by downregulation of procollagen alpha1(I), TIMP-1 and MMP-2.
Bendia, E; Benedetti, A; Candelaresi, C; De Minicis, S; Di Sario, A; Macarri, G; Marzioni, M; Omenetti, A; Taffetani, S; Trozzi, L, 2004
)
1.34
"Pirfenidone treatment decreased PawP and collagen content in lung allografts."( Pirfenidone inhibits lung allograft fibrosis through L-arginine-arginase pathway.
Cheng, Y; Drew, P; Gaugler, AC; Liu, H; Visner, GA, 2005
)
2.49
"Pirfenidone treatment resulted in a significant reduction in the level of hydroxyproline concentration across all muscles, although the effect was small."( A comparison of factors associated with collagen metabolism in different skeletal muscles from dystrophic (mdx) mice: impact of pirfenidone.
Farkas, GA; Gosselin, LE; Personius, K; Williams, JE, 2007
)
1.27
"Treatment with pirfenidone in asbestosis has an acceptable safety and tolerability profile and home spirometry data suggest this antifibrotic treatment might attenuate FVC decline in progressive asbestosis. "( Safety and tolerability of pirfenidone in asbestosis: a prospective multicenter study.
Baart, S; Grutters, JC; Lie, NSL; Miedema, JR; Moor, CC; Mostard, RLM; Veltkamp, M; Wijsenbeek, MS, 2022
)
1.37
"Co-treatment with pirfenidone and prednisolone suppressed lung hydroxyproline content, TGF-β1, and TNF-α; however, prednisolone alone could not suppress pulmonary fibrosis which was significantly suppressed only by pirfenidone."( Combination Therapy with Pirfenidone plus Prednisolone Ameliorates Paraquat-Induced Pulmonary Fibrosis.
Kamali, Y; Mandegary, A; Nabipour, F; Pourgholamhosein, F; Rasooli, R, 2018
)
1.11
"Treatment with pirfenidone had no effect on the number of neutrophils, monocytes, or macrophages, but decreased CD19+CD11b- lymphocytes."( Modulation of subsets of cardiac B lymphocytes improves cardiac function after acute injury.
Adamo, L; Bajpai, G; Barger, PM; Bhattacharya, D; Jiang, W; Kovacs, A; Mann, DL; Matkovich, SJ; Rocha-Resende, C; Schilling, JD; Staloch, LJ; Weinheimer, CJ, 2018
)
0.82
"Treatment with pirfenidone resulted in thinner fibrous capsules and decreased staining for FAPα with no adverse effects. "( Safety and efficacy of topically applied 0.5% and 1% pirfenidone in a canine model of subconjunctival fibrosis.
Baynes, R; Khattab, A; Mowat, F; Oh, A; Salmon, B; Westermeyer, HD; Yeatts, J, 2019
)
1.12
"Treatment with pirfenidone in patients with mild to moderate disease slows the progression of disease, and reduces the risk of death at one year, with skin and gastro-intestinal adverse events."( [Idiopathic pulmonary fibrosis].
Cottin, V, 2014
)
0.74
"Treatment with pirfenidone was indicated, three times daily for 6 months."( Pirfenidone gel in patients with localized scleroderma: a phase II study.
Guevara-Gutiérrez, E; Rodríguez-Castellanos, M; Sánchez-Enríquez, S; Tlacuilo-Parra, A; Vélez-Gómez, E, 2015
)
2.2
"Treatment with pirfenidone may slow the decline in vital capacity and increase progression-free survival (PFS) in idiopathic pulmonary fibrosis (IPF). "( Effectiveness of combined therapy with pirfenidone and inhaled N-acetylcysteine for advanced idiopathic pulmonary fibrosis: a case-control study.
Homma, S; Ishida, F; Isobe, K; Kikuchi, N; Muramatsu, Y; Sakamoto, S; Sano, G; Satoh, K; Sugino, K; Takai, Y, 2015
)
1.04
"Treatment with pirfenidone stabilized both vital capacity and subjective symptoms in most patients (70-80%) treated for at least 6 months."( All-case post-marketing surveillance of 1371 patients treated with pirfenidone for idiopathic pulmonary fibrosis.
Azuma, A; Bando, M; Chida, K; Inoue, Y; Kakutani, S; Kudoh, S; Niimi, Y; Nukiwa, T; Ogura, T; Suga, M; Sugiyama, Y; Taniguchi, H, 2015
)
0.99
"Treatment with pirfenidone was introduced with the expectation of its potential benefit."( A Patient with Idiopathic Pleuroparenchymal Fibroelastosis Showing a Sustained Pulmonary Function due to Treatment with Pirfenidone.
Fukuda, Y; Goto, H; Hanibuchi, M; Morizumi, S; Nishioka, Y; Sato, S; Takahashi, M; Toyoda, Y, 2016
)
0.98
"Treatment with pirfenidone and nintedanib has currently been ongoing for nearly 12 months."( Successful Concomitant Therapy with Pirfenidone and Nintedanib in Idiopathic Pulmonary Fibrosis: A Case Report.
Hagmeyer, L; Priegnitz, C; Randerath, WJ; Treml, M, 2016
)
1.05
"Treatment with pirfenidone significantly increased RGS2 mRNA and protein expression in both a human fetal lung fibroblast cell line and primary pulmonary fibroblasts isolated from patients without or with idiopathic pulmonary fibrosis."( Upregulation of RGS2: a new mechanism for pirfenidone amelioration of pulmonary fibrosis.
Abel, PW; Casale, TB; Jiang, H; Mehrotra, S; Panettieri, RA; Rennard, S; Toews, ML; Tu, Y; Wolff, DW; Xie, Y; Zhang, Q, 2016
)
1.04
"Treatment with pirfenidone may decrease the rate of decline in VC and may increase the PFS time over 52 weeks."( Pirfenidone in idiopathic pulmonary fibrosis.
Azuma, A; Ebina, M; Kondoh, Y; Kudoh, S; Nakata, K; Nukiwa, T; Ogura, T; Raghu, G; Sato, A; Suga, M; Taguchi, Y; Takahashi, H; Takeuchi, M; Taniguchi, H, 2010
)
2.14
"Rats treated with pirfenidone also had smaller infarct dense scar (8.9% of LV myocardium vs."( Pirfenidone mitigates left ventricular fibrosis and dysfunction after myocardial infarction and reduces arrhythmias.
Ding, C; Marcus, GM; Nguyen, DT; Olgin, JE; Wilson, E, 2010
)
2.13
"Pretreatment with pirfenidone (3 and 30 mg/kg) showed a dose-dependent inhibition of the LPS-induced pulmonary inflammation, reflected by a significant decrease in the number of BAL total and neutrophilic cells at both the 3 and 30 mg/kg dose."( Inhibition of experimental acute pulmonary inflammation by pirfenidone.
Case, N; Chapman, RW; Crawley, Y; Egan, RW; Fine, J; Hey, JA; Kreutner, W; Kung, T; Minnicozzi, M; Spond, J; Wang, P, 2003
)
0.89
"Treatment with pirfenidone significantly reduced the number of these cells compared with the corresponding BL group."( Pirfenidone attenuates expression of HSP47 in murine bleomycin-induced pulmonary fibrosis.
Abe, K; Fujii, T; Hayashi, T; Ishii, H; Kadota, J; Kakugawa, T; Kohno, S; Miyazaki, M; Mukae, H; Oku, H, 2004
)
2.11
"Rats treated with pirfenidone showed blood pressure values similar to control rats."( Pirfenidone and candesartan ameliorate morphological damage in mild chronic anti-GBM nephritis in rats.
Forslund, T; Iversen, BM; Leh, S; Margolin, SB; Vaagnes, Ø, 2005
)
2.09
"Treatment with pirfenidone resulted in a lower level of plasma tissue necrosis factor alpha, which correlated positively with lung myeloperoxidase enzymatic activity (P < .0001)."( Pirfenidone inhibits inflammatory responses and ameliorates allograft injury in a rat lung transplant model.
Cheng, Y; Drew, P; Liu, H; Visner, GA, 2005
)
2.11
"Treatment with pirfenidone significantly reduced transforming growth factor-beta1 and platelet-derived growth factor levels in bronchoalveolar lavage fluid."( Pirfenidone modulates airway responsiveness, inflammation, and remodeling after repeated challenge.
Gelfand, EW; Hirano, A; Ito, W; Kanehiro, A; Kataoka, M; Nakashima, H; Okada, C; Ono, K; Tanimoto, M; Tanimoto, Y; Yoshida, A, 2006
)
2.12
"Pretreatment with pirfenidone significantly attenuated GalN/LPS-induced severe hepatotoxicity, as evidenced by decreased ALT, AST levels and MDA content and improved histopathological changes. "( Protective effects of pirfenidone on D-galactosamine and lipopolysaccharide-induced acute hepatotoxicity in rats.
Chen, XY; Wang, F; Wen, T; Wu, H, 2008
)
0.99
"Pretreatment with pirfenidone reduced neutrophil recruitment, TNF-alpha and TGF-beta levels, and MMP-9 secretion."( Modulation of airway remodeling-associated mediators by the antifibrotic compound, pirfenidone, and the matrix metalloproteinase inhibitor, batimastat, during acute lung injury in mice.
Boichot, E; Corbel, M; Germain, N; Lagente, V; Lanchou, J; Malledant, Y, 2001
)
0.86

Toxicity

Pirfenidone combined with carboplatin-based regimens or ICIs might be safe first-line chemotherapy for patients with IPF and NSCLC. The main adverse reactions were gastrointestinal reactions, photosensitivity and skin rashes.

ExcerptReferenceRelevance
"Pulmonary toxicity, including fibrosis, is a serious adverse effect associated with the antidysrhythmic drug amiodarone (AM)."( Differential effects of pirfenidone on acute pulmonary injury and ensuing fibrosis in the hamster model of amiodarone-induced pulmonary toxicity.
Brien, JF; Card, JW; Margolin, SB; Massey, TE; Racz, WJ, 2003
)
0.63
" In this meta-analysis, we analyzed the adverse events (AEs) of PFD for the treatment of pulmonary fibrosis."( Adverse events of pirfenidone for the treatment of pulmonary fibrosis: a meta-analysis of randomized controlled trials.
Huang, H; Jiang, C; Liu, J; Lu, Z; Wang, Y; Xu, Z, 2012
)
0.71
"PFD used for the treatment of pulmonary fibrosis is not so safe or well-tolerated."( Adverse events of pirfenidone for the treatment of pulmonary fibrosis: a meta-analysis of randomized controlled trials.
Huang, H; Jiang, C; Liu, J; Lu, Z; Wang, Y; Xu, Z, 2012
)
0.71
" Safety was assessed by adverse events, ECGs, vital signs, and clinical laboratory parameters."( Pharmacokinetics, safety and tolerability of pirfenidone and its major metabolite after single and multiple oral doses in healthy Chinese subjects under fed conditions.
Ding, L; Hua, WY; Huang, NY; Lin, HD; Liu, X; Wang, J; Zhang, QY, 2013
)
0.65
"Pirfenidone was safe and well tolerated."( Pharmacokinetics, safety and tolerability of pirfenidone and its major metabolite after single and multiple oral doses in healthy Chinese subjects under fed conditions.
Ding, L; Hua, WY; Huang, NY; Lin, HD; Liu, X; Wang, J; Zhang, QY, 2013
)
2.09
"The most frequent adverse event was anorexia, although the grade of anorexia in most patients was mild."( Safety and efficacy of pirfenidone in idiopathic pulmonary fibrosis in clinical practice.
Baba, T; Hagiwara, E; Kato, T; Kitamura, H; Ogura, T; Okuda, R, 2013
)
0.7
" Although generally well tolerated, a minority of patients discontinue therapy due to gastrointestinal and skin-related adverse events (AEs)."( Pirfenidone in idiopathic pulmonary fibrosis: expert panel discussion on the management of drug-related adverse events.
Bendstrup, E; Costabel, U; Cottin, V; Dewint, P; Egan, JJ; Ferguson, J; Groves, R; Hellström, PM; Kreuter, M; Maher, TM; Molina-Molina, M; Nordlind, K; Sarafidis, A; Vancheri, C, 2014
)
1.85
" Gastrointestinal and skin-related events were the most commonly reported adverse events; these were almost always mild to moderate in severity, and rarely led to treatment discontinuation."( Comprehensive assessment of the long-term safety of pirfenidone in patients with idiopathic pulmonary fibrosis.
Albera, C; Bradford, WZ; Costabel, U; du Bois, RM; King, TE; Leff, JA; Noble, PW; Sahn, SA; Valeyre, D, 2014
)
0.65
"This comprehensive analysis of safety in a large cohort of IPF patients receiving pirfenidone for a total of 2059 PEY demonstrates that long-term treatment with pirfenidone is safe and generally well tolerated."( Comprehensive assessment of the long-term safety of pirfenidone in patients with idiopathic pulmonary fibrosis.
Albera, C; Bradford, WZ; Costabel, U; du Bois, RM; King, TE; Leff, JA; Noble, PW; Sahn, SA; Valeyre, D, 2014
)
0.88
" Adverse events were reported in nine out of 17 patients receiving nintedanib alone and 10 out of 21 patients receiving nintedanib added to pirfenidone."( Safety and pharmacokinetics of nintedanib and pirfenidone in idiopathic pulmonary fibrosis.
Abe, S; Azuma, A; Bando, M; Chida, K; Fujimoto, T; Hasegawa, Y; Inoue, Y; Klüglich, M; Kondoh, Y; Mochizuki, Y; Ogura, T; Okazaki, K; Sakamoto, W; Sugiyama, Y; Tadayasu, Y; Taniguchi, H, 2015
)
0.88
" The primary endpoint was assessment of adverse events, which were collected at each visit and for 28 days after the last dose of study drug."( Safety and tolerability of acetylcysteine and pirfenidone combination therapy in idiopathic pulmonary fibrosis: a randomised, double-blind, placebo-controlled, phase 2 trial.
Albera, C; Beck, J; Behr, J; Bendstrup, E; Crestani, B; Günther, A; Koschel, D; Kreuter, M; Lin, CY; Olschewski, H; Sköld, CM; Wallaert, B; Wells, A; Wuyts, W, 2016
)
0.69
" The occurrence of at least one adverse event (46 [77%] patients receiving acetylcysteine vs 50 [81%] receiving placebo), adverse events related to study treatment (17 [28%] vs 16 [26%]), and the number of patients experiencing severe adverse events (three [5%] vs two [3%]), life-threatening adverse events (one [2%] vs one [2%]), or death (one [2%] vs three [5%]) was similar between treatment groups."( Safety and tolerability of acetylcysteine and pirfenidone combination therapy in idiopathic pulmonary fibrosis: a randomised, double-blind, placebo-controlled, phase 2 trial.
Albera, C; Beck, J; Behr, J; Bendstrup, E; Crestani, B; Günther, A; Koschel, D; Kreuter, M; Lin, CY; Olschewski, H; Sköld, CM; Wallaert, B; Wells, A; Wuyts, W, 2016
)
0.69
" Since IPF is a chronic and progressive disease most commonly encountered in an older population, therapeutic options should be not only effective, but also free from drug interactions and as safe and tolerable as possible."( A safety evaluation of pirfenidone for the treatment of idiopathic pulmonary fibrosis.
Anderson, A; Nathan, SD; Shifren, A, 2016
)
0.74
" Information on efficacy, adverse events, drug tolerability and discontinuation rates both in clinical trials and real-world clinical experiences are reported."( A safety evaluation of pirfenidone for the treatment of idiopathic pulmonary fibrosis.
Anderson, A; Nathan, SD; Shifren, A, 2016
)
0.74
" In clinical trials, observational studies and real-world use, adverse events are frequent, though generally mild and well tolerated, especially with adequate patient education."( A safety evaluation of pirfenidone for the treatment of idiopathic pulmonary fibrosis.
Anderson, A; Nathan, SD; Shifren, A, 2016
)
0.74
" The known gastrointestinal, skin, and liver adverse events (AE) of pirfenidone are of importance given the involvement of these organs in SSc."( An Open-label, Phase II Study of the Safety and Tolerability of Pirfenidone in Patients with Scleroderma-associated Interstitial Lung Disease: the LOTUSS Trial.
Albera, C; Chen, D; Chung, L; Fischer, A; Gorina, E; Khalidi, N; Khanna, D; Raghu, G; Schiopu, E; Seibold, JR; Tagliaferri, M, 2016
)
0.91
" A grade 5 adverse event (death) occurred in 1 patient, after AE-IPF; no other grade 3-5 adverse events were observed."( A phase II trial evaluating the efficacy and safety of perioperative pirfenidone for prevention of acute exacerbation of idiopathic pulmonary fibrosis in lung cancer patients undergoing pulmonary resection: West Japan Oncology Group 6711 L (PEOPLE Study).
Asato, Y; Azuma, A; Chida, M; Fukuoka, J; Hiroshima, K; Ikeda, N; Iwasawa, T; Iwata, T; Katakami, N; Kuwano, K; Matsuura, M; Mitsudomi, T; Nakagawa, K; Nakanishi, Y; Okada, M; Okami, J; Okubo, K; Sakai, S; Sakamoto, K; Tada, H; Takenoyama, M; Tomii, K; Tsuboi, M; Yamashita, M; Yamashita, Y; Yokouchi, H; Yoshida, S; Yoshimura, K; Yoshino, I, 2016
)
0.67
" An increasing number of patients with IPF are receiving treatment with these novel therapies, and the risk of adverse events that may be associated with their use must be carefully evaluated."( The safety of new drug treatments for idiopathic pulmonary fibrosis.
Fletcher, S; Jones, MG; Limbrey, R; Marshall, BG; Richeldi, L; Sgalla, G; Spinks, K, 2016
)
0.43
"To analyze the efficacy and adverse events  (AEs) of pirfenidone in idiopathic pulmonary fibrosis (IPF) trials."( Efficacy and adverse events of pirfenidone in treating idiopathic pulmonary fibrosis.
Gao, L; Ren, H; Wang, K; Yang, H, 2017
)
0.99
" The treatment-emergent adverse event (TEAE) rate was 701."( An Open-Label Study of the Long-Term Safety of Pirfenidone in Patients with Idiopathic Pulmonary Fibrosis (RECAP).
Albera, C; Costabel, U; Hormel, P; Hulter, HN; Lancaster, LH; Lin, CY; Noble, PW, 2017
)
0.71
" With regard to grade 3-5 adverse events, only one patient exhibited grade 3 hyponatremia."( The Efficacy and Safety of Long-term Pirfenidone Therapy in Patients with Idiopathic Pulmonary Fibrosis.
Hanada, S; Kishi, K; Miyamoto, A; Mochizuki, S; Morokawa, N; Murase, K; Ogawa, K; Takahashi, Y; Takaya, H; Uruga, H, 2018
)
0.75
" The advanced group showed a similar rate of adverse events (AEs) (78."( Efficacy and Safety of Pirfenidone in Advanced Idiopathic Pulmonary Fibrosis.
Kim, DS; Song, JW; Yoon, HY,
)
0.44
"Treatment with pirfenidone resulted in thinner fibrous capsules and decreased staining for FAPα with no adverse effects."( Safety and efficacy of topically applied 0.5% and 1% pirfenidone in a canine model of subconjunctival fibrosis.
Baynes, R; Khattab, A; Mowat, F; Oh, A; Salmon, B; Westermeyer, HD; Yeatts, J, 2019
)
1.12
" At least one side effect due to therapy was encountered in 33 (55."( The Effectiveness, Safety, and Tolerability of Pirfenidone in Idiopathic Pulmonary Fibrosis: A Retrospective Study.
Cilli, A; Hanta, I; Sevinc, C, 2019
)
0.77
" Nausea was a significant adverse reaction (p < 0."( Self-reported Gastrointestinal Side Effects of Antifibrotic Drugs in Dutch Idiopathic Pulmonary Fibrosis patients.
Bast, A; Drent, M; Elfferich, MDP; Jessurun, NT; Proesmans, VLJ; Wijnen, PAHM, 2019
)
0.51
" Common adverse events were gastrointestinal disturbances and skin rash."( Efficacy and safety of pirfenidone in systemic sclerosis-related interstitial lung disease-a randomised controlled trial.
Acharya, N; Dhir, V; Dhooria, S; Jain, S; Mishra, D; Sharma, SK, 2020
)
0.87
"3% experienced adverse events (AEs), of which a decreased appetite (32."( Safety and Efficacy of Pirfenidone in Advanced Idiopathic Pulmonary Fibrosis: A Nationwide Post-Marketing Surveillance Study in Korean Patients.
Chung, MP; Jegal, Y; Kim, YS; Kim, YW; Lee, HB; Oh, IJ; Park, JS; Park, MS; Song, JW; Uh, ST, 2020
)
0.87
"), effectively managing treatment-related adverse events (AEs) may improve adherence."( Expert consensus on the management of adverse events and prescribing practices associated with the treatment of patients taking pirfenidone for idiopathic pulmonary fibrosis: a Delphi consensus study.
Brown, AW; de Andrade, JA; Flaherty, KR; Kaner, RJ; King, CS; Nathan, SD; Noth, I; Padilla, ML; Rahaghi, FF; Safdar, Z; Scholand, MB; Shifren, A, 2020
)
0.76
" Serious treatment-emergent adverse events were reported in 54 (61%) patients in the sildenafil group and 55 (62%) patients in the placebo group."( Efficacy and safety of sildenafil added to pirfenidone in patients with advanced idiopathic pulmonary fibrosis and risk of pulmonary hypertension: a double-blind, randomised, placebo-controlled, phase 2b trial.
Antoniou, K; Behr, J; Bengus, M; Bouros, DE; Gilberg, F; Guiot, J; Harari, S; Kirchgaessler, KU; Kramer, MR; Mogulkoc Bishop, N; Nathan, SD; Perjesi, A; Wells, AU; Wuyts, WA, 2021
)
0.88
"The present study found that pirfenidone combined with carboplatin-based regimens or ICIs might be safe first-line chemotherapy for patients with IPF and NSCLC."( Safety and effectiveness of pirfenidone combined with carboplatin-based chemotherapy in patients with idiopathic pulmonary fibrosis and non-small cell lung cancer: A retrospective cohort study.
Akazawa, Y; Ishijima, M; Kanazu, M; Kuge, T; Mori, M; Okabe, F; Uenami, T; Yamaguchi, T; Yamamoto, Y; Yano, Y, 2020
)
1.14
"To assess the long-term effectiveness of pirfenidone in idiopathic pulmonary fibrosis (IPF) treatment and to establish its adverse effects profile."( Effectiveness and safety of pirfenidone for idiopathic pulmonary fibrosis.
Arlandis, M; Aznar, T; Chiner, E; Herraiz, P; Marcos Ribes, B; Sancho-Chust, JN; Talens, A, 2020
)
1.12
" We collected demographic variables (age, sex); date of first and last treatment; reason for discontinuation; pulmonary function measures (forced vital capacity (FVC), carbon monoxide diffusion capacity (DLCO), and 6 min walk test (6MWT)) at treatment initiation (baseline) and at 1, 2 and 3 year follow-up; adherence to pirfenidone treatment; recorded adverse effects; and mortality."( Effectiveness and safety of pirfenidone for idiopathic pulmonary fibrosis.
Arlandis, M; Aznar, T; Chiner, E; Herraiz, P; Marcos Ribes, B; Sancho-Chust, JN; Talens, A, 2020
)
1.03
" The most frequently observed adverse effects were gastrointestinal disturbances and photosensitivity."( Effectiveness and safety of pirfenidone for idiopathic pulmonary fibrosis.
Arlandis, M; Aznar, T; Chiner, E; Herraiz, P; Marcos Ribes, B; Sancho-Chust, JN; Talens, A, 2020
)
0.85
" The most frequent adverse effects were digestive and cutaneous, prompting in some cases a reduction in dose or even discontinuation of the treatment."( Effectiveness and safety of pirfenidone for idiopathic pulmonary fibrosis.
Arlandis, M; Aznar, T; Chiner, E; Herraiz, P; Marcos Ribes, B; Sancho-Chust, JN; Talens, A, 2020
)
0.85
" Patient's counseling during treatment remains essential to manage emerging adverse events and eventually inform the decision of drug discontinuation."( An updated safety review of the drug treatments for idiopathic pulmonary fibrosis.
Comes, A; Richeldi, L; Sgalla, G, 2021
)
0.62
" Adverse events and adverse drug reactions (ADRs) were reported through a retrospective review of medical records."( Safety and tolerability of combination therapy with pirfenidone and nintedanib for idiopathic pulmonary fibrosis: A multicenter retrospective observational study in Japan.
Bando, M; Hara, H; Hashimoto, S; Hisata, S; Homma, S; Inase, N; Izumi, S; Kataoka, K; Kato, M; Mukae, H; Nishioka, Y; Ogura, T; Saito, Y; Sakamoto, S; Shimizu, Y; Tanino, Y; Waseda, Y; Watanabe, K; Yatera, K, 2021
)
0.87
"Immune checkpoint inhibitor associated pneumonia (CIP) is a serious side effect of immune checkpoint inhibitors."( [A Case Report of Checkpoint Inhibitor Pneumonitis Caused by PD-1
Antibody-Safety and Effectiveness of Pirfenidone].
Cheng, X; Han, X; Li, J; Yu, H; Yu, L; Zhang, X, 2021
)
0.84
" During the treatment of pirfenidone, the CT imaging and clinical symptoms of the patients were significantly improved, and there were no other adverse reactions except grade 1 nausea."( [A Case Report of Checkpoint Inhibitor Pneumonitis Caused by PD-1
Antibody-Safety and Effectiveness of Pirfenidone].
Cheng, X; Han, X; Li, J; Yu, H; Yu, L; Zhang, X, 2021
)
1.14
" At least one adverse event (AE) associated with the treatment was observed in 28 (37."( Evaluation of efficacy and safety of pirfenidone 200 mg tablets in patients with idiopathic pulmonary fibrosis in a real-life setting
Çilli, A; Coşkun, F; Hanta, İ; Ödemiş, A; Sevinç, C; Ursavaş, A, 2021
)
0.89
"It is necessary to systematically evaluate the efficacy and adverse reactions of pirfenidone in the treatment of patients with idiopathic pulmonary fibrosis (IPF)."( The effects and safety of pirfenidone in the treatment of idiopathic pulmonary fibrosis: a meta-analysis and systematic review.
Li, L; Wang, Y; Zang, C; Zheng, Y, 2021
)
1.15
" Two authors collected and compared the indicators including progression-free survival (PFS), vital capacity (VC), forced vital capacity (FVC), and adverse reactions."( The effects and safety of pirfenidone in the treatment of idiopathic pulmonary fibrosis: a meta-analysis and systematic review.
Li, L; Wang, Y; Zang, C; Zheng, Y, 2021
)
0.92
" The main adverse reactions of pirfenidone were gastrointestinal reactions, photosensitivity and skin rashes."( The effects and safety of pirfenidone in the treatment of idiopathic pulmonary fibrosis: a meta-analysis and systematic review.
Li, L; Wang, Y; Zang, C; Zheng, Y, 2021
)
1.21
"Pirfenidone is beneficial to prolong the PFS of IPF patients, improve lung function, and it is safe for clinical use."( The effects and safety of pirfenidone in the treatment of idiopathic pulmonary fibrosis: a meta-analysis and systematic review.
Li, L; Wang, Y; Zang, C; Zheng, Y, 2021
)
2.36
" In this study, we sought to determine whether switching treatment to nintedanib is feasible and safe in patients that had to discontinue treatment with pirfenidone due to side effects."( Feasibility and safety of treatment switch from Pirfenidone to Nintedanib in patients with idiopathic pulmonary fibrosis: a real-world observational study.
Anevlavis, S; Archontogeorgis, K; Bonelis, K; Froudarakis, M; Ntolios, P; Paxinou, N; Steiropoulos, P; Voulgaris, A, 2021
)
1.08
" After the initiation of nintedanib, diarrhea was the most common side effect (66."( Feasibility and safety of treatment switch from Pirfenidone to Nintedanib in patients with idiopathic pulmonary fibrosis: a real-world observational study.
Anevlavis, S; Archontogeorgis, K; Bonelis, K; Froudarakis, M; Ntolios, P; Paxinou, N; Steiropoulos, P; Voulgaris, A, 2021
)
0.88
"These results suggest that nintedanib is a safe option for the treatment of patients that had to discontinue pirfenidone due to adverse reactions."( Feasibility and safety of treatment switch from Pirfenidone to Nintedanib in patients with idiopathic pulmonary fibrosis: a real-world observational study.
Anevlavis, S; Archontogeorgis, K; Bonelis, K; Froudarakis, M; Ntolios, P; Paxinou, N; Steiropoulos, P; Voulgaris, A, 2021
)
1.09
"Progression-free survival (PFS), acute exacerbation and worsening of IPF and Impact on adverse events."( Efficacy and safety of pirfenidone in the treatment of idiopathic pulmonary fibrosis patients: a systematic review and meta-analysis of randomised controlled trials.
Liu, X; Qiu, L; Wu, J; Wu, W; Zhang, G, 2021
)
0.93
" The primary outcome was tolerability defined as maintaining the recommended dose of pirfenidone (2403 mg/day) without a dose reduction totaling more than 21 days, due to adverse events (AEs) or severe AEs (SAEs)."( The safety and tolerability of pirfenidone for bronchiolitis obliterans syndrome after hematopoietic cell transplant (STOP-BOS) trial.
Brondstetter, T; Chatterjee, P; Cheng, GS; Chiu, W; Hsu, JL; Johnston, L; Matthaiou, EI; Morris, K; O'Donnell, C; Owyang, C; Sharifi, H; Turk, I, 2022
)
1.23
" Symptoms and adverse events were evaluated weekly and patients completed online patient-reported outcomes measures."( Safety and tolerability of pirfenidone in asbestosis: a prospective multicenter study.
Baart, S; Grutters, JC; Lie, NSL; Miedema, JR; Moor, CC; Mostard, RLM; Veltkamp, M; Wijsenbeek, MS, 2022
)
1.02
"7%) experienced any adverse events during the study period."( Safety and tolerability of pirfenidone in asbestosis: a prospective multicenter study.
Baart, S; Grutters, JC; Lie, NSL; Miedema, JR; Moor, CC; Mostard, RLM; Veltkamp, M; Wijsenbeek, MS, 2022
)
1.02
"While pirfenidone and nintedanib have greatly influenced the treatment of idiopathic pulmonary fibrosis (IPF), both drugs have significant early adverse drug reactions (ADRs) and almost nothing is known of their rare and delayed ADRs."( Real-world safety profiles of pirfenidone and nintedanib in idiopathic pulmonary fibrosis patients.
Bouzillé, G; Fournier, D; Jouneau, S; Osmont, MN; Polard, E; Scailteux, LM, 2022
)
1.49
" There was no significant difference in the rate of treatment-emergent serious adverse events between the two groups, and there were no treatment-related deaths."( Safety, tolerability, and efficacy of pirfenidone in patients with rheumatoid arthritis-associated interstitial lung disease: a randomised, double-blind, placebo-controlled, phase 2 study.
Adamali, HI; Chambers, DC; Chaudhuri, N; Cox, PG; Danoff, SK; Dellaripa, PF; Flaherty, KR; Forrest, IA; Gibbons, MA; Glaspole, I; Goldberg, HJ; Golden, J; Gooptu, B; Hurwitz, S; Kolb, M; Lasky, JA; Lynch, DA; Maurer, R; Perrella, MA; Raghu, G; Rosas, IO; Scholand, MB; Solomon, JJ; Spencer, LG; Spino, C; Troy, L; Vassallo, R; Woodhead, FA, 2023
)
1.18
" There were no treatment-emergent serious adverse events."( Pirfenidone in fibrotic hypersensitivity pneumonitis: a double-blind, randomised clinical trial of efficacy and safety.
Crooks, JL; Fernández Pérez, ER; Fier, K; Groshong, SD; Humphries, SM; Koelsch, TL; Lynch, DA; Mohning, MP; Solomon, JJ; Swigris, JJ, 2023
)
2.35
" Pirfenidone was found to be safe and improved PFS in patients with FHP."( Pirfenidone in fibrotic hypersensitivity pneumonitis: a double-blind, randomised clinical trial of efficacy and safety.
Crooks, JL; Fernández Pérez, ER; Fier, K; Groshong, SD; Humphries, SM; Koelsch, TL; Lynch, DA; Mohning, MP; Solomon, JJ; Swigris, JJ, 2023
)
3.26
" Blood samples were taken to confirm the pharmacokinetics of PR-PFD, and adverse events (AEs) were evaluated monthly using a short questionnaire."( Prolonged-release pirfenidone in patients with pulmonary fibrosis as a phenotype of post-acute sequelae of COVID-19 pneumonia. Safety and efficacy.
Aguilar-Medina, S; Alva-Lopez, LF; Cazzola, M; Domínguez-Arellano, S; Escobar-Alvarado, JC; Falfán-Valencia, R; Matera, MG; Montiel-Lopez, F; Olaya-López, E; Pérez-Rubio, G; Poo, JL; Ramírez-Venegas, A; Sansores, RH; Zavaleta-Martínez, EO, 2023
)
1.24
"In patients with PASC pulmonary fibrosis, three months' treatment with PR-PFD was safe and showed therapeutic efficacy."( Prolonged-release pirfenidone in patients with pulmonary fibrosis as a phenotype of post-acute sequelae of COVID-19 pneumonia. Safety and efficacy.
Aguilar-Medina, S; Alva-Lopez, LF; Cazzola, M; Domínguez-Arellano, S; Escobar-Alvarado, JC; Falfán-Valencia, R; Matera, MG; Montiel-Lopez, F; Olaya-López, E; Pérez-Rubio, G; Poo, JL; Ramírez-Venegas, A; Sansores, RH; Zavaleta-Martínez, EO, 2023
)
1.24

Pharmacokinetics

Pirfenidone is the first worldwide-approved drug for idiopathic pulmonary fibrosis treatment. Its pharmacodynamic properties and the metabolic response have not been fully elucidated. A rapid, sensitive and selective ultra-performance liquid chromatography tandem mass spectrometry was developed.

ExcerptReferenceRelevance
" From the pirfenidone concentrations, pharmacokinetic parameters were determined for each dog at each treatment interval."( Pharmacokinetics of orally administered pirfenidone in male and female beagles.
Bruss, ML; Giri, SN; Margolin, SB, 2004
)
0.99
" Pharmacokinetic parameters after multiple doses were similar to those after single doses."( Single- and multiple-dose pharmacokinetics of pirfenidone, an antifibrotic agent, in healthy Chinese volunteers.
Chen, H; Shi, S; Wu, J; Zeng, F, 2007
)
0.6
" Distribution of pirfenidone best fit a 2-compartment model, and the drug had mean +/- SEM elimination half-life of 86."( Pharmacokinetics and clinical effects of pirfenidone administered intravenously in horses.
Braim, AE; Bruss, ML; Giri, JK; Giri, SN; Macdonald, MH; Stanley, SD, 2008
)
0.95
" Concentrations of pirfenidone and its metabolites in plasma and urine were determined by liquid chromatography with tandem mass spectrometry, and candidate pharmacokinetic models were fit to plasma data using weighted, non-linear regression."( Effect of food and antacids on the pharmacokinetics of pirfenidone in older healthy adults.
Ambrose, PG; Bhavnani, SM; Forrest, A; Loutit, JS; Rubino, CM, 2009
)
0.93
" The half-life for these tissues was 18."( Pharmacokinetics of pirfenidone after topical administration in rabbit eye.
Lin, X; Qiu, X; Sun, G; Wu, K; Yang, Y; Ye, C; Yu, M; Zhong, H, 2011
)
0.69
" To clarify the in vivo phototoxic behavior of PFD, photoirritation and pharmacokinetic characteristics were also assessed in rats after its oral administration."( Photosafety assessments on pirfenidone: photochemical, photobiological, and pharmacokinetic characterization.
Inoue, R; Kato, M; Onoue, S; Seto, Y; Yamada, S, 2013
)
0.69
"A rapid, sensitive and selective ultra-performance liquid chromatography tandem mass spectrometry (UPLC-MS/MS) was developed and validated for the determination and pharmacokinetic investigation of pirfenidone in rat plasma."( Determination and pharmacokinetic study of pirfenidone in rat plasma by UPLC-MS/MS.
Chen, RJ; Chen, RM; Hu, GX; Jiang, SM; Jiang, ZL; Li, WS; Sun, W; Wang, Z; Zhou, L, 2015
)
0.87
"32 mg·h·L(- 1)) and delayed time to reach Cmax (Tmax) were observed in fed group compared with fasted group."( Effect of grapefruit juice and food on the pharmacokinetics of pirfenidone in healthy Chinese volunteers: a diet-drug interaction study.
Deng, S; He, X; Hu, J; Huang, W; Lu, H; Ni, X; Qiu, C; Shang, D; Wang, Z; Wen, Y; Xu, X; Zhang, M; Zhu, X, 2016
)
0.67
"Given the importance of pirfenidone as the first worldwide-approved drug for idiopathic pulmonary fibrosis treatment, its pharmacodynamic properties and the metabolic response to pirfenidone treatment have not been fully elucidated."( Pharmacokinetic and pharmacometabolomic study of pirfenidone in normal mouse tissues using high mass resolution MALDI-FTICR-mass spectrometry imaging.
Aichler, M; Eickelberg, O; Fernandez, IE; Sun, N; Walch, A; Wei, M; Wu, Y, 2016
)
1
" A pharmacokinetic study was also conducted after intratracheal and oral administration of PFD formulations."( Development of an Improved Inhalable Powder Formulation of Pirfenidone by Spray-Drying: In Vitro Characterization and Pharmacokinetic Profiling.
Chan, HK; Leung, SS; Onoue, S; Seto, Y; Suzuki, G, 2016
)
0.68
" This method was successfully applied to the pharmacokinetic study of pirfenidone in rats on oral administration of the drug at a dose of 15."( Determination and Pharmacokinetic Study of Pirfenidone in Rat Serum by High-Performance Thin-Layer Chromatography.
Chikhale, RV; Thorat, SG, 2016
)
0.93
"This study aimed to verify the applicability of a proposed photosafety screening system based on a reactive oxygen species (ROS) assay and a cassette-dosing pharmacokinetic (PK) study to chemicals with wide structural diversity."( Photochemical and Pharmacokinetic Characterization of Orally Administered Chemicals to Evaluate Phototoxic Risk.
Iyama, Y; Onoue, S; Sato, H; Seto, Y, 2019
)
0.51
" To avoid early development failures and attrition in clinical phase 1, an evaluation of the preclinical pharmacokinetic (PK) properties of MFD was conducted in this study."( Pharmacokinetics, tissue distribution, plasma protein binding, and metabolism study of mefunidone, a novel pirfenidone derivative.
Cheng, Z; Han, X; Li, F; Ma, Y; Wang, L; Wen, Z, 2019
)
0.73
"Pirfenidone concentrations were evaluated in plasma, lung-derived lymph and epithelial lining fluid (ELF) with data subjected to non-compartmental pharmacokinetic analysis."( Aerosol Pirfenidone Pharmacokinetics after Inhaled Delivery in Sheep: a Viable Approach to Treating Idiopathic Pulmonary Fibrosis.
Beck, S; Bischof, RJ; Davies, AN; Ibrahim, J; Kaminskas, LM; Landersdorfer, CB; Leong, N; Montgomery, AB; Pham, S; Surber, MW, 2019
)
2.39
"The pharmacokinetic parameters of PR-PFD are significantly modified in patients with cirrhosis compared with those in controls, indicating that liver impairment should be considered in clinical practice."( Prolonged release pirfenidone pharmacokinetics is modified in cirrhosis GENESIS study.
Aguilar, JR; Alonso-Campero, R; Bernal-Reyes, R; Gamino, ME; Gasca, F; Gomez-Silva, M; Hernández, L; Hernández, N; la Parra, MG; Muñoz-Espinosa, LE; Peña, P; Pineyro-Garza, E; Poo, JL; Tapia, G, 2023
)
1.24

Compound-Compound Interactions

Pirfenidone combined with carboplatin-based regimens or ICIs might be safe first-line chemotherapy for patients with IPF and NSCLC.

ExcerptReferenceRelevance
" However, no study has reported on its prophylactic value against chemotherapy-associated acute IPF exacerbations when combined with chemotherapy for non-small cell lung cancer (NSCLC)."( Safety and effectiveness of pirfenidone combined with carboplatin-based chemotherapy in patients with idiopathic pulmonary fibrosis and non-small cell lung cancer: A retrospective cohort study.
Akazawa, Y; Ishijima, M; Kanazu, M; Kuge, T; Mori, M; Okabe, F; Uenami, T; Yamaguchi, T; Yamamoto, Y; Yano, Y, 2020
)
0.85
" Patients were treated with pirfenidone combined with carboplatin and nanoparticle albumin-bound paclitaxel or S-1 as first-line chemotherapy."( Safety and effectiveness of pirfenidone combined with carboplatin-based chemotherapy in patients with idiopathic pulmonary fibrosis and non-small cell lung cancer: A retrospective cohort study.
Akazawa, Y; Ishijima, M; Kanazu, M; Kuge, T; Mori, M; Okabe, F; Uenami, T; Yamaguchi, T; Yamamoto, Y; Yano, Y, 2020
)
1.15
"The present study found that pirfenidone combined with carboplatin-based regimens or ICIs might be safe first-line chemotherapy for patients with IPF and NSCLC."( Safety and effectiveness of pirfenidone combined with carboplatin-based chemotherapy in patients with idiopathic pulmonary fibrosis and non-small cell lung cancer: A retrospective cohort study.
Akazawa, Y; Ishijima, M; Kanazu, M; Kuge, T; Mori, M; Okabe, F; Uenami, T; Yamaguchi, T; Yamamoto, Y; Yano, Y, 2020
)
1.14
"SIGNIFICANT FINDINGS OF THE STUDY: No patients with IPF and NSCLC who received pirfenidone in combination with first-line carboplatin-based chemotherapy or late-line ICIs developed acute IPF exacerbations."( Safety and effectiveness of pirfenidone combined with carboplatin-based chemotherapy in patients with idiopathic pulmonary fibrosis and non-small cell lung cancer: A retrospective cohort study.
Akazawa, Y; Ishijima, M; Kanazu, M; Kuge, T; Mori, M; Okabe, F; Uenami, T; Yamaguchi, T; Yamamoto, Y; Yano, Y, 2020
)
1.08
"The aim of this study was to explore the effect and mechanism of pirfenidone (PFD) combined with 2-methoxyestradiol (2-ME2) perfusion through portal vein on hepatic artery hypoxia-induced hepatic fibrosis."( Effect and mechanism of pirfenidone combined with 2-methoxy-estradiol perfusion through portal vein on hepatic artery hypoxia-induced hepatic fibrosis.
Huang, N; Jiang, QG; Lin, JQ; Yan, LY; Yang, WZ; Zheng, H, 2023
)
1.45

Bioavailability

Pirfenidone (PFD) is an orally bioavailable pyridone derivative with antifibrotic, antiinflammatory, and antioxidative properties currently used in the treatment of idiopathic pulmonary fibrosis. In control rats, the elimination half-life of pirfenidon following a single intravenous dose of 200 mg kg(-1) was 37 min while oral bioavailability at this dose was 25.

ExcerptReferenceRelevance
" In control rats, the elimination half-life of pirfenidone following a single intravenous dose of 200 mg kg(-1) was 37 min while oral bioavailability at this dose was 25."( Attenuation of cardiac fibrosis by pirfenidone and amiloride in DOCA-salt hypertensive rats.
Brown, L; Fenning, A; Margolin, SB; Mirkovic, S; Seymour, AM; Strachan, A; Taylor, SM, 2002
)
0.85
"8 mg x h/L [fasted]), rate of absorption was considerably (P < ."( Single- and multiple-dose pharmacokinetics of pirfenidone, an antifibrotic agent, in healthy Chinese volunteers.
Chen, H; Shi, S; Wu, J; Zeng, F, 2007
)
0.6
"Pirfenidone is an orally bioavailable synthetic compound with therapeutic potential for idiopathic pulmonary fibrosis."( XL413, a cell division cycle 7 kinase inhibitor enhanced the anti-fibrotic effect of pirfenidone on TGF-β1-stimulated C3H10T1/2 cells via Smad2/4.
Fu, ST; He, Y; Jin, SF; Liu, ZL; Ma, HL; Zhang, CP, 2015
)
2.08
"To increase bioavailability of the water-based PFD eye drops, we prepared a viscous solution by adding hydroxypropyl methylcellulose (HPMC, F4M), which acted as a viscosity-enhancer."( Preparation and evaluation of HPMC-based pirfenidone solution in vivo.
Lei, M; Wu, KL; Xu, JG; Yang, M; Yang, YF; Ye, CT; Yu, MB; Zhao, CS, 2017
)
0.72
" Pirfenidone (PFD) is an orally bioavailable pyridone derivative that has been clinically used for the treatment of idiopathic pulmonary fibrosis."( Antifibrotic effect of pirfenidone in a mouse model of human nonalcoholic steatohepatitis.
Furuke, S; Hata, KI; Ikeda, K; Itoh, M; Komiya, C; Miyachi, Y; Mori, K; Nakabayashi, K; Ochi, K; Ogawa, Y; Shiba, K; Shimazu, N; Suganami, T; Tanaka, M; Tsuchiya, K; Yamaguchi, S, 2017
)
1.68
" The model was validated with experimental data and used to determine the bioavailability both for contact lenses and eye drops."( Controlled delivery of pirfenidone through vitamin E-loaded contact lens ameliorates corneal inflammation.
Chauhan, A; Dixon, P; Ghosh, T; Hazra, S; Konar, A; Mondal, K, 2018
)
0.79
" Pirfenidone (PFD) is an orally bioavailable pyridone derivative with antifibrotic, antiinflammatory, and antioxidative properties currently used in the treatment of idiopathic pulmonary fibrosis."( Therapeutic effect of pirfenidone in the sugen/hypoxia rat model of severe pulmonary hypertension.
Bordenave, J; Cumont, A; Dorfmüller, P; Ghigna, MR; Guignabert, C; Huertas, A; Humbert, M; Phan, C; Poble, PB; Quatremare, T; Savale, L; Thuillet, R; Tu, L, 2019
)
1.74
" The absolute bioavailability was evaluated in Sprague Dawley rats and cynomolgus monkeys, who received an intragastric or intravenous administration at the dose of 31."( Pharmacokinetics, tissue distribution, plasma protein binding, and metabolism study of mefunidone, a novel pirfenidone derivative.
Cheng, Z; Han, X; Li, F; Ma, Y; Wang, L; Wen, Z, 2019
)
0.73
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51
" Pirfenidone (PFD), an orally bioavailable pyridone derivative, is clinically used for idiopathic pulmonary fibrosis treatment and has antifibrotic, anti-inflammatory, and antioxidant effects."( Pirfenidone attenuates acetaminophen-induced liver injury via suppressing c-Jun N-terminal kinase phosphorylation.
Aoyagi, T; Goya, T; Imoto, K; Kato, M; Kohjima, M; Kurokawa, M; Kuwano, A; Ogawa, Y; Suzuki, H; Takahashi, M; Tanaka, M; Tashiro, S, 2022
)
3.07
" In the present work, sustained-release (SR) formulations of the PFD-FA cocrystal of two different strengths such as 200 and 600 mg were prepared and its comparative bioavailability in healthy human volunteers was studied against the reference formulation PIRFENEX (200 mg)."( Investigating the Role of the Reduced Solubility of the Pirfenidone-Fumaric Acid Cocrystal in Sustaining the Release Rate from Its Tablet Dosage Form by Conducting Comparative Bioavailability Study in Healthy Human Volunteers.
Bansal, AK; Bose, A; Chakraborty, S; Das, S; Ghosh, A; Kumari, N; Pandey, N; Parmar, PK; Roy, P; Roy, S, 2022
)
0.97

Dosage Studied

Pirfenidone had significant anti-fibrotic effects for bleomycin-induced rat pulmonary fibrosis. These effects were most significantly attenuated at the dosage of 50 mg x kg (-1) x d(-1) (HE: P < 0.0).

ExcerptRelevanceReference
" Conventional therapy was discontinued in 38 of 46 patients; the other eight were able to decrease their prednisone dosage and eight had no previous conventional treatment."( Treatment of idiopathic pulmonary fibrosis with a new antifibrotic agent, pirfenidone: results of a prospective, open-label Phase II study.
Johnson, WC; Lockhart, D; Mageto, Y; Raghu, G, 1999
)
0.53
" However, when the dosage was tapered, BOOP recurred."( [Successful treatment of steroid-resistant bronchiolitis obliterans-organizing pneumonia with orally administered cyclosporin and pirfenidone].
Arai, Y; Isogane, N; Ito, K; Ogawa, C; Otomo, M; Sano, Y; Sekiya, T; Suzuki, N; To, Y, 2000
)
0.51
"To investigate the optimal dosage of pirfenidone for the treatment of pulmonary fibrosis induced by bleomycin in Wistar rats, and the alteration of expressions of transforming growth factor beta-1 (TGF-beta 1), tissue inhibitor of metalloproteinase-1 (TIMP-1), and matrix metalloproteinase-13 (MMP-13) in lung tissue."( Low dose pirfenidone suppresses transforming growth factor beta-1 and tissue inhibitor of metalloproteinase-1, and protects rats from lung fibrosis induced by bleomycina.
Gu, L; Guo, ZJ; Tian, XL; Yao, W; Zhu, YJ, 2006
)
1.02
"Low dose pirfenidone, especially at dosage of 50 mg x kg(-1) x d(-1), has significant anti-fibrotic effects on bleomycin-induced rat pulmonary fibrosis."( Low dose pirfenidone suppresses transforming growth factor beta-1 and tissue inhibitor of metalloproteinase-1, and protects rats from lung fibrosis induced by bleomycina.
Gu, L; Guo, ZJ; Tian, XL; Yao, W; Zhu, YJ, 2006
)
1.17
" Pirfenidone was administered orally on a continuous dosing schedule."( Phase I trial of pirfenidone in children with neurofibromatosis 1 and plexiform neurofibromas.
Babovic-Vuksanovic, D; Beck, H; Dombi, E; Fox, E; Gillespie, A; MacDonald, T; O'Neill, BP; Packer, RJ; Toledo-Tamula, MA; Widemann, BC; Wolters, PL, 2007
)
1.59
" Exposure of PFD to light-exposed tissues (skin and eye) after intratracheal administration of PFD-RP at a pharmacologically effective dose (300 μg-PFD/rat) was 90-130-fold less than that of the oral PFD dosage form at a phototoxic dose (160 mg/kg)."( Inhalable powder formulation of pirfenidone with reduced phototoxic risk for treatment of pulmonary fibrosis.
Aoki, Y; Kato, M; Kojo, Y; Onoue, S; Seto, Y; Yamada, S, 2013
)
0.67
"Patients (3-21 years) with NF1-related progressive PN received pirfenidone at the previously determined optimal dose (500 mg/m(2) orally, q8h) on a continuous dosing schedule (one cycle = 28 days)."( Phase II trial of pirfenidone in children and young adults with neurofibromatosis type 1 and progressive plexiform neurofibromas.
Babovic-Vuksanovic, D; Balis, FM; Blaney, SM; Cohen, B; Dombi, E; Fox, E; Goldman, S; Goodspeed, W; Goodwin, A; Kieran, MW; King, A; Martin, S; Packer, RJ; Patronas, N; Solomon, J; Steinberg, SM; Widemann, BC; Wolters, PL, 2014
)
0.98
"94 mg·L(- 1)), modestly affected area-under-the-plasma concentration-time curve (AUC) from time zero to 12 h post dosing (AUC0-12 h, 21."( Effect of grapefruit juice and food on the pharmacokinetics of pirfenidone in healthy Chinese volunteers: a diet-drug interaction study.
Deng, S; He, X; Hu, J; Huang, W; Lu, H; Ni, X; Qiu, C; Shang, D; Wang, Z; Wen, Y; Xu, X; Zhang, M; Zhu, X, 2016
)
0.67
"Pirfenidone was orally administered to IPF patients who were candidates for lung cancer surgery; pirfenidone was dosed at 600 mg/day for the first 2 weeks, followed by 1200 mg/day."( A phase II trial evaluating the efficacy and safety of perioperative pirfenidone for prevention of acute exacerbation of idiopathic pulmonary fibrosis in lung cancer patients undergoing pulmonary resection: West Japan Oncology Group 6711 L (PEOPLE Study).
Asato, Y; Azuma, A; Chida, M; Fukuoka, J; Hiroshima, K; Ikeda, N; Iwasawa, T; Iwata, T; Katakami, N; Kuwano, K; Matsuura, M; Mitsudomi, T; Nakagawa, K; Nakanishi, Y; Okada, M; Okami, J; Okubo, K; Sakai, S; Sakamoto, K; Tada, H; Takenoyama, M; Tomii, K; Tsuboi, M; Yamashita, M; Yamashita, Y; Yokouchi, H; Yoshida, S; Yoshimura, K; Yoshino, I, 2016
)
2.11
" This study suggests that hydrocarbon base ointment could be a promising dosage form for topical delivery of PF in treatment of deep partial-thickness burns."( Development of a Topical 48-H Release Formulation as an Anti-scarring Treatment for Deep Partial-Thickness Burns.
DeLuca, PP; Dorati, R; Leung, KP; Medina, JL, 2018
)
0.48
" Modification of the dosing regimen diminished this impact and may provide insight into possible mitigation strategies to minimize GI-related toxicities in the clinic."( Effect of pirfenidone on gastric emptying in a rat model.
Burg, C; Chen, Y; Gelzleichter, T; Limb, SL; Nguyen, L; Pan, L, 2018
)
0.88
" Furthermore, currently the majority of new drugs are investigated in preclinical models of IPF are dosed using a prophylactic dosing regimen, whereas patients are almost always treated after the fibrosis is well established."( Use of animal models in IPF research.
Carrington, R; Jordan, S; Page, CP; Pitchford, SC, 2018
)
0.48
"A panel of 12 physicians participated and developed a total of 286 statements on dosing and administration, special populations, drug-drug interactions, laboratory analysis, warnings and precautions, and AE management."( Expert consensus on the management of adverse events and prescribing practices associated with the treatment of patients taking pirfenidone for idiopathic pulmonary fibrosis: a Delphi consensus study.
Brown, AW; de Andrade, JA; Flaherty, KR; Kaner, RJ; King, CS; Nathan, SD; Noth, I; Padilla, ML; Rahaghi, FF; Safdar, Z; Scholand, MB; Shifren, A, 2020
)
0.76
" Subgroup analysis identified superior therapeutic effects of pirfenidone in patients with dosage >600 mg/day (p=0."( The role of pirfenidone in the treatment of interstitial pneumonia with autoimmune features.
Chen, T; Chen, YN; Hu, Y; Huang, Y; Li, HP; Li, QH; Shi, JY; Wang, XD; Weng, D; Wu, CY; Ye, S; Yin, CS; Zhang, AH; Zhang, Y; Zhou, Y, 2022
)
1.34
"3%) and difficulty adhering to pirfenidone's dosage scheme (16."( Feasibility and safety of treatment switch from Pirfenidone to Nintedanib in patients with idiopathic pulmonary fibrosis: a real-world observational study.
Anevlavis, S; Archontogeorgis, K; Bonelis, K; Froudarakis, M; Ntolios, P; Paxinou, N; Steiropoulos, P; Voulgaris, A, 2021
)
1.16
" The recommended daily dosage of PFD in patients with IPF is very high (2403 mg/day) and must be mitigated through additives."( Investigating the Role of the Reduced Solubility of the Pirfenidone-Fumaric Acid Cocrystal in Sustaining the Release Rate from Its Tablet Dosage Form by Conducting Comparative Bioavailability Study in Healthy Human Volunteers.
Bansal, AK; Bose, A; Chakraborty, S; Das, S; Ghosh, A; Kumari, N; Pandey, N; Parmar, PK; Roy, P; Roy, S, 2022
)
0.97
"Pirfenidone (PRF), the first FDA-approved drug to treat idiopathic pulmonary fibrosis (IPF) and formulated as an oral dosage form, has many side effects."( Inhaled deep eutectic solvent based-nanoemulsion of pirfenidone in idiopathic pulmonary fibrosis.
Kang, JH; Kim, DW; Kwon, TK; Park, CW; Yang, MS, 2022
)
2.41
"This phase 1b, randomised, open-label, dose-response trial at 25 sites in six countries (Australian New Zealand Clinical Trials Registry (ANZCTR) registration number ACTRN12618001838202) assessed safety, tolerability and efficacy of inhaled pirfenidone (AP01) in IPF."( Inhaled pirfenidone solution (AP01) for IPF: a randomised, open-label, dose-response trial.
Barczyk, A; Chaudhuri, N; Corte, TJ; Freeman, L; Glaspole, I; Grainge, C; Hopkins, P; Jassem, E; Montgomery, AB; Nair, D; Otto, K; Piotrowski, W; Raghu, G; Shaffer, ML; Šterclová, M; Veale, A; West, A; Wijsenbeek, MS; Wilsher, ML, 2023
)
1.53
" For designing an effective clinical cure, a combination of these three agents is required at a therapeutic dosage regimen."( Simultaneous estimation of voriconazole, moxifloxacin, and pirfenidone in rabbit lacrimal matrix using LC-MS/MS: an application to preclinical ocular pharmacokinetics.
Agrawal, S; Bhatta, RS; Bisen, AC; Biswas, A; Mishra, A; Sanap, SN; Verma, SK, 2023
)
1.15
" However, the current oral administration dosing regimen of PRF is complex and requires high doses."( Characterization of Channeling Effects Applied to Extended-Release Matrix Tablets Containing Pirfenidone.
Han, KH; Jeong, SJ; Kang, JH; Kim, DW; Lee, HJ; Park, CW; Park, ES; Shin, DH; Yoo, JH; Yoo, SD, 2023
)
1.13
" Serial blood samples were collected after dosing (0."( Prolonged release pirfenidone pharmacokinetics is modified in cirrhosis GENESIS study.
Aguilar, JR; Alonso-Campero, R; Bernal-Reyes, R; Gamino, ME; Gasca, F; Gomez-Silva, M; Hernández, L; Hernández, N; la Parra, MG; Muñoz-Espinosa, LE; Peña, P; Pineyro-Garza, E; Poo, JL; Tapia, G, 2023
)
1.24
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (3)

RoleDescription
non-narcotic analgesicA drug that has principally analgesic, antipyretic and anti-inflammatory actions. Non-narcotic analgesics do not bind to opioid receptors.
non-steroidal anti-inflammatory drugAn anti-inflammatory drug that is not a steroid. In addition to anti-inflammatory actions, non-steroidal anti-inflammatory drugs have analgesic, antipyretic, and platelet-inhibitory actions. They act by blocking the synthesis of prostaglandins by inhibiting cyclooxygenase, which converts arachidonic acid to cyclic endoperoxides, precursors of prostaglandins.
antipyreticA drug that prevents or reduces fever by lowering the body temperature from a raised state. An antipyretic will not affect the normal body temperature if one does not have fever. Antipyretics cause the hypothalamus to override an interleukin-induced increase in temperature. The body will then work to lower the temperature and the result is a reduction in fever.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (1)

ClassDescription
pyridone
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (19)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Chain A, HADH2 proteinHomo sapiens (human)Potency31.62280.025120.237639.8107AID893
Chain B, HADH2 proteinHomo sapiens (human)Potency31.62280.025120.237639.8107AID893
Chain A, 2-oxoglutarate OxygenaseHomo sapiens (human)Potency28.37090.177814.390939.8107AID2147
thioredoxin reductaseRattus norvegicus (Norway rat)Potency7.62930.100020.879379.4328AID488772; AID588453; AID588456
ClpPBacillus subtilisPotency31.62281.995322.673039.8107AID651965
GALC proteinHomo sapiens (human)Potency0.707928.183828.183828.1838AID1159614
GLI family zinc finger 3Homo sapiens (human)Potency1.18830.000714.592883.7951AID1259369
AR proteinHomo sapiens (human)Potency1.06820.000221.22318,912.5098AID743036
aldehyde dehydrogenase 1 family, member A1Homo sapiens (human)Potency35.48130.011212.4002100.0000AID1030
regulator of G-protein signaling 4Homo sapiens (human)Potency2.11920.531815.435837.6858AID504845
arylsulfatase AHomo sapiens (human)Potency1.69441.069113.955137.9330AID720538
euchromatic histone-lysine N-methyltransferase 2Homo sapiens (human)Potency0.54230.035520.977089.1251AID504332
Bloom syndrome protein isoform 1Homo sapiens (human)Potency0.07080.540617.639296.1227AID2364; AID2528
15-hydroxyprostaglandin dehydrogenase [NAD(+)] isoform 1Homo sapiens (human)Potency28.93420.001815.663839.8107AID894
flap endonuclease 1Homo sapiens (human)Potency37.68580.133725.412989.1251AID588795
gemininHomo sapiens (human)Potency1.25890.004611.374133.4983AID624297
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Transforming growth factor beta-1 proproteinMus musculus (house mouse)IC50 (µMol)1.43000.07050.75031.4300AID1570819
Mitogen-activated protein kinase 14Homo sapiens (human)IC50 (µMol)165.40000.00010.72667.8000AID1061688
Mothers against decapentaplegic homolog 3 Mus musculus (house mouse)IC50 (µMol)1.43000.07050.75031.4300AID1570819
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (66)

Processvia Protein(s)Taxonomy
positive regulation of blood vessel endothelial cell migrationMitogen-activated protein kinase 14Homo sapiens (human)
cellular response to lipopolysaccharideMitogen-activated protein kinase 14Homo sapiens (human)
DNA damage checkpoint signalingMitogen-activated protein kinase 14Homo sapiens (human)
cell morphogenesisMitogen-activated protein kinase 14Homo sapiens (human)
cartilage condensationMitogen-activated protein kinase 14Homo sapiens (human)
angiogenesisMitogen-activated protein kinase 14Homo sapiens (human)
osteoblast differentiationMitogen-activated protein kinase 14Homo sapiens (human)
placenta developmentMitogen-activated protein kinase 14Homo sapiens (human)
response to dietary excessMitogen-activated protein kinase 14Homo sapiens (human)
chondrocyte differentiationMitogen-activated protein kinase 14Homo sapiens (human)
negative regulation of inflammatory response to antigenic stimulusMitogen-activated protein kinase 14Homo sapiens (human)
glucose metabolic processMitogen-activated protein kinase 14Homo sapiens (human)
regulation of transcription by RNA polymerase IIMitogen-activated protein kinase 14Homo sapiens (human)
transcription by RNA polymerase IIMitogen-activated protein kinase 14Homo sapiens (human)
apoptotic processMitogen-activated protein kinase 14Homo sapiens (human)
chemotaxisMitogen-activated protein kinase 14Homo sapiens (human)
signal transductionMitogen-activated protein kinase 14Homo sapiens (human)
cell surface receptor signaling pathwayMitogen-activated protein kinase 14Homo sapiens (human)
cell surface receptor protein serine/threonine kinase signaling pathwayMitogen-activated protein kinase 14Homo sapiens (human)
skeletal muscle tissue developmentMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of gene expressionMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of myotube differentiationMitogen-activated protein kinase 14Homo sapiens (human)
peptidyl-serine phosphorylationMitogen-activated protein kinase 14Homo sapiens (human)
fatty acid oxidationMitogen-activated protein kinase 14Homo sapiens (human)
platelet activationMitogen-activated protein kinase 14Homo sapiens (human)
regulation of ossificationMitogen-activated protein kinase 14Homo sapiens (human)
osteoclast differentiationMitogen-activated protein kinase 14Homo sapiens (human)
stress-activated protein kinase signaling cascadeMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of cyclase activityMitogen-activated protein kinase 14Homo sapiens (human)
lipopolysaccharide-mediated signaling pathwayMitogen-activated protein kinase 14Homo sapiens (human)
response to muramyl dipeptideMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of interleukin-12 productionMitogen-activated protein kinase 14Homo sapiens (human)
response to insulinMitogen-activated protein kinase 14Homo sapiens (human)
negative regulation of hippo signalingMitogen-activated protein kinase 14Homo sapiens (human)
intracellular signal transductionMitogen-activated protein kinase 14Homo sapiens (human)
cellular response to vascular endothelial growth factor stimulusMitogen-activated protein kinase 14Homo sapiens (human)
response to muscle stretchMitogen-activated protein kinase 14Homo sapiens (human)
p38MAPK cascadeMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of protein import into nucleusMitogen-activated protein kinase 14Homo sapiens (human)
signal transduction in response to DNA damageMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of erythrocyte differentiationMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of myoblast differentiationMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of transcription by RNA polymerase IIMitogen-activated protein kinase 14Homo sapiens (human)
glucose importMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of glucose importMitogen-activated protein kinase 14Homo sapiens (human)
vascular endothelial growth factor receptor signaling pathwayMitogen-activated protein kinase 14Homo sapiens (human)
stem cell differentiationMitogen-activated protein kinase 14Homo sapiens (human)
striated muscle cell differentiationMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of muscle cell differentiationMitogen-activated protein kinase 14Homo sapiens (human)
stress-activated MAPK cascadeMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of cardiac muscle cell proliferationMitogen-activated protein kinase 14Homo sapiens (human)
bone developmentMitogen-activated protein kinase 14Homo sapiens (human)
3'-UTR-mediated mRNA stabilizationMitogen-activated protein kinase 14Homo sapiens (human)
cellular response to lipoteichoic acidMitogen-activated protein kinase 14Homo sapiens (human)
cellular response to tumor necrosis factorMitogen-activated protein kinase 14Homo sapiens (human)
cellular response to ionizing radiationMitogen-activated protein kinase 14Homo sapiens (human)
cellular response to UV-BMitogen-activated protein kinase 14Homo sapiens (human)
negative regulation of canonical Wnt signaling pathwayMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of brown fat cell differentiationMitogen-activated protein kinase 14Homo sapiens (human)
cellular senescenceMitogen-activated protein kinase 14Homo sapiens (human)
stress-induced premature senescenceMitogen-activated protein kinase 14Homo sapiens (human)
cellular response to virusMitogen-activated protein kinase 14Homo sapiens (human)
regulation of synaptic membrane adhesionMitogen-activated protein kinase 14Homo sapiens (human)
regulation of cytokine production involved in inflammatory responseMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of myoblast fusionMitogen-activated protein kinase 14Homo sapiens (human)
positive regulation of reactive oxygen species metabolic processMitogen-activated protein kinase 14Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (10)

Processvia Protein(s)Taxonomy
protein serine/threonine kinase activityMitogen-activated protein kinase 14Homo sapiens (human)
MAP kinase activityMitogen-activated protein kinase 14Homo sapiens (human)
MAP kinase kinase activityMitogen-activated protein kinase 14Homo sapiens (human)
protein bindingMitogen-activated protein kinase 14Homo sapiens (human)
ATP bindingMitogen-activated protein kinase 14Homo sapiens (human)
enzyme bindingMitogen-activated protein kinase 14Homo sapiens (human)
protein phosphatase bindingMitogen-activated protein kinase 14Homo sapiens (human)
mitogen-activated protein kinase p38 bindingMitogen-activated protein kinase 14Homo sapiens (human)
NFAT protein bindingMitogen-activated protein kinase 14Homo sapiens (human)
protein serine kinase activityMitogen-activated protein kinase 14Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (11)

Processvia Protein(s)Taxonomy
cytosolMitogen-activated protein kinase 14Homo sapiens (human)
spindle poleMitogen-activated protein kinase 14Homo sapiens (human)
extracellular regionMitogen-activated protein kinase 14Homo sapiens (human)
nucleusMitogen-activated protein kinase 14Homo sapiens (human)
nucleoplasmMitogen-activated protein kinase 14Homo sapiens (human)
cytoplasmMitogen-activated protein kinase 14Homo sapiens (human)
mitochondrionMitogen-activated protein kinase 14Homo sapiens (human)
cytosolMitogen-activated protein kinase 14Homo sapiens (human)
nuclear speckMitogen-activated protein kinase 14Homo sapiens (human)
secretory granule lumenMitogen-activated protein kinase 14Homo sapiens (human)
glutamatergic synapseMitogen-activated protein kinase 14Homo sapiens (human)
ficolin-1-rich granule lumenMitogen-activated protein kinase 14Homo sapiens (human)
nucleusMitogen-activated protein kinase 14Homo sapiens (human)
cytoplasmMitogen-activated protein kinase 14Homo sapiens (human)
nucleoplasmMothers against decapentaplegic homolog 3 Mus musculus (house mouse)
cytosolMothers against decapentaplegic homolog 3 Mus musculus (house mouse)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (181)

Assay IDTitleYearJournalArticle
AID1347154Primary screen GU AMC qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1508630Primary qHTS for small molecule stabilizers of the endoplasmic reticulum resident proteome: Secreted ER Calcium Modulated Protein (SERCaMP) assay2021Cell reports, 04-27, Volume: 35, Issue:4
A target-agnostic screen identifies approved drugs to stabilize the endoplasmic reticulum-resident proteome.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID1745845Primary qHTS for Inhibitors of ATXN expression
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID651635Viability Counterscreen for Primary qHTS for Inhibitors of ATXN expression
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID1347096qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for U-2 OS cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347097qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Saos-2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347099qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB1643 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347106qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for control Hh wild type fibroblast cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1347104qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for RD cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347092qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for A673 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347093qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-MC cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347107qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh30 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347425Rhodamine-PBP qHTS Assay for Modulators of WT P53-Induced Phosphatase 1 (WIP1)2019The Journal of biological chemistry, 11-15, Volume: 294, Issue:46
Physiologically relevant orthogonal assays for the discovery of small-molecule modulators of WIP1 phosphatase in high-throughput screens.
AID1347105qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for MG 63 (6-TG R) cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347090qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for DAOY cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347098qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-SH cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347102qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh18 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347094qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-37 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347108qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh41 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347424RapidFire Mass Spectrometry qHTS Assay for Modulators of WT P53-Induced Phosphatase 1 (WIP1)2019The Journal of biological chemistry, 11-15, Volume: 294, Issue:46
Physiologically relevant orthogonal assays for the discovery of small-molecule modulators of WIP1 phosphatase in high-throughput screens.
AID1347082qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: LASV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347089qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for TC32 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347103qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for OHS-50 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347091qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SJ-GBM2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347086qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lymphocytic Choriomeningitis Arenaviruses (LCMV): LCMV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347100qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for LAN-5 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347407qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS Pharmaceutical Collection2020ACS chemical biology, 07-17, Volume: 15, Issue:7
High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle.
AID1347101qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-12 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347095qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB-EBc1 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347083qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: Viability assay - alamar blue signal for LASV Primary Screen2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1899780Protection against CCl4-induced liver fibrosis in male C57BL/6 mouse assessed as decrease in hepatic hydroxyproline content at 250 mg/kg measured by masson staining2022European journal of medicinal chemistry, Feb-05, Volume: 229Discovery of new and highly effective quadruple FFA1 and PPARα/γ/δ agonists as potential anti-fatty liver agents.
AID1669356Drug metabolism assessed as human recombinant CYP2A6-mediated compound activation using 50 uM pirfenidone incubated for 45 mins in presence of NADPH and glutathione by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1669352Drug metabolism in rat liver assessed as formation of GSH-conjugate by measuring retention time of cysteine adduct in proteolytic protein samples at 10 to 400 mg/kg, ip measured up to 3 hrs by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1570819Inhibition of TGF beta1/Smad3 signaling in mouse NIH/3T3 cells harboring CAGA promoter incubated for 18 hrs in presence of TGF-beta1 by luciferase reporter gene assay2019Bioorganic & medicinal chemistry letters, 11-15, Volume: 29, Issue:22
In vitro screening for compounds from Hypericum longistylum with anti-pulmonary fibrosis activity.
AID1855530Antifibrotic activity against BLM-induced pulmonary fibrosis in C57BL/6 mouse model assessed as improvement in pulmonary alveolar structure damage at 100 mg/kg, po administered once daily starting from day 7 post BLM treatment and measured on day 14 by H 2022European journal of medicinal chemistry, Nov-05, Volume: 241Discovery of a novel Pleuromutilin derivative as anti-IPF lead compound via high-throughput assay.
AID1679311Antifibrotic activity in mouse MES-13 cells assessed as decrease in glucose-induced CTGF protein level pretreated with glucose for 48 hrs followed by compound treatment relative to control2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1881279Cmax in Sprague-Dawley rat model of bleomycin-induced pulmonary fibrosis at 10 mg/kg, po by LC-MS/MS analysis2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1679304Elimination half life in Sprague-Dawley rat at 10 mg/kg, po measured up to 720 min by UPLC-MS/MS analysis2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1881283Oral bioavailability in Sprague-Dawley rat model of bleomycin-induced pulmonary fibrosis at 10 mg/kg by LC-MS/MS analysis2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID588213Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in non-rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1854295Metabolic stability in human liver microsomes assessed as intrinsic clearance measured upto 45 mins in presence of NADPH by LC/MS analysis
AID1774036Anti-idiopathic pulmonary fibrotic activity in bleomycin-induced Sprague-Dawley rat model assessed as prevention of structural damage of lungs at 150 mg/kg, po treated for 28 consecutive days by Hematoxylin and eosin staining based assay relative to contr
AID1881272Antifibrotic activity in TGF-beta1-induced HFL1 cell injury assessed as down regulation of collagen 1 mRNA expression at 3 mM measured after 24 hrs by RT-PCR analysis2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1652947Anti-pulmonary fibrosis activity in Sprague-Dawley rat model of BLM-induced idiopathic pulmonary fibrosis assessed as reduction in lung structural damage at 150 mg/kg, po dosed daily for 28 days by H and E staining based assay2020Journal of medicinal chemistry, 07-23, Volume: 63, Issue:14
Discovery of Novel Selective and Orally Bioavailable Phosphodiesterase-1 Inhibitors for the Efficient Treatment of Idiopathic Pulmonary Fibrosis.
AID1287214Cytotoxicity against human NCI-H522 cells assessed as cell growth at 10'-5 M after 48 hrs by sulforhodamine B assay relative to control2016European journal of medicinal chemistry, Apr-13, Volume: 112Antifibrotic and anticancer action of 5-ene amino/iminothiazolidinones.
AID1669355Drug metabolism in selective SULT inhibitor DCNP pre-treated rat liver assessed as formation of GSH-conjugate by measuring hepatic protein adduction formation at 50 to 200 mg/kg, ip measured after 1 hr by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID588211Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in humans2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1061688Inhibition of p38alpha (unknown origin) up to 60 mins by ADP-Glo assay2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of the pirfenidone derivatives as antifibrotic agents.
AID1525624Antifibrotic activity in bleomycin-induced C57BL/6 mouse model of pulmonary fibrosis assessed as reduction in lung damage at 30 mg/kg, po administered thrice daily for 18 days starting from 10 days post-bleomycin challenge and measured post last dose by H2019Journal of medicinal chemistry, 10-10, Volume: 62, Issue:19
Discovery of 4-Methylquinazoline Based PI3K Inhibitors for the Potential Treatment of Idiopathic Pulmonary Fibrosis.
AID1287232Antifibrotic activity in HFL1 cells assessed as reduction in cell proliferation after 15 hrs by xCelligence analysis2016European journal of medicinal chemistry, Apr-13, Volume: 112Antifibrotic and anticancer action of 5-ene amino/iminothiazolidinones.
AID1652945Anti-pulmonary fibrosis activity in Sprague-Dawley rat model of BLM-induced idiopathic pulmonary fibrosis assessed as reduction in peak expiratory flow at 150 mg/kg, po dosed daily for 28 days by mka noninvasive pulmonary monitoring system based method2020Journal of medicinal chemistry, 07-23, Volume: 63, Issue:14
Discovery of Novel Selective and Orally Bioavailable Phosphodiesterase-1 Inhibitors for the Efficient Treatment of Idiopathic Pulmonary Fibrosis.
AID1654039Antifibrotic activity against bleomycin-induced pulmonary fibrosis C57BL/6J mouse model assessed as reduction in oxidative stress by measuring reduction in MDA level in plasma at 120 mg/kg, po administered via gavage qd for 14 days at 3 days post bleomyci2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis and biological activity of thieno[3,2-d]pyrimidines as potent JAK3 inhibitors for the treatment of idiopathic pulmonary fibrosis.
AID1881267Clearance in Sprague-Dawley rat model of bleomycin-induced pulmonary fibrosis at 2 mg/kg, iv by LC-MS/MS analysis2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1669357Drug metabolism assessed as human recombinant CYP1A2-mediated compound activation using 50 uM pirfenidone incubated for 45 mins in presence of NADPH and glutathione by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1669338Drug metabolism assessed as human recombinant CYP3A4-mediated 5-methylene-1-phenyl-pyridin-1-ium-2-one formation at 50 uM incubated for 45 mins in presence of NADPH and glutathione by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1679308AUC (0 to t) in Sprague-Dawley rat at 10 mg/kg, po via gavage measured up to 48 hrs by HPLC analysis2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1912087Antifibrotic activity in bleomycin-induced Sprague-Dawley rat lung fibrosis model assessed as decrease in fibronectin level at 150 mg/kg, po administered daily for 28 days by Western blot analysis2022Journal of medicinal chemistry, 06-23, Volume: 65, Issue:12
Structural Modifications of Nimodipine Lead to Novel PDE1 Inhibitors with Anti-pulmonary Fibrosis Effects.
AID1669344Drug metabolism in SULT inhibitor DCNP pre-treated rat primary hepatocytes assessed as formation of GSH-conjugate in presence of NADPH and glutathione by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1525625Antifibrotic activity in bleomycin-induced C57BL/6 mouse model of pulmonary fibrosis assessed as reduction in collagen fiber deposition at 30 mg/kg, po administered thrice daily for 18 days starting from 10 days post-bleomycin challenge and measured post 2019Journal of medicinal chemistry, 10-10, Volume: 62, Issue:19
Discovery of 4-Methylquinazoline Based PI3K Inhibitors for the Potential Treatment of Idiopathic Pulmonary Fibrosis.
AID1881308Antifibrotic activity against bleomycin-induced pulmonary fibrosis in Sprague-Dawley rat assessed as reduction in lung histopathological changes at 100 mg/kg, po administered daily for 1 to 14 days starting from post bleomycin stimulation by H and E stain2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1881263Antiproliferative activity against human HFL1 cells assessed as reduction in cell proliferation measured after 24 hrs by CCK-8 assay2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1287235Antioxidant activity assessed as inhibition of superoxide anion generation upto 10 uM measured for 3 mins by nitro blue tetrazolium assay2016European journal of medicinal chemistry, Apr-13, Volume: 112Antifibrotic and anticancer action of 5-ene amino/iminothiazolidinones.
AID1669342Drug metabolism in rat primary hepatocytes assessed as formation of GSH-conjugate in presence of NADPH and glutathione by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1287204Antifibrotic activity in HFL1 cells assessed as inhibition of cell viability at >1 uM after 48 hrs by sulforhodamine B assay relative to control2016European journal of medicinal chemistry, Apr-13, Volume: 112Antifibrotic and anticancer action of 5-ene amino/iminothiazolidinones.
AID1669343Drug metabolism in selective CYP3A inhibitor KTC pre-treated rat primary hepatocytes assessed as formation of GSH-conjugate in presence of NADPH and glutathione by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1881264Half life in Sprague-Dawley rat model of bleomycin-induced pulmonary fibrosis at 2 mg/kg, iv by LC-MS/MS analysis2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1881278Tmax in Sprague-Dawley rat model of bleomycin-induced pulmonary fibrosis at 10 mg/kg, po by LC-MS/MS analysis2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1654048Antifibrotic activity against bleomycin-induced pulmonary fibrosis C57BL/6J mouse model assessed as reduction in IL17A expression in plasma at 120 mg/kg, po administered via gavage qd for 14 days at 3 days post bleomycin challenge by FACSCalibur flow cyto2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis and biological activity of thieno[3,2-d]pyrimidines as potent JAK3 inhibitors for the treatment of idiopathic pulmonary fibrosis.
AID1482823Anti-fibrotic activity in BML-induced pulmonary fibrosis C57BL/6 mouse model assessed as reduction in fibrosis with damage of pulmonary structure at 50 mg/kg, po administered bid with 7.5 hrs interval between 2 doses for 21 days relative to control2017Journal of medicinal chemistry, 05-11, Volume: 60, Issue:9
Discovery of 2-[[2-Ethyl-6-[4-[2-(3-hydroxyazetidin-1-yl)-2-oxoethyl]piperazin-1-yl]-8-methylimidazo[1,2-a]pyridin-3-yl]methylamino]-4-(4-fluorophenyl)thiazole-5-carbonitrile (GLPG1690), a First-in-Class Autotaxin Inhibitor Undergoing Clinical Evaluation
AID1652946Anti-pulmonary fibrosis activity in Sprague-Dawley rat model of BLM-induced idiopathic pulmonary fibrosis assessed as reduction in enhanced pause at 150 mg/kg, po dosed daily for 28 days by mka noninvasive pulmonary monitoring system based method2020Journal of medicinal chemistry, 07-23, Volume: 63, Issue:14
Discovery of Novel Selective and Orally Bioavailable Phosphodiesterase-1 Inhibitors for the Efficient Treatment of Idiopathic Pulmonary Fibrosis.
AID1469851Antiproliferative activity against mouse NIH/3T3 cells after 72 hrs by MTT assay2017Journal of medicinal chemistry, 01-26, Volume: 60, Issue:2
Idiopathic Pulmonary Fibrosis: Current Status, Recent Progress, and Emerging Targets.
AID1587791Cytotoxicity against human PC3 cells assessed as reduction in cell viability up to 100 uM by CellTiter-Fluor assay2019Journal of medicinal chemistry, 05-09, Volume: 62, Issue:9
5-Aryl-1,3,4-oxadiazol-2-ylthioalkanoic Acids: A Highly Potent New Class of Inhibitors of Rho/Myocardin-Related Transcription Factor (MRTF)/Serum Response Factor (SRF)-Mediated Gene Transcription as Potential Antifibrotic Agents for Scleroderma.
AID1774044Anti-inflammatory activity in bleomycin-induced idiopathic pulmonary fibrotic activity Sprague-Dawley rat model assessed as decrease in NO production in lungs at 150 mg/kg, po treated for 28 consecutive days
AID1854296Metabolic stability in rat liver microsomes assessed as intrinsic clearance measured upto 45 mins in presence of NADPH by LC/MS analysis
AID1679330Antidiabetic nephropathy in 8 weeks old db/db mouse model assessed as urinary albumin level at 250 mg/kg, po via gavage administered once a day for 24 weeks of age and measured 24 hrs post last dose by ELISA (Rvb = 244.98 +/- 44.98 ug)2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1652944Anti-pulmonary fibrosis activity in Sprague-Dawley rat model of BLM-induced idiopathic pulmonary fibrosis assessed as reduction in peak inspiratory flow at 150 mg/kg, po dosed daily for 28 days by mka noninvasive pulmonary monitoring system based method2020Journal of medicinal chemistry, 07-23, Volume: 63, Issue:14
Discovery of Novel Selective and Orally Bioavailable Phosphodiesterase-1 Inhibitors for the Efficient Treatment of Idiopathic Pulmonary Fibrosis.
AID1482814Anti-fibrotic activity in BML-induced pulmonary fibrosis C57BL/6 mouse model assessed as reduction in fibrotic thickening of aveolar/bronchial walls at 50 mg/kg, po administered bid with 7.5 hrs interval between 2 doses for 21 days relative to control2017Journal of medicinal chemistry, 05-11, Volume: 60, Issue:9
Discovery of 2-[[2-Ethyl-6-[4-[2-(3-hydroxyazetidin-1-yl)-2-oxoethyl]piperazin-1-yl]-8-methylimidazo[1,2-a]pyridin-3-yl]methylamino]-4-(4-fluorophenyl)thiazole-5-carbonitrile (GLPG1690), a First-in-Class Autotaxin Inhibitor Undergoing Clinical Evaluation
AID1587829Inhibition of Rho/MRTF/SRF pathway in human primary dermal fibroblasts assessed as reduction in LPA-stimulated CTGF mRNA expression by measuring CTGF mRNA level at 10'-6 M preincubated for 72 hrs followed by LPA stimulation and measured after 1 hr by qPCR2019Journal of medicinal chemistry, 05-09, Volume: 62, Issue:9
5-Aryl-1,3,4-oxadiazol-2-ylthioalkanoic Acids: A Highly Potent New Class of Inhibitors of Rho/Myocardin-Related Transcription Factor (MRTF)/Serum Response Factor (SRF)-Mediated Gene Transcription as Potential Antifibrotic Agents for Scleroderma.
AID1774042Anti-idiopathic pulmonary fibrotic activity in bleomycin-induced Sprague-Dawley rat model assessed as decrease in fibronectin expression of lungs at 150 mg/kg, po treated for 28 consecutive days by Western blot analysis
AID1774038Anti-idiopathic pulmonary fibrotic activity in bleomycin-induced Sprague-Dawley rat model assessed as inhibition of collagen deposition around trachea and cell hyperplasia at 150 mg/kg, po treated for 28 consecutive days by Hematoxylin and eosin staining
AID1912086Antifibrotic activity in bleomycin-induced Sprague-Dawley rat lung fibrosis model assessed as decrease in collagen I level at 150 mg/kg, po administered daily for 28 days by Western blot analysis2022Journal of medicinal chemistry, 06-23, Volume: 65, Issue:12
Structural Modifications of Nimodipine Lead to Novel PDE1 Inhibitors with Anti-pulmonary Fibrosis Effects.
AID1669334Drug metabolism in rat liver microsomes assessed as 5-Hydroxymethyl-1-phenyl-1H-pyridine-2-one formation at 50 uM incubated for 45 mins in presence of NADPH and glutathione by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1669359Toxicity in rat primary hepatocytes at 800 uM2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1669353Drug metabolism in rat liver assessed as formation of GSH-conjugate by measuring hepatic protein adduction formation at 50 to 200 mg/kg, ip measured after 1 hr by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1482818Anti-fibrotic activity in BML-induced pulmonary fibrosis C57BL/6 mouse model assessed as reduction in fibrous area with severe distortion of lung structure at 50 mg/kg, po administered bid with 7.5 hrs interval between 2 doses for 21 days relative to cont2017Journal of medicinal chemistry, 05-11, Volume: 60, Issue:9
Discovery of 2-[[2-Ethyl-6-[4-[2-(3-hydroxyazetidin-1-yl)-2-oxoethyl]piperazin-1-yl]-8-methylimidazo[1,2-a]pyridin-3-yl]methylamino]-4-(4-fluorophenyl)thiazole-5-carbonitrile (GLPG1690), a First-in-Class Autotaxin Inhibitor Undergoing Clinical Evaluation
AID1669358Toxicity in rat assessed as induction of liver injury at 150 to 200 mg/kg, ip2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1679310Half life in Sprague-Dawley rat at 10 mg/kg, po via gavage measured up to 48 hrs by HPLC analysis2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1881280Half life in Sprague-Dawley rat model of bleomycin-induced pulmonary fibrosis at 10 mg/kg, po by LC-MS/MS analysis2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1525619Antifibrotic activity in bleomycin-induced C57BL/6 mouse model of pulmonary fibrosis assessed as reduction in respiratory system elastance at 30 mg/kg, po administered thrice daily for 18 days starting from 10 days post-bleomycin challenge and measured po2019Journal of medicinal chemistry, 10-10, Volume: 62, Issue:19
Discovery of 4-Methylquinazoline Based PI3K Inhibitors for the Potential Treatment of Idiopathic Pulmonary Fibrosis.
AID1654049Antifibrotic activity against bleomycin-induced pulmonary fibrosis C57BL/6J mouse model assessed as reduction in TNF-alpha expression in plasma at 120 mg/kg, po administered via gavage qd for 14 days at 3 days post bleomycin challenge by FACSCalibur flow 2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis and biological activity of thieno[3,2-d]pyrimidines as potent JAK3 inhibitors for the treatment of idiopathic pulmonary fibrosis.
AID1654032Antifibrotic activity against bleomycin-induced pulmonary fibrosis C57BL/6J mouse model assessed as reduction in lung coefficient at 120 mg/kg, po administered via gavage qd for 14 days at 3 days post bleomycin challenge2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis and biological activity of thieno[3,2-d]pyrimidines as potent JAK3 inhibitors for the treatment of idiopathic pulmonary fibrosis.
AID1654047Antifibrotic activity against bleomycin-induced pulmonary fibrosis C57BL/6J mouse model assessed as reduction in IL6 expression in plasma at 120 mg/kg, po administered via gavage qd for 14 days at 3 days post bleomycin challenge by FACSCalibur flow cytome2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis and biological activity of thieno[3,2-d]pyrimidines as potent JAK3 inhibitors for the treatment of idiopathic pulmonary fibrosis.
AID1652949Anti-pulmonary fibrosis activity in Sprague-Dawley rat model of BLM-induced idiopathic pulmonary fibrosis assessed as inhibition of collagen deposition at 150 mg/kg, po dosed daily for 28 days by Masson staining based assay2020Journal of medicinal chemistry, 07-23, Volume: 63, Issue:14
Discovery of Novel Selective and Orally Bioavailable Phosphodiesterase-1 Inhibitors for the Efficient Treatment of Idiopathic Pulmonary Fibrosis.
AID1652941Anti-pulmonary fibrosis activity in Sprague-Dawley rat model of BLM-induced idiopathic pulmonary fibrosis assessed as reduction in end-inspiratory pause at 150 mg/kg, po dosed daily for 28 days by mka noninvasive pulmonary monitoring system based method2020Journal of medicinal chemistry, 07-23, Volume: 63, Issue:14
Discovery of Novel Selective and Orally Bioavailable Phosphodiesterase-1 Inhibitors for the Efficient Treatment of Idiopathic Pulmonary Fibrosis.
AID1525617Antifibrotic activity in bleomycin-induced C57BL/6 mouse model of pulmonary fibrosis assessed as reduction in respiratory system resistance at 30 mg/kg, po administered thrice daily for 18 days starting from 10 days post-bleomycin challenge and measured p2019Journal of medicinal chemistry, 10-10, Volume: 62, Issue:19
Discovery of 4-Methylquinazoline Based PI3K Inhibitors for the Potential Treatment of Idiopathic Pulmonary Fibrosis.
AID1287208Cytotoxicity against human NCI60 cells assessed as cell growth at 10'-5 M after 48 hrs by sulforhodamine B assay relative to control2016European journal of medicinal chemistry, Apr-13, Volume: 112Antifibrotic and anticancer action of 5-ene amino/iminothiazolidinones.
AID1679316Antifibrotic activity in mouse MES-13 cells assessed as decrease in TGFbeta1-induced CTGF protein level pretreated with TGFbeta1 for 48 hrs followed by compound treatment2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1679309Cmax in Sprague-Dawley rat at 10 mg/kg, po via gavage measured up to 48 hrs by HPLC analysis2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1669348Drug metabolism in rat bile assessed as formation of GSH-conjugate at 100 mg/kg, ip measured after 2 hrs by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1881282AUC(infinity) in Sprague-Dawley rat model of bleomycin-induced pulmonary fibrosis at 10 mg/kg, po by LC-MS/MS analysis2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1679332Antidiabetic nephropathy in 8 weeks old db/db mouse model assessed as serum creatinine level at 250 mg/kg, po via gavage administered once a day for 24 weeks of age and measured 24 hrs post last dose by ELISA (Rvb = 38.86 +/- 8.86 mmol/L)2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1469845Elimination half life in healthy human at 801 mg2017Journal of medicinal chemistry, 01-26, Volume: 60, Issue:2
Idiopathic Pulmonary Fibrosis: Current Status, Recent Progress, and Emerging Targets.
AID1881275Antifibrotic activity in TGF-beta1-induced HFL1 cell injury assessed as down regulation of collagen 3 mRNA expression at 3 mM measured after 24 hrs by RT-PCR analysis2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID521220Inhibition of neurosphere proliferation of mouse neural precursor cells by MTT assay2007Nature chemical biology, May, Volume: 3, Issue:5
Chemical genetics reveals a complex functional ground state of neural stem cells.
AID1854318Anti-fibrogenic activity against mouse NIH3T3 cells assessed as inhibition of TGFbeta-induced alpha-SMA protein expression at 0.5 to 10 mM incubated for 48 hrs by western blot assay
AID1912085Antifibrotic activity in bleomycin-induced Sprague-Dawley rat lung fibrosis model assessed as decrease in alpha-smooth muscle actin level at 150 mg/kg, po administered daily for 28 days by Western blot analysis2022Journal of medicinal chemistry, 06-23, Volume: 65, Issue:12
Structural Modifications of Nimodipine Lead to Novel PDE1 Inhibitors with Anti-pulmonary Fibrosis Effects.
AID1669354Drug metabolism in selective CYP3A inhibitor KTC pre-treated rat liver assessed as formation of GSH-conjugate by measuring hepatic protein adduction formation at 50 to 200 mg/kg, ip measured after 1 hr by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1679333Antidiabetic nephropathy in 8 weeks old db/db mouse model assessed as blood urea nitrogen level at 250 mg/kg, po via gavage administered once a day for 24 weeks of age and measured 24 hrs post last dose by ELISA (Rvb = 11.22 +/- 1.22 mmol/L)2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1881306Antifibrotic activity against bleomycin-induced pulmonary fibrosis in Sprague-Dawley rat assessed as reduction in lung hydroxyproline content at 100 mg/kg, po administered daily for 1 to 14 days starting from post bleomycin stimulation2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1287215Cytotoxicity against human UO31 cells assessed as cell growth at 10'-5 M after 48 hrs by sulforhodamine B assay relative to control2016European journal of medicinal chemistry, Apr-13, Volume: 112Antifibrotic and anticancer action of 5-ene amino/iminothiazolidinones.
AID1679329Antidiabetic nephropathy in 8 weeks old db/db mouse model assessed as urine albumin to creatinine ratio at 250 mg/kg, po via gavage administered once a day for 24 weeks of age and measured 24 hrs post last dose by ELISA (Rvb = 2.72 +/- 0.729 ug/mg)2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1679315Antifibrotic activity in mouse MES-13 cells assessed as decrease in TGFbeta1-induced fibronectin protein level pretreated with TGFbeta1 for 48 hrs followed by compound treatment2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1669351Drug metabolism in rat liver assessed as formation of GSH-conjugate at 400 mg/kg, ip measured up to 3 hrs by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID588212Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1061689Antifibrotic activity in human MRC5 cells assessed as inhibition of cell growth after 24 hrs by MTT assay2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of the pirfenidone derivatives as antifibrotic agents.
AID1669350Drug metabolism in rat liver assessed as formation of GSH-conjugate at 100 mg/kg, ip measured up to 3 hrs by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1679331Antidiabetic nephropathy in 8 weeks old db/db mouse model assessed as creatinine clearance rate at 250 mg/kg, po via gavage administered once a day for 24 weeks of age and measured 24 hrs post last dose by ELISA (Rvb = 120.77 +/- 20.77 uL/min)2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1287213Cytotoxicity against human RPMI8226 cells assessed as cell growth at 10'-5 M after 48 hrs by sulforhodamine B assay relative to control2016European journal of medicinal chemistry, Apr-13, Volume: 112Antifibrotic and anticancer action of 5-ene amino/iminothiazolidinones.
AID1287203Antifibrotic activity in HFL1 cells assessed as inhibition of cell viability after 48 hrs by sulforhodamine B assay2016European journal of medicinal chemistry, Apr-13, Volume: 112Antifibrotic and anticancer action of 5-ene amino/iminothiazolidinones.
AID1587828Inhibition of Rho/MRTF/SRF pathway (unknown origin) expressed in human PC3 cells assessed as reduction in Galpha12 Q231L-stimulated MRTF-selective SRE.L promoter-driven luciferase activity up to 100 uM after overnight incubation by luminescence assay2019Journal of medicinal chemistry, 05-09, Volume: 62, Issue:9
5-Aryl-1,3,4-oxadiazol-2-ylthioalkanoic Acids: A Highly Potent New Class of Inhibitors of Rho/Myocardin-Related Transcription Factor (MRTF)/Serum Response Factor (SRF)-Mediated Gene Transcription as Potential Antifibrotic Agents for Scleroderma.
AID1881281AUClast in Sprague-Dawley rat model of bleomycin-induced pulmonary fibrosis at 10 mg/kg, po by LC-MS/MS analysis2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1525623Antifibrotic activity in bleomycin-induced C57BL/6 mouse model of pulmonary fibrosis assessed as reduction in lung fibronectin level at 30 mg/kg, po administered thrice daily for 18 days starting from 10 days post-bleomycin challenge and measured post las2019Journal of medicinal chemistry, 10-10, Volume: 62, Issue:19
Discovery of 4-Methylquinazoline Based PI3K Inhibitors for the Potential Treatment of Idiopathic Pulmonary Fibrosis.
AID1855537Antifibrotic activity against BLM-induced pulmonary fibrosis in C57BL/6 mouse model assessed as reduction in fibrosis region at 100 mg/kg, po administered once daily starting from day 7 post BLM treatment and measured on day 14 by hematoxylin-eosin and Ma2022European journal of medicinal chemistry, Nov-05, Volume: 241Discovery of a novel Pleuromutilin derivative as anti-IPF lead compound via high-throughput assay.
AID1854317Anti-fibrogenic activity against mouse NIH3T3 cells assessed as inhibition of TGFbeta-induced Fn protein expression at 0.5 to 10 mM incubated for 48 hrs by western blot assay
AID1881265AUClast in Sprague-Dawley rat model of bleomycin-induced pulmonary fibrosis at 2 mg/kg, iv by LC-MS/MS analysis2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1854313Induction of apoptosis in TGFbeta-induced mouse NIH3T3 cells assessed as increase in apoptosis rate at 10 mM incubated for 48 hrs by Annexin V-FITC/PI staining based flow cytometry
AID1854297Metabolic stability in human liver microsomes assessed as half life measured upto 45 mins in presence of NADPH by LC/MS analysis
AID1669347Drug metabolism in rat liver cytosol assessed as formation of GSH-conjugate at 50 uM in presence of rat liver microsomes and NADPH and GSH and SULT cofactor PAPS by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1881266AUC(infinity) in Sprague-Dawley rat model of bleomycin-induced pulmonary fibrosis at 2 mg/kg, iv by LC-MS/MS analysis2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1774040Anti-idiopathic pulmonary fibrotic activity in bleomycin-induced Sprague-Dawley rat model assessed as decrease in alpha-smooth muscle actin protein expression of lungs at 150 mg/kg, po treated for 28 consecutive days by Western blot analysis
AID1669336Drug metabolism in rat liver microsomes assessed as Retention time of GSH metabolite at 50 uM incubated for 45 mins in presence of NADPH and glutathione by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1854316Anti-fibrogenic activity against mouse NIH3T3 cells assessed as inhibition of TGFbeta-induced COL1 protein expression at 0.5 to 10 mM incubated for 48 hrs by western blot assay
AID1652942Anti-pulmonary fibrosis activity in Sprague-Dawley rat model of BLM-induced idiopathic pulmonary fibrosis assessed as reduction in end-expiratory pause at 150 mg/kg, po dosed daily for 28 days by mka noninvasive pulmonary monitoring system based method2020Journal of medicinal chemistry, 07-23, Volume: 63, Issue:14
Discovery of Novel Selective and Orally Bioavailable Phosphodiesterase-1 Inhibitors for the Efficient Treatment of Idiopathic Pulmonary Fibrosis.
AID1669349Drug metabolism in rat bile assessed as formation of (2R)-2-acetamido-3-[(6-oxo-1-phenyl-3-pyridyl)methylsulfanyl]propanoic acid at 100 mg/kg, ip measured after 2 hrs by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1881262Antifibrotic activity in TGF-beta1-induced HFL1 cell injury assessed as alpha-SMA expression at 3 mM measured after 48 hrs by Western blot analysis (Rvb = 100%)2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1669339Drug metabolism assessed as human recombinant CYP3A5-mediated 5-methylene-1-phenyl-pyridin-1-ium-2-one formation at 50 uM incubated for 45 mins in presence of NADPH and glutathione by LC-MS/MS analysis2020Journal of medicinal chemistry, 08-13, Volume: 63, Issue:15
Metabolic Activation of Pirfenidone Mediated by Cytochrome P450s and Sulfotransferases.
AID1654028Antifibrotic activity against bleomycin-induced pulmonary fibrosis C57BL/6J mouse model assessed as reduction in alveolar septal swelling at 120 mg/kg, po administered via gavage qd for 14 days at 3 days post bleomycin challenge by hematoxylin and eosin s2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis and biological activity of thieno[3,2-d]pyrimidines as potent JAK3 inhibitors for the treatment of idiopathic pulmonary fibrosis.
AID1854293Antiproliferative activity against TGFbeta-induced mouse NIH3T3 cells assessed as cell growth inhibition incubated for 48 hrs by CCK-8 assay
AID1899778Protection against CCl4-induced liver fibrosis in male C57BL/6 mouse assessed as decrease in collagen area in liver at 250 mg/kg measured by masson staining2022European journal of medicinal chemistry, Feb-05, Volume: 229Discovery of new and highly effective quadruple FFA1 and PPARα/γ/δ agonists as potential anti-fatty liver agents.
AID1525620Antifibrotic activity in bleomycin-induced C57BL/6 mouse model of pulmonary fibrosis assessed as reduction in respiratory system compliance at 30 mg/kg, po administered thrice daily for 18 days starting from 10 days post-bleomycin challenge and measured p2019Journal of medicinal chemistry, 10-10, Volume: 62, Issue:19
Discovery of 4-Methylquinazoline Based PI3K Inhibitors for the Potential Treatment of Idiopathic Pulmonary Fibrosis.
AID1776605Antifibrotic activity against intranasal bleomycin-induced C57BL/6 mouse lung fibrosis model assessed as reduction in Ashcroft score at 50 mg/kg, po twice daily for 14 days2021Journal of medicinal chemistry, 05-13, Volume: 64, Issue:9
Discovery of the S1P2 Antagonist GLPG2938 (1-[2-Ethoxy-6-(trifluoromethyl)-4-pyridyl]-3-[[5-methyl-6-[1-methyl-3-(trifluoromethyl)pyrazol-4-yl]pyridazin-3-yl]methyl]urea), a Preclinical Candidate for the Treatment of Idiopathic Pulmonary Fibrosis.
AID1881277Cmax in Sprague-Dawley rat model of bleomycin-induced pulmonary fibrosis at 2 mg/kg, iv by LC-MS/MS analysis2021RSC medicinal chemistry, Jul-21, Volume: 12, Issue:7
The development of HEC-866 and its analogues for the treatment of idiopathic pulmonary fibrosis.
AID1525622Antifibrotic activity in bleomycin-induced C57BL/6 mouse model of pulmonary fibrosis assessed as reduction in lung hydroxyproline level at 30 mg/kg, po administered thrice daily for 18 days starting from 10 days post-bleomycin challenge and measured post 2019Journal of medicinal chemistry, 10-10, Volume: 62, Issue:19
Discovery of 4-Methylquinazoline Based PI3K Inhibitors for the Potential Treatment of Idiopathic Pulmonary Fibrosis.
AID1469846Antifibrotic activity in Swiss albino rat bleomycin-induced pulmonary fibrosis model assessed as hydroxyproline content in lung at 0.04 g/day administered via oral gavage by spectrophotometric analysis2017Journal of medicinal chemistry, 01-26, Volume: 60, Issue:2
Idiopathic Pulmonary Fibrosis: Current Status, Recent Progress, and Emerging Targets.
AID1525616Antifibrotic activity in bleomycin-induced C57BL/6 mouse model of pulmonary fibrosis assessed as reduction in lung index at 30 mg/kg, po administered thrice daily for 18 days starting from 10 days post-bleomycin challenge and measured post last dose2019Journal of medicinal chemistry, 10-10, Volume: 62, Issue:19
Discovery of 4-Methylquinazoline Based PI3K Inhibitors for the Potential Treatment of Idiopathic Pulmonary Fibrosis.
AID1525618Antifibrotic activity in bleomycin-induced C57BL/6 mouse model of pulmonary fibrosis assessed as reduction in inspiratory capacity at 30 mg/kg, po administered thrice daily for 18 days starting from 10 days post-bleomycin challenge and measured post last 2019Journal of medicinal chemistry, 10-10, Volume: 62, Issue:19
Discovery of 4-Methylquinazoline Based PI3K Inhibitors for the Potential Treatment of Idiopathic Pulmonary Fibrosis.
AID1854298Metabolic stability in rat liver microsomes assessed as half life measured upto 45 mins in presence of NADPH by LC/MS analysis
AID1652943Anti-pulmonary fibrosis activity in Sprague-Dawley rat model of BLM-induced idiopathic pulmonary fibrosis assessed as reduction in mid-expiratory flow at 150 mg/kg, po dosed daily for 28 days by mka noninvasive pulmonary monitoring system based method2020Journal of medicinal chemistry, 07-23, Volume: 63, Issue:14
Discovery of Novel Selective and Orally Bioavailable Phosphodiesterase-1 Inhibitors for the Efficient Treatment of Idiopathic Pulmonary Fibrosis.
AID1679322Antidiabetic nephropathy in 8 weeks old db/db mouse model assessed as decrease in glomerular sclerosis lesions by measuring glomerular sclerosis index at 250 mg/kg, po via gavage administered once a day for 24 weeks of age and measured 24 hrs post last do2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1679312Antifibrotic activity in mouse MES-13 cells assessed as decrease in glucose-induced fibronectin protein level pretreated with glucose for 48 hrs followed by compound treatment relative to control2018Bioorganic & medicinal chemistry letters, 01-15, Volume: 28, Issue:2
Discovery of 1-(4-((3-(4-methylpiperazin-1-yl)propyl)amino)benzyl)-5-(trifluoromethyl)pyridin-2(1H)-one, an orally active multi-target agent for the treatment of diabetic nephropathy.
AID1525621Antifibrotic activity in bleomycin-induced C57BL/6 mouse model of pulmonary fibrosis assessed as reduction in lung alpha-SMA level at 30 mg/kg, po administered thrice daily for 18 days starting from 10 days post-bleomycin challenge and measured post last 2019Journal of medicinal chemistry, 10-10, Volume: 62, Issue:19
Discovery of 4-Methylquinazoline Based PI3K Inhibitors for the Potential Treatment of Idiopathic Pulmonary Fibrosis.
AID504749qHTS profiling for inhibitors of Plasmodium falciparum proliferation2011Science (New York, N.Y.), Aug-05, Volume: 333, Issue:6043
Chemical genomic profiling for antimalarial therapies, response signatures, and molecular targets.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1347049Natriuretic polypeptide receptor (hNpr1) antagonism - Pilot screen2019Science translational medicine, 07-10, Volume: 11, Issue:500
Inhibition of natriuretic peptide receptor 1 reduces itch in mice.
AID1347050Natriuretic polypeptide receptor (hNpr2) antagonism - Pilot subtype selectivity assay2019Science translational medicine, 07-10, Volume: 11, Issue:500
Inhibition of natriuretic peptide receptor 1 reduces itch in mice.
AID504810Antagonists of the Thyroid Stimulating Hormone Receptor: HTS campaign2010Endocrinology, Jul, Volume: 151, Issue:7
A small molecule inverse agonist for the human thyroid-stimulating hormone receptor.
AID1347151Optimization of GU AMC qHTS for Zika virus inhibitors: Unlinked NS2B-NS3 protease assay2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1347058CD47-SIRPalpha protein protein interaction - HTRF assay qHTS validation2019PloS one, , Volume: 14, Issue:7
Quantitative high-throughput screening assays for the discovery and development of SIRPα-CD47 interaction inhibitors.
AID504812Inverse Agonists of the Thyroid Stimulating Hormone Receptor: HTS campaign2010Endocrinology, Jul, Volume: 151, Issue:7
A small molecule inverse agonist for the human thyroid-stimulating hormone receptor.
AID504836Inducers of the Endoplasmic Reticulum Stress Response (ERSR) in human glioma: Validation2002The Journal of biological chemistry, Apr-19, Volume: 277, Issue:16
Sustained ER Ca2+ depletion suppresses protein synthesis and induces activation-enhanced cell death in mast cells.
AID588378qHTS for Inhibitors of ATXN expression: Validation
AID1347405qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS LOPAC collection2020ACS chemical biology, 07-17, Volume: 15, Issue:7
High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle.
AID1347410qHTS for inhibitors of adenylyl cyclases using a fission yeast platform: a pilot screen against the NCATS LOPAC library2019Cellular signalling, 08, Volume: 60A fission yeast platform for heterologous expression of mammalian adenylyl cyclases and high throughput screening.
AID1347059CD47-SIRPalpha protein protein interaction - Alpha assay qHTS validation2019PloS one, , Volume: 14, Issue:7
Quantitative high-throughput screening assays for the discovery and development of SIRPα-CD47 interaction inhibitors.
AID588349qHTS for Inhibitors of ATXN expression: Validation of Cytotoxic Assay
AID1347057CD47-SIRPalpha protein protein interaction - LANCE assay qHTS validation2019PloS one, , Volume: 14, Issue:7
Quantitative high-throughput screening assays for the discovery and development of SIRPα-CD47 interaction inhibitors.
AID1347045Natriuretic polypeptide receptor (hNpr1) antagonism - Pilot counterscreen GloSensor control cell line2019Science translational medicine, 07-10, Volume: 11, Issue:500
Inhibition of natriuretic peptide receptor 1 reduces itch in mice.
AID1794808Fluorescence-based screening to identify small molecule inhibitors of Plasmodium falciparum apicoplast DNA polymerase (Pf-apPOL).2014Journal of biomolecular screening, Jul, Volume: 19, Issue:6
A High-Throughput Assay to Identify Inhibitors of the Apicoplast DNA Polymerase from Plasmodium falciparum.
AID1794808Fluorescence-based screening to identify small molecule inhibitors of Plasmodium falciparum apicoplast DNA polymerase (Pf-apPOL).
AID1159607Screen for inhibitors of RMI FANCM (MM2) intereaction2016Journal of biomolecular screening, Jul, Volume: 21, Issue:6
A High-Throughput Screening Strategy to Identify Protein-Protein Interaction Inhibitors That Block the Fanconi Anemia DNA Repair Pathway.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (1,056)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's24 (2.27)18.2507
2000's123 (11.65)29.6817
2010's614 (58.14)24.3611
2020's295 (27.94)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 80.69

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index80.69 (24.57)
Research Supply Index7.09 (2.92)
Research Growth Index5.52 (4.65)
Search Engine Demand Index143.33 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (80.69)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials102 (9.32%)5.53%
Reviews212 (19.38%)6.00%
Case Studies78 (7.13%)4.05%
Observational31 (2.83%)0.25%
Other671 (61.33%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (103)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase II Trial of Pirfenidone in Children, Adolescents, and Young Adults With Neurofibromatosis Type 1 and Progressive Plexiform Neurofibromas [NCT00076102]Phase 236 participants (Actual)Interventional2004-07-21Completed
An Open-label, Fixed-sequence Drug-drug Interaction Study in Healthy Subjects to Evaluate the Effect of GLPG4716 on the Pharmacokinetics of Nintedanib and Pirfenidone [NCT04971746]Phase 158 participants (Actual)Interventional2021-07-19Completed
An Open, Randomised, Controlled and Unicenter Clinical Trial to Assess the Efficiency of Pirfenidone for the Reduction of Pulmonary Metabolic, Inflammatory and Fibrogenic Activity in Patients With Silicosis Due to Artificial Stone and PMF [NCT05118256]Phase 218 participants (Anticipated)Interventional2021-11-15Recruiting
A Phase I, Open-Label, Randomized, Four-Treatment Period, Four-Sequence, Single-Dose, Crossover, Pharmacokinetic Bioequivalence Study Comparing Pirfenidone Tablet and Capsule Dosage Forms in Healthy Adult Volunteers [NCT02525484]Phase 144 participants (Actual)Interventional2015-08-31Completed
Pragmatic Management of Progressive Disease in Idiopathic Pulmonary Fibrosis: a Randomized Trial [NCT03939520]Phase 4378 participants (Anticipated)Interventional2020-06-11Recruiting
Pirfenidone Effect on the Recovery of Renal Function in Patients With Septic Acute Kidney Injury [NCT02530359]Phase 490 participants (Anticipated)Interventional2015-10-31Not yet recruiting
Pirfenidone in Focal Segmental Glomerulosclerosis:Phase II Study [NCT00001959]Phase 221 participants (Actual)Interventional1999-12-31Completed
Pirfenidone to Prevent Fibrosis in ARDS. A Randomized Controlled Trial - PIONEER [NCT05075161]Phase 3130 participants (Anticipated)Interventional2022-06-01Recruiting
The Safety and Tolerability of Pirfenidone for Bronchiolitis Obliterans Syndrome After Hematopoietic Cell Transplantation [NCT03315741]Phase 130 participants (Actual)Interventional2018-03-01Completed
A Phase IIb, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy, Safety, and Tolerability of Sildenafil Added to Pirfenidone in Patients With Advanced Idiopathic Pulmonary Fibrosis and Intermediate or High Probability [NCT02951429]Phase 2177 participants (Actual)Interventional2016-12-31Completed
Non-Interventional Study (NIS) Collecting Experiences For IPF in Taiwan [NCT03242759]101 participants (Actual)Observational2017-08-17Completed
Local Open-label Multicenter Study to Assess the Effectiveness of Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis in Russian Clinical Practice [NCT03208933]Phase 360 participants (Actual)Interventional2017-10-23Completed
Clinical Study of Pirfenidone Combined With Methylprednisolone Versus Methylprednisolone in the Treatment of Checkpoint Inhibitor-related Pneumonitis [NCT05280873]Phase 148 participants (Anticipated)Interventional2021-10-10Recruiting
A Multicenter, Randomized, Double-blind, Placebo-controlled Trial for Clinical Efficacy and Safety of Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis [NCT02136992]Phase 2160 participants (Actual)Interventional2011-12-31Completed
Multicenter, International, Double-blind, Two-Arm, Randomized, Placebo-controlled Phase II Trial of Pirfenidone in Patients With Unclassifiable Progressive Fibrosing ILD [NCT03099187]Phase 2253 participants (Actual)Interventional2017-05-15Completed
A Randomized, Controlled, Multi-site Study About Safety and Efficacy of Pirfenidone to Treat Grade 2 or Grade3 Radiation-induced Lung Injury. [NCT03902509]Phase 2126 participants (Actual)Interventional2019-05-24Terminated(stopped due to The protocol revision is needed.)
Pirfenidone, an Antifibrotic and Antiinflammatory Drug for Treatment of Patients With Cirrhosis Due to Hepatitis C Virus. Phase II/III Study [NCT02161952]Phase 2150 participants (Actual)Interventional2005-05-31Completed
A Phase III, Randomized, Double-blind, Placebo Controlled, Multicenter Clinical Trial to Evaluate the Efficacy and Safety of Pirfenidone in Subjects With Dermatomyositis Interstitial Lung Disease (Dm-ILD) [NCT03857854]Phase 3152 participants (Anticipated)Interventional2018-06-05Recruiting
A Single Arm, Multicenter, Open-label, Phase 1b Study to Assess the Safety and Tolerability of Oral Vismodegib in Combination With Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis [NCT02648048]Phase 121 participants (Actual)Interventional2016-01-15Completed
Evaluation of Prolonged-release Pirfenidone in Patients With Viral C Hepatitis, With Sustained Viral Response and Advanced Residual Liver Fibrosis. Potential Role of Epigenetics to Understand Therapeutic Changes (MINERVA). [NCT05542615]Phase 260 participants (Anticipated)Interventional2019-08-01Recruiting
Pirfenidone in the Chronic Hypersensitivity Pneumonitis Treatment [NCT02496182]Phase 2/Phase 360 participants (Anticipated)Interventional2015-07-31Recruiting
A Phase 3 Randomized, Double-blind, Placebo-controlled, Multicenter Study to Evaluate the Efficacy and Safety of Pirfenidone in Adult Hospitalized Patients With COVID-19. [NCT05713292]Phase 3168 participants (Anticipated)Interventional2022-12-30Active, not recruiting
A Randomized, Double-Blind, Placebo-Controlled, Phase 2 Study of the Safety and Tolerability of N-Acetylcysteine in Patients With Idiopathic Pulmonary Fibrosis With Background Treatment of Pirfenidone [NCT02707640]Phase 2123 participants (Actual)Interventional2013-08-31Completed
Utility of Prolonged-release Pirfenidone in the Progression of Chronic Kidney Disease [NCT02408744]Phase 1/Phase 230 participants (Actual)Interventional2009-09-30Completed
[NCT02296281]Phase 248 participants (Anticipated)Interventional2015-01-31Not yet recruiting
Safety of Nintedanib in Real World in China: a Non-interventional Study Based on Idiopathic Pulmonary (Interstitial) Fibrosis Registry China Study (PORTRAY) Data [NCT05676112]800 participants (Anticipated)Observational2023-12-29Not yet recruiting
Pirfenidone and Its Efficacy in Wound Re-Epithelization in Patients With Second-Degree Burns: A Proof-of-Concept Randomized Controlled Trial [NCT03530150]Phase 28 participants (Actual)Interventional2017-01-01Completed
Effect of Treatment of Diabetic Foot Ulcers With Topic 8% 1-phenyl-5-methyl-2-[1h]-Pyridone (Pirfenidone) Combined With Modified Disulfur Diallyl Oxide (Odd-m) in Gel. [NCT02222376]Phase 336 participants (Actual)Interventional2013-10-31Completed
Application of Pirfenidone as a Radiosensitizer in the Treatment of Head and Neck Squamous Cell Carcinoma: Phase II Clinical Study [NCT06142318]Phase 266 participants (Anticipated)Interventional2023-11-15Recruiting
A Phase Two Randomized, Double-blinded, Placebo-controlled Study Combining Physiological, Radiographic, and Biological Biomarkers to Study the Anti-fibrotic Effect of Pirfenidone in CLAD Post Lung-transplantation [NCT03473340]Phase 224 participants (Actual)Interventional2018-04-27Terminated(stopped due to Slow and delayed recruitment due in part to COVID, led to a decision to end funding and terminate the trial.)
Efficacy, Safety, Immune Function of Pirfenidone in the Treatment of Connetive Tissue Disease -Related Interstitial Lung Disease(CTD-LID) [NCT05505409]Phase 4120 participants (Anticipated)Interventional2022-06-22Recruiting
A Phase III, Randomized, Double-blind, Placebo Controlled, Multicenter Clinical Trial to Evaluate the Efficacy and Safety of Pirfenidone in Subjects With Systemic Sclerosis-associated Interstitial Lung Disease (SSc-ILD) [NCT03856853]Phase 3144 participants (Anticipated)Interventional2018-06-15Recruiting
Clinical Course of Treatment With ESBRIET in Patients With Mild to Moderate IPF [NCT02622477]12 participants (Actual)Observational2014-06-30Completed
A Treatment Protocol to Allow Patients in the US With Idiopathic Pulmonary Fibrosis Access to Pirfenidone [NCT02141087]0 participants Expanded AccessApproved for marketing
Treatment With Pirfenidone for COVID-19 Related Severe ARDS An Open Label Pilot Trial [NCT04653831]26 participants (Actual)Interventional2020-11-08Completed
A Randomized, Double-blinded, Placebo Controlled Study to Evaluate Clinical Efficacy and Safety of Pirfenidone for Skin Fibrosis in Systemic Sclerosis [NCT03068234]Phase 2/Phase 372 participants (Anticipated)Interventional2017-05-31Not yet recruiting
Scleroderma Lung Study III (SLS III): Combining the Anti-fibrotic Effects of Pirfenidone (PFD) With Mycophenolate (MMF) for Treating Scleroderma-related Interstitial Lung Disease [NCT03221257]Phase 251 participants (Actual)Interventional2017-11-28Completed
Efficacy, Safety and Predictive Indicators of Immunosuppressant Combined With Pirfenidone in the Treatment of Connective Tissue Disease-related Interstitial Lung Disease (CTD-ILD) [NCT04928586]Phase 4200 participants (Anticipated)Interventional2019-08-16Active, not recruiting
Targeting Residual Activity By Precision, Biomarker-Guided Combination Therapies of Multiple Sclerosis (TRAP-MS) [NCT03109288]Phase 1/Phase 2250 participants (Anticipated)Interventional2017-08-11Recruiting
Pirfenidone Capsule in Patients With Chronic Kidney Disease G2 and G3a Study on Safety and Pharmacokinetics of Single Dose [NCT04126538]Phase 124 participants (Anticipated)Interventional2019-08-27Recruiting
Efficacy of Intralesional Triamcinolone and 8% Topical Pirfenidone for Treatment of Keloid Scars: 3-arm Trial [NCT02823236]Phase 3102 participants (Anticipated)Interventional2016-10-24Recruiting
Pirfenidone Versus Placebo as Prophylaxis Against Acute Radiation-induced Lung Injury Following Hypofractionated Radiotherapy in Breast Cancer Patients (PRILI): A Phase 2 Randomized, Double-Blind, Placebo-Controlled Study Evaluating [NCT05704166]Phase 2214 participants (Anticipated)Interventional2023-03-16Recruiting
A Phase I/Ib Trial of Pirfenidone Combined With Standard First-Line Chemotherapy in Advanced-Stage Lung NSCLC [NCT03177291]Phase 148 participants (Actual)Interventional2017-09-26Active, not recruiting
An Open Label Study to Assess the Pharmacokinetic Interaction Between Pirfenidone and BMS-986278 Following a Single Oral Dose Administration in Healthy Participants [NCT03981094]Phase 122 participants (Actual)Interventional2019-05-10Completed
Pirfenidone in Combination With Standard of Care Treatment in Patients With Advanced Liver Fibrosis. Multicenter, Open Trial Focused on Safety, Fibrosis Efficacy Evaluation, and Pharmacokinetic Data. [NCT04099407]Phase 2100 participants (Anticipated)Interventional2019-08-01Recruiting
Efficacy of Pirfenidone Gel Combined With Modified Oxide Diallyl Disulfide (MODD) Versus Ketanserin for the Treatment of Diabetic Foot Ulcers [NCT02632877]Phase 1/Phase 260 participants (Actual)Interventional2014-01-31Completed
Phase II Clinical Trial of Pirfenidone for the Treatment of Patients With Neurofibromatosis Type I [NCT00754780]Phase 224 participants (Actual)Interventional2000-09-30Completed
An Open-Label Extension Study of the Long Term Safety of Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis (IPF) [NCT00662038]Phase 31,058 participants (Actual)Interventional2008-08-31Completed
A Single Center, Open Label Study to Evaluate Drug-drug Interactions Between HEC585 and Pirfenidone or Nintedanib in Healthy Volunteers [NCT05383131]Phase 133 participants (Actual)Interventional2021-06-23Completed
A Phase 1, Open-Label, Non-Randomized, Fixed Sequence Study to Evaluate the Steady-state Pharmacokinetics of BLD-0409, Nintedanib and Pirfenidone When Administered Concurrently in Healthy Volunteers [NCT04939467]Phase 186 participants (Actual)Interventional2021-10-15Completed
Evaluation of the Efficacy of Pirfenidone in Progressive Chronic Hypersensitivity Pneumonitis [NCT04675619]Phase 240 participants (Actual)Interventional2019-12-01Completed
Effect of Pirfenidone on Glomerular Filtration Rate and Albuminuria in Patients With Diabetic Nephropathy [NCT02689778]Phase 362 participants (Actual)Interventional2016-03-31Completed
Randomized Controlled Trial of Pirfenidone in Patients With Progressive Interstitial Lung Disease Associated With Clinically Amyopathic Dermatomyositis [NCT02821689]Phase 457 participants (Anticipated)Interventional2016-07-31Not yet recruiting
Therapeutic Clinical Trial of Oral Pirfenidone for the Pulmonary Fibrosis of Hermansky-Pudlak Syndrome [NCT00001596]Phase 235 participants (Actual)Interventional2005-09-30Completed
Examination of Pirfenidone (Esbriet®) Therapy in Coal Workers' Pneumoconiosis With Pulmonary Fibrosis Associated With Radiographic and Functional Impairment to Examine the Reduction in Progression of Disease, Reduction of Exacerbation Rates and Possible R [NCT04461587]Phase 250 participants (Actual)Interventional2020-08-31Completed
Dose Ranging Study of Oral Epigallocatechin-3-gallate (EGCG) Given Daily for 12 Weeks to Patients With Idiopathic Pulmonary Fibrosis (IPF) Evaluating Safety, PK Interactions With Standard of Care Drugs, and Biomarkers of Drug Effect [NCT05195918]Phase 150 participants (Anticipated)Interventional2023-08-24Recruiting
Assessment of the Dose Reduction and Discontinuation Associated With Anti-Fibrotic Medications in Patients With Idiopathic Pulmonary Fibrosis [NCT05779007]2,778 participants (Actual)Observational2023-04-18Completed
CAFs (Combination of Atezolizumab and Pirfenidone in Second-line and Beyond NSCLC): a Phase I/II Study [NCT04467723]Phase 1/Phase 225 participants (Anticipated)Interventional2022-05-18Recruiting
A Randomized, Double-Blind, Placebo Controlled, Phase 3 Study of the Efficacy and Safety of Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis (ASCEND Trial) [NCT01366209]Phase 3555 participants (Actual)Interventional2011-06-30Completed
Post-Authorisation Safety Study of Esbriet® (Pirfenidone): A Prospective Observational Registry to Evaluate Long-Term Safety in a Real-World Setting [NCT02699879]1,009 participants (Actual)Observational2012-02-16Completed
A Randomized, Open-label Study to Evaluate the Efficacy and Safety of Pirfenidone in Patients With Severe and Critical Novel Coronavirus Infection [NCT04282902]Phase 3294 participants (Anticipated)Interventional2020-02-04Recruiting
Development of a Non-Invasive Treatment for Uterine Leiomyoma (Fibroids) [NCT00332033]Phase 232 participants Interventional2006-05-25Completed
The Effect of Multiple Oral Doses of BI 1015550 on the Pharmacokinetics of Nintedanib and Pirfenidone Administered Single Dose to Healthy Male Subjects (Open-label, Two-period, Fixed-sequence Crossover Trial) [NCT06070610]Phase 114 participants (Actual)Interventional2023-11-08Completed
A Randomised, Double-blind, Placebo-controlled, Phase 2 Study of the Efficacy and Safety of Pirfenidone in Patients With Heart Failure and Preserved Left Ventricular Ejection Fraction (PIROUETTE) [NCT02932566]Phase 2129 participants (Actual)Interventional2017-03-02Completed
Evaluation of Pirfenidone as a Therapy in Patients With Predicted Moderate to Severe Acute Pancreatitis [NCT05350371]Phase 1/Phase 260 participants (Anticipated)Interventional2023-08-01Recruiting
A Phase II, Multi-center, Randomized, Placebo-controlled (Double-blind Design), Active Comparator-controlled (Open-label Design), Parallel-group, Dose-finding Study, to Evaluate the Efficacy and Safety of HEC585 Tablets in Patients With IPF [NCT05060822]Phase 2270 participants (Anticipated)Interventional2021-06-30Recruiting
A Twelve Week, Open-label, Randomised, Parallel-group Study Evaluating Safety, Tolerability and Pharmacokinetics (PK) of Oral Nintedanib in Combination With Oral Pirfenidone, Compared to Treatment With Nintedanib Alone, in Patients With Idiopathic Pulmona [NCT02579603]Phase 4105 participants (Actual)Interventional2015-10-16Completed
An Exploratory Multicenter, Open-Label, Single Arm Study of the Safety and Tolerability of Pirfenidone (Esbriet®) in Combination With Nintedanib (Ofev®) in Patients With Idiopathic Pulmonary Fibrosis [NCT02598193]Phase 489 participants (Actual)Interventional2016-01-14Completed
Double-Blind Placebo-Controlled Study of Pirfenidone, A Novel Anti-Fibrotic Drug in Symptomatic Patients With Hypertrophic Cardiomyopathy (HCM) Associated With Left Ventricular Diastolic Function [NCT00011076]Phase 250 participants Interventional2001-02-28Completed
Pirfenidone: A Novel Anti-Scarring Therapy for Diabetic Nephropathy [NCT00063583]Phase 1/Phase 277 participants (Actual)Interventional2003-06-30Completed
A Pilot Study Of Pirfenidone For The Treatment Of Radiation-Induced Fibrosis [NCT00020631]0 participants Interventional2001-10-31Completed
Phase I Trial Of Pirfenidone In Children With Neurofibromatosis Type 1 And Plexiform Neurofibromas [NCT00053937]Phase 10 participants Interventional2002-12-31Completed
A Multicenter, Randomized, Double-blind, Placebo-controlled Trial for the Safety and Efficacy of Pirfenidone in the Treatment of Idiopathic Pulmonary Fibrosis (IPF) [NCT01504334]Phase 280 participants (Anticipated)Interventional2012-01-31Recruiting
A Randomized, Double-blind, Placebo-controlled, Multicenter Phase III Clinical Trial of Efficacy and Safety of Pirfenidone Capsules in the Treatment of Pneumoconiosis [NCT05288179]Phase 3272 participants (Anticipated)Interventional2022-04-15Not yet recruiting
Pifenidone is Used to Reduce Radiation Lung Injury in Lung Cancer Patients Previously Treated With Immune Checkpoint Inhibitors: A Single-arm, Open-label, Phase II Study [NCT05801133]Phase 241 participants (Anticipated)Interventional2023-03-31Recruiting
Characteristics of IPF Patients Initiating Nintedanib, Pirfenidone or no Antifibrotic Treatment in the US [NCT03958071]13,264 participants (Actual)Observational2019-02-01Completed
A Phase 2 Randomized, Double-blind, Placebo-controlled Trial and Open Label Extension to Evaluate the Safety and Efficacy of Deupirfenidone (LYT-100) in Post-acute COVID-19 Respiratory Disease [NCT04652518]Phase 2185 participants (Actual)Interventional2020-12-11Completed
Pirfenidone for Progressive Fibrotic Sarcoidosis [NCT03260556]Phase 460 participants (Anticipated)Interventional2017-09-27Recruiting
Phase 2 Study of Safety, Tolerability and Efficacy of Pirfenidone in Patients With Rheumatoid Arthritis Interstitial Lung Disease (TRAIL1) [NCT02808871]Phase 2123 participants (Actual)Interventional2017-04-07Completed
A Randomized, Double-Blind, Placebo Controlled, Phase 3 Study of the Safety and Efficacy of Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis [NCT00287729]Phase 3344 participants (Actual)Interventional2006-04-30Completed
A Phase II, Randomized, Double-Blind, Placebo-Controlled, Study to Assess the Efficacy and Safety of Lebrikizumab in Patients With Idiopathic Pulmonary Fibrosis [NCT01872689]Phase 2505 participants (Actual)Interventional2013-10-13Completed
A Phase 1 Multiple Ascending Dose and Food Effect Study in Healthy Volunteers to Determine the Pharmacokinetics and Maximally Tolerated Dose of Deupirfenidone (LYT-100) Followed by a Randomized Double-Blind Placebo-Controlled Phase 2a in Patients With Bre [NCT04243837]Phase 1/Phase 250 participants (Actual)Interventional2020-03-01Completed
Trial of Pirfenidone to Prevent Progression in Chronic Kidney Disease (TOP-CKD) [NCT04258397]Phase 2200 participants (Anticipated)Interventional2020-10-26Recruiting
Pirfenidone for Restrictive Chronic Lung Allograft Dysfunction [NCT03359863]Phase 210 participants (Actual)Interventional2018-03-07Completed
Investigation of Drug-drug Interaction Between Nintedanib and Pirfenidone in Patients With IPF (an Open Label, Multiple-dose, Two Group Study) [NCT02606877]Phase 437 participants (Actual)Interventional2016-04-19Completed
A Multicenter, Post-Marketing, Non-Interventional, Observational Study to Evaluate Quality of Life in Patients in Greece With Idiopathic Pulmonary Fibrosis Under Treatment With Pirfenidone - The Pneumon Study [NCT03115619]102 participants (Actual)Observational2017-04-18Completed
A Randomized, Double-Blind, Placebo-Controlled, Study of Efficacy and Safety of Pirfenidone in Patients With Fibrotic Hypersensitivity Pneumonitis [NCT02958917]Phase 240 participants (Actual)Interventional2017-06-05Terminated(stopped due to covid-19 pandemic)
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of FG-3019 in Patients With Idiopathic Pulmonary Fibrosis [NCT01890265]Phase 2160 participants (Actual)Interventional2013-07-30Completed
A Randomized, Double-Blind, Placebo Controlled, Phase 3, Three-Arm Study of the Safety and Efficacy of Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis [NCT00287716]Phase 3435 participants (Actual)Interventional2006-07-14Completed
An Open-Label, Phase 2 Study of the Safety of Oral Pirfenidone in Patients With Pulmonary Fibrosis/Idiopathic Pulmonary Fibrosis [NCT00080223]Phase 283 participants (Actual)Interventional2003-08-31Completed
A Randomized Double-blind, Four-Arm Active and Placebo-controlled Dose-Finding Trial to Evaluate the Efficacy, Tolerability, Safety and Dose Response of LYT-100 in Patients With Idiopathic Pulmonary Fibrosis (IPF) [NCT05321420]Phase 2240 participants (Anticipated)Interventional2022-07-29Recruiting
"An Open Label, 2-part, One-sequence, 3-period Study to Evaluate Drug-drug Interactions Between DWN12088 and Pirfenidone or Nintedanib in Healthy Volunteers" [NCT04888715]Phase 148 participants (Actual)Interventional2021-07-23Completed
A Study of the Efficacy and Safety of Pirfenidone vs. Nintedanib in the Treatment of Fibrotic Lung Disease After Coronavirus Disease-19 Pneumonia [NCT04856111]Phase 448 participants (Anticipated)Interventional2021-03-17Active, not recruiting
A Study of Pirfenidone in the Treatment of Myocardial Fibrosis After Acute Myocardial Infarction: a Phase II Prospective, Randomized, Double-blind,Placebo Controlled Clinical Trial [NCT05531955]Phase 2100 participants (Anticipated)Interventional2022-08-05Active, not recruiting
Pirfenidone in the Treatment of Hermansky Pudlak Syndrome (HPS) - Related Interstitial Lung Disease (ILD) [NCT04193592]Phase 250 participants (Anticipated)Interventional2019-12-01Not yet recruiting
The LOTUSS Trial: An Open-Label, Randomized, Phase 2 Study of the Safety and Tolerability of Pirfenidone When Administered to Patients With Systemic Sclerosis-Related Interstitial Lung Disease (SSc-ILD) (LOTUSS) [NCT01933334]Phase 263 participants (Actual)Interventional2013-10-31Completed
Phase-II Randomized Clinical Trial to Evaluate the Effect of Pirfenidone Compared to Placebo in Post-COVID19 Pulmonary Fibrosis [NCT04607928]Phase 2148 participants (Anticipated)Interventional2020-08-01Recruiting
"A Pilot Study to Evaluate the Efficacy and Safety of Pirfenidone in Patients With Pulmonary Fibrosis With Anti-myeloperoxydase (MPO) Antibodies or With Anti-MPO Associated Vasculitis." [NCT03385668]Phase 27 participants (Actual)Interventional2018-01-31Completed
Circulating Biomarkers of Fibrosis and Cardiovascular Disease in Patients With Heart Failure With Preserved Ejection Fraction - Analysis of Samples Collected as Part of the PIROUETTE Trial [NCT05826821]107 participants (Actual)Observational2017-03-02Completed
A European Multi-center, Randomised, Double-blind Trial of Pirfenidone in Bronchiolitis-obliterans-syndrome Grade 1-3 in Lung Transplant Recipients [NCT02262299]Phase 2/Phase 390 participants (Actual)Interventional2015-05-31Completed
Impact of Anti-Inflammatory and Anti-Fibrotic Drugs on Post-acute COVID-19 Pulmonary Fibrosis [NCT05648734]200 participants (Actual)Observational2022-03-10Completed
Randomized, Crossover, Multi-Dose, Steady State, Comparative Pharmacokinetics and Relative Bioavailability Study of EXCL-100 Pirfenidone-Sustained Release Tablet (EXCL-100), and Esbriet® in Healthy Volunteers [NCT05428150]Phase 132 participants (Actual)Interventional2022-08-08Completed
Pirfenidone Use in Asbestosis Patients: Efficacy and Prognosis [NCT05133453]40 participants (Anticipated)Interventional2024-02-29Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00001596 (8) [back to overview]Change in Forced Vital Capacity (12 Months)
NCT00001596 (8) [back to overview]Change in Forced Vital Capacity (36 Months)
NCT00001596 (8) [back to overview]Change in 6 Minute Walk Test (36 Months)
NCT00001596 (8) [back to overview]Change in Adjusted Diffusing Capacity of the Lung for Carbon Monoxide (36 Months)
NCT00001596 (8) [back to overview]Change in Adjusted Diffusing Capacity of the Lung for Carbon Monoxide (12 Months)
NCT00001596 (8) [back to overview]Change in 6 Minute Walk Test (12 Months)
NCT00001596 (8) [back to overview]Change in Total Lung Capacity (36 Months)
NCT00001596 (8) [back to overview]Change in Total Lung Capacity (12 Months)
NCT00001959 (3) [back to overview]Decrease in GFR During Treatment Period
NCT00001959 (3) [back to overview]Proportion of Patients With Positive Change in GFR
NCT00001959 (3) [back to overview]Proteinuria After Treatment
NCT00076102 (6) [back to overview]Number of Participants With Adverse Events
NCT00076102 (6) [back to overview]Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale
NCT00076102 (6) [back to overview]Number of Participants With A Response Evaluation Determined by the Comparison of Three-Dimensional (3D) Magnetic Resonance Imaging
NCT00076102 (6) [back to overview]Percentage of Participants Who Had an Objective Response Rate
NCT00076102 (6) [back to overview]Quality of Life (QOL) Using the Impact of Pediatric Illness (IPI) Scale at Baseline
NCT00076102 (6) [back to overview]Median Time to Disease Progression
NCT00080223 (5) [back to overview]Resting Oxygen Saturation by Pulse Oximetry (SpO2)
NCT00080223 (5) [back to overview]Percentage of Participants With a Treatment-Emergent Adverse Event (AE), Serious AE (SAE), Severe AE, Life-threatening AE, Death or Discontinuation Because of an AE
NCT00080223 (5) [back to overview]Percent Predicted Forced Vital Capacity (FVC)
NCT00080223 (5) [back to overview]Hemoglobin (Hgb)-Corrected Percent-Predicted Carbon Monoxide Diffusing Capacity (DLco)
NCT00080223 (5) [back to overview]Overall Survival
NCT00287716 (8) [back to overview]Change in Percent Predicted Hemoglobin (Hb)-Corrected Carbon Monoxide Diffusing Capacity (DLco) of the Lungs
NCT00287716 (8) [back to overview]Change in Dyspnea Score
NCT00287716 (8) [back to overview]Absolute Change in Percent Predicted Forced Vital Capacity (FVC)
NCT00287716 (8) [back to overview]Progression-free Survival (PFS)
NCT00287716 (8) [back to overview]Categorical Assessment of Absolute Change in Percent Predicted Forced Vital Capacity (FVC)
NCT00287716 (8) [back to overview]Worsening of Idiopathic Pulmonary Fibrosis (IPF)
NCT00287716 (8) [back to overview]Change in Worst Oxygen Saturation by Pulse Oximetry (SpO2) Measurement Observed During the 6-Minute Walk Test
NCT00287716 (8) [back to overview]Change in Six-Minute Walk Test (6MWT)Distance
NCT00287729 (8) [back to overview]Absolute Change in Percent Predicted Forced Vital Capacity(FVC)
NCT00287729 (8) [back to overview]Categorical Assessment of Absolute Change in Percent Predicted Forced Vital Capacity
NCT00287729 (8) [back to overview]Change in Worst Oxygen Saturation by Pulse Oximetry (SpO2) Measurement Observed During the 6-Minute Walk Test
NCT00287729 (8) [back to overview]Change in the Six-Minute Walk Test (6MWT) Distance
NCT00287729 (8) [back to overview]Change in Percent Predicted Hemoglobin (Hb)-Corrected Carbon Monoxide Diffusing Capacity (DLco) of the Lungs
NCT00287729 (8) [back to overview]Change in Dyspnea Score
NCT00287729 (8) [back to overview]Progression-free Survival
NCT00287729 (8) [back to overview]Worsening of IPF
NCT00662038 (1) [back to overview]Percentage of Participants With Adverse Events
NCT01366209 (1) [back to overview]Change in Percent Predicted Forced Vital Capacity (%FVC) From Baseline to Week 52
NCT01872689 (21) [back to overview]Time to First Occurrence of a >/=10% Absolute Decline in Percent Predicted FVC or Death From Any Cause
NCT01872689 (21) [back to overview]Time to First Event of Acute IPF Exacerbation
NCT01872689 (21) [back to overview]Time to First Event of >/=15% Absolute Decrease in Percentage of Predicted DLco or Death From Any Cause
NCT01872689 (21) [back to overview]Progression-Free Survival (PFS)
NCT01872689 (21) [back to overview]Percentage of Participants With Respiratory-Related Hospitalization
NCT01872689 (21) [back to overview]Percentage of Participants With Event of Greater Than or Equal to (>/=) 10% Absolute Decline in Percent Predicted FVC or Death From Any Cause
NCT01872689 (21) [back to overview]Percentage of Participants With Event of Death, All Cause Hospitalization, or a Decrease From Baseline of >/=10% in FVC
NCT01872689 (21) [back to overview]Percentage of Participants With an Event of St. George's Respiratory Questionnaire (SGRQ) Total Score Worsening or Death From Any Cause
NCT01872689 (21) [back to overview]Time to Respiratory-Related Hospitalization
NCT01872689 (21) [back to overview]Percentage of Participants With an Event of >/=15% Absolute Decrease in Percentage of Predicted DLco or Death From Any Cause
NCT01872689 (21) [back to overview]Minimum Observed Serum Concentration (Cmin) of Lebrikizumab at Week 52
NCT01872689 (21) [back to overview]Elimination Half-Life (t1/2) of Lebrikizumab
NCT01872689 (21) [back to overview]Annualized Rate of Decrease in FVC Over 52 Weeks
NCT01872689 (21) [back to overview]Annualized Rate of Decrease in Diffusion Capacity of the Lung for Carbon Monoxide (DLco) Over 52 Weeks
NCT01872689 (21) [back to overview]Annualized Rate of Decrease in A Tool to Assess Quality of Life in IPF (ATAQ-IPF) Questionnaire Total Score Over 52 Weeks
NCT01872689 (21) [back to overview]Annualized Rate of Decline in 6-Minute Walk Test (6MWT) Distance Over 52 Weeks
NCT01872689 (21) [back to overview]Percentage of Participants With an Event of Acute Idiopathic Pulmonary Fibrosis (IPF) Exacerbation
NCT01872689 (21) [back to overview]Annualized Rate of Decrease in Percent Predicted Forced Vital Capacity (FVC) Over 52 Weeks
NCT01872689 (21) [back to overview]Percentage of Participants With Anti-therapeutic Antibody (ATA) to Lebrikizumab
NCT01872689 (21) [back to overview]Minimum Observed Serum Concentration (Cmin) of Lebrikizumab
NCT01872689 (21) [back to overview]Time to First Occurrence of SGRQ Total Score Worsening or Death From Any Cause
NCT01890265 (7) [back to overview]Mean Change From Baseline in the HRCT Quantitative Lung Fibrosis (QLF) Score to Week 24 and Week 48
NCT01890265 (7) [back to overview]Mean Change From Baseline in the Health-Related Quality of Life (HRQoL) Saint George's Respiratory Questionnaire (SGRQ) Domain and Total Scores to Week 24 and Week 48
NCT01890265 (7) [back to overview]Number of Participants With No Decline in FVC (% Predicted) at Week 48
NCT01890265 (7) [back to overview]Number of Participants With IPF Progression Events up to Week 48
NCT01890265 (7) [back to overview]Number of Participants With a Respiratory-Related Hospitalization
NCT01890265 (7) [back to overview]Number of Participants With a Respiratory-Related Death
NCT01890265 (7) [back to overview]Change From Baseline in FVC (Percent of Predicted FVC Value [% Predicted]) to Week 48
NCT01933334 (3) [back to overview]University of California at Los Angeles (UCLA) Scleroderma Clinical Trial Consortium (SCTC) Gastrointestinal Trial (GIT) Questionnaire Scale Scores
NCT01933334 (3) [back to overview]Percentage of Participants With Treatment-Emergent Serious Adverse Events (SAEs)
NCT01933334 (3) [back to overview]Percentage of Participants With Treatment-Emergent Adverse Events (AEs)
NCT02579603 (3) [back to overview]Predose Plasma Concentrations at Steady State (Cpre,ss) of Pirfenidone
NCT02579603 (3) [back to overview]Predose Plasma Concentrations at Steady State (Cpre,ss) of Nintedanib at Baseline, Weeks 2 and 4
NCT02579603 (3) [back to overview]Percentage of Patients With On-treatment Gastrointestinal (GI) AEs (SOC GI Disorders) From Baseline to Week 12
NCT02598193 (5) [back to overview]Percentage of Participants With Adverse Events and Serious Adverse Events
NCT02598193 (5) [back to overview]Total Number of Participant Days of Combination Treatment With Pirfenidone and Nintedanib
NCT02598193 (5) [back to overview]Total Number of Days From the Initiation of Combination Treatment to Discontinuation of Pirfenidone, Nintedanib, or Both Study Treatments
NCT02598193 (5) [back to overview]Percentage of Participants Who Discontinue Pirfenidone, Nintedanib, or Both Study Treatments Because of Adverse Events Before the Week 24 Visit
NCT02598193 (5) [back to overview]Percentage of Participants Who Complete 24 Weeks of Combination Treatment on Pirfenidone at a Dose of 1602-2403 mg/Day and Nintedanib at a Dose of 200-300 mg/Day
NCT02606877 (5) [back to overview]Treatment naïve, Area Under the Concentration-time Curve of Nintedanib in Plasma Over the Time Interval From 0 Extrapolated to Infinity (AUC0-∞)
NCT02606877 (5) [back to overview]Pirfenidone-treated, Maximum Measured Concentration of Pirfenidone in Plasma at Steady State (Cmax,ss)
NCT02606877 (5) [back to overview]Treatment naïve, Area Under the Concentration-time Curve of the Nintedanib in Plasma Over the Time Interval 0 to the Last Quantifiable Data Point (AUC0-tz).
NCT02606877 (5) [back to overview]Pirfenidone-treated, Area Under the Concentration-time Curve of Pirfenidone in Plasma Over a Dosing Interval at Steady State (AUCτ,ss)
NCT02606877 (5) [back to overview]Treatment naïve, Maximum Measured Concentration of Nintedanib in Plasma After Single Dose Administration (Cmax).
NCT02707640 (7) [back to overview]Percentage of Participants With Treatment-Emergent Deaths of All Causes
NCT02707640 (7) [back to overview]Percentage of Participants With Treatment-Emergent Serious Adverse Events (SAEs)
NCT02707640 (7) [back to overview]Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)
NCT02707640 (7) [back to overview]Percentage of Participants With Dose Reductions
NCT02707640 (7) [back to overview]Percentage of Participants With Early Treatment Discontinuations
NCT02707640 (7) [back to overview]Percentage of Participants With Treatment-Emergent Adverse Events Resulting in Permanent Discontinuation of Study Treatment
NCT02707640 (7) [back to overview]Percentage of Participants With Treatment-Emergent Adverse Events That Led to Dose Reduction or Temporary Discontinuation of Study Treatment
NCT02808871 (18) [back to overview]Treatment-emergent Death or Transplant
NCT02808871 (18) [back to overview]Number of Participants With Progressive Disease
NCT02808871 (18) [back to overview]Treatment-emergent RA-ILD-related Mortality
NCT02808871 (18) [back to overview]Time to Composite of Decline in FVC or Death
NCT02808871 (18) [back to overview]Treatment-emergent Adverse Events (AEs)
NCT02808871 (18) [back to overview]Treatment-emergent Serious Adverse Events (SAEs)
NCT02808871 (18) [back to overview]Treatment-emergent/Treatment-related AEs
NCT02808871 (18) [back to overview]Treatment-emergent/Treatment-related SAEs
NCT02808871 (18) [back to overview]All-cause Mortality
NCT02808871 (18) [back to overview]Acute Exacerbations Requiring Hospitalization
NCT02808871 (18) [back to overview]AEs Leading to Early Discontinuation of Study Treatment
NCT02808871 (18) [back to overview]All Cause Hospitalization
NCT02808871 (18) [back to overview]Change in % Predicted FVC From Baseline to End of Study Over the 52 Week Study Period
NCT02808871 (18) [back to overview]Change in Absolute Value FVC Over the 52 Week Study Period
NCT02808871 (18) [back to overview]Change in PRO of Dyspnea
NCT02808871 (18) [back to overview]Hospitalization for Respiratory Cause
NCT02808871 (18) [back to overview]Number of Participants Who Developed Any Element of the Composite Endpoint
NCT02808871 (18) [back to overview]Number of Participants With FVC Decline From Baseline of 10% or Greater
NCT02951429 (27) [back to overview]Percentage of Participants With Decline From Baseline in 6-minute Walking Distance (6MWD) of >= 15%
NCT02951429 (27) [back to overview]Percentage of Participants With Disease Progression, as Determined by Relevant Decline in 6 Minute Walk Distance (6MWD) of At Least (>=) 15 Percent (%) From Baseline, Respiratory-Related Non-Elective Hospitalization, or Death From Any Cause
NCT02951429 (27) [back to overview]Percentage of Participants With Lung Transplantation
NCT02951429 (27) [back to overview]Time to All-Cause Non-Elective Hospitalization
NCT02951429 (27) [back to overview]Time to Death From Any Cause
NCT02951429 (27) [back to overview]Time to First Occurrence of Disease Progression
NCT02951429 (27) [back to overview]Time to Multiple Occurrence of Disease Progression Events
NCT02951429 (27) [back to overview]Time to Respiratory-Related Death
NCT02951429 (27) [back to overview]University of California, San Diego-Shortness of Breath Questionnaire (UCSD-SOBQ) Changes From Baseline at Week 52
NCT02951429 (27) [back to overview]Change From Baseline in Other 6-minute Walking Distance (6MWD) Parameters at Week 52
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Left Ventricular Ejection Fraction (LVEF)
NCT02951429 (27) [back to overview]Borg Scale Result at the End of the Test at Week 52
NCT02951429 (27) [back to overview]Change From Baseline in Distance Walked, 6-minute Walking Distance (6MWD) Test at Week 52
NCT02951429 (27) [back to overview]Percentage of Participants by World Health Organization (WHO) Functional Class at Week 52
NCT02951429 (27) [back to overview]St. George's Respiratory Questionnaire (SGRQ) Changes From Baseline at Week 52
NCT02951429 (27) [back to overview]Change From Baseline in N-terminal Pro-Brain Natriuretic Peptide (NT-proBNP) Level (pg/mL) at Week 52
NCT02951429 (27) [back to overview]Time to First Occurrence of Relevant ≥15% Decline From Baseline in 6-minute Walking Distance (6MWD)
NCT02951429 (27) [back to overview]Change From Baseline in Oxygen Requirements, 6-minute Walking Distance (6MWD) Test at Week 52
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Carbon Monoxide Diffusing Capacity/ Pulmonary Diffusing Capacity (DLCO)
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Forced Vital Capacity (FVC)
NCT02951429 (27) [back to overview]Time to Respiratory-Related Non-Elective Hospitalization From Baseline to Week 52
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Inferior Vena Cava Diameter
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Peak Tricuspid Regurgitation Velocity
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Pulmonary Artery Pressure (PAPs)
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Right Ventricle Basal Diameter
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Tricuspid Annular Plane Systolic Excursion (TAPSE)
NCT02951429 (27) [back to overview]Percentage of Participants With Adverse Events
NCT02958917 (11) [back to overview]Number of Participants With Progression-free Survival (PFS) Defined as the Time From Study Treatment Randomization to the First Occurrence of Any of the Following Events:
NCT02958917 (11) [back to overview]Number of Participant With Hospitalization for a Respiratory Cause
NCT02958917 (11) [back to overview]Mean Change in Percent Predicted DLCO
NCT02958917 (11) [back to overview]Living With Pulmonary Fibrosis Health-Related Quality of Life
NCT02958917 (11) [back to overview]Visual Extent in the Percentage of Lung CT Fibrosis
NCT02958917 (11) [back to overview]University of California at San Diego Shortness-of-Breath Questionnaire Score.
NCT02958917 (11) [back to overview]Mean Change From Baseline to Week 52 in Percent Predicted FVC.
NCT02958917 (11) [back to overview]Slope of FVC Over Treatment Period.
NCT02958917 (11) [back to overview]Data-driven Texture-based Quantitative Analysis of the Percent of Lung CT Fibrosis.
NCT02958917 (11) [back to overview]Number of Participants With All-cause Hospitalization
NCT02958917 (11) [back to overview]St. George's Respiratory Questionnaire.
NCT03099187 (23) [back to overview]Change in Cough Visual Analog Scale (VAS) Score
NCT03099187 (23) [back to overview]Change in 6-minute Walk Distance (6MWD)
NCT03099187 (23) [back to overview]Categorical Change in FVC of >5%
NCT03099187 (23) [back to overview]Categorical Change in FVC of >10%
NCT03099187 (23) [back to overview]Time to First Investigator-reported Acute Exacerbations
NCT03099187 (23) [back to overview]Time to Death From Respiratory Diseases
NCT03099187 (23) [back to overview]Progression-free Survival (PFS)
NCT03099187 (23) [back to overview]Progression-free Survival (PFS)
NCT03099187 (23) [back to overview]Percentage of Participants With Investigator-reported Acute Exacerbations
NCT03099187 (23) [back to overview]Number of Participants Withdrawn From Trial Treatment or Trial Discontinuations During the Double-Blind Period
NCT03099187 (23) [back to overview]Number of Participants Withdrawn From Trial Treatment or Trial Discontinuations During the 12-month Safety Follow-up
NCT03099187 (23) [back to overview]Number of Participants With Treatment-emergent Adverse Events (TEAEs)
NCT03099187 (23) [back to overview]Time to Death From Any Cause
NCT03099187 (23) [back to overview]Rate of Decline in Forced Vital Capacity (FVC) Over the 24-week Double-blind Treatment Period
NCT03099187 (23) [back to overview]Number of Participants With Non-elective Hospitalization, Both Respiratory and All Cause
NCT03099187 (23) [back to overview]Number of Participants With Dose Reductions and Treatment Interruptions During the Double-Blind Period
NCT03099187 (23) [back to overview]Number of Participants With Dose Reductions and Treatment Interruptions During the 12-month Safety Follow-up
NCT03099187 (23) [back to overview]Change in University of California, San Diego-Shortness of Breath Questionnaire Score
NCT03099187 (23) [back to overview]Change in Total and Sub-scores of the Saint George's Respiratory Questionnaire (SGRQ)
NCT03099187 (23) [back to overview]Change in Score in Leicester Cough Questionnaire Score
NCT03099187 (23) [back to overview]Change in Percent Predicted FVC
NCT03099187 (23) [back to overview]Change in Percent Predicted Diffusing Capacity of the Lung for Carbon Monoxide (DLco)
NCT03099187 (23) [back to overview]Change in FVC
NCT03208933 (6) [back to overview]Change From Baseline to Week 26 in EuroQol 5-Dimension 5-Level (EQ-5D-5L) Questionnaire Index Score
NCT03208933 (6) [back to overview]Change From Baseline to Week 26 in EQ-5D-5L Visual Analogue Scale (EQ-5D-5L VAS) Score
NCT03208933 (6) [back to overview]Change From Baseline to Week 26 in Absolute Millilitre (mL) Forced Vital Capacity (FVC)
NCT03208933 (6) [back to overview]Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
NCT03208933 (6) [back to overview]Change From Baseline to Week 26 in 6-Minute Walk Test (6MWT) Distance
NCT03208933 (6) [back to overview]Change From Baseline to Week 26 in Percent (%) Predicted FVC
NCT03221257 (16) [back to overview]Time to Withdrawal From the Study Drug or Treatment Failure
NCT03221257 (16) [back to overview]St. George's Respiratory Questionnaire (SGRQ)
NCT03221257 (16) [back to overview]Percent Predicted Single-breath Diffusing Capacity for Carbon Monoxide (DLCOHb-%)
NCT03221257 (16) [back to overview]Percent Predicted Forced Vital Capacity (FVC-%)
NCT03221257 (16) [back to overview]Number of Participants With Treatment-related Adverse Events as Assessed by System Organ Classification Using Preferred Medical Dictionary for Regulatory Activities (MedDRA) Terms.
NCT03221257 (16) [back to overview]Modified Rodnan Skin Score (mRSS)
NCT03221257 (16) [back to overview]Mahler Modified Transitional Dyspnea Index (TDI)
NCT03221257 (16) [back to overview]High Resolution Computerized Tomography (HRCT) Measures of Total Lung Capacity (TLC)
NCT03221257 (16) [back to overview]High Resolution Computerized Tomography (HRCT) Measures of Quantitative Lung Fibrosis Score in the Whole Lung (QLF-WL)
NCT03221257 (16) [back to overview]High Resolution Computerized Tomography (HRCT) Measures of Quantitative Lung Fibrosis Score in the Lobe of Maximal Involvement (QLF-LM)
NCT03221257 (16) [back to overview]High Resolution Computerized Tomography (HRCT) Measures of Quantitative Interstitial Lung Disease Score in the Whole Lung (QILD-WL)
NCT03221257 (16) [back to overview]High Resolution Computerized Tomography (HRCT) Measures of Quantitative Interstitial Lung Disease Score in the Lobe of Maximal Involvement (QILD-LM)
NCT03221257 (16) [back to overview]Health Assessment Questionnaire Modified for Scleroderma (HAQ-DI)
NCT03221257 (16) [back to overview]Greater Than 5% Improvement in FVC-%
NCT03221257 (16) [back to overview]3.0% or Greater Improvement From Baseline in FVC-%.
NCT03221257 (16) [back to overview]Forced Vital Capacity Volume (FVC, in ml)
NCT03242759 (19) [back to overview]Annual Change From Baseline in Percentage of Predicted Inspiratory Capacity (IC) at Week 52
NCT03242759 (19) [back to overview]Annual Change From Baseline in Percentage of Predicted Inspiratory Capacity (IC) at Week 100
NCT03242759 (19) [back to overview]Annual Change From Baseline in Percentage of Predicted Forced Vital Capacity (FVC) at Week 52
NCT03242759 (19) [back to overview]Annual Change From Baseline in Percentage of Predicted Forced Vital Capacity (FVC) at Week 100
NCT03242759 (19) [back to overview]Annual Change From Baseline in Percentage of Predicted Diffusing Capacity of the Lungs for Carbon Monoxide (DLco) at Week 52
NCT03242759 (19) [back to overview]Annual Change From Baseline in Percentage of Predicted Diffusing Capacity of the Lungs for Carbon Monoxide (DLco) at Week 100
NCT03242759 (19) [back to overview]Annual Change in Total Score of St. Georges Respiratory Questionnaire (SGRQ) at Week 100
NCT03242759 (19) [back to overview]Number of Participants Per Death Reason Categories
NCT03242759 (19) [back to overview]Time to First Acute Exacerbation of Idiopathic Pulmonary Fibrosis
NCT03242759 (19) [back to overview]Overall Survival
NCT03242759 (19) [back to overview]Annual Change in Total Score of St. Georges Respiratory Questionnaire (SGRQ) at Week 52
NCT03242759 (19) [back to overview]Annual Change in Six-Minute Walk Test (6MWT) at Week 52
NCT03242759 (19) [back to overview]Annual Change in Six-Minute Walk Test (6MWT) at Week 100
NCT03242759 (19) [back to overview]Annual Change in Score of Chronic Obstructive Pulmonary Disease Assessment Test (CAT) at Week 52
NCT03242759 (19) [back to overview]Annual Change in Score of Chronic Obstructive Pulmonary Disease Assessment Test (CAT) at Week 100
NCT03242759 (19) [back to overview]Annual Change From Baseline in Percentage of Predicted Total Lung Capacity (TLC) at Week 52
NCT03242759 (19) [back to overview]Annual Change From Baseline in Percentage of Predicted Total Lung Capacity (TLC) at Week 100
NCT03242759 (19) [back to overview]Annual Change From Baseline in Percentage of Predicted Oxygen Saturation (SpO2) at Week 52
NCT03242759 (19) [back to overview]Annual Change From Baseline in Percentage of Predicted Oxygen Saturation (SpO2) at Week 100
NCT03359863 (6) [back to overview]Annual Change in Forced Expiratory Volume in 1 Second (FEV1)
NCT03359863 (6) [back to overview]Annual Change in Forced Vital Capacity (FVC)
NCT03359863 (6) [back to overview]Annual Change in Percent of Lung Affected by Reticulation on Chest CT Scan
NCT03359863 (6) [back to overview]Annual Change in Traction Bronchiectasis Score on Chest CT Scan
NCT03359863 (6) [back to overview]Conversion Ratio of Tacrolimus Dose
NCT03359863 (6) [back to overview]Tolerability of Pirfenidone
NCT03473340 (5) [back to overview]Change in Forced Expiratory Volume 1 Over 24 Weeks (FEV1)
NCT03473340 (5) [back to overview]Number of Adverse Events Related to Study Treatment
NCT03473340 (5) [back to overview]Number of Subjects With Treatment Intolerance
NCT03473340 (5) [back to overview]Change in Percent of Functional Small Airways Disease (fSAD) as Measured by Parametric Response Mapping
NCT03473340 (5) [back to overview]Change in Forced Vital Capacity (FVC) Over 24 Weeks
NCT03958071 (6) [back to overview]Baseline Patient Characteristics: Age
NCT03958071 (6) [back to overview]Odds Ratio of Receiving Treatment (Nintedanib or Pirfenidone) vs no Treatment
NCT03958071 (6) [back to overview]Baseline Patient Characteristics: Number of Participants Using Proton Pump Inhibitors at Baseline
NCT03958071 (6) [back to overview]Baseline Patient Characteristics: Number of Participants Using Inhaled Corticosteroids at Baseline
NCT03958071 (6) [back to overview]Baseline Patient Characteristics: Charlson Comorbidity Index (CCI)
NCT03958071 (6) [back to overview]Baseline Patient Characteristics: BMI

Change in Forced Vital Capacity (12 Months)

Change from baseline in the Forced Vital Capacity (FVC) measurement at 12 months. FVC is the volume of air that can be forcibly blown out from the lungs after full inspiration. FVC is recorded as the percentage of predicted volume (predicted FVC volume is calculated based on subject's height, age, sex, and weight). (NCT00001596)
Timeframe: Measured at baseline and 12 months

Intervention% of predicted volume (Mean)
Pirfenidone-7.27
Placebo-3.55

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Change in Forced Vital Capacity (36 Months)

Change from baseline in the Forced Vital Capacity (FVC) measurement at 36 months. FVC is the volume of air that can be forcibly blown out from the lungs after full inspiration. FVC is recorded as the percentage of predicted volume (predicted FVC volume is calculated based on subject's height, age, sex, and weight). (NCT00001596)
Timeframe: Measured at baseline and 36 months

Intervention% of predicted volume (Mean)
Pirfenidone-23.52
Placebo-20.93

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Change in 6 Minute Walk Test (36 Months)

Change from baseline of the 6 minute walk test (6MWT) at 36 months. The 6MWT measures the distance that a patient can quickly walk on a flat hard surface in a period of six minutes. (NCT00001596)
Timeframe: Measured at baseline and 36 months

Interventionmeters (Mean)
Pirfenidone-232.86
Placebo-306.75

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Change in Adjusted Diffusing Capacity of the Lung for Carbon Monoxide (36 Months)

Change from baseline in adjusted Diffusing Capacity of the lung for carbon monoxide (DLCOa) measured at 36 months. DLCOa measures gas uptake during a single inspiration in a standard time, adjusted for subject's hemoglobin levels. (NCT00001596)
Timeframe: Measured at baseline and 36 months

Intervention% of predicted volume (Mean)
Pirfenidone-15.25
Placebo-14.93

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Change in Adjusted Diffusing Capacity of the Lung for Carbon Monoxide (12 Months)

Change from baseline in adjusted Diffusing Capacity of the lung for carbon monoxide (DLCOa) measured at 12 months. DLCOa measures gas uptake during a single inspiration in a standard time, adjusted for subject's hemoglobin levels. (NCT00001596)
Timeframe: Measured at baseline and 12 months

Intervention% of predicted volume (Mean)
Pirfenidone-3.11
Placebo-4.74

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Change in 6 Minute Walk Test (12 Months)

Change from baseline of the 6 minute walk test (6MWT) at 12 months. The 6MWT measures the distance that a patient can quickly walk on a flat hard surface in a period of six minutes. (NCT00001596)
Timeframe: Measured at baseline and 12 months

Interventionmeters (Mean)
Pirfenidone-40.56
Placebo-17.21

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Change in Total Lung Capacity (36 Months)

Change from baseline in Total Lung Capacity (TLC) measured at 36 months. TLC is the volume in the lungs at maximal inflation. TLC is recorded as the percentage of predicted volume based on subject's height, age, sex, and weight. (NCT00001596)
Timeframe: Measured at baseline and 36 months

Intervention% of predicted volume (Mean)
Pirfenidone-25.26
Placebo-22.9

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Change in Total Lung Capacity (12 Months)

Change from baseline in Total Lung Capacity (TLC) measured at 12 months. TLC is the volume in the lungs at maximal inflation. TLC is recorded as the percentage of predicted volume based on subject's height, age, sex, and weight. (NCT00001596)
Timeframe: Measured at baseline and 12 months

Intervention% of predicted volume (Mean)
Pirfenidone-8.96
Placebo0.53

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Decrease in GFR During Treatment Period

(NCT00001959)
Timeframe: 12 months from baseline

Interventionml/min/1.73 m2 (Mean)
Pirfenidone-0.45

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Proportion of Patients With Positive Change in GFR

(NCT00001959)
Timeframe: 12 months from baseline

Interventionparticipants (Number)
Pirfenidone13

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Proteinuria After Treatment

(NCT00001959)
Timeframe: 12 months from baseline

Interventiong/d (Median)
Pirfenidone4.3

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Number of Participants With Adverse Events

Here are the number of participants with adverse events. For the detailed list of adverse events see the adverse event module. (NCT00076102)
Timeframe: 5 years

InterventionParticipants (Count of Participants)
Pirfenidine36

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Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale

"Quality of life was assessed by the Impact of Pediatric Illness scale for children 6-18 years of age. The child's primary caregiver completed the proxy Parent Form and children answered either the self-report Child or Adolescent (11-18 years) Form prior to cycles 1, 4, 7 and 10. The parallel IPI Scale forms assess four domains: adaptive behavior, emotional functioning, medical/physical status, and cognitive functioning. Responses to the 43 items are made on a 3-or5-point Likert scale (1 to 5 for Parent and Adolescent Form and 1, 3, 5 for the Child Form) ranging from not at all to a lot. Item scores are transformed to a scale of 0-100, and then mean scores are calculated for the four domains and total scale with higher scores indicating better QOL." (NCT00076102)
Timeframe: prior to cycles 1, 4, 7 and 10.

Interventionscores on a scale (Mean)
Parent Baseline (to Cycle 4)Parent Pre Cycle 4Child Baseline (to Cycle 4)Child Pre Cycle 4Parent Baseline (to Cycle 7)Parent Pre Cycle 7Child Baseline (to Cycle 7)Child Pre Cycle 7Parent Baseline (to Pre Cycle 10)Parent Pre Cycle 10Child Baseline (to Pre Cycle 10)Child Pre Cycle 10
Pirfenidine71.171.867.969.871.770.669.571.471.5672.167.568.3

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Number of Participants With A Response Evaluation Determined by the Comparison of Three-Dimensional (3D) Magnetic Resonance Imaging

Index lesions will be followed for progression by 3D magnetic resonance imaging. Compete response is a complete resolution of all measurable or palpable soft tissue tumors for ≥4 weeks and no appearance of new lesions. Partial response is a ≥50% reduction in the sum of the volume of all index lesions for ≥4 weeks. Progression is defined as a ≥20% increase in the volume of at least one of the index plexiform neurofibromas compared to the pretreatment volume measured prior to the start of treatment. Stable disease is a <20% increase, and <25% decrease in the sum of the volume of all index lesions for ≥4 weeks. Minor response is a ≥25% but <50% reduction in the sum of the volume of all index lesions for ≥4 weeks. (NCT00076102)
Timeframe: Prior to cycles 1, 4, 7, and 10 and then every 6 cycles thereafter, approximately 5 years

InterventionParticipants (Count of Participants)
Progressive diseaseComplete responsePartial responseStable diseaseMInor response
Pirfenidone310000

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Percentage of Participants Who Had an Objective Response Rate

Objective response rate is defined as a complete response (CR) or partial response (PR). Complete response is a complete resolution of all measurable or palpable soft tissue tumors for ≥4 weeks and no appearance of new lesions. Partial response is a ≥50% reduction in the sum of the volume of all index lesions for ≥4 weeks. (NCT00076102)
Timeframe: ≥4 weeks

Interventionpercentage of participants (Number)
Complete ResponsePartial Response
Pirfenidine00

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Quality of Life (QOL) Using the Impact of Pediatric Illness (IPI) Scale at Baseline

"Quality of life was assessed by the Impact of Pediatric Illness scale for children 6-18 years of age. The child's primary caregiver completed the proxy Parent Form and children answered either the self-report Child or Adolescent (11-18 years) Form. The parallel IPI Scale forms assess four domains: adaptive behavior, emotional functioning, medical/physical status, and cognitive functioning. Responses to the 43 items are made on a 3-or5-point Likert scale (1 to 5 for Parent and Adolescent Form and 1, 3, 5 for the Child Form) ranging from not at all to a lot. Item scores are transformed to a scale of 0-100, and then mean scores are calculated for the four domains and total scale with higher scores indicating better QOL. Baseline comparisons between child and parent total and domain scores were performed." (NCT00076102)
Timeframe: Baseline

InterventionScores on a scale (Mean)
Total score parentTotal score childParent proxy-adaptive behaviorChild Self-Report-adaptive behaviorParent proxy - emotional functioningChild Self-Report-emotional functioningParent proxy - medical/physical statusChild Self-Report - medical/physical statusParent proxy - cognitive functioningChild Self-Report- cognitive functioning
Pirfenidine72.769.172.176.772.463.777.667.162.969.4

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Median Time to Disease Progression

Time to progression is defined as greater than or equal to 20% increase in plexiform neurofibromas (PN) volume on magnetic resonance imaging (MRI). (NCT00076102)
Timeframe: 5 years

InterventionMonths (Median)
Pirfenidone13.2

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Resting Oxygen Saturation by Pulse Oximetry (SpO2)

SpO2 is the percentage of oxygen saturation in the blood. Oxygen level (oxygen saturation) of the blood was measured using pulse oximetry on room air. (NCT00080223)
Timeframe: Baseline, Weeks 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, 288, 312, 336, 360, 384, 408, 432, 456, 480

Interventionpercentage of oxygen saturation (Mean)
Baseline (n=72)Week 24 (n=55)Week 48 (n=47)Week 72 (n=41)Week 96 (n=36)Week 120 (n=35)Week 144 (n=33)Week 168 (n=25)Week 192 (n=22)Week 216 (n=23)Week 240 (n=17)Week 264 (n=11)Week 288 (n=10)Week 312 (n=11)Week 336 (n=9)Week 360 (n=7)Week 384 (n=7)Week 408 (n=6)Week 432 (n=1)Week 456 (n=1)Week 480 (n=3)
Pirfenidone94.594.494.894.994.994.894.894.094.995.295.595.794.695.894.494.994.094.895.097.095.0

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Percentage of Participants With a Treatment-Emergent Adverse Event (AE), Serious AE (SAE), Severe AE, Life-threatening AE, Death or Discontinuation Because of an AE

An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs were classified as severe (Grade 3) in following cases: marked limitation in activity; some assistance usually required; medical intervention/ therapy required, hospitalization possible. Treatment-emergent AEs were those occurring on or after the first dosing day and up to 28 days after discontinuation of study treatment, and those occurring before treatment that worsened after the first study dose. AE included serious as well as non-serious AEs. (NCT00080223)
Timeframe: Baseline to 28 days after the last dose of study treatment (maximum duration of treatment in study was 604 weeks)

Interventionpercentage of participants (Number)
Any AESAESevere AELife-threatening AEAEs leading to deathAE leading to study treatment discontinuation
Pirfenidone98.859.036.121.725.343.4

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Percent Predicted Forced Vital Capacity (FVC)

FVC is a standard pulmonary function test used to quantify respiratory muscle weakness. FVC is the volume of air that can forcibly be blown out from the lungs after full inspiration in the upright position, measured in liters. Predicted FVC is based on a formula using sex, age and height of a person, and is an estimate of healthy lung capacity. Percent of predicted FVC = (actual FVC value in liter)/(predicted FVC) * 100% (NCT00080223)
Timeframe: Baseline, Weeks 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, 288, 312, 336, 360, 384, 408, 432, 456, 480

Interventionpercent predicted FVC (Mean)
Baseline (n=78)Week 24 (n=71)Week 48 (n=57)Week 72 (n=50)Week 96 (n=47)Week 120 (n=44)Week 144 (n=39)Week 168 (n=35)Week 192 (n=28)Week 216 (n=28)Week 240 (n=22)Week 264 (n=15)Week 288 (n=14)Week 312 (n=14)Week 336 (n=10)Week 360 (n=7)Week 384 (n=6)Week 408 (n=4)Week 432 (n=1)Week 456 (n=1)Week 480 (n=1)
Pirfenidone67.767.568.768.467.967.766.165.767.868.765.370.176.671.164.960.968.465.161.578.480.9

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Hemoglobin (Hgb)-Corrected Percent-Predicted Carbon Monoxide Diffusing Capacity (DLco)

DLco is a pulmonary function test, and measures the partial pressure difference between inspired and expired carbon monoxide. Predicted DLco is based on a formula using sex, age and height of a person. Predicted DLco = [Hbg-corrected DLco value (in milliliters per minute per millimeter mercury [mL/min/mmHg])/predicted DLco] * 100% (NCT00080223)
Timeframe: Baseline, Weeks 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, 288, 312, 336, 360, 384, 408, 432, 456, 480

Interventionpercent predicted DLco (Mean)
Baseline (n=74)Week 24 (n=65)Week 48 (n=55)Week 72 (n=49)Week 96 (n=44)Week 120 (n=41)Week 144 (n=37)Week 168 (n=33)Week 192 (n=27)Week 216 (n=28)Week 240 (n=22)Week 264 (n=15)Week 288 (n=14)Week 312 (n=14)Week 336 (n=10)Week 360 (n=7)Week 384 (n=5)Week 408 (n=4)Week 432 (n=1)Week 456 (n=1)Week 480 (n=1)
Pirfenidone38.039.537.137.038.035.738.536.737.235.835.537.542.938.633.737.138.338.133.911.638.9

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Overall Survival

Survival was analyzed as time from first study dose to death (all-cause mortality) with surviving participants censored at their last available assessment. (NCT00080223)
Timeframe: First dosing of study treatment until death (up to 604 weeks)

Interventionweeks (Median)
Pirfenidone508.7

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Change in Percent Predicted Hemoglobin (Hb)-Corrected Carbon Monoxide Diffusing Capacity (DLco) of the Lungs

(NCT00287716)
Timeframe: Baseline to Week 72

InterventionChange in Percent Predicted DLco (Mean)
Pirfenidone 2403 mg/Day-8
Pirfenidone 1197 mg/Day-9
Placebo-10

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Change in Dyspnea Score

The mean change from baseline to week 72 in Dyspnea score was measured by the University of San Diego Shortness of Breath Questionnaire (UCSD SOBQ). The SOBQ is used to assess shortness of breath with various activities of daily living (for example, brushing ones teeth or mowing the lawn). Patients rated the severity of their shortness of breath experienced on an average day during the past week on a 6 point scale (0 to 5), with 0 = not at all breathless, 4= severely breathless and 5 = Maximally or unable to do because of breathlessness. (NCT00287716)
Timeframe: Baseline to Week 72

InterventionChange in Dyspnea Score (Mean)
Pirfenidone 2403 mg/Day12
Pirfenidone 1197 mg/Day14
Placebo15

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Absolute Change in Percent Predicted Forced Vital Capacity (FVC)

Mean Change in Percent Predicted Forced Vital Capacity (FVC) as measured from baseline to week 72. (NCT00287716)
Timeframe: From baseline up to 72 weeks

InterventionChange in Percent Predicted FVC (Mean)
Pirfenidone 2403 mg/Day-8.0
Pirfenidone 1197 mg/Day-10.0
Placebo-12.4

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Progression-free Survival (PFS)

Progression is defined as the first occurrence of a 10% absolute decline from baseline in percent predicted Forced Vital Capacity, a 15% absolute decline from baseline in percent predicted hemoglobin(Hgb)-corrected carbon monoxide diffusing capacity (DLco), or, death. (NCT00287716)
Timeframe: Baseline to Week 72

,,
InterventionNumber of Patients with Progression (Number)
Death or Disease ProgressionDecline in Percent Predicted FVC >=10%Decline in Percent Predicted DLco >=15%Death Before Disease Progression
Pirfenidone 1197 mg/Day281657
Pirfenidone 2403 mg/Day452898
Placebo6239914

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Categorical Assessment of Absolute Change in Percent Predicted Forced Vital Capacity (FVC)

Based on the change in baseline percent predicted FVC at week 72, patients were assigned to 1 of 5 categories: mild decline (<10% but >=0% decline), moderate decline (<20% but >=10% decline), severe decline (>=20% decline), mild improvement (>0% but <10% improvement), or moderate improvement (>=10% improvement). Those who died or had a lung transplant before Week 72 were included in the severe decline category. The results indicate the number of patients who experienced a Categorical Change in Percent Predicted Forced Vital Capacity. (NCT00287716)
Timeframe: baseline up to 72 weeks

,,
InterventionPatients (Number)
Severe decline of >=20%, death, or lung transplantModerate decline of <20% but >=10%Mild decline of <10% but >=0%Mild improvement of >0% but <10%Moderate improvement of >=10%
Pirfenidone 1197 mg/Day91451121
Pirfenidone 2403 mg/Day142197402
Placebo273390240

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Worsening of Idiopathic Pulmonary Fibrosis (IPF)

"Worsening of IPF was defined by the occurrence of any of the following events:~Acute IPF exacerbation, IPF-related death, Lung transplantation, or Respiratory hospitalization." (NCT00287716)
Timeframe: Time to acute IPF exacerbation, IPF-related death, lung transplant or respiratory hospitalization, whichever comes first.

InterventionNumber of Patients Who Worsened (Number)
Pirfenidone 2403 mg/Day26
Pirfenidone 1197 mg/Day10
Placebo30

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Change in Worst Oxygen Saturation by Pulse Oximetry (SpO2) Measurement Observed During the 6-Minute Walk Test

The change from baseline to week 72 in worst oxygen saturation during the 6-Minute Walk Test as measure by Pulse Oximetry (SpO2) Level is calculated as the simple difference between baseline SpO2 measurements and week 72 SpO2 measurements. (NCT00287716)
Timeframe: Baseline to Week 72

InterventionChange,Worst Oxygen Saturation (Percent) (Mean)
Pirfenidone 2403 mg/Day-2
Pirfenidone 1197 mg/Day-1
Placebo-2

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Change in Six-Minute Walk Test (6MWT)Distance

The change from Baseline to week 72 in distance walked during the 6-Minute Walk Test as measured in meters (m). (NCT00287716)
Timeframe: Baseline to Week 72

InterventionChange in Distance Walked in Meters (Mean)
Pirfenidone 2403 mg/Day-60
Pirfenidone 1197 mg/Day-76
Placebo-77

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Absolute Change in Percent Predicted Forced Vital Capacity(FVC)

Mean Change in Percent Predicted Forced Vital Capacity (FVC) as measured from baseline to week 72. It is calculated as the simple difference between baseline Percent Predicted FVC measurements and week 72 Percent Predicted FVC measurements. (NCT00287729)
Timeframe: Baseline to week 72

InterventionChange in Percent Predicted FVC (Mean)
Pirfenidone (2403 mg/d)-9
Placebo-10

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Categorical Assessment of Absolute Change in Percent Predicted Forced Vital Capacity

Based on the change in baseline percent predicted FVC at week 72, patients were assigned to 1 of 5 categories: mild decline (<10% but >=0% decline), moderate decline (<20% but >=10% decline), severe decline (>=20% decline), mild improvement (>0% but <10% improvement), or moderate improvement (>=10% improvement). Those who died or had a lung transplant before Week 72 were included in the severe decline category. The results indicate the number of patients who experience Categorical Change in Percent Predicted Forced Vital Capacity. (NCT00287729)
Timeframe: Baseline to week 72

,
InterventionPatients (Number)
Decline >=20% or death or lung transplantationDecline <20% but >= 10%Decline <10% but > 0%Improvement of >=0% but <10%Improvement of >=10%
Pirfenidone (2403 mg/d)201988413
Placebo232389335

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Change in Worst Oxygen Saturation by Pulse Oximetry (SpO2) Measurement Observed During the 6-Minute Walk Test

The change from baseline to week 72 in worst oxygen saturation during the 6-Minute Walk Test as measure by Pulse Oximetry (SpO2) Level. It is calculated as the simple difference between baseline SpO2 measurements and week 72 SpO2 measurements. (NCT00287729)
Timeframe: Baseline to Week 72

InterventionChange,Worst Oxygen Saturation (Percent) (Mean)
Pirfenidone (2403 mg/d)-1.9
Placebo-1.3

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Change in the Six-Minute Walk Test (6MWT) Distance

The change from Baseline to week 72 in distance walked during the 6-Minute Walk Test. This measure was calculated as the simple difference between baseline distanced walked over 6 minutes and week 72 distance walked over 6 minutes as measured in meters (m). (NCT00287729)
Timeframe: Baseline to Week 72

InterventionChange in Distance Walked in Meters (Mean)
Pirfenidone (2403 mg/d)-45
Placebo-77

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Change in Percent Predicted Hemoglobin (Hb)-Corrected Carbon Monoxide Diffusing Capacity (DLco) of the Lungs

The change from baseline to week 72 in Percent Predicted Hemoglobin (Hb)-Corrected Carbon Monoxide Diffusing Capacity (DLco) of the Lungs. It is calculated as the simple difference between baseline DLco measurements and week 72 DLco measurements. (NCT00287729)
Timeframe: Baseline to Week 72

InterventionChange in Percent Predicted DLco (Mean)
Pirfenidone (2403 mg/d)-9.8
Placebo-9.2

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Change in Dyspnea Score

The mean change from baseline to week 72 in Dyspnea score was measured by the University of San Diego Shortness of Breath Questionnaire (UCSD SOBQ). The SOBQ is used to assess shortness of breath with various activities of daily living (for example, brushing ones teeth or mowing the lawn). Patients rated the severity of their shortness of breath experienced on an average day during the past week on a 6 point scale (0 to 5),with 0= not at all breathless, 4= severely breathless and 5= Maximally or unable to do because of breathlessness. (NCT00287729)
Timeframe: Baseline to Week 72

InterventionChange in Dyspnea Score (Mean)
Pirfenidone (2403 mg/d)11.9
Placebo13.9

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Progression-free Survival

Progression is defined as the first occurrence of a 10% absolute decline from baseline in percent predicted Forced Vital Capacity, a 15% absolute decline from baseline in percent predicted hemoglobin(Hgb)-corrected carbon monoxide diffusing capacity (DLco), or, death. (NCT00287729)
Timeframe: Baseline to Week 72

,
InterventionNumber of Patients with Progression (Number)
Death or Disease ProgressionDecline in percent predicted FVC >=10%Decline in percent predicted DLco >=15%Death Before Disease Progression
Pirfenidone (2403 mg/d)54311013
Placebo6041910

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Worsening of IPF

"Worsening of IPF was defined by the occurrence of any of the following events:~Acute IPF exacerbation, IPF-related death, Lung transplantation, or Respiratory hospitalization." (NCT00287729)
Timeframe: Time to acute IPF exacerbation, IPF-related death, lung transplant or respiratory hospitalization, whichever comes first.

,
InterventionNumber of Patients Who Worsened (Number)
Woresening IPFAcute IPF exacerbationIPF-related deathLung transplantationRespiratory hospitalizationPatients Censored
Pirfenidone (2403 mg/d)2423217146
Placebo3216223141

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Percentage of Participants With Adverse Events

An adverse event defined as any unfavorable, harmful, or pathologic change in a research participant administered a pharmaceutical study treatment as indicated by physical signs, symptoms, and/or clinically significant laboratory abnormalities that occurred during the treatment and the post-treatment period, regardless of suspected cause. (NCT00662038)
Timeframe: 7.5 years

Interventionpercentage of participants (Number)
Pirfenidone98.0

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Change in Percent Predicted Forced Vital Capacity (%FVC) From Baseline to Week 52

(NCT01366209)
Timeframe: 52 weeks

,
Interventionpercentage of patients (Number)
Decline or >=10% or DeathNo Decline (Change >0%)
Active Arm16.522.7
Placebo Arm31.89.7

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Time to First Occurrence of a >/=10% Absolute Decline in Percent Predicted FVC or Death From Any Cause

FVC is defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Predicted FVC is based on sex, age, and height of a person. Percent predicted FVC (in %) = [(observed FVC)/(predicted FVC)]*100. Time from randomization to first occurrence of an event of >/=10% absolute decline in percent predicted FVC or death from any cause was reported. Participants without an event were censored at the last assessment during the double-blind treatment period. Any participant who underwent lung transplantation was censored at the date of the transplant. The median time to event was estimated using Kaplan-Meier method. 95% confidence interval (CI) for median was computed using the method of Brookmeyer and Crowley. (NCT01872689)
Timeframe: Baseline up to the event of >/=10% absolute decline in percent predicted FVC or death from any cause, whichever occurred first (up to Week 122)

Interventionweeks (Median)
Monotherapy (Cohort A): Placebo53.1
Monotherapy (Cohort A): LebrikizumabNA
Combination Therapy (Cohort B): Placebo + PirfenidoneNA
Combination Therapy (Cohort B): Lebrikizumab + PirfenidoneNA

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Time to First Event of Acute IPF Exacerbation

Time from randomization to first occurrence of an event of IPF exacerbation was reported. IPF exacerbation was defined as an event that met all of the following criteria as determined by the investigator: Unexplained worsening or development of dyspnea within the previous 30 days; And radiologic evidence of new bilateral ground-glass abnormality or consolidation, superimposed on a reticular or honeycomb background pattern, that is consistent with usual interstitial pneumonitis; And absence of alternative causes, or other events leading to acute lung injury. The median time to event was estimated using Kaplan-Meier method. 95% CI for median was computed using the method of Brookmeyer and Crowley. (NCT01872689)
Timeframe: Baseline up to the event of acute IPF exacerbation (up to Week 122)

Interventionweeks (Median)
Monotherapy (Cohort A): PlaceboNA
Monotherapy (Cohort A): LebrikizumabNA
Combination Therapy (Cohort B): Placebo + PirfenidoneNA
Combination Therapy (Cohort B): Lebrikizumab + PirfenidoneNA

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Time to First Event of >/=15% Absolute Decrease in Percentage of Predicted DLco or Death From Any Cause

DLco is a measure of the gas transfer. Predicted DLco is based on sex, age, and height of a person. Percent of predicted DLco (in %) = [(observed DLco)/(predicted DLco)]*100. Time from randomization to first occurrence of >/=15% absolute decrease in percentage of predicted DLco or death from any cause was reported. The median time to event was estimated using Kaplan-Meier method. 95% CI for median was computed using the method of Brookmeyer and Crowley. (NCT01872689)
Timeframe: Baseline up to the event of >/=15% absolute decrease in percentage of predicted DLco or death from any cause (up to Week 122)

Interventionweeks (Median)
Monotherapy (Cohort A): PlaceboNA
Monotherapy (Cohort A): LebrikizumabNA
Combination Therapy (Cohort B): Placebo + PirfenidoneNA
Combination Therapy (Cohort B): Lebrikizumab + PirfenidoneNA

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Progression-Free Survival (PFS)

FVC is defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Predicted FVC is based on sex, age, and height of a person. Percent predicted FVC = [(observed FVC)/(predicted FVC)]*100. PFS was defined as time from randomization to death from any cause, all cause hospitalization, or a decrease from baseline of >/=10% in FVC, whichever occurred first. Participants without an event were censored at the last assessment during the double-blind treatment period. Any participant who underwent lung transplantation was censored at the date of the transplant. The median PFS was estimated using Kaplan-Meier method. 95% CI for median was computed using the method of Brookmeyer and Crowley. (NCT01872689)
Timeframe: Baseline up to the event of death from any cause, all cause hospitalization, or a decrease from baseline of >/=10% in FVC, whichever occurred first (up to Week 122)

Interventionweeks (Median)
Monotherapy (Cohort A): Placebo52.6
Monotherapy (Cohort A): LebrikizumabNA
Combination Therapy (Cohort B): Placebo + PirfenidoneNA
Combination Therapy (Cohort B): Lebrikizumab + PirfenidoneNA

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Percentage of Participants With Event of Greater Than or Equal to (>/=) 10% Absolute Decline in Percent Predicted FVC or Death From Any Cause

FVC is defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Predicted FVC is based on sex, age, and height of a person. Percent predicted FVC (in %) = [(observed FVC)/(predicted FVC)]*100. (NCT01872689)
Timeframe: Baseline up to the event of >/=10% absolute decline in percent predicted FVC or death from any cause, whichever occurred first (up to Week 122)

Interventionpercentage of participants (Number)
Monotherapy (Cohort A): Placebo34.2
Monotherapy (Cohort A): Lebrikizumab27.6
Combination Therapy (Cohort B): Placebo + Pirfenidone30.3
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone26.6

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Percentage of Participants With Event of Death, All Cause Hospitalization, or a Decrease From Baseline of >/=10% in FVC

FVC is defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Predicted FVC is based on sex, age, and height of a person. Percent predicted FVC = [(observed FVC)/(predicted FVC)]*100. (NCT01872689)
Timeframe: Baseline up to the event of death from any cause, all cause hospitalization, or a decrease from baseline of >/=10% in FVC, whichever occurred first (up to Week 122)

Interventionpercentage of participants (Number)
Monotherapy (Cohort A): Placebo47.4
Monotherapy (Cohort A): Lebrikizumab32.9
Combination Therapy (Cohort B): Placebo + Pirfenidone39.4
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone39.9

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Percentage of Participants With an Event of St. George's Respiratory Questionnaire (SGRQ) Total Score Worsening or Death From Any Cause

The SGRQ is a 50-item health-related QoL instrument that measured health impairment. The questionnaire contains 3 domains: symptoms, activity, and impacts. Items were assessed on various response scales, including a 5-point Likert scale and True/False scale. The SGRQ had a recall specification of 4 weeks. The SGRQ total score (summed weights) ranged from 0 to 100 with a lower score denoting a better health status. Percentage of participants with an event of SGRQ total score worsening (defined as reaching minimal important difference [MID], that is, an increase in total score of >/=7) or death from any cause was reported. (NCT01872689)
Timeframe: Baseline up to the event of SGRQ total score worsening or death from any cause, whichever occurred first (up to Week 122)

Interventionpercentage of participants (Number)
Monotherapy (Cohort A): Placebo57.9
Monotherapy (Cohort A): Lebrikizumab48.7

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Percentage of Participants With an Event of >/=15% Absolute Decrease in Percentage of Predicted DLco or Death From Any Cause

DLco (in mL/min/mmHg) is a measure of the gas transfer. Predicted DLco is based on sex, age, and height of a person. Percent of predicted DLco (in %) = [(observed DLco)/(predicted DLco)]*100. (NCT01872689)
Timeframe: Baseline up to the event of >/=15% absolute decrease in percentage of predicted DLco or death from any cause (up to Week 122)

Interventionpercentage of participants (Number)
Monotherapy (Cohort A): Placebo9.2
Monotherapy (Cohort A): Lebrikizumab6.6
Combination Therapy (Cohort B): Placebo + Pirfenidone14.9
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone11.0

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Minimum Observed Serum Concentration (Cmin) of Lebrikizumab at Week 52

Participants who received lebrikizumab were only included in the analysis. (NCT01872689)
Timeframe: Predose (Hour 0) at Week 52

Interventionmicrograms per milliliter (mcg/mL) (Mean)
Monotherapy (Cohort A): Lebrikizumab29.6
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone25.2

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Elimination Half-Life (t1/2) of Lebrikizumab

Elimination half-life is the time measured for the plasma drug concentration to decrease by one-half during the elimination phase of the drug. Analysis was performed on PK-Evaluable Population. Participants who received lebrikizumab were only included in the analysis. (NCT01872689)
Timeframe: Pre-dose (Hour 0) at Weeks 1, 4, 12, 24, 36, 64, 76, 88, 104; and at 4, 12, and 18 weeks post-last dose (last dose = Week 104)

Interventiondays (Mean)
Monotherapy (Cohort A): Lebrikizumab23.5
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone21.9

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Annualized Rate of Decrease in FVC Over 52 Weeks

Annualized rates of decrease (slope throughout time from baseline to Week 52) in FVC (in milliliters per year [mL/year]) was assessed and reported. FVC is defined as the volume of air that can forcibly be blown out after full inspiration in the upright position. (NCT01872689)
Timeframe: Baseline up to Week 52 (assessed at Baseline, Weeks 1, 4, 12, 24, 36, 44, and 52)

InterventionmL/year (Mean)
Monotherapy (Cohort A): Placebo-221.029
Monotherapy (Cohort A): Lebrikizumab-192.906
Combination Therapy (Cohort B): Placebo + Pirfenidone-231.167
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone-209.437

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Annualized Rate of Decrease in Diffusion Capacity of the Lung for Carbon Monoxide (DLco) Over 52 Weeks

Annualized rates of decrease (slope throughout time from baseline to Week 52) in DLco was assessed and reported. DLco (in milliliters per minute/millimeters of mercury [mL/min/mmHg]) is a measure of the gas transfer. (NCT01872689)
Timeframe: Baseline up to Week 52 (assessed at Baseline, Weeks 1, 4, 12, 24, 36, 44, and 52)

InterventionmL/min/mmHg/year (Mean)
Monotherapy (Cohort A): Placebo-4.7818
Monotherapy (Cohort A): Lebrikizumab-4.2400
Combination Therapy (Cohort B): Placebo + Pirfenidone-5.7552
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone-5.5732

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Annualized Rate of Decrease in A Tool to Assess Quality of Life in IPF (ATAQ-IPF) Questionnaire Total Score Over 52 Weeks

The ATAQ-IPF Version 3 was utilized that included 31 items within 5 domains: cough (6 items), dyspnea (7 items), exhaustion (6 items), emotional well-being (6 items), and independence (6 items). Each item was assessed on a scale ranging from 1 (Strongly disagree) to 4 (Strongly agree). The ATAQ-IPF had a recall specification of 2 weeks. Simple summation scoring was used to derive individual domain scores as well as a total score. ATAQ-IPF total score ranged from 31 to 124 with lower score indicating better quality of life (QoL). Annualized rates of decrease (slope throughout time from baseline to Week 52) in ATAQ-IPF questionnaire total score was assessed and reported. (NCT01872689)
Timeframe: Baseline up to Week 52 (assessed at Baseline, Weeks 1, 4, 12, 24, 36, 44, and 52)

Interventionunits on a scale/year (Mean)
Monotherapy (Cohort A): Placebo6.8907
Monotherapy (Cohort A): Lebrikizumab4.7886
Combination Therapy (Cohort B): Placebo + Pirfenidone5.6189
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone5.4558

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Annualized Rate of Decline in 6-Minute Walk Test (6MWT) Distance Over 52 Weeks

Annualized rates of decline (slope throughout time from baseline to Week 52) in 6MWT was assessed and reported. 6MWT was the distance (in meters [m]) that a participant could walk in 6 minutes. (NCT01872689)
Timeframe: Baseline up to Week 52 (assessed at Baseline, Weeks 1, 4, 12, 24, 36, 44, and 52)

Interventionm/year (Mean)
Monotherapy (Cohort A): Placebo-44.6512
Monotherapy (Cohort A): Lebrikizumab-22.7209
Combination Therapy (Cohort B): Placebo + Pirfenidone-25.5683
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone-46.9810

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Percentage of Participants With an Event of Acute Idiopathic Pulmonary Fibrosis (IPF) Exacerbation

IPF exacerbation was defined as an event that met all of the following criteria as determined by the investigator: Unexplained worsening or development of dyspnea within the previous 30 days; And radiologic evidence of new bilateral ground-glass abnormality or consolidation, superimposed on a reticular or honeycomb background pattern, that is consistent with usual interstitial pneumonitis; And absence of alternative causes, such as left heart failure, pulmonary embolism, pulmonary infection (on the basis of endotracheal aspirate or bronchoalveolar lavage if available, or investigator judgment), or other events leading to acute lung injury (for example, sepsis, aspiration, trauma, reperfusion pulmonary edema). (NCT01872689)
Timeframe: Baseline up to the event of acute IPF exacerbation (up to Week 122)

Interventionpercentage of participants (Number)
Monotherapy (Cohort A): Placebo3.9
Monotherapy (Cohort A): Lebrikizumab3.9
Combination Therapy (Cohort B): Placebo + Pirfenidone6.3
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone2.9

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Annualized Rate of Decrease in Percent Predicted Forced Vital Capacity (FVC) Over 52 Weeks

Annualized rates of decrease (slope throughout time from baseline to Week 52) for percent predicted FVC was assessed and reported. FVC is a standard pulmonary function test. FVC is defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Predicted FVC is based on sex, age, and height of a person. Percent predicted FVC (in %) = [(observed FVC)/(predicted FVC)]*100. (NCT01872689)
Timeframe: Baseline up to Week 52 (assessed at Baseline, Weeks 1, 4, 12, 24, 36, 44, and 52)

Interventionpercent predicted FVC/year (Mean)
Monotherapy (Cohort A): Placebo-6.1876
Monotherapy (Cohort A): Lebrikizumab-5.2065
Combination Therapy (Cohort B): Placebo + Pirfenidone-6.0430
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone-5.5430

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Percentage of Participants With Anti-therapeutic Antibody (ATA) to Lebrikizumab

ATA to lebrikizumab was tested using a validated immunoassay. A positive ATA result was defined as one in which the presence of detectable ATAs could be confirmed by competitive binding with lebrikizumab. Percentage of participants with positive results for ATA at Baseline and at post-baseline time points were reported. Only participants who received lebrikizumab were included in the analysis. (NCT01872689)
Timeframe: Baseline and Post-Baseline (assessed at multiple time points: Weeks 4, 12, 24, 36, 52, 56, 64, 76, and at safety follow-up up to Week 122)

,
Interventionpercentage of participants (Number)
BaselinePost-Baseline
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone1.85.2
Monotherapy (Cohort A): Lebrikizumab5.36.7

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Minimum Observed Serum Concentration (Cmin) of Lebrikizumab

Participants who received lebrikizumab were only included in the analysis. (NCT01872689)
Timeframe: Predose (Hour 0) at Weeks 4, 12, 24, and 36

,
Interventionmcg/mL (Mean)
Cmin at Week 4Cmin at Week 12Cmin at Week 24Cmin at Week 36
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone14.925.025.725.6
Monotherapy (Cohort A): Lebrikizumab14.024.428.529.9

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Time to First Occurrence of SGRQ Total Score Worsening or Death From Any Cause

The SGRQ is a 50-item health-related QoL instrument that measured health impairment. The questionnaire contains 3 domains: symptoms, activity, and impacts. Items were assessed on various response scales, including a 5-point Likert scale and True/False scale. The SGRQ had a recall specification of 4 weeks. The SGRQ total score (summed weights) ranged from 0 to 100 with a lower score denoting a better health status. Time from randomization to first occurrence of an event of SGRQ total score worsening (defined as reaching minimal important difference [MID], that is, an increase in total score of >/=7) or death from any cause was reported. The median time to event was estimated using Kaplan-Meier method. 95% CI for median was computed using the method of Brookmeyer and Crowley. (NCT01872689)
Timeframe: Baseline up to the event of SGRQ total score worsening or death from any cause, whichever occurred first (up to Week 122)

Interventionweeks (Median)
Monotherapy (Cohort A): Placebo51.7
Monotherapy (Cohort A): Lebrikizumab52.3

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Mean Change From Baseline in the HRCT Quantitative Lung Fibrosis (QLF) Score to Week 24 and Week 48

The extent of pulmonary fibrosis was measured by HRCT scans of the chest at screening and at Weeks 24 and 48, to determine the HRCT QLF score. Each lung was divided into 5 lobes (right upper, right middle, right lower, left upper, left lower). For the quantitative HRCT analyses, a computer read the images and quantified the percent (%) and volume (mL) of fibrosis for the whole lung by averaging the scores from each of 5 lung lobes. Baseline was defined as the Screening evaluation. Missing data were imputed using the multiple imputation (MI) method to handle missing values. (NCT01890265)
Timeframe: Baseline (Screening), Week 24 and Week 48

,
InterventionPercent of fibrosis (Mean)
BaselineChange from Baseline at Week 24Change from Baseline at Week 48
Pamrevlumab13.90.82.7
Placebo14.72.66.0

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Number of Participants With No Decline in FVC (% Predicted) at Week 48

FVC in liters was measured during the spirometry assessments. The FVC (% predicted) was calculated for the corresponding gender-race-age group. Baseline was defined as the mean of the last screening visit and the Day 1 visit values. Classification of 'No decline' is based on observed and imputed data. Missing data in FVC (% predicted) are imputed using the predicted values from the random coefficient model with treatment, visit, visit-by-treatment interaction, and Baseline FVC (% predicted) as fixed effects and linear slope of visit as random effect. (NCT01890265)
Timeframe: Baseline (Day 1) to Week 48.

InterventionParticipants (Count of Participants)
Pamrevlumab11
Placebo13

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Number of Participants With IPF Progression Events up to Week 48

IPF progression events included death from any cause or absolute decline in FVC (% predicted) value of ≥10%, confirmed by repeat spirometry. Classification of FVC (% predicted) declined ≥10% was based on observed and imputed data. Missing data in FVC (% predicted) were imputed using the predicted values from the random coefficient module with treatment, visit, visit-by-treatment interaction, and Baseline FVC (% predicted) as fixed effects and linear slope as random effect. (NCT01890265)
Timeframe: Baseline (Screening and Day 1) up to Week 48

InterventionParticipants (Count of Participants)
Pamrevlumab5
Placebo16

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Change From Baseline in FVC (Percent of Predicted FVC Value [% Predicted]) to Week 48

FVC in liters was measured during the spirometry assessments at screening and during the randomized treatment period at Day 1 and every 12 weeks. The FVC (% predicted) was calculated for the corresponding gender-race-age group. The least squares (LS) mean change from Baseline to Week 48 (end of the randomized treatment period) in FVC (% predicted) is presented. Baseline was defined as the mean of the last screening visit and the Day 1 visit values. Other statistical analysis data is reported in the statistical analysis section. Observed data from all visits were included in the model. (NCT01890265)
Timeframe: Baseline (Screening and Day 1), Week 48

,
Intervention% predicted FVC (Mean)
BaselineChange from Baseline at Week 48
Pamrevlumab74.51-2.71
Placebo72.82-7.20

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University of California at Los Angeles (UCLA) Scleroderma Clinical Trial Consortium (SCTC) Gastrointestinal Trial (GIT) Questionnaire Scale Scores

UCLA SCTC GIT Scale 2.0 is a 34-item self-administered questionnaire to obtain participant's assessment of the frequency of GI symptoms in preceding 7 days and how symptoms affected his/her life. All but 2 items were scored on a 0 to 3 scale (0=better health, 3=worse health); remaining 2 items were scored as 0 (better health) and 1 (worse health). The 34 items are divided into seven scales (reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being, and constipation). Individual scale score was calculated as the average of the items in the scale. Individual scale score ranged from 0 to 3 for reflux, distention/bloating, fecal soilage, social functioning, and emotional well-being; 0 to 2 for diarrhea; and 0 to 2.5 for constipation. A total score was also calculated as the average of 6 of the 7 scales (omitting constipation) and ranged from 0 to 2.83. For individual and total scores 0 indicated better health and higher score indicates worse health. (NCT01933334)
Timeframe: Baseline, Weeks 4, 8, 12, and 16

,
Interventionunits on a scale (Mean)
Reflux: Baseline (n=32, 31)Reflux: Week 4 (n=32, 31)Reflux: CFB Week 4 (n=32, 31)Reflux: Week 8 (n=32, 31)Reflux: CFB Week 8 (n=32, 31)Reflux: Week 12 (n=27, 30)Reflux: CFB Week 12 (n=27, 30)Reflux: Week 16 (n=25, 28)Reflux: CFB Week 16 (n=25, 28)Distention/Bloating: Baseline (n=32, 31)Distention/Bloating: Week 4 (n=32, 31)Distention/Bloating: CFB Week 4 (n=32, 31)Distention/Bloating: Week 8 (n=32,31)Distention/Bloating: CFB Week 8 (n=32, 31)Distention/Bloating: Week 12 (n=27, 30)Distention/Bloating: CFB Week 12 (n=27, 30)Distention/Bloating: Week 16 (n=25, 28)Distention/Bloating: CFB Week 16 (n=25, 28)Diarrhea: Baseline (n=32, 31)Diarrhea: Week 4 (n=32, 31)Diarrhea: CFB Week 4 (n=32, 31)Diarrhea: Week 8 (n=32, 31)Diarrhea: CFB Week 8 (n=32, 31)Diarrhea: Week 12 (n=27, 30)Diarrhea: CFB Week 12 (n=27, 30)Diarrhea: Week 16 (n=25, 28)Diarrhea: CFB Week 16 (n=25, 28)Social Functioning: Baseline (n=32, 31)Social Functioning: Week 4 (n=32, 31)Social Functioning: CFB Week 4 (n=32, 31)Social Functioning: Week 8 (n=32, 31)Social Functioning: CFB Week 8 (n=32, 31)Social Functioning: Week 12 (n=27, 30)Social Functioning: CFB Week 12 (n=27, 30)Social Functioning: Week 16 (n=25, 28)Social Functioning: CFB Week 16 (n=25, 28)Emotional Wellbeing: Baseline (n=32, 31)Emotional Wellbeing: Week 4 (n=32, 30)Emotional Wellbeing: CFB Week 4 (n=32, 30)Emotional Wellbeing: Week 8 (n=32, 31)Emotional Wellbeing: CFB Week 8 (n=32, 31)Emotional Wellbeing: Week 12 (n=27, 30)Emotional Wellbeing: CFB Week 12 (n=27, 30)Emotional Wellbeing: Week 16 (n=25, 28)Emotional Wellbeing: CFB Week 16 (n=25, 28)Fecal Soilage: Baseline (n=32, 31)Fecal Soilage: Week 4 (n=32, 31)Fecal Soilage: CFB Week 4 (n=32, 31)Fecal Soilage: Week 8 (n=32, 31)Fecal Soilage: CFB Week 8 (n=32, 31)Fecal Soilage: Week 12 (n=27, 30)Fecal Soilage: CFB Week 12 (n=27, 30)Fecal Soilage: Week 16 (n=25, 28)Fecal Soilage: CFB Week 16 (n=25, 28)Constipation: Baseline (n=32, 31)Constipation: Week 4 (n=32, 30)Constipation: CFB Week 4 (n=32, 30)Constipation: Week 8 (n=32, 31)Constipation: CFB Week 8 (n=32, 31)Constipation: Week 12 (n=27, 30)Constipation: CFB Week 12 (n=27, 30)Constipation: Week 16 (n=25, 28)Constipation: CFB Week 16 (n=25, 28)Total Score: Baseline (n=32, 31)Total Score: Week 4 (n=32, 31)Total Score: CFB Week 4 (n=32, 31)Total Score: Week 8 (n=32, 31)Total Score: CFB Week 8 (n=32, 31)Total Score: Week 12 (n=27, 30)Total Score: CFB Week 12 (n=27, 30)Total Score: Week 16 (n=25, 28)Total Score: CFB Week 16 (n=25, 28)
Pirfenidone: 2-Week Titration Group0.33980.47270.13280.46600.12610.43060.08800.39500.07500.39840.64060.24220.57030.17190.53700.21300.48000.12000.32810.3125-0.01560.2813-0.04690.2778-0.05560.34000.04000.12500.15630.03130.18860.06350.11730.04320.06000.01330.09370.09370.00000.11810.02430.04930.01230.02660.00000.03130.03130.00000.03130.00000.03700.03700.04000.04000.24220.26560.02340.25780.01560.24070.03700.18000.02000.21940.28450.06510.27590.05640.24160.05640.22370.0481
Pirfenidone: 4-Week Titration Group0.33470.35480.02020.43890.10430.34170.00420.3348-0.00450.59680.4919-0.10480.4247-0.17200.4250-0.18330.4286-0.15180.27420.2258-0.04840.32260.04840.2000-0.06670.2500-0.01790.18930.1775-0.01180.19360.00440.1944-0.00110.1667-0.01310.13260.0778-0.05930.0825-0.05020.0852-0.04820.0833-0.03570.12900.12900.00000.16130.03230.13330.00000.10710.00000.16940.1500-0.02500.1613-0.00810.21110.05280.1518-0.01790.27610.2432-0.03300.2706-0.00550.2299-0.04920.2284-0.0372

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Percentage of Participants With Treatment-Emergent Serious Adverse Events (SAEs)

An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. (NCT01933334)
Timeframe: From baseline up to 28 days after the last dose of study drug (last dose = Week 16)

Interventionpercentage of participants (Number)
Pirfenidone: 2-Week Titration Group9.4
Pirfenidone: 4-Week Titration Group0.0

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Percentage of Participants With Treatment-Emergent Adverse Events (AEs)

Percentage of participants who had treatment-emergent AEs, defined as newly occurring or worsening after first dose. Relatedness to (study drug) was assessed by the investigator (Yes/No). Participants with multiple occurrences of an AE within a category were counted once within the category. (NCT01933334)
Timeframe: From baseline up to 28 days after the last dose of study drug (last dose = Week 16)

Interventionpercentage of participants (Number)
Pirfenidone: 2-Week Titration Group96.9
Pirfenidone: 4-Week Titration Group96.8

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Predose Plasma Concentrations at Steady State (Cpre,ss) of Pirfenidone

Predose plasma concentrations at steady state (Cpre,ss) of pirfenidone at Week 2 (Visit 4) and Week 4 (Visit 5) (NCT02579603)
Timeframe: Prior to intake of study medication on week 2 and week 4

Interventionng/mL (Geometric Mean)
Week 2Week 4
Nintedanib + Pirfenidone11201220

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Predose Plasma Concentrations at Steady State (Cpre,ss) of Nintedanib at Baseline, Weeks 2 and 4

Predose plasma concentrations at steady state (Cpre,ss) of nintedanib at baseline (Visit 3), Week 2 (Visit 4) and Week 4 (Visit 5) (NCT02579603)
Timeframe: baseline, prior to intake of study medication on week 2 and week 4

,
Interventionng/mL (Geometric Mean)
baselineWeek 2Week 4
Nintedanib7.087.255.92
Nintedanib + Pirfenidone7.658.177.13

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Percentage of Patients With On-treatment Gastrointestinal (GI) AEs (SOC GI Disorders) From Baseline to Week 12

"Percentage of patients with on-treatment gastrointestinal (GI) Adverse events (AEs) (SOC GI disorders) from baseline to week 12.~On-treatment AEs were defined as AEs with an onset from the first dose of randomised treatment up to the last dose of randomised treatment (inclusive)." (NCT02579603)
Timeframe: Baseline to week 12

Interventionpercentage of participants (Number)
Nintedanib52.9
Nintedanib + Pirfenidone69.8

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Percentage of Participants With Adverse Events and Serious Adverse Events

An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. (NCT02598193)
Timeframe: Baseline up to Week 28

InterventionPercentage of Participants (Number)
Adverse EventSerious Adverse Event
Pirfenidone+Nintedanib98.918.0

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Total Number of Participant Days of Combination Treatment With Pirfenidone and Nintedanib

(NCT02598193)
Timeframe: Baseline up to Week 24

InterventionParticipant Days (Number)
Pirfenidone+Nintedanib13330

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Total Number of Days From the Initiation of Combination Treatment to Discontinuation of Pirfenidone, Nintedanib, or Both Study Treatments

(NCT02598193)
Timeframe: Baseline up to Week 24

InterventionNumber of Days (Mean)
Pirfenidone+Nintedanib149.8

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Percentage of Participants Who Discontinue Pirfenidone, Nintedanib, or Both Study Treatments Because of Adverse Events Before the Week 24 Visit

(NCT02598193)
Timeframe: Baseline up to Week 24

InterventionPercentage of Praticipants (Number)
Pirfenidone+Nintedanib14.6

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Percentage of Participants Who Complete 24 Weeks of Combination Treatment on Pirfenidone at a Dose of 1602-2403 mg/Day and Nintedanib at a Dose of 200-300 mg/Day

(NCT02598193)
Timeframe: Week 24

InterventionPercentage of Participants (Number)
Pirfenidone+Nintedanib77.5

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Treatment naïve, Area Under the Concentration-time Curve of Nintedanib in Plasma Over the Time Interval From 0 Extrapolated to Infinity (AUC0-∞)

AUC0-∞, area under the concentration-time curve of nintedanib in plasma over the time interval from 0 extrapolated to infinity. Standard error mentioned in the Method of Dispersion is actually a Geometric Standard Error. (NCT02606877)
Timeframe: Blood samples were collected at pre-dose and at 0:30, 1:00, 2:00, 3:00, 4:00, 6:00, 8:00 and 10:00 hours post dose.

Interventionnanogram*hour/mililitre [ng*h/mL] (Geometric Mean)
Nintedanib + Pirfenidone (T1)175.04
Nintedanib (R1)195.59

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Pirfenidone-treated, Maximum Measured Concentration of Pirfenidone in Plasma at Steady State (Cmax,ss)

Cmax,ss, maximum measured concentration of pirfenidone in plasma at steady state. Standard error mentioned in the Method of Dispersion is actually a Geometric Standard Error. (NCT02606877)
Timeframe: Blood samples were collected at pre-dose and at 0:30, 1:00, 2:00, 3:00, 4:00, 6:00, 8:00 and 10:00 hours post dose.

Interventionnanogram/mililitre [ng/mL] (Geometric Mean)
Pirfenidone+Nintedanib (T2)10537.26
Pirfenidone (R2)10591.08

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Treatment naïve, Area Under the Concentration-time Curve of the Nintedanib in Plasma Over the Time Interval 0 to the Last Quantifiable Data Point (AUC0-tz).

AUC0-tz , area under the concentration-time curve of nintedanib in plasma over the time interval from 0 to the last quantifiable concentration. Standard error mentioned in the Method of Dispersion is actually a Geometric Standard Error. (NCT02606877)
Timeframe: Blood samples were collected at pre-dose and at 0:30, 1:00, 2:00, 3:00, 4:00, 6:00, 8:00 and 10:00 hours post dose.

Interventionnanogram*hour/mililitre [ng*h/mL] (Geometric Mean)
Nintedanib + Pirfenidone (T1)150.31
Nintedanib (R1)169.69

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Pirfenidone-treated, Area Under the Concentration-time Curve of Pirfenidone in Plasma Over a Dosing Interval at Steady State (AUCτ,ss)

AUCτ,ss, area under the concentration-time curve of pirfenidone in plasma over a dosing interval at steady state. Standard error mentioned in the Method of Dispersion is actually a Geometric Standard Error. (NCT02606877)
Timeframe: Blood samples were collected at pre-dose and at 0:30, 1:00, 2:00, 3:00, 4:00, 6:00, 8:00 and 10:00 hours post dose.

Interventionnanogram*hour/mililitre [ng*h/mL] (Geometric Mean)
Pirfenidone+Nintedanib (T2)39040.84
Pirfenidone (R2)40178.46

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Treatment naïve, Maximum Measured Concentration of Nintedanib in Plasma After Single Dose Administration (Cmax).

Cmax, maximum measured concentration of nintedanib in plasma. Standard error mentioned in the Method of Dispersion is actually a Geometric Standard Error. (NCT02606877)
Timeframe: Blood samples were collected at pre-dose and at 0:30, 1:00, 2:00, 3:00, 4:00, 6:00, 8:00 and 10:00 hours post dose.

Interventionnanogram/mililitre [ng/mL] (Geometric Mean)
Nintedanib + Pirfenidone (T1)23.04
Nintedanib (R1)28.58

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Percentage of Participants With Treatment-Emergent Deaths of All Causes

(NCT02707640)
Timeframe: Until 28 days from last dose of study treatment (Week 28)

Interventionpercentage of participants (Number)
N-Acetylcysteine (NAC)1.7
Placebo4.8

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Percentage of Participants With Treatment-Emergent Serious Adverse Events (SAEs)

A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose results in death, is life threatening, requires hospitalization or prolongation of hospitalization, or results in disability/incapacity, or congenital anomaly/birth defect. (NCT02707640)
Timeframe: Until 28 days from last dose of study treatment (Week 28)

Interventionpercentage of participants (Number)
N-Acetylcysteine (NAC)5.0
Placebo6.5

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Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)

An adverse event (AE) is defined as any untoward medical occurrence in a participant who is administered a study treatment regardless of whether or not the event has a causal relationship with the treatment. An AE, therefore, could be any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the study treatment, whether or not related to the treatment. (NCT02707640)
Timeframe: Until 28 days from last dose of study treatment (Week 28)

Interventionpercentage of participants (Number)
N-Acetylcysteine (NAC)76.7
Placebo80.6

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Percentage of Participants With Dose Reductions

Percentage of participants with dose reductions in N-Acetylcysteine and placebo cohorts during the 24-week treatment period. (NCT02707640)
Timeframe: From baseline up to 24 weeks

Interventionpercentage of participants (Number)
N-Acetylcysteine (NAC)5
Placebo4.8

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Percentage of Participants With Early Treatment Discontinuations

Percentage of participants with early treatment discontinuations in N-Acetylcysteine and placebo cohorts during the 24-week treatment period. (NCT02707640)
Timeframe: From baseline up to 24 weeks

Interventionpercentage of participants (Number)
N-Acetylcysteine (NAC)14.8
Placebo11.3

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Percentage of Participants With Treatment-Emergent Adverse Events Resulting in Permanent Discontinuation of Study Treatment

(NCT02707640)
Timeframe: Until 28 days from last dose of study treatment (Week 28)

Interventionpercentage of participants (Number)
N-Acetylcysteine (NAC)6.7
Placebo1.6

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Percentage of Participants With Treatment-Emergent Adverse Events That Led to Dose Reduction or Temporary Discontinuation of Study Treatment

(NCT02707640)
Timeframe: Until 28 days from last dose of study treatment (Week 28)

Interventionpercentage of participants (Number)
N-Acetylcysteine (NAC)10
Placebo6.5

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Treatment-emergent Death or Transplant

Number of participants who experienced treatment-emergent death or transplant (NCT02808871)
Timeframe: 52 weeks

InterventionParticipants (Count of Participants)
Pirfenidone2
Placebo4

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Number of Participants With Progressive Disease

Number of participants with progressive disease as defined by OMERACT: FVC% relative decline of >=10% or FVC% change in >=5< 10% and >=15% diffusing capacity (DLCO) (NCT02808871)
Timeframe: 52 weeks

InterventionParticipants (Count of Participants)
Pirfenidone16
Placebo19

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Time to Composite of Decline in FVC or Death

Time to decline of 10% or greater in percent predicted FVC or death while on study (NCT02808871)
Timeframe: 52 weeks

Interventiondays (Mean)
Pirfenidone349.5
Placebo339.9

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Treatment-emergent Adverse Events (AEs)

Number of participants with treatment-emergent adverse events (AEs) (NCT02808871)
Timeframe: 52 weeks

InterventionParticipants (Count of Participants)
Pirfenidone62
Placebo56

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Treatment-emergent Serious Adverse Events (SAEs)

Number of participants with treatment-emergent serious adverse events (SAEs) in the as treated population (NCT02808871)
Timeframe: 52 weeks

InterventionParticipants (Count of Participants)
Pirfenidone9
Placebo8

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All-cause Mortality

Number of participants experiencing mortality due to all causes (NCT02808871)
Timeframe: 52 weeks

InterventionParticipants (Count of Participants)
Pirfenidone2
Placebo3

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Acute Exacerbations Requiring Hospitalization

Number of participants experiencing acute exacerbation requiring hospitalization (NCT02808871)
Timeframe: 52 weeks

InterventionParticipants (Count of Participants)
Pirfenidone1
Placebo2

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AEs Leading to Early Discontinuation of Study Treatment

Number of participants with AEs leading to early discontinuation of study treatment (NCT02808871)
Timeframe: 52 weeks

InterventionParticipants (Count of Participants)
Pirfenidone15
Placebo6

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All Cause Hospitalization

Number of participants requiring hospitalization for any cause (NCT02808871)
Timeframe: 52 weeks

InterventionParticipants (Count of Participants)
Pirfenidone7
Placebo7

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Change in % Predicted FVC From Baseline to End of Study Over the 52 Week Study Period

Change from baseline to end of study of percent predicted FVC over the 52 week study period (NCT02808871)
Timeframe: 52 weeks

Intervention% predicted (Mean)
Pirfenidone-1.02
Placebo-3.21

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Change in Absolute Value FVC Over the 52 Week Study Period

Change from baseline to end of study in absolute value of FVC over the 52 week study period (NCT02808871)
Timeframe: 52 weeks

Interventionml (Mean)
Pirfenidone-66
Placebo-146

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Change in PRO of Dyspnea

Change from Baseline to end of study in dyspnea, as measured by the Dyspnea 12 questionnaire - Total scores range from 0 to 36, with higher scores corresponding to greater severity. (NCT02808871)
Timeframe: 52 weeks

Interventionscore (Mean)
Pirfenidone0.45
Placebo1.37

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Hospitalization for Respiratory Cause

Number of participants requiring hospitalization for respiratory cause (NCT02808871)
Timeframe: 52 weeks

InterventionParticipants (Count of Participants)
Pirfenidone2
Placebo5

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Number of Participants Who Developed Any Element of the Composite Endpoint

Number of participants who developed any element of the composite endpoint of decline in percent predicted FVC of 10% or greater or death. (NCT02808871)
Timeframe: 52 weeks

InterventionParticipants (Count of Participants)
Pirfenidone7
Placebo9

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Number of Participants With FVC Decline From Baseline of 10% or Greater

Number of participants with decline from baseline in percent predicted FVC of 10% or greater during the study period. (NCT02808871)
Timeframe: 52 weeks

InterventionParticipants (Count of Participants)
Pirfenidone5
Placebo7

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Percentage of Participants With Decline From Baseline in 6-minute Walking Distance (6MWD) of >= 15%

(NCT02951429)
Timeframe: Baseline up to Week 52

InterventionPercentage (Number)
Pirfenidone+Sildenafil53.4
Pirfenidone+Placebo50.6

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Percentage of Participants With Lung Transplantation

(NCT02951429)
Timeframe: Baseline up to Week 52

InterventionPercentage (Number)
Pirfenidone+Sildenafil10.2
Pirfenidone+Placebo6.7

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Time to All-Cause Non-Elective Hospitalization

N.A. = non-calculable (NCT02951429)
Timeframe: Baseline up to Week 52

InterventionWeeks (Median)
Pirfenidone+Sildenafil47.57
Pirfenidone+Placebo49.86

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Time to Death From Any Cause

(NCT02951429)
Timeframe: Baseline up to Week 52

InterventionWeeks (Median)
Pirfenidone+SildenafilNA
Pirfenidone+PlaceboNA

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Time to First Occurrence of Disease Progression

Disease Progression defined as relative decline in 6MWD from baseline (defined as >25% from baseline or 15-25% from baseline associated with worsening oxygen saturation, worsening Borg score, or increased oxygen requirements), respiratory-related non-elective hospitalizations, or all-cause mortality. (NCT02951429)
Timeframe: Baseline up to Week 52

InterventionWeeks (Median)
Pirfenidone+Sildenafil26.00
Pirfenidone+Placebo25.43

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Time to Multiple Occurrence of Disease Progression Events

Disease Progression defined as relative decline in 6MWD from baseline (defined as >25% from baseline or 15-25% from baseline associated with worsening oxygen saturation, worsening Borg score, or increased oxygen requirements), respiratory-related non-elective hospitalizations, or all-cause mortality. In case participant had more than one event as described in the endpoint definition the second, third etc event was counted as well for the calculation of the endpoint. (NCT02951429)
Timeframe: Baseline up to Week 52

InterventionWeeks (Median)
Pirfenidone+Sildenafil20.57
Pirfenidone+Placebo13.29

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University of California, San Diego-Shortness of Breath Questionnaire (UCSD-SOBQ) Changes From Baseline at Week 52

The UCSD-SOBQ is a respiratory questionnaire and it assesses dyspnea associated with activities of daily living (ADL). Participants indicate severity of SOB on a 6-point scale in 21 ADL. Three additional questions ask about fear of harm from overexertion, limitations and fear caused by SOB. A total score ranges from 0 to 120, with higher scores indicating greater impairment. (NCT02951429)
Timeframe: Baseline, Week 52

InterventionPoints on scale (Mean)
Pirfenidone+Sildenafil12.5
Pirfenidone+Placebo18.8

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Change From Baseline in Other 6-minute Walking Distance (6MWD) Parameters at Week 52

(NCT02951429)
Timeframe: Baseline up to Week 52

,
InterventionPercentage (Mean)
SpO2 before the test (at rest)SpO2 lowest during the testSpO2 after the test
Pirfenidone+Placebo-0.80.3-2.3
Pirfenidone+Sildenafil-0.5-3.40.5

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Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Left Ventricular Ejection Fraction (LVEF)

(NCT02951429)
Timeframe: Baseline, Week 52

InterventionPercentage (Mean)
Pirfenidone+Sildenafil1.22
Pirfenidone+Placebo-0.85

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Borg Scale Result at the End of the Test at Week 52

The Borg Scale rates participant's level of perceived exertion during any activity from 0-10, with 0 being no effort at all and 10 being maximal exertion. (NCT02951429)
Timeframe: Week 52

InterventionPoints on Scale (Mean)
Pirfenidone+Sildenafil0.9
Pirfenidone+Placebo0.7

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Change From Baseline in Distance Walked, 6-minute Walking Distance (6MWD) Test at Week 52

(NCT02951429)
Timeframe: Baseline up to Week 52

Interventionmeters (Mean)
Pirfenidone+Sildenafil-52.9
Pirfenidone+Placebo-40.8

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Percentage of Participants by World Health Organization (WHO) Functional Class at Week 52

"The World Health Organisation (WHO) functional class system defines the severity of an participant's symptoms.~Class II - Participants with Pulmonary Hypertension resulting in slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity causes undue breathlessness, fatigue (tiredness), or activities that can cause chest pain, dizziness or even black outs.~Class III - Participants with Pulmonary Hypertension resulting in marked limitation of physical activity. They are comfortable at rest. Less than ordinary activity causes undue breathlessness, fatigue (tiredness), or activities that can cause chest pain, dizziness or even black outs.~Class IV - participants with pulmonary hypertension with inability to carry out any physical activity without symptoms. These participants manifest signs of right heart failure, breathlessness and /or fatigue, which may even be present at rest. Discomfort is increased by any physical activity." (NCT02951429)
Timeframe: Week 52

,
InterventionPercentage (Number)
Class IIClass IIIClass IVMissing
Pirfenidone+Placebo13.524.71.11.1
Pirfenidone+Sildenafil19.333.03.40

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St. George's Respiratory Questionnaire (SGRQ) Changes From Baseline at Week 52

"The SGRQ is a 50-item questionnaire developed to measure health status (quality of life) in participants with diseases of airways obstruction. Three component scores are calculated, where the higher the component result the worse the condition:~Symptoms concerned with the effect of respiratory symptoms, their frequency and severity (range: 0-16.61) Activity concerned with activities that cause or are limited by breathlessness (range: 0-30.31) Impacts covers a range of aspects concerned with social functioning and psychological disturbances resulting from airway disease (range: 0- 53.08) Total score summaries the impact of disease on overall health status. Scores are expressed as a percentage of overall impairment where 100 represents worst possible health status and 0 indicates best possible health status." (NCT02951429)
Timeframe: Baseline, Week 52

,
InterventionUnits on a scale (Mean)
Total scoreSymptoms component scoreActivities component scoreImpacts component score
Pirfenidone+Placebo11.4378.26110.87112.118
Pirfenidone+Sildenafil6.1492.4983.9978.417

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Change From Baseline in N-terminal Pro-Brain Natriuretic Peptide (NT-proBNP) Level (pg/mL) at Week 52

(NCT02951429)
Timeframe: Baseline, Week 52

Interventionpg/mL) (Mean)
Pirfenidone+Sildenafil110.1
Pirfenidone+Placebo605.9

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Time to First Occurrence of Relevant ≥15% Decline From Baseline in 6-minute Walking Distance (6MWD)

(NCT02951429)
Timeframe: Baseline up to Week 52

InterventionWeeks (Median)
Pirfenidone+Sildenafil39.00
Pirfenidone+Placebo38.71

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Change From Baseline in Oxygen Requirements, 6-minute Walking Distance (6MWD) Test at Week 52

(NCT02951429)
Timeframe: Baseline up to Week 52

InterventionL (Mean)
Pirfenidone+Sildenafil0.6
Pirfenidone+Placebo0.6

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Change From Baseline to Week 52 in Carbon Monoxide Diffusing Capacity/ Pulmonary Diffusing Capacity (DLCO)

(NCT02951429)
Timeframe: Baseline, Week 52

InterventionPercentage Predicted (Mean)
Pirfenidone+Sildenafil-2.918
Pirfenidone+Placebo-2.440

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Change From Baseline to Week 52 in Forced Vital Capacity (FVC)

(NCT02951429)
Timeframe: Baseline, Week 52

InterventionPercentage Predicted (Mean)
Pirfenidone+Sildenafil-2.761
Pirfenidone+Placebo-1.616

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Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Inferior Vena Cava Diameter

(NCT02951429)
Timeframe: Baseline, Week 52

Interventioncm (Mean)
Pirfenidone+Sildenafil-0.05
Pirfenidone+Placebo-0.09

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Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Peak Tricuspid Regurgitation Velocity

(NCT02951429)
Timeframe: Baseline, Week 52

Interventionm/s (Mean)
Pirfenidone+Sildenafil-0.014
Pirfenidone+Placebo0.103

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Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Pulmonary Artery Pressure (PAPs)

(NCT02951429)
Timeframe: Baseline, Week 52

InterventionmmHg (Mean)
Pirfenidone+Sildenafil2.0
Pirfenidone+Placebo3.6

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Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Right Ventricle Basal Diameter

(NCT02951429)
Timeframe: Baseline, Week 52

Interventioncm (Mean)
Pirfenidone+Sildenafil0.462
Pirfenidone+Placebo0.095

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Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Tricuspid Annular Plane Systolic Excursion (TAPSE)

(NCT02951429)
Timeframe: Baseline, Week 52

Interventioncm (Mean)
Pirfenidone+Sildenafil-0.204
Pirfenidone+Placebo-0.146

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Percentage of Participants With Adverse Events

(NCT02951429)
Timeframe: Baseline up to Week 52 + 28 days

InterventionPercentage (Number)
Pirfenidone+Sildenafil98.9
Pirfenidone+Placebo93.3

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Number of Participants With Progression-free Survival (PFS) Defined as the Time From Study Treatment Randomization to the First Occurrence of Any of the Following Events:

"a. Relative decline from baseline in ≥10% in FVC and/or DLCO b. Acute exacerbation of FHP defined as acute respiratory declined leading to hospitalization or ER or Urgent care evaluation; or evidence of all of the following criteria within a 4-week period in the outpatient setting: i. Increase from baseline FIO2 ≥1 L O2. ii. Clinically significant worsening of dyspnea and/or cough. iii. New, superimposed ground-glass opacities or consolidation or new alveolar opacities on chest x-ray or CT.~c. A decrease from baseline of at least 50 meters in 6mw distance. d. Change in background therapy (need for a new course of PO or IV steroids or for the patient receiving maintenance prednisone, as a need to increase the dose by 10 mg or more; and/or addition of cyclophosphamide, azathioprine, mycophenolate mofetil, or mycophenolic acid).~e. Death" (NCT02958917)
Timeframe: Up to 52 weeks.

Interventionparticipants (Number)
Pirfenidone 2403 mg/d14
Placebo12

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Number of Participant With Hospitalization for a Respiratory Cause

The proportion of patients with hospitalization for a respiratory cause (NCT02958917)
Timeframe: Up to 52 weeks.

InterventionParticipants (Count of Participants)
Pirfenidone 2403 mg/d1
Placebo3

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Mean Change in Percent Predicted DLCO

Mean change in percent predicted diffusing capacity for carbon monoxide (DLCO) from baseline to week 52 (NCT02958917)
Timeframe: Up to 52 weeks.

Interventionpercent predicted (Mean)
Pirfenidone 2403 mg/d1.02
Placebo-2.12

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Visual Extent in the Percentage of Lung CT Fibrosis

Mean change from baseline to week 52 in the visual extent of the percentage of lung CT fibrosis. (NCT02958917)
Timeframe: Up to 52 weeks.

Interventionpercent of fibrosis (Mean)
Pirfenidone 2403 mg/d2.22
Placebo6.15

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University of California at San Diego Shortness-of-Breath Questionnaire Score.

"Mean change from Baseline to Week 52 in dyspnea as measured by the University of California at San Diego Shortness-of-Breath Questionnaire score.~Scores range from 0 to 120, with higher scores indicating greater breathlessness." (NCT02958917)
Timeframe: Up to 52 weeks.

Interventionscore on a scale (Mean)
Pirfenidone 2403 mg/d2.06
Placebo4.11

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Mean Change From Baseline to Week 52 in Percent Predicted FVC.

"The primary efficacy analysis will estimate the mean rank change in percent predicted FVC from Baseline to Week 52. Data will be analyzed using a rank linear regression model with the rank change in percent predicted FVC from Baseline to Week 52 as the outcome variable and rank Baseline percent predicted FVC and HP therapy (placebo or pirfenidone) and concomitant immunosuppressive therapy as covariates. The treatment effect will be tested using the Wald test.~The primary efficacy analysis will be tested at an alpha level of 0.05. Missing data due to reasons other than death will be replaced with imputed values using the MICE method (multiple imputations via chained equation).~Subjects with missing assessments due to death will be ranked worse than those who remain alive. Subjects who die will be ranked according to the time until death, with the shortest time until death as the worst rank." (NCT02958917)
Timeframe: Up to 52 weeks.

Interventionpercent predicted (Mean)
Pirfenidone 2403 mg/d-0.28
Placebo0.58

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Slope of FVC Over Treatment Period.

The slope for the annual rate of FVC decline (NCT02958917)
Timeframe: Up to 52 weeks.

Interventionpercent predicted/year (Mean)
Pirfenidone 2403 mg/d1.69
Placebo-0.34

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Data-driven Texture-based Quantitative Analysis of the Percent of Lung CT Fibrosis.

The extent of the percentage of lung fibrosis computed by data-driven texture-based quantitative analysis. The data-driven texture-based quantitative analysis is computed as the percentage of the total lung with fibrosis. (NCT02958917)
Timeframe: Up to 52 weeks.

Interventionpercent of fibrosis (Mean)
Pirfenidone 2403 mg/d2.06
Placebo4.11

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Number of Participants With All-cause Hospitalization

Proportion of patients with all-cause hospitalization (NCT02958917)
Timeframe: Up to 52 weeks.

InterventionParticipants (Count of Participants)
Pirfenidone 2403 mg/d5
Placebo5

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St. George's Respiratory Questionnaire.

Mean change from baseline in health-related quality of life, measured by SGRQ The total score ranges from 0 to 100, with higher scores indicating worse health-related quality of life. (NCT02958917)
Timeframe: Up to 52 weeks.

Interventionscore on a scale (Mean)
Pirfenidone 2403 mg/d0.890
Placebo7.61

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Change in Cough Visual Analog Scale (VAS) Score

Cough VAS are 100-mm linear scales on which participants indicate the severity of their cough; 0 mm represents no cough and 100 mm the worst cough ever. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

,
Interventionmillimeter (mm) (Mean)
BaselineChange from Baseline at Week 12Change from Baseline at Week 24
Pirfenidone35.60-4.33-2.52
Placebo37.183.320.78

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Change in 6-minute Walk Distance (6MWD)

Comparison of 6-minute walk distance before beginning and after completing study therapy. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

,
Interventionmeter (m) (Mean)
BaselineChange from Baseline at Week 12Change from Baseline at Week 24
Pirfenidone391.6-14.8-2.0
Placebo394.0-7.7-26.7

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Categorical Change in FVC of >5%

Categorical change in FVC was measured both by daily spirometry as well as by spirometry during clinical visits. Only the site spirometry data were used as the daily spirometry data were not normally distributed. The analyses were repeated due to additional data cleaning activities that were not conducted during the primary analysis. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

,
InterventionNumber of Participants (Number)
Primary Analysis in 2019Final Analysis in 2020
Pirfenidone4747
Placebo7473

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Categorical Change in FVC of >10%

Categorical change in FVC was measured both by daily spirometry as well as by spirometry during clinical visits. Only the site spirometry data were used as the daily spirometry data were not normally distributed. The analyses were repeated due to additional data cleaning activities that were not conducted during the primary analysis. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

,
InterventionNumber of Participants (Number)
Primary Analysis in 2019Final Analysis in 2020
Pirfenidone1818
Placebo3433

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Time to First Investigator-reported Acute Exacerbations

Time to first investigator reported acute exacerbations from start of treatment are reported. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

InterventionWeeks (Median)
PirfenidoneNA
PlaceboNA

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Time to Death From Respiratory Diseases

Time to first documented death due to respiratory diseases from start of treatment will be reported. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

InterventionWeek (Median)
PirfenidoneNA
PlaceboNA

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Progression-free Survival (PFS)

PFS is defined as the time to the first occurrence of a >10% relative decline in percent predicted FVC, non-elective respiratory hospitalization, or death. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

InterventionWeek (Median)
PirfenidoneNA
PlaceboNA

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Progression-free Survival (PFS)

PFS is defined as the time to the first occurrence of a >10% absolute decline in percent predicted FVC, a >50 m decline of 6MWD, or death. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

InterventionWeek (Median)
Pirfenidone25.14
Placebo24.71

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Percentage of Participants With Investigator-reported Acute Exacerbations

Percentage of participants with acute exacerbation arereported. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

InterventionPercentage of Participants (Number)
Pirfenidone3.9
Placebo5.6

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Number of Participants Withdrawn From Trial Treatment or Trial Discontinuations During the Double-Blind Period

Number of participants withdrawn from trial treatment or trial discontinuations are reported. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

InterventionNumber of Participants (Number)
Pirfenidone25
Placebo12

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Number of Participants Withdrawn From Trial Treatment or Trial Discontinuations During the 12-month Safety Follow-up

Number of participants withdrawn from trial treatment or trial discontinuations are reported. (NCT03099187)
Timeframe: From the Follow-up Visit at Week 28 through the follow-up period of 12 Months

InterventionNumber of Participants (Number)
Open-Label Treatment (Pirfenidone)19
Open-Label Treatment (Placebo)26

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Number of Participants With Treatment-emergent Adverse Events (TEAEs)

An adverse event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 28

InterventionParticipants (Number)
Pirfenidone120
Placebo101

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Time to Death From Any Cause

Time to first documented death from start of treatment is reported. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

InterventionWeek (Median)
PirfenidoneNA
PlaceboNA

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Rate of Decline in Forced Vital Capacity (FVC) Over the 24-week Double-blind Treatment Period

Rate of decline in FVC was measured in mL by daily handheld spirometer. The analyses were repeated due to an additional independent review of the home spirometry data. (NCT03099187)
Timeframe: Up to Week 24

,
Interventionmilliliter (mL) (Mean)
Primary Analysis in 2019Final Analysis in 2020
Pirfenidone-17.9-90.3
Placebo116.6125.6

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Number of Participants With Non-elective Hospitalization, Both Respiratory and All Cause

Participants with non-elective hospitalization are reported. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

,
InterventionNumber of Participants (Number)
All-cause hospitalizationRespiratory-related hospitalization
Pirfenidone165
Placebo135

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Number of Participants With Dose Reductions and Treatment Interruptions During the Double-Blind Period

Number of participants with dose reduction and treatment interruptions are reported. (NCT03099187)
Timeframe: From administration of the first dose of study drug to Week 24

,
InterventionNumber of Participants (Number)
Participants with at least one dose modificationParticipants with at least one dose interruption
Pirfenidone5140
Placebo3412

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Number of Participants With Dose Reductions and Treatment Interruptions During the 12-month Safety Follow-up

Number of participants with dose reduction and treatment interruptions are reported. (NCT03099187)
Timeframe: From the Follow-up Visit at Week 28 through the follow-up period of 12 Months

,
InterventionNumber of Participants (Number)
Participants with at least one dose modificationParticipants with at least one dose interruption
Open-Label Treatment (Pirfenidone)4124
Open-Label Treatment (Placebo)6034

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Change in University of California, San Diego-Shortness of Breath Questionnaire Score

University of California, San Diego Shortness of Breath Questionnaire (SOBQ) consists of 24-item on a scale of 0 to 5 with 0=not at all and 5=maximal or unable to do because of breathlessness. The total scores were calculated by summation of the 24 items scores and transformed into 0-100, with 0= poor quality of life , and 100= excellent quality of life. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

,
InterventionScores on a Scale (Mean)
BaselineChange from Baseline at Week 12Change from Baseline at Week 24
Pirfenidone44.171.475.21
Placebo48.892.245.30

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Change in Total and Sub-scores of the Saint George's Respiratory Questionnaire (SGRQ)

The SGRQ is a 50-item questionnaire developed to measure health status (quality of life) in participants with diseases of airways obstruction. Three component scores are: Symptoms (respiratory symptoms and severity); Activity (activities that cause or are limited by breathlessness); Impacts (social functioning and psychological disturbances due to airway disease). Each component sub-scores are calculated from the summed weights for the positive responses to questions. Total score summaries the impact of disease on overall health status. Scores are expressed as a percentage of overall impairment where 100 represents worst possible health status and 0 indicates best possible health status. It is calculated by summing all positive responses in the questionnaire and expressing the result as a percentage of the total weight for the questionnaire. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

,
InterventionScores of a Scale (Mean)
Symptoms sub-score - BaselineChange from Baseline in Symptoms sub-score at Week 12Change from Baseline in Symptoms sub-score at Week 24Activities sub-score - BaselineChange from Baseline in Activities sub-score at Week 12Change from Baseline in Activities sub-score at Week 24Impacts sub-score - BaselineChange from Baseline in Impacts sub-score at Week 12Change from Baseline in Impacts sub-score at Week 24Total score - BaselineChange from Baseline in Total score at Week 12Change from Baseline in Total score at Week 24
Pirfenidone49.28-2.60-1.6963.931.171.2537.120.29-0.1847.37-0.170.05
Placebo53.100.86-0.6666.961.132.2241.470.331.0751.460.530.85

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Change in Score in Leicester Cough Questionnaire Score

The Leicester Cough Questionnaire is a patient-reported questionnaire evaluating the impact of cough on quality of life. The questionnaire comprises 19 items. Each item assesses symptoms, or the impact of symptoms, over the last 2 weeks on a seven-point Likert scale. Scores in three domains (physical, psychological and social) were calculated as a mean for each domain (range 1 to 7). A total score (range 3 to 21) was also calculated by adding the domain scores together. Higher scores indicate better quality of life. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

,
InterventionScores on a Scale (Mean)
BaselineChange from Baseline at Week 12 (Primary Analysis in 2019)Change from Baseline at Week 24 (Primary Analysis in 2019)Change from Baseline at Week 12 (Final Analysis in 2020)Change from Baseline at Week 24 (Final Analysis in 2020)
Pirfenidone16.130.350.360.350.35
Placebo15.15-0.230.04-0.230.04

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Change in Percent Predicted FVC

FVC was measured in liter (L) by spirometry. The analyses were repeated due to additional data cleaning activities that were not conducted during the primary analysis. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

,
InterventionPercent predicted (%) (Mean)
Baseline (Day 1)Week 4Week 8Week 12Week 16Week 20Week 24
Pirfenidone73.9574.0473.9873.9674.5673.9472.95
Placebo73.9574.5573.5073.9172.6571.9973.55

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Change in Percent Predicted Diffusing Capacity of the Lung for Carbon Monoxide (DLco)

The DLco is a pulmonary function test that measures the capacity for the lung to carry out gas exchange between the inhaled breath and the pulmonary capillary blood vessels and the DLco %-predicted represents the DLco expressed as a percentage of the expected normal valued based on the participant's age, height, gender and ethnicity. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

,
Intervention% predicted (Mean)
Baseline (Day 1)Change from Baseline at Week 12 (Primary Analysis in 2019)Change from Baseline at Week 24 (Primary Analysis in 2019)Change from Baseline at Week 12 (Final Analysis in 2020)Change from Baseline at Week 24 (Final Analysis in 2020)
Pirfenidone46.19-0.52-0.65-0.52-0.65
Placebo49.57-0.56-2.47-0.89-2.48

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Change in FVC

FVC was measured in liter (L) by spirometry. The analyses were repeated due to additional data cleaning activities that were not conducted during the primary analysis. (NCT03099187)
Timeframe: Baseline (Day 1) to Week 24

,
InterventionLiter (L) (Mean)
BaselineWeek 4Week 8Week 12Week 16Week 20Week 24
Pirfenidone2.362.372.372.372.412.402.37
Placebo2.382.372.362.352.312.302.34

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Change From Baseline to Week 26 in EuroQol 5-Dimension 5-Level (EQ-5D-5L) Questionnaire Index Score

The EQ-5D-5L is a self-reported health status questionnaire that consists of six questions used to calculate a health utility score for use in health economic analysis. There are two components to the EQ-5D-5L: a five-item health state profile that assesses mobility, self-care, usual activities, pain/discomfort, and anxiety/depression used to obtain an Index Utility Score, as well as a visual analogue scale (VAS) that measures health state. Overall scores range from 0 to 1, with low scores representing a higher level of dysfunction. (NCT03208933)
Timeframe: Baseline, Week 26

Interventionscore on scale (Mean)
Pirfenidone-0.0288

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Change From Baseline to Week 26 in EQ-5D-5L Visual Analogue Scale (EQ-5D-5L VAS) Score

The EQ-5D-5L is a self-reported health status questionnaire that consists of six questions used to calculate a health utility score for use in health economic analysis. There are two components to the EQ-5D-5L: a five-item health state profile that assesses mobility, self-care, usual activities, pain/discomfort, and anxiety/depression used to obtain an Index Utility Score, as well as a visual analogue scale (VAS) that measures health state. The VAS is designed to rate the participant's current health state on a scale from 0 to 100, where 0 represents the worst imaginable health state and 100 represents the best imaginable health state. (NCT03208933)
Timeframe: Baseline, Week 26

Interventionscore on scale (Mean)
Pirfenidone-0.6

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Change From Baseline to Week 26 in Absolute Millilitre (mL) Forced Vital Capacity (FVC)

FVC is a standard pulmonary function test. FVC is defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Baseline FVC will be the average of the highest FVC measurement recorded at the Screening and Day 1. The FVC at Week 26 will be the average of the highest FVC measurement recorded on two separate days at Week 26. (NCT03208933)
Timeframe: Baseline, Week 26

InterventionMilliliter (mL) (Mean)
Pirfenidone128.78

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Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. Serious adverse event is any untoward medical occurrence at any dose that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of hospitalization, or resulted in persistent or significant disability/incapacity or congenital anomaly/birth defect. (NCT03208933)
Timeframe: Up to Week 52

Interventionpercentage of participants (Number)
TEAEsTESAEs
Pirfenidone81.716.7

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Change From Baseline to Week 26 in 6-Minute Walk Test (6MWT) Distance

Baseline 6MWT distance will be the average of the measurements recorded at the Screening and Day 1 visits. The 6MWT distance at Week 26 will be defined as the average of the 6MWT distance recorded on two separate days at Week 26. (NCT03208933)
Timeframe: Baseline, Week 26

InterventionParticipants (Count of Participants)
Decline of >= 50 mDecline of <50 m to 0 mImprovement of >= 0 m
Pirfenidone141124

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Change From Baseline to Week 26 in Percent (%) Predicted FVC

Predicted FVC is based on sex, age, and height of a person. Percent predicted FVC (in %) = [(observed FVC)/(predicted FVC)]*100. (NCT03208933)
Timeframe: Baseline, Week 26

Interventionpercent predicted (Mean)
Pirfenidone-0.10

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Time to Withdrawal From the Study Drug or Treatment Failure

The time from start of treatment to withdrawal or removal from active drug therapy (MMF or Plac/PFD separately) for any reason will be plotted over the course of the 18-month treatment as a measure of tolerability and toxicity. Median times to withdrawal are not available for reporting as less than half of the participants discontinued the study drugs. (NCT03221257)
Timeframe: Baseline to 18 months

Interventiondays (Median)
Placebo (Plac) + Mycophenolate (MMF)NA
Pirfenidone (PFD) + Mycophenolate (MMF)NA

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St. George's Respiratory Questionnaire (SGRQ)

Change from baseline to month 18 as a subjective measure of dyspnea and quality of life. SGRQ ranges from 0 (no impairment) to 100 (maximum impairment). (NCT03221257)
Timeframe: Baseline to 18 months

Interventionscore on a scale (Least Squares Mean)
Placebo (Plac) + Mycophenolate (MMF)-4.77
Pirfenidone (PFD) + Mycophenolate (MMF)-6.11

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Percent Predicted Single-breath Diffusing Capacity for Carbon Monoxide (DLCOHb-%)

Change from baseline to month 18 in DLCO, calculated as a percent of the age-; height-; gender-; race-; and hemoglobin-adjusted predicted value (DLCOHb-%). The raw DLCO value and adjusting it for all of these factors and presenting it as a percent of predicted (expected) is the outcome measure (DLCOHb-%). (NCT03221257)
Timeframe: Baseline to 18 months

Interventionpercent predicted (Least Squares Mean)
Placebo (Plac) + Mycophenolate (MMF)1.25
Pirfenidone (PFD) + Mycophenolate (MMF)1.24

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Percent Predicted Forced Vital Capacity (FVC-%)

Change from baseline to month 18 in the mean forced vital capacity (represented as the percentage of the age-; height-; gender-; and race-adjusted predicted value, i.e. FVC-%). (NCT03221257)
Timeframe: Baseline to 18 months

Interventionpercent predicted (Least Squares Mean)
Placebo (Plac) + Mycophenolate (MMF)2.24
Pirfenidone (PFD) + Mycophenolate (MMF)2.09

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Modified Rodnan Skin Score (mRSS)

Change from baseline to month 18 in the mRSS. mRSS scores have a range from 0 to 51, with higher score indicating greater skin involvement. (NCT03221257)
Timeframe: Baseline to 18 months

Interventionscore on a scale (Least Squares Mean)
Placebo (Plac) + Mycophenolate (MMF)-5.42
Pirfenidone (PFD) + Mycophenolate (MMF)-4.96

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Mahler Modified Transitional Dyspnea Index (TDI)

The change from baseline to 18 months in dyspnea. The TDI score for each of three domains ranges from -3 (major deterioration) to +3 (major improvement). The sum of all domains yields the TDI total score (-9 to +9). (NCT03221257)
Timeframe: Baseline to 18 months

Interventionscore on a scale (Least Squares Mean)
Placebo (Plac) + Mycophenolate (MMF)1.13
Pirfenidone (PFD) + Mycophenolate (MMF)1.99

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High Resolution Computerized Tomography (HRCT) Measures of Total Lung Capacity (TLC)

"Change from screening to 18 months in quantitative HRCT measurement of TLC at maximal inspiration (HRCT-TLC).~Higher scores indicates a better outcome." (NCT03221257)
Timeframe: Screening to 18 months

Interventionml (Least Squares Mean)
Placebo (Plac) + Mycophenolate (MMF)70.69
Pirfenidone (PFD) + Mycophenolate (MMF)191.99

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High Resolution Computerized Tomography (HRCT) Measures of Quantitative Lung Fibrosis Score in the Whole Lung (QLF-WL)

"Change from screening to month 18 in computer-generated scoring of HRCT data from the whole lung for the percentage of imaging pixels that exhibit features characteristic for lung fibrosis.~Individual image scores range 0 to 100%, with higher percentages representing greater extent of quantitative lung fibrosis." (NCT03221257)
Timeframe: Screening to 18 months

Interventionpercent (Least Squares Mean)
Placebo (Plac) + Mycophenolate (MMF)1.46
Pirfenidone (PFD) + Mycophenolate (MMF)-0.11

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High Resolution Computerized Tomography (HRCT) Measures of Quantitative Lung Fibrosis Score in the Lobe of Maximal Involvement (QLF-LM)

"Change from screening to month 18 in computer-generated scoring of HRCT data for the percentage of imaging pixels that exhibit features characteristic for lung fibrosis within the lobe of maximal involvement at baseline.~Individual image score range 0 to 100%, with higher percentages representing greater extent of quantitative lung fibrosis." (NCT03221257)
Timeframe: Screening to 18 months

Interventionpercent (Least Squares Mean)
Placebo (Plac) + Mycophenolate (MMF)2.57
Pirfenidone (PFD) + Mycophenolate (MMF)0.13

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High Resolution Computerized Tomography (HRCT) Measures of Quantitative Interstitial Lung Disease Score in the Whole Lung (QILD-WL)

"Change from screening to month 18 in computer-generated scoring of HRCT data from the whole lung for the percentage of imaging pixels that exhibit features of any of the three patterns of interstitial lung disease (ILD) including quantitative ground-glass opacity (QGG), lung fibrosis (QLF) and quantitative honeycombing (QHC).~Individual image scores range 0 to 100%, with higher percentages representing greater extent of quantitative interstitial lung disease." (NCT03221257)
Timeframe: Screening to 18 months

Interventionpercent (Least Squares Mean)
Placebo (Plac) + Mycophenolate (MMF)2.36
Pirfenidone (PFD) + Mycophenolate (MMF)-1.15

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High Resolution Computerized Tomography (HRCT) Measures of Quantitative Interstitial Lung Disease Score in the Lobe of Maximal Involvement (QILD-LM)

"Change from screening to month 18 in computer-generated scoring of HRCT data for the percentage of imaging pixels exhibiting features characteristic for any of three patterns of ILD (including QGG, QLF and QHC) within the lobe of maximal involvement at baseline.~Individual image scores range 0 to 100%, with higher percentages representing greater extent of quantitative interstitial lung disease." (NCT03221257)
Timeframe: Screening to 18 months

Interventionpercent (Least Squares Mean)
Placebo (Plac) + Mycophenolate (MMF)2.99
Pirfenidone (PFD) + Mycophenolate (MMF)-0.99

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Health Assessment Questionnaire Modified for Scleroderma (HAQ-DI)

"Change from baseline to month 18 as a subjective measure of dyspnea and quality of life.~HAQ-DI ranges from 0 (no disability) to 3 (severe disability)." (NCT03221257)
Timeframe: Baseline to 18 months

Interventionscore on a scale (Least Squares Mean)
Placebo (Plac) + Mycophenolate (MMF)-0.03
Pirfenidone (PFD) + Mycophenolate (MMF)-0.17

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Greater Than 5% Improvement in FVC-%

The percentage of subjects in each treatment arm achieving greater than a 5% improvement in FVC-% over the 18-month treatment period. (NCT03221257)
Timeframe: Baseline to 18 months

InterventionParticipants (Count of Participants)
Placebo (Plac) + Mycophenolate (MMF)6
Pirfenidone (PFD) + Mycophenolate (MMF)9

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3.0% or Greater Improvement From Baseline in FVC-%.

The time (in months) required for each treatment arm to achieve a 3.0% or greater improvement from baseline in the FVC-% over the 18-month treatment period. (NCT03221257)
Timeframe: Baseline to 18 months

Interventionmonths (Median)
Placebo (Plac) + Mycophenolate (MMF)17.8
Pirfenidone (PFD) + Mycophenolate (MMF)12.3

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Forced Vital Capacity Volume (FVC, in ml)

Change from baseline to month 18 in the Forced Vital Capacity volume (FVC, in ml) (NCT03221257)
Timeframe: Baseline to 18 months

Interventionml (Least Squares Mean)
Placebo (Plac) + Mycophenolate (MMF)121.53
Pirfenidone (PFD) + Mycophenolate (MMF)112.33

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Annual Change From Baseline in Percentage of Predicted Inspiratory Capacity (IC) at Week 52

Annual Change from Baseline in percentage of predicted Inspiratory Capacity (IC) at Week 52 was reported. (NCT03242759)
Timeframe: At baseline and Week 52.

InterventionPercentage of predicted IC (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug-6.8
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug-6.1

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Annual Change From Baseline in Percentage of Predicted Inspiratory Capacity (IC) at Week 100

Annual Change from Baseline in percentage of predicted Inspiratory Capacity (IC) at Week 100 was reported. (NCT03242759)
Timeframe: At baseline and Week 100.

InterventionPercentage of predicted IC (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug-4.5
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug-6.0

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Annual Change From Baseline in Percentage of Predicted Forced Vital Capacity (FVC) at Week 52

Annual Change from Baseline in percentage of predicted Forced Vital Capacity (FVC) at Week 52 was reported. (NCT03242759)
Timeframe: At baseline and Week 52.

InterventionPercentage of predicted FVC (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug-0.5
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug4.1

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Annual Change From Baseline in Percentage of Predicted Forced Vital Capacity (FVC) at Week 100

Annual Change from Baseline in percentage of predicted Forced Vital Capacity (FVC) at Week 100 was reported. (NCT03242759)
Timeframe: At baseline and Week 100.

InterventionPercentage of predicted FVC (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug-0.2
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug-2.5

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Annual Change From Baseline in Percentage of Predicted Diffusing Capacity of the Lungs for Carbon Monoxide (DLco) at Week 52

Annual Change from Baseline in percentage of predicted Diffusing capacity of the Lungs for Carbon monoxide (DLco) at Week 52 was reported (NCT03242759)
Timeframe: At baseline and Week 52.

InterventionPercentage of predicted DLco (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug-7.3
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug-2.8

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Annual Change From Baseline in Percentage of Predicted Diffusing Capacity of the Lungs for Carbon Monoxide (DLco) at Week 100

Annual Change from Baseline in percentage of predicted Diffusing capacity of the Lungs for Carbon monoxide (DLco) at Week 100 was reported. (NCT03242759)
Timeframe: At baseline and Week 100.

InterventionPercentage of predicted DLco (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug0.5
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug-2.6

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Annual Change in Total Score of St. Georges Respiratory Questionnaire (SGRQ) at Week 100

The SGRQ is a 50-item questionnaire developed to measure health status (quality of life) in patients with diseases of airways obstruction. The questionnaire included 3 subscales measures: symptoms, activity limitation, and social, and emotional impact of disease (each subscale score ranges from 0 to 100 with higher score indicating poorer quality of life). The SGRQ total score was calculated by summing weights from all positive items, divided by sum of weights for all items in SGRQ questionnaire and multiplying by 100. The total score of SGRQ ranged from 0 (no effect on quality of life) to 100 (maximum perceived distress). Thus, a higher score indicated a poorer quality of life. Annual change in score of St. Georges Respiratory Questionnaire (SGRQ) at Week 100 was reported. (NCT03242759)
Timeframe: At baseline and Week 100.

InterventionScore on a scale (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug2.6
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug1.6

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Number of Participants Per Death Reason Categories

Number of participants per death reason categories was reported. (NCT03242759)
Timeframe: From baseline until end of follow-up, up to 899 days.

,
InterventionParticipants (Count of Participants)
Related to idiopathic pulmonary fibrosisRelated to comorbidityOtherUnknown
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug11746
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug0100

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Time to First Acute Exacerbation of Idiopathic Pulmonary Fibrosis

Time to first acute exacerbation of idiopathic pulmonary fibrosis was reported. (NCT03242759)
Timeframe: From baseline until end of follow-up, up to 899 days.

InterventionDays (Median)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug497.0
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug521.5

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Overall Survival

Overall survival was reported. Overall survival was defined as the time from randomization to death due to any cause. (NCT03242759)
Timeframe: From baseline until end of follow-up, up to 899 days.

InterventionDays (Median)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug686.0
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug641.0

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Annual Change in Total Score of St. Georges Respiratory Questionnaire (SGRQ) at Week 52

The SGRQ is a 50-item questionnaire developed to measure health status (quality of life) in patients with diseases of airways obstruction. The questionnaire included 3 subscales measures: symptoms, activity limitation, and social, and emotional impact of disease (each subscale score ranges from 0 to 100 with higher score indicating poorer quality of life). The SGRQ total score was calculated by summing weights from all positive items, divided by sum of weights for all items in SGRQ questionnaire and multiplying by 100. The total score of SGRQ ranged from 0 (no effect on quality of life) to 100 (maximum perceived distress). Thus, a higher score indicated a poorer quality of life. Annual change in score of St. Georges Respiratory Questionnaire (SGRQ) at Week 52 was reported. (NCT03242759)
Timeframe: At baseline and Week 52.

InterventionScore on a scale (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug8.4
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug0.2

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Annual Change in Six-Minute Walk Test (6MWT) at Week 52

Annual change in Six-Minute Walk Test (6MWT) at Week 52 was reported. The 6MWT measured the distance that a person can walk in 6 minutes, providing information regarding functional capacity, response to therapy and prognosis. (NCT03242759)
Timeframe: At baseline and Week 52.

InterventionMeter (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug-7.6
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug7.1

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Annual Change in Six-Minute Walk Test (6MWT) at Week 100

Annual change in Six-Minute Walk Test (6MWT) at Week 100 was reported. The 6MWT measured the distance that a person can walk in 6 minutes, providing information regarding functional capacity, response to therapy and prognosis. (NCT03242759)
Timeframe: At baseline and Week 100.

InterventionMeter (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug-20.7
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug-2.3

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Annual Change in Score of Chronic Obstructive Pulmonary Disease Assessment Test (CAT) at Week 52

The Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) is an 8-item, health status instrument which provides a method for assessing the impact of COPD on the patient's health and quality of life. The CAT score (ranging from 0 to 40) was calculated for each individual by summing the points for each item. A decrease in CAT score represents an improvement in health status, whereas an increase in CAT score represents a worsening in health status. (NCT03242759)
Timeframe: At baseline and Week 52

InterventionScore on a scale (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug1.4
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug0.2

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Annual Change in Score of Chronic Obstructive Pulmonary Disease Assessment Test (CAT) at Week 100

The Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) is an 8-item, health status instrument which provides a method for assessing the impact of COPD on the patient's health and quality of life. The CAT score (ranging from 0 to 40) was calculated for each individual by summing the points for each item. A decrease in CAT score represents an improvement in health status, whereas an increase in CAT score represents a worsening in health status. (NCT03242759)
Timeframe: At baseline and Week 100

InterventionScore on a scale (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug0.7
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug0.7

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Annual Change From Baseline in Percentage of Predicted Total Lung Capacity (TLC) at Week 52

Annual Change from Baseline in percentage of predicted Total Lung Capacity (TLC) at Week 52was reported. (NCT03242759)
Timeframe: At baseline and Week 52.

InterventionPercentage of predicted TLC (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug-0.4
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug-1.4

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Annual Change From Baseline in Percentage of Predicted Total Lung Capacity (TLC) at Week 100

Annual Change from Baseline in percentage of predicted Total Lung Capacity (TLC) at Week 100 was reported. (NCT03242759)
Timeframe: At baseline and Week 100.

InterventionPercentage of predicted TLC (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug-2.3
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug-3.4

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Annual Change From Baseline in Percentage of Predicted Oxygen Saturation (SpO2) at Week 52

Annual Change from Baseline in percentage of predicted oxygen saturation (SpO2) at Week 52 was reported. (NCT03242759)
Timeframe: At baseline and Week 52.

InterventionPercentage of predicted SpO2 (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug-0.8
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug-0.8

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Annual Change From Baseline in Percentage of Predicted Oxygen Saturation (SpO2) at Week 100

Annual Change from Baseline in percentage of predicted oxygen saturation (SpO2) at Week 100 was reported. (NCT03242759)
Timeframe: At baseline and Week 100.

InterventionPercentage of predicted SpO2 (Mean)
Idiopathic Pulmonary Fibrosis With Anti-fibrotic Drug-0.2
Idiopathic Pulmonary Fibrosis Without Anti-fibrotic Drug-0.6

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Annual Change in Forced Expiratory Volume in 1 Second (FEV1)

The investigators will evaluate change in FEV1 from baseline to 1 year based on pulmonary function tests done as part of routine clinical care (usually obtained every 3 months) or death, whichever comes first. (NCT03359863)
Timeframe: FEV1 change from baseline (screening) to 1 year or death, whichever comes first.

InterventionmL (Mean)
Treatment Arm-87.8

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Annual Change in Forced Vital Capacity (FVC)

The investigators will evaluate change in FVC from baseline to 1 year after pirfenidone start based on pulmonary function tests done as part of routine clinical care (usually obtained every 3 months) or death, whichever comes first. (NCT03359863)
Timeframe: FVC change from baseline (screening) to 1 year or death, whichever comes first.

InterventionmL (Mean)
Treatment Arm-63.3

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Annual Change in Percent of Lung Affected by Reticulation on Chest CT Scan

The investigators will evaluate the annual change in percent of lung affected by reticulation comparing the chest CT scan at screening and a 1-year follow up CT scan performed as part of routine clinical care or death, whichever comes first. (NCT03359863)
Timeframe: Change between chest CT at screening and in 1-year follow up CT scan performed as part of routine clinical care or death, whichever comes first.

Interventionpercentage of lung affected (Mean)
Treatment Arm3

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Annual Change in Traction Bronchiectasis Score on Chest CT Scan

The investigators will evaluate the change in traction bronchiectasis score on chest CT scan at screening and in a 1-year follow up CT scan performed as part of routine clinical care or death, whichever comes first. The extent of traction bronchiectasis was first scored in each of the six lung lobes separately (right upper, middle, and lower lobes, and left upper, lingula, and lower lobes) as 0-absent, 1-mild, 2-moderate, or 3-severe, and then summed into a total traction bronchiectasis score [range 0-18 points], with higher values reflecting greater extent of traction bronchiectasis. (NCT03359863)
Timeframe: Change between Chest CT at screening and 1-year follow up CT scan performed as part of routine clinical care or death, whichever comes first.

Interventionpoints (Mean)
Treatment Arm0.8

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Conversion Ratio of Tacrolimus Dose

The outcome will be the ratio of tacrolimus-while-taking-pirfenidone to tacrolimus-before-pirfenidone corrected for the subject's specific steady-state tacrolimus concentration. (NCT03359863)
Timeframe: From initiation of pirfenidone until discontinuation or until 56 weeks, which ever comes first.

Interventionconversion ratio (Mean)
Treatment Arm1.1

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Tolerability of Pirfenidone

The primary outcome will be the number of subjects that discontinue pirfenidone due to a treatment emergent adverse event (TEAE) (NCT03359863)
Timeframe: From initiation of pirfenidone until discontinuation or until 56 weeks, which ever comes first.

InterventionParticipants (Count of Participants)
Treatment Arm3

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Change in Forced Expiratory Volume 1 Over 24 Weeks (FEV1)

Measured by spirometry (NCT03473340)
Timeframe: Baseline, 24 weeks

,
Interventionliters (Mean)
Baseline FEV124 week FEV1Change in FEV1
Pirfenidone Capsule1.401.36-0.12
Placebo Capsule1.411.35-0.09

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Number of Subjects With Treatment Intolerance

Subjects permanently discontinuing study medication before 24 weeks (NCT03473340)
Timeframe: 24 weeks

,
InterventionParticipants (Count of Participants)
Drug DiscontinuedDrug Not Discontinued, but Held or Dose ReducedDrug Tolerated
Pirfenidone Capsule154
Placebo Capsule136

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Change in Percent of Functional Small Airways Disease (fSAD) as Measured by Parametric Response Mapping

Evaluate if pirfenidone compared to placebo will stabilize progression of fSAD by comparison of inspiratory and expiratory high resolution computed tomography (HRCT) images through co-registration to provide quantitative measures of fSAD. (NCT03473340)
Timeframe: Baseline, 24 weeks

,
Interventionpercentage of change of fsad (Mean)
Baseline percentage fSADPost treatment percentage fSADNet change
Pirfenidone Capsule14.2117.10-5.8620625
Placebo Capsule11.9010.620.4497328

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Change in Forced Vital Capacity (FVC) Over 24 Weeks

Measured by spirometry (NCT03473340)
Timeframe: Baseline, 24 weeks

,
Interventionliters (Mean)
Baseline FVC24-week FVCChange in FVC
Pirfenidone Capsule2.542.52-0.06
Placebo Capsule2.522.36-0.12

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Baseline Patient Characteristics: Age

"IQVIA's GE Centricity Electronic medical records database was used for this study. This is an anonymized Health Insurance Portability and Accountability Act of 1996 (HIPPA) compliant database populated with patient data from ambulatory care records.~The patient characteristic age for Idiopathic Pulmonary Fibrosis (IPF) patients at 12-month pre-treatment (baseline) was compared between each of the cohorts (nintedanib vs. pirfenidone, nintedanib vs. untreated, pirfenidone vs. untreated), differences are presented in absolute standardized differences (ASD), differences were tested using t-test for means of continuous variables, Wilcoxon signed tank test for medians of continuous variables, and Chi-square test for categorical variables." (NCT03958071)
Timeframe: Baseline characteristics were recorded 12 months pre-index event (pre-treatment).

Interventionyears (Mean)
Nintedanib71.6
Pirfenidone72.1
Untreated70.9

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Odds Ratio of Receiving Treatment (Nintedanib or Pirfenidone) vs no Treatment

"Odds ratio of receiving nintedanib or pirfenidone vs. no antifibrotic treatment, adjusting for patient characteristics; to identify baseline characteristics that drive initiation of a treatment while minimizing prescription bias.~Logistic regression models were developed to assess the odds. Baseline patient characteristics that were sufficiently populated, had ASD >10% or p-value <0.05, and were agreed upon as important variables to include, were included as covariates for a full model. Linearity of age was confirmed before including it as a continuous variable in one version of the model. Backward selection was applied to develop a reduced model, only retaining covariates with p<0.1 after forcing age at index, gender, geographic region, BMI, CCI, and Chronic obstructive pulmonary disease (COPD) into the model.~Odds presented for key patient characteristics. Odd ratio of >1 indicates increased odds of receiving treatment." (NCT03958071)
Timeframe: Baseline characteristics were recorded 12 months pre-index event (pre-treatment).

InterventionOdds ratio (Number)
AgeGenderBMI category: OverweightBMI category: ObeseBMI category: Very obeseComorbidities: COPDComorbidities: Heart failureComorbidities: StrokeComorbidities: HypertensionComorbidities: Peripheral arterial diseasesComorbidities: Severe diseasesGastroesophageal reflux disease
Overall Population1.0220.4901.3591.8331.6380.5810.4490.4490.6630.3830.4631.621

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Baseline Patient Characteristics: Number of Participants Using Proton Pump Inhibitors at Baseline

"IQVIA's GE Centricity Electronic medical records database was used for this study. This is an anonymized Health Insurance Portability and Accountability Act of 1996 (HIPPA) compliant database populated with patient data from ambulatory care records.~Treatment with Proton pump inhibitors for Idiopathic Pulmonary Fibrosis (IPF) patients at 12-month pre-treatment (baseline) was compared between each of the cohorts (nintedanib vs. pirfenidone, nintedanib vs. untreated, pirfenidone vs. untreated), differences are presented in absolute standardized differences (ASD), differences were tested using t-test for means of continuous variables, Wilcoxon signed tank test for medians of continuous variables, and Chi-square test for categorical variables." (NCT03958071)
Timeframe: Baseline characteristics were recorded 12 months pre-index event (pre-treatment).

InterventionParticipants (Count of Participants)
Nintedanib113
Pirfenidone133
Untreated3141

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Baseline Patient Characteristics: Number of Participants Using Inhaled Corticosteroids at Baseline

"IQVIA's GE Centricity Electronic medical records database was used for this study. This is an anonymized Health Insurance Portability and Accountability Act of 1996 (HIPPA) compliant database populated with patient data from ambulatory care records.~Treatment with inhaled corticosteroids for Idiopathic Pulmonary Fibrosis (IPF) patients at 12-month pre-treatment (baseline) was compared between each of the cohorts (nintedanib vs. pirfenidone, nintedanib vs. untreated, pirfenidone vs. untreated), differences are presented in absolute standardized differences (ASD), differences were tested using t-test for means of continuous variables, Wilcoxon signed tank test for medians of continuous variables, and Chi-square test for categorical variables." (NCT03958071)
Timeframe: Baseline characteristics were recorded 12 months pre-index event (pre-treatment).

InterventionParticipants (Count of Participants)
Nintedanib125
Pirfenidone134
Untreated3311

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Baseline Patient Characteristics: Charlson Comorbidity Index (CCI)

"IQVIA's GE Centricity Electronic medical records database was used for this study. This is an anonymized HIPPA compliant database populated with patient data from ambulatory care records. Charlson Comorbidity Index (CCI) for Idiopathic Pulmonary Fibrosis (IPF) patients at 12-month pre-treatment (baseline) was compared between each of the cohorts.~The Charlson Comorbidity Index is a method of categorizing comorbidities of patients based on the International Classification of Diseases (ICD) diagnosis. Each comorbidity category has an associated weight (from 1 to 6), based on the adjusted risk of mortality or resource use, and the sum of all the weights results in a single comorbidity score for a patient. A score of zero indicates that no comorbidities were found. The higher the score, the more likely the predicted outcome will result in mortality or higher resource use. Up to 12 comorbidities with various weightings can result in a maximum score of 24. The minimum score is zero." (NCT03958071)
Timeframe: Baseline characteristics were recorded 12 months pre-index event (pre-treatment).

InterventionScore on a scale (Mean)
Nintedanib0.71
Pirfenidone0.79
Untreated1.09

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Baseline Patient Characteristics: BMI

The patient characteristic Body mass index (BMI) for Idiopathic Pulmonary Fibrosis (IPF) patients at 12-month pre-treatment (baseline) was compared between each of the cohorts (nintedanib vs. pirfenidone, nintedanib vs. untreated, pirfenidone vs. untreated), differences are presented in absolute standardized differences (ASD), differences were tested using t-test for means of continuous variables, Wilcoxon signed tank test for medians of continuous variables, and Chi-square test for categorical variables. (NCT03958071)
Timeframe: Baseline characteristics were recorded 12 months pre-index event (pre-treatment).

Interventionkilogram/height in meters squared(kg/m²) (Mean)
Nintedanib29.5
Pirfenidone30.1
Untreated28.6

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