MedPath

Pirfenidone

Generic Name
Pirfenidone
Brand Names
Esbriet, Pirfenidone axunio (previously Pirfenidone AET), Pirfenidone Viatris
Drug Type
Small Molecule
Chemical Formula
C12H11NO
CAS Number
53179-13-8
Unique Ingredient Identifier
D7NLD2JX7U
Background

Pirfenidone is a synthetic pyridone drug. It is an antifibrotic agent with anti-inflammatory and antioxidant properties that is used to treat idiopathic pulmonary fibrosis (IPF), which is a chronic, progressive form of interstitial pneumonia. While its mechanism of action is not yet fully understood, pirfenidone is proposed to primarily regulate tumor necrosis factor (TNF) pathways and modulate cellular oxidation. The FDA first approved pirfenidone alongside nintedanib as one of the first drugs to treat IPF.

Indication

Pirfenidone is indicated for the treatment of idiopathic pulmonary fibrosis (IPF). In Canada and Europe, it is approved in adults only.

Associated Conditions
Idiopathic Pulmonary Fibrosis (IPF), Mild Idiopathic Pulmonary Fibrosis, Moderate Idiopathic Pulmonary Fibrosis

Efficacy of Intralesional Triamcinolone and 8% Topical Pirfenidone for Treatment of Keloid Scars

First Posted Date
2016-07-06
Last Posted Date
2017-07-14
Lead Sponsor
Centro Dermatológico Dr. Ladislao de la Pascua
Target Recruit Count
102
Registration Number
NCT02823236
Locations
🇲🇽

Centro Dermatológico "Dr. Ladislao de la Pascua", Mexico City, Mexico

Pirfenidone in Progressive Interstitial Lung Disease Associated With Clinically Amyopathic Dermatomyositis

Phase 4
Conditions
Dermatopolymyositis
Interstitial Lung Disease
Interventions
First Posted Date
2016-07-01
Last Posted Date
2016-07-01
Lead Sponsor
RenJi Hospital
Target Recruit Count
57
Registration Number
NCT02821689
Locations
🇨🇳

Department of Rheumatology, Ren Ji Hospital South Campus, School of Medicine, Shanghai JiaoTong University, Shanghai, Shanghai, China

Phase ll Study of Pirfenidone in Patients With RAILD (TRAIL1)

Phase 2
Completed
Conditions
Rheumatoid Arthritis Interstitial Lung Disease
Interventions
Drug: Placebo
First Posted Date
2016-06-22
Last Posted Date
2022-08-16
Lead Sponsor
Brigham and Women's Hospital
Target Recruit Count
123
Registration Number
NCT02808871
Locations
🇺🇸

Weill Cornell Medicine, New York, New York, United States

🇨🇦

University of Calgary Cummings School of Medicine, Calgary, Alberta, Canada

🇬🇧

Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom

and more 30 locations

A Study to Assess the Safety and Tolerability of N-Acetylcysteine When Administered With Pirfenidone to Participants With Idiopathic Pulmonary Fibrosis (IPF)

Phase 2
Completed
Conditions
Idiopathic Pulmonary Fibrosis
Interventions
First Posted Date
2016-03-14
Last Posted Date
2016-05-20
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
123
Registration Number
NCT02707640

Evaluation of Long-Term Safety of Pirfenidone (Esbriet) in Participants With Idiopathic Pulmonary Fibrosis (IPF)

Completed
Conditions
Idiopathic Pulmonary Fibrosis
Interventions
First Posted Date
2016-03-04
Last Posted Date
2017-04-21
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
1009
Registration Number
NCT02699879
Locations
🇦🇹

Medizinische Universitat Innsbruck; Department of Internal Medicine, Pneumology Centre, Innsbruck, Austria

🇩🇰

Aarhus University Hospital; Lungemed afd. B, Aarhus, Denmark

🇦🇹

LKH Hohenems; Abteilung für Pulmologie, Hohenems, Austria

and more 103 locations

Effect of Pirfenidone on Glomerular Filtration Rate and Albuminuria in Patients With Diabetic Nephropathy

Phase 3
Completed
Conditions
Diabetic Nephropathy
Albuminuria
Interventions
Drug: Placebo
First Posted Date
2016-02-24
Last Posted Date
2023-03-14
Lead Sponsor
Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
Target Recruit Count
62
Registration Number
NCT02689778
Locations
🇲🇽

Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran (INCMNSZ), Mexico City, Mexico

A Study of Oral Vismodegib in Combination With Pirfenidone in Participants With Idiopathic Pulmonary Fibrosis

Phase 1
Completed
Conditions
Idiopathic Pulmonary Fibrosis
Interventions
First Posted Date
2016-01-06
Last Posted Date
2017-10-30
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
21
Registration Number
NCT02648048
Locations
🇺🇸

Tulane University Medical School, New Orleans, Louisiana, United States

🇺🇸

Suburban Lung Associates, Elk Grove, Illinois, United States

🇺🇸

Allied Clinical Research, Reno, Nevada, United States

and more 12 locations

Efficacy of Pirfenidone Plus MODD in Diabetic Foot Ulcers

Phase 1
Completed
Conditions
Diabetic Foot Ulcer
Interventions
First Posted Date
2015-12-17
Last Posted Date
2015-12-17
Lead Sponsor
University of Guadalajara
Target Recruit Count
60
Registration Number
NCT02632877
Locations
🇲🇽

Molecular Biology and Gene Therapy Institute, Guadalajara, Jalisco, Mexico

🇲🇽

Hospital Valentín Gómez Farías, Zapopan, Jalisco, Mexico

Clinical Progression of Mild to Moderate Idiopathic Pulmonary Fibrosis (IPF) Under a Therapy With Esbriet® (Pirfenidone)

Completed
Conditions
Idiopathic Pulmonary Fibrosis
Interventions
First Posted Date
2015-12-04
Last Posted Date
2017-02-28
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
12
Registration Number
NCT02622477
Locations
🇩🇪

Praxis Dr. med. Wilhelm Ammenwerth, Bochum, Germany

🇩🇪

Universitätsklinikum Freiburg, Abteilung Pneumologie, Freiburg, Germany

🇩🇪

Kliniken der Stadt Köln gGmbH Krankenhaus Merheim, Köln, Germany

and more 14 locations

A Study to Compare the Amount of Nintedanib and Pirfenidone in the Blood When Nintedanib and Pirfenidone Are Given Separately or in Combination

Phase 4
Completed
Conditions
Idiopathic Pulmonary Fibrosis
Interventions
First Posted Date
2015-11-17
Last Posted Date
2019-03-04
Lead Sponsor
Boehringer Ingelheim
Target Recruit Count
37
Registration Number
NCT02606877
Locations
🇬🇧

Papworth Hospital, Cambridge, United Kingdom

🇬🇧

Glenfield Hospital, Leicester, United Kingdom

🇬🇧

Southmead Hospital, Bristol, United Kingdom

and more 6 locations
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