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Pirfenidone

Phase 3

Idiopathic Pulmonary Fibrosis | Small molecule | Respiratory |Roche Holding AG|Last Updated: Jan 13, 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials8
Total Enrollment2,733

FDA Designations

No designations recorded

Clinical trial landscape

Pirfenidone · 11 trials · 5 indications

Phase 3 5Phase 2 4Phase 1 2
NCT03208933Open-label Study to Assess the Effectiveness of Pirfenidone in Participants With Idiopathic Pulmonary Fibrosis (IPF).Idiopathic Pulmonary Fibrosis
COMPLETED60 Analytics
NCT01366209Efficacy and Safety of Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis (IPF)Idiopathic Pulmonary Fibrosis
COMPLETED555 Analytics
NCT00662038Open-Label Study of the Long Term Safety of Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis (IPF)Idiopathic Pulmonary Fibrosis
COMPLETED1,058 Analytics
NCT00287716Three-Arm Study of the Safety and Efficacy of Pirfenidone in Patients With Idiopathic Pulmonary FibrosisIdiopathic Pulmonary Fibrosis
COMPLETED435 Analytics
NCT00287729Safety and Efficacy of Pirfenidone in Patients With Idiopathic Pulmonary FibrosisIdiopathic Pulmonary Fibrosis
COMPLETED344 Analytics
PHASE3COMPLETED
Open-label Study to Assess the Effectiveness of Pirfenidone in Participants With Idiopathic Pulmonary Fibrosis (IPF).
Idiopathic Pulmonary FibrosisUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis (IPF)
Idiopathic Pulmonary FibrosisUnlock trial analytics
PHASE3COMPLETED
Open-Label Study of the Long Term Safety of Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis (IPF)
Idiopathic Pulmonary FibrosisUnlock trial analytics
PHASE3COMPLETED
Three-Arm Study of the Safety and Efficacy of Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis
Idiopathic Pulmonary FibrosisUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis
Idiopathic Pulmonary FibrosisUnlock trial analytics

Study Endpoints

Primary Endpoints

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

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.

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

Predicted FVC is based on sex, age, and height of a person. Percent predicted FVC (in %) = \[(observed FVC)/(predicted FVC)\]\*100.

Change in Percent Predicted Forced Vital Capacity (%FVC) From Baseline to Week 52
52 weeks
Percentage of Participants With Adverse Events
7.5 years

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.

Absolute Change in Percent Predicted Forced Vital Capacity (FVC)
From baseline up to 72 weeks

Mean Change in Percent Predicted Forced Vital Capacity (FVC) as measured from baseline to week 72.

Absolute Change in Percent Predicted Forced Vital Capacity(FVC)
Baseline to week 72

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.

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

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.

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
Baseline up to Week 52

Disease Progression defined as relative decline in 6-minute walking distance (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.

Percentage of Participants With Treatment-Emergent Adverse Events (AEs)
From baseline up to 28 days after the last dose of study drug (last dose = Week 16)

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.

Percentage of Participants With Treatment-Emergent Serious Adverse Events (SAEs)
From baseline up to 28 days after the last dose of study drug (last dose = Week 16)

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.

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
Baseline to 28 days after the last dose of study treatment (maximum duration of treatment in study was 604 weeks)

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.

Percentage of Participants with Serious and Non-Serious Adverse Events
Baseline up to 28 weeks

An adverse event is any untoward medical occurrence in a participant who receive study drug without regard to possibility of causal relationship. A serious adverse event is an adverse event 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.

Percentage of Participants with Discontinuation of Any Study Medication Due to a Drug-Related Adverse Event
Baseline up to 28 weeks

An adverse event is any untoward medical occurrence in a participant who receive study drug without regard to possibility of causal relationship. Relatedness to the study drug will be assessed by the investigator.

Percentage of Participants with Dose Modifications Due to Laboratory Abnormalities and Adverse Events
Baseline up to 28 weeks

An adverse event is any untoward medical occurrence in a participant who receive study drug without regard to possibility of causal relationship.

Percentage of Participants with Clinically Meaningful Laboratory Abnormalities as Assessed by Investigator
Baseline up to 28 weeks

Vital signs and laboratory parameters will be evaluated, and percentage of participants with any clinically meaningful abnormalities as assessed by Investigator will be reported. Laboratory abnormalities of National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Grade greater than (\>) 3 will be considered clinical meaningful.

Peak Plasma Concentration (Cmax) of Pirfenidone
11 days
Area Under the Plasma Concentration Versus Time Curve (AUC) from Time Zero to the Time of the Last Quantifiable Concentration (AUC[0-t]) of Pirfenidone
11 days
AUC from Time Zero to Infinity (AUC[0-inf]) of Pirfenidone
11 days

Secondary Endpoints

Change From Baseline to Week 26 in 6-Minute Walk Test (6MWT) Distance
Baseline, Week 26
Change From Baseline to Week 26 in EuroQol 5-Dimension 5-Level (EQ-5D-5L) Questionnaire Index Score
Baseline, Week 26
Change From Baseline to Week 26 in EQ-5D-5L Visual Analogue Scale (EQ-5D-5L VAS) Score
Baseline, Week 26
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PirfenidoneEXPERIMENTALParticipants will be administered pirfenidone 2403 milligram per day (mg/d) orally for 26 weeks in participants with IPF.
Active ArmACTIVE_COMPARATOR -
Placebo ArmPLACEBO_COMPARATOR -
TreatmentEXPERIMENTALpirfenidone
2403 mg/day pirfenidoneACTIVE_COMPARATORActive arm 1, 2403 mg/day pirfenidone dose group.
1197 mg/day pirfenidoneACTIVE_COMPARATORActive arm 2, 1197 mg/day pirfenidone.
placeboPLACEBO_COMPARATORPlacebo equivalent.
Pirfenidone + PlaceboPLACEBO_COMPARATORParticipants will receive pirfenidone along with placebo matched to sildenafil, orally, three times a day (TID) for 52 weeks.
Pirfenidone + SildenafilEXPERIMENTALParticipants will receive pirfenidone along with sildenafil, orally, TID for 52 weeks.
Pirfenidone: 4-Week Titration GroupEXPERIMENTALParticipants will receive one 267 milligrams (mg) oral pirfenidone capsule three times daily (TID) (801 mg per day \[mg/day\]) for 2 weeks followed by two 267 mg oral pirfenidone capsules TID (1602 mg/day) for 2 weeks (titration period) and then three 267 mg oral pirfenidone capsules TID (2403 mg/day) for 12 weeks maintenance period).
Pirfenidone: 2-Week Titration GroupEXPERIMENTALParticipants will receive one 267 mg oral pirfenidone capsule TID (801 mg/day) for 1 week followed by two 267 mg oral pirfenidone capsules TID (1602 mg/day) for 1 week (titration period) and then three 267 mg oral pirfenidone capsules TID (2403 mg/day) for 14 weeks (maintenance period).
Vismodegib and PirfenidoneEXPERIMENTALParticipants being treated with pirfenidone, will receive vismodegib 150 milligrams (mg) once daily and pirfenidone up to 2403 mg daily orally for 24 weeks.
Pirfenidone ACBD treatment sequenceEXPERIMENTALParticipants will be given 801 milligrams (mg) single oral doses of pirfenidone on Days 1, 4, 7 and 10 during the study. Participants will be administered, capsules (3 x 267-mg capsule) in fed state (treatment A) on Day 1 and in fasted state (treatment C) on Day 4, 801-mg tablet in fed state (treatment B) on Day 7 and in fasted state (treatment D) on Day 10.
Pirfenidone BADC treatment sequenceEXPERIMENTALParticipants will be given 801 mg single oral doses of pirfenidone on Days 1, 4, 7 and 10 during the study. Participants will be administered, 801-mg tablet in fed state (treatment B) on Day 1, capsules (3 x 267-mg capsule) in fed state (treatment A) on Day 4, 801-mg tablet in fasted state (treatment D) on Day 7 and capsules (3 x 267-mg capsule) in fasted state (treatment C) on Day 10.
Pirfenidone CDAB treatment sequenceEXPERIMENTALParticipants will be given 801 mg single oral doses of pirfenidone on Days 1, 4, 7 and 10 during the study. Participants will be administered, capsules (3 x 267-mg capsule) in fasted state (treatment C) on Day 1, 801-mg tablet in fasted state (treatment D) on Day 4, capsules (3 x 267-mg capsule) in fed state (treatment A) on Day 7 and 801-mg tablet in fed state (treatment B) on Day 10.
Pirfenidone DBCA treatment sequenceEXPERIMENTALParticipants will be given 801 mg single oral doses of pirfenidone on Days 1, 4, 7 and 10 during the study. Participants will be administered, 801-mg tablet in fasted state (treatment D) on Day 1 and in fed state (treatment C) on Day 4, capsules (3 x 267-mg capsule) in fasted state (treatment C) on Day 7 and in fed state (treatment A) on Day 10.

Interventions

NameTypeDescription
PirfenidoneDRUGPirfenidone 2403 mg/d capsules orally will be given in divided doses (TID) after titration period of 14 days.
PlaceboDRUGPlacebo equivalent given as 3 divided doses 3 times per day.
SildenafilDRUGSildenafil will be given as 20 mg, TID.
VismodegibDRUGVismodegib will be administered as per the dosage schedule mentioned in arm description.
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Eligibility Criteria

Age Range40 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: * Clinical symptoms consistent with IPF of ≥ 6months duration * Participants could have both "confident" or "consistent" with UIP diagnosis of IPF based on clinical, radiologic and pathologic data according to 2011 American Thoracic Society/European Respiratory Society (ATS/ERS)...

Countries:RussiaUnited StatesAustraliaBelgiumCanadaCzechiaDenmarkGermanyGreeceIrelandIsraelItalyPolandPortugalSpainUnited KingdomEgyptHungaryNetherlandsSouth AfricaTurkey (Türkiye)
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Frequently asked questions about Pirfenidone

What is Pirfenidone used for?

Pirfenidone is an investigational small molecule being studied for idiopathic pulmonary fibrosis, systemic sclerosis, and interstitial lung diseases. It has been evaluated in healthy volunteers as well. The drug is in clinical development by Roche Holding AG and is not approved for any indication.

What does Pirfenidone target?

Pirfenidone is a small molecule being studied for its effects in fibrotic lung diseases. Its specific molecular target has not been disclosed in the available clinical trial information. The drug is being investigated for conditions such as idiopathic pulmonary fibrosis and systemic sclerosis-related interstitial lung disease.

Who makes Pirfenidone?

Pirfenidone is being developed by Roche Holding AG, which trades under the ticker RHHBY. The company is conducting clinical trials of the drug in multiple countries, including the United States, Canada, and several European nations.

What phase is Pirfenidone in?

Pirfenidone is in Phase 1 and Phase 2 clinical trials. The drug is investigational and has not been approved by regulatory authorities. All eight completed trials have finished, with no active trials currently enrolling patients.

What clinical trials is Pirfenidone in?

Pirfenidone has been studied in eight completed clinical trials. Key trials include NCT01933334 in systemic sclerosis, NCT02525484 in healthy volunteers, NCT02648048 in idiopathic pulmonary fibrosis, and NCT03099187 in interstitial lung diseases. These trials enrolled a total of 2,733 participants.

Is Pirfenidone the same as other names?

Pirfenidone is the sole name used in the clinical trial data provided. No alternative names or brand names have been associated with this drug in the available information.