Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Pirfenidone · 11 trials · 5 indications
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.
Predicted FVC is based on sex, age, and height of a person. Percent predicted FVC (in %) = \[(observed FVC)/(predicted FVC)\]\*100.
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.
Mean Change in Percent Predicted Forced Vital Capacity (FVC) as measured from 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 FVC was measured in mL by daily handheld spirometer. The analyses were repeated due to an additional independent review of the home spirometry data.
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 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.
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.
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.
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.
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.
An adverse event is any untoward medical occurrence in a participant who receive study drug without regard to possibility of causal relationship.
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.
| Arm | Type | Description |
|---|---|---|
| Pirfenidone | EXPERIMENTAL | Participants will be administered pirfenidone 2403 milligram per day (mg/d) orally for 26 weeks in participants with IPF. |
| Active Arm | ACTIVE_COMPARATOR | - |
| Placebo Arm | PLACEBO_COMPARATOR | - |
| Treatment | EXPERIMENTAL | pirfenidone |
| 2403 mg/day pirfenidone | ACTIVE_COMPARATOR | Active arm 1, 2403 mg/day pirfenidone dose group. |
| 1197 mg/day pirfenidone | ACTIVE_COMPARATOR | Active arm 2, 1197 mg/day pirfenidone. |
| placebo | PLACEBO_COMPARATOR | Placebo equivalent. |
| Pirfenidone + Placebo | PLACEBO_COMPARATOR | Participants will receive pirfenidone along with placebo matched to sildenafil, orally, three times a day (TID) for 52 weeks. |
| Pirfenidone + Sildenafil | EXPERIMENTAL | Participants will receive pirfenidone along with sildenafil, orally, TID for 52 weeks. |
| Pirfenidone: 4-Week Titration Group | EXPERIMENTAL | Participants 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 Group | EXPERIMENTAL | Participants 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 Pirfenidone | EXPERIMENTAL | Participants 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 sequence | EXPERIMENTAL | Participants 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 sequence | EXPERIMENTAL | Participants 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 sequence | EXPERIMENTAL | Participants 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 sequence | EXPERIMENTAL | Participants 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. |
| Name | Type | Description |
|---|---|---|
| Pirfenidone | DRUG | Pirfenidone 2403 mg/d capsules orally will be given in divided doses (TID) after titration period of 14 days. |
| Placebo | DRUG | Placebo equivalent given as 3 divided doses 3 times per day. |
| Sildenafil | DRUG | Sildenafil will be given as 20 mg, TID. |
| Vismodegib | DRUG | Vismodegib will be administered as per the dosage schedule mentioned in arm description. |
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)...
| Company | Ticker | Trials | Lead Phase | Drugs |
|---|---|---|---|---|
| Bristol-Myers Squibb Company | BMY | 2 | PHASE3 | BMS-986278 |
| United Therapeutics Corporation | UTHR | 2 | PHASE3 | Treprostinil |
| AbbVie, Inc. | ABBV | 2 | PHASE2 | ABBV-142 |
| PureTech Health PLC Sponsored ADR | PRTC | 2 | PHASE3 | Deupirfenidone, Pirfenidone |
| Syndax Pharmaceuticals Inc | SNDX | 1 | PHASE2 | Axatilimab |
| Contineum Therapeutics, Inc. Class A | CTNM | 1 | PHASE2 | PIPE-791 Dose A, PIPE-791 Dose B |
| Rein Therapeutics, Inc | RNTX | 1 | PHASE2 | LTI-03 |
| Sunshine Biopharma Incorporated | SBFM | 2 | PHASE3 | HEC585, Pirfenidone |
| Cumberland Pharmaceuticals Inc. | CPIX | 1 | PHASE2 | Ifetroban |
| Avalyn Pharma Inc | AVLN | 3 | PHASE2 | AP01 |
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.
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.
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.
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.
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.
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.