Pirfenidon

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Immunosuppressive agent for the treatment of mild to moderate idiopathic pulmonary fibrosis (IPF)

Effects
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Pirfenidone is a small molecule active substance that can be taken orally. It inhibits the synthesis of several cytokines that are involved in inflammatory and fibrotic processes. For example, it inhibits the transforming growth factor TGF-beta. TGF-beta controls numerous cell functions, including proliferation and differentiation. The cytokine plays a key role in the development of fibrosis. Pirfenidone also inhibits the synthesis of TNF-alpha, a cytokine that is actively involved in inflammatory processes.

Trade names
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Esbriet

Note(s)
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Contraindication is severe liver or kidney dysfunction. Side effects affect the gastrointestinal tract (dyspepsia, nausea, diarrhea, GERD (Gastroesophageal reflux desease). Photosensitivity is also observed (direct UV exposure should be avoided).

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Last updated on: 29.10.2020