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Priya Life Science Compound trial record
Compound · clinical trials

Pirfenidone clinical trials

Also listed in trial records as AP01, F647, Esbrit
Source: ClinicalTrials.gov, U.S. National Library of Medicine — the 15 trials in our China, Canada, Japan, USA, Italy, Australia, UK, Germany, France, Spain, Netherlands, Belgium, Poland, Turkey, Israel, India, Mexico, South Korea, Brazil and Egypt registers that name Pirfenidone as an intervention. Synced 9 Nov 2026
15Current trials
10Recruiting now
12Lead sponsors
20Country registers
At a glance

Pirfenidone is named as an intervention in 15 current clinical trials in our China, Canada, Japan, USA, Italy, Australia, UK, Germany, France, Spain, Netherlands, Belgium, Poland, Turkey, Israel, India, Mexico, South Korea, Brazil and Egypt registers. 10 are recruiting patients now. The most common phase is Phase 3. The sponsor with the most trials is PureTech (2). The most-studied condition is Idiopathic Pulmonary Fibrosis. The EU clinical trials register (CTIS) separately lists 1 authorised or ongoing trial.

Where Pirfenidone is approved

All regulators →

Of the three regulators tracked here, the first to approve Pirfenidone was the EU, on 28 Feb 2011. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
15 Oct 2014
Esbriet
NDA022535 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
28 Feb 2011
Esbriet
EMA product page
First centralised authorisation
CACanada (Health Canada)
1 Oct 2012
Esbriet
Notice of Compliance 13695
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

Pirfenidone patents and exclusivity

Expiry tracker →

Protections still running for marketed products containing Pirfenidone, as listed by the regulators. Expired patents and exclusivities, and discontinued products, are not shown.

US FDA Orange Book Esbriet
  • 17 listed patents; the last listed expires 28 Mar 2037 (US 10188637).
See the Orange Book listing for NDA 022535
Patents and exclusivities above are pooled across 2 applications for this substance.

Reproduced from the FDA Orange Book and Purple Book (checked 8 Nov 2026) and the European Commission's Union Register of medicinal products (CC BY 4.0; the EU expiry date is calculated exactly as the Commission's register displays it). Listed patents and dates are as submitted to or published by the regulator and may not reflect litigation, invalidation, settlements, lapsed fees or later extensions. This is not legal advice or a freedom-to-operate opinion, and it does not say when a generic or biosimilar will launch.

What health systems spend on Pirfenidone

All medicines →
ENNHS England
£22k
17 items dispensed, Sep 2025 to Aug 2026
+137% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$1.6m
1,431 prescriptions in 2025 · Pirfenidone, Pirfenidone
-35% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Pirfenidone works

All drug targets →
Diseases it has been tested for in clinical trials, by furthest phase
  • Cognitive impairmentPhase 3
  • DyspneaPhase 3
  • FatiguePhase 3
  • Respiratory distressPhase 3
  • Acute respiratory distress syndromePhase 3
  • Diabetic footPhase 3
  • Diabetic kidney diseasePhase 3
  • Interstitial lung diseasePhase 3
  • PneumoconiosisPhase 3
  • Pulmonary fibrosisPhase 3
44 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL1256391, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3.1), ligand 7532, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Pirfenidone

All NICE appraisals →

NICE, which decides whether the NHS in England should fund new medicines, has published 2 technology appraisals of Pirfenidone. 2 are current, and 2 of these recommend it for at least some patients.

AppraisalNICE recommendationPublishedStatus
Pirfenidone for treating idiopathic pulmonary fibrosis
NICE TA504
Optimised6 Feb 2018Current
Pirfenidone for treating idiopathic pulmonary fibrosis
NICE TA282
Optimised24 Apr 2013Current

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Pirfenidone

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Pirfenidone

ATC code
L04AX05
ChEMBL
CHEMBL1256391
DrugBank
DB04951
PubChem CID
40632
CAS number
53179-13-8
FDA UNII
D7NLD2JX7U
Wikidata
Q2060696
Wikipedia
Pirfenidone

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

Trials by status

  • Recruiting1067%
  • Not yet open213%
  • Active, closed320%

Trials by phase

  • Phase 3640%
  • Phase 2533%
  • Phase 1213%
  • Phase 2/317%
  • Not applicable17%
01

Clinical trials of Pirfenidone

15 trials
StudyPhaseStatusLead sponsorRegisters
Pirfenidone to Prevent Fibrosis in Ards.
NCT05075161 · ClinicalTrials.gov ↗ · Acute Respiratory Distress Syndrome (ARDS)
Phase 3 Recruiting Università Vita-Salute San Raffaele Italy
Efficacy and Safety of Pirfenidone Capsules in the Treatment of Pneumoconiosis
NCT05288179 · ClinicalTrials.gov ↗ · Pneumoconiosis
Phase 3 Recruiting Beijing Continent Pharmaceutical Co, Ltd China, Japan
Long Covid (LC)-REVITALIZE - A Long Covid Repurposed Drug Study
NCT06928272 · ClinicalTrials.gov ↗ · Long COVID
Phase 3 Recruiting Douglas D. Fraser Italy, Canada, Brazil
Confirmatory Clinical Study of HEC585 Tablets in Patients With IPF
NCT07082842 · ClinicalTrials.gov ↗ · Idiopathic Pulmonary Fibrosis (IPF)
Phase 3 Recruiting Sunshine Lake Pharma Co., Ltd China, Japan
Trial to Evaluate the Efficacy and Safety of LYT-100 (Deupirfenidone) Compared to Pirfenidone in Adults With Idiopathic Pulmonary Fibrosis (IPF)
NCT07284602 · Idiopathic Pulmonary Fibrosis (IPF)
Phase 3 Recruiting PureTech USA, Canada
Pirfenidone Capsules in the Treatment of Radiation-induced Lung Injury With or Without Immune Pneumonia
NCT07388680 · ClinicalTrials.gov ↗ · Radiation-induced Lung Injury, Immune-related Pneumonia
Phase 2/3 Recruiting Beijing Continent Pharmaceutical Co, Ltd China
Fruquintinib and Pirfenidone in Combination With Anti-PD-1 Antibody in Advanced or Metastatic pMMR/MSS Colorectal Carcinoma
NCT06484153 · ClinicalTrials.gov ↗ · To Evaluate the Efficacy of Fruquintinib and Pirfenidone in Combination With Anti-PD-1 Antibody in Colorectal Carcinoma, To Evaluate Whether Pirfenidone Can Reshape the Tumor Microenvironment in Colorectal Cancer, Combination of Fruquintinib and Anti-PD-1 Antibody Was Reported to Improve Patient Prognosis in Colorectal Cancer
Phase 2 Recruiting Union Hospital, Tongji Medical College, Huazhong University of Science and Technology China
A Phase II Study of Pirfenidone Plus PD-1 Inhibitor With or Without Hypofractionated Radiotherapy for Refractory pMMR/MSS Colorectal Cancer
NCT07644286 · ClinicalTrials.gov ↗ · Colorectal Cancer (CRC)
Phase 2 Recruiting Tao Zhang China
A Study to Evaluate Pharmacokinetics and Drug-drug Interactions of ENV-101 (Taladegib) in Healthy Participants
NCT07454291 · ClinicalTrials.gov ↗ · Idiopathic Pulmonary Fibrosis
Phase 1 Recruiting Endeavor Biomedicines, Inc Australia
Azithromycin in the Management of Patients With Acute Exacerbation of Idiopathic Pulmonary Fibrosis
NCT05842681 · ClinicalTrials.gov ↗ · Idiopathic Pulmonary Fibrosis
Not applicable Recruiting Assiut University Egypt
A Phase 3 Study of Efficacy and Safety of AK3280 in Patients With Idiopathic Pulmonary Fibrosis
NCT07719023 · Idiopathic Pulmonary Fibrosis (IPF)
Phase 3 Not yet open Shanghai Ark Biopharmaceutical Co., Ltd China, Japan
Pirfenidone for Idiopathic Subglottic Stenosis: A Pilot Trial of Tolerability and Feasibility
NCT07654517 · ClinicalTrials.gov ↗ · Idiopathic Subglottic Stenosis, Subglottic Stenosis (SGS)
Phase 1 Not yet open London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's Canada
Phase ll Study of HEC585 in Patients With IPF
NCT05060822 · ClinicalTrials.gov ↗ · Idiopathic Pulmonary Fibrosis
Phase 2 Active, closed Sunshine Lake Pharma Co., Ltd China, Japan
LYT-100 in Patients With Idiopathic Pulmonary Fibrosis (IPF)
NCT05321420 · Idiopathic Pulmonary Fibrosis
Phase 2 Active, closed PureTech USA, India, Mexico, South Korea
A Study Evaluating the Safety and Efficacy of Inhaled AP01 in Participants With Progressive Pulmonary Fibrosis
NCT06329401 · Pulmonary Fibrosis, Progressive Pulmonary Fibrosis, Pulmonary Fibrosis Secondary to Systemic Sclerosis
Phase 2 Active, closed Avalyn Pharma Inc UK, USA, Germany, France, Spain, Italy, Netherlands, Belgium, Poland, Turkey, Canada, Australia, Israel

Registers list studies that are recruiting, about to open, active but closed to enrolment, or enrolling by invitation. The UK and USA registers cover industry-sponsored studies only. Trial titles and statuses are copied from the registry as published.

02

Pirfenidone in the EU trials register (CTIS)

1 trial

Authorised or ongoing trials in the EU Clinical Trials Information System that list a product containing Pirfenidone. Many trials are registered in both CTIS and ClinicalTrials.gov, so these are shown separately rather than added to the count above. Trials with a site in Ireland are listed first.

StudyPhaseStatusSponsorCountries
A Randomized, Double-Blind, Head-to-Head Phase 3 Trial to Evaluate the Efficacy and Safety of LYT-100 (Deupirfenidone) Compared to Pirfenidone at 52 Weeks in Adults with Idiopathic Pulmonary Fibrosis (SURPASS-IPF)
2025-524493-42-00 · Respiratory Tract Diseases
Phase 3 Authorised Puretech Lyt 100 Inc Greece, Italy, Czechia + 9 more
03

Pirfenidone across our data

Ireland · EU · US

The same active substance in our other registers, matched by its exact name. Each entry links to the register record it comes from.

Licensed in Ireland (HPRA)

26 single-substance products containing Pirfenidone on the HPRA medicines list.

All 26 Irish products →

Supply shortages

No entry for Pirfenidone in the EMA, FDA or German BfArM shortage lists we track.

04

Conditions studied with Pirfenidone

17 conditions
Idiopathic Pulmonary Fibrosis4Idiopathic Pulmonary Fibrosis (IPF)3Pulmonary Fibrosis1Progressive Pulmonary Fibrosis1Pulmonary Fibrosis Secondary to Systemic Sclerosis1Pulmonary Fibrosis, Interstitial Lung Disease1To Evaluate the Efficacy of Fruquintinib and Pirfenidone in Combination With Anti-PD-1 Antibody in Colorectal Carcinoma1To Evaluate Whether Pirfenidone Can Reshape the Tumor Microenvironment in Colorectal Cancer1Combination of Fruquintinib and Anti-PD-1 Antibody Was Reported to Improve Patient Prognosis in Colorectal Cancer1Radiation-induced Lung Injury1Immune-related Pneumonia1Colorectal Cancer (CRC)1
All 17 conditions
Condition (as registered)Trials
Idiopathic Pulmonary Fibrosis4
Idiopathic Pulmonary Fibrosis (IPF)3
Pulmonary Fibrosis1
Progressive Pulmonary Fibrosis1
Pulmonary Fibrosis Secondary to Systemic Sclerosis1
Pulmonary Fibrosis, Interstitial Lung Disease1
To Evaluate the Efficacy of Fruquintinib and Pirfenidone in Combination With Anti-PD-1 Antibody in Colorectal Carcinoma1
To Evaluate Whether Pirfenidone Can Reshape the Tumor Microenvironment in Colorectal Cancer1
Combination of Fruquintinib and Anti-PD-1 Antibody Was Reported to Improve Patient Prognosis in Colorectal Cancer1
Radiation-induced Lung Injury1
Immune-related Pneumonia1
Colorectal Cancer (CRC)1
Pneumoconiosis1
Acute Respiratory Distress Syndrome (ARDS)1
Long COVID1
Idiopathic Subglottic Stenosis1
Subglottic Stenosis (SGS)1
07

Related compounds

08

Questions about Pirfenidone trials

How many clinical trials are testing Pirfenidone?

15 current trials in our China, Canada, Japan, USA, Italy, Australia, UK, Germany, France, Spain, Netherlands, Belgium, Poland, Turkey, Israel, India, Mexico, South Korea, Brazil and Egypt registers name Pirfenidone (also registered as AP01) as a drug or biological intervention, as of the registry sync on 9 November 2026. Completed and withdrawn studies are not counted.

Are Pirfenidone trials recruiting patients?

Yes. 10 of the 15 trials are recruiting: 5 with sites in China, 2 with sites in Canada, 2 with sites in Japan, 1 with sites in USA, 2 with sites in Italy, 1 with sites in Australia, 1 with sites in Brazil and 1 with sites in Egypt. Eligibility and site contacts are on each trial's record. Only the study team can confirm whether a patient is eligible.

Who sponsors Pirfenidone clinical trials?

PureTech (2), Sunshine Lake Pharma Co., Ltd (2), Beijing Continent Pharmaceutical Co, Ltd (2) and Avalyn Pharma Inc (1), among 12 lead sponsors in total. The number in brackets is how many trials each organisation leads.

Is Pirfenidone licensed in Ireland?

Yes. The HPRA medicines list includes 26 single-substance products containing Pirfenidone, for example Pirfenidone Accord 801 mg film-coated tablets (Accord Healthcare Ireland Ltd.). A licence does not mean a product is currently marketed or reimbursed; see each product's record.

Is there a Pirfenidone shortage?

Not in the lists we track: Pirfenidone has no entry in the EMA, FDA or German BfArM shortage registers as of their latest sync.

Where does this information come from?

Every trial, status, phase and sponsor on this page is copied from public ClinicalTrials.gov records by a daily sync. Nothing here describes how Pirfenidone works or whether it is effective, and it is not medical advice.

Approvals, shortages and trials, every Friday

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How this page is built

Everything on this page is copied from public ClinicalTrials.gov registry records — it is not written from memory, and nothing here describes how Pirfenidone works or whether it is effective. Each trial links to its own record so you can check it yourself.

This page is built automatically: a daily sync job reads the registry records behind our country trial registers, collects every trial that lists Pirfenidone (or a registered synonym) as a drug or biological intervention, and tabulates the registry fields directly. Placebos and generic comparators are excluded. There is no AI drafting and no per-compound editorial pass, and the page has not been clinically reviewed. The “last verified” date above is the timestamp of that sync, not a review date. Our general editorial approach is described in our editorial standards and corrections policy. The ClinicalTrials.gov data on this page was last retrieved on 9 Nov 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.