Nidanib, o se vailaʻau.Igoa kemisi 1 h - indole - 6 - carboxylic acid, 2, 3 - dihydro - 3 - [[[4 - (methyl [(4 - methyl - 1 - piperazine) acetyl] amino] phenyl] amino] benzene heartland of methyl] - 2 - okesene -, methyl ester, (z) - I le falemaʻi, o lenei oloa e faʻaaogaina e togafitia ai le idiopathic pulmonary fibrosis (IPF).
Na suʻesuʻeina e Nidanib le 1,529 tagata mamaʻi ma le idiopathic pulmonary fibrosis (IPF) i le tele o suʻesuʻega faʻapitoa.O faʻamatalaga saogalemu o loʻo tuʻuina atu e faʻavae i luga o se faʻatusatusaga o 1061 tagata maʻi na tuʻuina atu i le nidanib 150 mg faalua i aso taitasi ma le placebo i le lua 52-vaiaso vaega 3, faʻasolosolo, faʻalua-tauaso, suʻesuʻega placebo (INPULSIS-1 ma INPULSIS-2).O faʻalavelave faʻalavelave sili ona taatele e fesoʻotaʻi ma le faʻaaogaina o le nidanib e aofia ai le manava, faufau ma puaʻi, tiga o le manava, leiloa le manaʻo, paʻu o le mamafa, ma le maualuga o enzymes ate.Fa'amolemole va'ai i le [Fa'asagaga] mo le fa'atonutonuina o fa'alavelave fa'aletonu.O le Systematic Organ Classification (SOC) o le MedDRA o loʻo tuʻuina atu ai se aotelega o faʻalavelave leaga ma faʻavasegaina taimi.
O le Nidanib o se mea e fai mo P-gp (silasila i le Pharmacokinetics).I se suʻesuʻega faʻapitoa o fesoʻotaʻiga vailaʻau, tuʻufaʻatasia o le ketoconazole, o se faʻamalosi malosi P-gp, faʻateleina le faʻaalia i le nidanib i le 1.61 taimi i le vaega i lalo ole curve (AUC) ma le 1.83 taimi ile maualuga maualuga (Cmax).
I se suʻesuʻega faʻamalositino faʻatasi ma le malosi o le P-gp inducer rifampicin, o le faʻaalia i le nidanib na faʻaititia i le 50.3%, e pei ona fuaina e le vaega i lalo o le pupuni (AUC), pe a tuʻufaʻatasia ma le rifampicin pe a faʻatusatusa i le Nidanib naʻo.I le maualuga maualuga (Cmax), na faʻaititia i le 60.3%.
Pe a tu'uina fa'atasi ma lenei oloa, e mafai ona fa'atupuina le fa'aa'afia i le nidanib (eg, ketoconazole po'o le erythromycin).I nei tulaga, e tatau ona mataʻituina lelei le faʻapalepale o le tagata maʻi i le nidanib.O le puleaina o faʻalavelave faʻalavelave e ono manaʻomia ai le faʻagata, faʻaitiitia o le faʻaogaina, poʻo le faʻagataina o togafitiga ma lenei oloa (silasila i le [Faʻaaogaina ma le fua]).
P-gp potent inducers (fa'ata'ita'iga, rifampicin, carbamazepine, phenytoin ma St. John's wort) e mafai ona fa'aitiitia le a'afia i le nidanib.O isi tu'ufa'atasiga e leai pe la'ititi P-gp induction e tatau ona mafaufauina.