I-Nidanib, ikhemikhali.Igama lekhemikhali 1 h - indole - 6 - carboxylic acid, 2, 3 - dihydro - 3 - [[[4 - (methyl [(4 - methyl - 1 - piperazine) acetyl] amino] phenyl] amino]ne heartland ye-methyl] - 2 - oxygen -, methyl ester, (z) - Ngokomtholampilo, lo mkhiqizo usetshenziselwa ukwelapha idiopathic pulmonary fibrosis (IPF).
I-Nidanib ifunde iziguli eziyi-1,529 ezine-idiopathic pulmonary fibrosis (IPF) ezivivinyweni eziningi zomtholampilo.Idatha yokuphepha eyethulwa isekelwe ekuqhathanisweni kweziguli eziyi-1061 ezinikezwe i-nidanib 150 mg kabili ngosuku kanye ne-placebo esigabeni sesi-3 samaviki angu-52, okungahleliwe, okungaboni kabili, izifundo ezilawulwa yi-placebo (INPULSIS-1 kanye ne-INPULSIS-2).Izenzakalo ezimbi ezivame kakhulu ezihlobene nokusetshenziswa kwe-nidanib zazihlanganisa isifo sohudo, isicanucanu nokuhlanza, ubuhlungu besisu, ukulahlekelwa ukudla, ukuncipha kwesisindo, kanye nama-enzyme esibindi aphakeme.Sicela ubhekisele kokuthi [Izixwayiso] ukuze uthole ukuphathwa kokusabela okungalungile okuhambisanayo.I-Systematic Organ Classification (SOC) ye-MedDRA inikeza isifinyezo sokusabela okungekuhle nokuhlukaniswa kwemvamisa.
I-Nidanib iyi-substrate ye-P-gp (bona i-Pharmacokinetics).Ocwaningweni oluthile lokusebenzisana kwezidakamizwa, ukuphathwa okuhlangene kwe-ketoconazole, i-P-gp inhibitor enamandla, ukwanda kokuchayeka ku-nidanib kuya ezikhathini eziyi-1.61 ngendawo engaphansi kwejika (AUC) kanye nezikhathi eziyi-1.83 ngokugxila okuphezulu (Cmax).
Ocwaningweni lokusebenzelana kwezidakamizwa ne-P-gp inducer rifampicin enamandla, ukuchayeka ku-nidanib kwehle kwafika ku-50.3%, njengoba kulinganiswa ngendawo engaphansi kwejika (AUC), uma kuhlanganiswa ne-rifampicin uma kuqhathaniswa ne-Nidanib iyodwa.Ngokugxila okuphezulu (Cmax), kwehle kwafika ku-60.3%.
Uma isetshenziswa ngokuhambisana nalo mkhiqizo, ama-P-gp inhibitors anamandla (isb., i-ketoconazole noma i-erythromycin) angandisa ukuchayeka ku-nidanib.Kulezi zimo, ukubekezelela kwesiguli i-nidanib kufanele kuqashwe ngokucophelela.Ukulawula ukusabela okubi kungase kudinge ukuyekiswa, ukuncishiswa komthamo, noma ukuyekiswa kokwelashwa ngalo mkhiqizo (bona [Ukusetshenziswa nomthamo]).
I-P-gp inducers enamandla (isb, i-rifampicin, i-carbamazepine, i-phenytoin ne-St. John's wort) inganciphisa ukuchayeka ku-nidanib.Okunye ukuhlanganisa okungenayo noma okuncane kokungeniswa kwe-P-gp kufanele kucatshangelwe.