Timing impact on the initiation of pirfenidone therapy on idiopathic pulmonary fibrosis disease progression.

World J Clin Cases

Department of Clinical Pharmacy, Faculty of Pharmacy, Beni-Suef University, Beni-Suef 343433, Egypt.

Published: November 2024

AI Article Synopsis

  • * PFD is effective in managing IPF at various stages, showing antifibrotic, anti-inflammatory, and antioxidant benefits.
  • * Although some patients may experience side effects and require dosage adjustments, PFD helps slow disease progression and improves overall patient outcomes, including reducing serious health events and mortality rates.

Article Abstract

In this editorial, we comment on the article by Lei with a specific focus on the timing of the initiation of the antifibrotic agent pirfenidone (PFD) in the management of idiopathic pulmonary fibrosis (IPF) and its impact on lung function of IPF patients. PFD is an antifibrotic agent that is widely used in the management of IPF in both early and advanced stages. It inhibits various pathways and has antifibrotic, anti-inflammatory, and antioxidant properties. Despite dosage lowering, PFD slowed IPF progression and maintained functional capacity. The 6-min walk distance test indicated that patients tolerated adverse events well, and PFD significantly reduced the incidence of progression episodes and death. Even when a single disease-progression event occurred, continuing PFD treatment had benefits.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11438636PMC
http://dx.doi.org/10.12998/wjcc.v12.i32.6538DOI Listing

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