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Treats idiopathic pulmonary fibrosis (IPF). Sold as Esbriet. Every FDA application for this active ingredient: 2 branded and 24 generic.
As of Nov 14, 2026, FDA lists 26 applications for Pirfenidone (sold as Esbriet), first approved Oct 15, 2014, with 0 new uses approved and 0 published complete response letters.
First approved: Oct 15, 2014
Applications: 26
New uses approved: 0
Complete response letters: 0
Medicare spending, 2025: $182M
First approved in the EU: Feb 28, 2011
First approved in Japan: Oct 16, 2008
Medicare Spending
CMS Part D and Part B, 2025, before manufacturer rebates; matched by generic name
First approved in Japan 72 months before the US. PMDA's English list since 2008, matched by ingredient; see all Japanese approvals
Pirespa, new ingredientA drug containing a new active ingredient indicated for the treatment of idiopathic pulmonary fibrosis. · Shionogi & Co., Ltd. · Oct 16, 2008 · Review report
Clinical Trials
34 open or ongoing studies name this ingredient as an intervention, including as a comparator; newest first. See all
Applications, approvals and products come from FDA's Drugs@FDA data files, refreshed weekly, grouped by active ingredient as FDA spells it. Complete response letters are FDA's published letters. Medicare spending is CMS's Part D and Part B dashboard, matched to this ingredient by generic name; shortages are FDA's shortage list, matched by application number; clinical trials are ClinicalTrials.gov studies naming the ingredient as an intervention, refreshed daily; safety programs are FDA's REMS list, matched by application number or, for shared programs, by ingredient.Drugs@FDA