Nidaanib, waa kiimiko.Magaca kiimikada 1 h - indole - 6 - karboksilic acid, 2, 3 - dihydro - 3 - [[4 - (methyl [(4 - methyl - 1 - piperazine) acetyl] amino] phenyl] amino] benzene wadnaha ee methyl] - 2 - oxygen -, methyl ester, (z) - Clinically, alaabta this waxaa loo isticmaalaa in lagu daweeyo idiopathic pulmonary fibrosis (IPF).
Nidanib waxa uu dersay 1,529 bukaan oo qaba idiopathic pulmonary fibrosis (IPF) tijaabooyin caafimaad oo badan.Xogta badbaadada ee la soo bandhigay waxay ku salaysan tahay isbarbardhigga bukaanada 1061 ee la siiyay nidanib 150 mg laba jeer maalintii iyo placebo laba marxaladood oo 52-usbuuc ah 3, randomized, double-inard, placebo-controlled studies (INPULSIS-1 iyo INPULSIS-2).Dhacdooyinka xun xun ee ugu badan ee la xidhiidha isticmaalka nidanib waxaa ka mid ah shuban, lallabbo iyo matag, calool xanuun, cunto xumo, miisaan lumis, iyo enzymes beerka oo sarreeya.Fadlan tixraac [Taxadarka] maaraynta falcelinta xun ee u dhiganta.Kala soocidda xubnaha habaysan (SOC) ee MedDRA waxay bixisaa soo koobida falcelinta xun iyo kala soocida inta jeer.
Nidanib waa substrate-ka P-gp (eeg Pharmacokinetics).Daraasad gaar ah oo ku saabsan isdhexgalka daroogada, isku-darka maamulka ketoconazole, P-gp inhibitor awood leh, kororka soo-gaadhista nidanib ilaa 1.61 jeer aagga ka hooseeya qalooca (AUC) iyo 1.83 jeer xoojinta ugu sarreysa (Cmax).
Daraasadda isdhexgalka daroogada ee P-gp inducer rifampicin ee xoogga leh, soo-gaadhista nidanib ayaa hoos u dhacday 50.3%, sida lagu cabbiray aagga qalooca (AUC), marka lagu daro rifampicin marka la barbar dhigo Nidanib oo keliya.Marka la eego feejignaanta ugu sarreysa (Cmax), waxay hoos ugu dhacday 60.3%.
Marka lagu daro badeecadan, P-gp inhibitors (tusaale, ketoconazole ama erythromycin) waxay kordhin karaan soo-gaadhista nidanib.Xaaladahan, dulqaadka bukaanka ee nidanib waa in si dhow loola socdo.Maareynta falcelinta xun waxay u baahan kartaa joojinta, dhimista qiyaasta, ama joojinta daawaynta alaabtan (eeg [Isticmaalka iyo qiyaasta]).
Soo-saareyaasha awoodda leh ee P-gp (tusaale, rifampicin, carbamazepine, phenytoin iyo St. John's wort) waxay yarayn karaan soo-gaadhista nidanib.Isku darka kale ee aan lahayn ama ugu yar ee P-gp waa in la tixgeliyaa.