Product image of Nintedanib Centrafarm (Nintedanib) supplied by GNH India

Nintedanib Centrafarm

Active Ingredient:
Nintedanib
Origin:
EU

Nintedanib Centrafarm (Nintedanib)

Nintedanib, the active ingredient in Nintedanib Centrafarm, is a tyrosine kinase inhibitor presented as an oral formulation for oral use. It is indicated for the treatment of idiopathic pulmonary fibrosis, systemic sclerosis‑associated interstitial lung disease, and certain forms of non‑small cell lung cancer in adult patients.

GNH India supplies Nintedanib Centrafarm as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution across multiple regulatory jurisdictions.

Manufacturer / TM Owner

Centrafarm B.V.

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Indications & Clinical Uses

Nintedanib is used in fibrotic lung diseases and selected oncology indications, where inhibition of multiple growth factor receptors slows disease progression.

  • Idiopathic pulmonary fibrosis: reduces decline in lung function and delays disease progression.
  • Systemic sclerosis‑associated interstitial lung disease: improves forced vital capacity and stabilises respiratory symptoms.
  • Non‑small cell lung cancer (specific histology): used in combination therapy to inhibit tumor angiogenesis and growth.

How It Works

  • Nintedanib blocks the intracellular kinase activity of vascular endothelial growth factor receptors (VEGFR 1‑3), fibroblast growth factor receptors (FGFR 1‑3) and platelet‑derived growth factor receptors (PDGFR‑α/β). By inhibiting these pathways, it reduces fibroblast proliferation, angiogenesis and extracellular matrix deposition, thereby attenuating fibrotic remodeling in lung tissue and limiting tumor vascular support.

Side Effects

Nintedanib may cause a range of adverse reactions, which are classified by frequency and severity.

Common Side Effects

  • Diarrhoea: frequent, may be mild to moderate.
  • Nausea: occasional, often transient.
  • Elevated liver enzymes (ALT/AST): observed in routine monitoring.
  • Decreased appetite: may affect nutritional intake.

Serious or Rare Side Effects

  • Hepatotoxicity: severe liver injury requiring discontinuation.
  • Cardiovascular events: arterial thromboembolism or myocardial infarction.
  • Severe bleeding: gastrointestinal or intracranial haemorrhage.

Precautions & Warnings

Before initiating Nintedanib, clinicians should evaluate several safety considerations to minimise risk.

  • Liver function: assess baseline transaminases and monitor regularly.
  • Bleeding risk: avoid in patients with active bleeding or on anticoagulants without careful assessment.
  • Gastrointestinal health: monitor for severe diarrhoea and dehydration.
  • Pregnancy and lactation: contraindicated unless benefits outweigh risks; discuss with obstetric specialist.
  • Store below 25°C: keep in original container, protect from moisture and light.

Avoid Interactions

Concomitant medicines can alter Nintedanib exposure or increase toxicity; interactions are grouped by clinical relevance.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may raise plasma levels, increasing adverse events.
  • Anticoagulants (warfarin, direct oral anticoagulants): heightened bleeding risk.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inducers (e.g., rifampicin): may reduce efficacy.
  • P‑glycoprotein inhibitors (e.g., verapamil): modest increase in exposure.
  • NSAIDs or antiplatelet agents: additive bleeding potential.
  • St. John’s wort: may lower drug concentrations.

Frequently Asked Questions

Nintedanib Centrafarm is prescribed for idiopathic pulmonary fibrosis, systemic sclerosis‑associated interstitial lung disease, and for certain patients with non‑small cell lung cancer when used as part of a combination regimen. In each case the drug targets pathways that drive fibrosis or tumor angiogenesis, helping to slow disease progression.

Nintedanib inhibits the kinase activity of VEGFR, FGFR and PDGFR receptors. By blocking these signals it reduces fibroblast proliferation, extracellular matrix formation and new blood‑vessel growth. This dual antifibrotic and anti‑angiogenic effect underlies its benefit in lung fibrosis and selected cancers.

The exact dose and dosing schedule are determined by the prescribing clinician based on the patient’s specific indication, disease severity, renal and hepatic function, and any concomitant medications. Dosing recommendations are provided in the product’s prescribing information and should be individualized for each patient.

Nintedanib is not recommended for use during pregnancy or while breastfeeding unless the potential benefit justifies the potential risk to the fetus or infant. Women of child‑bearing potential should use effective contraception during treatment and discuss any pregnancy plans with their healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Nintedanib Centrafarm. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain needs) and the necessary import documentation.

Compared with pirfenidone, another approved antifibrotic, Nintedanib targets a broader range of receptor tyrosine kinases (VEGFR, FGFR, PDGFR) and may be chosen for patients who cannot tolerate pirfenidone’s gastrointestinal profile. Both drugs slow lung‑function decline in idiopathic pulmonary fibrosis, but the choice depends on individual tolerability, comorbidities and physician judgment.

Nintedanib Centrafarm should be stored below 25 °C (77 °F) in its original packaging, protected from moisture and direct light. Do not store in a bathroom or near a heat source. Keep the product out of reach of children and check the expiry date before use.

The medication is taken orally, usually with food to lessen gastrointestinal discomfort. Capsules (or tablets, depending on the marketed form) are swallowed whole with a glass of water. Patients should follow the prescribing clinician’s instructions regarding timing and any dose adjustments.

The most serious adverse events include severe liver injury (elevated ALT/AST), major bleeding episodes, and cardiovascular events such as arterial thromboembolism or myocardial infarction. Patients should report signs of jaundice, unusual bruising, chest pain, or sudden shortness of breath to their healthcare provider promptly.

Nintedanib is contraindicated in patients with known hypersensitivity to the active substance or any excipients, in those with active, clinically significant bleeding, and in individuals with severe hepatic impairment. Caution is also advised for patients on strong CYP3A4 inhibitors or anticoagulants, and it should be avoided in pregnancy unless absolutely necessary.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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