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

Nintedanib Goibela

Active Ingredient:
Nintedanib
Origin:
EU

Nintedanib Goibela (Nintedanib)

Nintedanib, the active ingredient in Nintedanib Goibela, is a tyrosine kinase inhibitor presented as a capsule for oral use. It is indicated for idiopathic pulmonary fibrosis, systemic sclerosis‑associated interstitial lung disease, and in combination with chemotherapy for non‑small cell lung cancer in appropriate patients.

GNH India supplies Nintedanib Goibela as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The product is manufactured for the European Union market and meets EU quality standards.

Manufacturer / TM Owner

Laboratorios Cinfa S.A.

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Indications & Clinical Uses

  • Nintedanib is used in fibrotic lung diseases and as part of cancer therapy, targeting pathways that drive fibroblast activity and tumor angiogenesis.
  • Idiopathic pulmonary fibrosis: slows disease progression and reduces decline in lung function.
  • Systemic sclerosis‑associated interstitial lung disease: limits fibrosis and preserves respiratory capacity.
  • Non‑small cell lung cancer (in combination with chemotherapy): enhances antitumour effect by inhibiting angiogenesis.

How It Works

  • Nintedanib inhibits multiple receptor tyrosine kinases—including vascular endothelial growth factor receptors (VEGFR 1‑3), platelet‑derived growth factor receptors (PDGFR‑α/β) and fibroblast growth factor receptors (FGFR‑1‑3). By blocking these pathways, it reduces fibroblast proliferation, migration and transformation, and exerts anti‑angiogenic activity that limits tissue fibrosis and tumour vascularisation.

Side Effects

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

Common Side Effects

  • Nausea
  • Diarrhoea
  • Vomiting
  • Decreased appetite
  • Abdominal pain
  • Headache

Serious or Rare Side Effects

  • Elevated liver enzymes (ALT/AST)
  • Bleeding events, including haemoptysis
  • Arterial thrombotic events such as myocardial infarction
  • Gastrointestinal perforation
  • Severe infections
  • Life‑threatening skin reactions (e.g., Stevens‑Johnson syndrome).

Precautions & Warnings

  • When prescribing Nintedanib, clinicians should observe several safety measures to minimise risk.
  • Monitor liver function: obtain baseline and periodic LFTs during therapy.
  • Assess bleeding risk: evaluate concomitant anticoagulant or antiplatelet use.
  • Evaluate cardiovascular status: watch for hypertension or arterial events.
  • Avoid use in severe hepatic impairment: contraindicated in patients with Child‑Pugh C liver disease.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Nintedanib can interact with other medicines, requiring attention to avoid clinically significant effects.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may increase nintedanib exposure.
  • Anticoagulants (e.g., warfarin): heightened risk of bleeding.
  • High‑dose aspirin or other antiplatelet agents: increased bleeding tendency.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., fluconazole): may raise plasma levels.
  • P‑gp inhibitors (e.g., verapamil): could affect absorption.
  • Diuretics: monitor electrolytes and renal function.
  • Antifungal agents (e.g., itraconazole): may increase systemic exposure.

Frequently Asked Questions

Nintedanib Goibela is prescribed for idiopathic pulmonary fibrosis, systemic sclerosis‑associated interstitial lung disease, and as an adjunct to chemotherapy for non‑small cell lung cancer. In each case the drug targets pathways that drive fibrosis or tumour angiogenesis, helping to slow disease progression.

Nintedanib blocks several receptor tyrosine kinases—VEGFR, PDGFR and FGFR—thereby reducing fibroblast activation, migration and transformation, and inhibiting new blood‑vessel formation. This dual antifibrotic and anti‑angiogenic effect underlies its therapeutic benefit in lung fibrosis and certain cancers.

The specific dose of Nintedanib Goibela is determined by the prescribing clinician based on the patient’s condition, weight, renal and hepatic function, and concomitant therapies. Physicians follow approved labeling and adjust the regimen as needed for safety and efficacy.

Safety data for nintedanib in pregnancy and lactation are limited, and the product is classified as contraindicated or not recommended for use in these situations. Women of child‑bearing potential should use effective contraception, and breastfeeding mothers should discuss alternatives with their healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. 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 requirements) and the necessary import documentation.

The primary alternative for idiopathic pulmonary fibrosis is pirfenidone, another antifibrotic agent. While both drugs aim to slow lung function decline, nintedanib targets multiple tyrosine kinases and has a broader anti‑angiogenic profile, whereas pirfenidone’s mechanism involves modulation of cytokine production. Choice between them depends on patient tolerance, comorbidities and physician judgment.

Nintedanib Goibela capsules should be stored at ambient temperature below 25 °C, in the original blister pack, protected from moisture and direct sunlight. Do not refrigerate or freeze the product, and keep it out of reach of children.

The medication is taken orally as a capsule, usually with food to minimise gastrointestinal discomfort. Patients should swallow the capsule whole with water and follow the dosing schedule prescribed by their clinician, without crushing or opening the capsule.

Serious adverse events include significant liver enzyme elevations, bleeding complications (especially when combined with anticoagulants), arterial thrombotic events, gastrointestinal perforation, severe infections and rare life‑threatening skin reactions. Patients should be monitored regularly for these risks and report any concerning symptoms promptly.

Nintedanib is contraindicated in patients with severe hepatic impairment (Child‑Pugh C), those who are pregnant or breastfeeding, and individuals with known hypersensitivity to nintedanib or any capsule excipients. Caution is also advised for patients with active bleeding, uncontrolled hypertension, or recent major surgery.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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