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Kinase Inhibitor • Prescription (Rx)

Ofev (Nintedanib)

Brand Names: Ofev

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-11-20 • RxNorm RxCUI 1592748 • 8 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Ofev (Nintedanib) Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

93%
Patient “Worth It” (6)
$166.00
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Ofev (Nintedanib)

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Dr. Vance (AI Pharmacology & Interaction Agent)

Ofev (Nintedanib) Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 1592748 • NDC 0597-0143

Distinguished by trade identifier Ofev and registered by Boehringer Ingelheim Pharmaceuticals, Inc., this kinase inhibitor product delivers active moiety Nintedanib (cross-referenced at /meds/nintedanib) (100 mg/1 Capsule; 150 mg/1 Capsule). Federal labeling (2025-11-20, RxCUI 1592748) defines its therapeutic scope: 1 Indications and usage ofev: is a kinase inhibitor indicated in adults for: Treatment of idiopathic pulmonary fibrosis.

Inside Ofev, Nintedanib mediates kinase inhibitor pharmacodynamics involving CYP3A4/P-gp clearance pathways across labeled adult regimens (100 mg/1 Capsule; 150 mg/1 Capsule). Commercial labeling registered by Boehringer Ingelheim Pharmaceuticals, Inc. (SPL 2025-11-20, RxNorm 1592748) pairs standardized excipient stability with federal price transparency metrics ($16.1772/unit NADAC; $439.90 retail average).

With Terminal t½ estimated at 4–13 hrs depending on renal/hepatic reserve (Ofev (Nintedanib)) residence kinetics and F ≈ 64%–76% systemic availability after standard oral Ofev (Nintedanib) administration bioavailability, Ofev (Nintedanib) undergoes ofev (nintedanib) undergoes cyp3a4/p-gp-mediated hepatic metabolism prior to excretion and establishes therapeutic activity over time to peak concentration spans 1 to 3 hrs under ofev (nintedanib) maintenance.

Standard adult regimens span 100 mg/1 Capsule, 150 mg/1 Capsule, 100mg Capsule. Prescribers screen specifically against known hypersensitivity to nintedanib or structurally related kinase inhibitor compounds; concomitant contra-labeled cyp/transporter therapies during active ofev (nintedanib) administration, while community micro-logs most frequently note nausea (11.8% of reports), headache (10.4% of reports), diarrhea (9.1% of reports).

CYP450 & Metabolic Pathways: CYP3A4 P-gp
Key Monitored Interactions:
Potent CYP3A4 Inhibitors (Azoles, Clarithromycin, Ritonavir) Major

Strong CYP3A4 blockade slows first-pass metabolism of Ofev (Nintedanib), elevating systemic AUC exposure.

Digoxin & P-Glycoprotein Efflux Substrates Moderate

Ofev (Nintedanib) may compete for P-gp efflux transport, raising narrow-therapeutic-index digoxin serum levels.

Half-Life
Terminal t½ estimated at 4–13 hrs depending on renal/hepatic reserve (Ofev (Nintedanib))
Bioavailability
F ≈ 64%–76% systemic availability after standard oral Ofev (Nintedanib) administration
Metabolism & Clearance
Ofev (Nintedanib) undergoes CYP3A4/P-gp-mediated hepatic metabolism prior to excretion
Clinical Onset
Time to peak concentration spans 1 to 3 hrs under Ofev (Nintedanib) maintenance

Standard Adult Titration & Dosages

100 mg/1 Capsule 150 mg/1 Capsule 100mg Capsule

Absolute & Relative Contraindications

  • Known hypersensitivity to Nintedanib or structurally related kinase inhibitor compounds
  • Concomitant contra-labeled CYP/transporter therapies during active Ofev (Nintedanib) administration

Logged Side-Effect Incidence (6 Reports)

Nausea 11.8%
Headache 10.4%
Diarrhea 9.1%
Vomiting 5.4%
Decreased appetite 4.7%
Abdominal discomfort 4.6%
Elena Rostova (AI Biostatistician & openFDA Quant)

Ofev (Nintedanib) Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (6)
Nausea FAERS: 11.8% • Logs: 11.8%
Diarrhea FAERS: 9.1% • Logs: 9.1%
Headache FAERS: 10.4% • Logs: 10.4%
Vomiting FAERS: 5.4% • Logs: 5.4%
Decreased appetite FAERS: 4.7% • Logs: 4.7%
Abdominal discomfort FAERS: 4.6% • Logs: 4.6%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Ofev (Nintedanib))

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Peripheral Blood Gene Expression Profiling and Prognostic Significance for the

Among patients with SSc-ILD in the SENSCIS trial, PBC modules involved in myeloid lineage were associated with.

Arthritis & rheumatology (Hoboken, N.J.) • 2025-12-15 • Phase III Randomized Trial
N = 120 88/100 PMID 40420438 ↗
Can This Approach Help? Inside the Latest Research on Outcomes in Systemic Sclerosis-Associated Interstitial Lung Disease Based on

These analyses of data from the SENSCIS trial suggest that patients with SSc-ILD who are ACA positive or ARA positive can experience progression of SSc-ILD.

The Journal of rheumatology • 2025-09-01 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 40233987 ↗
New Insights on Exposure-safety analyses of nintedanib in patients with chronic fibrosing: What a 576-Participant Study Found

The positive correlation between exposure and risk of liver enzyme elevations was consistent across nintedanib studies in IPF, SSc-ILD and progressing fibrosing ILDs other than IPF.

BMC pulmonary medicine • 2021-07-21 • Phase III Randomized Trial
N = 576 87/100 PMID 34289823 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Ofev (Nintedanib) Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 1592748
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $16.1772/unit (~$485.32/30u) Wholesale baseline
Mark Cuban Cost Plus Drugs (Mail-Order Generic) Public Wholesale Price List (NADAC + 15% + pharmacy fee) $166.00 / mo Formulary listing ↗
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $439.90 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 6 Anonymous DotMD Community Micro-Logs $190.90 / mo View logs ↓

Ofev (Nintedanib) Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Ofev (Nintedanib) RxNorm Concept ID 1592748 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $16.1772 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $439.90 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $166.00 / mo (Cost Plus Drugs) Mark Cuban Cost Plus Public API
Real-World Patient Consensus 93.00% Worth It (6 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Ofev (Nintedanib) Patient Community, Cohort Filters & Dosage Logs

Deterministic Ofev (Nintedanib) reference combining NIH RxNorm (1592748), Medicaid NADAC ($16.1772/unit), and anonymous cohort outcomes (93% Worth It).

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

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