Pirfenidone: 8 agencies, 2012–2023

This page collects every recorded health technology assessment decision for one molecule across the agencies in our archive, and compares them. The comparison is the point: each agency publishes its own verdict, none publishes how that verdict sits against the others.

What the record shows

On the same population the two systems disagree outright: NICE (England) recorded restricted in TA504, while PBAC (Australia) recorded not recommended for “Idiopathic pulmonary fibrosis (IPF)”.

Assessment has run over 11.2 years, from 15 Mar 2012 at G-BA (Germany) to 21 May 2023 at NYE METODER (Norway).

PBAC (Australia) changed its position: not recommended in 2015, recommended by 2018, after a resubmission.

No assessment is on file from AWMSG (Wales) and CIPM (Spain), each among the eight highest-volume agencies here.

3 distinct indication wordings are recorded for pirfenidone by the agencies that label one in English (NICE, PBAC and SMC).

4 of these 15 records carry a year of decision but no day, so any interval quoted here is approximate to within a year.

G-BA (Germany) was first to assess pirfenidone, on 15 Mar 2012; NYE METODER (Norway) did not open a file until 21 May 2023 — an unusually long tail of 11.2 years between the earliest and latest system to look at it.

The record arrives in waves: 5 separate years each carry two or more decisions, spread across 8 years in total.

Restriction is doing real work here: 4 of 13 decisive outcomes narrowed pirfenidone to a subgroup rather than accepting or refusing it outright, at G-BA (Germany), NICE (England) and SMC (Scotland) among others.

3 of the 8 agencies here assessed pirfenidone more than once, PHARMAC (New Zealand) most often at 4 entries — repeat review is the norm for this molecule rather than the exception.

8 of the 18 agencies in this archive hold a record for pirfenidone.

The full ledger for pirfenidone reads 8 recommended, 4 restricted, 1 other and 1 deferred, with 1 in other categories.

Decisions on file

AgencyDateIndication as recorded OutcomeSource
NYE METODER (Norway)21 May 2023Til behandling av idiopatisk lungefibrose (ILF) hos voksne.introducedsource
PHARMAC (New Zealand)5 Sep 2022Progressive fibrosing interstitial lung diseasesPTAC advice: Mediumsource
NICE (England)6 Feb 2018NICE TA504recommended (optimised)source
HAS (France)25 Oct 2017Listing (Transparency Committee)SMR moderate · ASMR Vsource
PBAC (Australia)2016Idiopathic Pulmonary FibrosisRe-submission to request an Authority Required listing for the treatment of idiopathic pul…source

10 further decisions for pirfenidone, across 5 agencies, are not shown here. They link to 7 further source documents.

Related molecules

Coverage: 15 decisions for pirfenidone from 8 agencies, 2012 to 2023. Data to 7 Sep 2026. ATC class L04A — Immunosuppressants. How this page is produced. Compiled by Altima Partners; queries: sales@altimapartners.co.uk.

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