TheraRadar
Data updated: May 26, 2026

OFEV (nintedanib esylate)

Genetically Validated Trial Activity: Declining 10 active trials
Respiratory Approved 2014-10-15

OFEV is indicated for the treatment of Idiopathic Pulmonary Fibrosis; Interstitial Lung Disease; Systemic Sclerosis-Associated Interstitial Lung Disease.

Source: FDA Label • Boehringer Ingelheim

How OFEV Works

Nintedanib is a small molecule that competitively inhibits the adenosine triphosphate (ATP) binding pocket of multiple receptor tyrosine kinases (RTKs), specifically platelet-derived growth factor receptor (PDGFR) α and β, fibroblast growth factor receptor (FGFR) 1-3, and vascular endothelial growth factor receptor (VEGFR) 1-3. By blocking these intracellular signaling cascades, nintedanib inhibits the processes involved in the pathogenesis of fibrotic tissue remodeling in interstitial lung diseases. It also inhibits certain non-receptor tyrosine kinases (nRTKs) such as Lck, Lyn, and Src kinases.

Development Insights

Boehringer Ingelheim conducting 38 trials (44%)
98 indications explored (Broad Platform)
idiopathic pulmonary fibrosis (14 trials)
healthy (12 trials)
carcinoma, non-small-cell lung (8 trials)
3
Indications
--
Phase 3 Trials
3
Priority Reviews
11
Years on Market

Details

Status
Prescription
First Approved
2014-10-15
Patent Cliff
2029

Pro Metrics

Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
CAPSULE

Companies

Active Ingredient: NINTEDANIB ESYLATE

OFEV Approval History

2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
28 FDA actions from 2014 to 2024 · 2 indication expansions
Oct 2024 SUPPL
Label · Labeling
Jun 2024 SUPPL
Label · Labeling
Jan 2022 SUPPL
Label · Labeling

What OFEV Treats

3 indications

OFEV is approved for 3 conditions since its original approval in 2014. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Idiopathic Pulmonary Fibrosis
  • Interstitial Lung Disease
  • Systemic Sclerosis-Associated Interstitial Lung Disease
Source: FDA Label

OFEV Target & Pathway

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Target

VEGFR (Vascular Endothelial Growth Factor Receptor) Growth Factor Receptor

Receptors on blood vessel cells that respond to VEGF signals to form new blood vessels. Cancer cells exploit this pathway to ensure blood supply for tumor growth. Blocking VEGFRs prevents tumor angiogenesis and limits cancer progression.

Pathway Context

VEGFR on blood vessels is activated by VEGF to promote angiogenesis

VEGF (Vascular Endothelial Growth Factor) ligand

A signaling protein that stimulates the formation of new blood vessels (angiogenesis). Tumors need blood supply to grow, so they secrete VEGF to create new vessels. Blocking VEGF starves tumors of oxygen and nutrients, inhibiting their growth.

OFEV Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

What's emerging in OFEV's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications OFEV treats. First-in-class if their pivotal trials read out positive.

Drugs Similar to OFEV

3 of 5

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

YUTREPIA
TREPROSTINIL SODIUM
2 shared
LIQUIDIA TECH
Shared indications:
Interstitial Lung DiseaseIdiopathic Pulmonary Fibrosis
ACTEMRA
TOCILIZUMAB
1 shared
Roche
Shared indications:
Systemic Sclerosis-Associated Interstitial Lung Disease
ESBRIET
PIRFENIDONE
1 shared
LEGACY PHARMA
Shared indications:
Idiopathic Pulmonary Fibrosis
🔬

Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

OFEV FDA Label Details

Indications & Usage

FDA Label (PDF)

OFEV is indicated for the treatment of Idiopathic Pulmonary Fibrosis; Interstitial Lung Disease; Systemic Sclerosis-Associated Interstitial Lung Disease.

View full patent landscape →
8 OB patents · 4 families · 134 international docs across 40 countries

OFEV Patents & Exclusivity

Latest Patent: Dec 2029
Exclusivity: Mar 2027

Patents (8 active)

US9907756*PED Expires Dec 7, 2029
US10105323*PED Expires Dec 4, 2029
US9907756 Expires Jun 7, 2029
US10105323 Expires Jun 4, 2029
US10154990*PED Expires Jul 8, 2026
US6762180*PED Expires Apr 1, 2026
US10154990 Expires Jan 8, 2026
US6762180 Expires Oct 1, 2025

Exclusivity

ODE-261 Until Sep 2026
ODE-261 Until Sep 2026
PED Until Mar 2027
PED Until Mar 2027
ODE-261 Until Sep 2026
ODE-261 Until Sep 2026
PED Until Mar 2027
PED Until Mar 2027
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for OFEV

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2029
  • 32 active patents

Trial Analysis

  • 87 total trials
  • Stage: Declining

Competitive Landscape

  • 5 similar drugs
  • Same target/indication analysis
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Full approval history • All patents • Revenue trends • Competitor analysis

Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment