FOOD AND DRUG ADMINISTRATION Center for Drug Evaluation and Research Pulmonary-Allergy Drugs Advisory Committee Meeting (PADAC) March 9, 2010 HILTON WASHINGTON DC/SILVER SPRING 8727 COLESVILLE ROAD, SILVER SPRING,MARYLAND Draft Questions to the Committee 1. Discuss the efficacy data for pirfenidone. Include a discussion as to what constitutes a clinically meaningful effect size for the change in percent predicted FVC. 2. Discuss the safety data for pirfenidone. 3. Does the data provide substantial evidence that pirfenidone provides a clinically meaningful beneficial effect in the treatment of patients with IPF to reduce decline in lung function? (Voting Question) If not, what further efficacy data should be obtained? 4. Has the safety of pirfenidone been adequately assessed for the treatment of patients with IPF? (Voting Question) If not, what further safety data should be obtained? 5. Does the committee recommend approval of pirfenidone for the treatment of patients with IPF? (Voting Question) If not, what further data should be obtained?