Richeldi, Luca ORCID: 0000-0001-8594-1448, Varone, Francesco, Bergna, Miguel, de Andrade, Joao, Falk, Jeremy, Hallowell, Robert, Jouneau, Stephane, Kondoh, Yasuhiro, Morrow, Lee, Randerath, Winfried, Strek, Mary and Tabaj, Gabriela (2018). Pharmacological management of progressive-fibrosing interstitial lung diseases: a review of the current evidence. Eur. Respir. Rev., 27 (150). SHEFFIELD: EUROPEAN RESPIRATORY SOC JOURNALS LTD. ISSN 1600-0617

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Abstract

A proportion of patients with interstitial lung diseases (ILDs) are at risk of developing a progressive-fibrosing phenotype, which is associated with a deterioration in lung function and early mortality. In addition to idiopathic pulmonary fibrosis (IPF), fibrosing ILDs that may present a progressive phenotype include idiopathic nonspecific interstitial pneumonia, connective tissue disease-associated ILDs, hypersensitivity pneumonitis, unclassifiable idiopathic interstitial pneumonia, ILDs related to other occupational exposures and sarcoidosis. Corticosteroids and/or immunosuppressive therapies are sometimes prescribed to patients with these diseases. However, this treatment regimen may not be effective, adequate on its own or well tolerated, suggesting that there is a pressing need for efficacious and better tolerated therapies. Currently, the only approved treatments to slow disease progression in patients with WE are nintedanib and pirfenidone. Similarities in pathobiological mechanisms leading to fibrosis between IPF and other ILDs that may present a progressive-fibrosing phenotype provide a rationale to suggest that nintedanib and pirfenidone may be therapeutic options for patients with the latter diseases. This review provides an overview of the therapeutic options currently available for patients with fibrosing ILDs, including fibrosing ILDs that may present a progressive phenotype, and explores the status of the randomised controlled trials that are underway to determine the efficacy and safety of nintedanib and pirfenidone.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Richeldi, LucaUNSPECIFIEDorcid.org/0000-0001-8594-1448UNSPECIFIED
Varone, FrancescoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bergna, MiguelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Andrade, JoaoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Falk, JeremyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hallowell, RobertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jouneau, StephaneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kondoh, YasuhiroUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Morrow, LeeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Randerath, WinfriedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Strek, MaryUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tabaj, GabrielaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-161622
DOI: 10.1183/16000617.0074-2018
Journal or Publication Title: Eur. Respir. Rev.
Volume: 27
Number: 150
Date: 2018
Publisher: EUROPEAN RESPIRATORY SOC JOURNALS LTD
Place of Publication: SHEFFIELD
ISSN: 1600-0617
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
IDIOPATHIC PULMONARY-FIBROSIS; STEM-CELL TRANSPLANTATION; TYROSINE KINASE INHIBITOR; SYSTEMIC-SCLEROSIS; MYCOPHENOLATE-MOFETIL; RHEUMATOID-ARTHRITIS; PULSE CYCLOPHOSPHAMIDE; OPEN-LABEL; NINTEDANIB; RITUXIMABMultiple languages
Respiratory SystemMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/16162

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