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NICEFIT-ON: A Study Under Routine Clinical Practice in Taiwan to Observe the Long-term Outcome of People With Certain Types of Lung Disease (PF-ILD, SSc-ILD, IPF) Who Start Treatment With Nintedanib

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ClinicalTrials.gov Identifier: NCT04614441
Recruitment Status : Active, not recruiting
First Posted : November 4, 2020
Last Update Posted : March 8, 2023
Sponsor:
Information provided by (Responsible Party):
Boehringer Ingelheim

Brief Summary:
To better understand the clinical characteristics of Idiopathic Pulmonary Fibrosis (IPF) / Systemic Sclerosis-associated-Interstitial Lung Disease (SSc-ILD)/ Progressive Fibrosing Interstitial Lung Disease (PF-ILD) patients treated with nintedanib and biomarkers associated with the disease course, a non-interventional, 3-year, prospective study will be conducted to collect the long-term real-world clinical data on IPF/SSc-ILD/PF-ILD patients newly administered with nintedanib in Taiwan

Condition or disease Intervention/treatment
Idiopathic Pulmonary Fibrosis Drug: OFEV®

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Study Type : Observational
Actual Enrollment : 214 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Non-Interventional Collecting Evidences For ILD in Taiwan: Optimized Novel Therapy
Actual Study Start Date : December 25, 2020
Estimated Primary Completion Date : July 13, 2025
Estimated Study Completion Date : July 13, 2025


Group/Cohort Intervention/treatment
Idiopathic Pulmonary Fibrosis (IPF) Drug: OFEV®
nintedanib

Progressive Fibrosing Interstitial Lung Disease (PF-ILD) Drug: OFEV®
nintedanib

Systemic Sclerosis-associated-Interstitial Lung Disease (SSc-ILD) Drug: OFEV®
nintedanib




Primary Outcome Measures :
  1. Annual percentage of decline from baseline in Forced Vital Capacity (FVC, %) per cohort of IPF, SSc-ILD, or PF-ILD [ Time Frame: Up to 5 years ]
    IPF: Idiopathic Pulmonary Fibrosis PF-ILD: Progressive Fibrosing Interstitial Lung Disease SSc-ILD: Systemic Sclerosis-associated-Interstitial Lung Disease

  2. Annual decline from baseline in Diffusing capacity of the Lungs for Carbon monoxide (DLco, %) [ Time Frame: Up to 5 years ]
  3. Annual decline from baseline in resting and exercise Oxygen Saturation (SpO2, %) [ Time Frame: Up to 5 years ]

Secondary Outcome Measures :
  1. Time to first acute exacerbation (AE) of IPF; or time to ILD worsening for SSc-ILD/PF-ILD after study enrollment [ Time Frame: Up to 5 years ]
  2. Annual change from baseline in St George's Respiratory Questionnaire (SGRQ) for IPF or King's Brief Interstitial Lung (K-BILD) for other ILDs [ Time Frame: Up to 5 years ]
    IPF: Idiopathic Pulmonary Fibrosis ILD: Interstitial Lung Disease

  3. Annual change from baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) [ Time Frame: Up to 5 years ]
  4. Annual change from baseline in Six-Minutes Walking Test (6MWT) [ Time Frame: Up to 5 years ]
  5. Annual change from baseline in Berlin questionnaire [ Time Frame: Up to 5 years ]
  6. Change from baseline in quantification of biomarkers [ Time Frame: Up to 5 years ]
    Biomarkers include but not limited to Platelet Derived Growth Factor (PDGF), Vascular Endothelial Growth Factor (VEGF), Fibroblast Growth Factor (FGF), Transforming Growth Factor β1 (TGF-β1), Hepatocyte Growth Factor (HGF), Matrix Metalloproteinase (MMP): MMP-1, MMP-7, MMP-9, α-defensin 1, High Mobility Group Box 1 (HMGB1), Tissue of Metalloproteinase (TIMP), Heat-Shock Protein (HSP): HSP-27, bile acid conjugated, Lysophosphatidic Acid (LPA), Lysophosphatidic Acid Receptor 1 (LPAR1), Prostagladin E2 (PGE2), Interleukin (IL): IL-1β, IL-4, IL-18, IL-13, IL-17, Monocyte Chemoattractant Protein 1 (MCP-1), Macrophage Inflammatory Protein 2 (MIP-2), periostin, osteopontin, Surfactant Protein A (SPA), Surfactant Protein D (SPD), Krebs von den Lungen 6 / Mucin 1 (KL-6/MUC1), anti-HSP70 Immunoglobolin (IgG), Bone Morphogenic Protein (BMP), Carbonhydrate Antigen-199 (CA-199), C-Reaktiv Protein degraded by MMPs (CRPM), chemokine ligand (CCL): CCL 2, CCL-18

  7. Mortality (with cause of death): respiratory- and non-respiratory-related death [ Time Frame: Up to 5 years ]


Information from the National Library of Medicine

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Ages Eligible for Study:   20 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
This study plans to enroll approximately 500 patients with Idiopathic Pulmonary Fibrosis (IPF) / Systemic Sclerosis-associated-Interstitial Lung Disease (SSc-ILD)/ Progressive Fibrosing Interstitial Lung Disease (PF-ILD) who newly initiate nintedanib per physicians' discretion within 6 months before participating in the study.
Criteria

Inclusion Criteria:

This study plans to enroll approximately 500 patients with IPF/SSc-ILD/PF-ILD who newly initiate nintedanib per physicians' discretion within 6 months before participating in the study.

IPF cohort:

  • Diagnosed with IPF during the prior 6 months before study enrollment, based on the 2018 ATS/ERS/JRS/ALAT guideline
  • Patient ≥ 40 years of age
  • Newly initiating nintedanib within 6 months prior to participating in the study
  • Providing written informed consent prior to participating in the study
  • Having further follow-up possibility with participating physician during the planned study period
  • Ability to read and write in local language

SSc-ILD cohort:

  • Diagnosed with SSc-ILD during the prior 6 months before study enrollment, based on 2013 ACR/EULAR
  • Patient ≥ 20 years of age
  • Newly initiating nintedanib OR not receiving nintedanib per physician's discretion (For patients who diagnosed with SSc-ILD but are not treated with nintedanib on physician's discretion, they will apply the same inclusion criteria, with baseline characteristics collected only) within 6 months prior to participating in the study
  • Providing written informed consent prior to participating in the study
  • Having further follow-up possibility with participating physician during the planned study period
  • Ability to read and write in local language

PF-ILD cohort:

  • Diagnosed with PF-ILD (PF-ILD patients will be enrolled only after nintedanib acquires the label approval from TFDA) during the prior 6 months before study enrollment. The definition of PF-ILD diagnosis is as follows:

    --Patients who have ILD with a progressive phenotype, but are not diagnosed with IPF, per physician's judgment. The pathophysiology in these patients is characterized by self-sustaining fibrosis and a deterioration in lung function over time, with worsening respiratory symptoms, resistance to immune-modulatory therapies, and ultimately early mortality.

  • Patient ≥ 20 years of age
  • Newly initiating nintedanib OR not receiving nintedanib per physician's discretion (For patients who diagnosed with PF-ILD but are not treated with nintedanib on physician's discretion, they will apply the same inclusion criteria, with baseline characteristics collected only) within 6 months prior to participating in the study
  • Providing written informed consent prior to participating in the study
  • Having further follow-up possibility with participating physician during the planned study period
  • Ability to read and write in local language

Exclusion Criteria:

- Lung transplantation expected within the next 6 months.

--Included in ongoing interventional trials


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04614441


Locations
Show Show 27 study locations
Sponsors and Collaborators
Boehringer Ingelheim
Additional Information:
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Responsible Party: Boehringer Ingelheim
ClinicalTrials.gov Identifier: NCT04614441    
Other Study ID Numbers: 1199-0393
First Posted: November 4, 2020    Key Record Dates
Last Update Posted: March 8, 2023
Last Verified: March 2023
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description:

After the study is completed and the primary manuscript is accepted for publishing, researchers can use this following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement".

Also, Researchers can use the following link https://www.mystudywindow.com/msw/datasharing to find information in order to request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.

The data shared are the raw clinical study data sets.

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Supporting Materials: Study Protocol
Statistical Analysis Plan (SAP)
Clinical Study Report (CSR)
Time Frame: After all regulatory activities are completed in the US and EU for the product and indication, and after the primary manuscript has been accepted for publication.
Access Criteria: For study documents - upon signing of a 'Document Sharing Agreement'.For study data - 1. after the submission and approval of the research proposal (checks will be performed by both the independent review panel and the sponsor, including checking that the planned analysis does not compete with sponsor's publication plan); 2. and upon signing of a 'Data Sharing Agreement'.
URL: https://www.mystudywindow.com/msw/datasharing

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Pulmonary Fibrosis
Idiopathic Pulmonary Fibrosis
Lung Diseases
Respiratory Tract Diseases