PMID- 35078170 OWN - NLM STAT- MEDLINE DCOM- 20220603 LR - 20220712 IS - 1423-0356 (Electronic) IS - 0025-7931 (Linking) VI - 101 IP - 6 DP - 2022 TI - Nintedanib in IPF: Post hoc Analysis of the Italian FIBRONET Observational Study. PG - 577-584 LID - 10.1159/000521138 [doi] AB - BACKGROUND: The FIBRONET study was an observational study of patients with idiopathic pulmonary fibrosis (IPF) in Italy. OBJECTIVES: In this post hoc descriptive analysis, we describe changes in lung function, anxiety/depression, coughing, exacerbations, and adverse events (AEs) in patients receiving nintedanib treatment. METHODS: Patients with IPF from 20 centers in Italy, aged >/=40 years who received nintedanib for >/=7 months, were followed up for 12 months from study enrollment, attending clinic visits every 3 months. Outcomes included change in forced vital capacity (FVC)% predicted from baseline to 12 months, anxiety/depression measured by the Hospital Anxiety and Depression Scale (HADS), and the proportion of patients with cough, AEs, and exacerbations. RESULTS: In total, 52 patients received nintedanib (mean duration of 11.6 months). Ten patients had dose reductions from 150 mg to 100 mg twice daily, due to AEs. FVC% predicted was unchanged in the overall nintedanib population (78.7% at baseline; 79.8% at 12 months) and those with a reduced dose (77.7% at baseline; 81.0% at 12 months). HADS score was low at baseline and throughout the study. The proportion of patients with cough decreased from 50.0% to 21.2% over 12 months. Two patients experienced exacerbations, 2 patients discontinued treatment, and 27 (51.9%) reported AEs. The most common AE was diarrhea (34.6%). CONCLUSIONS: In patients with IPF who received nintedanib in the FIBRONET study, FVC% predicted was stable over 12 months, and the proportion of patients with cough decreased. The safety profile was consistent with the known safety profile for nintedanib in IPF. CI - (c) 2022 The Author(s). Published by S. Karger AG, Basel. FAU - Harari, Sergio AU - Harari S AD - Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy. AD - U.O. di Pneumologia e Terapia Semi-Intensiva Respiratoria, Ospedale San Giuseppe, IRCCS MultiMedica, Milan, Italy. FAU - Pesci, Alberto AU - Pesci A AD - Department of Medicine, Respiratory Unit, University of Milano-Bicocca, ASST Monza, Monza, Italy. FAU - Albera, Carlo AU - Albera C AD - SC Pneumologia U, A.O.U. Citta Della Scienza e della Salute (Molinette), University of Torino, Turin, Italy. FAU - Poletti, Venerino AU - Poletti V AD - Department of Diseases of the Thorax, Ospedale GB Morgagni, Forli, Italy. AD - Department of Respiratory Diseases & Allergy, Aarhus University Hospital, Aarhus, Denmark. FAU - Amici, Christian AU - Amici C AD - MediNeos Observational Research, Modena, Italy. FAU - Crespi, Giovanna AU - Crespi G AD - Boehringer Ingelheim, Milan, Italy. FAU - Campolo, Benedetta AU - Campolo B AD - Boehringer Ingelheim, Milan, Italy. FAU - Vancheri, Carlo AU - Vancheri C AD - Regional Referral Centre for Rare Lung Diseases, University-Hospital "Policlinico G. Rodolico", Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy. CN - FIBRONET study group LA - eng PT - Journal Article PT - Observational Study DEP - 20220125 PL - Switzerland TA - Respiration JT - Respiration; international review of thoracic diseases JID - 0137356 RN - 0 (Indoles) RN - G6HRD2P839 (nintedanib) SB - IM MH - Cough/drug therapy MH - Humans MH - *Idiopathic Pulmonary Fibrosis/drug therapy MH - Indoles/adverse effects MH - Treatment Outcome MH - Vital Capacity OTO - NOTNLM OT - Antifibrotic treatment OT - Idiopathic pulmonary fibrosis OT - Lung function OT - Nintedanib OT - Observational study EDAT- 2022/01/26 06:00 MHDA- 2022/06/07 06:00 CRDT- 2022/01/25 20:18 PHST- 2021/05/26 00:00 [received] PHST- 2021/11/22 00:00 [accepted] PHST- 2022/01/26 06:00 [pubmed] PHST- 2022/06/07 06:00 [medline] PHST- 2022/01/25 20:18 [entrez] AID - 000521138 [pii] AID - 10.1159/000521138 [doi] PST - ppublish SO - Respiration. 2022;101(6):577-584. doi: 10.1159/000521138. Epub 2022 Jan 25.