Evidence map›Paper›PMID 30646908›Full record

ArticleRespiratory research2019

Absence of early metabolic response assessed by 18F-FDG PET/CT after initiation of antifibrotic drugs in IPF patients.

Benjamin Bondue, Amélie Castiaux, Gaetan Van Simaeys, Céline Mathey, Félicie Sherer, Dominique Egrise, Simon Lacroix, François Huaux, Gilles Doumont, Serge Goldman

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
8.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 68 citations in OpenAlex.

  1. Pulmonary [European journal of nuclear medicine and molecular imaging · 2026
    Article
  2. [European journal of nuclear medicine and molecular imaging · 2026
    Article
  3. Article
  4. Review
  5. EJNMMI research · 2025
    Article
  6. Imaging technologies in experimental pulmonary fibrosis research: essential tool for enhanced translational relevance.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  7. Molecular Imaging of Pulmonary Fibrosis.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2025
    Review
  8. Frontiers in medicine · 2025
    Article
  9. [European journal of nuclear medicine and molecular imaging · 2024
    Article
  10. Review
  11. [Pharmaceuticals (Basel, Switzerland) · 2024
    Article
  12. Article
  13. [Science advances · 2024
    Article
  14. Review
  15. Frontiers in medicine · 2024
    Article
  16. Article
  17. Pharmaceuticals (Basel, Switzerland) · 2023
    Article
  18. Radiolabeled GPVI-Fc for PET Imaging of Multiple Extracellular Matrix Fibers: A New Look into Pulmonary Fibrosis Progression.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Article
  19. Utilizing MRI, [Frontiers in nuclear medicine · 2023
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Benjamin BondueDepartment of Respiratory Medicine, Erasme University Hospital, Université libre de Bruxelles (ULB), route de Lennik 808, 1070, Brussels, Belgium. benjamin.bondue@erasme.ulb.ac.be.
Amélie CastiauxDepartment of Nuclear Medicine, Erasme University Hospital, Université libre de Bruxelles (ULB), route de Lennik 808, 1070, Brussels, Belgium.
Gaetan Van SimaeysDepartment of Nuclear Medicine, Erasme University Hospital, Université libre de Bruxelles (ULB), route de Lennik 808, 1070, Brussels, Belgium.
Céline MatheyDepartment of Nuclear Medicine, Erasme University Hospital, Université libre de Bruxelles (ULB), route de Lennik 808, 1070, Brussels, Belgium.
Félicie ShererDepartment of Nuclear Medicine, Erasme University Hospital, Université libre de Bruxelles (ULB), route de Lennik 808, 1070, Brussels, Belgium.
Dominique EgriseDepartment of Nuclear Medicine, Erasme University Hospital, Université libre de Bruxelles (ULB), route de Lennik 808, 1070, Brussels, Belgium.
Simon LacroixDepartment of Nuclear Medicine, Erasme University Hospital, Université libre de Bruxelles (ULB), route de Lennik 808, 1070, Brussels, Belgium.
François HuauxLouvain Centre for Toxicology and Applied Pharmacology, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Avenue Hippocrate, 57 bte B1.57.06, 1200, Woluwe-Saint-Lambert, Belgium.
Gilles DoumontCenter for Microscopy and Molecular Imaging, Université libre de Bruxelles (ULB), rue Adrienne Bolland 8, 6041, Charleroi, Belgium.
Serge GoldmanDepartment of Nuclear Medicine, Erasme University Hospital, Université libre de Bruxelles (ULB), route de Lennik 808, 1070, Brussels, Belgium.
Université Libre de Bruxelles · BEUCLouvain · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF) is characterized by a progressive and irreversible respiratory failure. Non-invasive markers of disease activity are essential for prognosis and evaluation of early response to anti-fibrotic treatments.

objectivesThe aims of this study were to determine whether fluorodeoxyglucose ([18F]-FDG) lung uptake is reduced after initiation of pirfenidone or nintedanib and to assess its possible use as a prognostic factor.

methods[18F]-FDG PET/CT was performed in IPF patients and in a murine model of pulmonary fibrosis. PET/CTs were performed at day 8 and day 15 post-instillation of bleomycin in pirfenidone- or vehicule-treated mice. In IPF patients, PET-CT was performed before and 3 months after the initiation of pirfenidone or nintedanib.

resultsIn bleomycin-treated mice, pirfenidone significantly reduced the [18F]-FDG uptake compared to vehicule-treated mice at day 15 (p < 0.001), whereas no difference was observed at day 8 after bleomycin administration. In IPF patients, [18F]-FDG lung uptake before and after 3 months of treatment by nintedanib (n = 11) or pirfenidone (n = 14) showed no significant difference regardless the antifibrotic treatment. Moreover, no difference was noticed between patients with progressive or non-progressive disease at one year of follow up.

conclusionsPirfenidone significantly reduces the lung [18F]-FDG uptake during the fibrotic phase in a mouse model of IPF. However, these preclinical data were not confirmed in IPF patients 3 months after the initiation of antifibrotic therapy. [18F]-FDG seems therefore not useful in clinical practice to assess the early response of IPF patients to nintedanib or pirfenidone.

Indexed as

Fluorodeoxyglucose F18AgedAnimalsAntineoplastic AgentsFemaleFibrosisHumansIdiopathic Pulmonary FibrosisIndolesMaleMiceMice, Inbred C57BLMiddle AgedPositron Emission Tomography Computed TomographyProspective StudiesPyridonesAntineoplastic AgentsFluorodeoxyglucose F18IndolesnintedanibpirfenidonePyridonesBiomarkerIdiopathic pulmonary fibrosisILDInterstitial lung diseaseIPFNintedanibPET/CTPirfenidone

Identifiers

PMID30646908
PMCPMC6334423
OpenAlexW2905667381

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.