Evidence map›Paper›PMID 32759258›Full record

Trial reportAnnals of the rheumatic diseases2020

Safety and tolerability of nintedanib in patients with systemic sclerosis-associated interstitial lung disease: data from the SENSCIS trial.

James R Seibold, Toby M Maher, Kristin B Highland, Shervin Assassi, Arata Azuma, Laura Kathleen Hummers, Ulrich Costabel, Ute von Wangenheim, Veronika Kohlbrenner, Martina Gahlemann and 3 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of the rheumatic diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
6.8field-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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 8 countries.

James R SeiboldScleroderma Research Consultants, LLC, Aiken, South Carolina, USA jamesrseibold@gmail.com.ORCID 0000-0001-5187-3141
Toby M MaherNational Heart and Lung Institute, Imperial College London, London, UK.
Kristin B HighlandRespiratory Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Shervin AssassiUniversity of Texas Houston Medical School, Houston, Texas, USA.ORCID 0000-0002-8059-9978
Arata AzumaDepartment of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan.
Laura Kathleen HummersDivision of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Ulrich CostabelInterstitial and Rare Lung Disease Unit, Department of Pneumology, Ruhrlandklinik, University Hospital Essen, Essen, Germany.
Ute von WangenheimBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.
Veronika KohlbrennerBoehringer Ingelheim Pharmaceuticals, Inc, Ridgefield, Connecticut, USA.
Martina GahlemannBoehringer Ingelheim (Schweiz) GmbH, Basel, Switzerland.
Margarida AlvesBoehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Oliver DistlerDepartment of Rheumatology, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-0546-8310
SENSCIS trial investigators
Boehringer Ingelheim (Germany) · DEBoehringer Ingelheim (Switzerland) · CHBoehringer Ingelheim (Taiwan) · TWCleveland Clinic · USJohns Hopkins University · USNippon Medical School · JPRuhrlandklinik · DEScleroderma Foundation · USUniversity Hospital of Zurich · CHUniversity of Southern California · US

Funding

Institutional Career Development CoreKL2TR003168 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILLER, CHARLES C · 2019 to 2023
$4.9M
NCATS NIH HHS KL2 TR003168
6 · The paper itself

Abstract

objectivesTo characterise the safety and tolerability of nintedanib and the dose adjustments used to manage adverse events in patients with systemic sclerosis-associated interstitial lung disease (SSc-ILD).

methodsIn the SENSCIS trial, patients with SSc-ILD were randomised to receive nintedanib 150 mg two times per day or placebo. To manage adverse events, treatment could be interrupted or the dose reduced to 100 mg two times per day. We assessed adverse events and dose adjustments over 52 weeks.

resultsA total of 576 patients received nintedanib (n=288) or placebo (n=288). The most common adverse event was diarrhoea, reported in 75.7% of patients in the nintedanib group and 31.6% in the placebo group; diarrhoea led to permanent treatment discontinuation in 6.9% and 0.3% of patients in the nintedanib and placebo groups, respectively. In the nintedanib and placebo groups, respectively, 48.3% and 12.2% of patients had ≥1 dose reduction and/or treatment interruption, and adverse events led to permanent discontinuation of the trial drug in 16.0% and 8.7% of patients. The adverse events associated with nintedanib were similar across subgroups defined by age, sex, race and weight. The rate of decline in forced vital capacity in patients treated with nintedanib was similar irrespective of dose adjustments.

conclusionsThe adverse event profile of nintedanib in patients with SSc-ILD is consistent with its established safety and tolerability profile in patients with idiopathic pulmonary fibrosis. Dose adjustment is important to minimise the impact of adverse events and help patients remain on therapy.

Indexed as

AdultAgedFemaleHumansIndolesLung Diseases, InterstitialMaleMiddle AgedProtein Kinase InhibitorsScleroderma, SystemicIndolesnintedanibProtein Kinase Inhibitorsautoimmune diseasespulmonary fibrosissystemic sclerosis

Identifiers

PMID32759258
PMCPMC7569371
OpenAlexW3047341706

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.