Evidence map›Paper›PMID 33359599›Full record

ReviewPharmacology & therapeutics2021

Idiopathic pulmonary fibrosis: Disease mechanisms and drug development.

Paolo Spagnolo, Jonathan A Kropski, Mark G Jones, Joyce S Lee, Giulio Rossi, Theodoros Karampitsakos, Toby M Maher, Argyrios Tzouvelekis, Christopher J Ryerson

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Pharmacology & therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05828953 (A Multicenter, Randomized, Double-blind, Placebo-controlled Clinical Trial of Anlotinib Capsules for the Treatment of Idiopathic Pulmonary Fibrosis), which is not on this map. Cited by 333 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
333citing papers in PubMed, 4 pooled it
33.9field-weighted citation impact, top 1% 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.

NCT05828953 phase2active not recruitingnot on this map

A Multicenter, Randomized, Double-blind, Placebo-controlled Clinical Trial of Anlotinib Capsules for the Treatment of Idiopathic Pulmonary Fibrosis (IPF)/Progressive Fibrosis-interstitial Lung Disease (PF-ILDs)

TypeinterventionalSponsorFirst Affiliated Hospital of Wenzhou Medical UniversityRan2021 to 2026Enrolled30ConditionsInterstitial Lung DiseasesArmsAnlotinib, Placebo
3 · Its place in the literature

Who cites it

333 citing papers in PubMed, 4 syntheses or guidelines pooled it, 629 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. mExperimental and therapeutic medicine · 2026
    Review
  9. Inter-Organ Communication in Pulmonary Fibrosis: Systemic Modifiers of a Lung-Centered Disease.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Review
  10. Article
  11. Multi-omics insights into the mechanisms and prognosis of IPF.Genes and environment : the official journal of the Japanese Environmental Mutagen Society · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

273 more citing papers are in PubMed but not listed here.

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

9 authors at 8 institutions in 5 countries.

Paolo SpagnoloRespiratory Disease Unit, Department of Cardiac Thoracic, Vascular Sciences and Public Health, University of Padova, Padova, Italy. Electronic address: paolo.spagnolo@unipd.it.
Jonathan A KropskiVanderbilt University Medical Center, Nashville, TN, United States.
Mark G JonesNIHR Respiratory Biomedical Research Centre, University Hospital Southampton, Southampton, UK.
Joyce S LeeUniversity of Colorado, School of Medicine, Department of Medicine, Aurora, CO, United States.
Giulio RossiPathology Unit, AUSL della Romagna, St. Maria delle Croci Hospital, Ravenna, Italy.
Theodoros KarampitsakosDepartment of Respiratory Medicine, University Hospital of Patras, Patras, Greece.
Toby M MaherNational Heart and Lung Institute, Imperial College London and National Institute for Health Research Clinical Research Facility, Royal Brompton Hospital, London, UK; Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Argyrios TzouvelekisDepartment of Respiratory Medicine, University Hospital of Patras, Patras, Greece.
Christopher J RyersonDepartment of Medicine, University of British Columbia and Centre for Heart Lung Innovation, St Paul's Hospital, Vancouver, Canada.
General University Hospital of Patras · GROspedale "Santa Maria delle Croci" di Ravenna · ITRoyal Brompton Hospital · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of British Columbia · CAUniversity of Colorado Denver · USUniversity of Padua · ITVanderbilt University Medical Center · US

Funding

Spatiotemporal genomic regulation of disease initiation and progression in pulmonary fibrosisR01HL145372 · NHLBI · TRANSLATIONAL GENOMICS RESEARCH INST · PI Nicholas Eli Banovich, Jonathan Andrew Kropski · 2019 to 2026
$6.0M
Mechanisms of epithelial repair and remodeling in pulmonary fibrosisR01HL153246 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KROPSKI, JONATHAN ANDREW · 2020 to 2024
$2.8M
DNA-Damage Repair In Pulmonary FibrosisK08HL130595 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KROPSKI, JONATHAN ANDREW · 2016 to 2020
$786k
Department of Health CS-2013-13-017Doris Duke Charitable Foundation 2018099NHLBI NIH HHS K08 HL130595NHLBI NIH HHS R01 HL145372NHLBI NIH HHS R01 HL153246
6 · The paper itself

Abstract

Idiopathic pulmonary fibrosis (IPF) is a chronic progressive disease of unknown cause characterized by relentless scarring of the lung parenchyma leading to reduced quality of life and earlier mortality. IPF is an age-related disorder, and with the population aging worldwide, the economic burden of IPF is expected to steadily increase in the future. The mechanisms of fibrosis in IPF remain elusive, with favored concepts of disease pathogenesis involving recurrent microinjuries to a genetically predisposed alveolar epithelium, followed by an aberrant reparative response characterized by excessive collagen deposition. Pirfenidone and nintedanib are approved for treatment of IPF based on their ability to slow functional decline and disease progression; however, they do not offer a cure and are associated with tolerability issues. In this review, we critically discuss how cutting-edge research in disease pathogenesis may translate into identification of new therapeutic targets, thus facilitate drug discovery. There is a growing portfolio of treatment options for IPF. However, targeting the multitude of profibrotic cytokines and growth factors involved in disease pathogenesis may require a combination of therapeutic strategies with different mechanisms of action.

Indexed as

Drug DevelopmentIdiopathic Pulmonary FibrosisDrug DiscoveryHumansDisease mechanismsGenomicsIdiopathic pulmonary fibrosisPathogenesisSingle-cell biologyStem cellsTherapeutic targetsTreatment

Identifiers

PMID33359599
PMCPMC8142468
OpenAlexW3116084499

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.