Evidence map›Paper›PMID 34210788›Full record

ArticleThe European respiratory journal2022

Effects of nintedanib by inclusion criteria for progression of interstitial lung disease.

Toby M Maher, Kevin K Brown, Michael Kreuter, Anand Devaraj, Simon L F Walsh, Lisa H Lancaster, Elizabeth A Belloli, Maria Padilla, Juergen Behr, Rainer-Georg Goeldner and 4 more

Open access · hybridAbstract read
In one paragraph

Article in The European respiratory journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Guideline
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Progressive pulmonary fibrosis: the importance of identification and intervention.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Criteria for Progressive Pulmonary Fibrosis: Getting the Horse Ready for the Cart.American journal of respiratory and critical care medicine · 2023
    Article
  14. Article
  15. Validation of Proposed Criteria for Progressive Pulmonary Fibrosis.American journal of respiratory and critical care medicine · 2023
    Article
  16. Article
  17. Article
  18. Review
  19. Antifibrotic in interstitial lung diseases: When, where, and how long?Lung India : official organ of Indian Chest Society
    Article
  20. Review
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

14 authors at 11 institutions in 3 countries.

Toby M MaherNational Heart and Lung Institute, Imperial College London, London, UK Toby.Maher@med.usc.edu.
Kevin K BrownDept of Medicine, National Jewish Health, Denver, CO, USA.
Michael KreuterCenter for Interstitial and Rare Lung Diseases, Pneumology and Respiratory Care Medicine, Thoraxklinik, University of Heidelberg, Member of the German Center for Lung Research, Heidelberg, Germany.ORCID 0000-0003-4402-2159
Anand DevarajNational Heart and Lung Institute, Imperial College London, London, UK.
Simon L F WalshNational Heart and Lung Institute, Imperial College London, London, UK.
Lisa H LancasterVanderbilt University Medical Center, Nashville, TN, USA.
Elizabeth A BelloliDivision of Pulmonary and Critical Care Medicine, Dept of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Maria PadillaDivision of Pulmonary, Critical Care and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Juergen BehrDept of Medicine V, University Hospital, LMU Munich and Asklepios Klinik München-Gauting, Member of the German Centre for Lung Research, Munich, Germany.
Rainer-Georg GoeldnerBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.
Kay TetzlaffBoehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Rozsa Schlenker-HercegBoehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA.
Kevin R FlahertyDivision of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA.
INBUILD trial investigators
Boehringer Ingelheim (Germany) · DEUniversity of Michigan · USAsklepios Fachkliniken München-Gauting · DEBoehringer Ingelheim (United States) · USHeidelberg University · DEIcahn School of Medicine at Mount Sinai · USImperial College London · GBNational Jewish Health · USRoyal Brompton Hospital · GBUniversity of Southern California · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe INBUILD trial investigated nintedanib

methodsSubjects had a fibrosing ILD other than idiopathic pulmonary fibrosis and met the following criteria for ILD progression within the 24 months before screening despite management deemed appropriate in clinical practice: Group A, relative decline in FVC ≥10% predicted; Group B, relative decline in FVC ≥5-<10% predicted with worsened respiratory symptoms and/or increased extent of fibrosis on high-resolution computed tomography (HRCT); Group C, worsened respiratory symptoms and increased extent of fibrosis on HRCT only.

resultsIn the placebo group, the rates of FVC decline over 52 weeks in Groups A, B and C, respectively, were -241.9, -133.1 and -115.3 mL per year in the overall population (p=0.0002 for subgroup-by-time interaction) and -288.9, -156.2 and -100.1 mL per year among subjects with a usual interstitial pneumonia (UIP)-like fibrotic pattern on HRCT (p=0.0005 for subgroup-by-time interaction). Nintedanib had a greater absolute effect on reducing the rate of FVC decline in Group A than in Group B or C. However, the relative effect of nintedanib

conclusionsThe inclusion criteria used in the INBUILD trial, based on FVC decline or worsening of symptoms and extent of fibrosis on HRCT, were effective at identifying patients with progressive fibrosing ILDs. Nintedanib reduced the rate of decline in FVC across the subgroups based on the inclusion criteria related to ILD progression.

Indexed as

Idiopathic Pulmonary FibrosisLung Diseases, InterstitialDisease ProgressionHumansIndolesProtein Kinase InhibitorsVital CapacityIndolesnintedanibProtein Kinase Inhibitors

Identifiers

PMID34210788
PMCPMC8812469
OpenAlexW3173707646

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.