Evidence map›Paper›PMID 35113907›Full record

ArticlePloS one2022

Tolerability of nintedanib in the elderly with idiopathic pulmonary fibrosis: A single-center retrospective study.

Masamichi Komatsu, Hiroshi Yamamoto, Takashi Ichiyama, Satoshi Kawakami, Takeshi Uehara, Yumi Yoshikawa, Yoshiaki Kitaguchi, Atsuhito Ushiki, Masanori Yasuo, Masayuki Hanaoka

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Idiopathic pulmonary fibrosis: current diagnosis and treatment.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2023
    Review
  11. 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 1 institution in 1 country.

Masamichi KomatsuFirst Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.ORCID 0000-0002-1228-1490
Hiroshi YamamotoFirst Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Takashi IchiyamaFirst Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Satoshi KawakamiDepartment of Radiology, Shinshu University School of Medicine, Matsumoto, Japan.
Takeshi UeharaDepartment of Laboratory Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Yumi YoshikawaDepartment of Pharmacy, Shinshu University School of Medicine, Matsumoto, Japan.
Yoshiaki KitaguchiFirst Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Atsuhito UshikiFirst Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Masanori YasuoFirst Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Masayuki HanaokaFirst Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Shinshu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Idiopathic pulmonary fibrosis (IPF), a fibrosing interstitial lung disease, predominantly affects the elderly and is associated with a high mortality risk. Nintedanib, a tyrosine kinase inhibitor, significantly reduces IPF progression. However, data on the tolerability and efficacy of nintedanib in the elderly with IPF are limited. Therefore, this study aimed to examine the tolerability and efficacy of nintedanib in the elderly with IPF in a real-world setting. Medical records of 19 elderly IPF patients (≥ 75 years) and 46 non-elderly IPF patients (< 75 years) newly administered nintedanib were retrospectively analyzed. We compared the forced vital capacity (FVC) level, incidence and severity of adverse events, and continuation rates of nintedanib between the two groups. FVC and percent predicted diffusing capacity of the lung for carbon monoxide (DLco) were lower in the elderly IPF group at baseline. Although the elderly IPF patients had a significantly higher incidence of adverse events, such as diarrhea, nausea, and elevation of hepatic enzymes, the rate of discontinuation of nintedanib owing to adverse events was not different between the groups. The continuation rates of nintedanib treatment at 6 months and 1 year in the elderly IPF group were equivalent. Furthermore, there was a similar trend in the reduction of the annual FVC decline after nintedanib initiation between the groups. Our study demonstrated that nintedanib was tolerable in both the IPF patient groups in a real-world setting. Proper management of adverse events in the elderly with IPF would lead to a better clinical outcome.

Indexed as

Idiopathic Pulmonary FibrosisIndolesAgedAged, 80 and overFemaleHumansMaleMiddle AgedProtein Kinase InhibitorsRetrospective StudiesTreatment OutcomeVital CapacityIndolesnintedanibProtein Kinase Inhibitors

Identifiers

PMID35113907
PMCPMC8812933
OpenAlexW4210503267

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.