Evidence map›Paper›PMID 36041751›Full record

Trial reportThe European respiratory journal2023

Nintedanib in children and adolescents with fibrosing interstitial lung diseases.

Robin Deterding, Lisa R Young, Emily M DeBoer, David Warburton, Steven Cunningham, Nicolaus Schwerk, Kevin R Flaherty, Kevin K Brown, Mihaela Dumistracel, Elvira Erhardt and 5 more

Erratum issuedOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The European respiratory journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
10.9field-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.

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, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

  1. Old and emerging therapies for childhood interstitial lung disease (chILD): a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 4 countries.

Robin DeterdingSection of Pediatric Pulmonary and Sleep Medicine, Department of Pediatrics, University of Colorado Denver, Denver, CO, USA.
Lisa R YoungDivision of Pulmonary and Sleep Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Emily M DeBoerSection of Pediatric Pulmonary and Sleep Medicine, Department of Pediatrics, University of Colorado Denver, Denver, CO, USA.
David WarburtonChildren's Hospital Los Angeles, Los Angeles, CA, USA.
Steven CunninghamCentre for Inflammation Research, University of Edinburgh, Edinburgh, UK.
Nicolaus SchwerkClinic for Pediatric Pulmonology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Kevin R FlahertyDivision of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA.
Kevin K BrownDepartment of Medicine, National Jewish Health, Denver, CO, USA.
Mihaela DumistracelBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim am Rhein, Germany.
Elvira ErhardtBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.ORCID 0000-0003-3885-1479
Julia BertulisBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.
Martina GahlemannBoehringer Ingelheim (Schweiz) GmbH, Basel, Switzerland.
Susanne StowasserBoehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Matthias GrieseHauner Children's Hospital, Ludwig Maximilians University, German Center for Lung Research (DZL), Munich, Germany.
InPedILD trial investigators
Boehringer Ingelheim (Germany) · DEBoehringer Ingelheim (Switzerland) · CHCentre for Inflammation Research · GBChildren's Hospital Colorado · USChildren's Hospital of Philadelphia · USGerman Center for Lung Research · DEMedizinische Hochschule Hannover · DEMolina Center for Energy and the Environment · USNational Jewish Health · USUniversity of Michigan · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood interstitial lung disease (ILD) comprises a spectrum of rare ILDs affecting infants, children and adolescents. Nintedanib is a licensed treatment for pulmonary fibrosis in adults. The primary objectives of the InPedILD trial were to determine the dose-exposure and safety of nintedanib in children and adolescents with fibrosing ILD.

methodsPatients aged 6-17 years with fibrosing ILD on high-resolution computed tomography and clinically significant disease were randomised 2:1 to receive nintedanib or placebo for 24 weeks and then open-label nintedanib. Dosing was based on weight-dependent allometric scaling. Co-primary end-points were the area under the plasma concentration-time curve at steady state (AUC

results26 patients received nintedanib and 13 patients received placebo. The geometric mean (geometric coefficient of variation) AUC

conclusionsIn children and adolescents with fibrosing ILD, a weight-based dosing regimen resulted in exposure to nintedanib similar to adults and an acceptable safety profile. These data provide a scientific basis for the use of nintedanib in this patient population.

Indexed as

Idiopathic Pulmonary FibrosisLung Diseases, InterstitialAdolescentAdultChildDisease ProgressionDouble-Blind MethodFibrosisHumansIndolesVital CapacityIndolesnintedanib

Identifiers

PMID36041751
PMCPMC9892863
OpenAlexW4293576526

What OpenQuestion holds

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LicenceCC BY-NC
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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.