Evidence map›Paper›PMID 38135442›Full record

Trial reportThe European respiratory journal2024

Effects of nintedanib on symptoms in patients with progressive pulmonary fibrosis.

Marlies Wijsenbeek, Jeffrey J Swigris, Yoshikazu Inoue, Michael Kreuter, Toby M Maher, Takafumi Suda, Michael Baldwin, Heiko Mueller, Klaus B Rohr, Kevin R Flaherty and 1 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The European respiratory journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
12.7field-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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Patient-reported outcome measures for cough used in interstitial lung disease: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  3. Review
  4. Observational
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Progressive pulmonary fibrosis: the importance of identification and intervention.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Observational
  19. Review
  20. Cough and dyspnea management in pulmonary fibrosis.Current opinion in supportive and palliative care · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 5 countries.

Marlies WijsenbeekCentre for Interstitial Lung Diseases and Sarcoidosis, Department of Respiratory Medicine, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands m.wijsenbeek-lourens@erasmusmc.nl.
Jeffrey J SwigrisNational Jewish Health, Denver, CO, USA.
Yoshikazu InoueNational Hospital Organization Kinki-Chuo Chest Medical Center, Osaka, Japan.ORCID https://orcid.org/0000-0003-3994-874X
Michael KreuterCenter for Pulmonary Medicine, Department of Pneumology, Mainz University Medical Center, Mainz, Germany.
Toby M MaherInflammation, Repair and Development Section, National Heart and Lung Institute, Imperial College London, London, UK.
Takafumi SudaDepartment of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Michael BaldwinBoehringer Ingelheim International GmbH, Ingelheim, Germany.
Heiko MuellerBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany.
Klaus B RohrBoehringer Ingelheim International GmbH, Ingelheim, Germany.
Kevin R FlahertyDivision of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA.
INBUILD Trial Investigators
Boehringer Ingelheim (Germany) · DEErasmus MC · NLHamamatsu University School of Medicine · JPJohannes Gutenberg University Mainz · DENational Jewish Health · USNHO Kinki Chuo Chest Medical Center · JPUniversity of Michigan · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDyspnoea and cough can have a profound impact on the lives of patients with pulmonary fibrosis. We investigated the effects of nintedanib on the symptoms and impact of pulmonary fibrosis in patients with progressive pulmonary fibrosis (PPF) in the INBUILD trial using the Living with Pulmonary Fibrosis (L-PF) questionnaire.

methodsPatients had a fibrosing interstitial lung disease (ILD) (other than idiopathic pulmonary fibrosis) of >10% extent on high-resolution computed tomography (HRCT) and met criteria for ILD progression within the prior 24 months. Patients were randomised 1:1 to receive nintedanib or placebo. Changes in L-PF questionnaire scores from baseline to week 52 were assessed using mixed models for repeated measures.

resultsIn total, 663 patients were treated. Compared with placebo, there were significantly smaller increases (worsenings) in adjusted mean L-PF questionnaire total (0.5

conclusionBased on changes in L-PF questionnaire scores, nintedanib reduced worsening of dyspnoea, fatigue and cough and the impacts of ILD over 52 weeks in patients with PPF.

Indexed as

Idiopathic Pulmonary FibrosisIndolesLung Diseases, InterstitialCoughDisease ProgressionDouble-Blind MethodDyspneaFibrosisHumansVital CapacityIndolesnintedanib

Identifiers

PMID38135442
PMCPMC10831140
OpenAlexW4390152451

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.