Evidence map›Paper›PMID 38226064›Full record

ArticleERJ open research2024

Real-world experience of nintedanib for progressive fibrosing interstitial lung disease in the UK.

Giles Dixon, Samuel Hague, Sarah Mulholland, Huzaifa Adamali, Aye Myat Noe Khin, Hannah Thould, Roisin Connon, Paul Minnis, Eoin Murtagh, Fasihul Khan and 64 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
8.4field-weighted citation impact, top 2% 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

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Combination antifibrotic and immunosuppressive therapy in progressive fibrosing ILD.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2026
    Article
  3. Observational
  4. Article
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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

74 authors at 20 institutions in 1 country.

Giles DixonBristol Interstitial Lung Disease Service, North Bristol NHS Trust, Bristol, UK.ORCID https://orcid.org/0000-0001-9787-0739
Samuel HagueBristol Interstitial Lung Disease Service, North Bristol NHS Trust, Bristol, UK.
Sarah MulhollandBristol Interstitial Lung Disease Service, North Bristol NHS Trust, Bristol, UK.
Huzaifa AdamaliBristol Interstitial Lung Disease Service, North Bristol NHS Trust, Bristol, UK.
Aye Myat Noe KhinSouth West Peninsula ILD Network, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK.ORCID https://orcid.org/0000-0002-0758-5000
Hannah ThouldSouth West Peninsula ILD Network, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK.
Roisin ConnonAntrim Area Hospital, Northern Health and Social Care Trust, Antrim, UK.
Paul MinnisAntrim Area Hospital, Northern Health and Social Care Trust, Antrim, UK.
Eoin MurtaghAntrim Area Hospital, Northern Health and Social Care Trust, Antrim, UK.
Fasihul KhanGlenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK.
Sameen ToorGlenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK.
Alexandra LawrenceGuy's and St Thomas' Hospital NHS Foundation Trust, London, UK.
Marium NaqviGuy's and St Thomas' Hospital NHS Foundation Trust, London, UK.
Alex WestGuy's and St Thomas' Hospital NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0001-6110-1508
Robina K CokerHammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK.
Katie WardHammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK.
Leda YazbeckHammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK.
Simon HartHull University Teaching Hospitals NHS Trust, Hull, UK.ORCID https://orcid.org/0000-0003-4606-9559
Theresa GarfootInterstitial Lung Disease Unit, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Kate NewmanInterstitial Lung Disease Unit, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Pilar Rivera-OrtegaInterstitial Lung Disease Unit, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Lachlan StranksInterstitial Lung Disease Unit, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.ORCID https://orcid.org/0000-0002-8337-2357
Paul BeirneLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Jessica BradleyLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Catherine RowanLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Sarah AgnewLiverpool Interstitial Lung Disease Service, Aintree Hospital, Liverpool University Hospital NHS FT, Liverpool, UK.
Mahin AhmadLiverpool Interstitial Lung Disease Service, Aintree Hospital, Liverpool University Hospital NHS FT, Liverpool, UK.
Lisa G SpencerLiverpool Interstitial Lung Disease Service, Aintree Hospital, Liverpool University Hospital NHS FT, Liverpool, UK.
Joshua AigbiriorNew Cross Hospital, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.
Ahmed FahimNew Cross Hospital, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.
Andrew M WilsonNorfolk and Norwich University Hospital NHS Foundation Trust, UK.
Elizabeth ButcherNottingham University Hospitals NHS Trust, Nottingham, UK.
Sy Giin ChongNottingham University Hospitals NHS Trust, Nottingham, UK.
Gauri SainiNottingham University Hospitals NHS Trust, Nottingham, UK.
Sabrina ZulfikarOxford University Hospitals NHS Foundation Trust, Oxford, UK.
Felix ChuaRoyal Brompton and Harefield Hospitals, London, UK.
Peter M GeorgeRoyal Brompton and Harefield Hospitals, London, UK.ORCID https://orcid.org/0000-0003-1316-4891
Maria KokosiRoyal Brompton and Harefield Hospitals, London, UK.
Vasileios KouranosRoyal Brompton and Harefield Hospitals, London, UK.
Philip MolyneauxRoyal Brompton and Harefield Hospitals, London, UK.ORCID https://orcid.org/0000-0003-1301-8800
Elisabetta RenzoniRoyal Brompton and Harefield Hospitals, London, UK.
Benedetta VitriRoyal Brompton and Harefield Hospitals, London, UK.
Athol U WellsRoyal Brompton and Harefield Hospitals, London, UK.
Lisa M NicolRoyal Infirmary of Edinburgh, Edinburgh, UK.
Stephen BianchiSheffield Teaching Hospital NHS Foundation Trust, Sheffield, UK.
Raman KularSheffield Teaching Hospital NHS Foundation Trust, Sheffield, UK.
HuaJian LiuSouthern Health and Social Care Trust, Portadown, UK.
Alexander JohnSouthern Health and Social Care Trust, Portadown, UK.
Sarah BarthSt Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Melissa WickremasingheSt Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Ian A ForrestThe Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK.
Ian GrimesThe Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK.
A John SimpsonThe Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK.
Sophie V FletcherUniversity Hospital of Southampton NHS Foundation Trust, Southampton, UK.
Mark G JonesUniversity Hospital of Southampton NHS Foundation Trust, Southampton, UK.ORCID https://orcid.org/0000-0001-6308-6014
Emma KinsellaUniversity Hospital of Southampton NHS Foundation Trust, Southampton, UK.
Jennifer NaftelUniversity Hospital of Southampton NHS Foundation Trust, Southampton, UK.
Nicola WoodUniversity Hospital of Southampton NHS Foundation Trust, Southampton, UK.
Jodie ChalmersUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Anjali CrawshawUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Louise E CrowleyUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Davinder DosanjhUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.ORCID https://orcid.org/0000-0002-9169-5607
Christopher C HuntleyUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.ORCID https://orcid.org/0000-0002-0340-3492
Gareth I WaltersUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.ORCID https://orcid.org/0000-0002-7436-2261
Timothy GatheralUniversity Hospitals of Morecambe Bay NHS Foundation Trust, Lancashire and South Cumbria ILD Service, Lancaster, UK.
Catherine PlumUniversity Hospitals of Morecambe Bay NHS Foundation Trust, Lancashire and South Cumbria ILD Service, Lancaster, UK.
Shiva BikmallaUniversity Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Raja MuthusamiUniversity Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Helen StoneUniversity Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Jonathan C L RodriguesRoyal United Hospitals Bath NHS Foundation Trust, Bath, UK.ORCID https://orcid.org/0000-0003-2744-3509
Krasimira Tsaneva-AtanasovaDepartment of Mathematics and Statistics, Faculty of Environment, Science and Economy, University of Exeter, Exeter, UK.ORCID https://orcid.org/0000-0002-6294-7051
Chris J ScottonDepartment of Clinical and Biomedical Sciences, University of Exeter, Exeter, UK.
Michael A GibbonsSouth West Peninsula ILD Network, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK.
Shaney L BarrattBristol Interstitial Lung Disease Service, North Bristol NHS Trust, Bristol, UK.ORCID https://orcid.org/0000-0003-3067-7349
Harefield Hospital · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBImperial College Healthcare NHS Trust · GBNorth Bristol NHS Trust · GBUniversity Hospital Southampton NHS Foundation Trust · GBManchester University NHS Foundation Trust · GBLeeds Teaching Hospitals NHS Trust · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBNorthern Health and Social Care Trust · GBNottingham University Hospitals NHS Trust · GBSt Thomas' Hospital · GBUniversity Hospitals of North Midlands NHS Trust · GBUniversity of Liverpool · GBGlenfield Hospital · GBNew Cross Hospital · GBRoyal Devon & Exeter NHS Foundation Trust · GBSheffield Teaching Hospitals NHS Foundation Trust · GBSouthern Health and Social Care Trust · GBUniversity Hospitals of Morecambe Bay NHS Foundation Trust · GBUniversity of Exeter · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Background: Nintedanib slows progression of lung function decline in patients with progressive fibrosing (PF) interstitial lung disease (ILD) and was recommended for this indication within the United Kingdom (UK) National Health Service in Scotland in June 2021 and in England, Wales and Northern Ireland in November 2021. To date, there has been no national evaluation of the use of nintedanib for PF-ILD in a real-world setting. Methods: 26 UK centres were invited to take part in a national service evaluation between 17 November 2021 and 30 September 2022. Summary data regarding underlying diagnosis, pulmonary function tests, diagnostic criteria, radiological appearance, concurrent immunosuppressive therapy and drug tolerability were collected Results: 24 UK prescribing centres responded to the service evaluation invitation. Between 17 November 2021 and 30 September 2022, 1120 patients received a multidisciplinary team recommendation to commence nintedanib for PF-ILD. The most common underlying diagnoses were hypersensitivity pneumonitis (298 out of 1120, 26.6%), connective tissue disease associated ILD (197 out of 1120, 17.6%), rheumatoid arthritis associated ILD (180 out of 1120, 16.0%), idiopathic nonspecific interstitial pneumonia (125 out of 1120, 11.1%) and unclassifiable ILD (100 out of 1120, 8.9%). Of these, 54.4% (609 out of 1120) were receiving concomitant corticosteroids, 355 (31.7%) out of 1120 were receiving concomitant mycophenolate mofetil and 340 (30.3%) out of 1120 were receiving another immunosuppressive/modulatory therapy. Radiological progression of ILD combined with worsening respiratory symptoms was the most common reason for the diagnosis of PF-ILD. Conclusion: We have demonstrated the use of nintedanib for the treatment of PF-ILD across a broad range of underlying conditions. Nintedanib is frequently co-prescribed alongside immunosuppressive and immunomodulatory therapy. The use of nintedanib for the treatment of PF-ILD has demonstrated acceptable tolerability in a real-world setting.

Identifiers

PMID38226064
PMCPMC10789269
OpenAlexW4390886955

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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.