Evidence map›Paper›PMID 39920562›Full record

ArticleClinical rheumatology2025

Treatment with nintedanib is as effective and safe in patients with other connective tissue diseases (CTDs)-interstitial lung disease (ILD) as in patients with systemic sclerosis-ILD: A multicenter retrospective study.

Salim Mısırcı, Ali Ekin, Burcu Yağız, Belkıs Nihan Coşkun, Fatma Başıbüyük, Ahmet Merih Birlik, İsmail Sarı, Aylin Dolu Karaca, Süleyman Serdar Koca, Gözde Yıldırım Çetin and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Clinical rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Observational
  6. Article
  7. 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.

Salim MısırcıDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey. dr.salim-misirci@hotmail.com.
Ali EkinDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey.
Burcu YağızDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey.
Belkıs Nihan CoşkunDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey.
Fatma BaşıbüyükDepartment of Internal Medicine, Division of Rheumatology, Dokuz Eylul University Faculty of Medicine, İzmir, Turkey.
Ahmet Merih BirlikDepartment of Internal Medicine, Division of Rheumatology, Dokuz Eylul University Faculty of Medicine, İzmir, Turkey.
İsmail SarıDepartment of Internal Medicine, Division of Rheumatology, Dokuz Eylul University Faculty of Medicine, İzmir, Turkey.
Aylin Dolu KaracaDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Fırat University, Elazığ, Turkey.
Süleyman Serdar KocaDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Fırat University, Elazığ, Turkey.
Gözde Yıldırım ÇetinDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.
Burak OkyarAdana City Training and Research Hospital, Rheumatology, Adana, Turkey.
Nurhan AtillaDepartment of Chest Diseases, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.
Ediz DalkılıçDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey.
Yavuz PehlivanDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study is to assess the efficacy and safety of nintedanib (NTD) therapy in a real world population of patients with connective tissue diseases related interstitial lung disease (CTDs-ILD).

methodsOur multicenter retrospective study included patients with a CTD-ILD diagnosis who started NTD treatment due to the development of PPF during follow-up. The results of the percentage predicted forced vital capacity (%pFVC) and percentage predicted diffusion capacity (%pDLCO) of patients before NTD treatment and 6, 12 and 18 months after the start of NTD treatment were evaluated. In addition, the patients were divided into two groups, SSc-ILD and other CTDs-ILD, and compared in terms of the efficacy and safety of the NTD.

resultsIn all patients (n = 66), %pFVC and %pDLCO values stabilised after 6, 12 and 18 months compared to baseline values. All patients received at least one immunosuppressive therapy in combination with NTD treatment. The most common side effect after NTD treatment was diarrhoea (n = 20, 30.3%). When we divided the patients into two groups, SSc-ILD (n = 35) and other CTDs-ILDs (n = 31), no significant difference was found between the groups in the change in %pFVC (p values = 0.498, 0.595 and 0.376, respectively) and in the change in %pDLCO (p values = 0.817, 0.185 and 0.399, respectively) at 6, 12 and 18 months follow-up. Again, there was no statistically significant difference between the two groups in terms of adverse events and safety data after NTD treatment (p > 0.05).

conclusionIn summary, the use of NTD in combination with immunosuppressive therapies was effective and safe in SSc-ILD patients as well as in other CTDs-ILD patients. Key Points • This multicenter study provides real-world data on the use of nintedanib in patients with connective tissue disease-interstitial lung disease. • Nintedanib treatment is as effective and safe in patients with other connective tissue disease as in patients with systemic sclerosis.

Indexed as

Connective Tissue DiseasesIndolesLung Diseases, InterstitialScleroderma, SystemicAdultAgedFemaleHumansImmunosuppressive AgentsMaleMiddle AgedRetrospective StudiesTreatment OutcomeVital CapacityImmunosuppressive AgentsIndolesnintedanibConnective tissue diseaseInterstitial lung diseaseNintedanibReal-world dataSystemic sclerosis

Identifiers

PMID39920562
PMCPMC11865171

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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.