Evidence map›Paper›PMID 40083194›Full record

ArticleTherapeutic advances in respiratory disease

Antifibrotic therapy combined with pulmonary vasodilator therapy may improve survival in patients with pulmonary fibrosis and pulmonary hypertension: a retrospective cohort study.

Christian Cardillo, Gerard J Criner, Shameek Gayen

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Article in Therapeutic advances in respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Christian CardilloDepartment of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University Hospital, Philadelphia, PA, USA.
Gerard J CrinerDepartment of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University Hospital, Philadelphia, PA, USA.ORCID 0000-0003-1267-3483
Shameek GayenDepartment of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University Hospital, 745 Parkinson Pavilion, 3401 N Broad Street, Philadelphia, PA 19140, USA.ORCID 0000-0002-0275-7416

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary fibrosis is a severe, progressive form of interstitial lung disease associated with increased morbidity and mortality. Pulmonary hypertension often accompanies severe pulmonary fibrosis and is also associated with worse outcomes. Antifibrotic therapy and pulmonary vasodilator therapy have demonstrated clinical benefits in pulmonary fibrosis and pulmonary hypertension, respectively. However, the benefit of combined antifibrotic and pulmonary vasodilator therapy in patients with both pulmonary fibrosis and pulmonary hypertension is less established.

objectivesWe aimed to determine the effectiveness of a combination pulmonary vasodilator and antifibrotic therapy with regard to transplant-free survival and six-minute walk distance improvement in patients with pulmonary fibrosis and pulmonary hypertension.

designThis was a retrospective cohort study of patients with pulmonary fibrosis (idiopathic pulmonary fibrosis, combined pulmonary fibrosis and emphysema, and other fibrotic interstitial lung disease) and pulmonary hypertension diagnosed via right heart catheterization. Patients received antifibrotic therapy with or without pulmonary vasodilator therapy.

methodsPatients who received combination antifibrotic therapy and pulmonary vasodilator therapy were compared to those prescribed antifibrotic therapy alone. Transplant-free survival and change in six-minute walk distance were compared between the two groups. Multivariable Cox regression was performed to determine predictors of transplant-free survival.

resultsPatients who received antifibrotic and pulmonary vasodilator therapy had significantly improved transplant-free survival (log rank

conclusionWe found a potential survival benefit when pulmonary vasodilator therapy was given in combination with antifibrotic therapy in patients with pulmonary fibrosis and pulmonary hypertension. This may be reflective of a pulmonary vascular phenotype among those with pulmonary fibrosis and pulmonary hypertension. Further trials are needed to better elucidate which patients benefit from combination therapy.

Indexed as

Antifibrotic AgentsHypertension, PulmonaryIdiopathic Pulmonary FibrosisPulmonary FibrosisVasodilator AgentsAgedDrug Therapy, CombinationExercise ToleranceFemaleHumansLung TransplantationMaleMiddle AgedRecovery of FunctionRetrospective StudiesTime FactorsAntifibrotic AgentsVasodilator Agentsantifibrotic therapypulmonary fibrosispulmonary hypertensionpulmonary vasodilator therapytransplant-free survival

Identifiers

PMID40083194
PMCPMC11907552

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