Evidence map›Paper›PMID 41015200›Full record

Trial reportChest2026

Specialist Dietary Intervention in Patients With Fibrotic Interstitial Lung Disease Experiencing Unintentional Weight Loss: A Pilot Randomized Controlled Trial.

Rasleen Kahai, Gioele Castelli, Fiammetta Danzo, Luis Ferreira, Arthihai Srirangan, Matteo Morviducci, Flavio Marco Mirabelli, Punchalee Kaenmuang, Cara Roberts, Simon Bax and 15 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Chest, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06016959 (Specialist Dietetic Intervention in Malnourished Patients with Fibrotic ILD), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06016959 nacompletednot on this map

Specialist Dietetic Intervention in Malnourished Patients with Fibrotic ILD: a Randomised Controlled Pilot Trial

TypeinterventionalSponsorRoyal Brompton & Harefield NHS Foundation TrustRan2023 to 2024Enrolled40ConditionsInterstitial Lung DiseaseArmsDietetic intervention, Diet sheet (placebo)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

25 authors.

Rasleen KahaiInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Department of Nutrition and Dietetics, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England.
Gioele CastelliInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova, Italy.
Fiammetta DanzoInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Division of Respiratory Diseases, Luigi Sacco University Hospital, Milan, Portugal.
Luis FerreiraInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Unidade Local de Saude de Gaia e Espinho, Porto, Portugal.
Arthihai SriranganInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England.
Matteo MorviducciInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Department of Public Health and Infectious Diseases, University of Rome La Sapienza, Roma, Italy.
Flavio Marco MirabelliInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Department of Public Health and Infectious Diseases, University of Rome La Sapienza, Roma, Italy.
Punchalee KaenmuangInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Respiratory and Respiratory Critical Care Unit, Division of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand; Margaret Turner Warwick Centre for Fibrosing Lung Disease, National Heart and Lung Institute, Imperial College London, London, England.
Cara RobertsInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England.
Simon BaxInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England.
Richard J HewittInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; King's Centre of Lung Health, School of Immunology and Microbial Sciences, Faculty of Life Sciences and Medicine, King's College London, London, England.
Maria KokosiInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Margaret Turner Warwick Centre for Fibrosing Lung Disease, National Heart and Lung Institute, Imperial College London, London, England.
Felix ChuaInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Margaret Turner Warwick Centre for Fibrosing Lung Disease, National Heart and Lung Institute, Imperial College London, London, England.
Vasileios KouranosInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Margaret Turner Warwick Centre for Fibrosing Lung Disease, National Heart and Lung Institute, Imperial College London, London, England.
Philip L MolyneauxInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Margaret Turner Warwick Centre for Fibrosing Lung Disease, National Heart and Lung Institute, Imperial College London, London, England.
Peter M GeorgeInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Margaret Turner Warwick Centre for Fibrosing Lung Disease, National Heart and Lung Institute, Imperial College London, London, England.
Richard Gisli JenkinsInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Margaret Turner Warwick Centre for Fibrosing Lung Disease, National Heart and Lung Institute, Imperial College London, London, England.
Winston BanyaInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England.
Carmel J W StockInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Margaret Turner Warwick Centre for Fibrosing Lung Disease, National Heart and Lung Institute, Imperial College London, London, England. Electronic address: c.stock@imperial.ac.uk.
Steve JonesEuropean Pulmonary Fibrosis Federation, Brussels, Belgium.
Gemma KorffInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England.
Alastair DuncanDepartment of Nutrition and Dietetics, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Nutritional Sciences, King's College London, London, UK.
Athol U WellsInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Margaret Turner Warwick Centre for Fibrosing Lung Disease, National Heart and Lung Institute, Imperial College London, London, England.
Piersante SestiniRespiratory Diseases, University of Siena, Siena, Italy.
Elisabetta A RenzoniInterstitial Lung Disease Unit, Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, England; Margaret Turner Warwick Centre for Fibrosing Lung Disease, National Heart and Lung Institute, Imperial College London, London, England.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWeight loss in patients with fibrotic interstitial lung disease (F-ILD) is associated with poor prognosis, yet the impact of dietary input is unknown. RESEARCH QUESTION: What is the feasibility of a randomized controlled trial of specialist dietary intervention in F-ILD? STUDY DESIGN AND

methodsPatients with F-ILD experiencing low weight or weight loss were randomized 1:1 to either a 12-week specialist dietary intervention or a dietary information sheet by computer-generated sequence using random block design with stratification by antifibrotic drugs. The primary outcome was feasibility of recruitment, randomization, and retention. A key predefined exploratory outcome was weight change from baseline.

resultsOf 128 screened patients, 40 patients (31%) were randomized, 19 to diet and 21 to control arm. The target number of patients was reached within 7 months, suggesting feasibility of a larger trial. All randomized patients completed the study. In the diet arm, 8 of 19 (42%) vs 1 of 21 (4.8%) participants in the control arm gained ≥ 1 kg at 12 weeks (OR, 14.2; 95% CI, 1.4-141.8; P = .02). Analysis of the exploratory outcome of weight change revealed that after a 4-week lag, the estimated rate of weight change between 4 and 12 weeks was -0.25 kg/month (95% CI, -0.61 to 0.12) in the control and +0.40 kg/month (95% CI, 0.02 to 0.78) in the diet group, with a difference of +0.65 kg/month (95% CI, 0.15 to 1.14) in favor of the diet group (P = .01).

interpretationBased on the encouraging results of this pilot trial of dietary intervention in F-ILD, a definitive multicenter randomized controlled trial is warranted. CLINICAL

trial registrationClinicalTrials.gov; No.: NCT06016959; URL: www. CLINICALTRIALS: gov).

Indexed as

Lung Diseases, InterstitialWeight LossAgedFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsTreatment Outcomeantifibrotic drugsBMIdietary interventionfibrotic interstitial lung diseaseweight loss

Identifiers

PMID41015200
PMCPMC12975389

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Registered trials

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.