UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056969
Receipt number R000065097
Scientific Title Nutritional therapy in the prevention of weight loss in patients with interstitial lung disease: a prospective observational study
Date of disclosure of the study information 2025/02/10
Last modified on 2025/02/07 13:57:48

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Basic information

Public title

Nutrition for interstitial lung disease patients to avoid weight loss

Acronym

Nutrition Research for Interstitial Lung Disease

Scientific Title

Nutritional therapy in the prevention of weight loss in patients with interstitial lung disease: a prospective observational study

Scientific Title:Acronym

ILDNUTRI

Region

Japan


Condition

Condition

Interstitial Lung Diasease

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Idiopathic pulmonary fibrosis IPF an interstitial lung disease, is said to be a lung disease of unknown cause with a poor prognosis that results in severe fibrosis and irreversible honeycomb lung formation. The mainstay of drug therapy is antifibrotic agents, but the cumulative incidence of discontinuation of drug therapy is reported to be higher in the presence of malnutrition than in the absence of malnutrition. Other studies have shown that weight loss of 5 percentage or more during the first year after initiation of nintedanib is associated with a worse prognosis compared to patients with no weight loss. Thus it can be inferred that there is a relationship between interstitial lung disease, drug therapy, and nutritional status, which may influence prognosis.One of the non-pharmacologic therapies is respiratory rehabilitation PR and the IPF Treatment Guidelines 2023 suggest PR for patients with IPF in the chronic phase. The Self-Management Support Manual for Patients with Respiratory Diseases does provide information on nutritional therapy but its focus is primarily on chronic obstructive pulmonary disease COPD. The guidelines for enteral nutrition also target COPD. These guidelines emphasize the importance of starting nutritional therapy at an early stage, and specify that patients with less than 90 persentage body weight are eligible for such therapy. Thus, in order to continue treatment of ILD it is important to assess nutritional status from the beginning of treatment and to implement appropriate nutritional therapy. Therefore, the development of nutritional therapy for IP is desirable, but as far as we know, there are no other studies from this perspective. Therefore the purpose of this study was to examine the effect of nutritional therapy on weight loss prevention in patients with ILD and to accumulate knowledge that could contribute to the prevention of severe disease and the continuation of treatment in patients with ILD.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

Percent weight loss more than 5 percent at 52 weeks

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1)Patients diagnosed with interstitial lung disease of any cause.
2) Patients requiring outpatient and inpatient care at the Respiratory Medicine Department of our center.
3) Patients with a % standard body weight ratio (% IBW) of less than 90%.
4) Patients who have given a full explanation of the study and obtained written consent from the patient.

Key exclusion criteria

1) Those who are not eligible for nutritional guidance.
2) Those whose % standard body weight ratio (% IBW) is greater than 90%.
3) Those who cannot give consent for this study.
4) Those who do not meet the diagnosis of eligibility criteria.

Target sample size

32


Research contact person

Name of lead principal investigator

1st name Fumiaki
Middle name
Last name Ishikawa

Organization

Japanese Red Cross Medical Center

Division name

Nutrition Division, Department of Medical Technology

Zip code

150-8935

Address

4-1-22 Hiroo, Shibuya-ku, Tokyo

TEL

0334001311

Email

nutr.23@gmail.com


Public contact

Name of contact person

1st name Minoru
Middle name
Last name Inomata

Organization

Japanese Red Cross Medical Center

Division name

Respiratory Medicine

Zip code

1508935

Address

4-1-22 Hiroo, Shibuya-ku, Tokyo

TEL

0334001311

Homepage URL


Email

inomataminoru@nms.ac.jp


Sponsor or person

Institute

Japanese Red Cross Medical Center

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Japanese Red Cross Medical Center Clinical Research Ethics Committee

Address

4-1-22 Hiroo, Shibuya-ku, Tokyo

Tel

0334001311

Email

nutr.23@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 02 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 01 Month 07 Day

Date of IRB


Anticipated trial start date

2025 Year 02 Month 10 Day

Last follow-up date

2027 Year 02 Month 10 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Association between continued nutritional therapy and improvement in quality of daily life


Management information

Registered date

2025 Year 02 Month 07 Day

Last modified on

2025 Year 02 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065097