| Unique ID issued by UMIN | UMIN000059730 |
|---|---|
| Receipt number | R000068308 |
| Scientific Title | Surrogate Endpoints for Overall Survival in Idiopathic Pulmonary Fibrosis Trials with Medical Interventions |
| Date of disclosure of the study information | 2025/11/10 |
| Last modified on | 2025/11/10 21:33:53 |
Surrogate Endpoints for Overall Survival in Idiopathic Pulmonary Fibrosis Trials with Medical Interventions
Surrogate Endpoints for Overall Survival in Idiopathic Pulmonary Fibrosis Trials with Medical Interventions
Surrogate Endpoints for Overall Survival in Idiopathic Pulmonary Fibrosis Trials with Medical Interventions
Surrogate Endpoints for Overall Survival in Idiopathic Pulmonary Fibrosis Trials with Medical Interventions
| Japan |
idiopathic pulmonary fibrosis
| Pneumology |
Others
NO
The aim of this systematic review is to evaluate the validity of surrogate endpoints in idiopathic pulmonary fibrosis trials by determining which of two endpoint categories better predicts overall survival: (i) exacerbation based endpoints (time to first exacerbation or exacerbation free survival) and (ii) composite survival endpoints (combining death with major clinical events such as hospitalization, physiologic decline, acute exacerbation, or lung transplantation). Specifically, we will assess how the hazard ratios for these endpoints (HR_ex and HR_comp) correlate with the hazard ratio for all cause mortality (HR_OS).
Others
To validate surrogate endpoints in IPF trials. We will quantify how HR_ex and HR_comp correlate with HR_OS using the weighted Pearson correlation coefficient, and identify which endpoint category better predicts overall survival.
The weighted Pearson's correlation coefficient (r) between the hazard ratios for surrogate endpoints - exacerbation-based (HR_ex) and composite survival endpoints (HR_comp) - and the hazard ratio for overall survival (HR_OS).
Others,meta-analysis etc
| Not applicable |
| Not applicable |
Male and Female
Population: patients with idiopathic pulmonary fibrosis (IPF).
Diagnostic certainty: possible, probable, or definite IPF will be treated collectively as IPF if permitted by the original study design.
Comorbidities: no restriction; comorbid conditions are not grounds for exclusion.
IPAF: included if diagnosed as IPF and without a confirmed diagnosis of any collagen vascular disease.
Studies that enroll patients with active or ongoing acute exacerbation at baseline.
Studies primarily recruiting non-IPF interstitial lung diseases (e.g., confirmed connective tissue disease-associated ILD).
Non-human, pediatric-only, or non-clinical studies that do not match the target patient population.
| 1st name | Nobuyuki |
| Middle name | |
| Last name | Horita |
Yokohama City University Hospital
Department of Respiratory Medicine
236-0004
3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, Japan
0457872800
horitano@yokohama-cu.ac.jp
| 1st name | Nobuyuki |
| Middle name | |
| Last name | Horita |
Yokohama City University Hospital
Department of Respiratory Medicine
236-0004
3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, Japan
0457872800
horitano@yokohama-cu.ac.jp
Yokohama City University Hospital
Nothing
Self funding
Department of Respiratory Medicine, Yokohama City University Hospital
3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, Japan
0457872800
horitano@yokohama-cu.ac.jp
NO
| 2025 | Year | 11 | Month | 10 | Day |
Unpublished
Preinitiation
| 2025 | Year | 11 | Month | 10 | Day |
| 2025 | Year | 11 | Month | 10 | Day |
| 2027 | Year | 01 | Month | 01 | Day |
This is a systematic review and meta-analysis to validate surrogate endpoints in idiopathic pulmonary fibrosis (IPF). We include randomized controlled trials and relevant studies enrolling IPF patients; possible, probable, and definite IPF are allowed if permitted by the original design. Studies enrolling patients with active or ongoing acute exacerbation at baseline are excluded. The primary outcome is the weighted Pearson correlation coefficient (r) between hazard ratios for exacerbation-based endpoints (HR_ex) and composite survival endpoints (HR_comp) and the hazard ratio for overall survival (HR_OS). Planned sensitivity analyses: (1) definition of exacerbation-based endpoints (time to first exacerbation vs exacerbation-free survival), (2) adjusted vs unadjusted HRs, (3) intervention categories, and (4) risk-of-bias strata. Composite survival endpoints are standardized as death plus at least two of the following: hospitalization, physiologic decline, exacerbation, lung transplantation, or similar major events. Sources to be searched include MEDLINE, Embase, CENTRAL, ClinicalTrials.gov, and ICTRP. No individual-level data will be collected; therefore, ethics review is not required.
| 2025 | Year | 11 | Month | 10 | Day |
| 2025 | Year | 11 | Month | 10 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000068308