UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062524
Receipt number R000070885
Scientific Title Antifibrotic therapy for Interstitial Lung disease: a Prospective Study in Koshinetsu region
Date of disclosure of the study information 2026/08/15
Last modified on 2026/08/09 10:12:20

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Basic information

Public title

Antifibrotic therapy for Interstitial Lung disease: a Prospective Study in Koshinetsu region

Acronym

ALPS Study

Scientific Title

Antifibrotic therapy for Interstitial Lung disease: a Prospective Study in Koshinetsu region

Scientific Title:Acronym

ALPS Study

Region

Japan


Condition

Condition

Interstitialu lung disease

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To identify the prescription proportions of various antifibrotic therapies and patient clinical characteristics in a multicenter real-world database of patients with interstitial lung disease (ILD). Furthermore, this study aims to clarify the differences in treatment status between elderly and younger patients, and to evaluate the impact of baseline nutritional status, skeletal muscle mass, and longitudinal changes in nutritional indices on the long-term prognosis and clinical events of ILD.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1. The proportion of each antifibrotic drug prescription, as well as the rates and specific reasons for drug switching or combination therapy (add-on) at baseline.

Key secondary outcomes

1. Patient clinical characteristics at the time of registration, including age, sex, clinical diagnosis.
2. Overall survival (OS) and progression-free survival (PFS) during the 36-month follow-up period.
3. Longitudinal changes in respiratory function (FVC, FEV1) and patient-reported symptoms (mMRC, CAT) at 6 months, 1, 2, and 3 years.
4. Safety profiles of antifibrotic drugs (incidence and severity of adverse events graded by CTCAE, and their impact on dose reduction or interruption), including a comparative analysis between elderly and younger cohorts.
5. Evaluation of the impact of baseline nutritional status, skeletal muscle mass, and longitudinal weight loss rates on disease progression (FVC decline >5%, acute exacerbation, unplanned emergency hospitalization, and mortality) using Cox proportional hazards models.


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

20 years-old <=

Age-upper limit

120 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patients diagnosed with interstitial lung disease (ILD), such as idiopathic pulmonary fibrosis (IPF) or progressive pulmonary fibrosis (PPF), at the participating institutions.
2. Patients who are scheduled to initiate or have already initiated a new or additional antifibrotic drug (e.g., nintedanib, pirfenidone, nerandomilast).
3. Patients aged 20 years or older at the time of registration.

Key exclusion criteria

1. Patients who decline to participate in the study via the opt-out public notification.
2. Patients otherwise judged inappropriate for enrollment by the principal investigator or sub-investigators.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Masamichi
Middle name
Last name Komatsu

Organization

Shinshu University School of Medicine

Division name

First Department of Internal Medicine

Zip code

390-8621

Address

3-1-1, Asahi, Matsumoto, Nagano

TEL

0263-37-2631

Email

mskomatsu@shinhu-u.ac.jp


Public contact

Name of contact person

1st name Masamichi
Middle name
Last name Komatsu

Organization

Shinshu University School of Medicine

Division name

First Department of Internal Medicine

Zip code

390-8621

Address

3-3-1, Asahi, Matsumoto, Nagano

TEL

0263-37-2631

Homepage URL


Email

mskomatsu@shinshu-u.ac.jp


Sponsor or person

Institute

Shinshu University

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

Shinshu University School of Medicine

Address

3-1-1, Asahi, Matsumoto city, Nagano

Tel

0263-37-2631

Email

mskomatsu@shinshu-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW

長野県


Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 08 Month 15 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

Enrolling by invitation

Date of protocol fixation

2026 Year 07 Month 15 Day

Date of IRB

2026 Year 08 Month 05 Day

Anticipated trial start date

2026 Year 07 Month 15 Day

Last follow-up date

2033 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

none


Management information

Registered date

2026 Year 08 Month 09 Day

Last modified on

2026 Year 08 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070885