| 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 |
Antifibrotic therapy for Interstitial Lung disease: a Prospective Study in Koshinetsu region
ALPS Study
Antifibrotic therapy for Interstitial Lung disease: a Prospective Study in Koshinetsu region
ALPS Study
| Japan |
Interstitialu lung disease
| Pneumology |
Others
NO
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.
Safety,Efficacy
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.
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.
Observational
| 20 | years-old | <= |
| 120 | years-old | >= |
Male and Female
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.
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.
200
| 1st name | Masamichi |
| Middle name | |
| Last name | Komatsu |
Shinshu University School of Medicine
First Department of Internal Medicine
390-8621
3-1-1, Asahi, Matsumoto, Nagano
0263-37-2631
mskomatsu@shinhu-u.ac.jp
| 1st name | Masamichi |
| Middle name | |
| Last name | Komatsu |
Shinshu University School of Medicine
First Department of Internal Medicine
390-8621
3-3-1, Asahi, Matsumoto, Nagano
0263-37-2631
mskomatsu@shinshu-u.ac.jp
Shinshu University
None
Other
Shinshu University School of Medicine
3-1-1, Asahi, Matsumoto city, Nagano
0263-37-2631
mskomatsu@shinshu-u.ac.jp
NO
長野県
| 2026 | Year | 08 | Month | 15 | Day |
Unpublished
Enrolling by invitation
| 2026 | Year | 07 | Month | 15 | Day |
| 2026 | Year | 08 | Month | 05 | Day |
| 2026 | Year | 07 | Month | 15 | Day |
| 2033 | Year | 12 | Month | 31 | Day |
none
| 2026 | Year | 08 | Month | 09 | Day |
| 2026 | Year | 08 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070885