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NCT Number: NCT04614441

NICEFIT-ON: A Study Under Routine Clinical Practice in Taiwan to Observe the Long-term Outcome of People With Certain Types of Lung Disease (PF-ILD, SSc-ILD, IPF) Who Start Treatment With Nintedanib

To better understand the clinical characteristics of Idiopathic Pulmonary Fibrosis (IPF) / Systemic Sclerosis-associated-Interstitial Lung Disease (SSc-ILD)/ Progressive Fibrosing Interstitial Lung Disease (PF-ILD) patients treated with nintedanib and biomarkers associated with the disease course, a non-interventional, 3-year, prospective study will be conducted to collect the long-term real-world clinical data on IPF/SSc-ILD/PF-ILD patients newly administered with nintedanib in Taiwan

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Key information

Age range

20 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Chang-Hua Christian Hospital, Changhua, Taiwan

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

This study plans to enroll approximately 500 patients with IPF/SSc-ILD/PF-ILD who newly initiate nintedanib per physicians' discretion within 6 months before participating in the study.

IPF cohort:

  • Diagnosed with IPF during the prior 6 months before study enrollment, based on the 2018 ATS/ERS/JRS/ALAT guideline
  • Patient ≥ 40 years of age
  • Newly initiating nintedanib within 6 months prior to participating in the study
  • Providing written informed consent prior to participating in the study
  • Having further follow-up possibility with participating physician during the planned study period
  • Ability to read and write in local language

SSc-ILD cohort:

  • Diagnosed with SSc-ILD during the prior 6 months before study enrollment, based on 2013 ACR/EULAR
  • Patient ≥ 20 years of age
  • Newly initiating nintedanib OR not receiving nintedanib per physician's discretion (For patients who diagnosed with SSc-ILD but are not treated with nintedanib on physician's discretion, they will apply the same inclusion criteria, with baseline characteristics collected only) within 6 months prior to participating in the study
  • Providing written informed consent prior to participating in the study
  • Having further follow-up possibility with participating physician during the planned study period
  • Ability to read and write in local language

PF-ILD cohort:

  • Diagnosed with PF-ILD (PF-ILD patients will be enrolled only after nintedanib acquires the label approval from TFDA) during the prior 6 months before study enrollment. The definition of PF-ILD diagnosis is as follows:

--Patients who have ILD with a progressive phenotype, but are not diagnosed with IPF, per physician's judgment. The pathophysiology in these patients is characterized by self-sustaining fibrosis and a deterioration in lung function over time, with worsening respiratory symptoms, resistance to immune-modulatory therapies, and ultimately early mortality.

  • Patient ≥ 20 years of age
  • Newly initiating nintedanib OR not receiving nintedanib per physician's discretion (For patients who diagnosed with PF-ILD but are not treated with nintedanib on physician's discretion, they will apply the same inclusion criteria, with baseline characteristics collected only) within 6 months prior to participating in the study
  • Providing written informed consent prior to participating in the study
  • Having further follow-up possibility with participating physician during the planned study period
  • Ability to read and write in local language

Exclusion criteria

  • Lung transplantation expected within the next 6 months.

--Included in ongoing interventional trials

Treatment and study plan

Ofev®

Drug

nintedanib

Primary outcomes

  1. Annual percentage of decline from baseline in Forced Vital Capacity (FVC, %) per cohort of IPF, SSc-ILD, or PF-ILD

    Time frame: Up to 5 years

    IPF: Idiopathic Pulmonary Fibrosis PF-ILD: Progressive Fibrosing Interstitial Lung Disease SSc-ILD: Systemic Sclerosis-associated-Interstitial Lung Disease

  2. Annual decline from baseline in Diffusing capacity of the Lungs for Carbon monoxide (DLco, %)

    Time frame: Up to 5 years

  3. Annual decline from baseline in resting and exercise Oxygen Saturation (SpO2, %)

    Time frame: Up to 5 years

Secondary outcomes

  1. Time to first acute exacerbation (AE) of IPF; or time to ILD worsening for SSc-ILD/PF-ILD after study enrollment

    Time frame: Up to 5 years

  2. Annual change from baseline in St George's Respiratory Questionnaire (SGRQ) for IPF or King's Brief Interstitial Lung (K-BILD) for other ILDs

    Time frame: Up to 5 years

    IPF: Idiopathic Pulmonary Fibrosis ILD: Interstitial Lung Disease

  3. Annual change from baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT)

    Time frame: Up to 5 years

  4. Annual change from baseline in Six-Minutes Walking Test (6MWT)

    Time frame: Up to 5 years

  5. Annual change from baseline in Berlin questionnaire

    Time frame: Up to 5 years

  6. Change from baseline in quantification of biomarkers

    Time frame: Up to 5 years

    Biomarkers include but not limited to Platelet Derived Growth Factor (PDGF), Vascular Endothelial Growth Factor (VEGF), Fibroblast Growth Factor (FGF), Transforming Growth Factor β1 (TGF-β1), Hepatocyte Growth Factor (HGF), Matrix Metalloproteinase (MMP): MMP-1, MMP-7, MMP-9, α-defensin 1, High Mobility Group Box 1 (HMGB1), Tissue of Metalloproteinase (TIMP), Heat-Shock Protein (HSP): HSP-27, bile acid conjugated, Lysophosphatidic Acid (LPA), Lysophosphatidic Acid Receptor 1 (LPAR1), Prostagladin E2 (PGE2), Interleukin (IL): IL-1β, IL-4, IL-18, IL-13, IL-17, Monocyte Chemoattractant Protein 1 (MCP-1), Macrophage Inflammatory Protein 2 (MIP-2), periostin, osteopontin, Surfactant Protein A (SPA), Surfactant Protein D (SPD), Krebs von den Lungen 6 / Mucin 1 (KL-6/MUC1), anti-HSP70 Immunoglobolin (IgG), Bone Morphogenic Protein (BMP), Carbonhydrate Antigen-199 (CA-199), C-Reaktiv Protein degraded by MMPs (CRPM), chemokine ligand (CCL): CCL 2, CCL-18

  7. Mortality (with cause of death): respiratory- and non-respiratory-related death

    Time frame: Up to 5 years

Sponsors and collaborators

Lead sponsor

Boehringer Ingelheim

Industry

Registry information

Official study title

Non-Interventional Collecting Evidences For ILD in Taiwan: Optimized Novel Therapy

Important dates

Study start
2021
Primary completion
2025
Study completion
2025
First posted
Nov 4, 2020
Registry last updated
Aug 19, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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