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Prevalence and Impact on Quality of Life of Airway Disease in Patients With Idiopathic Pulmonary Fibrosis

Conditions
Idiopathic Pulmonary Fibrosis
Airway Disease
Registration Number
NCT03215147
Lead Sponsor
Seoul National University Hospital
Brief Summary

The investigators assess the prevalence of airway disease associated with idiopathic pulmonary fibrosis in Korea, and evaluate the effect of these airway diseases on the symptoms and quality of life of patients with idiopathic pulmonary fibrosis.

Detailed Description

Idiopathic pulmonary fibrosis (IPF) is defined as a specific form of chronic, progressive fibrosing interstitial pneumonia of unknown cause, occurring primarily in older adults, and limited to the lungs. It is characterized by progressive worsening of dyspnea and lung function and is associated with a poor prognosis.

The main symptoms of patients with IPF are dyspnea on exertion and a persistent dry cough or mildly productive cough.

In many IPF patients, cough is often the first symptom, preceding dyspnea on exertion sometimes by years. It affects upwards of 70-85% of patients with IPF.

Chronic obstructive pulmonary disease (prevalence rate 4-18%) and asthma (prevalence rate 5.9-9.9%) are the airway disease whose main symptoms are also dyspnea and cough.

To date, the effect of airway disease has not been well studied in patients with idiopathic pulmonary fibrosis, and the prevalence is unknown in Korea.

Unlike idiopathic pulmonary fibrosis, airway disease is a treatable, modifiable disease, so treatment of these diseases may improve QOL in IPF patients.

Therefore, this study's purpose is A. Identify the prevalence of airway disease in IPF patients B. Identify differences in QOL and symptoms according to presence of airway disease C. Identify the symptomatic improvement after active treatment for the airway diseases

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  • IPF patients
Exclusion Criteria
  • Patients on systemic steroid
  • Patients with acute exacerbation within the last 6 months
  • PFT+BDR, MBPT contra-indication
  • SpO2 < 90%

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of participants who have asthma combined with idiopathic pulmonary fibrosisThrough study completion, an average of 2 year

Confirmation of asthma : pulmonary function test with bronchodilator response or Methacholine provocation test

Number of participants who have COPD combined with idiopathic pulmonary fibrosisThrough study completion, an average of 2 year

Confirmation of COPD : pulmonary function test with bronchodilator response

Number of participants who have Eosinophilic bronchitis combined with idiopathic pulmonary fibrosisThrough study completion, an average of 2 year

Confirmation of Eosinophilic bronchitis : pulmonary function test with bronchodilator response, induced sputum

Secondary Outcome Measures
NameTimeMethod
The difference of CAT scores between patients with airway disease and those without airway disease.baseline and after treating the airway disease for 6~8 weeks

Quality of life : COPD assessment test(CAT)

The difference of SGRQ scores to assess quality of life between patients with airway disease and those without airway disease.baseline and after treating the airway disease for 6~8 weeks

Quality of life : St George's Respiratory Questionnaire(SGRQ)

The difference of mMRC scores to assess symptom severity between patients with airway disease and those without airway disease.baseline and after treating the airway disease for 6~8 weeks

Symptom severity : mMRC

The difference of EQ-5D-VAS scores to assess symptom severity between patients with airway disease and those without airway disease.baseline and after treating the airway disease for 6~8 weeks

Symptom severity : EQ-5D-VAS

The difference of distance of 6MWT to assess symptom severity between patients with airway disease and those without airway disease.baseline and after treating the airway disease for 6~8 weeks

Symptom severity : 6 minute walking test(6MWT)

The difference of CQLQ scores to assess symptom severity between patients with airway disease and those without airway disease.baseline and after treating the airway disease for 6~8 weeks

Symptom severity : Cough Quality-of-Life Questionnaire(CQLQ)

Checking the improvement of CAT score to assess the quality of life between patients with airway disease and those without airway diseaseAfter treating the airway disease for 6~8 weeks

Quality of life : COPD assessment test(CAT)

Checking the improvement of SGRQ score to assess the quality of life between patients with airway disease and those without airway diseaseAfter treating the airway disease for 6~8 weeks

Quality of life : St George's Respiratory Questionnaire(SGRQ)

Checking the improvement of mMRC scores to assess symptom severity between patients with airway disease and those without airway diseaseAfter treating the airway disease for 6~8 weeks

Symptom severity : mMRC

Checking the improvement of distance of 6MWT to assess symptom severity between patients with airway disease and those without airway diseaseAfter treating the airway disease for 6~8 weeks

Symptom severity : 6 minute walking test(6MWT)

Checking the improvement of EQ-5D-VAS score to assess symptom severity between patients with airway disease and those without airway diseaseAfter treating the airway disease for 6~8 weeks

Symptom severity : EQ-5D-VAS

Checking the improvement of CQLQ to assess symptom severity between patients with airway disease and those without airway diseaseAfter treating the airway disease for 6~8 weeks

Symptom severity : Cough Quality-of-Life Questionnaire(CQLQ)

Trial Locations

Locations (1)

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

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