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特发性肺纤维化-前瞻性结局(IPF-PRO)注册研究的原理和设计。

Rationale for and design of the Idiopathic Pulmonary Fibrosis-PRospective Outcomes (IPF-PRO) registry.

机构信息

Department of Medicine , Duke University, Duke Clinical Research Institute , Durham, North Carolina , USA.

Biometrics and Data Management , Boehringer Ingelheim Pharmaceuticals Inc. , Ridgefield, Connecticut , USA.

出版信息

BMJ Open Respir Res. 2016 Jan 11;3(1):e000108. doi: 10.1136/bmjresp-2015-000108. eCollection 2016.

Abstract

BACKGROUND

Idiopathic pulmonary fibrosis (IPF) is a chronic interstitial lung disease characterised by progressive loss of lung function. Its clinical course is variable but ultimately fatal. There is a need for a multicentre patient registry incorporating longitudinal clinical data and biological samples to improve understanding of the natural history of IPF and contemporary practice patterns.

METHODS/DESIGN: The Idiopathic Pulmonary Fibrosis-PRospective Outcomes (IPF-PRO) registry is a national IPF registry in the USA. This registry will enrol approximately 300 patients with newly diagnosed IPF over 2 years at approximately 14 tertiary pulmonary care sites. Participants will be followed for 3-5 years and will receive usual care, as defined by their physician. Clinical data from the year prior to diagnosis will be collected from medical record review on enrolment. Subsequently, data on diagnostic evaluations, pulmonary function tests, physical examinations, laboratory data and clinical events will be collected at routine clinical visits and via a call centre. Participants will complete patient-reported outcome questionnaires at enrolment and then at approximately 6-month intervals. Blood samples for cellular, genetic and transcriptomic analyses will be collected at the same intervals.

RESULTS

The first results from the IPF-PRO registry will be presented in 2015.

CONCLUSIONS

The IPF-PRO registry will improve understanding of the natural history of IPF, its impact on patients and current practice in the diagnosis and care of patients with IPF. The registry will establish a repository of biological samples from a well-characterised patient population for future research.

CLINICAL TRIAL NUMBER

NCT01915511.

摘要

背景

特发性肺纤维化(IPF)是一种以肺功能进行性丧失为特征的慢性间质性肺疾病。其临床病程变化不定,但最终会致命。因此,需要建立一个纳入纵向临床数据和生物样本的多中心患者注册中心,以增进对 IPF 自然史和当代实践模式的理解。

方法/设计:特发性肺纤维化前瞻性结局(IPF-PRO)注册中心是美国的一个全国性 IPF 注册中心。该注册中心将在大约 14 个三级肺保健中心在两年内招募大约 300 例新诊断的 IPF 患者。参与者将接受 3-5 年的随访,并接受其医生定义的常规护理。在登记时,将通过病历回顾收集诊断前一年的临床数据。随后,将通过呼叫中心和常规临床就诊收集诊断评估、肺功能测试、体格检查、实验室数据和临床事件的数据。参与者将在登记时和大约每 6 个月填写一次患者报告的结果问卷。将在相同的时间间隔收集用于细胞、遗传和转录组分析的血液样本。

结果

IPF-PRO 注册中心的首批结果将于 2015 年公布。

结论

IPF-PRO 注册中心将增进对 IPF 自然史、对患者的影响以及目前诊断和护理 IPF 患者的实践的理解。该注册中心将为未来的研究建立一个具有良好特征的患者群体的生物样本库。

临床试验编号

NCT01915511。

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