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Prospective Study of Fibrosis In the Lung Endpoints (PROFILE - Central England)

2014-08-27 03:13:16 | BioPortfolio

Summary

The overall aim of this study is to develop a test that predicts the prognosis of IPF (Idiopathic Pulmonary Fibrosis) and which could be used to determine whether new treatments for IPF are likely to work.

Description

The overall objectives of this study are

- Discover and validate novel biomarkers and gene expression profiles for use in subsequent intervention studies in patients with IPF

- To prospectively validate a panel of previously published biomarkers in patients with well characterized idiopathic fibrosing lung disease

- Investigate genetic associations and epigenetic modifications which affect disease severity and progression

- Prospectively evaluate longitudinal disease behaviour in patients with IPF and NSIP with a view to developing composite clinical end-points for subsequent use in intervention studies in patients with IPF

Biomarkers that can be used for the following purposes will be identified:

- Identify patients (Diagnostic)(e.g. discriminate between health and disease)

- Correlate with disease severity (extent of disease, staging of disease)

- Predict clinical progression (Prognostic)(stable vs progressive disease)

- Track response to therapy (Theranostic)- Predict response to known efficacious treatments & Correlates with changes in clinical endpoints/mortality/quality of life

- Predict risk of exacerbations (could be used to prevent exacerbations or reduce their severity)

- Correlate with complications and/or comorbidities (e.g. biomarkers of PAH,GER in IPF, etc)

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Conditions

Idiopathic Pulmonary Fibrosis

Status

Not yet recruiting

Source

University of Nottingham

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-08-27T03:13:16-0400

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PubMed Articles [4262 Associated PubMed Articles listed on BioPortfolio]

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Medical and Biotech [MESH] Definitions

A group of interstitial lung diseases with no known etiology. There are several entities with varying patterns of inflammation and fibrosis. They are classified by their distinct clinical-radiological-pathological features and prognosis. They include IDIOPATHIC PULMONARY FIBROSIS; CRYPTOGENIC ORGANIZING PNEUMONIA; and others.

A common interstitial lung disease of unknown etiology, usually occurring between 50-70 years of age. Clinically, it is characterized by an insidious onset of breathlessness with exertion and a nonproductive cough, leading to progressive DYSPNEA. Pathological features show scant interstitial inflammation, patchy collagen fibrosis, prominent fibroblast proliferation foci, and microscopic honeycomb change.

A form of CARDIAC MUSCLE disease in which the ventricular walls are excessively rigid, impeding ventricular filling. It is marked by reduced diastolic volume of either or both ventricles but normal or nearly normal systolic function. It may be idiopathic or associated with other diseases (ENDOMYOCARDIAL FIBROSIS or AMYLOIDOSIS) causing interstitial fibrosis.

A process in which normal lung tissues are progressively replaced by FIBROBLASTS and COLLAGEN causing an irreversible loss of the ability to transfer oxygen into the bloodstream via PULMONARY ALVEOLI. Patients show progressive DYSPNEA finally resulting in death.

Familial or idiopathic hypertension in the PULMONARY CIRCULATION which is not secondary to other disease.

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