Page last updated: 2024-10-23

azathioprine and Cryptogenic Fibrosing Alveolitis

azathioprine has been researched along with Cryptogenic Fibrosing Alveolitis in 22 studies

Azathioprine: An immunosuppressive agent used in combination with cyclophosphamide and hydroxychloroquine in the treatment of rheumatoid arthritis. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), this substance has been listed as a known carcinogen. (Merck Index, 11th ed)
azathioprine : A thiopurine that is 6-mercaptopurine in which the mercapto hydrogen is replaced by a 1-methyl-4-nitroimidazol-5-yl group. It is a prodrug for mercaptopurine and is used as an immunosuppressant, prescribed for the treatment of inflammatory conditions and after organ transplantation and also for treatment of Crohn's didease and MS.

Research Excerpts

ExcerptRelevanceReference
"In our initial double-blind, placebo-controlled trial, we randomly assigned patients who had idiopathic pulmonary fibrosis with mild-to-moderate impairment in pulmonary function to receive a three-drug regimen of prednisone, azathioprine, and acetylcysteine; acetylcysteine alone; or placebo."9.19Randomized trial of acetylcysteine in idiopathic pulmonary fibrosis. ( Anstrom, KJ; de Andrade, JA; King, TE; Martinez, FJ; Raghu, G, 2014)
"In our initial double-blind, placebo-controlled trial, we randomly assigned patients who had idiopathic pulmonary fibrosis with mild-to-moderate impairment in pulmonary function to receive a three-drug regimen of prednisone, azathioprine, and acetylcysteine; acetylcysteine alone; or placebo."5.19Randomized trial of acetylcysteine in idiopathic pulmonary fibrosis. ( Anstrom, KJ; de Andrade, JA; King, TE; Martinez, FJ; Raghu, G, 2014)
"This case report suggests that the immune mechanisms targeted by azathioprine and cyclosporine do not play a role in the pathogenesis of idiopathic pulmonary fibrosis."3.83Occurrence of idiopathic pulmonary fibrosis during immunosuppressive treatment: a case report. ( Cerri, S; Luppi, F; Richeldi, L; Sgalla, G, 2016)
" According to the possibility of either idiopathic pulmonary fibrosis or chronic hypersensitivity pneumonitis, treatment included prednisolone, azathioprine, acetylcysteine and avoidance of contact with the parakeet, but there was an unfavorable response and the patient was subsequently referred for lung transplant."3.79Clinical case: Differential diagnosis of idiopathic pulmonary fibrosis. ( Alfaro, TM; Cordeiro, CR; Freitas, S, 2013)
"Azathioprine in combination with N-acetylcysteine (NAC) and steroids is a standard therapy for idiopathic pulmonary fibrosis (IPF)."3.76Thiopurine S- methyltransferase [corrected] testing in idiopathic pulmonary fibrosis: a pharmacogenetic cost-effectiveness analysis. ( Eckman, MH; Hagaman, JT; Kinder, BW, 2010)
"Rheumatoid arthritis (RA)-associated interstitial lung disease (ILD) is common in patients with RA and leads to significant morbidity and mortality."3.30Treatment Outcomes for Rheumatoid Arthritis-Associated Interstitial Lung Disease: A Real-World, Multisite Study of the Impact of Immunosuppression on Pulmonary Function Trajectory. ( Baqir, M; Boente, RD; Dai, J; Demoruelle, MK; Diaz, FJ; Donatelli, JM; Hamblin, MB; Iannazzo, NS; Kent, J; Lee, JS; Marll, M; Mathai, SK; Matson, SM; Moua, T; Pope, K; Ryu, JH; Walker, CM, 2023)
"Chronic hypersensitivity pneumonitis (cHP) represents a severe lung disease often evolving to fibrosis with the subsequent destruction of the lung parenchyma."2.94An Open-label Study With Pirfenidone on Chronic Hypersensitivity Pneumonitis. ( Buendía-Roldan, I; Castillo-Castillo, K; Castillo-Pedroza, J; Estrada, A; Gaxiola, M; Mateos-Toledo, H; Mejía-Ávila, M; Mejía-Hurtado, JG; Rodríguez-Barreto, Ó; Rojas-Serrano, J; Selman, M, 2020)
"slows down) disease progression in terms of vital capacity (VC) (+9%) and diffusing capacity (DLco) (+24%) in idiopathic pulmonary fibrosis (IPF)."2.74Lung function in idiopathic pulmonary fibrosis--extended analyses of the IFIGENIA trial. ( Behr, J; Boissard, G; Buhl, R; Costabel, U; De Vuyst, P; Dekhuijzen, RP; Demedts, M; Flower, CD; Jansen, HM; Lankhorst, I; Laurent, F; MacNee, W; Nicholson, AG; Petruzzelli, S; Rodriguez-Becerra, E; Sardina, M; Thomeer, M; van den Bosch, JM; Verbeken, EK; Verschakelen, J; Wallaert, B, 2009)
"Pulmonary hypertension is common in advanced fibrotic IIP, and has a negative impact on survival."1.36Fibrotic idiopathic interstitial pneumonias: mortality is linked to a decline in gas transfer. ( Blumenthal, JP; Bresser, P; Jonkers, RE; Peek, N; Peelen, L; Prijs, M; van Steenwijk, RP; Wells, AU, 2010)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (9.09)29.6817
2010's15 (68.18)24.3611
2020's5 (22.73)2.80

Authors

AuthorsStudies
Wong, AW1
Khor, YH1
Donohoe, K1
Comes, A1
Marcoux, V1
Fisher, JH1
Johannson, KA1
Assayag, D1
Morisset, J1
Shapera, S1
Khalil, N1
Fell, CD1
Manganas, H1
Cox, G1
To, T1
Gershon, AS1
Hambly, N1
Halayko, AJ1
Sadatsafavi, M1
Wilcox, PG1
Kolb, M1
Richeldi, L2
Ryerson, CJ1
Pitre, T1
Mah, J1
Helmeczi, W1
Khalid, MF1
Cui, S1
Zhang, M1
Husnudinov, R1
Su, J1
Banfield, L1
Guy, B1
Coyne, J1
Scallan, C1
Kolb, MR1
Jones, A1
Zeraatkar, D1
Matson, SM2
Baqir, M2
Moua, T2
Marll, M2
Kent, J2
Iannazzo, NS2
Boente, RD2
Donatelli, JM2
Dai, J2
Diaz, FJ2
Demoruelle, MK2
Hamblin, MB2
Mathai, SK2
Ryu, JH3
Pope, K2
Walker, CM2
Lee, JS2
Zhang, D1
Adegunsoye, A1
Oldham, JM1
Kozlitina, J1
Garcia, N1
Poonawalla, M1
Strykowski, R1
Linderholm, AL1
Ley, B1
Ma, SF1
Noth, I1
Strek, ME1
Wolters, PJ1
Garcia, CK1
Newton, CA1
Mateos-Toledo, H1
Mejía-Ávila, M1
Rodríguez-Barreto, Ó1
Mejía-Hurtado, JG1
Rojas-Serrano, J1
Estrada, A1
Castillo-Pedroza, J1
Castillo-Castillo, K1
Gaxiola, M1
Buendía-Roldan, I1
Selman, M1
Hashemi Sadraei, N1
Riahi, T1
Masjedi, MR1
Cordeiro, CR1
Alfaro, TM1
Freitas, S1
Valenzuela, C1
Ancochea, J1
Martinez, FJ1
de Andrade, JA1
Anstrom, KJ1
King, TE1
Raghu, G2
Covvey, JR1
Mancl, EE1
Petitpierre, N1
Beigelman, C1
Letovanec, I1
Nicod, LP1
Lazor, R1
Andrade, J1
Schwarz, M1
Collard, HR1
Gentry-Bumpass, T1
Colby, T1
Lynch, D1
Kaner, RJ1
Canestaro, WJ1
Forrester, SH1
Ho, L1
Devine, BE1
Cerri, S1
Sgalla, G1
Luppi, F1
Peikert, T1
Daniels, CE1
Beebe, TJ1
Meyer, KC1
Behr, J3
Demedts, M1
Buhl, R1
Costabel, U3
Dekhuijzen, RP1
Jansen, HM1
MacNee, W1
Thomeer, M1
Wallaert, B1
Laurent, F1
Nicholson, AG1
Verbeken, EK1
Verschakelen, J1
Flower, CD1
Petruzzelli, S1
De Vuyst, P1
van den Bosch, JM1
Rodriguez-Becerra, E1
Lankhorst, I1
Sardina, M1
Boissard, G1
Hagaman, JT1
Kinder, BW2
Eckman, MH1
Peelen, L1
Wells, AU2
Prijs, M1
Blumenthal, JP1
van Steenwijk, RP1
Jonkers, RE1
Peek, N1
Bresser, P1
Worth, H1
McGrath, EE1
Millar, AB1
Cottin, V1
Poletti, V1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pirfenidone in the Chronic Hypersensitivity Pneumonitis Treatment[NCT02496182]Phase 2/Phase 360 participants (Anticipated)Interventional2015-07-31Recruiting
Prednisone, Azathioprine, and N-acetylcysteine: A Study That Evaluates Response in IPF[NCT00650091]Phase 3264 participants (Actual)Interventional2009-10-31Completed
NAC Attack, A Phase III, Multicenter, Randomized, Parallel, Double Masked, Placebo-Controlled Study Evaluating the Efficacy and Safety of Oral N-Acetylcysteine in Patients With Retinitis Pigmentosa[NCT05537220]Phase 3438 participants (Anticipated)Interventional2023-10-11Recruiting
Sildenafil Trial of Exercise Performance in Idiopathic Pulmonary Fibrosis[NCT00517933]Phase 3180 participants (Actual)Interventional2007-08-31Completed
AntiCoagulant Effectiveness in Idiopathic Pulmonary Fibrosis (ACE-IPF)[NCT00957242]Phase 3145 participants (Actual)Interventional2009-10-31Terminated (stopped due to Excess of mortality in the treatment group created safety concerns.)
Idiopathic Pulmonary Fibrosis International Group Exploring NAC I Annual Study of the Effects of High-dose N-acetylcysteine (NAC) in Idiopathic Pulmonary Fibrosis (IPF)[NCT00639496]Phase 3184 participants (Actual)Interventional2000-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Acute Exacerbations

"The following 3 criteria will define acute exacerbations in subjects with acute worsening of their respiratory conditions:~1. Clinical (all of the following required): A) Unexplained worsening of dyspnea or cough within 30 days, triggering unscheduled medical care (e.g., emergency room, clinic, study visit, hospitalization). B) No clinical suspicion or overt evidence of cardiac event, pulmonary embolism, or deep venous thrombosis to explain acute worsening of dyspnea. C) No pneumothorax." (NCT00650091)
Timeframe: Measured at Week 60

Interventionevents (Number)
N-Acetylcysteine3
Placebo3

Disease Progression

"The time-to-death or a 10% decline in FVC will be defined as the time-to-disease progression.~The 10% decline in FVC from enrollment must be confirmed on 2 consecutive visits no less than 6 weeks apart. For subjects with 2 consecutive visits with a 10% decline in FVC, the time-to-disease progression will be defined as the time interval between enrollment and the initial visit with a 10% FVC decline." (NCT00650091)
Timeframe: Measured at Week 60

Interventionpercentage of participants (Number)
N-Acetylcysteine27.1
Placebo26.5

Number of Participants With Maintained Forced Vital Capacity Response

Maintained forced vital capacity response was a binary variable taking on a value of 1 for participants with higher FVC % predicted at week 60 compared to baseline. (NCT00650091)
Timeframe: Measured at Week 60

Interventionparticipants (Number)
N-Acetylcysteine29
Placebo35

Overall Change in Forced Vital Capacity

Change from Baseline in Forced Vital Capacity at 60 weeks (units in liters) (NCT00650091)
Timeframe: Measured as the estimated change from baseline to Week 60

Interventionliters (Mean)
N-Acetylcysteine-0.18
Placebo-0.19

Respiratory Infections

(NCT00650091)
Timeframe: Measured at Week 60

Interventionevents (Number)
N-Acetylcysteine6
Placebo6

Change in Forced Vital Capacity

Change from Baseline in Forced Vital Capacity at 15, 30, 45, and 60 weeks (units in liters) (NCT00650091)
Timeframe: Baseline, 15, 30, 45, 60 week

,
Interventionliters (Mean)
15 week30 week45 week60 week
N-Acetylcysteine-0.07-0.07-0.15-0.16
Placebo-0.04-0.08-0.15-0.15

Change in 6-minute Walk Distance From Enrollment to Week 12 (≥ 20% Improvement)

This is a binary score (1 or 0) with 1 being better than 0. All models adjust for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Measured at Week 12

Interventionparticipants (Number)
Sildenafil9
Placebo6

Change in Borg Dyspnea Index (BDI) After 6 Minute Walk Test (Adjusted Values)

The BDI was calculated by using a 10-point scale (0 = None, 10 = Maximum) and indicates the degree of breathlessness after completion of the 6-minute walk test. Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, 12 week

Interventionunits on a scale (Mean)
Sildenafil0.04
Placebo0.37

Change in Diffusing Capacity of the Lung for Carbon Monoxide (DLCO) Adjusted Values

Change in DLCO (% predicted) measured at baseline (time 0), and week 12 comparing the sildenafil and placebo groups. All models adjust for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, Week 12

Interventionpercentage of predicted (DLCO) (Least Squares Mean)
Sildenafil / Sildenafil-0.30
Placebo / Sildenafil-1.9

Change in Dyspnea

"The University of California at San Diego Shortness of Breath Questionnaire (SOBQ) uses a 6-point scale (0 = not at all to 5 = maximal or unable to do because of breathlessness) to rate 24 items. The final score ranges from 0 to 120 -- lower scores are better." (NCT00517933)
Timeframe: Measured from enrollment to 12 weeks (phase I)

Interventionunits on a scale (Mean)
Sildenafil0.22
Placebo6.81

Change in EuroQOL (EQ-5D) Utility - Adjusted Value

"EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (eg, confined to bed). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in total score range -0.594 to 1.000; higher score indicates better health state.~Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo." (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil-0.01
Placebo-0.03

Change in EuroQOL Thermometer (Adjusted Value)

"The thermometer score ranges from 0 (worst imaginable health state) to 100 (best imaginable health state). Higher scores indicate a better health state.~Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo." (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil0.5
Placebo-1.8

Change in Forced Vital Capacity (FVC) Adjusted Values

Change in FVC (liters) from baseline (time 0) to week 12 comparing the sildenafil and placebo groups. Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, Week 12

Interventionliters (Least Squares Mean)
Sildenafil / Sildenafil-0.04
Placebo / Sildenafil-0.05

Change in ICECAP-O Adjusted Value

"The ICEpop CAPability measure for Older people (ICECAP-O) is a measure of capability in older people for use in economic evaluation. The values of ICECAP-O range from 0 (worst) to 1 (best).~Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo." (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil0.00
Placebo-0.02

Change in SF36 Aggregate Physical (Adjusted Value)

"The SF36 measures functional health and well-being scores on eight scales that correlate with two aggregate scores.~Each score ranges from 0 to 100, with a higher score indicating better function.~Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo." (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil-0.5
Placebo-0.4

Change in Short Form Health Survey (SF36) General Health - Adjusted Value

"The SF36 measures functional health and well-being scores on eight scales that correlate with two aggregate scores.~Each score ranges from 0 to 100, with a higher score indicating better function.~Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo." (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil-1.0
Placebo-3.9

Change in St. George's Respiratory Questionnaire (Activity Score) Adjusted Value

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment). Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil-1.2
Placebo2.5

Change in St. George's Respiratory Questionnaire (Impacts Score) Adjusted Value

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment). Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil-0.9
Placebo2.8

Change in St. George's Respiratory Questionnaire (Symptoms Score) Adjusted Value

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment). Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil-3.6
Placebo2.2

Change in St. George's Respiratory Questionnaire (Total Score) (Adjusted Values)

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment.) Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, 12 week

Interventionunits on a scale (Mean)
Sildenafil-1.6
Placebo2.5

Desaturation During 6-minute Walk Test (6MWT)

The 6MWT was stopped when the pulse oximetry (SpO2) dropped to below 80% for six consecutive seconds. The estimates are based on the Kaplan-Meier event curves with minutes walked as the x-axis. (NCT00517933)
Timeframe: Week 12

Interventionpercentage of participants (Number)
Sildenafil / Sildenafil83.6
Placebo / Sildenafil75.3

Estimated Change From Baseline to 12 Weeks in 6-minute Walk Distance

The 6MWT measures the distance that a participant can walk in a period of 6 minutes. All models adjust for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, week 12

Interventionmeters (Mean)
Sildenafil-28.5
Placebo-45.2

6-minute Walk Distance (6MWT)

The 6MWT measures the distance that a participant can walk in a period of 6 minutes. (NCT00517933)
Timeframe: Baseline, 6 week, 12 week

,
Interventionmeters (Mean)
1st baseline2nd baseline6 week12 week
Placebo267.71269.55257.55249.48
Sildenafil246.93246.39237.29239.09

Borg Dyspnea Index (BDI) After 6 Minute Walk Test (Raw Scores)

The BDI was calculated by using a 10-point scale (0 = None, 10 = Maximum) and indicates the degree of breathlessness after completion of the 6-minute walk test. (NCT00517933)
Timeframe: Baseline, 6 week, 12 week

,
Interventionunits on a scale (Mean)
Baseline6 week12 weekChange from Baseline to 6 weekChange from Baseline to 12 week
Placebo3.233.423.490.370.39
Sildenafil3.723.533.76-0.230.09

Diffusing Capacity of the Lung for Carbon Monoxide (DLCO)

Raw scores of DLCO (% predicted) measured at baseline (time 0), week 6, and week 12 comparing the sildenafil and placebo groups (NCT00517933)
Timeframe: Baseline, Week 6, Week 12

,
Interventionpercentage of predicted (DLCO) (Mean)
BaselineWeek 6Week 12Change from baseline to 6 weeksChange from baseline to 12 weeks
Placebo / Sildenafil26.7326.1125.38-1.15-1.78
Sildenafil / Sildenafil25.8126.0025.66-0.07-0.33

EuroQOL (EQ-5D) Utility

"EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (eg, confined to bed). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in total score range -0.594 to 1.000; higher score indicates better health state.~Mean raw scores of EuroQOL Utility." (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo0.740.710.72-0.02-0.03
Sildenafil0.710.750.700.04-0.01

EuroQOL Thermometer

"The thermometer score ranges from 0 (worst imaginable health state) to 100 (best imaginable health state). Higher scores indicate a better health state.~Mean raw scores of EuroQOL Thermometer." (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo67.6667.0967.05-1.40-2.12
Sildenafil66.4969.4766.962.510.49

Forced Vital Capacity (FVC)

Raw scores of FVC (liters) from baseline (time 0) to week 6 and 12 comparing the sildenafil and placebo groups (NCT00517933)
Timeframe: Baseline, Week 6, Week 12

,
Interventionliters (Mean)
BaselineWeek 6Week 12Change from baseline to 6 weeksChange from baseline to 12 weeks
Placebo / Sildenafil2.422.402.36-0.03-0.05
Sildenafil / Sildenafil2.252.252.22-0.03-0.04

ICECAP-O

The ICEpop CAPability measure for Older people (ICECAP-O) is a measure of capability in older people for use in economic evaluation. The values of ICECAP-O range from 0 (worst) to 1 (best). Mean raw scores of ICECAP-O. (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo0.810.760.81-0.05-0.02
Sildenafil0.790.800.790.020.00

Short Form Health Survey (SF36) Aggregate Physical

"The SF36 measures functional health and well-being scores on eight scales that correlate with two aggregate scores.~Each score ranges from 0 to 100, with a higher score indicating better function.~Mean raw scores of SF36 Aggregate Physical." (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to week 6Change from Baseline to week 12
Placebo-1.52-1.58-1.51-0.08-0.05
Sildenafil-1.68-1.70-1.71-0.06-0.05

Short Form Health Survey (SF36) General Health

"The SF36 measures functional health and well-being scores on eight scales that correlate with two aggregate scores.~Each score ranges from 0 to 100, with a higher score indicating better function.~Mean raw scores of SF36 General Health" (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 Week
Placebo37.6634.9734.39
Sildenafil36.9936.0036.31

St. George's Respiratory Questionnaire (Activity Score)

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment). Mean raw scores of the St. George's Respiratory Questionnaire. (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo68.0267.4469.130.282.77
Sildenafil71.2069.9569.75-1.95-1.25

St. George's Respiratory Questionnaire (Impacts Score)

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment). Mean raw scores of the St. George's Respiratory Questionnaire. (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo39.7741.5841.052.373.15
Sildenafil43.2041.6241.95-0.67-0.91

St. George's Respiratory Questionnaire (Symptoms Score)

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment). Mean raw scores of the St. George's Respiratory Questionnaire. Mean raw scores of the St. George's Respiratory Questionnaire. (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo53.9956.2655.553.152.80
Sildenafil58.2055.8954.49-2.05-3.57

St. George's Respiratory Questionnaire (Total Score)

Mean raw scores of the St. George's Respiratory Questionnaire. The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment.) (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo51.7251.7452.191.652.88
Sildenafil54.5552.5652.58-1.45-1.71

University of California at San Diego (UCSD) Shortness of Breath Questionnaire Total

"The University of California at San Diego Shortness of Breath Questionnaire (SOBQ) uses a 6-point scale (0 = not at all to 5 = maximal or unable to do because of breathlessness) to rate 24 items. The final score ranges from 0 to 120 -- lower scores are better. (Raw scores)~Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo." (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo43.2847.6448.134.426.99
Sildenafil50.7149.6750.58-1.270.30

Acute Exacerbations of Idiopathic Pulmonary Fibrosis (IPF)

(NCT00957242)
Timeframe: maximum of 48 weeks

Interventionevents (Number)
Placebo2
Warfarin6

All Cause Mortality

(NCT00957242)
Timeframe: maximum of 48 weeks

Interventionevents (Number)
Placebo3
Warfarin14

All-cause Hospitalizations

(NCT00957242)
Timeframe: maximum 48 weeks

Interventionevents (Number)
Placebo11
Warfarin20

Bleeding Events

(NCT00957242)
Timeframe: maximum of 48 weeks

Interventionevents (Number)
Placebo3
Warfarin4

Cardiovascular Mortality or Morbidity

Measured at 48 Weeks (NCT00957242)
Timeframe: maximum of 48 weeks

Interventionevents (Number)
Placebo8
Warfarin12

Change in 6-minute Walk Distance (6MWD)

The 6MWD is a measure of exercise tolerance. Change in exercise tolerance is calculated at the latest time point (up to 48 weeks) minus the earliest time point (at baseline). (NCT00957242)
Timeframe: Change from baseline to last visit (maximum of 48 weeks)

Interventionmeters (Mean)
Placebo-16.41
Warfarin8.68

Change in Diffusing Capacity of the Lung for Carbon Monoxide (DLCO) From Baseline to 16 Weeks

The DLCO measures the partial pressure difference between inspired and expired carbon monoxide. (NCT00957242)
Timeframe: Week 48 / Final Visit

InterventionmL/min/mmHg (Mean)
Placebo-1.41
Warfarin-1.34

Change in Forced Vital Capacity (FVC) From Baseline to 16 Weeks

Week-16 change from Baseline (NCT00957242)
Timeframe: 16 weeks

Interventionliters (Mean)
Placebo-0.07
Warfarin-0.01

Death, Non-bleeding/Non-elective Hospitalization, or >10% Drop in Forced Vital Capacity

Death, non-bleeding/non-elective hospitalization, or >10% drop in forced vital capacity. (NCT00957242)
Timeframe: Events up to 48 weeks

Interventionevents (Number)
Placebo17
Warfarin23

Fibrin D-dimer Change From Baseline to 16 Weeks

Biomarker that measures biologic activities in patients as opposed to response. (NCT00957242)
Timeframe: maximum of 48 weeks

Interventionmg/ml (Mean)
Placebo.02
Warfarin-.61

Respiratory-related Hospitalizations

(NCT00957242)
Timeframe: maximum 48 weeks

Interventionevents (Number)
Placebo2
Warfarin6

Total Score St. George's Respiratory Questionnaire (SGRQ)

The SGRQ is a quality of life measurement used to assess respiratory well being with a 0*-100 range (*indicates better health--lower is better). (NCT00957242)
Timeframe: Week 16 Change from Baseline

Interventionscore on a scale (Mean)
Placebo1.66
Warfarin3.24

Reviews

5 reviews available for azathioprine and Cryptogenic Fibrosing Alveolitis

ArticleYear
Medical treatments for idiopathic pulmonary fibrosis: a systematic review and network meta-analysis.
    Thorax, 2022, Volume: 77, Issue:12

    Topics: Acetylcysteine; Adult; Azathioprine; Humans; Idiopathic Pulmonary Fibrosis; Network Meta-Analysis; S

2022
Recent evidence for pharmacological treatment of idiopathic pulmonary fibrosis.
    The Annals of pharmacotherapy, 2014, Volume: 48, Issue:12

    Topics: Acetylcysteine; Anti-Inflammatory Agents; Azathioprine; Humans; Idiopathic Pulmonary Fibrosis; Indol

2014
[Idiopathic pulmonary fibrosis: recent diagnostic and therapeutic advances].
    Revue medicale suisse, 2014, Nov-19, Volume: 10, Issue:451

    Topics: Azathioprine; Diagnostic Techniques, Respiratory System; Humans; Idiopathic Pulmonary Fibrosis; Pred

2014
Drug Treatment of Idiopathic Pulmonary Fibrosis: Systematic Review and Network Meta-Analysis.
    Chest, 2016, Volume: 149, Issue:3

    Topics: Acetylcysteine; Anti-Inflammatory Agents, Non-Steroidal; Anticoagulants; Azathioprine; Bayes Theorem

2016
Nonspecific interstitial pneumonia.
    Clinics in chest medicine, 2012, Volume: 33, Issue:1

    Topics: Adrenal Cortex Hormones; Anti-Inflammatory Agents; Azathioprine; Biopsy; Cyclophosphamide; Diagnosis

2012

Trials

7 trials available for azathioprine and Cryptogenic Fibrosing Alveolitis

ArticleYear
Treatment Outcomes for Rheumatoid Arthritis-Associated Interstitial Lung Disease: A Real-World, Multisite Study of the Impact of Immunosuppression on Pulmonary Function Trajectory.
    Chest, 2023, Volume: 163, Issue:4

    Topics: Arthritis, Rheumatoid; Azathioprine; Humans; Idiopathic Pulmonary Fibrosis; Immunosuppression Therap

2023
Treatment Outcomes for Rheumatoid Arthritis-Associated Interstitial Lung Disease: A Real-World, Multisite Study of the Impact of Immunosuppression on Pulmonary Function Trajectory.
    Chest, 2023, Volume: 163, Issue:4

    Topics: Arthritis, Rheumatoid; Azathioprine; Humans; Idiopathic Pulmonary Fibrosis; Immunosuppression Therap

2023
Treatment Outcomes for Rheumatoid Arthritis-Associated Interstitial Lung Disease: A Real-World, Multisite Study of the Impact of Immunosuppression on Pulmonary Function Trajectory.
    Chest, 2023, Volume: 163, Issue:4

    Topics: Arthritis, Rheumatoid; Azathioprine; Humans; Idiopathic Pulmonary Fibrosis; Immunosuppression Therap

2023
Treatment Outcomes for Rheumatoid Arthritis-Associated Interstitial Lung Disease: A Real-World, Multisite Study of the Impact of Immunosuppression on Pulmonary Function Trajectory.
    Chest, 2023, Volume: 163, Issue:4

    Topics: Arthritis, Rheumatoid; Azathioprine; Humans; Idiopathic Pulmonary Fibrosis; Immunosuppression Therap

2023
An Open-label Study With Pirfenidone on Chronic Hypersensitivity Pneumonitis.
    Archivos de bronconeumologia, 2020, Volume: 56, Issue:3

    Topics: Adult; Alveolitis, Extrinsic Allergic; Anti-Inflammatory Agents; Anti-Inflammatory Agents, Non-Stero

2020
Treatment switching in idiopathic pulmonary fibrosis: from triple therapy to enrollment into a clinical investigational drug trial.
    Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2013, Sep-01, Volume: 30 Suppl 1

    Topics: Acetylcysteine; Azathioprine; Double-Blind Method; Drugs, Investigational; Humans; Idiopathic Pulmon

2013
Randomized trial of acetylcysteine in idiopathic pulmonary fibrosis.
    The New England journal of medicine, 2014, May-29, Volume: 370, Issue:22

    Topics: Acetylcysteine; Aged; Azathioprine; Disease Progression; Double-Blind Method; Drug Therapy, Combinat

2014
Randomized trial of acetylcysteine in idiopathic pulmonary fibrosis.
    The New England journal of medicine, 2014, May-29, Volume: 370, Issue:22

    Topics: Acetylcysteine; Aged; Azathioprine; Disease Progression; Double-Blind Method; Drug Therapy, Combinat

2014
Randomized trial of acetylcysteine in idiopathic pulmonary fibrosis.
    The New England journal of medicine, 2014, May-29, Volume: 370, Issue:22

    Topics: Acetylcysteine; Aged; Azathioprine; Disease Progression; Double-Blind Method; Drug Therapy, Combinat

2014
Randomized trial of acetylcysteine in idiopathic pulmonary fibrosis.
    The New England journal of medicine, 2014, May-29, Volume: 370, Issue:22

    Topics: Acetylcysteine; Aged; Azathioprine; Disease Progression; Double-Blind Method; Drug Therapy, Combinat

2014
The Idiopathic Pulmonary Fibrosis Clinical Research Network (IPFnet): diagnostic and adjudication processes.
    Chest, 2015, Volume: 148, Issue:4

    Topics: Azathioprine; Biopsy; Diagnosis, Differential; Double-Blind Method; Drug Therapy, Combination; Femal

2015
The Idiopathic Pulmonary Fibrosis Clinical Research Network (IPFnet): diagnostic and adjudication processes.
    Chest, 2015, Volume: 148, Issue:4

    Topics: Azathioprine; Biopsy; Diagnosis, Differential; Double-Blind Method; Drug Therapy, Combination; Femal

2015
The Idiopathic Pulmonary Fibrosis Clinical Research Network (IPFnet): diagnostic and adjudication processes.
    Chest, 2015, Volume: 148, Issue:4

    Topics: Azathioprine; Biopsy; Diagnosis, Differential; Double-Blind Method; Drug Therapy, Combination; Femal

2015
The Idiopathic Pulmonary Fibrosis Clinical Research Network (IPFnet): diagnostic and adjudication processes.
    Chest, 2015, Volume: 148, Issue:4

    Topics: Azathioprine; Biopsy; Diagnosis, Differential; Double-Blind Method; Drug Therapy, Combination; Femal

2015
The Idiopathic Pulmonary Fibrosis Clinical Research Network (IPFnet): diagnostic and adjudication processes.
    Chest, 2015, Volume: 148, Issue:4

    Topics: Azathioprine; Biopsy; Diagnosis, Differential; Double-Blind Method; Drug Therapy, Combination; Femal

2015
The Idiopathic Pulmonary Fibrosis Clinical Research Network (IPFnet): diagnostic and adjudication processes.
    Chest, 2015, Volume: 148, Issue:4

    Topics: Azathioprine; Biopsy; Diagnosis, Differential; Double-Blind Method; Drug Therapy, Combination; Femal

2015
The Idiopathic Pulmonary Fibrosis Clinical Research Network (IPFnet): diagnostic and adjudication processes.
    Chest, 2015, Volume: 148, Issue:4

    Topics: Azathioprine; Biopsy; Diagnosis, Differential; Double-Blind Method; Drug Therapy, Combination; Femal

2015
The Idiopathic Pulmonary Fibrosis Clinical Research Network (IPFnet): diagnostic and adjudication processes.
    Chest, 2015, Volume: 148, Issue:4

    Topics: Azathioprine; Biopsy; Diagnosis, Differential; Double-Blind Method; Drug Therapy, Combination; Femal

2015
The Idiopathic Pulmonary Fibrosis Clinical Research Network (IPFnet): diagnostic and adjudication processes.
    Chest, 2015, Volume: 148, Issue:4

    Topics: Azathioprine; Biopsy; Diagnosis, Differential; Double-Blind Method; Drug Therapy, Combination; Femal

2015
Lung function in idiopathic pulmonary fibrosis--extended analyses of the IFIGENIA trial.
    Respiratory research, 2009, Oct-27, Volume: 10

    Topics: Acetylcysteine; Aged; Azathioprine; Disease Progression; Double-Blind Method; Drug Therapy, Combinat

2009
[Comments of the DGP on the press release dated 21.10. 2011 of the National Heart, Lung and Blood Institute about the PANTHER Study on IPF patients].
    Pneumologie (Stuttgart, Germany), 2011, Volume: 65, Issue:12

    Topics: Acetylcysteine; Aged; Aged, 80 and over; Azathioprine; Drug Therapy, Combination; Evidence-Based Med

2011

Other Studies

10 other studies available for azathioprine and Cryptogenic Fibrosing Alveolitis

ArticleYear
Prescribing Patterns and Tolerability of Mycophenolate and Azathioprine in Patients with Nonidiopathic Pulmonary Fibrosis Fibrotic Interstitial Lung Disease.
    Annals of the American Thoracic Society, 2022, Volume: 19, Issue:5

    Topics: Azathioprine; Fibrosis; Humans; Idiopathic Pulmonary Fibrosis; Immunosuppressive Agents; Lung Diseas

2022
Telomere length and immunosuppression in non-idiopathic pulmonary fibrosis interstitial lung disease.
    The European respiratory journal, 2023, Volume: 62, Issue:5

    Topics: Azathioprine; Connective Tissue Diseases; Humans; Idiopathic Pulmonary Fibrosis; Immunosuppression T

2023
Idiopathic pulmonary fibrosis in a referral center in Iran: are patients developing the disease at a younger age?
    Archives of Iranian medicine, 2013, Volume: 16, Issue:3

    Topics: Acetylcysteine; Adolescent; Adrenal Cortex Hormones; Adult; Age of Onset; Aged; Aged, 80 and over; A

2013
Clinical case: Differential diagnosis of idiopathic pulmonary fibrosis.
    BMC research notes, 2013, Volume: 6 Suppl 1

    Topics: Acetylcysteine; Alveolitis, Extrinsic Allergic; Azathioprine; Diagnosis, Differential; Disease Manag

2013
Occurrence of idiopathic pulmonary fibrosis during immunosuppressive treatment: a case report.
    Journal of medical case reports, 2016, May-25, Volume: 10

    Topics: Aged; Azathioprine; Cyclosporine; Fatal Outcome; Heart Transplantation; Humans; Idiopathic Pulmonary

2016
Assessment of current practice in the diagnosis and therapy of idiopathic pulmonary fibrosis.
    Respiratory medicine, 2008, Volume: 102, Issue:9

    Topics: Adult; Azathioprine; Biopsy; Bronchoscopy; Female; Glucocorticoids; Guideline Adherence; Humans; Idi

2008
Thiopurine S- methyltransferase [corrected] testing in idiopathic pulmonary fibrosis: a pharmacogenetic cost-effectiveness analysis.
    Lung, 2010, Volume: 188, Issue:2

    Topics: Acetylcysteine; Azathioprine; Computer Simulation; Cost-Benefit Analysis; Decision Support Technique

2010
Fibrotic idiopathic interstitial pneumonias: mortality is linked to a decline in gas transfer.
    Respirology (Carlton, Vic.), 2010, Volume: 15, Issue:8

    Topics: Aged; Anti-Inflammatory Agents; Azathioprine; Blood Gas Analysis; Cyclophosphamide; Disease-Free Sur

2010
Hot off the breath: triple therapy for idiopathic pulmonary fibrosis--hear the PANTHER roar.
    Thorax, 2012, Volume: 67, Issue:2

    Topics: Acetylcysteine; Aged; Aged, 80 and over; Azathioprine; Drug Therapy, Combination; Evidence-Based Med

2012
Triple therapy in idiopathic pulmonary fibrosis: an alarming press release.
    The European respiratory journal, 2012, Volume: 39, Issue:4

    Topics: Acetylcysteine; Azathioprine; Drug Therapy, Combination; Expectorants; Glucocorticoids; Humans; Idio

2012