Page last updated: 2024-11-07

prednisone and Cryptogenic Fibrosing Alveolitis

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

Prednisone: A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.
prednisone : A synthetic glucocorticoid drug that is particularly effective as an immunosuppressant, and affects virtually all of the immune system. Prednisone is a prodrug that is converted by the liver into prednisolone (a beta-hydroxy group instead of the oxo group at position 11), which is the active drug and also a steroid.

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)
"We report a previously unrecognized and unreported case of a patient with anti-glomerular basement membrane glomerulonephritis following nintedanib, an orally active small molecule tyrosine kinase inhibitor."7.85Anti-glomerular basement membrane glomerulonephritis following nintedanib for idiopathic pulmonary fibrosis: a case report. ( Ismail, I; Nigam, S; Parnham, A; Srinivasa, V, 2017)
" However, the role of Cav-1 expression in pirfenidone-treated idiopathic pulmonary fibrosis (IPF) is unknown."7.85Effects and mechanisms of pirfenidone, prednisone and acetylcysteine on pulmonary fibrosis in rat idiopathic pulmonary fibrosis models. ( Guo, F; Song, X; Yu, W, 2017)
"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)
"The new anti-fibrotics pirfenidone and nintedanib are now in widespread use for idiopathic pulmonary fibrosis (IPF), but they may have an adverse impact on pathways involved in wound-healing."3.91Risk of anastomotic dehiscence in patients with pulmonary fibrosis transplanted while receiving anti-fibrotics: Experience of the Australian Lung Transplant Collaborative. ( Chambers, DC; Glanville, A; Hopkins, P; Mackintosh, JA; Munsif, M; Musk, M; Ranzenbacher, L; Snell, G; Thomson, C, 2019)
"We report a previously unrecognized and unreported case of a patient with anti-glomerular basement membrane glomerulonephritis following nintedanib, an orally active small molecule tyrosine kinase inhibitor."3.85Anti-glomerular basement membrane glomerulonephritis following nintedanib for idiopathic pulmonary fibrosis: a case report. ( Ismail, I; Nigam, S; Parnham, A; Srinivasa, V, 2017)
" However, the role of Cav-1 expression in pirfenidone-treated idiopathic pulmonary fibrosis (IPF) is unknown."3.85Effects and mechanisms of pirfenidone, prednisone and acetylcysteine on pulmonary fibrosis in rat idiopathic pulmonary fibrosis models. ( Guo, F; Song, X; Yu, W, 2017)
"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)
"Prednisone starting dose was 0."2.87Unfavourable outcome of glucocorticoid treatment in suspected idiopathic pulmonary fibrosis. ( Grutters, JC; van Es, HW; van Moorsel, CHM; van Oosterhout, MFM; Vorselaars, ADM; Wiertz, IA; Wuyts, WA, 2018)
"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)
"Nintedanib is a tyrosine kinase inhibitor used successfully in the treatment of idiopathic pulmonary fibrosis and there is no information about its use in BIP treatment."1.72Bleomycin-induced Pneumonitis in a Child Treated With Nintedanib: Report of the First Case in a Childhood. ( Arikoglu, T; Balci, Y; Citak, EC; Gundogan, BD; Taskinlar, S, 2022)
"Prednisone was used to treat IPF patients."1.42MMP-9 1562C>T Gene Polymorphism and Efficacy of Glucocorticoid Therapy in Idiopathic Pulmonary Fibrosis Patients. ( Fang, SC; Wang, C; Wang, CY; Wang, W; Wu, J; Xu, B; Zhang, HT; Zhang, YM, 2015)
"Interstitial lung disease is a common manifestation of rheumatoid arthritis; however, little is known about factors that influence its prognosis."1.36Usual interstitial pneumonia in rheumatoid arthritis-associated interstitial lung disease. ( Collard, HR; Elicker, BM; Kim, EJ; King, TE; Lee, JS; Maldonado, F; Ryu, JH; Van Uden, JH; Webb, WR, 2010)
"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-19901 (4.55)18.7374
1990's0 (0.00)18.2507
2000's2 (9.09)29.6817
2010's13 (59.09)24.3611
2020's6 (27.27)2.80

Authors

AuthorsStudies
Gundogan, BD1
Taskinlar, S1
Arikoglu, T1
Balci, Y1
Citak, EC1
Traila, D1
Marc, MS1
Pescaru, C1
Manolescu, D1
Fira-Mladinescu, O1
Kooistra, EJ1
Dahm, K1
van Herwaarden, AE1
Gerretsen, J1
Nuesch Germano, M1
Mauer, K1
Smeets, RL1
van der Velde, S1
van den Berg, MJW1
van der Hoeven, JG1
Aschenbrenner, AC1
Schultze, JL1
Ulas, T1
Kox, M1
Pickkers, P1
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
Zhan, X1
Yan, W1
Wang, Y1
Li, Q2
Shi, X1
Gao, Y1
Ye, Q1
Beijer, E1
Roodenburg-Benschop, C1
Schimmelpennink, MC1
Grutters, JC2
Meek, B1
Veltkamp, M1
Ismail, I1
Nigam, S1
Parnham, A1
Srinivasa, V1
Wiertz, IA1
Wuyts, WA1
van Moorsel, CHM1
Vorselaars, ADM1
van Es, HW1
van Oosterhout, MFM1
Zhang, J1
Shao, Q1
Song, J1
Zhou, B1
Shu, P1
Mackintosh, JA1
Munsif, M1
Ranzenbacher, L1
Thomson, C1
Musk, M1
Snell, G1
Glanville, A1
Chambers, DC1
Hopkins, P1
Martinez, FJ1
de Andrade, JA1
Anstrom, KJ1
King, TE2
Raghu, G1
Covvey, JR1
Mancl, EE1
Petitpierre, N1
Beigelman, C1
Letovanec, I1
Nicod, LP1
Lazor, R1
Andrade, J1
Schwarz, M1
Collard, HR2
Gentry-Bumpass, T1
Colby, T1
Lynch, D1
Kaner, RJ1
Zhang, HT1
Fang, SC1
Wang, CY1
Wang, W1
Wu, J1
Wang, C1
Xu, B1
Zhang, YM1
Yu, W1
Guo, F1
Song, X1
Peikert, T1
Daniels, CE1
Beebe, TJ1
Meyer, KC1
Ryu, JH2
Behr, J1
Demedts, M1
Buhl, R1
Costabel, U1
Dekhuijzen, RP1
Jansen, HM1
MacNee, W1
Thomeer, M1
Wallaert, B2
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
Kim, EJ1
Elicker, BM1
Maldonado, F1
Webb, WR1
Van Uden, JH1
Lee, JS1
Peelen, L1
Wells, AU1
Prijs, M1
Blumenthal, JP1
van Steenwijk, RP1
Jonkers, RE1
Peek, N1
Bresser, P1
Rammaert, B1
Leroy, S1
Cavestri, B1
Grosbois, JM1
SHERIDAN, LA1
HARRISON, EG1
DIVERTIE, MB1

Clinical Trials (7)

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
Using Technology to Engage Patients With Interstitial Lung Disease (ILD) in a Home a Home Exercise Program.[NCT04946708]14 participants (Actual)Interventional2021-09-01Completed
[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

3 reviews available for prednisone and Cryptogenic Fibrosing Alveolitis

ArticleYear
ANCA-associated vasculitis in idiopathic pulmonary fibrosis: A case report and brief review of the literature.
    Medicine, 2022, Mar-04, Volume: 101, Issue:9

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Cyclophosphamide; Female; Hemorrhage; Hu

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

Trials

6 trials available for prednisone and Cryptogenic Fibrosing Alveolitis

ArticleYear
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
Unfavourable outcome of glucocorticoid treatment in suspected idiopathic pulmonary fibrosis.
    Respirology (Carlton, Vic.), 2018, Volume: 23, Issue:3

    Topics: Aged; Biopsy; Cohort Studies; Dose-Response Relationship, Drug; Female; Glucocorticoids; Humans; Idi

2018
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
Home-based pulmonary rehabilitation in idiopathic pulmonary fibrosis.
    Revue des maladies respiratoires, 2011, Volume: 28, Issue:7

    Topics: Aged; Aged, 80 and over; Comorbidity; Dyspnea; Exercise Test; Exercise Tolerance; Feasibility Studie

2011

Other Studies

13 other studies available for prednisone and Cryptogenic Fibrosing Alveolitis

ArticleYear
Bleomycin-induced Pneumonitis in a Child Treated With Nintedanib: Report of the First Case in a Childhood.
    Journal of pediatric hematology/oncology, 2022, Mar-01, Volume: 44, Issue:2

    Topics: Adolescent; Antineoplastic Combined Chemotherapy Protocols; Bleomycin; Child; Dacarbazine; Doxorubic

2022
Molecular mechanisms and treatment responses of pulmonary fibrosis in severe COVID-19.
    Respiratory research, 2023, Aug-09, Volume: 24, Issue:1

    Topics: COVID-19; Dexamethasone; Disease Progression; Humans; Idiopathic Pulmonary Fibrosis; Prednisone; Res

2023
Clinical features of anti-synthetase syndrome associated interstitial lung disease: a retrospective cohort in China.
    BMC pulmonary medicine, 2021, Feb-12, Volume: 21, Issue:1

    Topics: Adult; Aged; Alanine-tRNA Ligase; Antibodies, Antinuclear; Autoantibodies; China; Cohort Studies; De

2021
Elevated Serum Amyloid a Levels Are not Specific for Sarcoidosis but Associate with a Fibrotic Pulmonary Phenotype.
    Cells, 2021, 03-07, Volume: 10, Issue:3

    Topics: Adult; Aged; Alveolitis, Extrinsic Allergic; C-Reactive Protein; Case-Control Studies; Cohort Studie

2021
Anti-glomerular basement membrane glomerulonephritis following nintedanib for idiopathic pulmonary fibrosis: a case report.
    Journal of medical case reports, 2017, Aug-06, Volume: 11, Issue:1

    Topics: Anti-Glomerular Basement Membrane Disease; Antineoplastic Agents; Cyclophosphamide; Female; Glomerul

2017
Effects of panax notoginseng saponin on the pathological ultrastructure and serum IL-6 and IL-8 in pulmonary fibrosis in rabbits.
    Journal of cellular biochemistry, 2018, Volume: 119, Issue:10

    Topics: Analysis of Variance; Animals; Anti-Inflammatory Agents; Aspartate Aminotransferases; Creatine Kinas

2018
Risk of anastomotic dehiscence in patients with pulmonary fibrosis transplanted while receiving anti-fibrotics: Experience of the Australian Lung Transplant Collaborative.
    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2019, Volume: 38, Issue:5

    Topics: Anastomotic Leak; Australia; Female; Glucocorticoids; Humans; Idiopathic Pulmonary Fibrosis; Indoles

2019
MMP-9 1562C>T Gene Polymorphism and Efficacy of Glucocorticoid Therapy in Idiopathic Pulmonary Fibrosis Patients.
    Genetic testing and molecular biomarkers, 2015, Volume: 19, Issue:11

    Topics: Aged; Alleles; Case-Control Studies; Female; Gene Frequency; Genetic Predisposition to Disease; Gluc

2015
Effects and mechanisms of pirfenidone, prednisone and acetylcysteine on pulmonary fibrosis in rat idiopathic pulmonary fibrosis models.
    Pharmaceutical biology, 2017, Volume: 55, Issue:1

    Topics: Acetylcysteine; Animals; Bleomycin; Blotting, Western; Caveolin 1; Cytoprotection; Disease Models, A

2017
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
Usual interstitial pneumonia in rheumatoid arthritis-associated interstitial lung disease.
    The European respiratory journal, 2010, Volume: 35, Issue:6

    Topics: Aged; Aged, 80 and over; Antirheumatic Agents; Arthritis, Rheumatoid; Female; Humans; Idiopathic Pul

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
THE CURRENT STATUS OF IDIOPATHIC PULMONARY FIBROSIS (HAMMAN-RICH SYNDROME).
    The Medical clinics of North America, 1964, Volume: 48

    Topics: Anti-Bacterial Agents; Aspirin; Biopsy; Child; Diagnosis, Differential; Digitalis Glycosides; Diuret

1964