Journal
RESPIROLOGY
Volume 15, Issue 1, Pages 19-31Publisher
WILEY
DOI: 10.1111/j.1440-1843.2009.01672.x
Keywords
antifibrotic; clinical trial; idiopathic pulmonary fibrosis; therapy; trial end-point
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Most pulmonary consultants are called upon to discuss IPF management with their patients. The gravity of IPF treatment discussion is immense in view of the data that 3- and 5-year mortality rates are approximately 50% and 80%, respectively. Although IPF occurs in older patients with comorbid diseases, most patients with IPF die as a direct consequence of their lung fibrosis. Here, the results of recently completed IPF trials and the rationale for ongoing studies are succinctly reviewed. There are a number of novel agents in clinical trials that are in the earlier stages of development, and there is new evidence supporting palliative therapies, which may help in managing symptoms of IPF, such as cough, without necessarily altering the course of the disease. The information provided herein should facilitate informed physician-patient dialogue.
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