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Table 1 Disease severity and definition of progression used in eligibility criteria for selected recently completed and ongoing clinical trials evaluating PF-ILD

From: Progression of fibrosing interstitial lung disease

Clinical trial

Disease severity

Minimum definition of progression

Pulmonary function

HRCT

Time frame

Pulmonary function

Symptoms

HRCT

Pirfenidone in unclassifiable ILD [15]

FVC ≥ 45%

DLCO ≥30%

6MWD ≥ 150 m

Fibrosis affecting > 10% of lung volume

6 months

FVC > 5% decline (absolute)

Worsening symptoms

 

Pirfenidone in progressive non-IPF ILD (RELIEF) [23]

FVC 40–90%

DLCO 25–75%

6MWD ≥ 150 m

 

12 monthsa

FVC ≥ 5% decline (absolute)

 

Nintedanib in non-IPF PF-ILD (INBUILD) [14]

FVC ≥ 45%

DLCO 30–80%

Fibrosis affecting > 10% of lung volume

24 months

FVC ≥ 10% decline (relative)

  

At least two of:

FVC 5–10% decline (relative)

Worsening symptoms

Increasing extent of fibrosis

Pirfenidone in Patients With RA-ILD (TRAIL1) [24]

FVC ≥ 40%

DLCO ≥30%

Fibrosis affecting > 10% of lung volume

12 months

FVC ≥ 10% decline (relative)

or

FVC 5–10% decline (relative) and

DLCO ≥15% decline (relative)

  
  1. Abbreviations: DLCO diffusing capacity of the lungs for carbon monoxide, FVC forced vital capacity, HRCT high-resolution computed tomography, ILD interstitial lung disease, IPF idiopathic pulmonary fibrosis, PF-ILD progressive fibrosing ILD, RA rheumatoid arthritis, 6MWD 6-min walk distance
  2. a≥3 pulmonary function tests within 6–24 months, extrapolated to 12 months