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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Respiration
2017 ; 93
(6
): 415-423
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Antacid Therapy and Disease Progression in Patients with Idiopathic Pulmonary
Fibrosis Who Received Pirfenidone
#MMPMID28399537
Kreuter M
; Spagnolo P
; Wuyts W
; Renzoni E
; Koschel D
; Bonella F
; Maher TM
; Kolb M
; Weycker D
; Kirchgässler KU
; Costabel U
Respiration
2017[]; 93
(6
): 415-423
PMID28399537
show ga
BACKGROUND: Gastroesophageal reflux disease is a potential risk factor for
idiopathic pulmonary fibrosis (IPF) progression; however, the impact of antacid
therapy (AAT) is under debate. OBJECTIVE: To evaluate the effect of AAT on IPF
progression in pirfenidone-treated patients. METHODS: This post hoc analysis
included patients with IPF who received pirfenidone in 3 trials (CAPACITY
[PIPF-004/PIPF-006] and ASCEND [PIPF-016]). Pulmonary function, exercise
tolerance, survival, hospitalizations, and adverse events (AEs) over 52 weeks
were analyzed by baseline AAT use. Disease progression was defined as a decrease
in forced vital capacity (FVC) of ?10%, a decrease in 6-min walking distance of
?50 m, or death over 1 year. RESULTS: Of 623 patients, 44% received AAT. No
significant differences were found at 52 weeks (AAT versus non-AAT, respectively)
in disease progression (24.9 vs. 30.6%; p = 0.12), all-cause mortality rate (2.9
vs. 4.0%; p = 0.47), IPF-related mortality rate (1.1 vs. 2.0%; p = 0.37),
all-cause hospitalization rate (16.1 vs. 18.3%; p = 0.48), or mean change in
percent FVC (-2.7 vs. -3.1%; p = 0.44). A relative, but not absolute, FVC decline
of ?10% favored AAT (15 vs. 22%; p = 0.03). Severe gastrointestinal AEs (3.7 vs.
0.9%; p = 0.015) and severe pulmonary infections (3.7 vs. 1.1%; p = 0.035) were
more frequent with AAT. CONCLUSIONS: AAT and pirfenidone had outcomes comparable
to those of pirfenidone alone in patients with IPF, underscoring the need for
prospective trials to elucidate the role of AAT with or without antifibrotic
drugs as a treatment for IPF.
|Aged
[MESH]
|Antacids/therapeutic use
[MESH]
|Anti-Inflammatory Agents, Non-Steroidal/*therapeutic use
[MESH]