Actively Recruiting
Study on Body Mass Composition Using BIA and Muscle Ultrasound in Adults with IPF or Progressive Pulmonary Fibrosis Starting Anti-fibrotic Medicines
Led by Royal Brompton & Harefield NHS Foundation Trust · Updated on 2026-01-12
30
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are studying how anti-fibrotic medications affect body mass composition in patients with idiopathic pulmonary fibrosis IPF or progressive pulmonary fibrosis PPF. These medications, such as nintedanib and pirfenidone, often cause side effects like nausea and loss of appetite, which may change body fat and muscle amounts. Traditional methods like weight and BMI dont detect these changes well, so this study uses bioimpedance analysis BIA and muscle ultrasound to better measure body composition. The study involves patients newly starting anti-fibrotic drugs and a control group of patients with similar lung disease but not beginning these medications. BIA measures body composition quickly by attaching electrodes for about 6 seconds, while muscle ultrasound assesses thigh muscle size. Additional measurements include mid-arm circumference, physical tests like sit-to-stand and walking speed, and questionnaires on quality of life, physical activity, and gastrointestinal symptoms. Participants will provide a 3-day diet diary as well. Assessments occur before starting the medications and again after four months to track changes. Researchers will evaluate the feasibility of these measurements, the acceptability of BIA and ultrasound, and collect data on muscle strength, body weight, height, and questionnaires at both time points. The study aims to understand the impact of anti-fibrotic drugs on body composition and related physical functions in these patients over this period.
CONDITIONS
Brief Title
A Pilot Study to Assess Body Mass Composition Measurement Using BIA and Muscle Ultrasound in IPF and PPF Patients on Anti-fibrotic Medications
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Diagnosis of idiopathic pulmonary fibrosis or progressive pulmonary fibrosis
- Newly starting anti-fibrotic medication (nintedanib or pirfenidone)
- Age over 18 years
- Able and willing to provide consent
You will not qualify if you...
- Currently require enteral feeding
- Weight loss greater than 10% in the past 3 to 6 months
- Significant musculoskeletal issues affecting muscle mass
- Receiving end of life care with less than 6 weeks expected survival
- Previous use of anti-fibrotic medications
- Currently taking more than 10mg daily of prednisolone
- Presence of implantable cardioverter defibrillator or permanent pacemaker
- Heart failure
- Pregnancy
Research Team
J
Jessica Dr Raja
E
Elisabetta Professor Renzoni
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