About this trial
To assess the impact on body mass composition from anti-fibrotic medications used in fibrotic lung disease by using BIA and muscle ultrasound
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
A diagnosis of Idiopathic pulmonary fibrosis or progressive pulmonary fibrosis
Newly commencing anti-fibrotic medication (either nintedanib or pirfenidone)
Subject aged > 18 years
Able to willingly give consent
Disqualifiers
Co-morbidities currently requiring enteral feeding
Weight loss > 10% in preceding 3-6 months
Significant musculoskeletal issues that may impact muscle mass
End of life care (expected < 6 weeks left to live)
Trial population
Patients being newly commenced on anti-fibrotic medication as part of their clinical care (either nintedanib or pirfenidone)
Trial design
Other
Prospective
Treatments tested in this trial
No Interventions
Other interventionNo intervention
No intervention
Other interventionNo intervention
Treatment groups
Trial outcomes
Primary outcomes
Recruitment of patients to study
Measured by number of patients consenting/number of patients contacted and rationale for declining
Implementation of study protocol
Number of patients attending both visits (baseline and 4 months) and rationale for dropout
Feasibility of collection of data
Collection of data from BIA (skeletal muscle index (SMI), phase angle (PhA) and fat free mass index (FFMI)) and muscle ultrasound (Anterior-posterior diameter of rectus femoris and cross sectional area of rectus femoris)
Acceptability of use of BIA and muscle ultrasound
Likert scale on use of BIA and muscle ultrasound
Secondary outcomes
Bioelectrical impedance analysis (BIA)
Messurements taken with BIA include fat-free mass index (FFMI) kg/m2, phase angle (PhA) and skeletal muscle mass (SMM)
Five times sit to stand (5TST)
Time taken from moving from sitting to standing position for 5 repetitions will be recorded (seconds)
Four metre gait speed (4MGS)
Time taken to complete a 4 metre distance walking will be recorded and repeated 3 times (seconds)
Questionnaires assessing gastrointestinal symptoms
1. Gastrointestinal symptom rating scale (GSRS) to quantify the severity and impact of gastrointestinal symptoms 2. Visual analogue scale (VAS) for loss of appetite, nausea and diarrhoea 3. Past 1 week, how many bowel movements per day
Sponsors and contacts
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