About this trial
Interstitial lung diseases (ILD) constitute a group of entities characterized by inflammation and/or fibrosis of the lung parenchyma.
In recent years, with the advent of new diagnostic tools and therapeutic options, multidisciplinary evaluation is essential, since it optimizes the interpretation of each case and the quality of care for these pathologies Consensus for the identification and management of ILD associated with SSc (ILD-SSc) is the only guideline published at present. In the others autoimmune ILD (Ai-ILD), screening, diagnosis, treatment and follow-up strategies are usually performed according to the criteria of the treating medical team. Guidelines regarding the follow-up and indication of immunosuppressive and antifibrotic treatment are lacking. Many questions on the horizon of the Ai-ILD should be answered as better quality evidence emerges from studies with a greater number of patients and better methodological design.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years old
Diagnosis of ILD within the last 5 years according to the criteria of the multidisciplinary team composed of at least one pulmonologist and one rheumatologist, with or without respiratory symptoms.
ILD defined by the presence of ground glass opacities and / or peribronchovascular or airspace consolidations and / or reticulations and / or traction bronchiectasis and / or honeycomb on high-resolution computed tomography (HRCT) within the last 12 months 17 .
Spirometry performed within the last 6 months before entering the registry.
Disqualifiers
Not being able to perform the clinical follow-up or the complementary studies required in the protocol.
Not being able to be evaluated by a multidisciplinary team; at least a rheumatologist plus a pulmonologist.
ILD associated with another non-autoimmune etiology according to the criteria of the multidisciplinary team (eg, occupational diseases, toxic)
Trial population
Patients with a diagnosis of ILD-Ai according to the evaluation of a multidisciplinary team. Patients without respiratory symptoms may be included in the registry and will be classified as subclinical ILD.
Trial design
Cohort
Prospective
Treatments tested in this trial
Multidisciplinary aproach
Diagnostic testregular tests
Treatment groups
Trial outcomes
Primary outcomes
Mortality
Number of patients that Survival at end of the study
Pulmonary test functionals
Change in functional tests over time (measurement of FVC and DLCO)
Fibrosis in Computed tomography
Change in Computed tomography in relation to fibrotic involvement, measured by the same operator
Secondary outcomes
Safety of the treatments used
number and type of event adverse
Sponsors and contacts
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EPIMAR registry
Lead sponsor
Sociedad Argentina de Reumatologia
Collaborator