Idiopathic pulmonary fibrosis scarring of the lung
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Diagnosis of IPF according to ATS/ERS criteria (5), definite and probable patients will be eligible - Written informed consent - Daily cough related to IPF (exclusion of other causes) present > 8 weeks - TLCOc >= 30% and FVC >= 50% If a patient is not able to perform a reliable TLCOc measurement because of for instance coughing; TLCOc should be >= 30 % within the past 6 months and FVC should be >= 50% and no emphysema present on CT and no severe pulmonary hypertension on echo. - Pirfenidone therapy about to be initiated - if a history positive for Gastro Esophageal Reflux (GER), using proton pump inhibitor (PPI) > 4 weeks
Exclusion criteria
Exclusion criteria: Opiates, antitussive medication, antihistamines, steroids > equivalent of 10 mg prednisone or NAC within two weeks before study - Change of steroid
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To measure with a validated cough recorder the effect of Pirfenidone on cough frequency in patients with IPF | — |
Secondary
| Measure | Time frame |
|---|---|
| • To measure the effect of Pirfenidone on health status and cough severity using the Leicester Cough Questionnaire and Visual Analogue Score. • To assess the impact of cough on quality of life, anxiety and depression (baseline, week 4 and 12) • To assess the change in cough frequency measured by cough recorder at 4 weeks compared to baseline • To correlate change in cough frequency in relation to lung function • To identify clinical characteristics predictive of cough response | — |
Countries
Netherlands