CClinicalTrials.gg
Status unknownNCT03670576INJUSTISUpdated Jul 2, 2021

It's Not JUST Idiopathic Pulmonary Fibrosis Study

An observational study in Interstitial Lung Disease and Idiopathic Pulmonary Fibrosis, sponsored by University of Nottingham. Status unknown at 24 sites in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-07-02.

Sponsored by University of Nottingham · Observational

The sponsor has not verified this record recently (last verified Jul 2021), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
250
Ages
18 Years and older
Sex
All
01

Study summary

Study of progression of fibrosis in ILD

Read the detailed description

The overall aims of this study are

  • Identify biomarkers and gene expression profiles that determine progressive fibrotic lung disease regardless of aetiology
  • To prospectively assess biomarkers which predict progressive fibrosis in patients with fibrosing lung disease of alternate aetiology, including RA-UIP, Asbestosis, Chronic Hypersensitivity Pneumonitis and Unclassifiable fibrotic lung disease
  • Investigate genetic associations and epigenetic modifications which affect fibrotic disease severity and progression
  • Prospectively evaluate longitudinal disease behaviour in patients with non IPF-fibrotic lung diseases with a view to developing composite clinical end-points for subsequent use in intervention studies in patients
02

Conditions studied

03

In context

Lung Diseases

3,303 studies on the registry are indexed under Lung Diseases; 355 are open to participants now.

This study's planned enrollment of 250 is above the median of 157 across 929 observational studies indexed under Lung Diseases.

Browse Lung Diseases studies →

Lead sponsor

University of Nottingham is the lead sponsor of 456 studies on the registry; 78 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Participants will be recruited from ILD and IPF clinics.

Inclusion criteria

  • Male or female aged ≥ 18 years old
  • Able and willing to give written informed consent
  • Recently diagnosed [defined as diagnostic CT scan or surgical lung biopsy (if applicable) >1st May 2017]
  • An MDT diagnosis of fibrotic interstitial lung disease (reticulation, traction +/- honeycombing)

Sub Groups

  • Rheumatoid arthritis (rheumatologist diagnosed with anti-CCP antibodies and/or Rheumatoid Factor positive)
  • Asbestosis (appropriate occupational history and radiological evidence of asbestos exposure)
  • Chronic HP in accordance with consensus criteria (appropriate exposure history, radiological features +/- avian and fungal precipitins)
  • Unclassifiable fibrotic lung disease (fibrotic lung disease otherwise unclassifiable despite extensive clinical and radiological examination)
  • IPF in accordance with consensus criteria (ATS/ERS/JRS/ALAT guidelines) as controls

Exclusion criteria

Exclusion Criteria:

  • Participating in an interventional clinic trial
  • Asymptomatic Interstitial Lung Abnormalities (ILA) and normal lung function.
  • Change in clinical phenotype from initial radiological diagnosis to screening
  • Acute Hypersensitivity Pneumonitis.
  • Participants who do not possess a smartphone or have a valid email address (necessary for the home FVC readings)
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
250 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Case

    A diagnosis of Fibrotic Lung disease classified in 4 categories, RA-UIP, Asbestosis, Chronic HP and Unclassifiable as agreed by an ILD MDT consensus panel.

    Procedure: Optional Bronchoscopy · Other: Quality of Life Questionnaires · Other: Blood Samples for Biomarkers · Other: Home Hand Held Spirometry

  • Control

    Positive control will be frequency matched to cases of ILD and will be people in secondary care who have an MDT diagnosis of Definite IPF.

    Procedure: Optional Bronchoscopy · Other: Quality of Life Questionnaires · Other: Blood Samples for Biomarkers · Other: Home Hand Held Spirometry

Interventions

  • ProcedureOptional Bronchoscopy

    Patients can decide to have an optional bronchoscopy so that samples can be taken for research up to three months from baseline.

  • OtherQuality of Life Questionnaires

    MRC Dyspnoea, SPARC, KBILD and EQ-5D-5L will be administered at baseline, 3 months, 12 months and 24 months,

  • OtherBlood Samples for Biomarkers

    a 40ml research blood sample to be taken at baseline, 3 months, 12 months and 24 months.

  • OtherHome Hand Held Spirometry

    Patients will download an app and are given a small hand held device to record their own spirometry at home. This is blinded for the first three months of the study and then requested a week before and a week after the three follow up points (3m, 12m, 24m)

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What researchers measure

Primary outcomes

  1. Disease Progression

    Disease progression defined as \>10% relative decline in FVC (using either hospital spirometry or home hand held spirometry) or death within 12 months.

    Time frame: Within 12 months

  2. Overall Survival

    All patients will be tagged at the central NHS registry in order to provide mortality data. For this reason we will need to keep our datasets active for up to 10 years to allow a complete mortality analysis.

    Time frame: 10 years

Secondary outcomes

  1. Serum and Plasma Biomarkers

    SPD, MUC16, CA199, Nordic Neoepitopes

    Time frame: Baseline, 3 months, 12 months, 24 months

Other outcomes

  1. DLco

    Diffusing Capacity of the Lung for Carbon Monoxide

    Time frame: Baseline, 3 months, 12 months, 24 months

  2. Quality of Life Questionnaires

    Assessment of how the patients well-being may be affected over time by their interstitial lung disease

    Time frame: Baseline, 3 months, 12 months, 24 months.

  3. Domicillary Spirometry

    Change in home handheld spirometry values from baseline to 12 weeks

    Time frame: Daily for the first 3 months of study then at 2 week periods around time of planned follow up

07

Study locations

22 of 24 sites recruiting
  • Queens Hospital Burton
    Burton on Trent, Derbyshire DE15 0RB, United Kingdom
    • Dr Uttam Nanda · Contact
    Recruiting
  • Kings Mill Hospital
    Mansfield, Nottingham NG17 4JL, United Kingdom
    Active, not recruiting
  • Royal United Hospitals Bath NHS Trust
    Bath, United Kingdom
    • Dr Noeleen Foley · Contact
    Recruiting
  • University Hospitals Birmingham
    Birmingham, United Kingdom
    • Dr Gareth Walters · Contact
    Recruiting
  • Blackpool Victoria Hospital
    Blackpool, United Kingdom
    • Dr Thomas Bongers · Contact
    Recruiting
  • Southmead Hospital North Bristol
    Bristol, BS10 5NB, United Kingdom
    • Dr Huzaifa Adamali · Contact
    Recruiting
  • University Hospitals Coventry and Warwickshire
    Coventry, CV2 2DX, United Kingdom
    Active, not recruiting
  • Royal Derby Hospital
    Derby, DE22 3NE, United Kingdom
    • Dr Srividya Narayan · Contact
    Recruiting
  • Royal Devon and Exeter Hospital
    Exeter, EX2 5DW, United Kingdom
    • Sarah Lines · Contact
    Recruiting
  • Medway Maritime Hospital
    Gillingham, ME7 5NY, United Kingdom
    • Dr Lisa Vincent-Smith · Contact
    Recruiting
  • Kingston Hospital NHS Foundation Trust
    London, United Kingdom
    • Dr Siva Mahendran · Contact
    Recruiting
  • St Georges Hospital
    London, United Kingdom
    • Dr Raminder Aul · Contact
    Recruiting
  • North Manchester General Hospital
    Manchester, M8 5RB, United Kingdom
    • Dr Zoe Borrill · Contact
    Recruiting
  • Wythenshawe Hospital
    Manchester, United Kingdom
    • Dr Nazia Chaudhuri · Contact
    Recruiting
  • Newcastle Upon Tyne NHS Foundation Trust
    Newcastle, United Kingdom
    • Dr Sarah Wiscombe · Contact
    Recruiting
  • Northumbria Healthcare NHS Foundation Trust
    Newcastle, United Kingdom
    • Dr Laura McKay · Contact
    Recruiting
  • Nottingham University Hospitals NHS Trust
    Nottingham, NG5 1PB, United Kingdom
    Recruiting
  • Sheffield Teaching Hospitals NHS Foundation Trust
    Sheffield, United Kingdom
    • Dr Steve Bianchi · Contact
    Recruiting
  • South Tyneside District Hospital
    South Shields, NE34 0PL, United Kingdom
    • Dr Liz Fuller · Contact
    Recruiting
  • University Hospital of North Tees
    Stockton-on-Tees, TS19 8PE, United Kingdom
    • Dr Graham Miller · Contact
    Recruiting
  • Taunton and Somerset NHS Foundation Trust
    Taunton, United Kingdom
    • Dr James Davidson · Contact
    Recruiting
  • Royal Albert and Edward Infirmary
    Wigan, WN1 2NN, United Kingdom
    • Dr Abdul Ashish · Contact
    Recruiting
  • New Cross Hospital
    Wolverhampton, WV10 0QP, United Kingdom
    • Dr Ahmed Fahim · Contact
    Recruiting
  • Worcestershire Royal Hospital
    Worcester, WR5 1DD, United Kingdom
    • Prof Stephen O'Hickey · Contact
    Recruiting
08

References and documents

Publications

  • Khan F, Stewart I, Howard L, McKeever TM, Jones S, Hearson G, Braybrooke R, Edwards C, Jenkins G, Saini G. The Its Not JUST Idiopathic pulmonary fibrosis Study (INJUSTIS): description of the protocol for a multicentre prospective observational cohort study identifying biomarkers of progressive fibrotic lung disease. BMJ Open Respir Res. 2019 Jun 4;6(1):e000439. doi: 10.1136/bmjresp-2019-000439. eCollection 2019. PubMed 31258922 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 2, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03670576
Lead sponsor
University of Nottingham
Collaborators
Nottingham University Hospitals NHS Trust
Responsible party
Sponsor
First posted
Sep 13, 2018
Start date
Nov 11, 2018
Primary completion
Nov 11, 2022 (estimated)
Completion
Nov 11, 2022 (estimated)
Last update
Jul 2, 2021

Study contacts

Prof Gisli Jenkins
Contact
gisli.jenkins@nottingham.ac.uk
0115 8231711
Lucy Howard
Contact
lucy.howard@nottingham.ac.uk
01158231326

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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