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Not yet recruitingNCT06521125GENESIUpdated Jul 25, 2024

Clinical Genetics and Screening for Idiopathic Pulmonary Fibrosis

An observational study in Familial Pulmonary Fibrosis and Idiopathic Pulmonary Fibrosis, sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS. Not yet recruiting. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-07-25.

Sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · Observational

Study type
Observational
Model
Family-based
Time perspective
Cross-sectional
Enrollment
600
Ages
18 Years and older
Sex
All
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Study summary

Background:

Idiopathic pulmonary fibrosis (IPF) is the most common and severe form of interstitial lung disease. Between 2% and 20% of patients with IPF have a family history of the disease, which is considered the strongest risk factor. Therefore, genetic testing has been increasingly considered as a potential tool to identify patients at risk of developing IPF.

According to some studies, genetic testing (particularly of MUC5B and TERT mutations) could be useful to rapidly identify unidentified and/or asymptomatic individuals (in families as well as in the general population) who have interstitial lung anomalies (ILA) that may indicate a initial stage of pulmonary fibrosis. Finding efficient screening methods and associated targeted treatments for IPF may be essential to improving the prognosis and quality of life of those suffering from this disease.

Objectives of the study:

The study involves two populations of study subjects:

  • patients with FPF and sporadic IPF
  • first-degree relatives of patients with FPF and sporadic IPF (biological relatives, not spouses)

The primary objective is to determine the prevalence rates of interstitial lung abnormalities in at-risk relatives of patient with IPF and FPF.

Study design:

Multicenter, cross-sectional study without drug and without device conducted in two major Italian tertiary referral hospitals.

The entire project is expected to last 24 months.

02

Conditions studied

  • Familial Pulmonary Fibrosis
  • Idiopathic Pulmonary Fibrosis
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In context

Pulmonary Fibrosis

680 studies on the registry are indexed under Pulmonary Fibrosis; 119 are open to participants now.

This study's planned enrollment of 600 is above the median of 130 across 229 observational studies indexed under Pulmonary Fibrosis.

Browse Pulmonary Fibrosis studies →

Lead sponsor

Fondazione Policlinico Universitario Agostino Gemelli IRCCS is the lead sponsor of 920 studies on the registry; 529 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
Yes
Sampling method
Non-probability sample

Study population

The study involves two populations of study subjects:

  • patients with FPF and sporadic IPF
  • first-degree relatives of patients with FPF and sporadic IPF (biological relatives, not spouses).

Eligibility criteria

Criteria for PATIENTS:

Inclusion Criteria:

  1. patients aged ≥18 years when signing the informed consent
  2. diagnosis of IPF based on 2022 ATS/ERS/JRS/ALAT Guidelines as confirmed by the investigator based on chest HRCT scan and if available surgical lung biopsy
  3. diagnosis of FPF defined as the presence of fibrotic ILD in at least two members of the same biological family
  4. at least one 1st degree relative >40 years of age.

Exclusion Criteria:

  1. patients with Interstitial Lung Diseases other than Idiopathic Pulmonary Fibrosis, including but not limited to patients with granulomatous lung disease, autoimmune/collagen vascular disease associated interstitial lung disease, and drug induced interstitial lung disease
  2. unwilling or unable to sign informed consent

Criteria for FIRST DEGREE BIOLOGICAL RELATIVES:

Inclusion Criteria:

a. subjects aged ≥40 years

Exclusion Criteria:

  1. previous diagnosis of IPF
  2. a history of severe or poorly controlled anxiety, severe or poorly controlled depression according to the opinion of the investigators, suicidal ideation, or other psychiatric illness requiring hospitalization
  3. unwilling or unable to sign informed consent 400 first-degree relatives of participating patients will be recruited
05

Study design

Observational model
Family-based
Time perspective
Cross-sectional
Enrollment
600 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients with FPF and sporadic IPF

    Diagnostic Test: High resolution Computed Tomography (HRCT) scans of the Chest · Diagnostic Test: Pulmonary Function Testing (PFTs) · Diagnostic Test: Digital lung sounds auscultation · Diagnostic Test: Laboratory Assessments · Genetic: DNA sequencing

  • First-degree relatives of patients with FPF and sporadic IPF

    Diagnostic Test: High resolution Computed Tomography (HRCT) scans of the Chest · Diagnostic Test: Pulmonary Function Testing (PFTs) · Diagnostic Test: Digital lung sounds auscultation · Diagnostic Test: Laboratory Assessments · Genetic: DNA sequencing

Interventions

  • Diagnostic testHigh resolution Computed Tomography (HRCT) scans of the Chest

    A chest high-resolution computed tomography (HRCT) scan will be performed

  • Diagnostic testPulmonary Function Testing (PFTs)

    Spirometry and diffusing capacity of the lung for carbon monoxide (DLCO) measurements will be performed

  • Diagnostic testDigital lung sounds auscultation

    Lung sounds will be recorded using a manual approach with a digital stethoscope

  • Diagnostic testLaboratory Assessments

    Clinical laboratory tests will be collected from each participant

  • GeneticDNA sequencing

    A sample of genomic DNA from peripheral blood lymphocytes will be collected for DNA sequencing

06

What researchers measure

Primary outcomes

  1. Prevalence of ILA

    The prevalence of ILA in first-degree relatives of patients with IPF, expressed as proportion of subjects with ILAs in the overall relatives population

    Time frame: At subject enrollment

Secondary outcomes

  1. Association between ILA and genetic variants

    To assess the risk of ILA in first-degree relatives of patients with FPF and sporadic IPF associated with clinically relevant mutations. Univariate and multivariate logistic regression analysis will be utilized to assess the association between genetic variants and ILA

    Time frame: At subject enrollment

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06521125
Lead sponsor
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Responsible party
RICHELDI LUCA (Professor, Fondazione Policlinico Universitario Agostino Gemelli IRCCS) — Principal investigator
First posted
Jul 25, 2024
Start date
Sep 1, 2024 (estimated)
Primary completion
Sep 1, 2026 (estimated)
Completion
Sep 1, 2026 (estimated)
Last update
Jul 25, 2024

Study contacts

Luca Richeldi
Contact
luca.richeldi@policlinicogemelli.it
0630157857

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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