NCT06521125

Clinical Genetics and Screening for Idiopathic Pulmonary Fibrosis

• Status: Not Yet Recruiting
• Phase: —
• Study type: Observational
• Enrollment: 600 (estimated)
• Sponsor: Fondazione Policlinico Universitario Agostino Gemelli IRCCS · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

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.

Conditions

• Familial Pulmonary Fibrosis
• Idiopathic Pulmonary Fibrosis

Interventions

Type	Name	Description
DIAGNOSTIC_TEST	High resolution Computed Tomography (HRCT) scans of the Chest	A chest high-resolution computed tomography (HRCT) scan will be performed
DIAGNOSTIC_TEST	Pulmonary Function Testing (PFTs)	Spirometry and diffusing capacity of the lung for carbon monoxide (DLCO) measurements will be performed
DIAGNOSTIC_TEST	Digital lung sounds auscultation	Lung sounds will be recorded using a manual approach with a digital stethoscope
DIAGNOSTIC_TEST	Laboratory Assessments	Clinical laboratory tests will be collected from each participant
GENETIC	DNA sequencing	A sample of genomic DNA from peripheral blood lymphocytes will be collected for DNA sequencing

Timeline

• Start date: 2024-09-01
• Primary completion: 2026-09-01
• Completion: 2026-09-01
• First posted: 2024-07-25
• Last updated: 2024-07-25