Systemic sclerosis & Raynaud's

Lung ultrasound and high-resolution computed tomography quantitative variations during nintedanib treatment for systemic sclerosis-associated interstitial lung disease

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

We present preliminary results on NIN effects on SSc-ILD as assessed by LUS, a useful method for frequently repeated monitoring, and CALIPER, a valid implementation whenever a HRCT is performed.

Study context

Population
SSc-ILD patients who started NIN (70% female, mean age 62 years)
Participants
10 patients
Outcome
LUS (B-lines, pleural line irregularities) and quantitative high-resolution CT (HRCT) (CALIPER) changes during NIN treatment
Follow-up
12 months
Methodological detailssingle-group, 12-month follow-up
  • Single-group
  • 12-month follow-up

Main finding

As reported in the abstract

LUS: mean total number of BL and PLI
B-lines (BL), baseline to 12 months: 175.1 [66.7] to 120.8 [70.3]
P = 0.005
Pleural line irregularities (PLI), baseline to 12 months: 50.6 [32.5] to 37.2 [22.4]
P = 0.05

Observational data: associations, not effects.

Further findings

Predictors of worse lung ultrasound (LUS) outcomes

Male gender, smoking habit and baseline FVC <70% predicted associated with worse LUS outcomes

Greater BL and PLI reduction in PROM improvers: mMRC dyspnoea scale

BL
P = 0.016
PLI
P = 0.04

Greater BL and PLI reduction in PROM improvers: Saint George's Respiratory Questionnaire

BL
P = 0.006
PLI
P = 0.026

Pulmonary function tests · 12 months

Stabilization

Original publication

Lung ultrasound and high-resolution computed tomography quantitative variations during nintedanib treatment for systemic sclerosis-associated interstitial lung disease. Rheumatology (Oxford). Published 4 December 2023. doi:10.1093/rheumatology/kead642

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