PROFILEing idiopathic pulmonary fibrosis: rethinking biomarker discovery

Despite major advances in the understanding of the pathogenesis of idiopathic pulmonary fibrosis (IPF), diagnosis and management of the condition continue to pose significant challenges. Clinical management of IPF remains unsatisfactory due to limited availability of effective drug therapies, a lack...

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Main Author: Toby M. Maher
Format: Article
Language:English
Published: European Respiratory Society 2013-06-01
Series:European Respiratory Review
Subjects:
Online Access:http://err.ersjournals.com/content/22/128/148.full.pdf+html
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author Toby M. Maher
author_facet Toby M. Maher
author_sort Toby M. Maher
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description Despite major advances in the understanding of the pathogenesis of idiopathic pulmonary fibrosis (IPF), diagnosis and management of the condition continue to pose significant challenges. Clinical management of IPF remains unsatisfactory due to limited availability of effective drug therapies, a lack of accurate indicators of disease progression, and an absence of simple short-term measures of therapeutic response. The identification of more accurate predictors of prognosis and survival in IPF would facilitate counseling of patients and their families, aid communication among clinicians, and would guide optimal timing of referral for transplantation. Improvements in molecular techniques have led to the identification of new disease pathways and a more targeted approach to the development of novel anti-fibrotic agents. However, despite an increased interest in biomarkers of IPF disease progression there are a lack of measures that can be used in early phase clinical trials. Careful longitudinal phenotyping of individuals with IPF together with the application of novel omics-based technology should provide important insights into disease pathogenesis and should address some of the major issues holding back drug development in IPF. The PROFILE (Prospective Observation of Fibrosis in the Lung Clinical Endpoints) study is a currently enrolling, prospective cohort study designed to tackle these issues.
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spelling doaj.art-2021b6b740ed4f8f9f2d86d7eb2a57392022-12-21T19:11:08ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172013-06-012212814815210.1183/09059180.00000913PROFILEing idiopathic pulmonary fibrosis: rethinking biomarker discoveryToby M. MaherDespite major advances in the understanding of the pathogenesis of idiopathic pulmonary fibrosis (IPF), diagnosis and management of the condition continue to pose significant challenges. Clinical management of IPF remains unsatisfactory due to limited availability of effective drug therapies, a lack of accurate indicators of disease progression, and an absence of simple short-term measures of therapeutic response. The identification of more accurate predictors of prognosis and survival in IPF would facilitate counseling of patients and their families, aid communication among clinicians, and would guide optimal timing of referral for transplantation. Improvements in molecular techniques have led to the identification of new disease pathways and a more targeted approach to the development of novel anti-fibrotic agents. However, despite an increased interest in biomarkers of IPF disease progression there are a lack of measures that can be used in early phase clinical trials. Careful longitudinal phenotyping of individuals with IPF together with the application of novel omics-based technology should provide important insights into disease pathogenesis and should address some of the major issues holding back drug development in IPF. The PROFILE (Prospective Observation of Fibrosis in the Lung Clinical Endpoints) study is a currently enrolling, prospective cohort study designed to tackle these issues.http://err.ersjournals.com/content/22/128/148.full.pdf+htmlBiomarkersclinical managementidiopathic pulmonary fibrosispharmacological treatmentPROFILE studyprognosis
spellingShingle Toby M. Maher
PROFILEing idiopathic pulmonary fibrosis: rethinking biomarker discovery
European Respiratory Review
Biomarkers
clinical management
idiopathic pulmonary fibrosis
pharmacological treatment
PROFILE study
prognosis
title PROFILEing idiopathic pulmonary fibrosis: rethinking biomarker discovery
title_full PROFILEing idiopathic pulmonary fibrosis: rethinking biomarker discovery
title_fullStr PROFILEing idiopathic pulmonary fibrosis: rethinking biomarker discovery
title_full_unstemmed PROFILEing idiopathic pulmonary fibrosis: rethinking biomarker discovery
title_short PROFILEing idiopathic pulmonary fibrosis: rethinking biomarker discovery
title_sort profileing idiopathic pulmonary fibrosis rethinking biomarker discovery
topic Biomarkers
clinical management
idiopathic pulmonary fibrosis
pharmacological treatment
PROFILE study
prognosis
url http://err.ersjournals.com/content/22/128/148.full.pdf+html
work_keys_str_mv AT tobymmaher profileingidiopathicpulmonaryfibrosisrethinkingbiomarkerdiscovery