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N/A N=1,798

Burden of Nintedanib Non-adherence Among Idiopathic Pulmonary Fibrosis (IPF) Patients

Idiopathic Pulmonary Fibrosis

Enrolled (actual)
1,798
Serious AEs
Results posted
Oct 2024
Primary outcome: Primary: Total All-cause Medical Costs — 12647.73; 13580.61; 17549.74; 15375.10 United States dollars — p=0.516

Study Design & Population

Study type
Observational
Phase
N/A
Interventions
Nintedanib (Drug)
Age
Older Adult · 66+ yrs
Sex
All
Sponsor
Boehringer Ingelheim
Primary completion
Jun 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Total All-cause Medical Costs
12647.73; 13580.61; 17549.74; 15375.10; 18110.14 0.516
SECONDARY
Total IPF-related Medical Costs
3239.75; 2935.82; 6011.81; 3696.54; 3860.62 0.439
SECONDARY
All-cause Inpatient Hospitalization
20.4; 22.8; 30.0; 29.4; 26.8 0.463
SECONDARY
IPF-related Inpatient Hospitalization
10.8; 11.4; 19.5; 14.1; 12.2 0.801

Summary

This study has two objectives: 1. To assess the association between nintedanib adherence trajectory group (as measured from a Group-based Trajectory Modelling (GBTM)) and health care resource use, with a focus on inpatient hospitalization, among patients with Idiopathic Pulmonary Fibrosis (IPF). 2. To assess the association between a patient's nintedanib adherence trajectory group (as measured from a GBTM) and their medical costs among patients with IPF.

Eligibility Criteria

Inclusion Criteria

  • Newly initiated nintedanib during 10/01/2014 to 12/31/2018
  • Were at least 66 years old as of the date of their first nintedanib prescription claim (index date)
  • Qualified for Medicare based on age
  • Had at least 12 months of continuous enrollment in Medicare Parts A, B and D before (baseline period) and 12 months after the index date (follow-up period)
  • Had at least one inpatient or two outpatient claims (>14 days apart) with a diagnosis code for IPF (ICD-10-CM: J84.112; ICD-9-CM: 516.31) during the baseline period

Exclusion Criteria

  • Had any history of pirfenidone or nintedanib use during the baseline period
  • Had any history of lung transplant during the baseline, index date or follow-up periods
  • Had any claims for skilled nursing facility, long-term care facility or hospice during the baseline, index date or follow-up period
  • Had evidence (≥2 ICD-9-CM or ICD-10-CM diagnosis codes on different dates) during the baseline period of any of the following conditions: lung cancer, autoimmune, or connective tissue diseases (i.e., rheumatoid arthritis (RA), sarcoidosis, systemic lupus erythematosus (SLE), dermatopolymyositis, systemic sclerosis, Sjogren's, and mixed connective tissue disease (CTD)) during the baseline period
  • Had dual eligibility of Medicare and Medicaid
  • Had history of using pirfenidone at the same time with nintedanib during follow-up
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05870956). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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