Evidence map›Paper›PMID 42316178›Full record

SynthesisBMC pulmonary medicine2026

Global landscape for pulmonary fibrosis treatment: a data-driven perspective from clinical trials.

Chunyan Zhao, Chang Song, Yue Zhou, Jing Luo, Shaochu Zheng, Xiaojuan Li, Yuhai Dang, Nuo Yang, Jinliang Kong

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC pulmonary medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Chunyan Zhao *Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, China.
Chang Song *Department of Cardiothoracic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, China.
Yue ZhouDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, China.
Jing LuoDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, China.
Shaochu ZhengDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, China.
Xiaojuan LiDepartment of Respiratory and Critical Care Medicine, Yulin Red Cross Hospital, Yulin, Guangxi, 537000, China.
Yuhai DangDepartment of Respiratory and Critical Care Medicine, Jiangbin Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, 530021, China.
Nuo YangDepartment of Cardiothoracic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, China. yangnuo@gxmu.edu.cn.
Jinliang KongDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, China. kjl071@126.com.

Funding

China Postdoctoral Science Foundation 2023MD734158Joint Project on Regional High-Incidence Diseases Research of Guangxi Natural Science Foundation No.2023GXNSFBA026146Key Research Program of Guangxi Science and Technology Department AB21196010National Natural Science Foundation of China 82104499, 82160783Self-funded Scientific Research Project of the Health Commission of Guangxi Zhuang Autonomous Region No.Z-A20240492, Z-A20240515
6 · The paper itself

Abstract

objectiveTo systematically map the global landscape, evolution and key characteristics of interventional clinical trials in pulmonary fibrosis, providing an empirical basis for future trial strategies and resource allocation.

methodsThe INFORMA Pharma Intelligence database was searched to identify 1,203 interventional PF trials. Descriptive statistics were applied to analyse temporal trends, geographic distribution, sponsors, trial phase and status, primary endpoints, drug targets or mechanisms, and the disease spectrum.

resultsGlobal pulmonary fibrosis trial activity displayed a three-stage growth pattern, with a surge in 2020. Research is highly concentrated geographically: the United States (316 trials) and China (285 trials) dominate, yet only 128 trials are multinational. The pipeline remains centred on nintedanib (94 trials) and pirfenidone (88 trials), while target diversity is expanding, especially toward anti-angiogenic and multi-tyrosine-kinase inhibitors. Primary endpoints focus on safety or tolerability and Forced Vital Capacity change. The disease spectrum has broadened from idiopathic pulmonary fibrosis to include Connective tissue disease-associated fibrosis.

conclusionsPulmonary fibrosis clinical research is experiencing unprecedented dynamism and diversification, transitioning from targeted therapy towards precision and multimodal intervention. Enhanced international collaboration, optimized trial design, and deeper precision-based stratification will be critical to advancing the field from slowing disease progression to reversing tissue damage.

Indexed as

Clinical Trials as TopicPulmonary FibrosisAngiogenesis InhibitorsHumansIdiopathic Pulmonary FibrosisIndolesProtein Kinase InhibitorsPyridonesAngiogenesis InhibitorsIndolesnintedanibpirfenidoneProtein Kinase InhibitorsPyridonesClinical trialsLandscapePulmonary fibrosisTherapy

Identifiers

PMID42316178
PMCPMC13523513

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.