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Pulmonary FibrosisILDnoseNCT04680832

Exhaled Breath Analysis Using eNose Technology as a Biomarker for Diagnosis and Disease Progression in Fibrotic ILD

An observational study of Pulmonary Fibrosis, run by Erasmus Medical Center at 5 sites in 5 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The ILDnose study a multinational, multicenter, prospective, longitudinal study in outpatients with pulmonary fibrosis. The aim is to assess the accuracy of eNose technology as diagnostic tool for diagnosis and differentiation between the most prevalent fibrotic interstitial lung diseases. Read more about this study

Who is it for?
Any age
Conditions the study is for
Pulmonary Fibrosis
What is being tested?
Electronic nose
How many people
600 participants
Where
5 sitesin 5 countries
Study dates
1 Nov 2020to 31 Dec 2026
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Patients with ILD

Who may be able to join

  • Patients with a diagnosis of fibrotic ILD, as discussed in a multidisciplinary team meeting (50% incident patients and 50% prevalent patients). Patients are classified as 'incident' if they received a diagnosed in a multidisciplinary team meeting within the past six months. Patients will be required to have fibrosis on a HRCT scan <1 year before enrollment in the study defined as reticular abnormality with traction bronchiectasis, with or without honeycombing, as determined by a radiologist. No minimum extent of fibrosis will be required.

Who cannot join

  • Alcohol consumption ≤ 12 hours before the measurement
  • Physically not able to perform eNose measurement

Trial locations and contacts

5 sites in 5 countries.

5 sites in 5 countries

Australia1 site
  • Royal Prince Alfred Hospital

    Camperdown, New South Wales, NSW 2050

Other trials in Australia

France1 site
  • University Lyon 1, Louis Pradel hospital, Lyon. FranceService de pneumologie, hôpital Louis Pradel

    Lyon

Other trials in France

Germany1 site
  • Thoraxklinik Heidelberg

    Heidelberg, 69126

Other trials in Germany

Netherlands1 site
  • Erasmus MC

    Rotterdam, 3000 CA

Other trials in Netherlands

United Kingdom1 site
  • Royal Brompton Hospital

    London, SW3 6NP

Other trials in United Kingdom

About this study

Official title: Exhaled Breath Analysis Using eNose Technology as a Biomarker for Diagnosis and Disease Progression in Fibrotic Interstitial Lung Disease

The ILDnose study a multinational, multicenter, prospective, longitudinal study in outpatients with pulmonary fibrosis. The aim is to assess the accuracy of eNose technology as diagnostic tool for diagnosis and differentiation between the most prevalent fibrotic interstitial lung diseases. The value of eNose as biomarker for disease progression and response to treatment is also assessed. Besides, validity of several questionnaires for pulmonary fibrosis is investigated.

Read the detailed description

Patients will be included in the study after signing written informed consent. eNose measurements will take place before or after a routine outpatient clinic visit at the same location as the regular visit, ensuring minimal inconvenience for patients. First, patients will be asked to rinse their mouth thoroughly with water three times. Subsequently, exhaled breath analysis will be performed in duplicate with a 1-minute interval. An eNose measurement consists of five tidal breaths, followed by an inspiratory capacity maneuver to total lung capacity, a five second breath hold, and subsequently a slow expiration (flow <0.4L/s) to residual volume. The measurements are non-invasive and will cost approximately 5-10 minutes in total, including explanation and informed consent procedure. There are no risks associated with this study and the burden for patients is minimal.

After the measurement, patients will complete a short survey about questions relevant for the data analysis (food intake in the last two hours, smoking history, medication use, comorbidities, and symptoms of respiratory infection). In addition, patients will complete the L-PF questionnaire and the Global Rating of Change scale (GRoC). The L-PF questionnaire consists of 21 questions on a 5-point Likert scale about the impact of pulmonary fibrosis on quality of life, and takes about 3 minutes to complete. The GRoC consists of one question on a scale from -7 to 7: were there any changes in your quality of life since your last visit? Symptoms (cough and dyspnea) will be scored on a 10 cm VAS scale from -5 to 5.

Next to eNose measurements, demographic data and physiological parameters of patients will be collected from the medical records at baseline, month 6, and month 12. Parameters such as age, gender, diagnosis, time since diagnosis, comorbidities, medication, pulmonary function (forced vital capacity (FVC) and diffusion capacity of the lung for carbon monoxide (DLCO)), laboratory parameters (i.e. auto-immune antibodies), HRCT pattern, BAL results and if applicable also genetic mutations, will be recorded and stored in an electronic case report form. These parameters will be collected as part of routine daily care, patients will not undergo any additional tests for study purposes. HRCT scans will be re-analysed centrally by an experienced ILD thoracic radiologist. Mortality and lung function parameters will also be collected at 24 months, if this information is available.

Being tested
Electronic nose
Medical subject headings
Pulmonary Fibrosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Electronic noseDiagnostic test

    Also called SpiroNose, eNose

    First, patients will be asked to rinse their mouth thoroughly with water three times. Subsequently, exhaled breath analysis will be performed in duplicate with a 1-minute interval. An eNose measurement consists of five tidal breaths, followed by an inspiratory capacity maneuver to total lung capacity, a five second breath hold, and subsequently a slow expiration (flow <0.4L/s) to residual volume. The measurements are non-invasive and will cost approximately 5-10 minutes in total, including explanation and informed consent procedure. There are no risks associated with this study and the burden for patients is minimal.

Study groups in NCT04680832
Study groupRoleWhat they receive
ILD patientsPatients diagnosed with one of the most prevalent fibrotic ILDs: IPF, CHP, CTD-ILD, iNSIP, IPAF, and unclassifiable ILD (defined as unclassifiable disease at the time of the first MDT).
Receives: Diagnostic Test: Electronic nose

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Diagnostic accuracy for IPF - CHP

    Accuracy for differentiating IPF from CHP

    Measured: Baseline

  2. AUC for IPF - CHP

    AUC for differentiating IPF from CHP

    Measured: Baseline

  3. AUC for IPF - iNSIP

    AUC for differentiating IPF from iNSIP

    Measured: Baseline

  4. Diagnostic accuracy for IPF - iNSIP

    Accuracy for differentiating IPF from iNSIP

    Measured: Baseline

  5. AUC for IPF - IPAF

    AUC for differentiating IPF from IPAF

    Measured: Baseline

  6. Diagnostic accuracy for IPF - IPAF

    Accuracy for differentiating IPF from IPAF

    Measured: Baseline

  7. Diagnostic accuracy for IPF - CTD-ILD

    Accuracy for differentiating IPF from CTD-ILD

    Measured: Baseline

  8. AUC for IPF - CTD-ILD

    AUC for differentiating IPF from CTD-ILD

    Measured: Baseline

  9. Diagnostic accuracy for IPF - unclassifiable ILD

    Accuracy for differentiating IPF from unclassifiable ILD

    Measured: Baseline

  10. AUC for IPF - unclassifiable ILD

    AUC for differentiating IPF from unclassifiable ILD

    Measured: Baseline

  11. Diagnostic accuracy for CHP - iNSIP

    Accuracy for differentiating CHP from iNSIP

    Measured: Baseline

  12. AUC for CHP - iNSIP

    AUC for differentiating CHP from iNSIP

    Measured: Baseline

  13. Diagnostic accuracy for CHP - IPAF

    Accuracy for differentiating CHP from IPAF

    Measured: Baseline

  14. AUC for CHP - IPAF

    AUC for differentiating CHP from IPAF

    Measured: Baseline

  15. Diagnostic accuracy for CHP - CTD-ILD

    Accuracy for differentiating CHP from CTD-ILD

    Measured: Baseline

  16. AUC for CHP - CTD-ILD

    AUC for differentiating CHP from CTD-ILD

    Measured: Baseline

  17. Diagnostic accuracy for CHP - unclassifiable ILD

    Accuracy for differentiating CHP from unclassifiable ILD

    Measured: Baseline

  18. AUC for CHP - unclassifiable ILD

    AUC for differentiating CHP from unclassifiable ILD

    Measured: Baseline

  19. Diagnostic accuracy for iNSIP - IPAF

    Accuracy for differentiating iNSIP from IPAF

    Measured: Baseline

  20. AUC for iNSIP - IPAF

    AUC for differentiating iNSIP from IPAF

    Measured: Baseline

  21. Diagnostic accuracy for iNSIP - CTD-ILD

    Accuracy for differentiating iNSIP from CTD-ILD

    Measured: Baseline

  22. AUC for iNSIP - CTD-ILD

    AUC for differentiating iNSIP from CTD-ILD

    Measured: Baseline

  23. Diagnostic accuracy for iNSIP - unclassifiable ILD

    Accuracy for differentiating iNSIP from unclassifiable ILD

    Measured: Baseline

  24. AUC for iNSIP - unclassifiable ILD

    AUC for differentiating iNSIP from unclassifiable ILD

    Measured: Baseline

  25. Diagnostic accuracy for IPAF - CTD-ILD

    Accuracy for differentiating IPAF from CTD-ILD

    Measured: Baseline

  26. AUC for IPAF - CTD-ILD

    AUC for differentiating IPAF from CTD-ILD

    Measured: Baseline

  27. Diagnostic accuracy for IPAF - unclassifiable ILD

    Accuracy for differentiating IPAF from unclassifiable ILD

    Measured: Baseline

  28. AUC for IPAF - unclassifiable ILD

    AUC for differentiating IPAF from unclassifiable ILD

    Measured: Baseline

  29. Diagnostic accuracy for CTD-ILD - unclassifiable ILD

    Accuracy for differentiating CTD-ILD from unclassifiable ILD

    Measured: Baseline

  30. AUC for CTD-ILD - unclassifiable ILD

    AUC for differentiating CTD-ILD from unclassifiable ILD

    Measured: Baseline

  31. Disease progression

    FVC decline in combination with worsening of respiratory symptoms (cough and/or dyspnea) and/or progressive fibrosis on CT scan

    Measured: 12 months after inclusion

  32. Disease progression

    FVC decline in combination with worsening of respiratory symptoms (cough and/or dyspnea) and/or progressive fibrosis on CT scan

    Measured: 24 months after inclusion

  33. Diagnostic accuracy of disease progression

    Relating disease progression (based on FVC decline, CT scan and/or symptoms) to change in eNose values

    Measured: 6 months after inclusion

  34. Diagnostic accuracy of disease progression

    Relating disease progression (based on FVC decline, CT scan and/or symptoms) to change in eNose values

    Measured: 12 months after inclusion

  35. Diagnostic accuracy of disease progression

    Relating disease progression (based on FVC decline, CT scan and/or symptoms) to change in eNose values

    Measured: 24 months after inclusion

  36. Worsening of respiratory symptoms (cough and/or dyspnea)

    Worsening of respiratory symptoms (cough and/or dyspnea) measured on a visual analogue scale (0-10, 0 no symptoms, 10 most severe symptoms)

    Measured: 12 months after inclusion

  37. Mortality

    Deceased subjects

    Measured: 12 months after inclusion

  38. Mortality

    Deceased subjects

    Measured: 24 months after inclusion

  39. Therapeutic effect

    Relating start of anti-fibrotic medication to change in eNose values

    Measured: 6 months after start therapy

  40. Therapeutic effect

    Relating start of anti-fibrotic medication to change in eNose values

    Measured: 12 months after start therapy

Secondary outcomes (12)
  1. L-PF evaluation

    Relating Longitudinal changes in score of L-PF questionnaire to eNose values

    Measured: 6 months after inclusion

  2. L-PF evaluation

    Relating Longitudinal changes in score of L-PF questionnaire to lung function values

    Measured: 6 months after inclusion

  3. L-PF evaluation

    Relating Longitudinal changes in score of L-PF questionnaire to eNose values

    Measured: 12 months after inclusion

  4. L-PF evaluation

    Relating Longitudinal changes in score of L-PF questionnaire to lung function values

    Measured: 12 months after inclusion

  5. L-PF evaluation

    Relating Longitudinal changes in score of L-PF questionnaire to eNose values

    Measured: 24 months after inclusion

  6. L-PF evaluation

    Relating Longitudinal changes in score of L-PF questionnaire to lung function values

    Measured: 24 months after inclusion

  7. GRoC evaluation

    Relating Longitudinal changes in score of Global Rating of Change Scale to eNose values

    Measured: 6 months after inclusion

  8. GRoC evaluation

    Relating Longitudinal changes in score of Global Rating of Change Scale to lung function values

    Measured: 6 months after inclusion

  9. GRoC evaluation

    Relating Longitudinal changes in score of Global Rating of Change Scale to eNose values

    Measured: 12 months after inclusion

  10. GRoC evaluation

    Relating Longitudinal changes in score of Global Rating of Change Scale to lung function values

    Measured: 12 months after inclusion

  11. GRoC evaluation

    Relating Longitudinal changes in score of Global Rating of Change Scale to eNose values

    Measured: 24 months after inclusion

  12. GRoC evaluation

    Relating Longitudinal changes in score of Global Rating of Change Scale to lung function values

    Measured: 24 months after inclusion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Dec 2020
  2. Study start1 Nov 2020
  3. Primary completion31 Dec 2025 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
600 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04680832
Sponsor's protocol ID
MEC-2020-0655
Acronym
ILDnose
Status last verified
Jan 2025
First submitted
11 Dec 2020
Last updated
18 Jun 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Pulmonary Fibrosis, run by Erasmus Medical Center at 5 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 18 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Australia, France, Germany, Netherlands, United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Diagnostic accuracy for IPF - CHP (time frame: Baseline). The study lists 40 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jun 2025.

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