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Updated: Aug 15, 2026

Unilateral Lung Volume Analysis Using Micro-CT for Enhanced Assessment of Pulmonary Fibrosis in Preclinical Models
Published on: June 20, 2025
Current and future therapeutic approaches in idiopathic pulmonary fibrosis
1Department of Pneumonology, Medical School, Democritus University of Thrace, Alexandroupolis, and Department of Thoracic Medicine, University Hospital of Heraklion, Crete, Greece. bouros@med.duth.gr
Abstract:
Idiopathic pulmonary fibrosis (IPF) is a lethal form of idiopathic diffuse lung disorders for which no current treatment is effective. The aim of the present study was to systematically review the current status and novel therapies of IPF, with emphasis on controlled trials. The studies selected included randomised controlled trials using drugs alone and/or in combination for the treatment of adults with IPF and meta-analyses, published in English. Abstracts of identified articles were retrieved and articles possibly fulfilling inclusion criteria were retrieved in full. Two reviewers independently assessed trial quality if there were any included studies. Data quality was based on place of publication and relevance to clinical care. There is a lack of good-quality studies regarding the effectiveness of the most used drugs, including corticosteroids and noncorticosteroid immunosuppressive agents. Oral corticosteroids are the usual treatment. Other therapies either alone or in combination with corticosteroids are widely used, including azathioprine, cyclophosphamide and colchicine. Interestingly, clinical trials with novel drugs, mainly antifibrotic, anticytokine and immunoregulatory, are currently being investigated in various trial phases. In conclusion, at present, there are no evidence-based therapies for idiopathic pulmonary fibrosis. Further controlled studies are warranted to improve the evidence base for clinical practice.
Insights
Currently, no effective treatments exist for idiopathic pulmonary fibrosis (IPF). This review highlights the lack of evidence for current therapies and the ongoing investigation into novel antifibrotic and immunoregulatory drugs for IPF.
Area of Science:
- Pulmonology
- Medical Research
- Clinical Trials
Background:
- Idiopathic pulmonary fibrosis (IPF) is a fatal lung disease with no effective treatments.
- Current management often relies on corticosteroids and other immunosuppressants, but evidence is limited.
Purpose of the Study:
- To systematically review current and novel therapies for IPF, focusing on controlled trials.
- To assess the evidence base for existing and emerging IPF treatments.
Main Methods:
- Systematic review of randomized controlled trials and meta-analyses of IPF treatments.
- Inclusion of English-language studies on adult IPF patients, assessing drug monotherapy and combination therapies.
- Independent quality assessment of included studies.
Main Results:
- A significant lack of high-quality studies evaluating the effectiveness of commonly used drugs like corticosteroids and immunosuppressants.
- Oral corticosteroids are standard, with other agents like azathioprine, cyclophosphamide, and colchicine also used.
- Numerous clinical trials are investigating novel antifibrotic, anticytokine, and immunoregulatory drugs.
Conclusions:
- There are currently no evidence-based therapies proven effective for idiopathic pulmonary fibrosis.
- Further rigorous controlled studies are essential to establish effective clinical practices for IPF management.
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