Hereditary Influences on Pulmonary Fibrosis Trajectories
SHIFT
An Observational, Prospective, Multicenter Study on Hereditary Influences on Pulmonary Fibrosis Trajectories
SHIFT
An Observational, Prospective, Multicenter Study on Hereditary Influences on Pulmonary Fibrosis Trajectories
Sponsor study identifier
observational
250
1 country
1
Study Start
April 1, 2026
Actual (reported)Primary Completion
December 2034
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
December 2034
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
The SHIFT (Hereditary Influences on Pulmonary Fibrosis Trajectories) study is a prospective, multicenter, observational cohort study designed to investigate familial pulmonary fibrosis (FPF) within the Italian population.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
December 2034
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
April 1, 2026
Actual (reported)April 20, 2026
Actual (reported)May 12, 2026
Actual (reported)December 2034
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
December 2034
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
annual relative FVC decline over the observation period
The annual relative decline is defined as the difference between the final and the initial FVC value divided by the initial value, and it will be calculated for each year and for the entire follow-up period.
Annual for 5 years
relative reduced annual FVC decline when compared to FPF patients treated with immunomodulator agents and FPF patients not treated in a 5-years period of FU.
5 years
mortality
5 years
Eligible participants will be adults (≥18 years) with ILD documented on HRCT and with a positive genetic test, defined as the presence of rare variants or susceptibility polymorphisms consistent with the diagnosis of FPF.
Patients with ILDs discussed in the multidisciplinary discussion to define FPF. Cases discussed will be documented using a standard CRF that detailed complete medical history including genetic test, physical examination, laboratory test results, pulmonary function test (PFT) results and, eventually, lung biopsy results and/or bronchoalveolar lavage (BAL) results. Pre-MDD diagnoses will be based on the referring pulmonologist's diagnosis and current consensus classification for ILDs. Post-MDD diagnosis will be classified according to Ryerson confidence terminology, with "confident diagnosis" reserved for \>90% clinical likelihood or a provisional diagnosis which was categorized as "high confidence" (70-89% likelihood) or "low confidence" (51-69% likelihood). Patients with less than 50% diagnostic confidence level post-MDD will be categorized as "unclassifiable ILD".
Francesco Amati
Rozzano, Italy, 20089, Italy
Zhang D, Newton CA. Familial Pulmonary Fibrosis: Genetic Features and Clinical Implications. Chest. 2021 Nov;160(5):1764-1773. doi: 10.1016/j.chest.2021.06.037. Epub 2021 Jun 26.
Borie R, Kannengiesser C, Antoniou K, Bonella F, Crestani B, Fabre A, Froidure A, Galvin L, Griese M, Grutters JC, Molina-Molina M, Poletti V, Prasse A, Renzoni E, van der Smagt J, van Moorsel CHM. European Respiratory Society statement on familial pulmonary fibrosis. Eur Respir J. 2023 Mar 16;61(3):2201383. doi: 10.1183/13993003.01383-2022. Print 2023 Mar.
Francesco Amati, MD
Humanitas Research Hospital IRCCS, Rozzano-Milan
First Submitted
April 20, 2026
First Posted
May 12, 2026
Study Start
April 1, 2026
Actual (reported)Primary Completion
December 2034
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Inspiratory Flow Rate Capability in Pulmonary Fibrosis Patients
Annual relative DLCO decline
5 years
incidence of lung and non-lung cancer
5 years
Contact the study team to confirm eligibility.
Study Completion
December 2034
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
May 12, 2026
Record last verified: 2026-04
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