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Beyond the Data: Evidence-Based Decision-Making in IPF and PPF Management

Opinion
Video

Panelists discuss the shift toward patient-centered outcomes in idiopathic pulmonary fibrosis and progressive pulmonary fibrosis treatment, emphasizing quality of life and symptom relief alongside lung function, while expressing optimism that emerging therapies may eventually reverse or prevent fibrosis, fundamentally transforming disease management.

The discussion around emerging therapies is moving beyond traditional physician-centered metrics toward outcomes that truly matter to patients. The focus is shifting to patient-centered measures such as quality of life, symptom improvement, and functional abilities—how patients feel, how they live, and how long they can breathe better. While traditional measures like lung function remain important, it is essential that new treatments demonstrate tangible benefits that patients notice in their daily lives. Confidence in adopting new therapies will increase if evidence shows not just numerical improvements but meaningful, real-world impacts on patients’ overall well-being and survival.

Looking ahead, the aspiration is not only to slow fibrosis but to ultimately reverse or even prevent it. The hope is to restore lung tissue closer to its healthy state by repairing or rejuvenating damaged areas and blocking scar tissue formation. Although current models show promise in stopping or reversing fibrosis in the lab, translating these findings into effective patient therapies remains a challenge. The vision for the future involves identifying patients at risk early and intervening before irreversible fibrosis occurs, with therapies that can promote lung repair and potentially restore function. This is a long-term goal, but one that researchers believe is achievable as science advances.

The excitement for emerging treatments lies in the potential to redefine what is possible in managing fibrotic lung diseases. Terms like reversal and prevention are now entering clinical conversations, reflecting an optimistic shift in outlook. While current care still focuses on managing disease progression, there is growing recognition that future therapies may alter the disease course fundamentally. Continuing to push for evidence that supports not only slowing decline but also improving survival and quality of life will help translate hope into practice and bring meaningful change for patients.

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