Update on Interstitial Lung Disease: A Path to Earlier Diagnosis and Better Outcomes
Release Date: October 29, 2018
Last Reviewed: October 25, 2018
Expiration Date: October 29, 2019
Time to Complete Activity:  1.0 hour
*This activity expired for credit on October 29, 2019 and is no longer available for credit

This activity is provided by Paradigm Medical Communications, LLC.  

Faculty Presenter
Mark J. Hamblin, MD, FCCP
Assistant Professor
Director of KU ILD & Rare Lung Disease Clinic
Division of Pulmonary and Critical Care Medicine
University of Kansas Health Care System
Kansas City, KS

Steering Committee
David J. Lederer, MD, MS (Chair)
Associate Professor of Medicine and Epidemiology
Division of Pulmonary, Allergy, and Critical Care Medicine
Co-Director, Interstitial Lung Disease Program
Columbia University Medical Center
New York, NY

Erica L. Herzog, MD, PhD
Associate Professor
Department of Internal Medicine
Section of Pulmonary, Critical Care, and Sleep Medicine
Director, Interstitial Lung Disease Center of Excellence
Yale School of Medicine
New Haven, CT

Rebecca C. Keith, MD
Assistant Professor
Department of Medicine
Division of Pulmonary, Critical Care and Sleep Medicine
Interstitial Lung Disease Program
Sarcoidosis Program
Autoimmune Lung Center
National Jewish Health
Denver, CO
Contributing Faculty
Jay S. Leb, MD
Assistant Professor of Radiology
Department of Radiology
Columbia University Medical Center
New York, NY
Julie Porcelli, MSN, RN, CNL
Program Coordinator
Division of Pulmonary, Allergy and Critical Care Medicine
Columbia University Medical Center
New York, NY
Anjali Saqi, MD, MBA
Department of Pathology and Cell Biology
Columbia University Medical Center
New York, NY
Patient Faculty
Robert Byrnes
Parsippany, NJ

Target Audience
This activity has been designed to address the educational needs of pulmonologists, radiologists, and pathologists. The activity may also benefit primary care physicians, PAs, nurse practitioners, nurses, pharmacists, fellows, residents, and other allied healthcare providers who care for patients with interstitial lung disease.
Statement of Need
Interstitial lung disease (ILD) presents challenges for pulmonologists, radiologists, and pathologists, who discern among more than 100 other potential ILDs and non-ILD mimickers via scrupulous testing and multidisciplinary collaboration to arrive at an accurate and timely diagnosis. Early detection has become more critical than ever, with the US Food and Drug Administration’s (FDA) first-ever approval of treatments (antifibrotics) for idiopathic pulmonary fibrosis (IPF), a fatal and relentlessly progressive fibrosing ILD. While these agents offer an unprecedented opportunity to slow IPF disease progression, guidance on the practical aspects of their use, including when to start prescribing them, is needed. Research is underway to determine whether nintedanib, an antifibrotic agent indicated for IPF, could also benefit patients with progressive fibrosing (PF)-ILD or systemic sclerosis ILD (SSc-ILD), a connective tissue disease-related ILD (CTD-ILD), for which nintedanib was granted orphan drug status in 2016. With new data emerging, and expanded indications possible soon, education on ILD management is a topic of timeliness and relevance to many healthcare professionals.
Learning Objectives
Upon proper completion of this activity, participants should be better able to:
  • Evaluate patients with symptoms of interstitial lung disease according to guideline-based algorithms to distinguish between idiopathic pulmonary fibrosis and connective tissue disease-related interstitial lung disease.
  • Individualize antifibrotic therapy for appropriate patients with idiopathic pulmonary fibrosis, based on current evidence.
  • Outline evidence-based information about interstitial lung disease course and treatment to share with patients at the time of diagnosis.
Table of Contents
  • Introduction: The Challenges and Importance of Early ILD Diagnosis
  • Evaluating the Nonspecific Symptoms of ILD: Guideline-based Strategies for Earlier Detection
  • Comprehensive Care of the IPF Patient: Therapeutic Options and Shared Decision-making

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Disclosure of Commercial Support
This activity is supported by an independent educational grant from Boehringer Ingelheim Pharmaceuticals, Inc.
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In accordance with Accreditation Council for Continuing Medical Education requirements on disclosure, faculty and contributors are asked to disclose any relationships with commercial interests associated with the area of medicine featured in the activity. These relationships are described below.
Faculty Presenter
Mark J. Hamblin, MD, FCCP

Grant/Research Support: Biogen; Boehringer Ingelheim Pharmaceuticals, Inc; FibroGen, Inc.; Genentech, Inc.; Global Blood Therapeutics, Inc.; Promedior, Inc.
Speakers Bureau: Boehringer Ingelheim Pharmaceuticals, Inc
Steering Committee
David J. Lederer, MD, MS (Chair)
Grant/Research Support: Boehringer Ingelheim Pharmaceuticals, Inc; FibroGen, Inc.
Retained Consultant: FibroGen, Inc.; Galapagos NV; Global Blood Therapeutics, Inc.; Roche; Sanofi Genzyme; Veracyte, Inc.
Erica L. Herzog, MD, PhD
Grant/Research Support: Bristol-Myers Squibb Company; sanofi-aventis U.S. LLC
Retained Consultant: Boehringer Ingelheim Pharmaceuticals, Inc
Speakers Bureau: Boehringer Ingelheim Pharmaceuticals, Inc
Rebecca C. Keith, MD
Speakers Bureau: Boehringer Ingelheim Pharmaceuticals, Inc; Genentech, Inc.
Contributing Faculty
Jay S. Leb, MD
Honoraria: Boehringer Ingelheim Pharmaceuticals, Inc; Genentech, Inc.
Julie Porcelli, RN, MSN
Speakers Bureau: Boehringer Ingelheim Pharmaceuticals, Inc; Genentech, Inc.
Anjali Saqi, MD
Grant/Research Support: Columbia-Coulter Translational Research Partnership; FAR-ILD
Honoraria: Boehringer Ingelheim Pharmaceuticals, Inc; Genentech, Inc.
Retained Consultant: Boston Scientific Corporation; Genentech, Inc.
Patient Faculty
Robert Byrnes
No financial relationships to disclose.
Paradigm Medical Communications, LLC, staff members have no financial relationships to disclose.

Independent peer reviewer has no financial relationships to disclose.

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