Reduced tracheal stenosing effect of nintedanib in a patient with scarred posttraumatic tracheal stenosis and airflow limitation - a case report

Introduction: Nintedanib is a tyrosine kinase inhibitor and has been approved for the treatment of idiopathic pulmonary fibrosis (IPF) since 2020. In Clinical trials, the antifibrotic effect of nintedanib was shown. Case: A 60-year-old female medical assistant, infected with COVID-19 in 10/2020, exp...

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Main Authors: Stefanie Klampfleitner, Andreas Fertl, Ositha Prinz, Martin Doerfler-Schalm, Dieter Munker, Markus O. Henke
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Respiratory Medicine Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007125000048
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author Stefanie Klampfleitner
Andreas Fertl
Ositha Prinz
Martin Doerfler-Schalm
Dieter Munker
Markus O. Henke
author_facet Stefanie Klampfleitner
Andreas Fertl
Ositha Prinz
Martin Doerfler-Schalm
Dieter Munker
Markus O. Henke
author_sort Stefanie Klampfleitner
collection DOAJ
description Introduction: Nintedanib is a tyrosine kinase inhibitor and has been approved for the treatment of idiopathic pulmonary fibrosis (IPF) since 2020. In Clinical trials, the antifibrotic effect of nintedanib was shown. Case: A 60-year-old female medical assistant, infected with COVID-19 in 10/2020, experienced a complicated course of disease leading to tracheal stenosis. Various interventions, including stent placements and tracheal surgeries, were performed. Due to recurrent restenosis, the patient was treated with nintedanib, a tyrosine kinase inhibitor used in idiopathic pulmonary fibrosis. The treatment spanned 306 days, during which the patient showed stability in pulmonary function. Nintedanib demonstrated a potential anti-inflammatory effect, reducing the frequency of interventions and prolonging stent-free intervals. The results suggest possible efficacy of nintedanib in managing scar-related granulation tissue, highlighting its potential in treating tracheal stenosis. Conclusion: This case shows a decreased need for interventions, and the longer duration of stent placement may suggest a potential role for nintedanib in diminishing hypertrophic scarring, possibly through an anti-inflammatory effect. Further exploration of this potential in additional clinical trials would be valuable.
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publisher Elsevier
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series Respiratory Medicine Case Reports
spelling doaj-art-c82f6cd8a2d74e9d8a62c00e61f026482025-02-08T05:00:22ZengElsevierRespiratory Medicine Case Reports2213-00712025-01-0154102168Reduced tracheal stenosing effect of nintedanib in a patient with scarred posttraumatic tracheal stenosis and airflow limitation - a case reportStefanie Klampfleitner0Andreas Fertl1Ositha Prinz2Martin Doerfler-Schalm3Dieter Munker4Markus O. Henke5Pulmonary Medicine, Hospital Martha-Maria, Munich, Germany; Emergency Center, Munich Clinic Schwabing, Munich, Germany; Corresponding author. Pulmonary Medicine, Hospital Martha-Maria, Munich, Germany.Pulmonary Medicine, Hospital Martha-Maria, Munich, GermanyPulmonary Medicine, Hospital Martha-Maria, Munich, GermanyPulmonary Medicine, Hospital Martha-Maria, Munich, GermanyPulmonary Medicine, Hospital Martha-Maria, Munich, GermanyPulmonary Medicine, Hospital Martha-Maria, Munich, Germany; Department of Medicine, Pulmonary, Critical Care and Sleep Medicine, Philipps University of Marburg (UMR), Marburg, GermanyIntroduction: Nintedanib is a tyrosine kinase inhibitor and has been approved for the treatment of idiopathic pulmonary fibrosis (IPF) since 2020. In Clinical trials, the antifibrotic effect of nintedanib was shown. Case: A 60-year-old female medical assistant, infected with COVID-19 in 10/2020, experienced a complicated course of disease leading to tracheal stenosis. Various interventions, including stent placements and tracheal surgeries, were performed. Due to recurrent restenosis, the patient was treated with nintedanib, a tyrosine kinase inhibitor used in idiopathic pulmonary fibrosis. The treatment spanned 306 days, during which the patient showed stability in pulmonary function. Nintedanib demonstrated a potential anti-inflammatory effect, reducing the frequency of interventions and prolonging stent-free intervals. The results suggest possible efficacy of nintedanib in managing scar-related granulation tissue, highlighting its potential in treating tracheal stenosis. Conclusion: This case shows a decreased need for interventions, and the longer duration of stent placement may suggest a potential role for nintedanib in diminishing hypertrophic scarring, possibly through an anti-inflammatory effect. Further exploration of this potential in additional clinical trials would be valuable.http://www.sciencedirect.com/science/article/pii/S2213007125000048
spellingShingle Stefanie Klampfleitner
Andreas Fertl
Ositha Prinz
Martin Doerfler-Schalm
Dieter Munker
Markus O. Henke
Reduced tracheal stenosing effect of nintedanib in a patient with scarred posttraumatic tracheal stenosis and airflow limitation - a case report
Respiratory Medicine Case Reports
title Reduced tracheal stenosing effect of nintedanib in a patient with scarred posttraumatic tracheal stenosis and airflow limitation - a case report
title_full Reduced tracheal stenosing effect of nintedanib in a patient with scarred posttraumatic tracheal stenosis and airflow limitation - a case report
title_fullStr Reduced tracheal stenosing effect of nintedanib in a patient with scarred posttraumatic tracheal stenosis and airflow limitation - a case report
title_full_unstemmed Reduced tracheal stenosing effect of nintedanib in a patient with scarred posttraumatic tracheal stenosis and airflow limitation - a case report
title_short Reduced tracheal stenosing effect of nintedanib in a patient with scarred posttraumatic tracheal stenosis and airflow limitation - a case report
title_sort reduced tracheal stenosing effect of nintedanib in a patient with scarred posttraumatic tracheal stenosis and airflow limitation a case report
url http://www.sciencedirect.com/science/article/pii/S2213007125000048
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