Triple attack on lung scarring: could plasma exchange and immune therapy slow IPF?

NCT ID NCT07674745

First seen Jun 30, 2026 · Last updated Jul 02, 2026 · Updated 2 times

Summary

This Phase II trial tests whether a combination of therapeutic plasma exchange (filtering the blood), rituximab (a drug that targets certain immune cells), and intravenous immunoglobulin (IVIg) can slow lung decline in people with progressive idiopathic pulmonary fibrosis (IPF). The study enrolls 52 adults aged 40–85 with worsening IPF. Participants receive either this triple therapy plus usual care, or usual care alone, and researchers track changes in lung function, oxygen needs, and walking distance over time.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
therapeutic plasma exchange, rituximab, and intravenous immunoglobulin
What this could lead to
If successful, this combination could offer a new way to slow lung function decline in people with progressive IPF, potentially delaying the need for oxygen or transplant.
What could go wrong
This is a mid-stage trial with only 52 participants, so results may not apply to all IPF patients. The treatment involves multiple procedures and carries risks like infection or allergic reactions.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Loyola University

    Chicago, Illinois, 60153, United States

  • Northwestern University

    Chicago, Illinois, 60611, United States

  • Temple University

    Philadelphia, Pennsylvania, 19140, United States

  • Thomas Jefferson University

    Philadelphia, Pennsylvania, 19107, United States

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35216, United States

  • University of Kansas

    Kansas City, Kansas, 60611, United States

  • University of North Carolina

    Chapel Hill, North Carolina, 27599, United States

  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 60611, United States

  • University of Utah

    Salt Lake City, Utah, 84132, United States

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