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Pulmonary & Respiratory

Hypersensitivity Pneumonitis (HP) Clinical Trials

Also called extrinsic allergic alveolitis, HP, bird fancier's lung

Hypersensitivity pneumonitis (HP), also called extrinsic allergic alveolitis, is an immune-mediated inflammatory lung disease caused by repeated inhalation and deposition of organic or inorganic antigens in the lungs, triggering complex Type III and IV hypersensitivity reactions. Common antigens include bird proteins (avian serum antigens in bird fancier's lung), mold spores (farmer's lung, bagassosis from moldy sugarcane), metal salts (metal worker's lung, beryllium disease), thermophilic actinomycetes, and isocyanates.

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About Hypersensitivity Pneumonitis

Hypersensitivity pneumonitis (HP), also called extrinsic allergic alveolitis, is an immune-mediated inflammatory lung disease caused by repeated inhalation and deposition of organic or inorganic antigens in the lungs, triggering complex Type III and IV hypersensitivity reactions. Common antigens include bird proteins (avian serum antigens in bird fancier's lung), mold spores (farmer's lung, bagassosis from moldy sugarcane), metal salts (metal worker's lung, beryllium disease), thermophilic actinomycetes, and isocyanates.

Three clinical forms exist: acute (symptoms 4-6 hours after exposure with fever, chills, malaise resolving within days of avoidance), subacute (symptoms over days-weeks with continued exposure), and chronic (insidious development over months-years with progressive fibrosis). Pathophysiology involves immune complex deposition in lung tissue with lymphocytic infiltration, granuloma formation, and alveolitis.

Acute form presents with dyspnea, cough, fever, and malaise resolving within days of antigen avoidance. Chronic form progresses to irreversible pulmonary fibrosis. High-resolution CT shows centrilobular nodules, ground-glass opacities, and fibrotic changes. Diagnosis combines clinical history, exposure assessment, serology (precipitating antibodies), and imaging.

Common Symptoms of Hypersensitivity Pneumonitis

Recognizing the signs of Hypersensitivity Pneumonitis early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.

  • Dyspnea and cough
  • Fever and chills within hours of exposure
  • Fatigue and malaise
  • Weight loss in chronic form
  • Progressive airflow obstruction
  • Hypoxemia during exertion

Who Hypersensitivity Pneumonitis Affects

Can occur at any age but particularly affects adults in their 40s-60s with occupational or environmental exposures. Variable presentation between individuals based on antigen exposure intensity, duration, and host factors. Both males and females affected equally.

Genetic predisposition factors including HLA alleles being identified. More common in bird enthusiasts, farmers, agricultural workers, and those in occupational settings with repeated antigen exposure. Higher prevalence in developed nations with identified occupational exposures.

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Diagnosis and Testing

An immune reaction to inhaled antigens (mold, bird proteins, chemicals); diagnosis depends on exposure history, imaging, and sometimes inhalation challenge, not gene testing.

Trusted Hypersensitivity Pneumonitis Resources

Reputable organizations and medical references for learning more about Hypersensitivity Pneumonitis, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for Hypersensitivity Pneumonitis

Use this Hypersensitivity Pneumonitis clinical trial finder to see the 6 studies recruiting patients and 1 opening soon in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for pulmonary & respiratory conditions and may offer access to treatments not yet widely available. Each trial below is sourced directly from ClinicalTrials.gov, with eligibility criteria translated into plain English to help patients and caregivers evaluate whether a study may be a fit.

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Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

7 active trials worldwide
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RECRUITINGRecently updatedNCT05988437

Contribution of the Indoor Environment Medical Advisor in the Management of Fibrosing Hypersensitivity Pneumonitis

Sponsor: Nantes University Hospital

Hypersensitivity pneumonitis (HP) is a diffuse infiltrative pneumonitis (DIP) of immuno-allergic origin, caused by exposure to one or more antigenic substances of organic origin, in genetically predisposed individuals. It can take a fibrosing form, eventually leading to chronic r...

Ages 18 Years+1 location
Started Nov 2023Updated 5 days agoEst. May 2027 (~7 months)
RECRUITINGRecently updatedNCT05392881

Interstitial Lung Disease Research Unit Biobank

Sponsor: University of Kansas Medical Center

Establish a interstitial lung disease (ILD) registry and biorepository to lead towards a further understanding of the disease.

Ages 18 Years+1 location
Started Aug 2021Updated 2 months agoEst. Aug 2031 (~4y 10m)
RECRUITINGNAUpdated a few months agoNCT06811389

Reimagining Interventions for Support and Education in Hypersensitivity Pneumonitis

Intervention: Re-imagining Interventions for Support and Education in Hypersensitivity Pneumonitis (RISE-HP), Staying Well

Sponsor: Weill Medical College of Cornell University

The central hypothesis is that a peer coach-delivered intervention that includes cognitive behavioral principles combined with theory-driven patient education will improve health-related quality of life (HRQOL) of patients with hypersensitivity pneumonitis (HP). The goal of this ...

Ages 18 Years – 100 Years1 location
Started May 2025Updated 4 months agoEst. Dec 2026 (~2 months)
RECRUITINGNAUpdated a few months agoNCT03800017

Skeletal Muscle Function in Interstitial Lung Disease

Intervention: Hyperoxia

Sponsor: University of British Columbia

e. breathlessness) and exercise intolerance are common symptoms for patients with interstitial lung disease (ILD), yet it is not known why. It has been suggested that muscle dysfunction may contribute to dyspnea and exercise intolerance in ILD.

Ages 40 Years – 80 Years1 location
Started Aug 2024Updated 4 months agoEst. Dec 2026 (~2 months)
RECRUITINGUpdated a few months agoNCT06644144

P4O2 ILD Extension

Intervention: No Interventions

Sponsor: Amsterdam UMC, location VUmc · AbbVie + 1 more

The goal of this observational study is to identify early biomarkers that can predict the development of progressive pulmonary fibrosis (PPF) in participants with interstitial lung diseases (ILDs). The participant population includes adults diagnosed with idiopathic pulmonary fib...

Ages 18 Years – 80 Years1 location
Started Nov 2024Updated 4 months agoEst. Oct 2028 (~1y 12m)
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Active trial locations2 cities in the US

Trial Pipeline

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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
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Related Pulmonary & Respiratory Conditions

Other rare diseases in the pulmonary & respiratory category. Patients with Hypersensitivity Pneumonitis may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Companies Developing Hypersensitivity Pneumonitis Treatments

1 pharmaceutical company has Hypersensitivity Pneumonitis in their rare disease portfolio

Frequently Asked Questions About Hypersensitivity Pneumonitis