“…IPF and lung cancer share striking pathogenetic commonalities such as telomere attrition, microsatellite instability, epigenetic alterations and impaired cellular bioenergetics 2,[7][8][9][10] . In line with these, nintedanib, a triple kinase inhibitor, initially launched as an anti-cancer compound, was successfully repurposed for patients with IPF 9,[11][12][13][14][15][16][17] . Despite major advances, there is still a lack of high-quality prospective studies evaluating therapeutic interventions including antifibrotics in patients with IPF and concomitant lung cancer 2 .…”