Why do we care about functions of the integrator?

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Ito's lemma states that

$$f(X(t))=f(X(0))+\int_0^tf'(X(s))dX(s)+\frac12\int_0^tf''(X(s))d\langle X\rangle(s)$$

Why are we interested specifically in deterministic functions of the integrator $X(t)$? In applications, where do the objects $f$ and $X$ usually come from?