Evidence map›Paper›PMID 28012804›Full record

Trial reportChest2017

Improved Cough and Cough-Specific Quality of Life in Patients Treated for Scleroderma-Related Interstitial Lung Disease: Results of Scleroderma Lung Study II.

Donald P Tashkin, Elizabeth R Volkmann, Chi-Hong Tseng, Michael D Roth, Dinesh Khanna, Daniel E Furst, Philip J Clements, Arthur Theodore, Suzanne Kafaja, Grace Hyun Kim and 3 more

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Chest, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 37 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 7 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00883129 phase2completednot on this map

Mycophenolate vs. Oral Cyclophosphamide in Scleroderma Interstitial Lung Disease (Scleroderma Lung Study II)

TypeinterventionalSponsorMichael RothRan2009 to 2015Enrolled142ConditionsScleroderma, Interstitial Lung DiseaseArmsMycophenolate mofetil, Cyclophosphamide, Placebo
NCT03221257 phase2completednot on this map

Scleroderma Lung Study III (SLS III): Combining the Anti-fibrotic Effects of Pirfenidone (PFD) With Mycophenolate (MMF) for Treating Scleroderma-related Interstitial Lung Disease

TypeinterventionalSponsorMichael RothRan2017 to 2022Enrolled51ConditionsScleroderma, Systemic, Interstitial Lung DiseaseArmsPirfenidone (PFD), Placebo (Plac), Mycophenolate Mofetil (MMF)
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 7 syntheses or guidelines pooled it, 80 citations in OpenAlex.

  1. Guideline
  2. Patient-reported outcome measures for cough used in interstitial lung disease: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  3. Pooled it
  4. Guideline
  5. Guideline
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Review
  10. Review
  11. Treating connective tissue disease-associated interstitial lung disease - think outside the box: a perspective.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  12. Review
  13. Review
  14. Treatable Traits in Systemic Sclerosis.Clinical reviews in allergy & immunology · 2023
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Donald P TashkinDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA. Electronic address: dtashkin@mednet.ucla.edu.
Elizabeth R VolkmannDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Chi-Hong TsengDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Michael D RothDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Dinesh KhannaDepartment of Medicine, University of Michigan Medical School, Ann Arbor, MI.
Daniel E FurstDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Philip J ClementsDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Arthur TheodoreDepartment of Medicine, Boston University School of Medicine, Boston, MA.
Suzanne KafajaDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Grace Hyun KimDepartment of Radiologic Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Jonathan GoldinDepartment of Radiologic Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Edgar AriollaDepartment of Pharmaceutical Services, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Robert M ElashoffDepartment of Biomathematics, David Geffen School of Medicine at UCLA, Los Angeles, CA.
University of California, Los Angeles · USBoston University · USUniversity of Michigan–Ann Arbor · US

Funding

MOCSLID-DCCR01HL089901 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ELASHOFF, ROBERT M · 2008 to 2012
$9.1M
MOCSLID-CCCR01HL089758 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TASHKIN, DONALD P · 2008 to 2012
$2.0M
Outcomes Research in Rheumatic DiseasesK24AR063120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KHANNA, DINESH · 2012 to 2022
$1.6M
NHLBI NIH HHS R01 HL089758NHLBI NIH HHS R01 HL089901NIAMS NIH HHS K24 AR063120
6 · The paper itself

Abstract

backgroundCough is a common symptom of scleroderma-related interstitial lung disease (SSc-ILD), but its relationship to other characteristics of SSc-ILD, impact on cough-specific quality of life (QoL), and response to therapy for SSc-ILD have not been well studied.

methodsWe investigated frequent cough (FC) in patients with SSc-ILD (N = 142) enrolled in the Scleroderma Lung Study II, a randomized controlled trial comparing mycophenolate mofetil (MMF) and oral cyclophosphamide (CYC) as treatments for interstitial lung disease (ILD). We determined the impact of FC on QoL (Leicester Cough Questionnaire [LCQ]), evaluated the change in FC in response to treatment for SSc-ILD, and examined the relationship between gastroesophageal reflux disease (GERD) and cough during the trial.

resultsStudy participants who reported FC at baseline (61.3%) reported significantly more dyspnea, exhibited more extensive ILD on high-resolution CT, had a lower diffusing capacity for carbon monoxide, and reported more GERD symptoms than did those without FC. Cough-specific QoL was modestly impaired in patients with FC (total LCQ score, 15.4 ± 3.7; normal range, 3-21 [higher scores indicate worse QoL]). The proportion of patients with FC at baseline declined by 44% and 41% over 2 years in the CYC and MMF treatment arms, respectively, and this decline was significantly related to changes in GERD and ILD severity.

conclusionsFC occurs commonly in SSc-ILD, correlates with both the presence and severity of GERD and ILD at baseline, and declines in parallel with improvements in both ILD and GERD over a 2-year course of therapy. Frequent cough might serve as a useful surrogate marker of treatment response in SSc-ILD trials. TRIAL REGISTRY: ClinicalTrials.gov; No.: NCT00883129; URL: www.clinicaltrials.gov.

Indexed as

Quality of LifeCoughCyclophosphamideEnzyme InhibitorsFemaleGastroesophageal RefluxHumansImmunosuppressive AgentsLung Diseases, InterstitialMaleMiddle AgedMycophenolic AcidRespiratory Function TestsScleroderma, SystemicSeverity of Illness IndexTreatment OutcomeCyclophosphamideEnzyme InhibitorsImmunosuppressive AgentsMycophenolic Acidcoughhealth-related quality of lifeimmunosuppressive therapyinterstitial lung diseasescleroderma

Identifiers

PMID28012804
PMCPMC5472514
OpenAlexW2561237922

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.