Evidence map›Paper›PMID 28544580›Full record

Trial reportArthritis care & research2018

Efficacy of Mycophenolate Mofetil and Oral Cyclophosphamide on Skin Thickness: Post Hoc Analyses From Two Randomized Placebo-Controlled Trials.

Rajaie Namas, Donald P Tashkin, Daniel E Furst, Holly Wilhalme, Chi-Hong Tseng, Michael D Roth, Suzanne Kafaja, Elizabeth Volkmann, Philip J Clements, Dinesh Khanna and 1 more

3 registry-linked trialsOpen access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Arthritis care & research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 pooled it
5.0field-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.

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)
NCT04986605 phase2not yet recruitingnot on this mapstarted 2025, after this paper: background citation

The Effectiveness of ECP in Diffuse Cutaneous Systemic Sclerosis

TypeinterventionalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2025 to 2027Enrolled15ConditionsDiffuse Cutaneous Systemic SclerosisArmsExtracorporeal Photopheresis (ECP), UVADEX
NCT05149768 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

An Open Label Extension Study of Brentuximab Vedotin Treatment in Active Diffuse Cutaneous Systemic Sclerosis (Diffuse Scleroderma)

TypeinterventionalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2024 to 2026Enrolled11ConditionsDiffuse Cutaneous Systemic SclerosisArmsBrentuximab vedotin
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 4 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Audiovestibular symptoms in systemic sclerosis: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Review
  11. Observational
  12. Article
  13. Cardiac disease in systemic sclerosis: a narrative review.Archives of medical sciences. Atherosclerotic diseases · 2025
    Article
  14. Recent Advances in Treatment of Systemic Sclerosis and Morphea.American journal of clinical dermatology · 2024
    Review
  15. Biomarkers in Systemic Sclerosis: An Overview.Current issues in molecular biology · 2023
    Review
  16. Review
  17. Systemic sclerosis.Lancet (London, England) · 2023
    Review
  18. Review
  19. Article
  20. Current advances in the treatment of systemic sclerosis.Current opinion in pharmacology · 2022
    Review
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

11 authors at 3 institutions in 1 country.

Rajaie NamasUniversity of Michigan Scleroderma Program, Ann Arbor.
Donald P TashkinDavid Geffen School of Medicine, University of California, Los Angeles.
Daniel E FurstDavid Geffen School of Medicine, University of California, Los Angeles.
Holly WilhalmeDavid Geffen School of Medicine, University of California, Los Angeles.
Chi-Hong TsengDavid Geffen School of Medicine, University of California, Los Angeles.
Michael D RothDavid Geffen School of Medicine, University of California, Los Angeles.
Suzanne KafajaDavid Geffen School of Medicine, University of California, Los Angeles.
Elizabeth VolkmannDavid Geffen School of Medicine, University of California, Los Angeles.
Philip J ClementsDavid Geffen School of Medicine, University of California, Los Angeles.
Dinesh KhannaUniversity of Michigan Scleroderma Program, Ann Arbor.
Participants in the Scleroderma Lung Study I and members of the Scleroderma Lung Study II Research Group
Scleroderma Foundation · USUniversity of California, Los Angeles · USUniversity of Michigan–Ann Arbor · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
MOCSLID-DCCR01HL089901 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ELASHOFF, ROBERT M · 2008 to 2012
$9.1M
TRAINING OF ARTHRITIS RESEARCH SCIENTISTST32AR007080 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jason Knight · 1986 to 2026
$6.3M
SCLERODERMA LUNG STUDYU01HL060587 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TASHKIN, DONALD P · 1999 to 2003
$2.3M
TRPV4-PI3K Axis Mediates Pulmonary and Cardiac FibrosisR01HL133721 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI OLMAN, MITCHELL ALAN, PRASAD, SATHYAMANGLA V · 2017 to 2020
$2.2M
MOCSLID-CCCR01HL089758 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TASHKIN, DONALD P · 2008 to 2012
$2.0M
Myofibroblast differentiation and fibrosis are mediated by TRPV4 mechanosensingR01HL119792 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI OLMAN, MITCHELL ALAN · 2014 to 2017
$1.6M
Outcomes Research in Rheumatic DiseasesK24AR063120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KHANNA, DINESH · 2012 to 2022
$1.6M
SCLERODERMA LUNG STUDYU01HL060606 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ELASHOFF, ROBERT M · 1999 to 2006
$1.3M
NCATS NIH HHS UL1 TR001881NHLBI NIH HHS R01 HL089758NHLBI NIH HHS R01 HL089901NHLBI NIH HHS R01 HL119792NHLBI NIH HHS R01 HL133721NHLBI NIH HHS U01 HL060587NHLBI NIH HHS U01 HL060606NIAMS NIH HHS K24 AR063120NIAMS NIH HHS T32 AR007080
6 · The paper itself

Abstract

objectiveTo assess the efficacy of mycophenolate mofetil (MMF) and cyclophosphamide (CYC) on modified Rodnan skin score (MRSS) in participants enrolled in the Scleroderma Lung Study (SLS) I and II.

methodsSLS I participants received daily oral CYC or matching placebo for 1 year, whereas SLS II participants received daily MMF for 2 years or daily oral CYC for 1 year followed by placebo for second year. We assessed the impact of MMF and CYC on the MRSS in SLS II over a 24-month period. We also compared the change in MRSS in patients with diffuse cutaneous systemic sclerosis (dcSSc) assigned to CYC and MMF in SLS II and SLS I versus placebo in SLS I over a 24-month period using a linear mixed model.

resultsIn SLS II, the baseline mean ± SD MRSS was 14.0 ± 10.6 units for CYC and 15.3 ± 10.4 units for MMF; 58.5% were classified as dcSSc. CYC and MMF were associated with statistically significant improvements in MRSS from baseline over the period of 24 months in dcSSc (P < 0.05 at each time point), but there were no differences between the 2 groups. In the dcSSc subgroup, the change in MRSS from baseline to all 6-month visits was similar in SLS II groups (MMF, CYC, pooled cohort [MMF + CYC]) and in the SLS I CYC group and showed statistically significant improvements compared to SLS I placebo at 12, 18, and 24 months (P < 0.05).

conclusionIn SLS II, MMF and CYC treatment resulted in improvements in MRSS in patients with dcSSc over 24 months. In addition, MMF and CYC treatment resulted in statistically significant improvements in MRSS in patients with dcSSc when compared with the SLS I placebo group.

Indexed as

Administration, OralCyclophosphamideDrug Administration ScheduleHumansImmunosuppressive AgentsLung Diseases, InterstitialMycophenolic AcidRemission InductionScleroderma, DiffuseSeverity of Illness IndexSkinTime FactorsTreatment OutcomeCyclophosphamideImmunosuppressive AgentsMycophenolic Acid

Identifiers

PMID28544580
PMCPMC5700860
OpenAlexW2619547829

What OpenQuestion holds

Textmetadata
LicenceTDM
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.