Evidence map›Paper›PMID 32862407›Full record

ArticleRheumatology and therapy2020

Mycophenolate Mofetil Improves Exercise Tolerance in Systemic Sclerosis Patients with Interstitial Lung Disease: A Pilot Study.

Valentina Vaiarello, Stefano Schiavetto, Federica Foti, Antonietta Gigante, Francesco Iannazzo, Gregorino Paone, Paolo Palange, Edoardo Rosato

Open access · goldAbstract read
In one paragraph

Article in Rheumatology and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 51% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. 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

8 authors at 1 institution in 1 country.

Valentina VaiarelloDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.
Stefano SchiavettoDepartment of Public Health and Infectious Diseases, Lung Function and Exercise Section, Sapienza University, Rome, Italy.
Federica FotiDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.
Antonietta GiganteDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.
Francesco IannazzoDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.
Gregorino PaoneDepartment of Public Health and Infectious Diseases, Lung Function and Exercise Section, Sapienza University, Rome, Italy.
Paolo PalangeDepartment of Public Health and Infectious Diseases, Lung Function and Exercise Section, Sapienza University, Rome, Italy.
Edoardo RosatoDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy. edoardo.rosato@uniroma1.it.ORCID http://orcid.org/0000-0002-7417-8093
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSystemic sclerosis (SSc) is an autoimmune disease characterized by the overproduction of collagen leading to fibrosis of the skin and internal organs. Interstitial lung disease (ILD) is one of the major causes of death in patients with SSc. Exercise tolerance can be investigated by cardio-pulmonary exercise testing (CPET). First-line therapies in patients with SSc associated with ILD (SSc-ILD) include cyclophosphamide and mycophenolate mofetil (MMF). The aim of this study was to evaluate the response of patients with SSc-ILD to MMF by means of CPET.

methodsTen consecutive SSc patients were enrolled in this study. All SSc patients underwent clinical evaluation, echocardiography, pulmonary function tests, high-resolution computed tomography (HRCT) and CPET at baseline and after 2 years of therapy with MMF.

resultsAfter 24 months of treatment with MMF (target dose 1500 mg twice daily), forced vitality capacity, diffusing capacity of the lungs for carbon monoxide and systolic pulmonary arterial pressure had not improved significantly and there were no significant differences in HRCT findigns. In addition, peak oxygen uptake (V'O

conclusionThese data from our pilot study on a small cohort of SSc patients are the first to demonstrate that treatment with MMF can improves exercise tolerance and leg discomfort in patients with SSc-ILD. These preliminary results need to be confirmed in large randomized studies.

Indexed as

Cardio-pulmonary exercise testingInterstitial lung diseaseMycophenolate mofetilSystemic sclerosis

Identifiers

PMID32862407
PMCPMC7695784
OpenAlexW3082117202

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.