Importance of mycophenolate mofetil for treatment of interstitial lung disease in systemic sclerosis

被引:0
作者
Schneider, Udo [1 ]
Siegert, Elise [1 ,2 ]
Glaser, Sven [3 ,4 ]
Kruger, Klaus [5 ]
Krause, Andreas [6 ]
机构
[1] Charite Univ Med Berlin, Med Klin Schwerpunkt Rheumatol & Klin Immunol, Charitepl 1, D-10117 Berlin, Germany
[2] Berlin Inst Hlth, Berlin, Germany
[3] Vivantes Klinikum Neukolln, Klin Innere Med Pneumol & Infektiol, Berlin, Germany
[4] Vivantes Klinikum Spandau, Klin Innere Med Pneumol, Berlin, Germany
[5] Rheumatol Praxiszentrum, Munich, Germany
[6] Immanuel Krankenhaus Berlin, Innere Med Klin, Abt Rheumatol Klin Immunol & Osteol, Berlin, Germany
来源
ZEITSCHRIFT FUR RHEUMATOLOGIE | 2021年 / 80卷 / 09期
关键词
Immunosuppression; Cyclophosphamide; Tocilizumab; Nintedanib; SSc-ILD; STEM-CELL TRANSPLANTATION; DOUBLE-BLIND; PULSE CYCLOPHOSPHAMIDE; SCLERODERMA LUNG; PLACEBO; CORTICOSTEROIDS; AZATHIOPRINE; TOCILIZUMAB; EFFICACY; PHASE-2;
D O I
10.1007/s00393-021-01088-y
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Interstitial lung disease in systemic sclerosis (SSc-ILD) is a frequent organ complication with considerable mortality. Therapeutically, immunosuppressants are primarily used, particularly cyclophosphamide (CYC) and mycophenolate mofetil (MMF). Recently acquired data also showed an efficacy of the biologics rituximab and tocilizumab. The therapeutic options have most recently been expanded by the approval of the antifibrotic drug nintedanib. It is particularly beneficial in progressive fibrosing courses of ILD despite immunosuppression. The data from controlled trials on the efficacy and safety of CYC and MMF compiled in this review argue for a preferential use of MMF; however, the approval of MMF for this indication is still lacking. This is urgently needed for improved and simplified care of patients with SSc-ILD.
引用
收藏
页码:868 / 878
页数:11
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