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Cited by 397

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Mycophenolate Mofetil Improves Lung Function in Connective Tissue Disease-associated Interstitial Lung Disease

Open access
Fischer, Aryeh, Brown, Kevin K., Du Bois, Roland M., Frankel, Stephen K., Cosgrove, Gregory P., Fernandez-Perez, Evans R., Huie, Tristan J., Krishnamoorthy, Mahalakshmi, Meehan, Richard T., Olson, Amy L., Solomon, Joshua J., Swigris, Jeffrey J.·2013·The Journal of Rheumatology

Abstract

Objective.: Small series suggest mycophenolate mofetil (MMF) is well tolerated and may be an effective therapy for connective tissue disease-associated interstitial lung disease (CTD-ILD). We examined the tolerability and longitudinal changes in pulmonary physiology in a large and diverse cohort of patients with CTD-ILD treated with MMF. Methods.: We identified consecutive patients evaluated at our center between January 2008 and January 2011 and prescribed MMF for CTD-ILD. We assessed safety and tolerability of MMF and used longitudinal data analyses to examine changes in pulmonary physiology over time, before and after initiation of MMF. Results.: We identified 125 subjects treated with MMF for a median 897 days. MMF was discontinued in 13 subjects. MMF was associated with significant improvements in estimated percentage of predicted forced vital capacity (FVC%) from MMF initiation to 52, 104, and 156 weeks (4.9% ± 1.9%, p = 0.01; 6.1% ± 1.8%, p = 0.0008; and 7.3% ± 2.6%, p = 0.004, respectively); and in estimated percentage predicted diffusing capacity (DLCO%) from MMF initiation to 52 and 104 weeks (6.3% ± 2.8%, p = 0.02; 7.1% ± 2.8%, p = 0.01). In the subgroup without usual interstitial pneumonia (UIP)-pattern injury, MMF significantly improved FVC% and DLCO%, and in the subgroup with UIP-pattern injury, MMF was associated with stability in FVC% and DLCO%. Conclusion.: In a large diverse cohort of CTD-ILD, MMF was well tolerated and had a low rate of discontinuation. Treatment with MMF was associated with either stable or improved pulmonary physiology over a median 2.5 years of followup. MMF appears to be a promising therapy for the spectrum of CTD-ILD.

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Metadata

Authors
Fischer, A., Brown, K. K., Du Bois, R. M., Frankel, S. K., Cosgrove, G. P., Fernandez-Perez, E. R., Huie, T. J., Krishnamoorthy, M., Meehan, R. T., Olson, A. L., Solomon, J. J., & Swigris, J. J.
Venue
The Journal of Rheumatology
Published
2013-03-01
Volume
40
Issue
5
Pages
640-646
ISSN
  • 0315-162X (ISSN-L)
  • 1499-2752
OpenAlex
W1966466614
Cited by
397
References
7
FWCI
18.76
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Mycophenolate Mofetil Improves Lung Function in Connective Tissue Disease-associated Interstitial Lung Disease. https://app.cochat.ai/papers/10.3899/jrheum.121043
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Fischer, A., Brown, K. K., Du Bois, R. M., Frankel, S. K., Cosgrove, G. P., Fernandez-Perez, E. R., Huie, T. J., Krishnamoorthy, M., Meehan, R. T., Olson, A. L., Solomon, J. J., & Swigris, J. J. (2013). Mycophenolate Mofetil Improves Lung Function in Connective Tissue Disease-associated Interstitial Lung Disease. The Journal of Rheumatology. https://doi.org/10.3899/jrheum.121043

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.