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. Author manuscript; available in PMC: 2024 Dec 4.
Published in final edited form as: Semin Arthritis Rheum. 2020 Jun 1;50(4):776–790. doi: 10.1016/j.semarthrit.2020.03.007

Table 3.

Research supporting the role of combined therapy, with glucocorticoids plus either cyclophosphamide or calcineurin inhibitors or triple therapy with the three of them, for the treatment of anti-MDA5 positive rapidly progressive interstitial lung disease (RPILD).

Reference Type of study Patients (n) RPILD Exitus
16 Retrospective n=20 9/20 (45%)
12 (GC+CYC+CNI) 7/12 (58%)
8 (GC+CYC or CNI) * 2/8 (25%)
40 Retrospective n=15†ฎ 6/15 (40%)
5 (GC+CYC+CNI) Not specified
10 (GC+CNI) Not specified
34 Retrospective n=10 6/10 (60%)
10 (GC+CYC+CNI)
35 Retrospective n=7 6/7 (85%)
7 (GC+CYC+CNI)
22 Retrospective n=11 0/11 (0%)
11 (GC+CYC+CNI)
19 Retrospective n=17 1/6 (16%)
6 (GC+CYC+CNI) 3/11 (27%)
11 (GC+CYCor CNI)*
10 Retrospective n=28 25%
14 (GC+CYC+CNI) 71%
14 (Historical cohort)
37 Retrospective n=12 3/4 (75%)
4 (GC+CYC+CNI) 3/8 (37%)
8 (GC+CNI)
39 Retrospective n=7†ฎ 6/6 (100%)
6 (GC+CYC+CNI) 1/1 (100%)
1 (GC+CNI)
28,29,30,31, Case reports (sum up) n=16 5/16 (31%)
32,33,36, 10 (GC+CYC+CNI) 5/10 (50%)
38,41,42, 5 (GC+CNI) 0/5 (0%)
43,45,46. 1 (gc+cyc) 0/1 (0%)

GC, glucocorticoids; CYC, cyclophosphamide; CNI, calcineurin inhibitors; RP-ILD, rapidly progressive interstitial lung disease.

*

Number of patients treated with each combination not specified.

†2

patients with chronic NI.