Systemic sclerosis & Raynaud's

A randomised open-label pilot trial comparing mycophenolate mofetil with no immunosuppression in limited cutaneous systemic sclerosis (MINIMISE-Pilot)

Rheumatology (Oxford)Published Randomised controlled trial

  • Terminated early due to low recruitment

Authors' conclusion

MINIMISE-Pilot achieved its goal as a feasibility trial, leading to early termination of the study due to low recruitment.

Study context

Population
Patients with lcSSc53 screened
Participants
43 patients
Comparison
Mycophenolate mofetil (MMF) vs no immunosuppression
  • MMFn = 21
Primary endpoint
Feasibility of an open-label event-driven RCT of MMF vs no immunosuppression in lcSSc (prespecified Stop-Go criteria for continuation)
Methodological detailsopen-label, pilot, feasibility, event-driven, prespecified Stop-Go criteria, stratified by ACA status, 12 sites in the UK
  • Open-label
  • Pilot
  • Feasibility
  • Event-driven
  • Prespecified Stop-Go criteria
  • Stratified by ACA status
  • 12 sites in the UK

Primary result

As reported in the abstract

Feasibility (recruitment)
  • Recruitment <60 participants; trial terminated on the prespecified threshold for continuation
  • Recruitment was challenging

Further findings

100% adherence to MMF · week 1
95% · 19
100% adherence to MMF · week 24
64% · 9

Clinical worsening endpoints (MINIMISE composite) during treatment period

No clinical worsening endpoints

Original publication

A randomised open-label pilot trial comparing mycophenolate mofetil with no immunosuppression in limited cutaneous systemic sclerosis (MINIMISE-Pilot). Rheumatology (Oxford). Published 24 February 2026. doi:10.1093/rheumatology/keag108

Composed by AI from the published abstract and checked against it. How Briefs are made →

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