Systemic sclerosis & Raynaud's

Efficacy and safety of rituximab versus intravenous cyclophosphamide for systemic sclerosis-associated interstitial lung disease: a retrospective cohort study

Arthritis Res TherPublished Retrospective cohort study

Authors' conclusion

RTX demonstrated comparable safety and efficacy as CY in patients with SSc-ILD.

Study context

Population
Patients with SSc-ILD
Participants
20 vs 30
Exposure
Rituximab (RTX) vs intravenous cyclophosphamide (CY)
  • RTXn = 20
  • CYn = 30reference
Outcome
Absolute changes in forced vital capacity (FVC) and serum KL-6 levels from baseline
Follow-up
6 and 12 months after treatment
Methodological detailsstabilised inverse probability of treatment weighting based on propensity scores
  • Stabilised inverse probability of treatment weighting based on propensity scores

Main finding

As reported in the abstract

Median FVC increase from baseline · 6 and 12 months

RTX

50 and 60

median · ml

CY

40 and 15

median · ml

Observational data: associations, not effects.

Further findings

Changes in serum KL-6 levels

Identical in both groups after adjustment

Incidence of progression (progressive pulmonary fibrosis definition)

Identical in both groups after adjustment

Original publication

Efficacy and safety of rituximab versus intravenous cyclophosphamide for systemic sclerosis-associated interstitial lung disease: a retrospective cohort study. Arthritis Res Ther. Published 17 October 2025. doi:10.1186/s13075-025-03654-0

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