Background. Interstitial lung disease (ILD) is the most common complication of systemic sclerosis (SSc) with treatment ineffective.\r\nObjective: The aim of this meta-analysis was to provide an estimate of the safety and efficacy profile of Mycophenolate Mofetil\r\n(MMF) or sodium (MMS) in SSc-ILD patients. Materials and Methods. All studies were reviewed systematically. The main\r\nend-points were safety and efficacy profile as estimated by forced vital capacity (FVC)% and diffusion capacity of the lung\r\nfor carbon monoxide (DLCO)% of the predicted normal value (%pred.) before and after treatment in patients with SSc-ILD.\r\nQuality assessment and data extraction were performed independently by two reviewers. Results. Seventeen studies were reviewed\r\nsystematically. Six studies, one prospective, were eligible for analysis encompassing 69 patients, including 10 subjects from our, yet\r\nunpublished, retrospective study. There was no statistically significant difference in both efficacy outcomes of interest, including\r\nFVC% pred. (weighted mean difference 1.48, 95% confidence interval (CI): -2.77 to 5.72, P = 0.49) and DLCO% pred. (weighted\r\nmean difference -0.83, 95% CI: -4.75 to 3.09, P = 0.93). No cases of clinically significant side effects were documented.\r\nConclusions.Meta-analysis data suggest that MMF is a safe therapeutic modality which was associated with functional stabilization\r\nin patients with SSc-ILD.
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