- Conference Article
- 10.1183/13993003.congress-2025.pa4060
Current Treatment Patterns and factors associated with Therapy Choices in SSc-ILD
- Sep 27, 2025
- Corrado Campochiaro + 16 more +16
<bold>Background:</bold> The treatment landscape of SSc-ILD has changed over the past decades. <bold>Objective:</bold> Evaluate current treatment regimens and identify factors associated with these strategies. <bold>Methods:</bold> SSc-ILD patients from the EUSTAR database starting immunesuppresive and/or anti-fibrotic therapies ≥2017 were included. Treatment regimens, including mono and combination therapies, switch and discontinuation and factors associated with treatment decisions, were analyzed using multivariable logistic regression. <bold>Results:</bold> Among 277 patients, 159 (57.4%) were started on treatment: 377 regimens with mycophenolate mofetil, 186 with methotrexate, 257 with rituximab and 122 with tocilizumab were identified, Figure 1 summarized combinations. 14% of regimens were switched and 24% were discontinued. Factors associated with combination therapies included younger age (OR 0.97, p<0.001), lower %pDLCO (OR 0.98, p=0.008), and diffuse SSc (OR 1.77, p=0.009). Switching therapies was associated with diffuse SSc (OR 1.90, p=0.038) and arthritis (OR 2.97, p=0.012); no factors were identified for discontinuation. <bold>Conclusion:</bold> Currently, the majority of SSc-ILD patients are treated with an immunosuppressive agent, often in combination regimes. Multiorgan manifestation significantly impact treatment choices. Figure 1. Treatment regimens in SSc-ILD: A mycophenolate mofetil-; B methotrexate-; C rituximab-,D tocilizumab -based regimens. <fig><object-id>erj;66/suppl_69/PA4060/F1</object-id><object-id>F1</object-id><object-id>F1</object-id><graphic></graphic></fig>
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