Evidence map›Paper›PMID 26250833›Full record

Trial reportDigestive diseases and sciences2016

Nutritional Status Improved in Cystic Fibrosis Patients with the G551D Mutation After Treatment with Ivacaftor.

Drucy Borowitz, Barry Lubarsky, Michael Wilschanski, Anne Munck, Daniel Gelfond, Frank Bodewes, Sarah Jane Schwarzenberg

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Digestive diseases and sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03859531 (Gastrointestinal Outcome Measures Before and After Orkambi Therapy in Cystic Fibrosis), which is not on this map. Cited by 32 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03859531 unknown statusnot on this mapstarted 2019, after this paper: background citation

Gastrointestinal Outcome Measures Before and After Orkambi Therapy in Cystic Fibrosis (CF) Patients Carrying the F508del Mutation on Both Alleles

TypeobservationalSponsorKarolinska University HospitalRan2019 to 2020Enrolled20ConditionsCystic Fibrosis
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Evolution of body image across treatment eras: a systematic review in young people and adults living with cystic fibrosis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Guideline
  3. Pooled it
  4. Guideline
  5. Pooled it
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Effect of elexacaftor-tezacaftor-ivacaftor on body weight and metabolic parameters in adults with cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022
    Observational
  17. Article
  18. Obesity in cystic fibrosis.Journal of clinical & translational endocrinology · 2021
    Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Drucy BorowitzDepartment of Pediatrics, University at Buffalo, State University of New York, Women and Children's Hospital of Buffalo, 219 Bryant Street, Buffalo, NY, 14222, USA. dborowitz@upa.chob.edu.
Barry LubarskyDepartment of Medical Affairs, Vertex Pharmaceuticals Incorporated, 50 Northern Avenue, Boston, MA, 02210, USA. barry_lubarsky@vrtx.com.
Michael WilschanskiDepartment of Pediatrics, Hadassah University Hospital, Kiryat Hadassah, PO Box 12000, 91120, Jerusalem, Israel. michaelwil@hadassah.org.il.
Anne MunckAssistance publique-Hôpitaux de Paris, Hôpital Robert Debré, Paediatric Gastroenterology and Respiratory Department, CF Center, 48 Sérurier Boulevard, 75019, Paris, France. anne.munck@rdb.aphp.fr.
Daniel GelfondDepartment of Pediatrics, Gastroenterology/Nutrition (SMD), University of Rochester, 601 Elmwood Avenue, Rochester, NY, 14642, USA. dgelfond@upa.chob.edu.
Frank BodewesDepartment of Pediatrics, Beatrix Children's Hospital, PO Box 30001, 9700 RB, Groningen, Groningen, The Netherlands. f.a.j.a.bodewes@umcg.nl.
Sarah Jane SchwarzenbergDivision of Pediatric Gastroenterology, University of Minnesota, 6th Floor East Building 8952C 2450 Riverside Ave, Minneapolis, MN, 55454, USA. schwa005@umn.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe cystic fibrosis (CF) transmembrane conductance regulator (CFTR) gating mutation G551D prevents sufficient ion transport due to reduced channel-open probability. Ivacaftor, an oral CFTR potentiator, increases the channel-open probability.

aimTo further analyze improvements in weight and body mass index (BMI) in two studies of ivacaftor in patients aged ≥6 years with CF and the G551D mutation.

methodsPatients were randomized 1:1 to ivacaftor 150 mg or placebo every 12 h for 48 weeks. Primary end point (lung function) was reported previously. Other outcomes included weight and height measurements and CF Questionnaire-Revised (CFQ-R).

resultsStudies included 213 patients (aged ≤ 20 years, n = 105; aged > 20 years, n = 108). In patients ≤20 years, adjusted mean change from baseline to week 48 in body weight was 4.9 versus 2.2 kg (ivacaftor vs. placebo, p = 0.0008). At week 48, change from baseline in mean weight-for-age z-score was 0.29 versus -0.06 (p < 0.0001); change in mean BMI-for-age z-score was 0.26 versus -0.13 (p < 0.0001). In patients >20 years, adjusted mean change from baseline to week 48 in body weight was 2.7 versus -0.2 kg (p = 0.0003). Mean BMI change at week 48 was 0.9 versus -0.1 kg/m(2) (p = 0.0003). There was no linear correlation evident between changes in body weight and improvements in lung function or sweat chloride. Significant CFQ-R improvements were seen in perception of eating, body image, and sense of ability to gain weight.

conclusionsNutritional status improved following treatment with ivacaftor for 48 weeks.

Indexed as

MutationAdministration, OralAdolescentAdultAminophenolsChildCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorDouble-Blind MethodDrug Administration ScheduleFemaleGenetic Predisposition to DiseaseHumansMaleMembrane Transport ModulatorsNutritional StatusAminophenolsCFTR protein, humanCystic Fibrosis Transmembrane Conductance RegulatorivacaftorMembrane Transport ModulatorsQuinolonesBicarbonateCystic fibrosis transmembrane conductance regulatorGrowthKalydecoPotentiatorWeight gain

Identifiers

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.