Evidence map›Paper›PMID 30146268›Full record

Trial reportJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2019

Lumacaftor/Ivacaftor reduces pulmonary exacerbations in patients irrespective of initial changes in FEV

Susanna A McColley, Michael W Konstan, Bonnie W Ramsey, J Stuart Elborn, Michael P Boyle, Claire E Wainwright, David Waltz, Montserrat Vera-Llonch, Gautham Marigowda, John G Jiang and 1 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% of its field
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.

NCT01807923 phase3completednot on this map

A Phase 3, Randomized, Double Blind, Placebo Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Lumacaftor in Combination With Ivacaftor in Subjects Aged 12 Years and Older With Cystic Fibrosis, Homozygous for the F508del CFTR Mutation

TypeinterventionalSponsorVertex Pharmaceuticals IncorporatedRan2013 to 2014Enrolled559ConditionsCystic Fibrosis, Homozygous for the F508del CFTR MutationArmsLumacaftor Plus Ivacaftor Combination, Ivacaftor, Placebo
NCT01807949 phase3completednot on this map

A Phase 3, Randomized, Double Blind, Placebo Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Lumacaftor in Combination With Ivacaftor in Subjects Aged 12 Years and Older With Cystic Fibrosis, Homozygous for the F508del CFTR Mutation

TypeinterventionalSponsorVertex Pharmaceuticals IncorporatedRan2013 to 2014Enrolled563ConditionsCystic Fibrosis, Homozygous for the F508del CFTR MutationArmsPlacebo, Lumacaftor Plus Ivacaftor Combination, Ivacaftor
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Considerations for early life genetic therapies in cystic fibrosis.American journal of physiology. Lung cellular and molecular physiology · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Observational
  9. Observational
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Effect of lumacaftor-ivacaftor on mucociliary clearance and clinical outcomes in cystic fibrosis: Results from the PROSPECT MCC sub-study.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022
    Article
  16. Chronic rhinosinusitis in cystic fibrosis: a review of therapeutic options.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Review
  17. Review
  18. Reply to KuekAmerican journal of respiratory and critical care medicine · 2021
    Article
  19. Article
  20. Article
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

11 authors at 7 institutions in 3 countries.

Susanna A McColleyAnn & Robert H. Lurie Children's Hospital of Chicago and Northwestern University Feinberg School of Medicine, 225 East Chicago Avenue #43, Chicago, IL 60611, USA. Electronic address: SMcColle@luriechildrens.org.
Michael W KonstanCase Western Reserve University School of Medicine and Rainbow Babies & Children's Hospital, 11100 Euclid Avenue, Cleveland, OH 44106, USA. Electronic address: Michael.Konstan@UHhospitals.org.
Bonnie W RamseySeattle Children's Hospital and University of Washington School of Medicine, 4800 Sand Point Way NE, Seattle, WA 98105, USA. Electronic address: bonnie.ramsey@seattlechildrens.org.
J Stuart ElbornImperial College and Royal Brompton Hospital, London and Queens University Belfast, 97 Lisburn Road, Belfast BT9 7AE, UK. Electronic address: s.elborn@qub.ac.uk.
Michael P BoyleJohns Hopkins Medical Institution, 600 North Wolfe Street, Baltimore, MD 21287, USA. Electronic address: mboyle@jhmi.edu.
Claire E WainwrightLady Cilento Children's Hospital and Child Health Research Centre, University of Queensland, 62 Graham Street, South Brisbane, Queensland 4104, Australia. Electronic address: Claire.Wainwright@health.qld.gov.au.
David WaltzVertex Pharmaceuticals Incorporated, 50 Northern Avenue, Boston, MA 02210, USA. Electronic address: david_waltz@vrtx.com.
Montserrat Vera-LlonchVertex Pharmaceuticals Incorporated, 50 Northern Avenue, Boston, MA 02210, USA.
Gautham MarigowdaVertex Pharmaceuticals Incorporated, 50 Northern Avenue, Boston, MA 02210, USA. Electronic address: gautham_marigowda@vrtx.com.
John G JiangVertex Pharmaceuticals Incorporated, 50 Northern Avenue, Boston, MA 02210, USA.
Jaime L RubinVertex Pharmaceuticals Incorporated, 50 Northern Avenue, Boston, MA 02210, USA. Electronic address: jaime_rubin@vrtx.com.
Vertex Pharmaceuticals (United States) · USJohns Hopkins University · USNorthwestern University · USQueen's University Belfast · GBRainbow Babies & Children's Hospital · USSeattle Children's Hospital · USUniversity of Queensland · AU

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss · 2010 to 2026
$21.4M
NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1 TR002548NIDDK NIH HHS P30 DK089507
6 · The paper itself

Abstract

backgroundImproved lung function and fewer pulmonary exacerbations (PEx) were observed with lumacaftor/ivacaftor (LUM/IVA) in patients with cystic fibrosis homozygous for F508del. It is unknown whether PEx reduction extends to patients without early lung function improvement.

methodsPost hoc analyses of pooled phase 3 data (NCT01807923, NCT01807949) categorized LUM/IVA-treated patients by percent predicted forced expiratory volume in 1 s (ppFEV

resultsLUM (400 mg q12h)/IVA (250 mg q12h)-treated patients (n = 369) experienced significantly fewer PEx vs placebo, regardless of threshold category. With LUM/IVA, PEx rate per patient per year was 0.60 for those with absolute change in ppFEV

conclusionsLUM/IVA significantly reduced PEx, even in patients without early lung function improvement.

Indexed as

AdolescentAdultAgedAminophenolsAminopyridinesBenzodioxolesChildCystic FibrosisDisease ProgressionDouble-Blind MethodDrug CombinationsFemaleFollow-Up StudiesForced Expiratory VolumeHumansLungAminophenolsAminopyridinesBenzodioxolesDrug Combinationslumacaftor, ivacaftor drug combinationQuinolonesCystic fibrosisIvacaftorLumacaftorPercent predicted forced expiratory volume in 1 sPulmonary exacerbations

Identifiers

PMID30146268
PMCPMC6629021
OpenAlexW2888673303

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.