Evidence map›Paper›PMID 30568035›Full record

Observational studyJCI insight2018

Effect of ivacaftor on mucociliary clearance and clinical outcomes in cystic fibrosis patients with G551D-CFTR.

Scott H Donaldson, Beth L Laube, Timothy E Corcoran, Pradeep Bhambhvani, Kirby Zeman, Agathe Ceppe, Pamela L Zeitlin, Peter J Mogayzel, Michael Boyle, Landon W Locke and 5 more

2 registry-linked trialsAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in JCI insight, 2018. 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 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 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.

NCT01521338 completednot on this map

G551D Observational Study (GOAL)-Expanded to Additional Genotypes and Extended for Long Term Follow up (GOAL-e2)

TypeobservationalSponsorSteven M RoweRan2014 to 2021Enrolled120ConditionsCystic Fibrosis
NCT05392855 naterminatednot on this mapstarted 2023, after this paper: background citation

Symptom Based Performance of Airway Clearance Therapy After Starting Highly Effective CFTR Modulator Therapy for Cystic Fibrosis

TypeinterventionalSponsorUniversity of Missouri-ColumbiaRan2023 to 2024Enrolled6ConditionsCystic Fibrosis, Mucociliary Clearance DefectArmsSymptom driven performance of airway clearance, Continuous daily performance of airway clearance
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Normalization of Muc5b ameliorates airway mucus plugging during persistentAmerican journal of physiology. Lung cellular and molecular physiology · 2024
    Article
  12. Article
  13. Review
  14. Article
  15. Effect of elexacaftor/tezacaftor/ivacaftor on mucus and mucociliary clearance in cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2024
    Observational
  16. Frontiers in immunology · 2024
    Review
  17. Article
  18. Article
  19. Review
  20. QuantitativeERJ open research · 2023
    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

15 authors.

Scott H DonaldsonDepartment of Medicine, University of North Carolina (UNC), Chapel Hill, North Carolina, USA.
Beth L LaubeDepartment of Pediatrics, Johns Hopkins University, Baltimore, Maryland, USA.
Timothy E CorcoranDepartment of Medicine and Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Pradeep BhambhvaniDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Kirby ZemanDepartment of Medicine, University of North Carolina (UNC), Chapel Hill, North Carolina, USA.
Agathe CeppeDepartment of Medicine, University of North Carolina (UNC), Chapel Hill, North Carolina, USA.
Pamela L ZeitlinDepartment of Pediatrics, Johns Hopkins University, Baltimore, Maryland, USA.
Peter J MogayzelDepartment of Pediatrics, Johns Hopkins University, Baltimore, Maryland, USA.
Michael BoyleDepartment of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Landon W LockeDepartment of Medicine and Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Michael M MyerburgDepartment of Medicine and Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Joseph M PilewskiDepartment of Medicine and Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Brian FlanaganDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Steven M RoweDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
William D BennettDepartment of Medicine, University of North Carolina (UNC), Chapel Hill, North Carolina, USA.

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
UAB Center for Clinical and Translational Science (CCTS)UL1TR001417 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KIMBERLY, ROBERT P. · 2015 to 2018
$31.4M
Vector CoreP30DK065988 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Martina Gentzsch · 2004 to 2026
$26.5M
UAB CF Research and Translation Core CenterP30DK072482 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Brian R. Davis · 2007 to 2026
$23.0M
Translational StudiesP30DK072506 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ALCORN, JOHN F · 2005 to 2017
$12.5M
NCATS NIH HHS UL1 TR001079NCATS NIH HHS UL1 TR001417NCRR NIH HHS UL1 RR024153NIDDK NIH HHS P30 DK065988NIDDK NIH HHS P30 DK072482NIDDK NIH HHS P30 DK072506
6 · The paper itself

Abstract

backgroundThe ability to restore cystic fibrosis transmembrane regulator (CFTR) function with effective small molecule modulators in patients with cystic fibrosis provides an opportunity to study relationships between CFTR ion channel function, organ level physiology, and clinical outcomes.

methodsWe performed a multisite, prospective, observational study of ivacaftor, prescribed in patients with the G551D-CFTR mutation. Measurements of lung mucociliary clearance (MCC) were performed before and after treatment initiation (1 and 3 months), in parallel with clinical outcome measures.

resultsMarked acceleration in whole lung, central lung, and peripheral lung MCC was observed 1 month after beginning ivacaftor and was sustained at 3 months. Improvements in MCC correlated with improvements in forced expiratory volume in the first second (FEV1) but not sweat chloride or symptom scores.

conclusionsRestoration of CFTR activity with ivacaftor led to significant improvements in MCC. This physiologic assessment provides a means to characterize future CFTR modulator therapies and may help to predict improvements in lung function.

trial registrationClinicialTrials.gov, NCT01521338.

fundingCFF Therapeutics (GOAL11K1).

Indexed as

AdolescentAdultAminophenolsChildCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorFemaleForced Expiratory VolumeHumansLongitudinal StudiesMaleMucociliary ClearanceMutationProspective StudiesQuinolonesRespiratory Function TestsAminophenolsCFTR protein, humanCystic Fibrosis Transmembrane Conductance RegulatorivacaftorQuinolonesChloride channelsDiagnostic imagingPulmonology

Identifiers

PMID30568035
PMCPMC6338313

What OpenQuestion holds

Textmetadata
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.