Evidence map›Paper›PMID 32233113›Full record

Observational studyPediatric pulmonology2020

Long-term effects of ivacaftor on nonpulmonary outcomes in individuals with cystic fibrosis, heterozygous for a S1251N mutation.

M Marcella Burghard, G Gitte Berkers, S Sophie Ghijsen, Fm Francis Hollander-Kraaijeveld, Km Karin de Winter-de Groot, Ck Kors van der Ent, Hgm Harry Heijerman, T Tim Takken, Hj Erik Hulzebos

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Pediatric pulmonology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 28% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Observational
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

9 authors at 2 institutions in 1 country.

M Marcella BurghardDepartment of Pediatrics, Child Development and Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-9780-8895
G Gitte BerkersDepartment of Pediatric Pulmonology and Division of Heart and Lung, Cystic Fibrosis Center Utrecht, University Medical Center Utrecht, Utrecht, The Netherlands.
S Sophie GhijsenDepartment of Pediatrics, Child Development and Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Fm Francis Hollander-KraaijeveldDepartment of Pediatric Pulmonology and Division of Heart and Lung, Cystic Fibrosis Center Utrecht, University Medical Center Utrecht, Utrecht, The Netherlands.
Km Karin de Winter-de GrootDepartment of Pediatric Pulmonology and Division of Heart and Lung, Cystic Fibrosis Center Utrecht, University Medical Center Utrecht, Utrecht, The Netherlands.
Ck Kors van der EntDepartment of Pediatric Pulmonology and Division of Heart and Lung, Cystic Fibrosis Center Utrecht, University Medical Center Utrecht, Utrecht, The Netherlands.
Hgm Harry HeijermanDepartment of Pediatric Pulmonology and Division of Heart and Lung, Cystic Fibrosis Center Utrecht, University Medical Center Utrecht, Utrecht, The Netherlands.
T Tim TakkenDepartment of Pediatrics, Child Development and Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Hj Erik HulzebosDepartment of Pediatrics, Child Development and Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Utrecht University · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the long-term effects of ivacaftor (Kalydeco®) in individuals with cystic fibrosis (CF) on body mass index (BMI), body composition (BC), pulmonary function (PF), resting energy expenditure (REE), and exercise capacity (EC) after ≥12 months of treatment. WORKING HYPOTHESIS: BMI, lean and fat mass, PF, and EC will increase and REE will decrease after treatment. STUDY

designObservational study. METHODOLOGY: Seven individuals with CF (mean age 15.4 ± 5.8 years) heterozygous for S1251N mutation, starting with ivacaftor, were included. Paired t tests were performed to assess the effects of ivacaftor. Height and weight were used to calculate BMI and BMI Z-scores. Dual-energy X-ray absorptiometry was used to assess BC. Spirometry and body plethysmography were used to assess PF. Indirect calorimetry was used to measure REE and cardiopulmonary exercise testing (CPET) was used to measure oxygen uptake (VO

resultsAfter a median of 15 (interquartile range: 13-16) months of treatment, BMI increased significantly (P = .03), but not BMI Z-score (P = .23) or BC. Significant improvements were found for several PF variables, especially measures of hyperinflation (P = .02). Absolute VO

conclusionsThe results showed that long-term treatment of ivacaftor is associated with improvement of BMI and PF, but not of BC and REE. Oxygen uptake reduced after treatment, which may be due to a decrease in work of breathing.

Indexed as

AdolescentAdultAminophenolsBody CompositionBody Mass IndexChildChloride Channel AgonistsCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorEnergy MetabolismFemaleHeterozygoteHumansLungMaleMutationAminophenolsChloride Channel AgonistsCystic Fibrosis Transmembrane Conductance RegulatorivacaftorQuinolonesbody compositionexercise capacityoxygen uptakeresting energy expenditure

Identifiers

PMID32233113
PMCPMC7317816
OpenAlexW3013983359

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.