Evidence map›Paper›PMID 32586736›Full record

Trial reportJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2021

Tezacaftor/ivacaftor in people with cystic fibrosis who stopped lumacaftor/ivacaftor due to respiratory adverse events.

Carsten Schwarz, Sivagurunathan Sutharsan, Ralph Epaud, Ross C Klingsberg, Rainald Fischer, Steven M Rowe, Paul K Audhya, Neil Ahluwalia, Xiaojun You, Thomas J Ferro and 2 more

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.8field-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.

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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Review
  7. Precision Medicine Based on CFTR Genotype for People with Cystic Fibrosis.Pharmacogenomics and personalized medicine · 2022
    Review
  8. Review
  9. Review
  10. A new era for people with cystic fibrosis.European journal of pediatrics · 2021
    Review
  11. Tobacco smoke exposure limits the therapeutic benefit of tezacaftor/ivacaftor in pediatric patients with cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2021
    Article
  12. New Therapies to Correct the Cystic Fibrosis Basic Defect.International journal of molecular sciences · 2021
    Review
  13. 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

12 authors at 7 institutions in 3 countries.

Carsten SchwarzChristiane Herzog Zentrum Berlin/Charité-Universitätsmedizin Berlin, Berlin, Germany. Electronic address: carsten.schwarz@charite.de.
Sivagurunathan SutharsanDivision of Cystic Fibrosis, Department of Pulmonary Medicine, Faculty of Medicine, Universitat Duisburg Essen-Ruhrlandklinik, Essen, Germany.
Ralph EpaudCystic Fibrosis and Rare Lung Disease Centre, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
Ross C KlingsbergTulane University School of Medicine, New Orleans, LA, USA.
Rainald FischerPneumologische Praxis München-Pasing, Munich, Germany.
Steven M RoweThe University of Alabama at Birmingham, Birmingham, AL, USA.
Paul K AudhyaFormerly of Vertex Pharmaceuticals Incorporated, Boston, MA, USA.
Neil AhluwaliaVertex Pharmaceuticals Incorporated, Boston, MA, USA.
Xiaojun YouFormerly of Vertex Pharmaceuticals Incorporated, Boston, MA, USA.
Thomas J FerroFormerly of Vertex Pharmaceuticals Incorporated, Boston, MA, USA.
Margaret E DuncanVertex Pharmaceuticals Incorporated, Boston, MA, USA.
Bote G BruinsmaVertex Pharmaceuticals Incorporated, Boston, MA, USA.
Vertex Pharmaceuticals (United States) · USCharité - Universitätsmedizin Berlin · DEHôpital Intercommunal de Créteil · FROrthopädische Praxis · DERuhrlandklinik · DETulane University · USUniversity of Alabama at Birmingham · US

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
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
UAB CF Research and Translation Core CenterP30DK072482 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Brian R. Davis · 2007 to 2026
$23.0M
The University of Iowa Clinical and Translational Science AwardU54TR001356 · NCATS · UNIVERSITY OF IOWA · PI WINOKUR, PATRICIA · 2015 to 2016
$7.1M
Department of HealthNCATS NIH HHS U54 TR001356NCATS NIH HHS UL1 TR000005NCRR NIH HHS UL1 RR024153NIDDK NIH HHS P30 DK072482
6 · The paper itself

Abstract

backgroundIncreased rates of respiratory adverse events have been observed in people ≥12 years of age with cystic fibrosis homozygous for the Phe508del-CFTR mutation treated with lumacaftor/ivacaftor, particularly in those with percent predicted forced expiratory volume in 1 s (ppFEV

methodsParticipants ≥12 years of age with cystic fibrosis homozygous for Phe508del-CFTR with ppFEV

resultsOf 97 participants, 94 (96.9%) completed the study. The primary endpoint was incidence of predefined respiratory adverse events of special interest (chest discomfort, dyspnea, respiration abnormal, asthma, bronchial hyperreactivity, bronchospasm, and wheezing): tezacaftor/ivacaftor, 14.0%; placebo, 21.3%. The adverse events were mild or moderate in severity. None were serious or led to treatment interruption or discontinuation. Overall, the discontinuation rate was similar between groups. The mean (SD) ppFEV

conclusionsTezacaftor/ivacaftor was generally safe, well tolerated, and efficacious in people ≥12 years of age with cystic fibrosis homozygous for Phe508del-CFTR with ppFEV

Indexed as

AdolescentAdultAminophenolsAminopyridinesBenzodioxolesChloride Channel AgonistsCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorDouble-Blind MethodDrug CombinationsFemaleHumansIndolesMaleQuinolonesRespiratory Function TestsAminophenolsAminopyridinesBenzodioxolesChloride Channel AgonistsCystic Fibrosis Transmembrane Conductance RegulatorDrug CombinationsIndoleslumacaftor, ivacaftor drug combinationQuinolonestezacaftor, ivacaftor drug combinationClinical trialCystic fibrosisPhase 3Phe508del-CFTR

Identifiers

PMID32586736
PMCPMC9187869
OpenAlexW3036713033

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.