Evidence map›Paper›PMID 33293212›Full record

ArticleJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2021

Safety and efficacy of the cystic fibrosis transmembrane conductance regulator potentiator icenticaftor (QBW251).

Shamsah Kazani, David J Rowlands, Ivan Bottoli, Julie Milojevic, Jose Alcantara, Ieuan Jones, Kenneth Kulmatycki, Surendra Machineni, Lidia Mostovy, Ian Nicholls and 10 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article 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. It is linked to trial NCT02190604 (A Randomized, Double Blind Placebo-controlled Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Pharmacodynamics of Single and Multiple Ascending Doses of QBW251 in Healthy Subjects and Multiple Doses in Cystic Fibrosis Patients), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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.

NCT02190604 phase1 / phase2terminatednot on this map

A Randomized, Double Blind Placebo-controlled Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Pharmacodynamics of Single and Multiple Ascending Doses of QBW251 in Healthy Subjects and Multiple Doses in Cystic Fibrosis Patients

TypeinterventionalSponsorNovartis PharmaceuticalsRan2012 to 2015Enrolled153ConditionsCystic FibrosisArmsPlacebo, QBW251
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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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

20 authors.

Shamsah KazaniNovartis Institutes for BioMedical Research, Cambridge, MA, United States; Novartis Institutes for BioMedical Research, Basel, Switzerland.
David J RowlandsNovartis Institutes for BioMedical Research, Cambridge, MA, United States; Novartis Institutes for BioMedical Research, Basel, Switzerland.
Ivan BottoliNovartis Pharma AG, Basel, Switzerland. Electronic address: ivan.bottoli@novartis.com.
Julie MilojevicNovartis Institutes for BioMedical Research, Basel, Switzerland.
Jose AlcantaraNovartis Institutes for BioMedical Research, Cambridge, MA, United States; Novartis Institutes for BioMedical Research, Basel, Switzerland.
Ieuan JonesNovartis Institutes for BioMedical Research, Cambridge, MA, United States; Novartis Institutes for BioMedical Research, Basel, Switzerland.
Kenneth KulmatyckiNovartis Institutes for BioMedical Research, Cambridge, MA, United States; Novartis Institutes for BioMedical Research, Basel, Switzerland.
Surendra MachineniNovartis Healthcare Private Limited, Hyderabad, India.
Lidia MostovyNovartis Institutes for BioMedical Research, Cambridge, MA, United States; Novartis Institutes for BioMedical Research, Basel, Switzerland.
Ian NichollsNovartis Institutes for BioMedical Research, Basel, Switzerland.
Jerry A NickNational Jewish Health, Denver, CO, United States.
Steven M RoweUniversity of Alabama at Birmingham, Birmingham, AL, United States.
Nicholas J SimmondsAdult Cystic Fibrosis Centre, Royal Brompton Hospital and Imperial College, London, United Kingdom.
Raju VegesnaNovartis Pharmaceuticals corporation, East Hanover, NJ, United States.
Jeroen VerheijenNovartis Institutes for BioMedical Research, Cambridge, MA, United States; Novartis Institutes for BioMedical Research, Basel, Switzerland.
Henry DanahayEnterprise Therapeutics, Brighton, United Kingdom.
Martin GoslingNovartis Pharmaceuticals corporation, East Hanover, NJ, United States; Enterprise Therapeutics, Brighton, United Kingdom; Sussex Drug Discovery Centre, University of Sussex, Brighton, United Kingdom.
Phaninatha Sarma AyalavajjalaNovartis Healthcare Private Limited, Hyderabad, India.
Mohammed SalmanNovartis Healthcare Private Limited, Hyderabad, India.
Robert StrieterNovartis Institutes for BioMedical Research, Cambridge, MA, United States; Novartis Institutes for BioMedical Research, Basel, Switzerland.

Funding

UAB CF Research and Translation Core CenterP30DK072482 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI David M. Bedwell · 2007 to 2026
$23.0M
NIDDK NIH HHS P30 DK072482
6 · The paper itself

Abstract

backgroundThis is the first-in-human study of icenticaftor, an oral potentiator of the cystic fibrosis (CF) transmembrane conductance regulator (CFTR) channel. Restoration of CFTR activity has shown significant clinical benefits, but more studies are needed to address all CFTR mutations.

methodsSafety, pharmacodynamics/pharmacokinetics of icenticaftor were evaluated in a randomized, double-blind, placebo-controlled study in healthy volunteers. Efficacy was assessed in adult CF patients with ≥1 pre-specified CFTR Class III or IV mutation (150 and 450 mg bid), or homozygous for F508del mutation (450 mg bid). Primary efficacy endpoint was change from baseline in lung clearance index (LCI

resultsClass IV mutations were present in 22 patients, Class III in 2 (both S549N), and 25 were homozygous for F508del. Icenticaftor was well-tolerated in healthy and CF subjects with no unexpected events or discontinuations in the CF groups. The most frequent study-drug related adverse events in CF patients were nausea (12.2%), headache (10.2%), and fatigue (6.1%). Icenticaftor 450 mg bid for 14 days showed significant improvements in all endpoints versus placebo in patients with Class III and IV mutations; mean %predicted FEV

conclusionsIcenticaftor was safe and well-tolerated in healthy volunteers and CF patients, and demonstrated clinically meaningful changes in lung function and sweat chloride level in CF patients with Class III and IV CFTR mutations. ClinicalTrials.gov: NCT02190604.

Indexed as

AdultAmidesChloride Channel AgonistsCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorDouble-Blind MethodFemaleHumansMaleMutationPyridinesRespiratory Function TestsAmidesChloride Channel AgonistsCystic Fibrosis Transmembrane Conductance RegulatoricenticaftorPyridinesCystic fibrosisCystic fibrosis questionnaireHomozygous F508del mutationIcenticaftorLung clearance index

Identifiers

PMID33293212
PMCPMC8935475

What OpenQuestion holds

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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.