Evidence map›Paper›PMID 33390317›Full record

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

Changes in fecal microbiota with CFTR modulator therapy: A pilot study.

C E Pope, A T Vo, H S Hayden, E J Weiss, S Durfey, S McNamara, A Ratjen, B Grogan, S Carter, L Nay and 6 more

Registry-linked trialOpen access · greenAbstract read
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 NCT07632768 (The Return of the Pancreas), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.0field-weighted citation impact, top 10% 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.

NCT07632768 phase4completednot on this mapstarted 2024, after this paper: background citation

The Return of the Pancreas: Evaluating Impact of CFTR Modulators on Pancreatic Function

TypeinterventionalSponsorIndiana UniversityRan2024 to 2026Enrolled17ConditionsCystic Fibrosis (CF), Pancreatic Insufficiency, Pancreas Disease, Exocrine Pancreatic InsufficiencyArmsDiscontinuation of Pancreatic Enzyme Replacement Therapy
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Changes in fecal lipidome after treatment with ivacaftor without changes in microbiome or bile acids.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. The gut-lung axis in the CFTR modulator era.Frontiers in cellular and infection microbiology · 2023
    Review
  13. Article
  14. CFTR and Gastrointestinal Cancers: An Update.Journal of personalized medicine · 2022
    Review
  15. A year in review: Real world evidence, functional monitoring and emerging therapeutics in 2021.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022
    Review
  16. Review
  17. Review
  18. The Gut-Lung Axis in Cystic Fibrosis.Journal of bacteriology · 2021
    Review
  19. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 2 countries.

C E PopeUniversity of Washington, Seattle, USA.
A T VoUniversity of Washington, Seattle, USA.
H S HaydenUniversity of Washington, Seattle, USA.
E J WeissUniversity of Washington, Seattle, USA.
S DurfeyUniversity of Washington, Seattle, USA.
S McNamaraUniversity of Washington, Seattle, USA.
A RatjenUniversity of Washington, Seattle, USA.
B GroganSt. Vincent's University Hospital, Dublin, Ireland.
S CarterSt. Vincent's University Hospital, Dublin, Ireland.
L NayUniversity of Washington, Seattle, USA.
M R ParsekUniversity of Washington, Seattle, USA.
P K SinghUniversity of Washington, Seattle, USA.
E F McKoneSt. Vincent's University Hospital, Dublin, Ireland.
M L AitkenUniversity of Washington, Seattle, USA.
M R RosenfeldUniversity of Washington, Seattle, USA.
L R HoffmanUniversity of Washington, Seattle, USA. Electronic address: hoffm@uw.edu.
University of Washington · USSt. Vincent's University Hospital · IE

Funding

Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI PRADEEP k SINGH · 2010 to 2026
$21.4M
The pel exopolysaccharide gene cluster of Pseudomonas aeruginosaR01AI077628 · NIAID · UNIVERSITY OF WASHINGTON · PI MATTHEW R. PARSEK, Daniel J Wozniak · 2009 to 2026
$7.1M
The relationship of fecal microbiomes and nutritional status in CFR01DK095869 · NIDDK · UNIVERSITY OF WASHINGTON · PI HOFFMAN, LUCAS R, MILLER, SAMUEL I · 2014 to 2018
$3.2M
Baby Observational and Nutritional Study of Cystic FibrosisR01DK095738 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI BOROWITZ, DRUCY, RAMSEY, BONNIE W · 2012 to 2015
$1.6M
Patient-oriented microbiome and advanced culture approaches to identifying the microbial determinants of chronic pediatric diseaseK24HL141669 · NHLBI · UNIVERSITY OF WASHINGTON · PI Lucas R Hoffman · 2018 to 2026
$929k
NHLBI NIH HHS K24 HL141669NIAID NIH HHS R01 AI077628NIDDK NIH HHS P30 DK089507NIDDK NIH HHS R01 DK095738NIDDK NIH HHS R01 DK095869
6 · The paper itself

Abstract

Studies have demonstrated that people with CF with pancreatic insufficiency (PI) have fecal dysbioses. Evidence suggests the causes of these dysbioses are multifactorial, and that important drivers include antibiotic exposure, dietary intake, and CF gastrointestinal tract dysfunction, including nutrient malabsorption. In this pilot study, we tested whether initiation of the CFTR modulator treatments ivacaftor (in a cohort of pancreatic sufficient (PS) people with CF and an R117H CFTR variant) or lumacaftor/ivacaftor (in a cohort of PI people with CF and an F508del variant) changed fecal measures of malabsorption or fecal microbiomes. While we identified no statistically significant fecal changes with either treatment, we detected trends in the PI cohort when initiating lumacaftor/ivacaftor towards decreased fecal fat content and towards fecal microbiomes that more closely resembled the fecal microbiota of people without PI. While these findings support a model in which nutrient malabsorption resulting from CF-induced PI drives fecal dysbiosis, they must be validated in future, larger studies of fecal microbiome and malabsorption outcomes with highly effective CFTR modulator therapies.

Indexed as

AdolescentAdultAminophenolsAnti-Bacterial AgentsChildChloride Channel AgonistsCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorExocrine Pancreatic InsufficiencyFecesHumansMicrobiotaPilot ProjectsQuinolonesYoung AdultAminophenolsAnti-Bacterial AgentsCFTR protein, humanChloride Channel AgonistsCystic Fibrosis Transmembrane Conductance RegulatorivacaftorQuinolonesAntibioticsCFTR modulatorsDysbiosisFecal microbiome

Identifiers

PMID33390317
PMCPMC8243394
OpenAlexW3117499075

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.