Evidence map›Paper›PMID 35710144›Full record

ArticleBMJ open respiratory research2022

Prospectively evaluating maternal and fetal outcomes in the era of CFTR modulators: the MAYFLOWERS observational clinical trial study design.

Raksha Jain, Amalia Magaret, Phuong T Vu, Jill M VanDalfsen, Ashley Keller, Alexandra Wilson, Melissa S Putman, Nicole Mayer-Hamblett, Charles R Esther, Jennifer L Taylor-Cousar

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open respiratory research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
9.4field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 67 citations in OpenAlex.

  1. Observational
  2. Maternal and fetal outcomes associated with CFTR modulator use during pregnancy: a scoping review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Article
  3. A therapeutic revolution: CFTR modulators in cystic fibrosis and their impacts on pregnant women and the fetus.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. The endocrine complications of cystic fibrosis.Nature reviews. Endocrinology · 2026
    Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. The impact of pregnancy on mortality and lung function in cystic fibrosis patients.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2025
    Article
  17. Review
  18. The ageing of people living with cystic fibrosis: what to expect now?European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  19. Cystic fibrosis.Nature reviews. Disease primers · 2024
    Review
  20. New drugs, new challenges in cystic fibrosis care.European respiratory review : an official journal of the European Respiratory Society · 2024
    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

10 authors at 5 institutions in 1 country.

Raksha JainDepartment of Medicine, University of Texas Southwestern, Dallas, Texas, USA.
Amalia MagaretCystic Fibrosis Therapeutics Development Network Coordinating Center, Seattle Children's Hospital, Seattle, Washington, USA.
Phuong T VuCystic Fibrosis Therapeutics Development Network Coordinating Center, Seattle Children's Hospital, Seattle, Washington, USA.
Jill M VanDalfsenCystic Fibrosis Therapeutics Development Network Coordinating Center, Seattle Children's Hospital, Seattle, Washington, USA.
Ashley KellerDepartment of Medicine, University of Texas Southwestern, Dallas, Texas, USA.
Alexandra WilsonClinical Research Services, National Jewish Health, Denver, Colorado, USA.
Melissa S PutmanDepartment of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA.
Nicole Mayer-HamblettCystic Fibrosis Therapeutics Development Network Coordinating Center, Seattle Children's Hospital, Seattle, Washington, USA.
Charles R EstherDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Jennifer L Taylor-CousarDepartments of Internal Medicine and Pediatrics, National Jewish Health, Denver, Colorado, USA taylor-cousarj@njhealth.org.
Seattle Children's Hospital · USThe University of Texas Southwestern Medical Center · USUniversity of Colorado Denver · USHarvard University · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTherapeutic advances have markedly increased life expectancy for those with cystic fibrosis (CF), resulting in a median predicted survival over 50 years. Consequently, people with CF (pwCF) are living through their reproductive years and the rate of pregnancy is rapidly rising. Despite the increased relevance of this topic, multicentre studies investigating the association between maternal health and choices made during pregnancy on maternal and fetal outcomes do not exist. Furthermore, there are very limited data on the outcomes following CF transmembrane conductance regulator (CFTR) modulator use during pregnancy and lactation. METHODS AND ANALYSIS: ETHICS AND DISSEMINATION: The design of this study required special consideration of study burden on pregnant and lactating people with chronic illness in the setting of a substantial number of unanswered questions under these conditions. MAYFLOWERS is the first prospective clinical trial examining pregnancy in CF; the outcomes will guide providers on pregnancy management in pwCF and others with chronic respiratory disease.

Indexed as

Cystic FibrosisQuinolonesAminophenolsClinical Trials as TopicCystic Fibrosis Transmembrane Conductance RegulatorFemaleHumansLactationMulticenter Studies as TopicObservational Studies as TopicPregnancyProspective StudiesAminophenolsCFTR protein, humanCystic Fibrosis Transmembrane Conductance RegulatorQuinolonesBronchiectasisCystic FibrosisRare lung diseases

Identifiers

PMID35710144
PMCPMC9204448
OpenAlexW4282971894

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.